research in mental health at swansea university michael coffey lecturer community mental health...
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Research in Mental Health at Swansea UniversityMichael Coffey
Lecturer Community Mental Health Nursing
Medication Monitoring Dr Sue Jordan
Monitoring Adverse Drug Reactions: Scales, Profiles and Checklists. 2004
Minimising Side Effects: The clinical impact of nurse-administered ‘side effect’ checklists 2002
Medication management: an exploratory study into the role of Community Mental Health Nurses. 1999
Community Teamwork is key to monitoring the side effects of medication. 2000
Out of Sight
Dr David Rea, Dr Colin Palfrey, Dr Ceri Phillips
Advice on service models for older people in Powys with mental health problems
Two specific aims
• To conduct a needs assessment of the EMI population of Powys
• To advise on appropriate models of best practice in EMI care.
Recommendation - Assertive outreach services are needed to enhance early detection, health education, and assessment
Hearing Voices Study
Michael Coffey, John Higgon, Jayne Kinnear and Jeanette Hewitt
Funded by WORD
Interview Study –quantitative and qualitative data
20 CMHNs who work with people who hear voices and
20 service users who experience voices
Service users were also asked to complete the Beliefs about Voices Questionnaire - revised
Hearing Voices Study: Some key differences
CPNs
• do not agree that compliance is
their concern
• voices not linked to past
experiences
• increase in voices not indicative
of relapse
Service Users
• See CPNs as the first stop
when they have concerns
• think there might be a link
• see clear link between
increase of voices & relapse
Hearing Voices Study: Some key differences
CPNs
• reinforcing reality not useful
• anxious about confronting
voices
• keen for use of own coping
strategies
Service Users
• qualified support for reinforcing
reality
• supportive of confronting
voices
• see some value but less
optimistic
Women who self-mutilate Lynn Gardner
Considers how women who self-mutilate negotiate public
and private space and relationships in light of the fact
that they have scars which reveal their 'troubled'
biographies
Uses a narrative approach
A Study of Suicidality in West Wales Farmers
Sarah Osborne PhD study
Large scale health questionnaire (circa 500 responses)
Follow-up interviews with 14 farmers who described themselves as suicidal and willing to discuss their problems.
The research was framed within an anthropological context
Early Intervention in Psychosis
• Steve Williams, Consultant Nurse in Psychosocial Interventions Pembs and Derwen NHS Trust, Dr Tony Morrison at Manchester University, Gary Rolfe, Professor of Nursing, UWS
• Randomised controlled trial of effectiveness of systematic psychosocial interventions in early psychosis
• Objectives- To establish whether systematic psychosocial interventions provided to people with early psychosis and their families in addition to treatment as usual in a routine service setting within a Welsh rural context will improve clinical outcomes compared to treatment as usual alone
Prison Mental Health Care
Nic Bowler supervisor Dr. Ceri Phillips
Aim: to identify factors predictive of mental health outcomes in
prisoners and priorities for service development
Method - Statistical analysis of mental health needs
assessment data from 861 prisoners.
Follow up study to test clinicians judgements as to predictive
factors identified within data
Stakeholder narratives of conditional discharge
Michael Coffey with supervisors Prof. David Hughes and Dr. Julie Repper
In-depth interviews
Audio recorded and transcribed
Designed to elicit narratives
Focus of questions
Transcriptions returned to interviewees
Analysis addresses content and structure of narratives
Linking research into education
Education and training informed
by research findings
Locally derived research findings
Helping practitioners to determine
the value of evidence
Helping practitioners to see ways
in which evidence can be applied
to their practice
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