Pub Date : 2023-06-01DOI: 10.53841/bpscpf.2023.1.365.24
Oliver Baldwin, Amy Breed, Jennifer Grayling, Ammara Haque, Derval McCormack, Abigail Methley, Sarah Yates, Lorraine King
Background Neuropsychological assessment enables clinicians to use standardised tools and systemic formulation approaches to assess cognition and provide targeted psycho-education and rehabilitative input. The research literature is currently limited regarding the perspectives of different stakeholders on the neuropsychological assessment experience, and resulting reports. Aims This paper explores what professional stakeholders consider to be a ‘good’ neuropsychological assessment/what is important to them, and examines service user experiences of neuropsychological assessment within a neuropsychology outpatient service. Method A small-scale service evaluation project comprised an online survey completed by 17 professionals who receive neuropsychological report from this service. A semi-structured schedule was used to guide telephone interviews with nine service users who had recently experienced a neuropsychological assessment. Results Both professional stakeholder surveys and service user telephone interviews provided feedback regarding what they found helpful and unhelpful in neuropsychological assessments, and suggested areas for improvement including: provision of an information booklet, offering a choice of remote or in-person appointments, and offering follow-up appointments after the assessment. Discussion Reeommendations are made for service improvements, and for future larger-scale research projects within this subject area.
{"title":"What makes a ‘good’ neuropsychological assessment? An evaluation of service user and professional stakeholder perspectives","authors":"Oliver Baldwin, Amy Breed, Jennifer Grayling, Ammara Haque, Derval McCormack, Abigail Methley, Sarah Yates, Lorraine King","doi":"10.53841/bpscpf.2023.1.365.24","DOIUrl":"https://doi.org/10.53841/bpscpf.2023.1.365.24","url":null,"abstract":"Background Neuropsychological assessment enables clinicians to use standardised tools and systemic formulation approaches to assess cognition and provide targeted psycho-education and rehabilitative input. The research literature is currently limited regarding the perspectives of different stakeholders on the neuropsychological assessment experience, and resulting reports. Aims This paper explores what professional stakeholders consider to be a ‘good’ neuropsychological assessment/what is important to them, and examines service user experiences of neuropsychological assessment within a neuropsychology outpatient service. Method A small-scale service evaluation project comprised an online survey completed by 17 professionals who receive neuropsychological report from this service. A semi-structured schedule was used to guide telephone interviews with nine service users who had recently experienced a neuropsychological assessment. Results Both professional stakeholder surveys and service user telephone interviews provided feedback regarding what they found helpful and unhelpful in neuropsychological assessments, and suggested areas for improvement including: provision of an information booklet, offering a choice of remote or in-person appointments, and offering follow-up appointments after the assessment. Discussion Reeommendations are made for service improvements, and for future larger-scale research projects within this subject area.","PeriodicalId":39686,"journal":{"name":"Clinical Psychology Forum","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135143786","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-05-01DOI: 10.53841/bpscpf.2023.1.364.45
{"title":"Seeking Asylum and Mental Health: A practical guide for professionals","authors":"","doi":"10.53841/bpscpf.2023.1.364.45","DOIUrl":"https://doi.org/10.53841/bpscpf.2023.1.364.45","url":null,"abstract":"","PeriodicalId":39686,"journal":{"name":"Clinical Psychology Forum","volume":"158 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135096150","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-05-01DOI: 10.53841/bpscpf.2023.1.364.10
Chelsea Addy, Afua Appiah, Aisling Martin, Romana Farooq
The SECURE STAIRS Framework for Integrated Care (NHS England, 2016; Anna Freud National Centre for Children and Families, 2022) was developed by NHS England to promote a trauma-informed, evidence-based and whole system approach to children and young people accommodated in the Secure Estate. These settings accommodate children and young people presenting with high risk, high harm and high vulnerability presentations that cannot be kept safe in the community. Reflective practice sessions were facilitated over a twelve-month period for residential staff, physical health staff and management working within a Secure Children’s Home in the North of England. A pre and post questionnaire evaluation method was utilised to analyse the results. The evaluation indicated significant improvements in participant’s confidence in their practice and communication with colleagues and children and young people; ability to be reflective with others both during and after an interaction; levels of stress when interacting with children and young people; and uncertainty within their practice. However, decreases were observed in participants ability to appraise their practice and desire for improvement within their practice. The authors critically review the results of the evaluation and highlight the ongoing need for reflective spaces for staff caring for children and young people with complex needs within the Secure Estate.
{"title":"Working with a reflective system within the SECURE STAIRS framework for integrated care: An evaluation of reflective practice sessions within the children & young people secure estate","authors":"Chelsea Addy, Afua Appiah, Aisling Martin, Romana Farooq","doi":"10.53841/bpscpf.2023.1.364.10","DOIUrl":"https://doi.org/10.53841/bpscpf.2023.1.364.10","url":null,"abstract":"The SECURE STAIRS Framework for Integrated Care (NHS England, 2016; Anna Freud National Centre for Children and Families, 2022) was developed by NHS England to promote a trauma-informed, evidence-based and whole system approach to children and young people accommodated in the Secure Estate. These settings accommodate children and young people presenting with high risk, high harm and high vulnerability presentations that cannot be kept safe in the community. Reflective practice sessions were facilitated over a twelve-month period for residential staff, physical health staff and management working within a Secure Children’s Home in the North of England. A pre and post questionnaire evaluation method was utilised to analyse the results. The evaluation indicated significant improvements in participant’s confidence in their practice and communication with colleagues and children and young people; ability to be reflective with others both during and after an interaction; levels of stress when interacting with children and young people; and uncertainty within their practice. However, decreases were observed in participants ability to appraise their practice and desire for improvement within their practice. The authors critically review the results of the evaluation and highlight the ongoing need for reflective spaces for staff caring for children and young people with complex needs within the Secure Estate.","PeriodicalId":39686,"journal":{"name":"Clinical Psychology Forum","volume":"15 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85943915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-05-01DOI: 10.53841/bpscpf.2023.1.364.31
R. Dickinson, A. Conway, L. Shirley
The number of psychology students at UK universities is at an all-time high (Higher Education Statistics Agency, 2022) and over half of psychology students who are interested in a career in mental health are specifically interested in becoming clinical psychologists (National Collaborating Centre for Mental Health, 2019) and from our experience (as a student, educator, and career consultant), aspiring to this career can result in high levels of anxiety. To explore the experiences of aspiring clinical psychologists, we conducted semi-structured interviews with thirteen undergraduate psychology students who hope to become clinical psychologists. From our thematic analysis (Braun & Clarke, 2006), we identified three themes: ‘Information: what, when, who?’, ‘The rocky road to clinical psychology training’ and ‘Choosing clinical psychology and its cost’. The study led to the development of an undergraduate ‘Clinical Psychology Club’ to support the career choices of aspiring undergraduate clinical psychologists.
{"title":"Aspiring clinical psychologists – the hopes and concerns of undergraduate psychology students about their future","authors":"R. Dickinson, A. Conway, L. Shirley","doi":"10.53841/bpscpf.2023.1.364.31","DOIUrl":"https://doi.org/10.53841/bpscpf.2023.1.364.31","url":null,"abstract":"The number of psychology students at UK universities is at an all-time high (Higher Education Statistics Agency, 2022) and over half of psychology students who are interested in a career in mental health are specifically interested in becoming clinical psychologists (National Collaborating Centre for Mental Health, 2019) and from our experience (as a student, educator, and career consultant), aspiring to this career can result in high levels of anxiety. To explore the experiences of aspiring clinical psychologists, we conducted semi-structured interviews with thirteen undergraduate psychology students who hope to become clinical psychologists. From our thematic analysis (Braun & Clarke, 2006), we identified three themes: ‘Information: what, when, who?’, ‘The rocky road to clinical psychology training’ and ‘Choosing clinical psychology and its cost’. The study led to the development of an undergraduate ‘Clinical Psychology Club’ to support the career choices of aspiring undergraduate clinical psychologists.","PeriodicalId":39686,"journal":{"name":"Clinical Psychology Forum","volume":"114 5-6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72449266","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-05-01DOI: 10.53841/bpscpf.2023.1.364.38
Sophie Rapsey, Ross Watson, Hugh Dafforn
This evaluation aimed to explore the views of service users attending a fortnightly, multidisciplinary ward round meeting on a forensic mental health low secure unit (LSU). The focus was on identifying the ways in which the ward round experience embodied trauma informed care principles. The need for implementing models of trauma informed care has been widely recognised within mental health services. Previous research has demonstrated the negative impact of ward rounds on service user experiences, suggesting a need for change. This evaluation used a focus group followed by semi-structured interviews constructed through the lens of five principles associated with a trauma-informed care approach. Six service users participated in the service evaluation. Interviews were interpreted qualitatively using thematic analysis. Six core themes were identified and are discussed in relation to their application to clinical practice. The themes suggest improvements are required for ward rounds to have a positive impact on service users and promotes the necessity for services to hold collaboration, choice, empowerment, trust and safety in high regard as key principles in embedded ward processes that aim to support recovery.
{"title":"‘An equal seat at the table’: Service users’ experiences of ward rounds in secure care, through the lens of trauma-informed care principles","authors":"Sophie Rapsey, Ross Watson, Hugh Dafforn","doi":"10.53841/bpscpf.2023.1.364.38","DOIUrl":"https://doi.org/10.53841/bpscpf.2023.1.364.38","url":null,"abstract":"This evaluation aimed to explore the views of service users attending a fortnightly, multidisciplinary ward round meeting on a forensic mental health low secure unit (LSU). The focus was on identifying the ways in which the ward round experience embodied trauma informed care principles. The need for implementing models of trauma informed care has been widely recognised within mental health services. Previous research has demonstrated the negative impact of ward rounds on service user experiences, suggesting a need for change. This evaluation used a focus group followed by semi-structured interviews constructed through the lens of five principles associated with a trauma-informed care approach. Six service users participated in the service evaluation. Interviews were interpreted qualitatively using thematic analysis. Six core themes were identified and are discussed in relation to their application to clinical practice. The themes suggest improvements are required for ward rounds to have a positive impact on service users and promotes the necessity for services to hold collaboration, choice, empowerment, trust and safety in high regard as key principles in embedded ward processes that aim to support recovery.","PeriodicalId":39686,"journal":{"name":"Clinical Psychology Forum","volume":"24 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77806247","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-03-01DOI: 10.53841/bpscpf.2023.1.363.74
O. Luzón, S. Afzali, C. Baribeau, R. S. Bhatoa, A. Choudhury, A. Dale, M. Haghiran, S. Kirhan, B. Powell, H. Shaw, P. Surendran, C.L.M. Wong
{"title":"Agents of change: A vision for psychology through the lens of tomorrow’s leaders","authors":"O. Luzón, S. Afzali, C. Baribeau, R. S. Bhatoa, A. Choudhury, A. Dale, M. Haghiran, S. Kirhan, B. Powell, H. Shaw, P. Surendran, C.L.M. Wong","doi":"10.53841/bpscpf.2023.1.363.74","DOIUrl":"https://doi.org/10.53841/bpscpf.2023.1.363.74","url":null,"abstract":"<jats:p><jats:fig id=\"UF1\" position=\"anchor\" orientation=\"portrait\"><jats:graphic xmlns:xlink=\"http://www.w3.org/1999/xlink\" xlink:href=\"cpf-363_13_fig1\" position=\"float\" orientation=\"portrait\" /></jats:fig></jats:p>","PeriodicalId":39686,"journal":{"name":"Clinical Psychology Forum","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82152257","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-03-01DOI: 10.53841/bpscpf.2023.1.363.86
Dale Huey, Irini Verbist, Abbie Robinson, Rachel Domone, Paul Campbell
This paper summarises key literature relevant to senior leadership in the NHS and how that relates to the conditions required to deliver high quality psychologically informed healthcare. Despite the increasing demand for psychological services from the public as well as the increased centrality of psychological approaches in policy, this has not translated into optimizing the leadership for the most effective delivery of these services. The need for psychological leadership is not mandated nor otherwise embedded in the most senior decision-making structures from NHS England, through Integrated Care Boards, to provider organisations such as Foundation Trusts. In this study, we have focused on the latter and surveyed the views of 355 psychological professionals on their knowledge, experience, and the perceived importance of the level of influence of their Chief Psychological Professions Officer (CPPO). The term CPPO is used to refer to the most senior psychological professional in an NHS structure. The role provides overall professional leadership for psychological professions and the strategic leadership and vision to support the rapid expansion of psychological approaches described in the NHS Long Term Plan. We found a consistent difference between the experience, and perceived importance, of the level of influence the CPPO has in relation to: addressing gaps in psychological provision (9 per cent believing their CPPO has a great deal of influence over this issue, versus 60 per cent believing that it is important for their CPPO to have a great deal of influence); developing care to better align with the knowledge base (10 per cent experience, versus 54 per cent perceived importance); and workforce retention and growth (8 per cent experience, 58 per cent perceived importance). We also summarise qualitative comments given as reasons for the preferred degree of influence, opinions on the most important issues for CPPOs to address, and for experience and preferences re communication with the CPPO.
本文总结了与NHS高级领导相关的关键文献，以及如何与提供高质量心理知情医疗保健所需的条件相关。尽管公众对心理服务的需求越来越大，心理方法在政策中的中心地位也越来越高，但这并没有转化为优化领导，以最有效地提供这些服务。从英国国家医疗服务体系(NHS England)，到综合护理委员会(Integrated Care Boards)，再到基金会信托基金(Foundation Trusts)等提供机构，对心理领导力的需求既不是强制性的，也没有嵌入到最高层的决策结构中。在这项研究中，我们主要关注后者，并调查了355名心理专业人士对他们的知识、经验和他们的首席心理专业官(CPPO)影响力水平的感知重要性的看法。CPPO这个术语指的是NHS结构中最资深的心理专业人员。该角色为心理专业提供全面的专业领导，并为支持国民保健制度长期计划中所述的心理方法的快速扩展提供战略领导和远见。我们发现，在以下方面，CPPO的经验和感知到的重要性之间存在一致的差异:解决心理提供方面的差距(9%的人认为他们的CPPO在这个问题上有很大的影响力，而60%的人认为他们的CPPO有很大的影响力很重要);发展护理以更好地与知识库保持一致(10%的人有经验，而54%的人认为重要性);劳动力的保留和增长(8%的人认为有经验，58%的人认为重要)。我们还总结了所提供的定性评论，包括首选影响力程度的原因、对CPPO需要解决的最重要问题的意见，以及与CPPO沟通的经验和偏好。
{"title":"Is there anybody there, does anybody care? Experience and perceived importance of senior psychological leadership","authors":"Dale Huey, Irini Verbist, Abbie Robinson, Rachel Domone, Paul Campbell","doi":"10.53841/bpscpf.2023.1.363.86","DOIUrl":"https://doi.org/10.53841/bpscpf.2023.1.363.86","url":null,"abstract":"This paper summarises key literature relevant to senior leadership in the NHS and how that relates to the conditions required to deliver high quality psychologically informed healthcare. Despite the increasing demand for psychological services from the public as well as the increased centrality of psychological approaches in policy, this has not translated into optimizing the leadership for the most effective delivery of these services. The need for psychological leadership is not mandated nor otherwise embedded in the most senior decision-making structures from NHS England, through Integrated Care Boards, to provider organisations such as Foundation Trusts. In this study, we have focused on the latter and surveyed the views of 355 psychological professionals on their knowledge, experience, and the perceived importance of the level of influence of their Chief Psychological Professions Officer (CPPO). The term CPPO is used to refer to the most senior psychological professional in an NHS structure. The role provides overall professional leadership for psychological professions and the strategic leadership and vision to support the rapid expansion of psychological approaches described in the NHS Long Term Plan. We found a consistent difference between the experience, and perceived importance, of the level of influence the CPPO has in relation to: addressing gaps in psychological provision (9 per cent believing their CPPO has a great deal of influence over this issue, versus 60 per cent believing that it is important for their CPPO to have a great deal of influence); developing care to better align with the knowledge base (10 per cent experience, versus 54 per cent perceived importance); and workforce retention and growth (8 per cent experience, 58 per cent perceived importance). We also summarise qualitative comments given as reasons for the preferred degree of influence, opinions on the most important issues for CPPOs to address, and for experience and preferences re communication with the CPPO.","PeriodicalId":39686,"journal":{"name":"Clinical Psychology Forum","volume":"201 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135533312","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-03-01DOI: 10.53841/bpscpf.2023.1.363.26
Amra Saleem Rao, Reg Morris, Jeremy Clarke, Katie Brown, Gita Bhutani, Tony Lavender, Adrian Neal
{"title":"Are workplace factors impacting our mental health? What can be done to build up a thriving workforce?","authors":"Amra Saleem Rao, Reg Morris, Jeremy Clarke, Katie Brown, Gita Bhutani, Tony Lavender, Adrian Neal","doi":"10.53841/bpscpf.2023.1.363.26","DOIUrl":"https://doi.org/10.53841/bpscpf.2023.1.363.26","url":null,"abstract":"<jats:p><jats:fig id=\"UF1\" position=\"anchor\" orientation=\"portrait\"><jats:graphic xmlns:xlink=\"http://www.w3.org/1999/xlink\" xlink:href=\"cpf-363_07_fig1\" position=\"float\" orientation=\"portrait\" /></jats:fig></jats:p>","PeriodicalId":39686,"journal":{"name":"Clinical Psychology Forum","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135533311","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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