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Allow mental health nurses more time with patients, government report urges

April 27, 2006

Mental health nurses should spend more of their time in direct clinical contact with patients and cut back on administrative duties, a government review has urged.

The review, entitled "From Values to Action", lays out the role of mental health nurses over the next 10 years. It has taken into account government race equality reforms and planned changes to mental health law as outlined in a new mental health bill.

The review, launched last week, also recommends that the role of the health service's 47,000 mental health nurses should be to provide more psychological therapies, help improve the physical wellbeing of patients and promote social inclusion for patients and their carers.

Mental health minister Rosie Winterton said the time was right “to provide mental health nurses with a new direction and clear future role in order to deliver government reforms such as the mental health bill, personalised choice and care”.

The government’s chief nursing officer Christine Beasley said: "This report aims to help mental health nurses, their organisations and professional leaders put in place the practical changes that will make a difference to service users. I want this review to be used on the ground to shape everyday practice wherever care is given to mental health service users and their families."

Sophie Corlett, director of policy at the mental health charity Mind, said she was "delighted" at the review's encouragement of a more active role for nurses in engaging with patients.

"Too often we hear of a lack of interaction between the two, particularly on wards where patients may feel alone and abandoned," she said.

Read for yourself:
From Values to Action (pdf)

See also:
March 23, 2006: Government drops key proposals of draft mental health bill - new "streamlined” bill will be an amendment to the present mental health act, says mental health minister Rosie Winterton
Mental health nursing comment
May 16, 2005: It's time the giant of mental health nursing woke up - Input from mental health nurses is markedly absent from clinical guidelines produced by The National Institute for Clinical Excellence, say Phil Barker and Poppy Buchanan-Barker. It's time, they argue, that mental health nurses had their own representative body to stand up for them.

.....

Not just nurses

Comment by: Pete Moss, programme manager, Richmond Fellowship, Western Australia
Date: July 7, 2006

I would agree - adding that all mental health workers should be able to spend more time with clients.

The 'recovery' concept should be explored more in terms of the individual needs of the client, and of getting the optimum balance between medication-psychosocial applications: preferably, where possible, with the aim to minimise medication and eventually relying more on psychosocial methods.

It seems to me that the disconnection brought about by isolation etc, experienced by all mentally distressed individuals, is exascerbated by understaffing of acute wards - usually staffed by hard-pressed people whose first language is not English, and hence tend to lose out on the nuances of various English dialects. This raises resistances and barriers in the exchanges between patient and staff member, adding to the confusion of an already very confused patient, and (I suspect) staff person.

The CMHT teams that I've met have been worthy of great praise for their dedication and hard work in trying to band-aid a mental health. system in bad need of repair and reform. Burnout is a regular ocurrence adding to the difficulties of keeping staff and of maintaing anything like continuity of service so badly needed - especially in the area of mental health

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