Experiences of Mental Health In-patient Care: Narratives From Service Users, Carers and Professionals (Paperback) book cover

Experiences of Mental Health In-patient Care

Narratives From Service Users, Carers and Professionals

Edited by Mark Hardcastle, David Kennard, Sheila Grandison, Leonard Fagin

© 2007 – Routledge

248 pages

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About the Book

Commended in the Mental Health category of the 2008 BMA Medical Book Competition.

This book offers an insight into the experience of psychiatric in-patient care, from both a professional and a user perspective. The editors highlight the problems in creating therapeutic environments within settings which are often poorly resourced, crisis driven and risk aversive.

The contributors argue that for change to occur there needs first of all to be a genuine appreciation of the experiences of those involved in the unpredictable, anxiety-arousing and sometimes threatening environment of the psychiatric ward. Each chapter comprises a personal account of in-patient care by those in the front line: people who have been admitted to a psychiatric ward; their relatives; or those that provide the care. These accounts are followed by two commentaries written from different perspectives, suggesting lessons that can be learnt to improve the quality of care.

Experiences of Mental Health In-patient Care will be useful for all mental health professionals, including mental health nurses, psychiatrists, clinical psychologists, occupational therapists, arts therapists, social workers and trainees, as well as service users and carers organisations.

Reviews

"On every page of the book I found in the accounts of users, carers and professionals gems that encapsulated so much of my own differing encounters with psychiatric in-patient care." Rachel Perkins – From the Foreword

"So, halleluiah, in this enlightened book we have a bite-sized collection of intelligent, insightful, and absorbing contributions which refreshes the soul… The book not only challenges but informs and inspires…[I] intend to ensure that as many people as possible are aware of its value." Malcolm Rae – from the Foreword

"…a highly illuminating approach and a worthwhile read for anyone seeking an insight into the experience of inpatient care from a variety of perspectives." Clare Allan, The Guardian

"…this splendid book is an excellent resource at many levels." - Psychiatric Bulletin

"…an excellent, stimulating, useful and welcome book." - Mental Health Practice

"This book is likely to become a classic critique of in-patient treatment. Read it; do not despair; race straight to www.starwards.org.uk to find inspiring examples of what many acute wards are managing to achieve, despite the challenges so vividly described in this valuable book." - Marion Janner, Mental Health Today, November 2007

"This is a thought-provoking and challenging publication that poses many questions about how service improvement might occur - essential reading for anyone working in mental health, particuarly students." - Anne Gilbert, Gestalt Psychotherapist, Counsellor and Supervisor, Therapy Today, October 2007

"I would recommend this book for every mental health department because it is a valuable resource." - Pam Schofield, Senior Occupational Therapist, British Journal of Occupational Therapy, March 2008, 71(3)

"… this is an essential read for anyone starting work in in-patient settings, but just as valuable for experienced staff to help them remain mindful of their own feelings and reactions in these complex environments, as well as those of service users and carers." - Jonna Siitarinen, Clinical Psychology Forum, October 2008

"This collection of personal accounts brings the experience alive for those involved in inpatient psychiatry. As such it is a valuable resource for mental health professionals, patients, and patients' families." - William M. Regan, Journal of Clinical Psychiatry, Vol. 70, No. 3, March 2009

Table of Contents

Perkins, Foreword. Rae, Foreword. Part I: Introduction. Kennard, What is ThisBook About? Fagin, A Brief Narrative History of In-patient Care in the United Kingdom. Hardcastle, Recent Times. Part II: Service Users’ Experiences. Short, Turner, Hardcastle, Feeling Misunderstood. Antoniou, Bowers, Christian-Edwards, Bored on the Ward. Norwood, Cañete, Ezquerro, Morriss, Feeling Out of Control. Ockwell, Gournay, Turner, Restraint: A Necessary Evil? Gina, Goodfellow, Barry, Feeling Alone: Experiences of a Female Teenager. Joe, Fagin, Bhui, Feeling Humiliated: Experiences of a Black Man. Part III: Carers’ Experiences. Shiers, Why Us? Shooter, Fadden, Feeling Invisible. Charlotte, Jones, Johannessen, No Sex Allowed. Varley, Mitchell, Prior, Frustrated and Angry. Kirk, J, Kirk, D, Roberts, Lawton-Smith, Feeling Grateful. Part IV: Mental Health Staff Experiences. Duggins, Fagin, Antoniou, Feeling Helpless. Chickwama, Coupland, Fagin, First Experience. Louisa, McAleese, Ockwell, Feeling Unprepared. Scally, McGowan, Kilyon, Mixed Feelings. Allen, Short, Kennard, Feeling Marginal. Travers, Grandison, Beales, Feeling Apprehensive. Brennan, Fagin, D, Duggins, Taking Control. Hughes, Hardcastle, Kennard, Feeling Frustrated. McAleese, Wilson, Scally, Taking it Personally. Pritchard, Allen, Rudegair, Finding Meaning. Kennard, Fagin, Hardcastle, Grandison, Afterword: Things You Can Do to Make In-patient Care a Better Experience.

About the Editors

Mark Hardcastle is a consultant nurse with Sussex Partnership (NHS) Trust and a Visiting Fellow at the University of Brighton.

David Kennard is a clinical psychologist and group analyst, formerly Head of Psychology at The Retreat, York, and is Chair of ISPS UK.

Sheila Grandison is the Head of Arts Therapies at East London and The City Mental Health NHS Trust.

Leonard Fagin retired in 2006 as an NHS consultant psychiatrist and Clinical Director at North East London Mental Health NHS Trust and is an Honorary Senior Lecturer at University College London.

About the Series

The International Society for Psychological and Social Approaches to Psychosis Book Series

ISPS (The International Society for Psychological and Social Approaches to Psychosis) has a history stretching back more than five decades, during which it has witnessed the relentless pursuit of biological explanations for psychosis. This tide has been turning in recent years and there is growing international interest in a range of psychological, social and cultural factors that have considerable explanatory traction and distinct therapeutic possibilities. Governments, professional groups, people with personal experience of psychosis and family members are increasingly exploring interventions that involve more talking and listening. Many now regard practitioners skilled in psychological therapies as an essential component of the care of people with psychosis.

A global society active in at least twenty countries, ISPS is composed of a diverse range of individuals, networks and institutional members. Key to its ethos is that individuals with personal experience of psychosis, and their families and friends, are fully involved alongside practitioners and researchers, and that all benefit from this collaboration.

ISPS’s core aim is to promote psychological and social approaches to understanding and treating psychosis. Recognising the humanitarian and therapeutic potential of these perspectives, ISPS embraces a wide spectrum of therapeutic approaches from psychodynamic, systemic, cognitive, and arts therapies, to need-adapted and dialogical approaches, family and group therapies and residential therapeutic communities. A further ambition is to draw together diverse viewpoints on psychosis and to foster discussion and debate across the biomedical and social sciences, including establishing meaningful dialogue with practitioners and researchers who are more familiar with biological-based approaches. Such discussion is now increasingly supported by empirical evidence of the interaction of genes and biology with the emotional and social environment especially in the fields of trauma, attachment, social relationships and therapy.

Ways in which ISPS pursues its aims include international and national conferences, real and virtual networks, and publication of the journal Psychosis. The book series is intended to complement these activities by providing a resource for those wanting to consider aspects of psychosis in detail. It now also includes a monograph strand primarily targeted at academics. Central to both strands is the combination of rigorous, in-depth intellectual content and accessibility to a wide range of readers. We aim for the series to be a resource for mental health professionals of all disciplines, for those developing and implementing policy, for academics in the social and clinical sciences, and for people whose interest in psychosis stems from personal or family experience. We hope that the book series will help challenge excessively biological ways of conceptualising and treating psychosis through the dissemination of existing knowledge and ideas and by fostering new interdisciplinary dialogues and perspectives.

For more information about ISPS, email isps@isps.org or visit our website, www.isps.org.  

For more information about the journal Psychosis visit  www.isps.org/index.php/publications/journal.

Learn more…

Subject Categories

BISAC Subject Codes/Headings:
PSY028000
PSYCHOLOGY / Psychotherapy / General
PSY036000
PSYCHOLOGY / Mental Health