Suchergebnisse

The focus of this report is to enquire into and report on why people harm and kill themselves and to consider the role (including the limits of the role) that psychiatrists and other mental healthcare professionals play in their care and treatment. The experiences and views of people who harm themselves as well as those of their carers, health professionals and third-sector workers are central to this enquiry. As there is much policy and guidance on self-harm and suicide prevention, the report does not attempt to retrace this same ground but rather examines the evidence of practice on the ground, including the implementation of the National Institute for Health and Clinical Excellence (NICE) guidelines on self-harm (National Collaborating Centre for Mental Health, 2004). This report is the second in the Royal College of Psychiatristsââ,¬â"¢ programme of work on the broad issue of risk. The College report Rethinking Risk to Others was published in July 2008 (Royal College of Psychiatrists, 2008a) and a new Working Group was set up under the chairmanship of John, Lord Alderdice, to examine risk, self-harm and suicide. This clinical issue is an integral part of the role of the psychiatrist in ensuring the good care and treatment of patients. Our central theme is that the needs, care, well-being and individual human dilemma of the person who harms themselves should be at the heart of what we as clinicians do. Public health policy has a vital role to play and psychiatrists must be involved and not leave these crucial political and managerial decisions to those who are not professionally equipped to appreciate the complexities of self-harm and suicide. But we must never forget that we are not just dealing with social phenomena but with people who are often at, and beyond the limit of what they can emotionally endure. Their aggressive acts towards themselves can be difficult to understand and frustrating to address, but this is precisely why psychiatrists need to be involved to bring clarity to the differing causes for the self-destructive ways in which people act and to assist in managing the problems for the people concerned, including family, friends and professional carers, who sometimes find themselves at the end of their tether in the face of such puzzling and destructive behaviour.

"A presentation of the main facts about social media, and research about the relationship between social media use and mental health, to examine both the positive and negative effects. Useful to anybody working in education, social care or mental health. It will also appeal to an educated general readership"--

"This book presents evidence-based guidance on the prevention and management of aggression and violence by patients with mental disorder. It provides a comprehensive overview of best practice and will be of use to a wide range of mental health professionals working in community, in-patient and prison settings"--

This piece of guidance has been developed to advise on improving the experience of care for people using mental health services in the National Health Service (NHS). This guidance will be relevant for adults using secondary mental health services and covers the care provided by community, secondary, tertiary and other health and social care professionals who have direct contact with, and make decisions concerning the care of adults using those services. While health services aim to ensure that people have access to treatments that are effective and safe, this is only one part of a service user's experience of the healthcare they receive. The way services are accessed, the way that people's problems are assessed, how referrals between different components of health systems are managed, aftercare arrangements, and the process of discharge all play an important part in service users' overall experience of the care they receive.