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3 results

  • Facilitation of Psychiatric Advance Directives by peer-workers: results from DAiP

  • A. Tinland, S. Loubiere, F. Mougeot
  • Journal:
    European Psychiatry / Volume 65 / Issue S1 / June 2022
    Published online by Cambridge University Press:
    01 September 2022, p. S94
    • Article
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      • Open access
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  • Introduction

    United Nations Convention on the Rights of Persons with Disabilities recognized that people with psychosocial disabilities have the same right to take decisions and make choices as other people. Consequently, direct or supported decision-making should be the norm and there should be no substitute decision-making. However, these principles are far from common practice in many mental health services. Joint-crisis plan (JCP) and Psychiatric advance directives (PAD) are interesting tools to translate the shared-decision making principle into clinical and practical reality. Most existing JCP or PAD involve facilitators, which improves their effectiveness, but facilitators are mostly professionals.

    Objectives

    In this context, DAiP study was launched to evaluate the efficacy of PAD facilitated by peer-workers.

    Methods

    DAiP was a multicenter randomized controlled trial conducted in 7 French mental health facilities, with a complementary qualitative approach. 394 adults with a DSM-5 diagnosis of schizophrenia (SCZ), bipolar I disorder (BP-I), or schizoaffective disorders (SCZaff), who were compulsorily hospitalized in the past 12 months were enrolled from January 2019 and followed up for 12 months. Outcomes were compulsory admission rate, therapeutic alliance (4-PAS), quality of life (S-QOL), mental health symptoms (MCSI), empowerment (ES) and recovery (RAS).

    Results

    In this communication, we propose to describe the practices of facilitation of peer-workers and analyze outcomes in lights of process measurements (whether or not participants completed PAD document, shared PAD and with whom, met facilitator, used PAD

    Conclusions

    Involving peer-workers in the redaction of PADs coherently supports the current shift of mental health care from ‘substitute decision making’ to ‘supported decision making’.

    Disclosure

    No significant relationships.

  • 8 - Mental health in the interprofessional context

  • Edited by Nicholas Procter, University of South Australia, Rhonda L. Wilson, University of Newcastle, New South Wales, Helen P. Hamer, Denise McGarry, University of Tasmania, Mark Loughhead, University of South Australia
  • Book:
    Mental Health
    Published online:
    07 April 2022
    Print publication:
    07 April 2022, pp 144-172

  • Summary

    Regardless of the setting of mental health care, an interprofessional or multidisciplinary approach is a sound response to the multifaceted problems faced by people with mental health problems. Through collaboration with consumers, the needs of the person experiencing mental health problems can be comprehensively met.An interprofessional workforce involves a range of professions and other staff with different educational backgrounds. These are broadening, increasingly, from the traditional professions employed in mental health services – medical, nursing, social work, psychology and occupational therapy – to embrace other workers with skills to contribute. Some of these groups are subject to regulation through their professional bodies and national regulatory authorities. Other groups working with the mental health workforce are not subject to such authority or regulation. This has supported the development of standards for the mental health workforce in Australia and Aotearoa New Zealand, in order to provide uniform and consistent guidelines to govern everyone working with people experiencing mental health problems.

  • 8 - Mental health in the interprofessional context

    • By
  • Edited by Nicholas Procter, University of South Australia, Rhonda L. Wilson, University of Newcastle, New South Wales, Helen P. Hamer, Denise McGarry, University of Tasmania, Mark Loughhead, University of South Australia
  • Book:
    Mental Health
    Published online:
    07 April 2022
    Print publication:
    07 April 2022, pp 144-172

  • Summary

    Regardless of the setting of mental health care, an interprofessional or multidisciplinary approach is a sound response to the multifaceted problems faced by people with mental health problems. Through collaboration with consumers, the needs of the person experiencing mental health problems can be comprehensively met.An interprofessional workforce involves a range of professions and other staff with different educational backgrounds. These are broadening, increasingly, from the traditional professions employed in mental health services – medical, nursing, social work, psychology and occupational therapy – to embrace other workers with skills to contribute. Some of these groups are subject to regulation through their professional bodies and national regulatory authorities. Other groups working with the mental health workforce are not subject to such authority or regulation. This has supported the development of standards for the mental health workforce in Australia and Aotearoa New Zealand, in order to provide uniform and consistent guidelines to govern everyone working with people experiencing mental health problems.