China
Africa
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Fundamentals of mental health assessment for non–mental health practitioners
Published in Nicola Neale, Joanne Sale, Developing Practical Nursing Skills, 2022
All of the abovementioned set clear modern standards and service models for the improvement of mental health services, as each standard is based on evidence. In more recent years, there has been greater focus on integration and parity of esteem between care provision, to promote health and greater care for the increasing older population and those with long-term health conditions (The Kings Fund 2019). In comparison, each framework highlights the need for improvement in relation to, parity of esteem, integrated care and the fundamental need for collaboration between all agencies involved in individuals care needs. Parity of esteem illustrates the essential need for mental health to be valued equally to physical health, and there is a great ambition for this across both mental health and physical health (O’Brien et al. 2019). Everyone, whether they experience short-term difficulties with their mental illness or with complex mental health needs have the equal right to access healthcare treatment and support as those devoid of mental health conditions (RCN 2019): Patient surveys completed by CQC highlighted that patients with a pre-existing mental health condition who were in hospital for physical health treatment, reported poor experiences of care. These areas included information sharing, respect and dignity, coordination of care, confidence and trust, respect for patient centred needs and values, and perceptions of overall experience of care.(NICE 2019a, p. 17)
Policy and Practice in Children and Young People’s Mental Health
Published in Cathy Laver-Bradbury, Margaret J.J. Thompson, Christopher Gale, Christine M. Hooper, Child and Adolescent Mental Health, 2021
Pathiba Chitsabesan, Bernidka Dubicka
Following the Health and Social Care Act (2012), there has been an increased focus on mental health services and a commitment to providing ‘parity of esteem’ for mental and physical health services. Parity of esteem means that mental health is valued as much as physical health, emphasising equal access to care and the allocation of resources proportionate to need.
Migration and mental health
Published in Bernadette N. Kumar, Esperanza Diaz, Migrant Health, 2019
Practically, diagnoses can lead the way to alleviation of suffering through accessing care pathways and documenting medical evidence; however, their stigmatizing effect in mental health should not be underestimated. In Europe, we are still struggling with parity of esteem for mental illness. In some countries further afield, a label of ‘crazy’ has far-reaching consequences for individuals and their families. People with mental illness can be incarcerated and even chained. Families may be shunned for generations. If the presentation is related to modifiable factors, such as social isolation, the period of assessment should be prolonged if possible to rectify these before formalizing a diagnosis.
Standing out on the Margins: Using Dialogical Narrative Analysis to Explore Mental Health Student Nurse Identity Construction and Core Modules
Published in Issues in Mental Health Nursing, 2022
Timothy Buescher, Stuart McGugan
There were stories of shared purpose and common interest across the fields of nursing in some lectures and outside of teaching. Stories of where care has fallen down for people with comorbid mental and physical health issues called upon a common set of skills and emphases for all practitioners across fields, with warnings about the consequences of their neglect. Parity of esteem and the need for greater understanding of mental health across the fields, stories which feature heavily in contemporary technical narratives of healthcare strategy, could be heard in these. These narratives brought with them the character of the mental health professional. This has been something much written about in the last 20 years as a technical rational pursuit of a science of mental health nursing (Grant, 2015, 2018). This was seen as a double-edged sword which could contribute to the fragmentation of care through narrow specialism. Parity was not evident in the content and delivery of core modules, although stories featured aspects of this popular narrative. A story about the lack of mental health knowledge in adult nurses and the enthusiasm amongst that cohort for this topic shows potential for development.
Wounds in mental health care: The archetype of a ‘wicked problem of many hands’ that needs to be addressed?
Published in International Journal of Mental Health, 2020
Improving the quality of health and social care is a priority for governments and professionals throughout the world (World Health Organization (WHO), 2015). There has long been a global focus on improving the quality of mental health care delivered in all contexts (WHO, 2003). There is also an international consensus about the need to deliver mental health care in an equitable manner (Royal College of Psychiatrists, 2013; WHO, 2013). This consensus is reflected in key policy and practice drivers in the UK (Centre for Mental Health, 2013; Lord Carter of Coles, 2018) which are designed to ensure parity of esteem in the quality of physical and mental health care that is delivered by health and social care professionals. The focus on the delivery of fair and just health care has been underscored by the reconceptualization of mental ill health through a human rights lens with psychological distress recognized as arising through the interplay of biological, social and psychological factors (Grant & Gadsby, 2018; Johnstone et al., 2018). Initiatives in a range of different mental health contexts have resulted in improvements in outcomes for groups of people using services and their loved ones (Cox et al., 2016; Laderman, Dasgupta, Henderson, & Waghray, 2018; Ross & Naylor, 2017; Taylor-Watt, Cruickshank, Innes, Brome, & Shah, 2017; Versteeg, Laurant, Franx, Jacobs, & Wensing, 2012), with research efforts to identify effective ways of improving the quality of mental health care brought together in a recent themed review (NIHR, 2018).
Fostering excellence in medical education career pathways
Published in Education for Primary Care, 2021
Eliot Rees, Jonathan Guckian, Simon Fleming
In this article we reflect on our experiences of badmouthing and stigmatisation of medical education careers. We argue that parity of esteem for educational careers is needed and make recommendations for how we might work towards this. We identify three key areas from our personal experiences of being junior doctors and budding medical educators.