Subject(s)
Community Mental Health Centers/organization & administration , Community Mental Health Services/organization & administration , Health Services Accessibility/organization & administration , Adult , Alberta , Child , Friends/psychology , Humans , Loneliness/psychology , Male , Organizational Objectives , Parent-Child RelationsABSTRACT
Integrating family nursing into a busy mental health urgent care setting is a challenge given the high acuity of patients and the demands of delivering service 7 days/week, 14 hours/day. In this article, the authors describe the development of a Mental Health Urgent Care Practice Framework that incorporates four elements: mental health/psychiatric assessment, physical health assessment, family nursing, and integrated behavioral health care. Sample family nursing skills and ladders for mental health urgent care practice are highlighted.The framework and ladders have implications for recruitment and hiring, orientation, peer mentoring, performance appraisals, and continuing education and supervision. A clinical vignette illustrates sample conceptual/ perceptual and executive skills used to apply the framework and ladders in practice. Family nursing is conceptualized as an integral component of nursing care provided to individual and families in this unique setting.
Subject(s)
Career Mobility , Education, Nursing, Continuing/organization & administration , Emergency Services, Psychiatric/organization & administration , Family Nursing/organization & administration , Nursing Assessment/organization & administration , Psychiatric Nursing , Alberta , Clinical Competence , Curriculum , Humans , Models, Educational , Models, Nursing , Nurse's Role/psychology , Nursing, Supervisory , Personnel Selection , Practice Patterns, Nurses'/organization & administration , Psychiatric Nursing/education , Psychiatric Nursing/organization & administration , Referral and ConsultationABSTRACT
Like a pebble that creates ripples when dropped into still water, depression is a health problem with an impact that reaches beyond the individual to touch family members. This health problem can limit the individual's ability to function and can create distress for loved ones. In this article, the authors present a clinical vignette about maternal depression to highlight the reciprocal nature of depression and family functioning. Family focused interventions based on the Calgary Family Intervention Model and the Illness Beliefs Model are presented and include psychoeducation, circular pattern diagrams, and therapeutic letters. The authors conclude the article with a discussion of implications for nursing practice.
Subject(s)
Depression/prevention & control , Family Nursing/methods , Family Relations , Family Therapy/methods , Patient Education as Topic/methods , Psychiatric Nursing/methods , Psychotherapy, Brief/methods , Adolescent , Adult , Attitude to Health , Audiovisual Aids , Depression/psychology , Female , Humans , Male , Models, Nursing , Models, Psychological , WritingABSTRACT
Competent, convenient mental health assessment and psychosocial intervention are seldom delivered in the right place, at the right time and by the right person. One solution to this problem is to have mental health services integrated into urgent care in a community health centre. Unfortunately, although there is literature on urgent care centres, mental health centres and psychiatric emergency rooms, there is scant information about the integration of mental health services into an urgent care centre.
