Research in Mental Health at Swansea University

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Research in Mental Health at Swansea University

• Michael Coffey
• Lecturer Community Mental Health Nursing

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Medication Monitoring Dr Sue Jordan

• Monitoring Adverse Drug Reactions Scales,
  Profiles and Checklists. 2004
• Minimising Side Effects The clinical impact of
  nurse-administered side effect checklists 2002
• Medication management an exploratory study into
  the role of Community Mental Health Nurses. 1999
• Community Teamwork is key to monitoring the side
  effects of medication. 2000

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Out of Sight

• Dr David Rea, Dr Colin Palfrey, Dr Ceri Phillips
• Advice on service models for older people in
  Powys with mental health problems
• Two specific aims
• To conduct a needs assessment of the EMI
  population of Powys
• To advise on appropriate models of best practice
  in EMI care.
• Recommendation - Assertive outreach services are
  needed to enhance early detection, health
  education, and assessment

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Hearing Voices Study

• Michael Coffey, John Higgon, Jayne Kinnear and
  Jeanette Hewitt
• Funded by WORD
• Interview Study quantitative and qualitative
  data
• 20 CMHNs who work with people who hear voices and
  
• 20 service users who experience voices
• Service users were also asked to complete the
  Beliefs about Voices Questionnaire - revised

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Hearing Voices Study Some key differences

• Service Users
• See CPNs as the first stop when they have
  concerns
• think there might be a link
• see clear link between increase of voices
  relapse

• CPNs
• do not agree that compliance is their concern
• voices not linked to past experiences
• increase in voices not indicative of relapse

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Hearing Voices Study Some key differences

• Service Users
• qualified support for reinforcing reality
• supportive of confronting voices
• see some value but less optimistic

• CPNs
• reinforcing reality not useful
• anxious about confronting voices
• keen for use of own coping strategies

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Women who self-mutilate Lynn Gardner

• Considers how women who self-mutilate negotiate
  public and private space and relationships in
  light of the fact that they have scars which
  reveal their 'troubled' biographies
• Uses a narrative approach

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A Study of Suicidality in West Wales Farmers

• Sarah Osborne PhD study
• Large scale health questionnaire (circa 500
  responses)
• Follow-up interviews with 14 farmers who
  described themselves as suicidal and willing to
  discuss their problems.
• The research was framed within an anthropological
  context

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Early Intervention in Psychosis

• Steve Williams, Consultant Nurse in Psychosocial
  Interventions Pembs and Derwen NHS Trust, Dr Tony
  Morrison at Manchester University, Gary Rolfe,
  Professor of Nursing, UWS
• Randomised controlled trial of effectiveness of
  systematic psychosocial interventions in early
  psychosis
• Objectives- To establish whether systematic
  psychosocial interventions provided to people
  with early psychosis and their families in
  addition to treatment as usual in a routine
  service setting within a Welsh rural context will
  improve clinical outcomes compared to treatment
  as usual alone

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Prison Mental Health Care

• Nic Bowler supervisor Dr. Ceri Phillips
• Aim to identify factors predictive of mental
  health outcomes in prisoners and priorities for
  service development
• Method - Statistical analysis of mental health
  needs assessment data from 861 prisoners.
• Follow up study to test clinicians judgements as
  to predictive factors identified within data

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Stakeholder narratives of conditional discharge

• Michael Coffey with supervisors Prof. David
  Hughes and Dr. Julie Repper
• In-depth interviews
• Audio recorded and transcribed
• Designed to elicit narratives
• Focus of questions
• Transcriptions returned to interviewees
• Analysis addresses content and structure of
  narratives

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Linking research into education

• Education and training informed by research
  findings
• Locally derived research findings
• Helping practitioners to determine the value of
  evidence
• Helping practitioners to see ways in which
  evidence can be applied to their practice
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