Day 2 :
- Accepted Presentations
Ghent University, Belgium
Davy Dries MD has completed his Master in Psychology at the age of 24 years from Ghent University (Belgium). After this, Davy Dries MD completed his Master of Medicine at the age of 29 from Ghent University. He is currently specialising in psychiatry, which will finish on 30/9/2019.
Background: The reason behind this small scale research idea are the current funding cuts within mental health services instigated by some states in Belgium. This may have an effect on the availability of day activity services. It raises the question if this lack of services has an effect on the recovery process of mental health patients. Clinical and community relevance in regard to day activities has been a long-time supporting strategy in caring for people with a mental illness, either in a hospital or community setting. Participating in activities outside of home can stimulate community participation and promote empowerment.
Objectives: In the recovery of people with a mental health illness, the purpose of this research is to investigate if they can contribute this achievement as a whole or part to their involvement in organised day activities?
Methods: A semi-structured qualitative design is the methodology selected for this study. This enables to explore a participant’s experience participating in day activities as part of their recovery process. This approach is useful when there is limited information about the investigated phenomena. Qualitative research is multi-method in focus, involving an interpretive, naturalistic approach to its subject matter. This means that the study issues in their natural area (day activity centre).
Results: The results will be generated through the use of databases like PubMed, and journals like the International Journal of Mental Health Nursing. Multiple searches can be used with a variety of key words (day activity, recovery, serious mental illness). The research is conducted by interviews with the support of a pre-designed questionnaire. The interviews are there to encourage participants to speak openly but structured about their experiences, feelings, or attitudes.
Conclusions: The researcher’s aim is to generate more questions in relation to a user’s search for recovery, and therefor aiming for more investigations.
Dr Sanah Ghafoor MBBCh MRCPSych is a Core Psychiatry Trainee Year 3 in NHS Grampian. She completed her medical training in Cardiff University, South Wales and became a member of the Royal College of Psychiatrists in October 2018. Dr Ghafoor is chair of the Junior Doctors Committee in the Royal Cornhill Hospital and co-Rota Master. Dr Ghafoor has published a literature review on Cognitive Behaviour Therapy in Non Epileptic Seizures in the Royal College of Psychiatrists Newsletter in 2010. Dr Ghafoor is passionate about promoting mental health amongst ethnic minorities and has delivered Mental Health Awareness sessions to the Pakistani Women Association and a regional presentation on Stress & Mindfulness at FOSIS Scotland, Federation of Student Islamic Societies in the UK.
Multidisciplinary care is common practice, although not uniform, throughout the country according to NICE. Practical implementation of multi-disciplinary care is variable across different wards and is vital for effective communication and planning of patient care.
Multi-disciplinary team meeting sheets were implemented in the Mental Health Service in NHS Grampian following recommendations from an adverse event report involving a suicide in 2012. After the initial audit, a further cycle was completed and the loop closed in 2019.
Aims were to evaluate whether attendance at the meeting was multi-disciplinary, evaluate the level of completion of paperwork and to evaluate whether errors are documented appropriately. Method employed included utilising a data collection tool created by the Clinical Effectiveness Team on the Older Adult and Adult Mental Health wards over the course of one week in 2019.
Results showed an improvement in the use of MDT sheets across both Older Adult and Adult Mental Health from n=18 to n=78 (a 77% increase), improved written documentation of changes (89% in previous audit vs 99% in 2019), who was responsible for making those changes (61% vs 69%), an improvement in patient identifiable information (67% vs 99%) and written evidence of staff members and designation present at the meeting (89% vs 96%). Areas requiring improvement identified include legibility (94% vs 81%), accuracy of recording errors and signature/designation (94% vs 90%/78% vs 76%) of staff on MDT sheet.
The recommendations were discussed at the Audit & Clinical Effectiveness Meeting in the Mental Health Service in NHS Grampian. These included typing/writing in capital letters to improve legibility, providing education via email/at handover on accuracy of recording errors and finally promoting joint medical & nursing responsibility for signing and completing paperwork. Further re-auditing once changes are implemented may be required
Adventist University of the Philippines, Philippines
Mr. Rhalf Jayson Guanco is a registered Psychology practitioner in the Philippines. He serves as one of the instructors of the Adventist University of the Philippines teaching Psychological Assessment, Cognitive Psychology, Mental Health and Positive Psychology. He graduated Bachelor of Science in Psychology in 2014 and finished his Masters in Counseling Psychology in 2019. Also, he is a committed member of the Psychological Association of the Philippines and Philippine Mental Health Association. He is a highly-committed God-fearing positive psychology coach, mental health advocate, national & international lecturer & researcher, motivational & professional speaker, and academician integrating educational training, clinical and life experiences to encourage someone reach his/her highest potential.
The things we possess may incite a sense of fulfillment, pleasure and other positive experiences. However, when we lose control over the stuffs we value the most, they may affect our total well-being. Hoarding is deemed to be a public health concern of the elderly that is progressively being addressed and studied by mental health practitioners, clinicians, and researchers, but existing information and studies about the predominance, correlates of hoarding in younger population are limited and not yet well-established in spite that hoarding behaviors start early in life. The present study investigated the influence of psychological distress and emotional processes to adolescents’ hoarding tendencies to create an efficient proactive intervention program. Using a multi-stage sampling process, a total of 640 (M age = 14.5, SD=1.4) non-clinical sample of adolescents from selected high school institutions in the Philippines during the school year 2018-2019 participated in the study. Current findings imply that hoarding tendencies are comparative across adolescent years. Adolescents’ emotion regulation components could be effective if flexibly applied. Also, factors such as adverse experiences, decision making difficulty, problem solving and adaptability concerns during adolescent years significantly contributed to the perseverance of hoarding concerns. The findings suggest that adolescents’ tendencies to hoard stuff showed not to be taken lightly for it may pose greater concern in the future when not properly addressed. Thus, a proactive intervention program was created to prevent further risk and harm. The current evidences in this study added to the growing body of knowledge about adolescents’ hoarding concerns.
Springfield University Hospital, UK
Gayatri is a Foundation doctor working in London. She is a graduate of University College London Medical School, with a 1st Class Honours intercalated BSc.
BACKGROUND: Eating disorders confer the highest mortality rate of all psychiatric conditions and pose an estimated £4 billion in annual costs to the NHS. Treatment at Springfield University Hospital includes psychological therapy, dietetic input and physical health monitoring. Psychoeducation is a core component of care at the time of initial diagnosis but long-term patients have evolving needs with respect to provision of information.
AIMS: 1) Develop a teaching programme on medical topics for adult eating disorder inpatients, as part of ward-based psychoeducation. 2) Educate inpatients on the medical reasoning for physician recommendations. 3) Present and discuss content which is accessible to inpatients of all education backgrounds. 4) Demonstrate improvement in patient understanding of key medical topics surrounding eating disorders.
METHODS: Programme topics included, but were not limited to, refeeding syndrome, osteoporosis and cardiac arrhythmias. The sessions were structured, doctor-led discussions that explored medical definitions, aetiology, basic pathophysiology, treatment and prevention.
Inpatient participants completed pre-session and post-session questionnaires which qualitatively assessed relevance, accessibility, interest, understanding and ability to ask questions, primarily utilising Likert-type scales (1-10). Patient demographic information was also obtained via questionnaire.
RESULTS: Of 10 inpatient participants, 9 were informal admissions and 1 was under section. The age range was 18-65 with the mode range being 18-24. 90% were female. 40% had started undergraduate degrees, 30% completed A-levels, 20% completed GCSEs and 10% had obtained a postgraduate degree. 90% rated importance of having some medical knowledge highly (score ³8). Statistical significance (p<0.05) was demonstrated for subjective improvement in understanding of some topics as well as perceived relevance to patients.
CONCLUSIONS: This programme is still in its infancy but already showing significant effect in advancing patient awareness and understanding of medical issues in the context of eating disorders. We acknowledge that this alone is unlikely to affect patient outcomes because the disorder of the mind is not addressed in this type of education. However, it may influence treatment compliance in some patient groups. Longer-term studies are required to evaluate this.
Amity University, India
Dr. Aprajita Jayaswal has completed her MBBS from Jawaharlal Nehru Medical College, India MRCPsych from London and DPM from University of Nottingham. She is presently working as Assistant Professor at Amity University and also works as Consultant Psychiatrist at Paras Hospital Gurgaon. She specializes in general Adult Psychiatry and has been trained in NHS U.K. She has published 5 articles and presented papers at various national and international journals and conferences. She is currently an active Member of Royal College of Psychiatry and Cochrane Review Group for Schizophrenia.
Recent research studies have revealed that inadequate quantity of sleep cycle and deprived sleep quality, are one of the most common emerging issues which are affecting the personality and attitude traits of an individual. There are significant research studies conducted which indicates optimism and self-esteem are the core salient features for maintaining a good health. Aim of the study : There is a dearth of knowledge regarding the possible determinants of positive optimism characteristics among young adults. Therefore, the present study was conducted to examine the relationship of optimism with insomnia symptoms among young adults. Method: Sleep parameters and optimism were assessed by administering standardized questionnaire(s) among a sample of 200 young adults aged between 17 and 26 years studying in University. Results: Statistical analysis shows strong negative correlation between optimism scale and sleep cycle, the participants exhibiting higher score of insomnia tend to show lower score on optimism scale. Conclusion: The result provides preliminary input on risk factors for insomnia and effect on optimism, as adequate amount of sleep has a strong relationship with optimism leading to a more confident and improved quality of life. This finding can be implemented to guide sleep hygiene promotion and intervention among college students.
Community Mental health Service, Italy
René Keet is psychiatrist and director at the community mental health service GGZ-Noord-Holland-Noord, The Netherlands. He leads the FIT Academy (Flexible, Innovative Top-ambulatory), that provides training, e-learning, evaluation of the service and support to international reform of community mental health care.
He is chair of the European Community Mental Health Services network (EuCoMS, https://www.eucoms.net).
Service providers throughout Europe have identified the need to define how high quality community-based mental health care looks to organize their own services and to inform governments, commissioners and funders. In 2016, representatives of mental health care service providers, networks, umbrella organizations and knowledge institutes in Europe came together to establish the European Community Mental Health Services Provider (EUCOMS) Network, www.eucoms.net. This network developed a shared vision on the principles and key elements of community mental health care in different contexts. High quality community-based mental health care 1) protects human rights; 2) has a public health focus; 3) support service users in their recovery journey; 4) makes use of effective interventions based on evidence and client goals; 5) promotes a wide network of support in the community and; 6) makes use of peer expertise in service design and delivery. These principles are a value based foundation for building a regional models of integrated mental health care.