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Why you should read this article: • To understand the complexity of the needs of people with delirium superimposed on dementia • To enhance your knowledge of second-generation activity theory • To recognise the consequences of the separation of physical health and mental healthcare. Background: Delirium superimposed on dementia (DSD) affects the physical, mental and cognitive well-being of the person. The separation of physical health and mental health means that the care of people with DSD is at odds with the multifaceted aetiology and presentation of the condition. There is a lack of research on DSD from a mental health perspective. Aim: To explore UK mental health nurses’ experiences of providing care for people with DSD. Method: Individual semi-structured interviews were conducted with seven mental health nurses from one NHS trust in England. Participants’ experiences were considered through the lens of second-generation activity theory. Data were analysed using framework analysis. Findings: Six themes were identified: awareness of guidance and tools; guidance or tools as ‘paper exercises’; knowing the patient; the multidisciplinary team; care burden; and mental health versus physical health. Conclusion: When providing care for people with DSD, mental health nurses use their skills in knowing patients as individuals. However, this aspect of ‘knowing’ cannot be readily translated into the use of a numerical scoring tool. An integrated approach is required to support the care of people with DSD. [ABSTRACT FROM AUTHOR]

The article focuses on both the comprehensive and compelling vision of preventative and empowering health and social care services at hospitals through the establishment of a White Paper in Great Britain. The White Paper provides communities with integrated and social care services available to people's homes. It helps care providers in making primary care and community services more responsive to people's needs.

Focuses on the transformation of mental health services from the dismantling of the overflowing institutions to the development of community-based care in Great Britain. Anticipation for the reaction of many mental health nurses currently providing services in the country; Challenges encountered by mental health services; Development of a network of community-based services.

Why you should read this article: • To increase your awareness of the psychological benefits of massage therapy • To read about barriers and facilitators to introducing seated chair massage in forensic mental health settings • To consider the value of introducing seated chair massage in your own clinical setting Massage therapy has recognised psychological benefits, yet it is rarely used in forensic mental health settings. In 2022, ten-minute sessions of seated chair massage – where recipients remain fully clothed – were offered to patients and staff at a secure forensic mental health and learning disability service in the UK. This article is a service evaluation of the impact of providing these sessions. Seated chair massage was found to have overwhelmingly positive effects in the short term and the authors concluded that it is a low-risk, boundaried and appropriate complementary therapy intervention for patients in forensic mental health settings. Their findings challenge the view that these settings are essentially 'no touch' environments. The article outlines barriers and facilitators to introducing seated chair massage in a forensic mental health service, which may be useful to other teams considering developing a similar service. [ABSTRACT FROM AUTHOR]

This section offers news briefs on British mental health issues including the increase in alcohol consumption in Great Britain in the past 30 years, the release of a briefing paper on same-sex accommodation in mental health and learning disability services from the Mental Health Netwrok and the National Health Service (NHS) Confederation, and the latest Mental Capacity Act update from the British Department of Health.

Examines some of the public health issues and public health action covered by the public health white paper for Great Britain, titled "Choosing Health: Making Healthy Choices Easier." Smoking; Mental health; Nursing; Obesity, diet and exercise.

Why you should read this article: • To learn about some adaptations to practice adopted by a low secure mental health unit during the COVID-19 pandemic • To be aware of interventions used to enable staff to continue to support patients during the COVID-19 pandemic • To appreciate that staff's experience of the adaptations to practice and the well-being support offered to them during the pandemic can be used to inform post-pandemic practice The coronavirus disease 2019 (COVID-19) pandemic significantly disrupted the work of healthcare professionals in forensic mental health settings, but also prompted them to adopt new ways of working that have benefits and challenges. A low secure mental health unit in the UK adapted its ways of working during the pandemic by providing staff who could work remotely with the necessary equipment. The unit also implemented a stepped psychological response, as recommended by The British Psychological Society, to assist its staff to continue to support patients. This article describes the unit's response to the pandemic and discusses the findings of two evaluations – staff experiences of remote working and of a group relaxation session. The findings could help inform post-pandemic practice in forensic mental health settings. [ABSTRACT FROM AUTHOR]

Focusing on three papers exploring the benefits of Parkrun – a free 5km running event held weekly in parks around the UK that has seen an increase in popularity [ABSTRACT FROM AUTHOR]

This section offers news briefs on nursing in Great Britain as of November 2017, including a review of the Mental Health Act announced by Prime Minister Theresa May, a study which found that nurses face barriers in delivering dedicated care and the release of draft papers on the role of nursing associates in improving safety and quality of care.

The article discusses the evolution of care for people with learning disabilities in Great Britain. The shift in service provision has resulted in the social care model overtaking the medical model. A holistic model of care has been developed based on physical health, intellectual health, emotional health and social well-being.

AUTH Background: In the UK, the prevalence of alcohol-related dependence is significantly higher in people in the armed forces than in the general population. Aim: To explore the experiences of alcohol use by former military personnel with a record of active service. Method: An interpretivist approach was used to provide an insight into the lives of eight military personnel who had returned to civilian life. They were interviewed by a researcher over the internet, interviews were transcribed verbatim and data analysed. Findings: Five themes emerged from the data: cultural normalisation, enculturation in military life, integrated mental health, integration and post-military life. Findings were consistent with the published literature exploring increased predisposition to mental health problems by male veterans of lower rank compared with higher rank counterparts. Conclusion: On leaving active service, military veterans ought to be provided with greater and ongoing support with any mental health issues they may experience because of their military service. [ABSTRACT FROM AUTHOR]

The article reports on a study from the University of Oxford on physical activity among adults with chronic conditions in the United Kingdom, which references a research paper by Terry Dwyer et al., published in an issue of the "International Journal of Epidemiology."

The article reports on the call of a government advisory team in Great Britain for more research on how unmet mental health needs vary between the sexes. The team, which includes nurse researcher Gillian Granville, has made the recommendation in "The Gender and Access to Health Services Study." Researchers, who have examined statistics from National Health Service and previous research paper, have concluded that gender-sensitive approaches had not been evaluated.

The article profiles Rob Greig, a behavioral psychologist and specialist in learning disabilities in Great Britain. Greig served as a political lobbyist, wherein he developed his passion, and was a deputy director of the Greater London Council's voluntary sector development program. His passion for studying learning disabilities led him to establish the Community Care Development Center at King's College. The government appointed him as an expert adviser on Valuing People White Paper.

The article focuses on the amount of time that children and young people have to wait for help from the National Health Service when they develop mental health problems in Great Britain. To address this problem, the government has undertaken a comprehensive program to provide adequate child and adolescent mental health services.

Discusses the message of a paper delivered by Suman Fernando, a retired psychiatrist and honorary professor at London Metropolitan University in England, that people from black and minority ethnic communities will continue to find problems in accessing the services of mental health professionals until the British Department of Health and other institutions are committed to implementing reforms. Failure of the seminars held on race and cultural issues in mental health in 2001 to improve access to the said services; Call for strategists to counteract racist practice.

An increasing number of children and young people are accessing services for a range of mental health disorders. The risk of not addressing problems in childhood through inadequate service provision is significant. Problems not addressed in childhood can result in persistent mental health problems in adulthood. In 2015 the children and young people's mental health and well-being taskforce was set up to tackle problems in service provision, including improving access to care and training specialists to deliver consistent care across the UK. The taskforce also aimed to promote a cohesive approach between services so that children and young people would be better supported and treated in future. The National Institute for Health and Care Excellence (NICE) has revised and updated its guidelines to reflect recent changes in services. The government recently promised to fund £1.25 billion of improvements to Child and Adult Mental Health Services (CAMHS) by 2020-21 (NHS England 2016). Ministers have pledged to improve current service provision through education, diagnosis, treatment and early intervention. [ABSTRACT FROM AUTHOR]

This literature review attempted to identify current knowledge of the end of life care needs of patients with drug and alcohol addiction, particularly in the UK, and to identify any existing good practice guidance. Three themes emerged: first, the need to improve recognition of substance misuse in patients receiving palliative care, and how to meet the pain management challenges palliative care teams face when caring for patients who have current or past opiate, benzodiazepine or alcohol addictions. Second, no UK published literature was found that directly addressed the subject of this literature review, but there were some US sources that looked at a family systems approach to the care of dying substance misuse patients, and the role of social workers and methadone counsellors in the care of dying patients receiving opiate substitution treatment. Third there is inequitable access to end of life and palliative care services for homeless people, many of whom experience addictions. The author recommends a discussion about what the term recovery can mean when applied to a person with addiction at the end of life, better recognition of approaching end of life in patients with drug and alcohol addictions and closer working relationships between palliative care and addictions services. [ABSTRACT FROM AUTHOR]

The article offers medical-related news briefs in Great Britain. The South London and Maudsley National Health Service Foundation Trust, together with the Institute of Psychiatry and Beat, will use the £2 million grant to develop and test a range of psychological treatments. Researchers found out that changing to a low-fat diet may induce stress. Trainers in mental health produced a new training resource for primary care staff working with people with anxiety and depression.

The very nature of working in conflict zones makes former soldiers vulnerable to symptoms of post-traumatic stress disorder (PTSD). The culture of the military can also mean that personnel do not seek help and can endure symptoms for years. The two main treatments recommended for veterans diagnosed with PTSD--group therapy and exposure to trauma--have been shown to reduce PTSD symptoms. Even though these are recommended, veterans are not receiving evidence-based treatments due to the lack of training and reduced numbers of healthcare staff. There are high dropout rates from treatment because of the stigma of mental illness and because veterans feel that healthcare professionals do not understand them. Also, in some cases, veterans cannot be treated if they are experiencing a comorbid mental health problem or addiction. It is recommended that more research is carried out with veterans who are diagnosed with PTSD. The combination of treatments and treatment specific to the era in which the veteran served might further improve recovery from symptoms. It may also be beneficial to develop an intense educational programme for health professionals about the military and their needs. [ABSTRACT FROM AUTHOR]

The article discusses several studies related to medical care in Great Britain. A study by B. Gray and C. Robinson showed that isolation and stigma associated with young carers, as well as examples of effective professional practice. Research by G. Grant et al. investigated assessment practice in work with family carers of people with mental health problems.

The article reports on the release of the paper "In the Red: Debt and Mental Health," based on a survey conducted among more than 1,800 people on money problems among people with mental health problems in Great Britain. It indicates that those with mental health problems are almost three times more likely to be in debt. People with mental health problems often live on low incomes and cannot work due to ill health and other factors such as stigma.

The article focuses on a draft guidance published by the Care Services Improvement Partnership (CSIP) in Great Britain, entitled "Finding a Shared Vision of How People's Mental Health Problems Should Be Understood." The guidance aims to enable everyone concerned with developing and delivering services to understand mental health from a shared viewpoint based on those of different stakeholders, and ultimately enable the development of multi-disciplinary and multi-agency teamwork.

The article offers information on several congresses related to mental health for the year 2008 in Great Britain including the conferences entitled "National Mental Health Nursing 2008," "Horatio: European Festival of Psychiatric Nursing the Age of Dialogue," and "Mental Health 2008: Service User Involvement and Empowerment in Mental Health."

The article focuses on the clinical question answering service on mental health and learning disabilities in Great Britain. The Minervation is providing a clinical service as part of the work of the National Library for Health. A team of experts will carry out a literature search and write an answer that summarizes the best available evidence. The healthcare professionals will try to provide an answer within ten days.

The article presents a calendar depicting congresses and conventions of associations and institutions related to mental health in Great Britain from April 6 to June 23, 2006. Speakers for the second national conference of Modern Matrons in Mental Health and Learning Disabilities include Louise Casey, Neil Brimblecombe, and Colin Beacock. The 2006 Mental Health annual conference will focus on risk assessment and service user involvement. The Radisson SAS Manchester Airport was chosen to be the venue for the national conference.

Examines the implications of the National Service Framework (NSF) for children, young people and maternity services in Great Britain. Objectives of the NSF which is part of the British government's cross-departmental "Change for Children" program; NSF Sections; NSF issuance of a set of challenges to those required to commission, provide and deliver comprehensive Child and Adolescent Mental Health Service.

Reports on developments related to mental health care in Great Britain as of March 2004. Collaboration between the Royal College of Psychiatrists and the Brunel University to launch a study focusing on patient-doctor relationship; Report launched by the Sainsbury Center for Mental Health focusing on the benefits of mental health promotion initiatives.

Presents several resources on medical care in Great Britain. 'A Framework for Adult Cancer Nursing' document from RCN Corp.; 'A Fair Day's Pay' guide from Mental Health Foundation; Formation of the National Stroke Nurses Forum.

The article argues that mental health risk assessments, minimum observation standards and modified early warning systems should be implemented in all hospitals in Great Britain. The National Collaborating Centre for Mental Health (NCCMH) states that, according to the National Health Service (NHS) policy, all patients who present to hospital after episodes of self harm should be assessed psychosocially. Failure to apply quality improvements will result in a failure to deliver the best possible care to patients.

The article recounts the challenging issues regarding mental health nursing in Great Britain from 1997 to 2007. It mentions the 1997 issue on the needs of detained women to be protected from unwanted sexual advances. It also cites the introduction of the new mental health strategy for England formulated by the British government in 1999. Furthermore, it emphasizes the 2004 issue on racism which has effected the mental health services in the country.

Informs on the winners of Great Britain's Mental Health Media Awards 2002. Actress Jessie Wallace; Television and radio programs.

The article evaluates a model of audit that documents a young person's mental health in Great Britain. A proforma was developed detailing biographical information including name, case number, and gender. Clifford's FACE model comprises four categories adopted to classify client risk of harm. The model has provided a useful comparison of referral patterns across a 3-year span and shows a worsening of mental health.

The article focuses on the introduction of the Support, Time and Recovery (STR) worker into the mental health workforce in Great Britain. A range of interpretations of both role and responsibility has seen STR workers employed in a number of different areas with integrated mental health services and non-statutory organizations in a spectrum of service settings.

Describes the development of a mental health risk assessment framework for use in emergency departments (ED) in Great Britain. Result of the lack of knowledge, experience and confidence among nurses; Reasons mental health care is further compromised in ED; Information on the people with existing mental health problems of mental illnesses.

The target-driven culture of health care is changing the dynamic of the therapeutic relationship, argue Theodore Stickley and Dawn Freshwater. As a result, 'space' -- a place of sanctuary and peace -- is threatened unless practitioners strive to avoid filling it with 'busyness' and 'doing.' [ABSTRACT FROM AUTHOR]

The article offers information about programs and activities in celebration of World Mental Health Day in Great Britain. Such special day was held on October 10, 2007 to heighten public awareness about the importance of mental health and to gain understanding and improve attitudes about mental disorders. Details about a quiz developed for health promotion are cited.

The article discusses the move of the National Board of Nursing in cooperation with the Department of Health on conducting a research that would provide the most effective methods on gaining clinical experiences to the mental health nursing students in Great Britain. Research methods include, location-based placements by which students can have been allocated to an identified practice area, and client attachment, enable the students to gain clinical experience directly.

After conducting an ni-depth study, Lesley Warner and colleagues identify six areas that services must address if users are to exercise real choides over the care they receive. [ABSTRACT FROM AUTHOR]

Reports on developments related to mental health in Great Britain. Name of a recovery unit after a mental health nurse who is chief executive of South Essex Partnership NHS Trust; Celebration of the 13th World Mental Health by the World Federation for Mental Health; Ration of people with psychotic conditions who do not take their medication as prescribed.

Reports on the experiences of several nurse consultants in the mental health field in Great Britain. Changes in the responsibility since being appointed to the position; Aim of training programs; Career background of the consultants. INSET: REPORT SUMMARY.

The article suggests the benefits of volunteering to improve mental health, quality of life, service use and social inclusion in Great Britain. A report by the charity Community Service Volunteers provide evidence of the benefits of volunteering for people living with mental health problems, with many participants in volunteering schemes showing clear signs of improvement in their health.

The article reports on the result of the large-scale, three-year study conducted by Sainsbury Centre for Mental Health to explore the impact of team leadership on implementing change in mental health service provision in the health service in Great Britain. The survey revealed that there is still more to be done to improve gatekeeping and referral processes. Only 68 percent of the ward managers who reported fully understanding of the functions and remits of all community teams.