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The article presents a study which examines the attitudes of medical care professionals toward young people who engage in self-harm. The study involved sixty registered nurses (RNs) and nursing aides (NAs) employed at forensic units and at a young offenders institure in Great Britain. Key findings indicated that 22 percent of respondents were noted to express sympathy and empathy to self-harming clients.

The article reports on the results of research which was conducted in to compare the views of nurses and patients regarding the administration of medication on acute psychiatric wards. Researchers found that that noisy and busy environments and overworked nurses can have an effect upon the their perspective, if not their performance. and that patients were happy with the way that staff engaged with and felt that nurses provide a good service for which they are grateful.

The article discusses stigmas associated with mental illness and the impact on mental health care. It focuses on an endeavor in which underserved areas were educated about mental health and substance abuse problems through a nursing education/faith community alliance. The study showed how nurses can increase public understanding about substance abuse and mental health problems.

The article presents a study that examines the evolution of the cultural care program of Soins Culturels in Paris, France. The program of Soins Culturels for the young inpatients states three main aims: to bring life into hospitals; to integrate culture into medical treatment; and to introduce topics for action and reflection.

The study evaluates the efficacy of the mindfulness based therapeutic intervention within the acute inpatient mental health services at England's Plymouth Teaching Primary Care Trust by exploring the experiences of individuals involved in its mindfulness group. Results indicate that mindfulness based therapeutic intervention is an effective addition to the acute inpatient services but adopting this method may create a friction with the traditional use of psychiatric diagnoses.

In order to contextualize Altschul's interest in group dynamics we present a brief history of staff group work approaches in the UK and USA. Using case examples, the work of staff group sensitivity and group supervision is described. The difficulties of working in staff groups are highlighted and the antipathy towards group practice is discussed. It is argued that learning about conflict resolution in staff groups prepares nurses for dealing with conflicts in clinical practice. The case for re-invigorating interest in group theory and practice is presented. In presenting our reflections on staff group work, we hope not only to re-kindle the type of interest in groups that inspired Altschul but also to represent the case that it is ill conceived to attempt the work of mental health nursing without recourse to the supervisory resources of group theory, practice and support. It is through group feedback that mental health nurses and other health professionals can extend their learning about interpersonal relations, achieve quality standardization through peer feedback and reflect on practice in truly collaborative ways (Schon 1983). [ABSTRACT FROM AUTHOR]

Investigates the dynamics of intensive care nursing in Great Britain. Correlation between bedside skills and physical contact between nurses and patients; Incidence of the physical attacks of patient on carers; Procedure in intensive care of psychotic patients.

The article focuses on a study that describes the types and frequencies of early warning signs that patients with mental illness recognized during deterioration. A patient survey was conducted in a number of social rehabilitation facilities in Japan. Results of the study showed that 54.5% of patients recognised early warning signs of deterioration. The study was able to identify the most common early warning signs which include changes in sleeping patterns, somatic symptoms, symptoms of depression, nervousness and psychotic symptoms.

The article discusses how people with mental illness are often in poor physical health. It explores whether a physical health check (PHC) assessment and development of a health action plan can advance the physical health of mentally ill people. The study concluded that people with severe and enduring mental illness should be given an annual health check.

The article looks at a study which examined the differences in trauma and mental health experiences between adolescent mothers who experienced two pregnancies within less than 24 months of each other and mothers who did not. Risks associated with teenage parent are discussed, including mental depression.

The article investigates the absconding behaviors of psychiatric patients in Australia. The rate of absconding has not been established in different Australian psychiatric facilities. It explores the phenomenon that provides understanding of absconding and assist appropriate nursing interventions.

The study evaluates the feasibility of single session solution-focused brief therapy (SFBT)on patients presenting with self-harm at the James Cook University Hospital in Middlesbrough, England. Results of the study indicate that single-session SFBT, along with standard psychosocial assessment, is a feasible and acceptable therapeutic intervention for patients presenting with self-harm to hospital services for the first time.

The article investigates the effects of patient's aggressive behavior on nursing staff and their resignations from the psychiatric wards. The relevant data was obtained from official reporting systems of National Health Service Trust, London, U.K. The author discusses psychiatric patients' behavior, reactionary defensive practices by the psychiatric professionals, and subsequent media pressure, culminating into decreased health-care standards.

A letter to the editor is presented about the revival of the Eileen Skellern Memorial Lecture after a nine-year absence.

Purpose: Recovery Colleges (RCs) have been implemented across England with wide variation in organisational characteristics. The purpose of this study is to describe RCs across England in terms of organisational and student characteristics, fidelity and annual spending, to generate a RC typology based on characteristics and to explore the relationship between characteristics and fidelity., Methods: All RC in England meeting criteria on recovery orientation, coproduction and adult learning were included. Managers completed a survey capturing characteristics, fidelity and budget. Hierarchical cluster analysis was conducted to identify common groupings and generate an RC typology., Results: Participants comprised 63 (72%) of 88 RC in England. Fidelity scores were high (median 11, IQR 9-13). Both NHS and strengths-focussed RCs were associated with higher fidelity. The median annual budget was £200,000 (IQR £127,000-£300,000) per RC. The median cost per student was £518 (IQR £275-£840), cost per course designed was £5,556 (IQR £3,000-£9,416) and per course run was £1,510 (IQR £682-£3,030). The total annual budget across England for RCs is an estimated £17.6 m including £13.4 m from NHS budgets, with 11,000 courses delivered to 45,500 students., Conclusion: Although the majority of RCs had high levels of fidelity, there were sufficiently pronounced differences in other key characteristics to generate a typology of RCs. This typology might prove important for understanding student outcomes and how they are achieved and for commissioning decisions. Staffing and co-producing new courses are key drivers of spending. The estimated budget for RCs was less than 1% of NHS mental health spending., (© 2023. The Author(s).)

The philosophy of Thomas Kuhn proposes that scientific progress involves periods of crisis and revolution in which previous paradigms are discarded and replaced. Revolutions in how mental health problems are conceptualised have had a substantial impact on the work of mental health nurses. However, despite numerous revolutions within the field of mental health, the biological paradigm has remained largely dominant within western healthcare, especially in orientating the understanding and treatment of psychosis. This paper utilises concepts drawn from the philosophy of Thomas Kuhn to explore the impact of what Kuhn terms 'anomalies' within the dominant biological paradigm: the anomaly of the meaningful utterance, the anomaly of complex aetiology and taxonomy and the anomaly of pharmacological inefficacy in recovery. The paper argues that the biological paradigm for understanding psychosis is in crisis and explores the implications for mental health nursing., (© 2023 The Authors. Nursing Philosophy published by John Wiley & Sons Ltd.)

Background: Recovery Colleges are a relatively recent initiative within mental health services. The first opened in 2009 in London and since then numbers have grown. They are based on principles of personal recovery in mental health, co-production between people with lived experience of mental health problems and professionals, and adult learning. Student eligibility criteria vary, but all serve people who use mental health services, with empirical evidence of benefit. Previously we developed a Recovery College fidelity measure and a preliminary change model identifying the mechanisms of action and outcomes for this group, which we refer to as service user students. The Recovery Colleges Characterisation and Testing (RECOLLECT) study is a five-year (2020-2025) programme of research in England. The aim of RECOLLECT is to determine Recovery Colleges' effectiveness and cost-effectiveness, and identify organisational influences on fidelity and improvements in mental health outcomes.  METHODS: RECOLLECT comprises i) a national survey of Recovery Colleges, ii) a prospective cohort study to establish the relationship between fidelity, mechanisms of action and psychosocial outcomes, iii) a prospective cohort study to investigate effectiveness and cost-effectiveness, iv) a retrospective cohort study to determine the relationship between Recovery College use and outcomes and mental health service use, and v) organisational case studies to establish the contextual and organisational factors influencing fidelity and outcomes. The programme has been developed with input from individuals who have lived experience of mental health problems. A Lived Experience Advisory Panel will provide input into all stages of the research., Discussion: RECOLLECT will provide the first rigorous evidence on the effectiveness and cost effectiveness of Recovery Colleges in England, to inform their prioritising, commissioning, and running. The validated RECOLLECT multilevel change model will confirm the active components of Recovery Colleges. The fidelity measure and evidence about the fidelity-outcome relationship will provide an empirically-based approach to develop Recovery Colleges, to maximise benefits for students. Findings will be disseminated through the study website (researchintorecovery.com/recollect) and via national and international Recovery College networks to maximise impact, and will shape policy on how Recovery Colleges can help those with mental health problems lead empowered, meaningful and fulfilling lives., (© 2022. The Author(s).)

The landscape of mental health recovery is changing; there have been calls for a shift from the clinical expertise being the dominant voice within mental healthcare towards a more personalised and collaborative service that supports those in need of mental healthcare to define what recovery is for the individual. Within this new recovery movement, there has been a recognition of the importance of the social environment in which individuals are situated and the relationship of this to mental health and wellbeing. Included in this is the importance of an individual's role within society and the ways in which knowledge, such as experts by experience, can hold an important value. The argument then, is that social connectedness forms part of the recovery journey and that relationships can help us develop or re-connect with who we are in powerful ways. Such a view has only been strengthened by the recent and ongoing global COVID-19 pandemic. Within the UK, discussions of the importance of our wellbeing have become commonplace within the context of restricted social contact. With this heightened awareness of how the social contributes to wellbeing, it is important to consider the environments in which those in receipt of mental healthcare are situated. One of which is institutionalised care, where it is commonplace to restrict social contact. For example, by virtue of being within a locked environment, individuals' freedom of movement is often non-existent and thus contacts with those not residing or working within the institution is restricted. While such restrictions may be deemed necessary to protect the individual's mental health, such environments can be unintentionally toxic. Data are presented from an ethnography that was conducted within an inpatient forensic mental health hospital in the UK to highlight the problematic social environment which some individuals experience. Key interpersonal issues are presented, such as, trust, racism, the threat of physical violence and bullying that was experienced by staff and residents at the hospital. Consideration is given to the coping strategies enacted by residents and the pathologising of such behaviour. The consequences on interpersonal wellbeing are explored., Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. The reviewer TC declared a shared affiliation with several of the authors, MJ, GW, PC, to the handling Editor at time of review., (Copyright © 2021 Joyes, Jordan, Winship and Crawford.)

Objective: The therapeutic application of poetry for those who have experienced psychosis remains under researched and potentially undervalued. This paper presents a conceptual review exploring the relationship between poetry and psychosis, based on a synthesis of existing literature., Research Design and Methods: The review identified papers from a range of sources and disciplines. Initial searches were undertaken using databases CINAHL, PsycINFO and ASSIA; this search was then followed up with a library search for key texts and a further search for associated grey literature involving exploring blogs and conference presentations. The data was then synthesized based on methods from both narrative review and thematic analysis to generate a conceptual framework., Results: The results reveal a conceptual framework comprised of three domains: i) psychotic language as meaningful poetics, ii) poetry as an expression of psychosis and iii) poetic exchange as therapeutic practice. The conceptual framework proposes that not only can psychosis be understood as meaningful poetics, but also that poetry may offer meaningful linguistic opportunities to aid the expression and narration of self and experiences. The potential for extending our understanding of the poetry in this way is analogous to forms of talking therapy, and this may be a base for extending understanding and communicative practice for a range of mental health professions., Conclusion: The conceptual framework suggests a novel understanding of psychosis in relation to poetry, moving away from traditional biomedical paradigms and placing importance upon individual narratives., Competing Interests: The authors declare that they have no conflict of interest.