Chapter 20: User and carer involvement Which of the following are policy documents that stress the need for a patient-centred National Health Service? Partnership in Action NHS Values The NHS Plan Plan to Reform The NHS Improvement Plan The summary of the standards for carer involvement within a Psychiatric Intensive Care Unit or Low Secure Unit states … Carers should be able to request face-to-face meetings with a member of staff All carers should be informed within one week of admission or discharge A carer support group should exist A list of paid services should be available for support to carers With the consent of the patient, carers shoulc be able to attend weekly ward rounds and express their views A good practice example of implementing the National Minimum Standards is the … Sustainability Model Stepped Care Model Recover Model Pathways User Empowerment Model National Service Model The NHS Service Delivery and Organisation Research and Development Programme (2004) described which of the following factors as assisting in the process of user involvement? Training for users to enhance engagement Recognising and understanding power differentials A dependent user group Offering one-to-one consultations Assigning adequate resources In Crawford et al’s (2003) survey of user groups which of the following were obstacles that were identified in trying to meet the national standards for user involvement? Too much information for carers Users were not representative Lack of training Lack of coherent strategy Lack of variety of methods employed Ideally staff support should include which of the following? Monthly individual supervision Monthly reflective practice sessions Monthly academic sessions Bi-yearly away days Yearly staff surveys User consultants … Are not paid Increase the representatives’ status Prescribe medications Should assist in leading ward rounds Provide necessary support to staff Which of the following are parts of the Pathways User Empowerment Model? Patient partnership forum Group role play exercises Patients’ concerns log book Training in practical skills Patient satisfaction survey Which of the following are correct regarding the role of an advocate? Must have had personal contact with the services Must be independent from mental health services Should represent patient’s interests Should make users aware of independent organisations Should use a judgemental manner High expressed emotion has been found to negatively affect a patient’s … Concordance with medication Cognitive ability Rate of relapse Admission into hospital Access to education Östman and Kjellin (2002) found that carers reported which of the following? That a high proportion of relatives felt isolated Fewer daily problems compared to non-carers They wished the relative had never been born Taking less prescribed medication compared to non-carers Having suicidal thoughts Which of the following statements apply to user involvement? It increases anxiety It increases patient satisfaction It increases carer burden it increases understanding It encourages better professional relationships Bullivant (2006) suggested which of the following guidelines for working with a user consultant in a meeting? Advisable to have two user consultants present Meetings should be held in the morning Meetings to be brief User consultants should be allocated a professional buddy Language should be accessible The National Minimum Standards for General Adult Services in Psychiatric Intensive Care Units and Low Secure Environments guidelines suggest which of the following? A solitary approach to care Establishing processes in which users can feed back to the service User representation in managerial meetings and committees User-focused monitoring of the service User-lead balint groups Loading …
