14 results
2 - Trauma-informed care: Theory into practice
- Edited by Nicholas Procter, University of South Australia, Rhonda L. Wilson, University of Newcastle, New South Wales, Helen P. Hamer, Denise McGarry, University of Tasmania, Mark Loughhead, University of South Australia
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- Book:
- Mental Health
- Published online:
- 07 April 2022
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- 07 April 2022, pp 26-43
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Summary
This chapter discusses the required knowledge, skills, and confidence to provide a safe and compassionate environment by adopting trauma-informed care (TIC). Many people will have experienced traumatic experiences outside of the safety of their family unit, e.g., bullying, or sexual harassment. Therefore, we need to be cautious about blaming parents or care givers, without first establishing the situation and context of the traumatic history of the person.Many people who present to mental health, addiction and disability services, however, will report complex histories of physical, psychological, emotional, and sexual abuse (see chapter 15). Evolving research recommends therapeutically addressing complex, as distinct from single incident, trauma (Kezelman & Stavropoulos, 2019), requiring a particular skill set of the practitioner to provide effective therapy. This chapter focuses on the fundamental skills of responding to people who disclose their trauma, particularly sexual abuse, and how practitioners can respond in ways that foster human connectedness.
10 - Legal and ethical aspects in mental health care
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- By
- Edited by Nicholas Procter, University of South Australia, Rhonda L. Wilson, University of Newcastle, New South Wales, Helen P. Hamer, Denise McGarry, University of Tasmania, Mark Loughhead, University of South Australia
-
- Book:
- Mental Health
- Published online:
- 07 April 2022
- Print publication:
- 07 April 2022, pp 201-220
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Summary
This chapter explores the legal and ethical factors that inform mental health nursing, from multiple perspectives. The chapter proposes a legal and ethical framework that promotes human connectedness between the practitioner and people with mental health conditions and their families and whānau. The chapter includes theoretical and practical aspects of working within a legal framework and provides several narratives to bring to life what it means to experience compulsory treatment. It concludes by discussing proposed alternatives to compulsory treatment and a potential future legal framework that embraces a person’s autonomy and human rights. New Zealand – and each Australian state and territory – has its own mental health legislation. Although there are differences between them, they share the essential features of providing for treatment without consent, criteria of danger or risk to self and others, and certain procedural protections. Throughout this chapter we use the term ‘mental health legislation’ to refer to common aspects of the legislation in different jurisdictions.
2 - Trauma-informed care: Theory into practice
-
- By
- Edited by Nicholas Procter, University of South Australia, Rhonda L. Wilson, University of Newcastle, New South Wales, Helen P. Hamer, Denise McGarry, University of Tasmania, Mark Loughhead, University of South Australia
-
- Book:
- Mental Health
- Published online:
- 07 April 2022
- Print publication:
- 07 April 2022, pp 26-43
-
- Chapter
- Export citation
-
Summary
This chapter discusses the required knowledge, skills, and confidence to provide a safe and compassionate environment by adopting trauma-informed care (TIC). Many people will have experienced traumatic experiences outside of the safety of their family unit, e.g., bullying, or sexual harassment. Therefore, we need to be cautious about blaming parents or care givers, without first establishing the situation and context of the traumatic history of the person.Many people who present to mental health, addiction and disability services, however, will report complex histories of physical, psychological, emotional, and sexual abuse (see chapter 15). Evolving research recommends therapeutically addressing complex, as distinct from single incident, trauma (Kezelman & Stavropoulos, 2019), requiring a particular skill set of the practitioner to provide effective therapy. This chapter focuses on the fundamental skills of responding to people who disclose their trauma, particularly sexual abuse, and how practitioners can respond in ways that foster human connectedness.
15 - Gender, sexuality and mental health
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- By
- Edited by Nicholas Procter, University of South Australia, Rhonda L. Wilson, University of Newcastle, New South Wales, Helen P. Hamer, Denise McGarry, University of Tasmania, Mark Loughhead, University of South Australia
-
- Book:
- Mental Health
- Published online:
- 07 April 2022
- Print publication:
- 07 April 2022, pp 339-359
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Summary
As mental health practitioners, we will encounter the broad and diverse range of sexual orientations and gender identities within the people we serve. In this chapter we focus on the cultural diversity of genders and sexualities, and the effects of marginalisation, interpersonal and intimate partner violence and abuse on people’s mental health (Bosse et al., 2018). We describe the ways in which mental health practitioners are able to practise empathically and effectively in gender, diversity, and disclosures of violence and abuse. Throughout the chapter, we will be reading Riley’s story to help us understand how mental health services can be more supportive and accepting of gender and sexual diversity.
15 - Gender, sexuality and mental health
- Edited by Nicholas Procter, University of South Australia, Rhonda L. Wilson, University of Newcastle, New South Wales, Helen P. Hamer, Denise McGarry, University of Tasmania, Mark Loughhead, University of South Australia
-
- Book:
- Mental Health
- Published online:
- 07 April 2022
- Print publication:
- 07 April 2022, pp 339-359
-
- Chapter
- Export citation
-
Summary
As mental health practitioners, we will encounter the broad and diverse range of sexual orientations and gender identities within the people we serve. In this chapter we focus on the cultural diversity of genders and sexualities, and the effects of marginalisation, interpersonal and intimate partner violence and abuse on people’s mental health (Bosse et al., 2018). We describe the ways in which mental health practitioners are able to practise empathically and effectively in gender, diversity, and disclosures of violence and abuse. Throughout the chapter, we will be reading Riley’s story to help us understand how mental health services can be more supportive and accepting of gender and sexual diversity.
18 - Mental health of older people
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- By
- Edited by Nicholas Procter, University of South Australia, Rhonda L. Wilson, University of Newcastle, New South Wales, Helen P. Hamer, Denise McGarry, University of Tasmania, Mark Loughhead, University of South Australia
-
- Book:
- Mental Health
- Published online:
- 07 April 2022
- Print publication:
- 07 April 2022, pp 399-420
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Summary
This chapter will discuss the process of positive ageing, the life course, and the changing cultural norms of older people within contemporary society. The chapter will assist nurses to consider and understand how ageism and subsequent stigma and discrimination can impact on the well-being of the older person and their family/loved ones. The multiple losses and associated mental health problems will also be presented. The specific approaches to nursing care required to support human connectedness with older people will also be discussed. Common mental health problems, associated risk factors and considerations for treatment embedded within a recovery approach are explained. The chapter concludes with future issues for this area of specialty nursing practice.
10 - Legal and ethical aspects in mental health care
- Edited by Nicholas Procter, University of South Australia, Rhonda L. Wilson, University of Newcastle, New South Wales, Helen P. Hamer, Denise McGarry, University of Tasmania, Mark Loughhead, University of South Australia
-
- Book:
- Mental Health
- Published online:
- 07 April 2022
- Print publication:
- 07 April 2022, pp 201-220
-
- Chapter
- Export citation
-
Summary
This chapter explores the legal and ethical factors that inform mental health nursing, from multiple perspectives. The chapter proposes a legal and ethical framework that promotes human connectedness between the practitioner and people with mental health conditions and their families and whānau. The chapter includes theoretical and practical aspects of working within a legal framework and provides several narratives to bring to life what it means to experience compulsory treatment. It concludes by discussing proposed alternatives to compulsory treatment and a potential future legal framework that embraces a person’s autonomy and human rights. New Zealand – and each Australian state and territory – has its own mental health legislation. Although there are differences between them, they share the essential features of providing for treatment without consent, criteria of danger or risk to self and others, and certain procedural protections. Throughout this chapter we use the term ‘mental health legislation’ to refer to common aspects of the legislation in different jurisdictions.
18 - Mental health of older people
- Edited by Nicholas Procter, University of South Australia, Rhonda L. Wilson, University of Newcastle, New South Wales, Helen P. Hamer, Denise McGarry, University of Tasmania, Mark Loughhead, University of South Australia
-
- Book:
- Mental Health
- Published online:
- 07 April 2022
- Print publication:
- 07 April 2022, pp 399-420
-
- Chapter
- Export citation
-
Summary
This chapter will discuss the process of positive ageing, the life course, and the changing cultural norms of older people within contemporary society. The chapter will assist nurses to consider and understand how ageism and subsequent stigma and discrimination can impact on the well-being of the older person and their family/loved ones. The multiple losses and associated mental health problems will also be presented. The specific approaches to nursing care required to support human connectedness with older people will also be discussed. Common mental health problems, associated risk factors and considerations for treatment embedded within a recovery approach are explained. The chapter concludes with future issues for this area of specialty nursing practice.
13 - Mental health of older people
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- By Helen P. Hamer, University of Auckland, Debra Lampshire, University of Auckland, Sue Thomson, Northern Regional Dementia Behavioural Support and Advisory Coordinator for all of Auckland and Northland – New Zealand
- Nicholas Procter, University of South Australia, Helen P. Hamer, Denise McGarry, Australian Catholic University, North Sydney, Rhonda L. Wilson, University of Southern Denmark, Terry Froggatt
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- Book:
- Mental Health
- Published online:
- 06 August 2018
- Print publication:
- 04 September 2017, pp 306-331
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Summary
Introduction
This chapter discusses the process of positive ageing, the life course and the changing cultural norms of older people within contemporary society. The chapter aims to assist practitioners to consider and understand how ageism and subsequent stigma and discrimination can affect the well-being of older people and their loved ones and carers. The multiple losses and associated mental health conditions are also discussed, and specific approaches to mental health care required to support human connectedness with older people are explored. Common mental health conditions, associated risk factors and considerations for treatment embedded within a recovery approach are explained. The chapter concludes with an exploration of future issues for this area of specialty practice.
Background
Getting older and doing more (Office for Senior Citizens, 2012) is a description that epitomises older people as an increasingly diverse and active group that continues to maintain its autonomy and well-being, even into later life. As the life expectancy of people in both New Zealand and Australia increases (Australian Bureau of Statistics (ABS), 2012; Office for Senior Citizens, 2012), older citizens are living longer than the previous generation. The most significant ageing in the population is seen in the baby boomer generation, that group born in the period 1946 to 1964 (Ministry of Social Development (MSD), 2016). For example, demographic projections suggest that New Zealanders over the age of 65 years will exceed one million by 2030. Further, ageing citizens will live longer; in the year 2010, in New Zealand the male population in the 80 years and older age group increased by 5.1 per cent (2900) to reach 60 200, while the female population increased by 2.8 per cent (2500) to 93 200. Likewise, the Australian government has projected that the proportion of adults over 65 years will make up 25 per cent of the population by 2050. The majority of older Australians retain a reasonable standard of living; in 2009 only 7 per cent of older people were living below the low-income threshold, compared with 21 per cent of children (Pearson et al., 2012).
Importantly, by continuing to participate in society, older people maintain their status as full citizens (Brannelly, 2006; Hamer, 2012). Rather than being regarded as passive recipients of care, older people expect to continue to fulfil the same roles and responsibilities as others in society.
11 - Gender, sexuality and mental health
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- By Helen P. Hamer, University of Auckland, Joe MacDonald, Rainbow Liaison and Trainer at Affinity Services, Jane Barrington, Debra Lampshire, University of Auckland
- Nicholas Procter, University of South Australia, Helen P. Hamer, Denise McGarry, Australian Catholic University, North Sydney, Rhonda L. Wilson, University of Southern Denmark, Terry Froggatt
-
- Book:
- Mental Health
- Published online:
- 06 August 2018
- Print publication:
- 04 September 2017, pp 260-287
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Summary
Introduction
In this chapter we focus on the cultural diversity of genders and sexualities, and the effects of marginalisation, interpersonal and intimate partner violence and abuse on people's mental health (Afifi, 2007; Seedat et al., 2009). We describe the ways in which mental health practitioners are able to practise empathically and effectively in gender, diversity and trauma-informed care. Throughout the first part of the chapter we will be reading Riley's story to help us understand how mental health services can be more supportive and accepting of gender and sexual diversity.
Continua of sexuality and gender
The Australian (2011) and New Zealand Human Rights Commissions (2008) refer to a broad and diverse range of sexual orientations and gender identities. Many people are familiar with the idea that there exists a range of sexual orientations. One way to conceptualise gender as more than a binary of male and female is to imagine a continuum of gender identity (United Nations High Commissioner for Human Rights, 2012), with heterosexual or straight at one end and lesbian or gay at the other. Many people position themselves at either end, while others place themselves at a myriad places in between. Some people move along the continuum over the course of their lifetime. It is less commonly acknowledged that there is also a wide range of gender identities. Some terms that people might use include transgender, transsexual, intersex, gender-queer, woman or man.
‘Transgender’ is a term that encompasses a range of identities for people who do not identify with the sex they were assigned at birth. Some of these people identify as transmen (assigned female at birth, identify as male) or as transwomen (assigned male at birth, identify as female). Some people do not identify with the binary concept of male or female, and may use terms like gender-queer. Gender-queer people identify as both male and female, or as neither. This is different to intersex, which is a general term used for a variety of conditions in which a person is born with a reproductive or sexual anatomy that does not fit the typical biological definitions of female or male.
7 - Legal and ethical aspects in mental health care
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- By Helen P. Hamer, University of Auckland, Debra Lampshire, University of Auckland, Terry Froggatt, Nan Tien Institute
- Nicholas Procter, University of South Australia, Helen P. Hamer, Denise McGarry, Australian Catholic University, North Sydney, Rhonda L. Wilson, University of Southern Denmark, Terry Froggatt
-
- Book:
- Mental Health
- Published online:
- 06 August 2018
- Print publication:
- 04 September 2017, pp 151-174
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Summary
Introduction
This chapter explores the legal and ethical factors that inform mental health nursing, from multiple perspectives. The chapter proposes a legal and ethical framework that promotes human connectedness between the practitioner and people with mental health conditions and their families and whānau. The chapter includes theoretical and practical aspects of working within a legal framework, and provides a number of narratives to bring to life what it means to experience compulsory treatment. It concludes by discussing proposed alternatives to compulsory treatment and a potential future legal framework that embraces a person's autonomy and human rights. New Zealand – and each Australian state and territory – has its own mental health legislation. Although there are differences between them, they share the essential features of providing for treatment without consent, criteria of danger to self and others, and certain procedural protections. Throughout this chapter we use the term ‘mental health legislation’ to refer to common aspects of the legislation in different jurisdictions.
A legal and ethical framework for practice
Practitioners encounter many challenges in caring for people with mental health conditions, such as the multifaceted explanations for the origins of mental distress and the requirement to uphold people's well-being and safety though the use of mental health legislation. Such challenges can create moral and ethical dilemmas in practice.
Ethical framework
Ethics is described as a moral philosophy. Within nursing practice, ethics is concerned with the decision-making processes in which practitioners engage, based on their reasoning about what is right and wrong (Bennett & Bennett, 2011). According to Beauchamp and Childress (2013), ethical decision-making requires the person to have the motivation and desire to understand what should be done in a given circumstance in order to perform the action required. The subsequent actions are thus based on the moral ideals of the person. Such ethical decision-making in nursing care is informed by the processes of reasoning, justification and argument (Beauchamp & Childress, 2013) in order to make a decision about the appropriate actions to take (Johnstone, 2009).
An ethical framework for nursing practice (Australian Nursing and Midwifery Council, 2008; Nursing Council of New Zealand, 2012) is based on four sound ethical principles: autonomy, beneficence, non-maleficence and justice (Beauchamp & Childress, 2013). Autonomy refers to the respect that is shown by practitioners towards people's decisions and choices.
10 - Gender, sexuality and mental health
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- By Helen P. Hamer, University of Auckland, Joe MacDonald, Affinity Services, Auckland, Jane Barrington, University of Auckland, Debra Lampshire, University of Auckland
- Edited by Nicholas Procter, University of South Australia, Helen P. Hamer, University of Auckland, Denise McGarry, Charles Sturt University, Bathurst, New South Wales, Rhonda L. Wilson, University of New England, Australia, Terry Froggatt, University of Wollongong, New South Wales
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- Book:
- Mental Health
- Published online:
- 06 August 2018
- Print publication:
- 20 December 2013, pp 217-243
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6 - Legal and ethical aspects in mental health care
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- By Helen P. Hamer, University of Auckland, Anthony J. O’Brien, University of Auckland, Debra Lampshire, University of Auckland
- Edited by Nicholas Procter, University of South Australia, Helen P. Hamer, University of Auckland, Denise McGarry, Charles Sturt University, Bathurst, New South Wales, Rhonda L. Wilson, University of New England, Australia, Terry Froggatt, University of Wollongong, New South Wales
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- Book:
- Mental Health
- Published online:
- 06 August 2018
- Print publication:
- 20 December 2013, pp 117-136
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12 - Mental health of older people
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- By Helen P. Hamer, University of Auckland, Debra Lampshire, University of Auckland, Sue Thomson, Dementia Care, Northern Region of New Zealand
- Edited by Nicholas Procter, University of South Australia, Helen P. Hamer, University of Auckland, Denise McGarry, Charles Sturt University, Bathurst, New South Wales, Rhonda L. Wilson, University of New England, Australia, Terry Froggatt, University of Wollongong, New South Wales
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- Book:
- Mental Health
- Published online:
- 06 August 2018
- Print publication:
- 20 December 2013, pp 262-286
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