Research in Mental Health at Swansea UniversityMichael Coffey

Lecturer Community Mental Health Nursing

Medication Monitoring Dr Sue Jordan

Monitoring Adverse Drug Reactions: Scales, Profiles and Checklists. 2004

Minimising Side Effects: The clinical impact of nurse-administered ‘side effect’ checklists 2002

Medication management: an exploratory study into the role of Community Mental Health Nurses. 1999

Community Teamwork is key to monitoring the side effects of medication. 2000

Out of Sight

Dr David Rea, Dr Colin Palfrey, Dr Ceri Phillips

Advice on service models for older people in Powys with mental health problems

Two specific aims

• To conduct a needs assessment of the EMI population of Powys

• To advise on appropriate models of best practice in EMI care.

Recommendation - Assertive outreach services are needed to enhance early detection, health education, and assessment

Hearing Voices Study

Michael Coffey, John Higgon, Jayne Kinnear and Jeanette Hewitt

Funded by WORD

Interview Study –quantitative and qualitative data

20 CMHNs who work with people who hear voices and

20 service users who experience voices

Service users were also asked to complete the Beliefs about Voices Questionnaire - revised

Hearing Voices Study: Some key differences

CPNs

• do not agree that compliance is

their concern

• voices not linked to past

experiences

• increase in voices not indicative

of relapse

Service Users

• See CPNs as the first stop

when they have concerns

• think there might be a link

• see clear link between

increase of voices & relapse

Hearing Voices Study: Some key differences

CPNs

• reinforcing reality not useful

• anxious about confronting

voices

• keen for use of own coping

strategies

Service Users

• qualified support for reinforcing

reality

• supportive of confronting

voices

• see some value but less

optimistic

Women who self-mutilate Lynn Gardner

Considers how women who self-mutilate negotiate public

and private space and relationships in light of the fact

that they have scars which reveal their 'troubled'

biographies

Uses a narrative approach

A Study of Suicidality in West Wales Farmers

Sarah Osborne PhD study

Large scale health questionnaire (circa 500 responses)

Follow-up interviews with 14 farmers who described themselves as suicidal and willing to discuss their problems.

The research was framed within an anthropological context

Early Intervention in Psychosis

• Steve Williams, Consultant Nurse in Psychosocial Interventions Pembs and Derwen NHS Trust, Dr Tony Morrison at Manchester University, Gary Rolfe, Professor of Nursing, UWS

• Randomised controlled trial of effectiveness of systematic psychosocial interventions in early psychosis

• Objectives- To establish whether systematic psychosocial interventions provided to people with early psychosis and their families in addition to treatment as usual in a routine service setting within a Welsh rural context will improve clinical outcomes compared to treatment as usual alone

Prison Mental Health Care

Nic Bowler supervisor Dr. Ceri Phillips

Aim: to identify factors predictive of mental health outcomes in

prisoners and priorities for service development

Method - Statistical analysis of mental health needs

assessment data from 861 prisoners.

Follow up study to test clinicians judgements as to predictive

factors identified within data

Stakeholder narratives of conditional discharge

Michael Coffey with supervisors Prof. David Hughes and Dr. Julie Repper

In-depth interviews

Audio recorded and transcribed

Designed to elicit narratives

Focus of questions

Transcriptions returned to interviewees

Analysis addresses content and structure of narratives

Linking research into education

Education and training informed

by research findings

Locally derived research findings

Helping practitioners to determine

the value of evidence

Helping practitioners to see ways

in which evidence can be applied

to their practice