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e-connect News from the Mental Health Team Faculty of Health and Applied Social Sciences

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Philomène Uwamaliya Innovate Dementia Transnational Symposium A Day in the Life of a PEF


Welcome to the e-connect ed 2 Editorial: e-connect (edition 2) is a quarterly electronic newsletter designed by the mental health teaching team at LJMU. The purpose of it is to develop stronger links between the team and the students and to discuss issues – both serious and light-hearted, which are relevant to academic and clinical practice. It is the intention of e-connect to educate, inform and entertain our readership – students and lecturers alike. e-connect has been designed to: • Promote good communication between the faculty and students • Report on current activity within the faculty and the mental health team • Inform the readership of research, educational, and employment opportunities within the mental health field. • Inform the readership of new developments / services and initiatives in the treatment of mental health problems • Report on professional issues within mental health nursing • Discuss issues related to student life. In each edition of e-connect there will be an education section called “Mental Health in Focus” which will concentrate on a particular

• Mental health condition • Intervention or treatment • Psychological Therapy

We also want to include a light-hearted element to this publication so each future issue will include • Competitions • Quizzes • Recipes. e-connect will be edited by Rebecca Rylance and Joe Johnson (contact details below) but we will be looking for your news items, stories and ideas for inclusion in the newsletter. If you have something you want to see included then you can contact:

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Rebecca @ R.Rylance@ljmu.ac.uk

Joe @ J.Johnson@ljmu.ac.uk


Welcome 02 Meet the Team 03 5 Minutes with Karen Rea 04 Innovate Dementia Transnational Symposium 05 Recipe Page 06 Quiz 07 Publications 8 - 9 A Day in the Life of a PEF 10 Quiz Answers 11 Publications - Philomène Uwamaliya 12 Professional Profile 13 2013 Cohort 14 Mental Health Bytes 15

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5 minutes with... Karen Rea: Q Place where you were born? A. Maghull Q. How long have you worked at LJMU? A. 5 years Q. Specialist topic/expertise A. IAPT/ CBT Q. Best thing about working at LJMU? A. Working with friendly, supportive and interesting people and teaching what I do in clinical practice Q. A fact that no-body knows about you A. I have a PADI diving qualification. Q. Favourite food A Chocolate and brown shrimps (but not together!) Q. If you could have super-power what would it be? A being 100% sure if someone is lying – watch out all you politicians!!!! Q. Favourite Movie? A. too many to count – but some of these - Chocolat – of course (who wouldn’t want to watch Johnny Depp dancing?! Bringing Up Baby with Katherine Helpburn,closely followed by Toy Story 3 – Buzz Lightyear dancing a salsa is a sight to behold! Thank you to the staff & students who posted questions!

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Innovate Dementia Transnational Symposium March saw the opportunity for several of the 09/11 mental health students from LJMU to attend the Innovate Dementia Transnational Symposium, held at the Crowne Plaza Hotel in Liverpool. Innovate Dementia is a three year project aimed at enhancing and developing NW Europe’s capacity to innovate best practices for those people living with dementia through the sharing of knowledge based approaches and best practice. The event was hosted by the UK partners of Innovate Dementia, Merseycare NHS Trust and Liverpool John Moores University, and was attended by delegates from across the UK and Europe. It was significant that the symposium was held in Liverpool as 2013 is the ‘Year of Dementia Awareness in Merseyside’ There were several eminent speakers at the symposium including Professor Alistair Burns (National Clinical Director for Dementia), Mary Marshall (Professor Emeritus at the University of Sterling), Joe Rafferty (Chief Executive, Mersey Care NHS Trust) and Kate Johnston (LJMU Dean for the Faculty of Health and Applied Social Sciences). The subject matter ranged from the nutritional component of the disease process through to the ‘practicalities of fathoming out taps in foreign environments’, highlighting the unsuitably of many public places for those people living with dementia.

A particularly impassioned and inspirational talk by Dr Ann Johnson, MBE (Dementia campaigner living with dementia) detailed the daily strife and emotional ramifications of dementia from her personal perspective, being diagnosed 7 years ago at the age of just 52. Fleetingly, we were able to converse with her about her experiences as a qualified nurse and lecturer at Manchester University, before eventually retiring in 2005. Dr Johnson warmly imparted some fond memories to us of her times as a student nurse, noting her second year of study was the hardest. As second years ourselves, of course we would have to agree! The objective of the day was not merely to inform on the statistics behind the growing prevalence of the disease, instead it was aimed at educating, enthusing and empowering delegates. Many of those in attendance were either practitioners within the field or service users, who are arguably the best experts in their own condition.

After a delectable lunch, there was an opportunity to venture along separate paths into several break-out sessions where groups were formed both interprofessionally and internationally to discuss and share a range of knowledge about the current Innovate Dementia projects of; Intelligent Lighting, Nutrition and Exercise, Living environments and Models of Assistance. Group discussions were later fed back to the wider population of attendees in the spirit of enlightenment, engagement and progression. The day was both informative and thought provoking and we were very pleased to be given the opportunity to experience the symposium and network with speakers and delegates alike, attending as a small representation of the fine mental health students currently studying at LJMU.

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Pavlova Paula Kennedy Ingredients 4egg whites 5oz caster sugar Pinch salt 1 x level tsp corn flour 1 x level tsp vanilla essence 1 x level tsp white vinegar

Equipment Parchment paper 12 inch round Pallet knife Scales Mixer

What you will need to do: - - - - - - - - - - -

set oven at 160 degrees beat egg whites with pinch salt until very stiff slowly, on low beat setting, add half of sugar spoon at time add corn flour to remaining sugar and do as above whilst still beating gently add the vanilla followed by white vinegar place round of parchment on baking tray place mix in centre of parchment paper pile it high and then smooth into tall round shape put in oven for 20 mins then turn down oven to 150 degrees bake for further for 20 mins then turn down oven to 140 degrees and bake for 20 minutes.Then turn oven off but don’t open the oven Leave pavlova in oven to cool overnight remove from oven the next day and gently turn over on a place then gently remove the parchment dress with lightly whipped cream and fruit for added decorative effect and taste add a toffee or chocolate sauce and chocolate flake

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Mental Health Quiz

Schizophrenia 1) Schizophrenia can be triggered by a stressful event?

True or false

2) The symptoms of schizophrenia are usually classified into one of two categories?

True or false

3) Schizophrenia is not a common serious mental health condition? True or false 4) Drug abuse causes schizophrenia?

True or false

5) Schizophrenia is usually treated with medication and therapy?

True or false

6) There is a single test that can be carried out to diagnose, schizophrenia? True or False 7) The exact cause of schizophrenia is unknown? True or False 8) Genetic factors cannot increase the chances of schizophrenia developing? True or False 9) A hallucination only involves one of the senses ? True or False 10) The Use of cannabis can increase the risk of developing schizophrenia? True or False

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Mental health team launch ground breaking book for mental health nurse students and professionals. looking for a guide to the main psychological therapies and interventions available in practice.

With psychological interventions increasingly used in mental health nursing and the importance to patient treatment recognised by the National Institute of Health and Clinical Excellence (NICE), the book is expected to prove a valuable and important tool for many mental health nursing students and professionals and is currently number 1 on Amazon’s best seller list. Mental health problems are common, with one in four people thought to suffer some form of mental health illness in their lifetime. Conditions can be long lasting and can have a serious impact on quality of life for individuals and their families and carers. Outcomes have been shown to improve by good practice-based interventions, including psychological therapies, highlighting the need for such a book. This groundbreaking book, Psychological Interventions in Mental Health Nursing, is the ideal resource for trainee and qualified mental health nurses or healthcare professionals

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“We’re really excited about the book as there are currently no other books like it in the nursing arena,” says Author, Grahame Smith, Principal Lecturer and Head of the Mental Health, Social Work and Counselling Department. “Books that are currently available tend to focus on interventions at a broad level or focus on one specific intervention so we’re delighted to bring this new resource to the field.” The book was launched at the Energise for Excellence in Mental Health & Learning Disability Nursing Conference. Grahame added: “The book and the conference encapsulates the effective working relationship that the mental health team at LJMU has with its practice partners.” Built around the Nursing and Midwifery Council’s (2010) standards for pre-registration nursing education and written by experts in the field, the book explains which interventions are most effective for each of the more common mental health disorders. It also shows you how these interventions work in practice and illustrates the skills required to use them in practice, using examples from real practioners’ experiences. Particular attention is paid to the ethical context of psychological interventions and challenges readers to question their underlying beliefs, values and assumptions.

Psychological interventions within mental health nursing practice have always been a high priority, as reflected in the Department of Health’s (2006) guidance for pre-registration mental health nursing programmes and the Nursing and Midwifery Council’s (2010) standards for pre-registration nursing. These documents emphasize the need for contemporary mental health nursing students to develop skills and knowledge that improve care outcomes for mental health service users both at a broad level such as communication skills, and at a specific level such as psychosocial interventions. “The mental health nursing lecturers within the Faculty have long recognised that delivering effective psychological interventions is a crucial part of the contemporary mental health nurse’s practice and certainly over the last few years this is something that has also been reflected in pre-registration mental health nurse training programmes” explains Grahame. The book has been a real team effort and is testament to the dedicated Mental Health Nursing Team who began writing the book in August 2010. Each member of the team produced a chapter either on their own or with a fulltime practitioner, with Grahame taking on the role of editor/author. “This book provides excellent foundations in common psychological interventions that


are used in mental health and other fields of nursing. Each chapter uses a scenario, which helps to apply the concepts to the real world of providing healthcare. This is reinforced by the robust manner in which the text signposts readers to examples which they may use or test out in their day to day practice of mental health nursing.” Paul Barber, Senior Lecturer, University of Chester, UK “This accessible scenario based text gets to the heart of how to effectively integrate psychological values and emotional intelligence with professional, ethical and cognitive skills to develop a meaningful collaborative therapeutic relationship with mental health service users and their families. The language, style, and format is engaging and linked to mental health field-specific competencies which all pre-

registration mental health nurses must now achieve to graduate and register with the Nursing & Midwifery Council (NMC 2010).” Linda Cooper, Professional Head Mental Health Nursing, Learning Disability and Psychosocial Care, Cardiff University, UK (former Chair Mental Health Nurse Academics UK) “This book takes you on a developmental journey of psychological interventions and provides a good grounding in the subject. It is one of few that successfully endeavours to preserve the true meaning of the service user’s experience whilst promoting the importance of clinical effectiveness and evidence base. This is an ideal text for student nurses and qualified practitioners and is particularly rewarding given the balance of authors from a clinical, academic and research background.” Dr

Joy A Duxbury, Head of Centre of Mental Health and Wellbeing, University of Central Lancashire, UK “Whether you struggle with mental health as a service user, or a student embarking on a career in mental health nursing, you will find this book accessible and useful. It provides students and health professionals from a variety of backgrounds the opportunity to advance their knowledge and skills, and offers a developing and innovative approach that will place them at the forefront of mental health practice.” Robert Walker, Fellow Member of the Institute of Mental Health and Associate Expert for the School of Inclusion and Communities, UK. This book can be purchased online from: www.amazon.co.uk

Proud to Publish Each member of the Mental HealthTeam have published one or more chapters in the book ‘Psychological Interventions in Mental Health Nursing’. Maidenhead, Open University Press Smith, Grahame Smith, G. (Editor) (2012) Psychological Interventions in Mental Health Nursing. Maidenhead, Open University Press 2012 ‘Panel Member’ - International Social Work Seminar (Liverpool) 2012 Innovations in Dementia: Nutrition & Exercise (Innovate Dementia launch event – AAL Conference Eindhoven) 2012 ‘Innovative mental health care in aging societies: a critical perspective’ (18th International Network for Psychiatric Nursing Research conference - Keble College, Oxford) Karen Rea 5th world Congress on Deafness and Mental Health in Monterey, Mexico – May 2012. Co –authored paper that Lisa and Kevin Baker presented to LJMU teaching and learning conference – June 2012 Rylance & Harrison Rylance, R., Harrison, J. and Chapman, H. (2012) ‘Who assesses the physical health of inpatients with serious mental illness? Mental Health Practice, 16 , (2) May Baker Mental Health Nursing Case Book (Case Book Series) (2012) edited by Nick Wrycraft.  My chapters were Substance Misuse and Substance Misuse in Older People. OU publisher.

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A Day in the Life of a PEF are responsible for ensuring that practice has sufficient provisions of mentors/practice supervisors within our aligned placement areas. PEF’s provide supervision and support structures for mentors/educators at development forums and through being accessible to mentors/ educators queries on a daily basis, with the aim of building education in practice, capability, consistency and efficiency.

The practice education facilitator role was developed to support mentors and educators in practice to provide high quality multiprofessional learning environments, to promote interprofessional learning opportunities and manage placement capacity and capability. The NHS NW (SHA) provide Mersey Care NHS Trust with funding for the equivalent of three full time PEF’s to cover all the services across the Trust and more recently the local NON NHS sector. The exciting part of being a PEF is

that every day is usually different! A day in the life of a PEF can include various tasks that may include supporting the educational audit process; it is essential that all learning environments that facilitate students have an educational audit in place to contribute to the annual quality monitoring process. The PEF’s responsibility is to support the audit assessment and monitor that any required action plans are addressed. As part of the annual audits and ongoing monitoring the PEF’s

PEF Contact Details: Lin Sheldon (LCBU) 07813315039 Lin.sheldon2@merseycare.nhs.uk Frank Moore (HSS CBU, Addictions & Rebuild CBU) 0151 473 0303 EXT 4342 Frank.moore@merseycare.nhs.uk Naomi Dixon (PCP CBU) 07970933783 Naomi.dixon@merseycare.nhs.uk Bernie Pownall (SaFE Partnerships CBU) 0151 431 5172 Bernadette.pownall@merseycare.nhs.uk

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Maintaining the already established links with the academics and the placement learning support staff at LJMU to support mentors and practice supervisors, is regularly a part of the PEF’s day. PEF’s attend various meetings with all professions in practice and the education providers to help structure, coordinate and facilitate learning opportunities across services, with the aim of promoting and improving inter professional learning to enhance your practice experiences. WE ARE ALWAYS OPEN TO NEW IDEAS!! Overall a day in the life of a PEF can at times be challenging but always varied and very rewarding, as rarely no two days are the same!


Answers to Quiz: 1 (Answer True) The main psychological triggers of schizophrenia are stressful life events, such as, bereavement, losing your job or home, a divorce or physical, sexual, emotional and racial abuse. 2 (Answer: True) Categories being positive and negative symptoms. Positive symptoms represent a change in behaviour or thoughts, such as hallucinations or delusions. Negative symptoms represent withdrawal or lack of function, apathy, flat or emotionless. 3 (Answer: False) About 1 in 100 people will experience schizophrenia in their lifetime, making schizophrenia one of the most common mental health conditions. 4 (Answer: False) Drugs do not directly cause schizophrenia but studies have shown drug misuse increases the risk of developing schizophrenia. 5 (Answer; True) Treatment is a combination of antipsychotic medication and cognitive behavioural therapy (CBT). Many people recover from schizophrenia although they may have periods when symptoms return (relapses). 6 (Answer: False) There is no single test for schizophrenia. The condition is usually diagnosed after assessment by a specialist in mental health. 7 (Answer: True) Most experts believe the condition is caused by a combination of genetic and environmental factors. 8 (Answer: False) Schizophrenia tends to run in families, but no individual gene is responsible. It is more likely different combinations of genes that make people vulnerable to the condition. 9) (Answer: False) A hallucination can affect all the senses, however the most common hallucination is hearing voices(auditory). Hallucinations are very real to the person experiencing them. 10 (Answer: True) Heavy use seems to double the risk with new research showing that stronger forms of cannabis, such as, skunk, may significantly increase the risk of developing schizophrenia.

Score

How much do you know about schizophrenia?

0-3

Your knowledge of schizophrenia could be improved. Try reading the information supplied with each true-or-false statement to find out more. You could also ask your doctor for further advice.

4-6

Your level of knowledge about schizophrenia is average. Try improving your knowledge level by reading the information displayed in this quiz, and don’t forget to ask your doctor for further advice.

7 - 10

Congratulations! Your knowledge of schizophrenia is above average. To keep up-to-date with the latest information about sun protection, remember to ask your doctor for further advice.

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Publications - Philomène Uwamaliya •

The event showcased the work being done across the FCO network to deliver the torture prevention strategy. UK government’s contribution to international efforts to prevent torture, it has three priorities:

www.gov.uk/government/uploads/ s y s t e m / u p l o a d s / at t a c h m e nt _ data/file/35449/fcostrateg ytortureprevention.pdf •

Philomène Uwamaliya (2012) Prevention and Eradication of Torture-Brussels European Parliament. To read more please visit: http://www.uk.upf. org/index.php?option=com_co ntent&view=article&id=548: prevention-and-eradicationof-torture-brusselslc&catid=73:elc&Itemid=195

Philomène Uwamaliya (2013) Genocide Awareness and Holocaust Commemoration event in the House of Lords: “The health care provision for survivors of atrocities and torture in the UK” chaired by Lord Michael Bates and Robin Marsh Secretary General at Universal Peace Federation - Identifying the progression to genocide early can prevent a huge tragedy in future.

To ensure that states have legal frameworks in place to prevent and prohibit torture,

To develop other states political will and capacity to prevent and prohibit torture,

Philomène Uwamaliya (2012) Foreign and Commonwealth Office - Strategy for the Prevention of Torture: Reflect on the UK Government’s contribution to international efforts to prevent torture over the past year. •

29 November 2012 The Foreign Office hosted an event about the work being done to prevent torture to mark the first anniversary of the launch of the FCO’s Torture Prevention Strategy. In October 2011, the FCO published a Strategy for the Prevention of Torture. This sets out our policy on torture prevention and explains the approach we are taking to contribute to international efforts to prevent torture. The event was designed to reflect on the UK Government’s contribution to international efforts to prevent torture over the past year and, following an introductory breakdown on the Foreign Office’s activity so far, Philomène offered her own thoughts on the best way forward.

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To give organisations on the ground the expertise and training to prevent torture. The Foreign Office and the High Commissions and Embassies are working towards these goals by raising individual cases of torture in public and in private, by lobbying other governments, by making public statements about specific incidents and general concerns and by working with local and international NGOs, prosecutors, prison services and other partners to deliver projects around the world that will improve expertise on preventing torture. FCO Strategy for the Prevention of Torture available here: https://

Please open the web link below to read more about Dr. Gregory Stanton’s analysis of the Eight Stages to Genocide. http://www.genocidewatch.org/ utgenocide/8stagesofgenocide. html


Professional profile

James Kidd

Senior Nurse: Specialist Practitioner Safeguarding

“Nursing was a game changer for me. It gave me the opportunity to give. It made me a better person. Teaching has enriched my life in a similar way’’ James Kidd entered the nursing profession at the age of 40. He gained a first class BSc in Mental Heath Nursing in 2001. His academic background includes Media and Cultural Studies, attending the prestigious Centre for Contemporary Cultural Studies 1991-1994. He studied philosophy and politics at Birmingham University. At postgraduate and masters level he studied clinical research, playwriting studies and cognitive behavioural therapy. His specialist post at Mersey Care NHS Trust involves providing training and clinical advice to nurses, doctors and allied health workers around safeguarding adults and children. He currently teaches on the IAPT and undergraduate nursing programmes. James is electric as he is eclectic, with interests in sport and charity work. His hobby is tennis which takes him all over the world. He is also a motivational speaker and talks at many sporting events for the LGBT community. His most recent research paper on patient experiences of antipsychotic medication was selected for presentation at this year’s RCN International Research Conference. Interviewed by Rebecca Rylance

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Welcome

student nurses:

March 2013

cohort

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Mental Health Bytes Web links to recent articles The Francis Report http://www.midstaffspublicinquiry.com/report Student Study Support – Harvard Referencing http://www.ljmu.ac.uk/studysupport/69049.htm The London School of Economics Mental Health Policy Group “How Mental Illness Loses Out in the NHS” http://cep.lse.ac.uk/_new/research/mentalhealth/default.asp

....final thoughts We hope you have found e-connected informative and entertaining. Please drop us an email with your feedback and any thoughts, ideas or suggestions for future editions. Next edition of e-connect ed3 will be Summer 2013 All that remains for us to say on behalf of the Mental Health teaching team is “Live as if you were to die tomorrow. Learn as if you were to live forever.” ― Mahatma Gandhi Rebecca & Joe

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