Research in Mental Health at Swansea University

2. Research in Mental Health at Swansea University Michael Coffey Lecturer Community Mental Health Nursing

3. 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

4. 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

5. 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

6. 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

7. 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 Hearing Voices Study: Some key differences

8. 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

9. 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

10. 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

11. 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

12. 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

13. 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