极速赛车168最新开奖号码 Comments on: Mounting demand for AMHPs and unmet need masked by fall in number of detentions, say leads

极速赛车168最新开奖号码 By: Don McKnight

Don McKnight — Mon, 04 Mar 2024 15:26:03 +0000

In reply to Tahin. I've worked under the MHA since 1996 and have never pretended to be a doctor ,or had the inclination to do so. Medical model - what is this exactly? I've worked in a crisis service / MH setting for 30 years and it costs them a helluva lot of money to find beds , they (NHS colleagues) work very hard to provide an alternative to hospital as part of their gatekeeping service, with admissions being the last resort if the least restrictive option is not feasible, or if there are family members / spouses etc that they cannot manage even with 7/7 home based support and so on

极速赛车168最新开奖号码 By: Duncan Ross

Duncan Ross — Thu, 29 Feb 2024 15:00:43 +0000

In reply to Tahin.

https://www.kmpt.nhs.uk/information-and-advice/open-dialogue/

极速赛车168最新开奖号码 By: Tahin

Tahin — Thu, 29 Feb 2024 14:24:16 +0000

Not bashing, not denigrating, not out to make disparaging comment. I was an AMHP so I know the constraints within which practice takes place. I comment on AMHPs when I read a narrative that portrays colleagues as mere cogs made to act against their training and so forth by circumstances, resources, demanding managers and disinterested professionals. I don’t like the we are autonomous but we are also powerless responses depending on the discussion. All of us graft to do the best we can but the price of open discussion is honesty. I know a good few AMHPs who patronise non-AMHP colleagues by parading their “medical and legal knowledge” to assert their specialness. Status matters to a lot of AMHPs perhaps as a survival mechanism against other colleagues burdening them with expectations they can’t meet. I always railed against that when I was an AMHP and criticise it now I’m a mere social worker. For me it’s not enough to bemoan lack of resources, bad management and power dynamics without challenging the choices made by those in charge who create the environments we work in. Nothing can change and political expediency will always win if we do not have honest discussions. I also know that unless we own our part that when we choose to look away the services we deliver remain inadequate. Acknowledging that we often knowingly add to the the strains faced by families through the mantra of no beds, lack of resources is not bashing collagues. That is my experience as an former AMHP and current social worker. Not that it should matter in a professional forum but my parents know all too well what services expect of them to care for and supervise the medication of my brother. So when I referenced “hand on heart” it wasn’t a rhetorical question.

极速赛车168最新开奖号码 By: Lou

Lou — Wed, 28 Feb 2024 14:03:35 +0000

I don’t disagree with wh’at you are saying Tahin at all, but I am always puzzled why AMHPs are singled out for particular criticism. It is the systems around people and their carers that are broken, and you are right this sends those most in need of care into a hospital bed. These are social, economic and political failings. Not something that AMHPs, CPNs or doctors have any control over.
I have never met any AMHPs who are ‘playing at doctors’. Diagnoses are recognised as constructs which have aa variable use to either the person being ‘treated’ or the professionals trying to do so. Pyschiatry is well aware of this itself. This is not a medical model versus social model situation and it is overly simplistic and somewhat lazy to think it is.
What I do see is workers – nurses, social workers, AMHPs, Doctors who are completely worn down by a shortage of resources, and systems that exacerbate this.
Lets focus on the real problems here – poverty, inequality ( health and otherwise) and political indifference and ineptitude and stop bashing our colleagues and each other.

极速赛车168最新开奖号码 By: Tahin

Tahin — Tue, 27 Feb 2024 14:46:31 +0000

In reply to Duncan Ross. Medical model is cost effective for adult social services because the cost of beds and inpatient care is on the NHS. The salary you quote is for Consultant Psychiatrists at the top of the pay band and there are around 300 Consultant vacancies. Care outside of inpatient settings,however defined, is never cost effective either given that what little alternatives there are to relatives, friends and neighbours, is mostly provided by private contractors. Medical model isn't cost effective but the burden put on families is crushing so until our so called alternative to admissions lift that pressure off families, they will want it. Just as they value CPNs as their more consistent contact. Hand on heart what are we offering as an alternative to all of that?

极速赛车168最新开奖号码 By: Duncan Ross

Duncan Ross — Tue, 27 Feb 2024 10:38:48 +0000

In reply to Tahin. Is the medical model so cost effective if the average psychiatric bed costs £2,000 a day plus? And the average Psychiatrist salary is £100,000 plus?

极速赛车168最新开奖号码 By: Tahin

Tahin — Tue, 27 Feb 2024 07:34:30 +0000

In reply to Duncan Ross. Families are wedded to the medical model because they know from experience that the claimed alternatives are social workers telling them they should cope, look after, safeguard, counsel the person they are asking help for. Services love the medical model because it costs them little in funds and avoids having to develop strategies and properly funded support networks. AMHPs love the medical model as they get to play doctors without the training or the responsibility for diagnosis. Win win for services, AMHPs, doctors. Added bonus for professionals in dumping massive responsibilities on families, friends, neighbours and then smugly pretending that all of this is giving choice and autonomy to the unwell person. If I wasn't a social worker and former AMHP I might regard all of this as an abrogation of professional responsibility.

极速赛车168最新开奖号码 By: Duncan Ross

Duncan Ross — Mon, 26 Feb 2024 12:56:48 +0000

Why are we as a profession so wed to the medical model of mental health intervention? Hopefully positive results from the large randomised control trial on Open Dialogue services in the South of England will be forthcoming to allow for a genuine alternative model of service to be explored.

极速赛车168最新开奖号码 By: Carl

Carl — Sun, 25 Feb 2024 13:24:39 +0000

Our team shares office space with the AMHP service. The demand on them is intense and they have vacancy issues. It’s clear though that perhaps due to those pressures the pressure they put on referrers and families is at times brutal. Professionals can give as good as they get from the service but families less so. This is obviously anecdotal but it appears standard for AMHPs to ask families to cope, look after and safeguard relatives before any response is arranged. Lack of workers, lack of resources and lack of beds are real issues but so is expecting as a matter of course that families, friends, neighbours being first responders, support networks and safeguarders. We should highlight pressures on services but we should also acknowledge that expecting families replace professionals as a matter of course is wrong.