news        Australian College      theof Mental Health Nurses Inc.AUSTRALIAN COLLEGE OF MENTAL HEALTH NURSESSEPTEMBER – N...
Contents IJMHN Feature________________________________ 6 1000th Credentialed MHN ______________________ 9 CPP: A national ...
Mental Health                            Nursing’s                                                               NMBA ackn...
News Briefs                                                     Pre-registration nursing; Postgraduate study;          Rob...
•   Reporting with sensitivity and moderation                cover such topics as: what types of support can        speaki...
The International Journal                                                     of Mental Health Nursing                    ...
and rated as a Level B by Excellence Research          Acknowledgement must go to everyone who has        Editorial BoardA...
Valuing clinical placements =enhancing recruitment and retentionKerry Miller RN, Associate lecturer in the Avondale Colleg...
ACMHN Celebrates our 1000thCredentialed Mental Health Nurse!Adam RiceI started my nursing career as a result of     I star...
Recognising specialist mental health nurses –a national successMarilyn GendekA Contemporary Vision                        ...
ACMHN is undertaking a review of the CPP commencingwith a preliminary phase which considers contemporarydevelopments in po...
Member Profile:Anne StoreyDenise McGarry MHN, FACMHNAnne never planned to be a nurse let alone knew of mental health nursi...
4th Primary Mental Health Care ConferenceCanberra May 2011Shirley Schulz-Robinson                                    This ...
Supporting Nurses in in-patient settingsTessa Moriarty, Credentialed Mental Health Nurse and Clinical SupervisorFor the la...
What is the Oration & Investiture?Each year, the College holds an Oration         for the College and the profession more ...
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  1. 1. news Australian College theof Mental Health Nurses Inc.AUSTRALIAN COLLEGE OF MENTAL HEALTH NURSESSEPTEMBER – NOVEMBER 2011 in-patient care IJMHN – top of its class! 1000th Credentialed Mental Health Nurse MHN clinical research saving lives ACMHN strategic win with NMBA Credentialing: a national success SPRING 2011 NEWS 1
  2. 2. Contents IJMHN Feature________________________________ 6 1000th Credentialed MHN ______________________ 9 CPP: A national success_________________________ 10 Branch activity _______________________________ 17 Board member profile __________________________ 18 MHN Research saving lives _____________________ 19 From Aren’t we clever!_______________________________ 21 Diary _______________________________________ 23 the editor In this edition of ‘news’ we celebrate two major The information contained in this publication is correct milestones for the College and an important strategic at the time of publication, but is subject to change. It does not constitute or form part of any contractual ‘win’. Credentialing our 1000th mental health nurse obligation expressed or implied by The Australian and the ranking of the IJMHN as the highest ranking College of Mental Health Nurses Inc. mental health nursing journal in the world speak to Editor Peta Marks the evolution of the College over the past 10 years. You will find information about both of these major Design John Thrift design events along with a bit of interesting history on pages 9 ©2011 The Australian College of Mental Health Nurses Inc. (Credentialing) and 7 (IJMHN). Spring 2011 Published August 2011 The NMBA bowing to ACMHN pressure to take a first step towards identifying mental health nurses on the Update your email address register reinforces to us the importance of persisting well beyond the identified end point, on issues that are It is essential that all members update their postal address, telephone or email address critical to the profession. Kim will tell you more about whenever it changes. Where possible we prefer that strategic win. to communicate with members via email – this saves the expense and environmental impact of This edition has our usual range of interesting articles printing and postage. and updates as well as a focus on inpatient mental Email Fran at health services, several major achievements by College or phone 1300 667 079 members (page 21) and an overview of the Oration and Investiture process (page 16) – for those of you who are Newsletter submission deadlines wondering what this important event actually involves. December 2011–February 2012 edition In another milestone of sorts, I will be handing over 28 October 2011 the editorship of the ‘news’ magazine, along with March 2012–May 2012 edition management and development of the website and a 27 January 2012 range of other ‘communication’ tasks I have grown into over the past 5 or 6 years, to our recently recruited June 2012–August 2012 edition 27 April 2012 Communications Officer – Clare Butterfield. I will be undertaking more specific project-based work as September 2012–November 2012 edition the College’s Senior Project Officer starting with the 27 July 2012 QHealth Dementia e-learning project. May I take this opportunity to thank John Thrift who designs this and many other College publications, as well as each and every member who has made a contribution, submitted a profile, a report or a photo to ‘news’ magazine over the past 6 years. I have thoroughly enjoyed editing ‘news’ and look forward to seeing how it evolves under Clare‘s editorship. Keep in touch! Peta Marks, Editor peta.marks@acmhn.org2 AUSTRALIAN COLLEGE OF MENTAL HEALTH NURSES SPRING 2011
  3. 3. Mental Health Nursing’s NMBA acknowledge frontline the specialtyIf you were to ask anyone what mental health nurses do, my In a strategic win for the College, the NMBA hasguess is that unless they have had first-hand experience, they recognised that, for national consistency, mental healthwouldn’t have much idea. If pressed, I would further speculate nurses who have a sole qualification in mental healththat their thoughts would turn to nurses ministering to patients in need to be identified as such on the register. The Collegehospitals. Most people have some experience of hospital, either identified for the NMBA that there are three cohortspersonally or through friends or family, that they can relate to; and of mental health nurses with a single certificate init is difficult to escape media images of nurses working in hospital mental health, who transitioned differently to nationalsettings. registration as a result of State jurisdictional differences 1. Nurses who had been given general registrationAccording to the Australian Institute of Health and Welfare’s 2009 with no acknowledgement of their single certificatereport on mental health services in Australia 2006–2007, nurses 2. Nurses who were given limited registration (whichaccount for the majority of the national workforce in specialised meant effectively that their registration could onlymental health facilities, totaling 51.1%. Nurses also make up the be renewed 3 times) and 3. Nurses who were givenmajority of the private psychiatric hospital workforce, accounting general registration, but with ‘conditions’ placed onfor almost half of the FTE staff. And of course we know the their practice. Having conditions placed on ones practiceworkforce is ageing, with the average age increasing from 43.9 means that a regular review of registration is requiredin 2001 to 46.4 years in 2005. In addition, the proportion of and can imply some wrongdoing on the part of thenmental health nurses aged 55 years and over also increased, from nurse, which is clearly not the issue for single certificate12.4% in 2001 to 19.7% in 2005. (Australian Institute of Health mental health nurses.and Welfare 2007 report on mental health services in Australia The NMBA have decided to place all of the nurses with2004–2005). single certificate in mental health into a category ofMental health nurses working in acute in-patient units are at general registration with a notation on the register statingthe sharp end of service delivery, are a sizable force and are the ‘solely qualified in the area of mental health nursing’.dominating frontline image of the profession. Nurses in acute in- This change means single certificate MHNs will not bepatient settings work with and are responsible for consumers who discriminated against by having their registration limitedare most acutely unwell. They are also commonly responsible for or the implication that they had acted in some way as tosupporting neophytes in mental health (who may or may not have require ‘conditions’ to be placed on their practice.mental health qualifications) and students on clinical placement. While this recognition on the register applies only toTherefore, in terms of the future of the mental health nursing single certificate mental health/psychiatric nurses, itprofession, those who are working in acute in-patient settings demonstrates that it is possible to make changes to theconstitute a very important cohort. way nurses are identified on the register and reinforcesHaving attended a number of regional College and other the College’s position of continuing to pursue the NMBAconferences this year, I have been impressed with presentations to identify mental health nursing as a specialty on theof innovative practices by nurses in the in-patient setting. The register.College will continue to encourage and support these nurses to If you are a single certificate mental health/psychiatricshowcase their work as an inspiration to their colleagues in similar nurse, you should expect notification from the NMBAsettings. Our international conference in October this year on the about this issue soon. Please contact them and inform theGold Coast will also feature a program where a number of issues College if you experience any difficulties with this process,relevant to in-patient settings will be addressed, so keep an eye on or if you do not receive a letter from the NMBA within thethe program on our website. next two months.Peter Santangelo, ACMHN President Kim Ryan, Chief Executive SPRING 2011 NEWS 3
  4. 4. News Briefs Pre-registration nursing; Postgraduate study; Robyn Kruk appointed as Chief Executive Officer. Clinical Placement an Aboriginal Medical Service Up to $4 million has been allocated to establish for undergraduate nursing students; CPD; Clinical a new National Mental Health Consumer placement in an ED for undergraduate nursing Organisation with the Consumers Health Forum students, postgraduate nursing students and RNs appointed to host the new organisation while it wanting to enhance their experience or change gets established. their area of professional practice. Also for ED An expert advisory group is also currently working administration staff wanting to undertake CPD. on the establishment of the Government’s Closes 16 September 2011 Visit: e-mental health initiatives including: the online au/scholarships/government_scholarships or call mental health portal to ensure that mental health 1800 117 262 consumers and their families are better aware $2.2 billion in Mental Health Measures – of the services available to them; the e-mental Federal Government health clinic to provide web-based psychological From 1 July, new and expanded services funded services up to 85,000 people over 5 years. through this year’s Budget will be rolled out Australian Press Council Suicide nationally. People with a mental illness will be Reporting GuidelinesErratum able to access Medicare funded consultations The Australian Press Council recently releasedApologies to Prof Eimear Muir-Cochrane and with psychiatrists via video conference; funding new Standards of Practice for reporting suicideher team at Flinders University who were not will double the number of psychological services and discussing related issues. The Standards areacknowledged in the Winter 2011 News Briefs provided under the Access to Allied Psychological binding on all publications affiliated with thearticle entitled ‘Use of ‘Second Life’ in the core Services (ATAPS) program with an extra 185,000 Council, which includes all major newspapersmental health topic of undergraduate healthcourses’. Prof Muir-Cochrane of the Flinders people able to access the care and treatment that and magazines around Australia as well as theirUniversity School of Nursing & Midwifery they need at low to no cost over the next five associated websites. They have been developedsubmitted an article entitled ‘Learning together: years. A range of suicide prevention measures will after extensive consultation with mental healthdeveloping multi disciplinary learning between be funded as part of the Government’s Taking experts, editors and journalists. The Chair ofhealth students and the use of Second Life Action to Tackle Suicide package including new the Council, Prof Julian Disney, said: “The new(an innovative technologically supported services for up to 37,000 people at risk of suicide Standards emphasise that general reporting andpedagogical tool) in the core mental health or self harm through ATAPS and free calls from comment on issues relating to suicide can be oftopic of undergraduage health courses’, which mobiles to Lifeline. Day to Day Living providers substantial public benefit. It can help to improvewas edited for inclusion in the News Briefs will receive funding to provide 18,000 people with public understanding of causes and warning signs,section of the magazine, without the appropriate severe mental illness with access to structured and have a deterrent effect on people contemplatingacknowledgement. Apologies also to the social based day activity programs to help them suicide, bring comfort to affected relatives orteam at Flinders University, John McMillan, overcome social isolation and increase their ability friends, or promote further public or private actionPat Barkway, Sharon Lawn, Louise Roberts to participate in the community. Negotiations to prevent suicide.”and David Green. Further information about have begun with state and territory Governments While welcoming responsible reporting andthis innovative and exciting teaching strategy to implement the new $200 million National discussion, the Standards include restrictionsis available at Partnership on Mental Health Reform aimed at on naming people who have died by suicide,nursing/researchhigherdegreeshub/our-research- filling service gaps within existing state mental providing details about methods of suicide, andprograms-&-projects/major-research-programs/ health systems. The current 30 youth friendly using inappropriate language. The new Standardsmental-health/virtual-teaching-resources.cfm headspace services have all received a significant cover the following topics: increase in their base level of funding to provideNursing and Allied Health Scholarship • General reporting and discussion additional services to boost their capacity toand Support Scheme about suicide provide care and support to young Australians.This is an Australian Government initiative • Whether to report an individual instancesupporting students, enrolled/registered nurses In addition, establishment of the new National • Reporting the method and locationand midwives. Applications for the following: Mental Health Commission has begun with • Reporting with responsibility and balance4 AUSTRALIAN COLLEGE OF MENTAL HEALTH NURSES SPRING 2011
  5. 5. • Reporting with sensitivity and moderation cover such topics as: what types of support can speaking on the phone. About 20 calls a day are• Sources of assistance. services offer; support for family and friends from children at risk of suicide. who are also clients; who should make contact;The Standards Relating to Suicide are available ”A Lifeline spokesman said the average wait time possible barriers to providing support and how toon the Press Council website at: http://www. was a little more than three minutes during the support staff during this time. For further details, day, but could be longer after midnight because please contact Sarah Coker on 03 9682 5933, orSupporting family and friends of people it was much harder to find volunteers to work sarah.coker@sane.orgwho have died by suicide then. The number of calls received by the serviceResearch tells us that people bereaved by suicide Kids Helpline and Lifeline in trouble! went up 6 per cent in the past year, with moremay be at higher risk of taking their own lives, Both Kids Helpline and Lifeline are struggling to than 1250 calls a day, including 50 from peopleso intervention is an important, but sometimes meet increasing demand for mental health and at a high risk of suicide.overlooked, suicide prevention strategy. SANE suicide prevention counselling, with staff unable $10m for anti-Binge Drinking ProjectsAustralia has a new resource to help services to respond to a high proportion of calls. Almost half of the desperate calls made by children As part of the National Binge Drinking Strategy,better support family and friends of people with to Kids Helpline will go unanswered, with the the federal government has allocated $10milmental illness who die by suicide. The SANE response rate at 57 per cent. The call answer rate towards community projects that combatMental Illness and Bereavement Kit provides at Lifeline is 61 per cent, and drops even lower binge drinking among young people. About 1the information needed to facilitate a short (1½ between midnight to dawn because of a lack in 6 people aged 14 or older put themselveshour) professional development session wherestaff can learn about and discuss these important of volunteers willing to work those hours. Kids at risk of alcohol-related injury from a singleissues. The Kit includes a DVD that tells the Helpline general manager Wendy Protheroe said drinking occasion at least once per week. Localstories of four bereaved families, exploring the increasing number of calls and the complexity Governments and community organisationshow they coped and what they feel would have of mental health issues meant staff were under can apply for grants of up to $500k for projectshelped them more effectively. It also includes greater pressure. The service received more than aimed at reducing risky drinking. The grantsthe SANE Bereavement Guidelines that outline 466,000 calls last year, an increase of 6 per cent will be administered by the Australian Nationalbest practice for services, with a suggested from 2009. About 13 per cent were “counselling” Preventive Health Agency at: http://www.anpha.Action Plan for implementation. The guidelines calls, meaning an average time of 26 minutes The AustralianCollege of Mental Health Nurses along with Eli Lilly Australia invites applications for the PARTNERSHIPS IN WELLBEING AWARDS 2011 AWARDS the Australian College of Mental Health Nurses Inc. SPRING 2011 NEWS 5
  6. 6. The International Journal of Mental Health Nursing Brenda Happell review. Philosophically, the committee questioned Despite this promising start, a lack of articles whether the Congress, and more generally, mental proved to be the main concern. health nurses, would ever receive full recognition The Congress was to move to a College structure as a profession until they produced a journal. in 1991, with five levels of membership. At this Several titles were suggested, including ‘The time, the Journal was also significantly upgraded, Australian Journal for Mental Health Nurses’, with a new editor from 1990, Michael Clinton, ‘Psynpost’, and ‘Horizons’. Financially, the branch and a team of associate editors who eventually offered to find sponsorship to produce at least evolved into deputy editors. Under Michael’s two issues, but they also sought a guarantee that leadership, the Journal experienced a sea change. the Federal Council would make up any shortfall. It was no longer primarily the journal of the By June 1980 the Federal Council had changed its College, but instead began to transform itself, as mind over the need for a journal and accepted the its name suggested, into a much more high quality Queensland branch’s brief advancing it $1000 toAs you may already know, the College journal, the professional journal of mental health nursing produce the first issues.International Journal of Mental Health Nursing, with regular editorials, a properly constitutedhas recently received an impact factor of 1.427 The first edition of the ‘Journal of the Australian international editorial board and a blinded peerplacing it at number 16 (of 88) for nursing Congress of Mental Health Nurses’ was edited review process for reviewing manuscripts. Thejournals and the highest ranking mental health by Dennis (Denny) Cowell and published in provision of high-level political comment onnursing journal in the world! The ‘impact factor’ September 1980 including two original articles, an mental health issues and a more professionalrefers to the number of times manuscripts from editorial and branch news. layout also helped to give the Australian & Newa journal have been cited for the previous two Zealand Journal of Mental Health Nursing (as it The pharmaceutical company E.R. Squibb & Sonsyears. The higher the citations, the greater the was re-named in 1994) increased scholarly and had enjoyed a good sponsorship relation with theranking. This is the first ever ranking that the professional credibility. Congress from the second National Mental HealthJournal has received. Nurses Convention and they subsidised the early Michael Hazelton took over as Editor fromWe thought that it would be interesting at this Journal by donations and purchase of advertising March 1999 (Volume 8, No.1) and during hisimportant point in the life of the Journal to look space. Despite this, the Journal experienced some stewardship, changed the journal’s name to thebriefly at it’s history. troubles. Ron Dee, editor from 1983 resigned in International Journal of Mental Health Nursing December 1985 and was replaced by Owen Sollis. (in March 2002, a process Clinton had initiated),The idea of a College journal was first discussed Sollis retired from this position at the end of 1987, consolidated a blinded peer review process,at a ‘Congress’ (as the College was originally at which stage the Federal Council considered increased the internationalisation of the journalknown) working party meeting in July 1978. The asking Nursing in Australia to take on publication and placed strategic priority on attractingmost pressing issue was how to pay for it and the of the entire journal on behalf of the Congress. manuscripts that would be of interest to clinicianssecond most pressing issue was the question of This did not eventuate and Linda Salamons took as well as academics. Brenda Happell, the currentwhether it might be more effective to introduce over as editor in 1987. editor, took over from September 2004 and hasa simple newsletter first. Early in 1980, the taken the Journal from strength to strength. A review of the College history reveals that in theFederal Council of the Congress sought to find a late 1980s, there was clearly a perceived need for In 2007 it was necessary to increase frequencybranch that was willing to make up an editorial some major changes within the Congress more of issues from 4 to 6, such was the volume ofcommittee. Branches were asked to research the broadly, but including needed changes to the submissions coming in for publication. At theformat and printing procedure and to prepare Journal. By 1988 the Journal’s production costs end of 2007, the submission process becamea proposal for discussion at a Federal Council had risen to approximately $2000 per issue at fully electronic through the use of ManuscriptMeeting, but only Queensland and South Australia which point, things came to a grinding halt and Central – which further reduced the turnaroundnominated, so the idea was abandoned and a one issue was not produced. In addition to the time from submission to response to its currentnewsletter, with one editor and a contact person cost problem, the next issue consisted mostly of 20 days. The proportion of published manuscriptsfor each state was proposed instead. student papers – one persistent barrier to more from countries other than Australia has alsoOf the two branches which offered to coordinate scholarly submissions was that the Journal was increased steadily over the years. A new editorialthe development of a journal, the Queensland still not refereed. From 1988–1990, with eighteen board established in 2008 included threeproposal was more thorough – the branch’s nominations for the planned editorial board, an associate editors (from Asia, North America andjournal committee came up with a proposal interim editor in Andrew King and a title change the UK) and a larger international representation.for a 32 page format, initially a quarterly, with to the Australian Journal of Mental Health Nursing The Journal was originally ranked by the Counciladvertising and a run of 2000 copies subject to the publication seemed well on its way to repair. of Deans of Nursing and Midwifery as Band 2,6 AUSTRALIAN COLLEGE OF MENTAL HEALTH NURSES SPRING 2011
  7. 7. and rated as a Level B by Excellence Research Acknowledgement must go to everyone who has Editorial BoardAustralia (ERA); these were upgraded to Band shared in the process of getting the Journal to Wendy Austin, University of Alberta, Alberta1 and Level A respectively in 2009. ERA this point in its history – from the emboldened Canada; Michelle Cleary, University ofrankings are no longer being used, but this Queensland Branch members and National Western Sydney, Sydney Australia; Michaeldoes allow benchmarking and shows that the Council who got the ball rolling, through to the Clinton,Amerincan University of Beirut, BeirutJournal was doing very well over this period. current Editor in Chief and her team. Of course, Lebanon; Marie Crowe, Christchurch SchoolThe Journal was ISI listed in 2009 and received the Journal would not be where it is today of Medicine & Health Sciences, Christchurch,its first impact factor in 2011 as has been without the input of those who have submitted NZ; Richard Gray, University of East Anglia,previously stated. Although several years of this their work, the consumers who have participated Norwich, UK; Michael Hazelton, University ofdata will be required to be very confident, this in and informed that work, the reviewers Newcastle, NSW Australia; Richard Lakeman, who have contributed their time towards thisfirst, very positive ranking does demonstrate the Dublin City University, Dublin, Ireland; Kim important process, and the many thousands ofesteem the Journal is currently enjoying on the Lutzen, Hogskolegatan Dalarna, Sweden; Brian members and other readers who continue toworld stage. McKenna, University of Auckland, Auckland NZ; support the Journal.From humble beginnings, the IJMHN is today Lorna Moxham, CQUniversity, Rockhampton, Current Editorial Team QLD Australia; Eimear Muir-Cochrane, Flindersa fully refereed journal that examines current Brenda Happell, Editor-In-Chief University, SA Australia; Anthony J O’Brien,trends and developments in mental health Institute for Health & Social Science Research, University of Auckland, Auckland, NZ; Louisepractice and research, providing a forum for the CQ University, Rockhampton QLD Australia O’Brien, University of Western Sydney, Nepean,exchange of ideas on all issues of relevance to Trish Martin, Deputy Editor NSW Australia; Robert Ryan, Victoria University,mental health nursing. The Journal publishes Victorian Institute of Forensic Mental Health/ Melbourne, VIC Australia; Elisabeth Severinsson,feature articles, review articles, clinical notes, Monash University, Melbourne, Victoriaresearch notes, first person accounts, conference University of Stavanger, Stavanger, Norway;reports and book reviews that inform readers Associate Editors Stuart Thomas, Monash University, Melbourneof developments in mental health nursing Sally Wai-chi Chan, National University of VIC Australia; Timothy Wand, Royal Prince Alfredpractice and research, directions in education Singapore, Singapore Hospital, Camperdown NSW, Australia; Dianneand training, professional issues, management John Cutliffe, University of Maine, Maine US Wynaden, Curtin University, WA Australia; andapproaches, policy development, ethical Tony Warne, University of Salford, Greater Jintana Yunibhand, Chulalongkorn University,questions, theoretical inquiry, and clinical issues. Manchester, UK Bangkok, Thailand SPRING 2011 NEWS 7
  8. 8. Valuing clinical placements =enhancing recruitment and retentionKerry Miller RN, Associate lecturer in the Avondale College of Higher Education’s Faculty of Nursing and HealthPreparing undergraduate nurses for In 2007, the Australian Bureau of Statistics and/or experience), and then begin toclinical placement in mental health care (ABS) found that in the 12 months prior implement clinical and personal tools tosettings presents unique challenges in to survey, 23% of men aged 16-34 years engage in sustainable best-practice care,comparison to other undergraduate and 30% of women aged 16-24 had perhaps whilst confronted with mentalclinical placements. experienced mental illness, including health challenges of their own. anxiety, mood or substance use disordersRisk assessments, personal boundaries Along with ensuring undergraduate (ABS, 23 December 2009, accessed onlineand safety issues, unfamiliar MHOAT nurses gain exposure to excellent 15 July 2011 at, legal and ethical issues mental health nursing practice through AUSSTATS/abs@.nsf/Lookup/4102.0Main+and creating therapeutic relationships clinical placements, support for their Features30March%202009).in restrictive environments with minimal development as healthy practitioners islife experience can be a daunting This statistic doesn’t just describe people essential.experience for students only half way with diagnosed mental illness under Valuing clinical supervision, mentoring,through their training. treatment – it is a snapshot of the and peer-support practices at an broader Australian population, includingWhilst theoretical exposure to broader undergraduate level, and fostering a undergraduate nursing students, theirconcepts of mental health care gained culture for beginning practitioners which lecturers and facilitators, and the staffthrough introductory psychology and esteems healthy self-care as excellent who will mentor them during clinicalsociology, holistic healthcare ideals, and professional development will lessen placements.basic pharmacology are consolidated the impact of mental illness on ourin specific mental health curriculum, Undergraduate nurses must comprehend workforce, and assist in the retention ofpromoting a greater awareness of nursing both the ubiquity and enormity of mental nurses in mental health care settings.roles in the specialty area, as well as health care need, overcome stigmapersonal challenges remain. and prejudice (in their own thinking9th Hunter Mental Health Award Scott Hanson (CNS Coffs Harbour NSW) and Dr Rachel Rossiter (Senior Lecturer, University of Newcastle NSW) were this years winner of the 9th Hunter Mental Health Award at the 17th Annual Hunter Mental Health Conference, ’Change of Mind‘, held on Friday 13 May 2011, for their paper ’Mindfulness – A clinical practice story‘. Pictured here with judging panel, chair and presenter of the award, from left to right: David Mcleod, Dr Rachel Rossiter, Scott Hanson, Bryan McMinn, Prof Mike Hazelton, Susan Vandenberg. The Award, established in 2003 is sponsored by Hunter New England Mental Health in association with the School of Nursing and Nidwifery, University of Newcastle.8 AUSTRALIAN COLLEGE OF MENTAL HEALTH NURSES SPRING 2011
  9. 9. ACMHN Celebrates our 1000thCredentialed Mental Health Nurse!Adam RiceI started my nursing career as a result of I started work at Mandala Clinic in Gosfordan accident in 1994. I was a trained chef in 2005. This was a complete changeand very unhappy with my employment from emergency nursing. However, my ED– I knew I needed a change. Growing experience enabled me to quickly identifyup, I was always interested in medicine physical health problems amongst theand wanted to become a doctor – but clients, something I still find extremelymy parents told me I needed ‘a trade’, valuable today. I also became aware ofsomething I could fall back on. Being 17 the huge role substance use plays inyears of age, I believed they knew what physical and mental wellbeing (or lackthey were talking about! thereof). What intrigued me was the cycle whereby clients were admitted,After an unpleasant accident, which I now stopped using substances, becamelook back on as fortunate, I changed my well and were discharged…only to bedirection in life. While I was in hospital Coordinator, I was the successful applicant. readmitted again as they resumed theirwith full thickness burns to my hand that This project encompasses everything about substance use. Although drug and alcoholrequired skin grafting, I became acutely mental health, substance use and physical services were available, follow up afteraware of the way nurses cared for patients wellbeing that I feel passionate about. I discharge was difficult for many reasons.– not only for their physical needs. Being have been able to work extremely closely So I started a project within the mentala first time inpatient, the nurses were with clients and my contact with them health unit where I assessed client’sreassuring and made me feel less anxious. I is ongoing until they no longer need my substance use and also involved a sexualfound I actually enjoyed the hour long daily service. Referring a client to detoxification heath component where screening foractivity of dressing my hand prior to the units and being able to follow up with STI’s was made readily available. Thisskin graft; I noticed that the nurses would one on one relapse prevention is proving enabled consumers to be referred foralso enjoy this time as it took them away to be hugely beneficial. Working with counselling and follow-up by drug andfrom the hustle and bustle of the ward. It people to become empowered and seeing alcohol services. I ran a weekly group thatwas here that I realised nursing provided people take hold of their lives in some alternated between sexual health andan opportunity to be able to look after way that they previously did not think substance use education for consumers.people in a holistic way, which seemed a they were capable of, brings so much I also ran a number of education sessionsmuch more satisfying profession than a satisfaction, not only for them but for for staff, for example, on how to look atdoctor spending 15 minutes with someone me as well. I have developed so many the objective and subjective componentsand seeing them when an appointment fantastic professional relationships with my of alcohol withdrawal scales and medicatewas available. clients, other organisations and GPs and sufficiently while assisting medical officersI applied for the Enrolled Nurse program at feel confident in charting an appropriate because I am now Credentialed, I have theCentral Coast Health and was successful. diazepam regime. I also commenced a opportunity to continue this work underI completed a year’s program and gained Masters in Health Science specialising in MHNIP, which in my opinion, enablesemployment on the Surgical ward at drug and alcohol, which I have recently nurses to be at the forefront for deliveringGosford Hospital where I worked full time completed. exceptional care.for 3 years whilst also studying a Bachelor I left Mandala Clinic in May 2010 to gain I would like to take this opportunity toof Nursing at the University of Technology, some experience in an opiate treatment thank all those who have been open toSydney. I graduated in 2000, completed a programme and whilst I enjoyed my my ideas and have given their support,one year beginning practitioner program learning experience and worked with particularly those I worked alongside atwithin the same health service and some fabulous clinicians and doctors, the Mandala Clinic and in my current placebecame very interested in emergency enthusiasm I had was quickly depleted by of work for allowing me to transition mynursing. I worked in the ED for 5 years management and some other clinicians ideas and passion into my practice.and completed a Graduate Certificate that did not want to see the service grow.through the College of Nursing. During this Being the 1000th Credentialed Mentaltime there was a big push to better serve When a position came up with the Central Health Nurse is an honour. It is a fantasticpeople who presented at EDs with mental Coast Division of General Practice for a feeling to be recognised by the ACMHN ashealth issues. Mental Health Co-morbidity Shared Care a professional in this field. SPRING 2011 NEWS 9
  10. 10. Recognising specialist mental health nurses –a national successMarilyn GendekA Contemporary Vision of practice standards and a credentialing The national launch of the CPP took placeThis year, 2011, is the seventh anniversary program. the next year and a Board of Credentialing,of the national implementation of the ANZCMHN, was established with Jim The Development YearsACMHN Credential for Practice Program Pearson as the inaugural Chair. The Board The CPP was developed primarily in(CPP). The CPP is widely considered to appointed peer reviewers and played a Tasmania in association with the localbe the most successful program for role in assessment. Initially, the majority ACMHN Branch, the University of Tasmaniaprofessional specialist nurse credentialing of participating nurses were professionally and the Nursing Board of Tasmania. Thein Australia. The program was launched committed long standing members of Nursing Board in Tasmania was interestednationally in October 2004 and since the College. Existing endorsements / in the potential of a self regulatorythat time over 1000 nurses have been registrations of mental health nurses by process by the professional organisationrecognised as specialist mental health state and territory nurses’ boards were also for endorsement of mental health nursesnurses through the ACMHN CPP. a factor in the slow start despite their focus in that State. There were five phases of on qualifications as the determining factor.It is fitting that we celebrate the 1000th development commencing with national However, the CPP was the only consistentCredentialed Mental Health Nurse (Adam position papers on Regulatory Practices for national standard for specialist mentalRice) as a significant achievem,ent of Mental Health Nursing and Self-regulation health nurses.the CPP – the first Credentialed Mental and Credentialing published in 1996 andHealth Nurse was Jim Pearson, and it does 1997 respectively. Into the Futurenot seem that long ago since the 100th In 2005 the CPP was identified as the The Nursing Board of TasmaniaCredentialed Mental Health Nurse (Stephen standard for specialist mental health nurses commissioned from the ANZCMHNCarroll) was announced in February to participate in primary mental health (ANZCMHN until 2006) a literature2007. There was already a small cohort of care initiatives set up by the Australian review and report on self-regulation andCredentialed Mental Health Nurses prior Government. Mental health nurses credentialing of mental health the national launch of the CPP and this credentialed by the ACMHN met eligibility Undertaken by Mike Hazelton and Gerrysteadily climbed until December 2006. criteria for allied health professionals Farrell in 1998 1, the report recommendedFrom that date applications increased providing Medicare services as “Mental that the Nursing Board of Tasmania andmore rapidly and by April 2008 there had Health Workers”. the College work together in partnershipbeen a 150% increase in the number of to develop and pilot a mutually acceptable In 2006, the ACMHN received a grantCredentialed Mental Health Nurses. By model of credentialing of mental health though the Department of Health andJune 2010, over 700 mental health nurses nurses in Tasmania over a three-year Ageing for a project to improve aspectshad been credentialed. period. such as streamlining CPP processesThe foundation development and ensuing and administration. As a result, a A Credentialing Steering Committee,success of the ACMHN CPP has been a project officer and administrative staff chaired by Jim Pearson, was established,result of the leaders of the ACMHN at was able to be employed providing a and the immediate Past President ofthe time and the significant voluntary permanent infrastructure for the CPP the College, Jon Chesterson, becamecontribution of members. This carries within the ACMHN office. Consequently, the National Project Consultant for thethrough to today with the Peer Reviewers a reconstituted Board of Credentialing development of Credentialing of Mentaland academic assessors who have spent (the Credentialing Committee from Health Nurses in Australia. Consultativemany hours participating in the CPP. 2009), was able to be established with workshops were held in Tasmania to a governing role to oversee the programCredentialing is an important component examine and evaluate relevant models and development of policies with Jonof professional governance and self and principles for credentialing. A pilot Chesterson appointed as inaugural Chair.regulation. The ACMHN undertook to study of the program followed after whichdevelop the CPP in response to changes credentialing was implemented in 2003 Implementation of the CPP has progressedwhich occurred to nursing education and for mental health nurses in Tasmania, the over the last 6 years with some minorregulation policy in Australia during the College governing Council, and members modifications to the program and1990s. As direct entry psychiatric/mental of the Credentialing Steering Committee. only one change this year which washealth nursing courses were phased out, Workshops were then conducted the withholding of the provision ofACMHN pro-actively increased its self- nationally through the College to validate equivalence of qualifications under thegovernance role with the development and refine the framework. qualifications criterion. Currently the10 AUSTRALIAN COLLEGE OF MENTAL HEALTH NURSES SPRING 2011
  11. 11. ACMHN is undertaking a review of the CPP commencingwith a preliminary phase which considers contemporarydevelopments in postgraduate mental health nursing ACMHN credential for practice (CPP)education and how these fit within the ACMHN position developmenton the preparation of specialist mental health nurses. Thispreliminary phase has been undertaken in associationwith the University of Newcastle. The development process was undertaken in Tasmania in association with the local ANZCMHN1 Branch, the University of Tasmania and theThe ACMHN is also working to secure a legally Nursing Board of Tasmania.recognised, trade marked identification for CredentialedMental Health Nurses. Nurses from a range of educational Phase 1 (1996) ANZCMHN publishes position papers on Regulatorybackgrounds may practice nursing in mental health care Practices for Mental Health Nursing, and Self-regulation andsystems without holding a specialist mental health nursing Credentialing.award and are generally referred to as mental health Phase 2 (1998) Nursing Board of Tasmania commissions a projectnurses within a workforce context. For example, Mental from the ANZCMHN consisting of a literature review on self-regulationHealth Nurses (MHNs) may be defined as nurses who and credentialing and to provide options for credentialing. Theindicate that their main area of nursing is in the psychiatric report recommends that the Board and the ACMHN work togetheror mental health field, and includes both registered and in partnership to develop and pilot a mutually acceptable model ofenrolled nurses.2 credentialing over a three-year period.Mental health nursing is recognised as a specialised field Phase 3 (1999–2002) National Project Consultant appointed for theof nursing practice in Australia. It focuses on meeting the development of Credentialing of Mental Health Nurses in Australia;mental health care needs of people of all ages whose Credentialing Steering Committee appointed; consultative seminarslives are affected by mental health problems. The CPP conducted in Tasmania to further develop a model for credentialingprogram, which grew from a concern for the recognition and underpinning principles. The credentialing model chosen is basedand standing of mental health nurses and protection on appropriate educational preparation for the specialty and ongoingof the public in the face of changes to nurse education requirements for continuing education and practice development; andand regulatory systems, is a star in the achievements the Pilot Study for Credentialing is undertaken.of the ACMHN. Its history demonstrates contemporaryand future vision, commitment and collaboration, and Phase 4 (2003–2004) The model is further developed at ana substantive experience with which to influence and operational level; credentialing is commenced for the Council, theimpact policies in health and the nursing profession. Credentialing Steering Committee and mental health nurses in Tasmania. Workshops are conducted across Australia and New ZealandReferences to validate and refine the model.1. Hazelton M & Farrell G (1998) Self-regulation and Phase 5 (2004–2006) ANZCMHN sets up a Board of Credentialingcredentialing in mental health nursing. A report to the to manage the Credential for Practice Program. Support from theNursing Board of Tasmania. Greenacres: Australian and Australian Government through the Department of Health and AgeingNew Zealand College of Mental Health Nurses. in 2006 enables the ACMHN to establish a permanent infrastructure for2. Mental Health Workforce Advisory Committee (2008) the CPP with a reconstituted Board of Credentialing.Mental health workforce: supply of mental health nurses. Extracted and amended from: Ryan K, Gendek M & Chesterson J (2008) Credential for practice. Development of a program for mental health3. Ryan K, Gendek M & Chesterson J (2008) Credential nurses in Australia. Poster presentation. Inaugural International Healthfor practice. Development of a program for mental Professionals Regulation Conference, Geneva, May nurses in Australia. Poster presentation. InauguralInternational Health Professionals Regulation Conference,Geneva, May 2008. 1 The College was the Australian and New Zealand College of Mental Health Nurses from 1994–2006.AcknowledgmentsDenise McGarry and Jon Chesterson SPRING 2011 NEWS 11
  12. 12. Member Profile:Anne StoreyDenise McGarry MHN, FACMHNAnne never planned to be a nurse let alone knew of mental health nursing when she commenced her General Nursingtraining at the Preston & Northcote Community Hospital, Victoria in 1979. Rather convenience and recommendationsaw her nursing career begin. had children, and travelled a fair bit prior. D: What are the challenges in mental So I had a chat one day with the clinical health education? facilitator on placement with students Anne: Mental Health consumers die 20 at the SAN where I was working. I was years before other Australians. Getting pretty surprised to realise that I could to grips with this and helping mental apply for this kind of work (facilitating health staff use their physical health students) – I thought that the educational nursing training. Lots of people kind of qualifications and preparation required think or don’t feel it is important. I really would have been more stringent. But believe nurses offer holistic care – we I’ve always thought clinical placements, help consumers achieve their recovery in education of students, the way they are this way too. It’s a real cultural thing to treated is very important and the work make sure – but it is the same in general, medical surgical nursing – the patient was part-time and fitted with family, so I doesn’t exist above the shoulders. Nurses applied and was accepted. don’t talk with patients. D: Was this for mental healthD: How did you come to mental D: But it is very busy.. facilitation?health nursing? Anne: Yeah, but… Anne: No, not initially. But gettingAnne: I clearly remember my mental D: You are a credentialed mental people for mental health was really hardhealth clinical placement during my health nurse: Why have you pursued – they were always short and asking forgeneral nursing training. It was of eight this professional recognition? people. I thought I’d give it a go. I hadweeks duration, unusually long by today’s Anne: It lets people – consumers and a certificate and had worked both withstandards. carers too – students, staff know that you the agency across a number of privateD: What was it during this experience facilities and continued for 12 months have a specialty education, knowledge,that was notable? after my training, so it wasn’t as though I skills. You should be proud of this. And it wasn’t qualified. is a specialty. It is professional behaviourAnne: I was struck by the inclusion to make sure you are well prepared in theextended to students. We participated in D: Did this open the way into more area that you practice in.the meetings – the clinical reviews – and extended practice in mental healthour opinions and comments were asked D: What do you see as the future nursing?for. This just didn’t happen in other areas challenges facing mental health Anne: That’s right. No plan, but I appliedof nursing. You were just told what to nursing? for casual work at Macquarie Hospitaldo, never asked what you thought. You Anne: It’s really hard to have to make in addition to the university facilitation.were a bit of a nuisance. In mental health the case for mental health nursing Shortly afterwards I was approached toyour observations, thoughts and opinions special requirements. DETECT training relieve as Nurse Educator and then inwere asked – and by other disciplines too. is an example. It takes so long to show 2005 was successful in my application forYou felt that it mattered- you mattered that the standard training misses the the position. point. Overall it is important but it makesand could help. It was unique. D: Tell me about this experience so many ill-informed assumptions,D: Did you therefore move to doesn’t consult. It is the marginalisation, Anne: There was huge emphasis onmental health? stereotyping, stigmatisation again. It getting education qualifications – theAnne: On no – it was quite a long wastes so much resources and time to Cert IV initially for competency basedtime, 1986, before I trained in mental rectify. training. I was responsible for in-servicehealth and 2004 before I really worked education – mandatory and orientation D: Any last comments?consistently. But I had done agency work programmes. I have also completed a Anne: I enjoy working in mental healthin mental health facilities. Grad Cert in Mental Health Nursing and and education. Nursing can offer such aD: So how did you make this change? am currently studying education in the range of different experiences and waysAnne: I have worked part time since I Master of Nursing. of making a difference.12 AUSTRALIAN COLLEGE OF MENTAL HEALTH NURSES SPRING 2011
  13. 13. 4th Primary Mental Health Care ConferenceCanberra May 2011Shirley Schulz-Robinson This is the first Primary Mental Health • nurses contribute to primary care by Care Conference I have attended. The establishing and/or providing services venue was excellent, the program relevant • partnerships are necessary to provide and timely, and speakers informative and coordinated care challenging. The primary objectives were • consumers use services provided by to provide a forum for mental health nurses if they are relevant and accessible nurses to: demonstrate how they are changing the face of primary mental health • nurses require educational preparation care; exhibit the broad scope of their to work in primary care settings practice to colleagues and take ownership These themes were picked up in the titles of their important role in primary mental of concurrent sessions: Partnerships and health care. It was an opportunity for innovations; From public mental health mental health nurses working alone or services to primary care; Exhibiting mental in multidisciplinary practices to network health nursing in primary care; and with others working in similar roles. A Therapeutic diversity. The papers presented pre-conference workshop conducted by illustrate that nurses are increasing Prof Mike Hazelton, The University of access to mental health services and Newcastle, reflected a central theme of this that innovators are establishing practices conference ‘Evaluate the impact of your and working collaboratively with other practice for your clients’. providers (including public mental health). Some reported that they are evaluating The conference was officially opened by their services by building evaluation into the Hon Mark Butler, Minister for Mental their business models and the clinical care Health and Aging (pictured). In his address strategies they have chosen to use. he pointed out that service coordination‘Mental Health Nursing in Primary needs improvement, consumers and The papers presented illustrate nursesCare: Exhibiting, Owning and families are tired of re-telling their are treating and working with clientsEvaluating our Practice’ stories, and that mental health nurses experiencing severe mental health roles will change as the primary care problems, including schizophrenia, environment changes and Medicare locals depression and borderline personality are established. Challenging questions disorders using diverse therapeutic modes, about MHNIP were answered gracefully strengths counseling and psychotherapy. and knowledgably. There were four Listening to the papers presented it was keynote speakers – Prof Rhian Parker, ANU evident that in primary care settings nurses Australian Primary Care Research Institute, were working with clients to promote Nursing in Australian Primary Care: What health and wellbeing. So what do we does the future hold?; Ms Leanne Wells, need? More primary mental health care Executive Director, Policy and Business orientated research, closer links between Development, Australian General Practice public mental health and the primary care Network, Primary Mental Health Care and sector, and undergraduate education Medicare Locals; Ms Lee Thomas, Federal programs that sensitize students to the Secretary, Australian Nursing Federation, possibilities of working in primary care Nursing in Primary Care in Australia; Prof settings. Kim Usher, James Cook University, Mental The recipient of the prize for the best Health and the development of mental paper was Cate Clack for her presentation: health nursing in primary care in the Pacific Cate’s corner: Mental Health Nursing in Region. Their message was that: Private Practice. What Cate demonstrated • there is too little evidence of the was the importance of working with clients outcomes of nursing care in primary care and focusing on their journey. SPRING 2011 NEWS 13
  15. 15. Supporting Nurses in in-patient settingsTessa Moriarty, Credentialed Mental Health Nurse and Clinical SupervisorFor the last 3 years I have worked as an external provider of Clinical During the session there is an emphasis on self-reflection and I pay a greatSupervision to nurses working in a public mental health in-patient unit. deal of attention to the emotional impact working in the unit has on theMy work with the nurses in this supervisory context involves meeting with nurses’ wellbeing. We talk about how we self-care and the ways in whichthem as a group on a fortnightly basis in either a meeting room in the unit we support each other.itself or in a meeting room away from the unit but still within the hospital Often the discussion highlights the similarities between the patients andenvironment. I bake and take a cake to each session as a way of nurturing the ourselves. Out of this comes a greater understanding of the patient’snurses. This is a purposeful act on my part, to support them but also to model experience. I purposefully place myself in the discussion and use “our” andan act of caring. “we” language – not only because I am a nurse working with patients inThe sessions are structured and the format starts with a “check in” space (this my own practice, but also because it helps me to engage with the nursesprovides an opportunity for each nurse to say hi, say something brief about in the discussion.their current awareness and flag a particular patient or patient interaction for Often the positive outcomes of the session, particularly if we havelater discussion). An informal group presentation and discussion then follows problem-solved a ‘new way’ of working with someone, will be taken backand this takes up the main portion of the session, which finishes with a “check to the unit for further discussion in a nursing or other discussion forum.out” statement about what each nurse takes from the session discussion back This seems to strengthen the connection the clinical supervision processinto his/her practice (or the team practice) on the ward. has to nursing practice on the unit – without there being a formal channelWhile the discussion normally focuses on the nursing management of a or line of communication between the two processes. Over the last fewpatient whose behaviour and/or mental state may be particularly challenging years the process and format of the sessions has changed. As we havefor the nurses, discussion may also include examples of where the nurses felt sharpened the format, this has helped us to focus more clearly on the workthey achieved positive outcomes and reflect on how well they work well as between nurses and patients.a team. We may then use this learning for further discussion around other I have noticed and note here that as a group the nurses are now bettersituations where the nurses may be struggling. at talking about what they learn from their work and their ability to self-The sessions are open to all nursing staff on the unit except the unit manager reflect has deepened. It has been an honour working with this group ofand on the occasion that an A/NUM attended, this proved to have a positive nurses. Their job is hard and the environment in which they work can beeffect on the process. extremely stressful.The State of our Public HospitalsThe Department of Health and Ageing 2010 Report ‘The State of Our Public Hospitals’ identified that at June 2009, Australia had 1,317 hospitals, ofwhich 57 per cent (756) were public. There were 737 public acute hospitals in Australia, ranging from small remote hospitals with a few beds providinga narrow range of services, to large metropolitan hospitals providing a wide range of specialist services.There were 19 public psychiatric hospitals providing specialised mentalhealth treatments. Specialist mental health services were also provided bysome public acute hospitals with dedicated psychiatric units and beds, as Medical/surgical/obstetricwell as some private hospitals. Public hospitals provide admitted and non-admitted services. Non-admitted patient services, other than emergency Pathologydepartment services, can be provided by public hospitals either at the Community/outreachhospital, in clinics at another site (‘outreach’) or in community settings. Allied healthOutpatient services may include medical and surgical procedures, obstetric Mental healthservices, mental health, alcohol and drug therapy, or dental services. Alcohol and drug therapyPathology services accounted for 26 per cent of all outpatient services,and 16 per cent were services provided by community/outreach clinics. DentalAllied health services, including occupational therapy, physiotherapy,cardiac rehabilitation and nutritional counselling, accounted for 11 per Figure 8.1 Percentage distribution of outpatient servicescent of all outpatient services. Mental health, dental services, and alcohol (excluding diagnostic imaging and pharmacy), public hospitals,and drug services together accounted for the remaining 11 per cent of 2008–2009. (DoHA (2010) The State of our Public Hospitals)outpatient services. SPRING 2011 NEWS 15
  16. 16. What is the Oration & Investiture?Each year, the College holds an Oration for the College and the profession more exceptional commitment to the College& Investiture ceremony as part of the broadly. and the profession. New Fellows who alsoInternational Conference. This year, the form part of the official procession, are The Oration is often held in an auspicious19th Annual Oration will be held on individually welcomed by the President; place (e.g. the 2004 Oration was deliveredTuesday 4th October 2011, in the Grand and new Members who are present and by Geraldine Doogue in Old ParliamentBallroom of the Marriot Resort & Spa wish to be formally invested, can do so. House, Canberra) and in front of an Also included in this important ceremonyGold Coast. audience including College officials, is the awarding of the Mental HealthThe Oration is an important, considered invited VIPs, conference delegates and Nurse of the Year Award and this year, forspeech, about 30 minutes long, delivered guests. The atmosphere reflects respect the first time, the Mental Health Nurseby someone who can, through their for the tradition of the College, with an Achievement Award.passion and interest in a particular subject, official procession led by the Board, Lifeprovide leadership to the profession e.g. in All delegates, members and guests are Members and Fellows wearing academic2010 Prof David Adams spoke about social invited to attend this very special part of gowns and the College colours.inclusion and in 2009 Prof Gail Stuart the 37th Annual Conference, to be heldspoke about the concept of hope as it Prior to the Oration, the Investiture from 5.00-6.30pm and followed by thepertains to our work. This year, the Board of Life Members, Fellows and new conference Welcome Reception.have invited the College President, Mr Members takes place. Life membershipPeter Santangelo, to deliver the Oration – is conferred on a member who has,an opportunity to speak about his vision over the course of their career, shown16 AUSTRALIAN COLLEGE OF MENTAL HEALTH NURSES SPRING 2011