The Role of the CPN in Primary Healthcare Tristan Griffin CPN/RGN Defence School of Postgraduate Medical Studies
Learning outcome <ul><li>1. Critically analyse the role and responsibilities of the nurse in partnership and collaboration...
Mental illness <ul><li>Whenever a person’s abnormal thoughts, feelings or sensory impressions cause him objective or subje...
Mental Health <ul><li>An ability to love and be loved </li></ul><ul><li>The power to embrace change and uncertainty </li><...
Mental Health cont’ <ul><li>Self knowledge </li></ul><ul><li>Learning from experience (the strength to be wrong). </li></u...
RMNs and CPNs <ul><li>RMN is a 1 st  level Registered Nursing Qual. Now RN(MH) </li></ul><ul><li>CPN is an additional qual...
QUALIFICATIONS/THERAPIES <ul><li>RMN, RN(MH) </li></ul><ul><li>Dip N (MH) </li></ul><ul><li>BSc/MSc </li></ul><ul><li>CBT ...
NHS <ul><li>Primary Services </li></ul><ul><li>Community (General) </li></ul><ul><li>Community (Spec.) </li></ul><ul><li>L...
NHS <ul><li>Secondary  Services </li></ul><ul><li>Acute In Patients </li></ul><ul><li>Older Adults </li></ul><ul><li>Rehab...
COMMUNITY MENTAL HEALTH <ul><li>Absence/Presence of Mental Illness </li></ul><ul><li>Assessment of Risk </li></ul><ul><li>...
Community MH services <ul><li>Responsive Community Psychiatric teams </li></ul><ul><li>Crisis intervention teams </li></ul...
Community MH cont’ <ul><li>Occupation centres </li></ul><ul><li>Sheltered work </li></ul><ul><li>Supervised living quarter...
The CMHT <ul><li>Generic teams providing MH care to the working age population in a geographical area. Similar teams for o...
Assertive outreach team <ul><li>Specialist teams providing assertive and intensive treatment to mentally ill people who fr...
Home treatment/crisis teams <ul><li>These provide intensive care and support to people who would otherwise require admissi...
Early intervention teams <ul><li>Specialist treatment, information and support to people experiencing their first psychoti...
Collaborative working <ul><li>The MDT will include: </li></ul><ul><li>CPN/Psychiatrists/Psychologists </li></ul><ul><li>So...
Teamwork <ul><li>Clear and agreed aim, policies and procedures </li></ul><ul><li>High levels of communication and member p...
MDT’s <ul><li>The effective MDT will contribute to: </li></ul><ul><li>Reduced mortality </li></ul><ul><li>Greater continui...
The result <ul><li>Fewer suicides </li></ul><ul><li>Continuity of care </li></ul><ul><li>Less admission to hospital </li><...
So how do we help our patients? <ul><li>‘Comprehensive nursing assessment identifying nursing issues and action plans’ </l...
Ethical decision making <ul><li>Does your decision conflict with core ethical values? </li></ul><ul><li>Think of someone w...
And so…. <ul><li>..and so it is with psychiatrists, psychologists and psychiatric nurses who play such a role in mitigat(i...
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The Role Of The Cpn In Primary Healthcare

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An introduction to the work of Community Psychiatric Nurses in Primary Healthcare, for pre-reg student nurses.

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The Role Of The Cpn In Primary Healthcare

  1. 1. The Role of the CPN in Primary Healthcare Tristan Griffin CPN/RGN Defence School of Postgraduate Medical Studies
  2. 2. Learning outcome <ul><li>1. Critically analyse the role and responsibilities of the nurse in partnership and collaboration with other members of the primary health care team within a legal and ethical framework. </li></ul>
  3. 3. Mental illness <ul><li>Whenever a person’s abnormal thoughts, feelings or sensory impressions cause him objective or subjective harm that is more than transitory, a mental illness may be said to be present. </li></ul><ul><li>Oxford Handbook of Clinical Specialties 2003 </li></ul>
  4. 4. Mental Health <ul><li>An ability to love and be loved </li></ul><ul><li>The power to embrace change and uncertainty </li></ul><ul><li>A gift for risk taking </li></ul><ul><li>A wide range of emotional responses </li></ul><ul><li>Efficient contact with reality </li></ul><ul><li>A rich fantasy world </li></ul>
  5. 5. Mental Health cont’ <ul><li>Self knowledge </li></ul><ul><li>Learning from experience (the strength to be wrong). </li></ul><ul><li>Security and status </li></ul><ul><li>Self expression </li></ul><ul><li>The ability to get on with others </li></ul><ul><li>A sense of humour! </li></ul><ul><li>OHCS </li></ul>
  6. 6. RMNs and CPNs <ul><li>RMN is a 1 st level Registered Nursing Qual. Now RN(MH) </li></ul><ul><li>CPN is an additional qual/experience. </li></ul><ul><li>RMNs on wards. </li></ul><ul><li>CPNs are senior nurses </li></ul><ul><li>CPNs are often autonomous practitioners </li></ul><ul><li>In Primary Care you will see CPNs </li></ul><ul><li>STAY AWAY FROM THEM! </li></ul>
  7. 7. QUALIFICATIONS/THERAPIES <ul><li>RMN, RN(MH) </li></ul><ul><li>Dip N (MH) </li></ul><ul><li>BSc/MSc </li></ul><ul><li>CBT – up to Masters </li></ul><ul><li>EMDR – Level 1-3 </li></ul><ul><li>Counselling </li></ul><ul><li>Brief/ Solution Therapy </li></ul><ul><li>NLP </li></ul><ul><li>Motivational Interviewing </li></ul><ul><li>Other Post -Reg Courses </li></ul><ul><li>Nurse prescribers? </li></ul>
  8. 8. NHS <ul><li>Primary Services </li></ul><ul><li>Community (General) </li></ul><ul><li>Community (Spec.) </li></ul><ul><li>Liaison </li></ul><ul><li>Crisis Intervention </li></ul><ul><li>Assertive Outreach </li></ul><ul><li>GP led /Shared Care </li></ul><ul><li>CPN </li></ul>
  9. 9. NHS <ul><li>Secondary Services </li></ul><ul><li>Acute In Patients </li></ul><ul><li>Older Adults </li></ul><ul><li>Rehab </li></ul><ul><li>Substance Misuse </li></ul><ul><li>Consultant Led </li></ul><ul><li>RMN </li></ul>
  10. 10. COMMUNITY MENTAL HEALTH <ul><li>Absence/Presence of Mental Illness </li></ul><ul><li>Assessment of Risk </li></ul><ul><li>Provision of treatment </li></ul><ul><li>Management advice </li></ul><ul><li>Occupational Mental Health advice </li></ul>
  11. 11. Community MH services <ul><li>Responsive Community Psychiatric teams </li></ul><ul><li>Crisis intervention teams </li></ul><ul><li>Substance abuse teams </li></ul><ul><li>Drop in services </li></ul><ul><li>Telephone helplines </li></ul><ul><li>Self-help groups </li></ul><ul><li>Mental illness hostels </li></ul>
  12. 12. Community MH cont’ <ul><li>Occupation centres </li></ul><ul><li>Sheltered work </li></ul><ul><li>Supervised living quarters </li></ul><ul><li>Self-running group homes </li></ul>
  13. 13. The CMHT <ul><li>Generic teams providing MH care to the working age population in a geographical area. Similar teams for older people, referred to as ‘CMHT Older People’. </li></ul>
  14. 14. Assertive outreach team <ul><li>Specialist teams providing assertive and intensive treatment to mentally ill people who frequently relapse and require in-patient treatment, or those who are resistant to psychiatric treatment </li></ul>
  15. 15. Home treatment/crisis teams <ul><li>These provide intensive care and support to people who would otherwise require admission to psychiatric hosp, or to vulnerable people who have been discharged from hospital </li></ul>
  16. 16. Early intervention teams <ul><li>Specialist treatment, information and support to people experiencing their first psychotic illness. </li></ul>
  17. 17. Collaborative working <ul><li>The MDT will include: </li></ul><ul><li>CPN/Psychiatrists/Psychologists </li></ul><ul><li>Social workers </li></ul><ul><li>Occupational therapists </li></ul><ul><li>Housing, welfare and support workers </li></ul><ul><li>Community workers/key figures </li></ul><ul><li>Those who work with refugees or asylum seekers </li></ul>
  18. 18. Teamwork <ul><li>Clear and agreed aim, policies and procedures </li></ul><ul><li>High levels of communication and member participation </li></ul><ul><li>Integration and mutual respect </li></ul><ul><li>Sufficient staff </li></ul>
  19. 19. MDT’s <ul><li>The effective MDT will contribute to: </li></ul><ul><li>Reduced mortality </li></ul><ul><li>Greater continuity of care </li></ul><ul><li>Consistent communication with patients and families </li></ul><ul><li>They will share and develop knowledge and skills </li></ul>
  20. 20. The result <ul><li>Fewer suicides </li></ul><ul><li>Continuity of care </li></ul><ul><li>Less admission to hospital </li></ul><ul><li>Shorter stays </li></ul><ul><li>Patient satisfaction </li></ul><ul><li>Lower costs </li></ul>
  21. 21. So how do we help our patients? <ul><li>‘Comprehensive nursing assessment identifying nursing issues and action plans’ </li></ul><ul><li>Dave’s story </li></ul><ul><li>Ruth’s story </li></ul><ul><li>Tom’s story </li></ul>
  22. 22. Ethical decision making <ul><li>Does your decision conflict with core ethical values? </li></ul><ul><li>Think of someone who’s moral judgement you respect </li></ul><ul><li>How will your decision affect others? </li></ul><ul><li>Legal? </li></ul><ul><li>Rules, policies, procedures </li></ul><ul><li>The media? </li></ul><ul><li>Can you be proud of your decision? </li></ul><ul><li>Can you defend it? </li></ul><ul><li>Will you sleep soundly tonight? </li></ul>
  23. 23. And so…. <ul><li>..and so it is with psychiatrists, psychologists and psychiatric nurses who play such a role in mitigat(ing) our madness, giving meaning, purpose and dignity to the mental sufferings of so many of us… </li></ul><ul><li>OHCS </li></ul>
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