Study-Unit Description

Study-Unit Description

CODE MNH1002

 
TITLE Fundamentals of Mental Health Clinical Practice 2

 
UM LEVEL 01 - Year 1 in Modular Undergraduate Course

 
MQF LEVEL Not Applicable

 
ECTS CREDITS 6

 
DEPARTMENT Mental Health

 
DESCRIPTION This study-unit builds on MNH1001 Fundamentals of Mental Health Clinical Practice 1. It offers an integration of applied clinical practice with complex interventions in mental health nursing. Such interventions include dealing with challenging and complex situations within the clinical setting. Special focus will be given to self-harm, aggressive behaviour and managing psychiatric emergencies. This study-unit will go into detail on the integration of active listening, the compliance - collaborative - concordance continuum, empathy, sympathy, and therapies routed in counselling such as CBT, DBT and Gestalt to effective deescalate a psychiatric emergency. The study-unit will introduce different frameworks in order to effectively respond to incidents not limited to only psychiatric emergencies. One such model is the A.I.R.S. (1995) module of emergency intervention and students are required to demonstrate, both theoretically and practically, that they can adapt this and other processes to the various situations at hand. Other elements of this study-unit include assessment of risk, suicide prevention, laboratory work involving skills development, role play assignments, interactional and approach skills, decision making, critical thinking, use of self and application of ethical considerations, the use of PRN medications, close/special observation, raised level of supervision, invasion of privacy, patient involvement, controlled cutting, non-invasive techniques, patient autonomy, risk taking, assessment of risk, mental health act, ethical decision making, management of risk, critical incident review and documentation, working as a team and emergency resolution strategies.

Study-Unit Aims:

To provide information on how to deal safety with untoward incidents arising within the mental health clinical setting. In addition students should be able to perform client risk assessment and environmental risk assessment, de-escalation techniques and effective ways to manage psychiatric and medical emergencies. The study unit also aims to introduce students to various psychometric tools used within the clinical setting. The study-unit offers a wide variety of therapeutic interventions for skills development but specifically those relating to successful intervention and resolution of these events.

Learning Outcomes:

1. Knowledge & Understanding
By the end of the study-unit the student will be able to:

- Explore the difference between a psychiatric emergency and crisis intervention;
- Develop an understanding of the models applied to the emergency situation;
- Identify the need of using psychometric tools to identify the severity of the presenting condition;
- Explore the difference between a psychiatric emergency and crisis intervention;
- Identify the main emergency situations;
- Explore the causative factors relating to the expression of emergency behaviours;
- Develop an understanding of therapeutic interventions, diffusive techniques and control and restraint;
- Understand client and environmental risk assessment and management;
- Equip students with an understanding of equipment specifically designed for challenging environments, such as anti ligature equipment.

2. Skills
By the end of the study-unit the student will be able to:

- Identify through observational exercises, the nature of behavioural escalation, and the types of risk factors present;
- Identify and carry out risk assessment measures depending on the presenting clinical conditions;
- Carry out environmental risk assessment and to address arising issues to provide a safe working environment through observational exercises, the nature of behavioural escalation, and the types of risk factors present;
- Intervene in a given clinical exercise, using the A.I.R.S. approach, and generate a successful resolution model; and
- Show proficient skills in the management of risk, untoward incidents, psychiatric and medical emergencies.

Main Text/s and any supplementary readings:

Main Texts:

- Hart, C. (2014) A Pocket Guide to Risk Assessment and Management in Mental Health. Routledge. UK.
- Nash, M. (2014) Physical Health And Well Being In Mental Health Nursing: Clinical Skills For Practice. Open University Press. UK. - Shea , S.C. (2011) The Practical Art of Suicide Assessment: A Guide for Mental Health Professionals and Substance Abuse Counselors. Mental Health Presses.
- Ward, M.F. (1995) Nursing the Psychiatric Emergency. Heinemann. UK.
- Woods, P. (2009). Risk Assessment and Management in Mental Health Nursing. Wiley Blackwell. USA.

Supplementary Readings:

- Mason, T & Chandley, M (2003). Managing Violence and Agression: A manual for nurses and health care workers. Churchill Livingstone. UK.
- Puri, B & Treasaden, I (2008). Emergencies in Psychiatry. Oxford University Press. USA

 
RULES/CONDITIONS Before TAKING THIS UNIT YOU MUST TAKE MNH1001

 
STUDY-UNIT TYPE Lecture and Independent Study

 
METHOD OF ASSESSMENT
Assessment Component/s Sept. Asst Session Weighting
Classwork No 40%
Examination (1 Hour) Yes 60%

 
LECTURER/S Christie Attard
Alexei Sammut
Maria Sapiano

 

 
The University makes every effort to ensure that the published Courses Plans, Programmes of Study and Study-Unit information are complete and up-to-date at the time of publication. The University reserves the right to make changes in case errors are detected after publication.
The availability of optional units may be subject to timetabling constraints.
Units not attracting a sufficient number of registrations may be withdrawn without notice.
It should be noted that all the information in the description above applies to study-units available during the academic year 2025/6. It may be subject to change in subsequent years.

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