Study-Unit Description

Study-Unit Description


CODE MNH1008

 
TITLE Fundamentals of Mental Health Clinical Practice 2

 
UM LEVEL 01 - Year 1 in Modular Undergraduate Course

 
MQF LEVEL 5

 
ECTS CREDITS 4

 
DEPARTMENT Mental Health

 
DESCRIPTION This study-unit explores the application of clinical skills which have already been introduced in the programme, to complex mental health nursing interventions. This includes the management of self harm, aggressive behaviour and psychiatric emergencies. The skills of active listening, the compliance - collaborative - concordance continuum, empathy, sympathy, and therapies routed in counselling such as CBT, DBT and Gestalt to effectively deescalate a psychiatric emergency will also be critically explored in order to evaluate their application to complex interventions. The study-unit will introduce different frameworks that can be used to respond to various types of incidents. 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 risk assessment, suicide prevention, skills development, decision making, critical thinking, use of self and application of ethical considerations, the use of PRN medications, close/special observation, raised level of supervision, patient involvement, controlled cutting, non-invasive techniques, mental health act, 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, deescalation 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.

Learning Outcomes:

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

- Identify the difference between a psychiatric emergency and crisis intervention;
- Describe psychiatric nursing models applied to the emergency situation;
- Identify the need of using psychometric tools to identify the severity of the presenting condition;
- Explore the causative factors relating to the expression of emergency behaviours;
- Explain the use of therapeutic interventions, diffusive techniques and control and restraint;
- Explain client and environmental risk assessment and management;
- Identify 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;
- 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.

 
ADDITIONAL NOTES Pre-requisite Study-units: Before taking this study-unit you must take MNH1001

 
STUDY-UNIT TYPE Lecture

 
METHOD OF ASSESSMENT
Assessment Component/s Assessment Due Sept. Asst Session Weighting
Classwork SEM2 No 40%
Examination (1 Hour) SEM2 Yes 60%

 
LECTURER/S Christie Attard
Alexei Sammut

 

 
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 2023/4. It may be subject to change in subsequent years.

https://www.um.edu.mt/course/studyunit