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Biomedical subjects

C Brooker

Publications and source records attributed to C Brooker.

At least 37 records · Page 2Linked to original sources
PubMed1990

The standing advisory group for community psychiatric nursing: grasping the nettle?

This paper reports on the work of the Standing Advisory Group for Community Psychiatric Nursing Education (SAGCPNE). A precis of the historical development CPN education is provided and a stronger relationship with the Mental Nurses Committee is proposed. It is argued that the educational preparation of community psychiatric nurses is the sine qua non of desirable, high quality, community mental health services and that methods for the identification and protection of adequate financial resources for such preparation must be found.

Community Health Nursing↗
PubMed1990

The health education needs of families caring for a schizophrenic relative and the potential role for community psychiatric nurses.

Community care policies for the mentally ill rely, to a large extent, on the informal contribution that often seems to be made willingly by families. In financial terms alone, it has been calculated by the British Government that families caring for a relative with schizophrenia at home save the country 25 billion pounds a year. Nearly 15 years ago, it was argued that community mental health services were failing to monitor the relationships in homes where this situation prevailed and provide the support mechanisms that were required. Further, it has been noted that when there is an over-emphasis on community care, family crises can become severe and remain undetected. This paper reviews the literature relating to the needs of families caring for a schizophrenic relative at home. It concludes that a major service that should be offered to families is education about the illness, schizophrenia, itself. Strategies for undertaking this role are examined within the overall context of 'psychosocial interventions' and the literature on 'high expressed emotion'. Finally, an experimental course, funded by the Department of Health, and located in the Department of Nursing at Manchester University, is described. Here, community psychiatric nurses are being taught to recognize the value of health education for those living with a schizophrenic relative. As a consequence, a number of valuable initiatives have been developed and these are briefly outlined.

Community Health Nursing↗
PubMed1990

A new role for the community psychiatric nurse in working with families caring for a relative with schizophrenia.

Over the last 20 years research has convincingly demonstrated that the illness, schizophrenia, is amenable to social and environmental influence (Leff et al. 1982; Falloon et al. 1985; Hogarty et al. 1986). The impetus for the research is the fact that, at best, genetic inheritance explains only 70% of the disorder's aetiology. The findings of the studies allow certain basic but important principles to be formulated. These are that some people inherit a genetic predisposition or "vulnerability" to schizophrenia which develops either in response to the acute stress of "life events" or the chronic stress encountered in some families. Originally the term "Expressed Emotion" was coined to describe emotional atmosphere at home which was thought to consist particularly of criticism, hostility or emotional over-involvement (Brown et al. 1962). Intervention strategies have arisen from the studies which demonstrates that stress in families caring for a relative with schizophrenia can be reduced, leading to not only a smaller risk of relapse in the relative with the illness, but also an improvement in the carer's own mental health status (Tarrier et al. 1988). Intervention consists of health education for carers and family stress management techniques which may help to lessen over-stimulation in family life. Community Psychiatric Nurses (CPNs) are a rapidly expanding sector of most mental health service provision in the United Kingdom but the evidence is that their role with the sufferer from schizophrenia consists largely of the administration of depot medication and very little else.(ABSTRACT TRUNCATED AT 250 WORDS)

Behavior Therapy↗
PubMed1983

Nurse therapist trainee variability: the implications for selection and training.

This paper examines some of the data obtained from the Joint Board of Clinical Nursing Studies Course Number 650, which ran at the Bethlem Royal and Maudsley Hospitals, London, 1978-1979. During this particular training programme, eight nurse therapist trainees treated a total of 251 patients assessed as suitable for behaviour therapy. Data were collected from patients by trainees on four separate occasions; before treatment, after treatment, and at follow-up intervals of 1 and 6 months. It was suggested that therapists would vary systematically in terms of the assessment scores used to measure outcome. This was explored using analysis of variance techniques, where several treatment outcome measures were used as dependent variables. The analyses, which were undertaken using SPSS and GLIM computer packages, clearly demonstrated therapist variability. The results are discussed within the theoretical framework of Sudman & Braburn's (1974) interviewing model and O'Muircheartaigh & Wiggins' (1981) consideration of response errors. The implications for the selection and training of nurse therapists are presented. The final conclusion of the paper is that, although the patient's clinical outcome may be related to therapist allocation, the eight trainees allowed themselves to 'open' their activities to this evaluative approach--which in turn demonstrates their professionalism.

Adolescent↗
PubMed1981

Fragile X-linked mental retardation: the Martin-Bell syndrome.

Seven members of the original family of sex-linked mental retardation reported by Martin and Bell in 1943 have been re-examined and five of them proved to carry a fragile X chromosome. Some also display the typical facial appearance associated with this anomaly, and some have macro-orchidism. It is proposed that the condition should be designated "The Martin-Bell syndrome."

Aged↗
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Family↗