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DK14

manchester essays

11 posts in this topic

Just thought I will post it.

If you get a chance, look at the Manchester Course Essay material. There is an essay on service planning for post natal depression I think. there is a paragraph on service planning in the end. Read it and you can write the material as it is for any essay on any service planning. If you dont have manchester material then phone a friend who does and ask them to read that paragraph. It is worth the effort. If it helps, I could have a look and post the paragraph here.

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I am terribly sorry, I can't find the notes. Must have given it away.

but it is along the lines of,

service creation is based on various stages.

1. assessing the available service ( how many hospitals/specialist units per unit population)

2. assessing how much of it is being used ( hospital records etc )

3. look at what changes are needed

4. how much resources are going to be required

5. allocate available resource to new service

6. then, assess the new service usage

7. user satisfaction achieved?

8. audit the process and present the pilot data to

main bodies and establish the new service

something like this. If anyone else has it and is not giving the exam, please spare some time and correct it.

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I dont have Manchester Course Notes & even if anyone has it, posting it is a violation of copyright(My Understanding).

DK14 , The list you put up is a good one.

I have had some experience in close quarters in setting a new service(Mainly Observing Consultants in meetings and otherwise through supervision from Medical Director etc..)

Other things to include are:-

There must be an 'Inner Consultation' by which a meeting of all consultants to identify needs(how many patients to benefit),Liason with other professionals like social services,OT,Psychologists,Nurses(CPN &Ward based),Primary Care Trusts(they are going to commission services in the future, remember?)

This is one of the gripes Primary Care has with General Psychiatric Services, we see Severe & Enduring Mental Illness, but they want services for substance misuse,personality disordered patients(with Chronic Dysthymia & Cyclothymia) & patients with unexplained Medical symptoms(as they see a lot of these patients).Thats another issue altogether!

Also some mention about user & Carer Involvement in service planning.

We then have to mention 'External Consultation'( as the joke goes 'the meetings before the meetings'! hush! hush! chines whispers!rumours!gossip!)involving commissioners,Strategic Health Authority etc.......

The examiners might want us to use buzzwords like 'stake holders','clinical governance','NSF','Stake Holders' etc......(if anyone can think of any other buzzwords, please post)

Finally Some planning has to be done for Contingencies like resource implications on the new service drawing staff from other services which will lead to problems in other areas for the trusts involved,Referral Criteria(a hot button issue with a lot of arguements as you can imagine) that is inclusion and external criteria(may need involvement of other professionals), other there will be s taff burn out,how to deal with staff burn out, issues round training,supervision etc..........

These are my suggestions. Any thoughts on this?

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Maybe another couple of things I would add:

- Meeting the needs of ethnic and other minority groups

- Consider if the service will be only for a particular group (e.g. adults, children, old age...) or if there'll be a cross-cover...

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Does anybody have any ideas about possible essays this autumn!!??

there is a lot on about paedophiles and public safety.

any ideas on how to answer this question? :-/

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Josy,

There are lots of Psychiatric rotations that don't have Forensic Posts at all.Also even in Rotations that have Forensic Jobs, only a few SHO's get to do them.One does'nt get to see the Paedophiles unless you have worked in Forensic Jobs.So my guess is they can't ask about paedophilia.

A couple of years ago, they asked a question about Risk Assessment & various scales used in Risk Assesment.

However if they ask you about Paedophiles, You should write about

1)Assesment of sexual offenders(there is Royal college DVD on it available in the college bookshop)

2)talk about SVR-20(Sexual Violence Risk) scale

3)How it is important to find out if the offending is due to Mental Illness(Command hallucinations) or Personality Disorder(Antisocial)

4)Mkae a mention of SOTP(sex offenders treatment group) which runs in secure forensic facilities and prisons,has Adapted SOTP for cognitively impaired offenders , has 4-5 sessions/week for 8-9 months.

5) talk about further work like Schema focussed work etc... & the importance of formaulating the risk etc..

6)Finally talk about high rates of recidivism in Paedophiles & how repeated offenders could be considered for DSPD

7)some mention of MAPPPA panels(multi agency public protection panels)

Hope this of some help to you.

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The essay that I did in March was on the criminal justice system and psychiatry - that's FORENSICS. Don't underestimate what can come up!!! Remember you have to pass the essay!!!

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there is a planning procedure for setting up mental health services given in most textbooks. basically thornicroft and tansella model is used. u can read it in oxford

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Service provision seems HOT HOT HOT!!

Short Oxford Text Ed IV is good.

Thornicroft is our man.

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