NUR6005 - Managing Complex Care Needs in Mental Health Nursing Care

Objectives:

On successful completion of the module, students will be able to:

1. Critically analyse the role of the mental health nurse, other professionals, and agencies in coordinating and managing complex care needs of people across the life span and in supporting their carers and families.

2. Appraise contemporary legislation, models, and approaches to service delivery for people with complex care needs in promoting positive risk management, shared decision making and supported self-care strategies.

3. Make sound recommendations for service development and improvement to enhance care for people with complex mental health needs that requires partnership and interagency working.

4. Critically examine and evaluate evidence based therapeutic interventions used to enhance the mental health and wellbeing of people experiencing complex care needs.

5. Justify the use of a specific evidence based therapeutic intervention to support individuals, carers and families experiencing complex mental, physical, cognitive, emotional or behavioural care needs.

Content:

This module will enable you to develop the knowledge and skills required to deliver and manage safe, effective, holistic person-centred care for individuals of all ages, their carers and families who have complex mental health needs including co-morbidities relating to physical health and/or learning disabilities, recognising the impact of wider social determinates and health inequalities and using all appropriate opportunities to promote health and prevent ill health. You will critically reflect on the complexities of managing the provision of care needs across a wide range of specialist mental health services including early intervention in psychosis, crisis intervention and acute liaison mental health care, secure care recovery, step-down services and rehabilitation, forensic and assertive outreach, criminal justice settings, perinatal and postnatal mental health care, CAMHS, dual diagnosis services, veterans, and PTSD services. You will explore the role of the mental health nurse in supporting the safe transition of care and understand the processes involved to plan and ensure safe discharge of people across services, caseloads and setting through application of the Care Plan Approach (CPA) acting as a member of an interdisciplinary team, using clinical reasoning and diagnostic thinking in complex situations. You will discuss strategies to monitor and evaluate the quality of people’s experiences of complex care and develop the ability to take proactive measures to improve the quality of care and services reviewing contemporary healthcare policy and new models of service delivery in transforming care provision. You will be able to advocate and safeguard people’s rights in relation to relevant i.e., Mental Health Act (2007), Mental Capacity Act (2005) and Liberty Protection Safeguards and equal access to care and support so they can maintain their independence and avoid unnecessary disruptions to their lives, managing risks through shared decision making. You will be able to articulate and justify a range of evidence based therapeutic interventions for individual and groups with complex mental health needs including CBT, DBT, PBS, solution focused therapies, reminiscence therapies, strengths-based recovery approaches, trauma informed care and distraction, diversion, and de-escalation techniques when communicating with carers and families under stress. Finally, you will reflect on the nature of collaborative therapeutic relationships including pre-engagement, engagement, therapeutic alliance, transition, and endings, evaluating enablers and disablers to therapeutic engagement.

Learning and Teaching Information:

You will be taught in field specific groups allowing you to develop a specialised focus for your field of nursing expertise Research informed key lectures will introduce the weekly content of the module identifying theories/principles/concepts enabling you to develop your knowledge and skills. This will be supported by blended learning pre and post session activities on Moodle and you will be expected to engage with a range of activities including pre-reading to prepare you for lectures and follow-on activities to enable ongoing self and tutor assessment of your progress and application of knowledge and skills. The lecture content will be supported by seminars enabling smaller group discussion where you will consolidate your knowledge and critically engage with best evidence to support your professional development and to apply your learning to clinical practice, activities will include role play, problem-based learning, and practice-based scenario exploration. Where appropriate specialist practitioners and service users and carers will be invited to contribute to sessions to increase the authenticity of lived experience of the module content and highlight employability links. Learning styles will be supported by a variety of resources including videos, reading material, discussion and debate, e-learning modules, problem solving and practical tasks. You will be expected to utilise appropriate digital technologies and study skills to engage with additional resources and in independently directing your own learning.

Lectures
Hours: 42
Intended Group Size: Full cohort

Seminars
Hours: 28
Intended Group Size: 25

Guided independent study: 130

Further details relating to assessment

Post session activities submitted through Moodle will facilitate ongoing formative assessment opportunities via lecturer or peer feedback, these may include responses to case studies, quizzes, forum posts or blogs and self-assessment. One draft opportunity will be provided for each assessment task with feedback provided at least one week prior to summative submission.

(1). You will select a relevant healthcare setting and an evidence based therapeutic intervention. You will write a 3000 words service development and improvement plan which critically evaluates strategies to enhance the quality of integrated person centred-care provision for people with complex mental health conditions and/or co-morbidities including the provision of a specific therapeutic approach, the involvement of individuals, carers, and families as equal partners in the process of collaborative care planning and in evaluating the quality-of-care provided via service audit findings.

The assessments will allow you to demonstrate knowledge and understanding of the provision and quality improvement of services for people, carers and families experiencing complex mental health care needs.

Note that compensation is not permitted. This component must be passed at a minimum of 40% (NMC regulations).

Assessment:

Fact File

Module Coordinator - PRS_CODE=
Level - 6
Credit Value - 15
Pre-Requisites - NONE
Semester(s) Offered -

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