Hostname: page-component-586b7cd67f-rcrh6 Total loading time: 0 Render date: 2024-11-25T09:02:58.500Z Has data issue: false hasContentIssue false

Nurse Therapists in Psychiatry: Developments, Controversies and Implications

Published online by Cambridge University Press:  29 January 2018

J. Bird
Affiliation:
The Maudsley Hospital, London SE5
I. M. Marks
Affiliation:
Institute of Psychiatry, London SE5
P. Lindley
Affiliation:
The Maudsley Hospital, London SE5

Summary

This paper concerns a new clinical role for psychiatric nurses—as case managers for selected adult neurotics with behaviour problems. The role involves unusual autonomy. The selection and training procedures are unusually rigorous and focus on general case-management as much as behavioural skills. The number of service posts offered these therapists is rising. These developments have wide implications for other personnel, particularly in respect of authority and responsibility boundaries, selection and training procedures, and team structure.

Type
Research Article
Copyright
Copyright © Royal College of Psychiatrists, 1979 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Bennett, D. H. (1978) Community psychiatry. British Journal of Psychiatry, 132, 220–29.Google Scholar
Bentovim, A. (1965) The prognosis for perseverance in an out-patient population referred for psychotherapy. D.P.M. Dissertation. University of London.Google Scholar
Birley, J. L. T. (1973) The ghost in the machine. In Policy for Action (Eds. Cawley, R. and McLachlan, G.). London: Oxford University Press.Google Scholar
Blackwell, B. (1976) Treatment adherence. British Journal of Psychiatry, 129, 513–31.CrossRefGoogle ScholarPubMed
British Medical Journal (1978) The use of auxiliaries (Editorial). British Medical Journal, ii, 454.Google Scholar
Catalan, J. (1979) Assessment of patients following self-poisoning: a comparison of doctors and nurses: In The Suicide Syndrome (Eds. Farmer, R. D. and Hirsch, S. R.). London: Croom Helm.Google Scholar
Chesser, E. S. (1976) Behaviour therapy: recent trends and current practice. British Journal of Psychiatry, 129, 289307.Google Scholar
Darcy, P. T. (1978) Behaviour therapy and the nurse. Nursing Mirror, July 13th. Google Scholar
Department of Health and Social Security (1968) Psychiatric Nursing Today and Tomorrow. London: Her Majesty's Stationery Office.Google Scholar
Eysenck, H. J. (1975) The Future of Psychiatry. London: Methuen.Google Scholar
Ginsberg, G. & Marks, I. M. (1977) Costs and benefits of behavioural psychotherapy: a pilot study of neurotics treated by nurse-therapists. Psychological Medicine, 7, 320–1.Google Scholar
Hare, E. H. (1968) Triennial Reports of the Bethlem–Maudsley Hospital.Google Scholar
Hawton, K. (1979) Domiciliary and out-patient treatment following deliberate self-poisoning. In The Suicide Syndrome (Eds. Farmer, R. D. and Hirsch, S. R.). London: Croom Helm.Google Scholar
Hawks, D. (1975) Community care: an analysis of assumptions. British Journal of Psychiatry, 127, 276–85.CrossRefGoogle ScholarPubMed
Hill, D. (1978) The qualities of a good psychiatrist. British Journal of Psychiatry, 133, 97105.CrossRefGoogle ScholarPubMed
Joint Board of Clinical Nursing Studies (1975) Adult Behavioural Psychotherapy. Syllabus for Course No. 650. London: JBCNS.Google Scholar
Marks, I. M., Connoly, J., Hallam, R. & Philpott, R. (1975) Nurse therapists in behavioural psychotherapy. British Medical Journal, iii, 144–8.Google Scholar
Marks, I. M., Connoly, J., Hallam, R. & Philpott, R. (1977) Nursing in Behavioural Psychotherapy. Book in Research Series of Royal College of Nursing. Henrietta St., London, W.C.I. Google Scholar
Marks, I. M., Bird, J. & Lindley, P. (1978) Behavioural nurse therapists. Behavioural Psychotherapy, 6, 2535.Google Scholar
McPheeters, H. L. (1969) Roles and Functions for Different Levels of Health Care Workers. Atlanta, Georgia, United States. Southern Regional Education Board.Google Scholar
Ministry of Health (1966) Report of the Committee on Senior Nursing Staff Structure. London: Her Majesty's Stationery Office.Google Scholar
Moore, M. F., Barber, J. H., Robinson, E. T. & Taylore, T. R. (1973) First contact decisions in general practice. Lancet, i, 817–19.Google Scholar
Royal College of Nursing (1976) New Horizons in Clinical Nursing. London: Royal College of Nursing.Google Scholar
Russell, G. F. M. (1973) Will there be enough psychiatrists to run a psychiatric service based on District General Hospitals? In Policy for Action (Eds. Cawley, R. and McLachlan, G.). London: Oxford University Press.Google Scholar
Sobey, F. (1970) The Non-Professional Revolution in Mental Health. London: Columbia University Press.Google Scholar
Scherer, K., Fortin, F., Spitzer, W. O. & Kergin, D. J. (1977) Nurse-practitioners in primary care (VII): a cohort study of 99 nurses and 79 associated physicians. Canadian Medical Association Journal, 116, 856–62.Google ScholarPubMed
Whitehead, J. A. & Fannon, D. (1971) A clinical role for senior nurses. Lancet, ii, 756–8.Google Scholar
Wing, J. K. (1973) Problems for developing a psychiatric service. In Policy for Action (Eds. Cawley, R. and McLachlan, G.). London: Oxford University Press.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.