PreHospital Mental Health Course
Course Document
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Remote and Rural Healthcare Education Alliance
Increasing Access to Mental Healthcare Education for Remote and Rural Staff
Pre Hospital Mental Health Course
Learning Outcomes
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PreHospital Mental Health Course
Course Document
______
Learning Outcomes – PreHospital Mental Health Crisis Course
Overall aim: To enable participants to effectively manage mental health crisis as part of their clinical practice
By the end of the session, participants will be able to:
- Demonstrates an understanding of the main pathologies that affect mental health
- Demonstrate critical understanding and clinical skill in the assessment of risk in relation to a suicide.
- Identify and apply an evidence based approach to assessment in relation to mental health crisis.
- Identify and explain current legislation, policies and procedures in relation to managing mental health risk.
- Demonstrate an ability to listen and respond with empathy to a person in a mental health crisis
- Demonstrates a working knowledge and understanding of the formal and informal networks that exist to support a person in mental health crisis.
- Develop an awareness of how to maintain personal safety when working with individuals in crisis
Assumptions:
It is assumed that participants:
- Are registered health care professionals who require training at level B as defined by the Chooselife learning framework for the HEAT 5 training target.
Learning outcomes / Knowledge and Skills / Evidence requirements / Assessment
1 / Demonstrates an understanding of the main pathologies that contribute to mental illness. /
- Understanding rural mental health.
- Dementia.
- Depression.
- Personality disorders.
- Self harm.
- Psychosis and delusions.
- Substance misuse.
- Suicide.
- Demonstrate an understanding of mental issues in a remote and rural context.
- Demonstrate a basic understanding of common mental health conditions, which may contribute to a crisis.
- Rural mental health: Part 1 –understandingrural mental health
- Rural mental health: Part 2 – improving rural mental health services
- Dementia: capacity, empowerment and conflicts of interest
- The diagnosis of personality disorder in clinical practice
- Self-harm: Non-suicidal self-injury
- Borderline Personality Disorder
- Violence and schizophrenia: a realistic look at the risks, contributing factors and management
- Schizophrenia – genetic and environmental factors
Suicide – covered by STORM
2 / Demonstrate critical understanding and application clinical skill in the assessment of risk in relation to a suicide. /
- Prevalence of suicide in the community.
- Ability to identify a person at risk of suicide.
- Ability to identify patient risk and protective factors for in relation to suicide.
- Ability to manage the crisis appropriate to risk
- Awareness of the risk factors for suicide
- Understanding of suicidal ideation.
- Able to carry out an evidenced based triage in relation to suicide risk.
- Able to ask about suicide ideation.
- Able to apply a well evaluated suicide intervention model that empowers the person at risk to consider reasons for and against suicide.
- Ability to ensure safety appropriate to risk
- Ability to Identify a network of support (see also Learning Outcome 7)
- Assessment of knowledge following e learning modules
- Demonstrate in simulation, skill in the management of risk in relation to suicide
- Demonstrate in discussion an awareness of the impact of attitudes on suicide
3 / Identify and apply an evidenced based approach to assessment in relation to mental health crisis. /
- Holistic psychosocial assessment.
- Problem identification.
- Clinical decision-making.
- Situational awareness.
- Triggers of a crisis.
- Understanding of assessment in relation to mental health crisis.
- Uses a collaborative approach with the person in crisis to manage risk and keep them safe
- Assessment of knowledge following e learning modules
- Demonstrates in simulation an ability to recognise a person at risk.
- Demonstrate via simulation an ability to carry out an assessment and crisis prevention in relation to mental health.
4 / Identify and explain current legislation, policies and procedures in relation to managing mental health risk. /
- Lone working policy.
- Psychiatric emergency plan
- Risk management planning.
- Current risks.
- Future risks.
- Environmental risks.
- Mental health history.
- Understand the mental health act.
- How to apply the mental health (Scotland) act in relation to detention.
- How to apply the mental health. (Scotland) act in relation to use of restraint
- How to apply the mental health (Scotland) act in relation to vulnerable peoples
- Ability to explain how current legislation, policy and procedures impact upon management of a mental health crisis.
- Analyse your role in relation to the assessment of risk in mental health crisis.
- In discussion review the extent to which current legislation, policies and procedures are effective in managing risk.
- Prepare a working document to be used in clinical practice to assist in the management of a mental health crisis.
- Complete NES E learning modules on Mental health Awareness act
5 / Demonstrate an ability to listen with empathy to a person in a mental health crisis. /
- Attitude in relation to mental health crisis
- Listening & questioning skills
- Uses direct, honest and reflective questioning
- Able to get the right information
- Diplomacy
- Employ effective de escalation skills
- Able to listen effectively and help the person in crisis to feel understood.
- Understand how a persons attitude can affect their ability to effectively manage a mental heath crisis
- Demonstrate in simulation effective listening and questioning skills
- Demonstrates ability to listen with empathy
- Demonstrate via simulation through effective listening and understanding the ability to enable a person to manage their own risk with an appropriate level of support.
6 / Demonstrates a working knowledge and understanding of the formal and informal networks that exist to support a person in mental health crisis. /
- Supportive network
- Role of breathing space
- Role of mental health officer
- Psychiatric emergency plan
- Community mental health services
- Role of family and friends
- Role of Scottish ambulance service
- Develop a local action plan.
- Develop a local retrieval plan.
- Understand the boundaries between services.
- Identify local places of safety.
- Employ basic management and referral skills.
- Develop a list of key contacts/ organisations that can assist in the management of a mental health crisis.
- Prepare a working document to be used in clinical practice to assist in the management of a mental health crisis.
7 / Develop an awareness of how to maintain personal safety when working with individuals in crisis /
- Application of lone working policies
- Personal risks.
- Management of violence in mental health
- Application of lone working policy in local clinical context
- Develop a plan to manage the impact of crisis on your own health and safety.
- Managing stress and avoiding burnout: Part 1 – Understanding stress and burnout - free module
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