Hodges' Model: Welcome to the QUAD: July 2013

- learn about the conceptual framework Hodges' model. A tool that can help integrate HEALTH and SOCIAL CARE, INFORMATICS and EDUCATION. The model is situated, facilitates person-centredness, integrated - holistic care and reflective practice. A new site using Drupal is an ongoing aim - the creation of a reflective workbench. Email: h2cmng @ yahoo.co.uk Welcome

Tuesday, July 23, 2013

Global Research Nurses’ Network discussion: Nearly Free Nursing Colleges - Mental Health Nursing Rwanda

Nearly Free Nursing Colleges

Reply by Carole Bennett

I have been working in mental health nursing in Rwanda, I have seen a significant need for a mental health nurses handbook and guide. At the request of the faculty at Kigali Health Institute, I have complied two electronic texts.

1.Mental Health Nursing I: Diagnosis, Treatment Guidelines and Standards of Care : The African Context. and
2.Mental Health Nursing II: Vulnerable Populations of Africa and Emerging Best Practices.

They have links to research, questions that guide the student reading, and then clinical cases for integration of what they have learned in each chapter. They are based on an 8 week course with 3 classes per week.

I would like to place them on the internet for free access but don't know how that is done.

They would be applicable for any nurses, mental health or general nurses working in post-conflict countries. The first handbook uses heavily the WHO MH Gap intervention guide which is excellent and COHSASA standards of care. The second book includes mental health in primary care, chronic mentally ill in villages, pregnant women and infants, refugees, women who are victims of gender based violence, Incarcerated mentally ill, and traditional healers. It is challenging but could be available to anyone with motivation and an internet connection.

Perhaps resources like this could be compiled into a program of study with internet oversight. I would be interested in pursuing this concept with others. I will be returning to the US in a few days but would like to see these ebook widely distributed and utilized. Does anyone have any ideas how this could be accomplished?


Sunday, July 14, 2013

ERCIM News No. 94 Special theme: "Intelligent Cars"

Dear ERCIM News Reader,

ERCIM News No. 94 has just been published at

Special Theme: "Intelligent Cars"
Guest editors: Jaroslav Machan (ŠKODA AUTO a.s., Czech Republic) and Christian Laugier (Inria, France)

Keynote: "Collaborative Mobility – Beyond Communicating Vehicles"
by Ilja Radusch, Ilja Radusch, head of department “Automotive Services and Communication Technologies” at Fraunhofer FOKUS and head of the Daimler Center for Automotive IT Innovations

This issue for download
: http://ercim-news.ercim.eu/images/stories/EN94/EN94-web.pdf
epub format: http://ercim-news.ercim.eu/images/stories/EN94/EN94.epub

Next issue: No. 95, October 2013 - Special Theme: "Image Understanding" (see Call at http://ercim-news.ercim.eu/call)

Thank you for your interest in ERCIM News.
Feel free to forward this message to others who might be interested.

Peter Kunz
ERCIM News central editor
ERCIM - the European Research Consortium for Informatics and Mathematics - aims to foster collaborative work within the European research community and to increase co-operation with European industry. Leading European research institutes are members of ERCIM. ERCIM is the European host of W3C.

Thursday, July 11, 2013

Computer-based 'avatar' therapy promising for persecutory auditory hallucinations

A study in the British Journal of Psychiatry has reported symptom reductions among patients hearing voices, who developed computerised 'avatars' of the voices and then engaged in dialogue with them. When compared with treatment as usual during a randomised trial, the therapy group showed mean reductions in scores for auditory hallucinations and for the omnipotence and malevolence of the voices. The researchers conclude: 'Patients who are able to sustain a dialogue with their persecutor feel much more in control.'
BJP June 2013, 202:428-433

In addition see and listen to:

BBC Radio 4: http://www.bbc.co.uk/news/health-23141916

Monday, July 08, 2013

Four Fields

On my wish list:

In his first book since the acclaimed The Running Sky Tim Dee tells the story of four green fields. Four fields spread around the world: their grasses, their hedges, their birds, their skies, and their natural and human histories. Four real fields - walkable, mappable, man-made, mowable and knowable, but also secretive, mysterious, wild, contested and changing. Four fields - the oldest and simplest and truest measure of what a man needs in life - looked at, thought about, worked in, lived with, written.

Dee's four fields, which he has known for more than twenty years, are the fen field at the bottom of his Cambridgeshire garden, a field in southern Zambia, a prairie field in Little Bighorn, Montana, USA, and a grass meadow in the exclusion zone at Chernobyl, Ukraine. Meditating on these four fields, Dee makes us look anew at where we live and how. He argues that we must attend to what we have made of the wild, to look at and think about the way we have messed things up but also to notice how we have kept going alongside nature, to listen to the conversation we have had with grass and fields.

Four Fields is a profound, lyrical book by one of Britain's very best writers about nature.

Source image and text: Amazon

Sunday, July 07, 2013

Part II: Pensioners, 'Health students' and Children

For decades the reactive health care system has been founded, loved and sustained through the primary care - secondary care hospital system, together with its complex range of referral systems and processes.

Now demographic trends and economic pressures have seen the emergence and ongoing development of the virtual hospital. Call centers and teams that deliver nursing and medical care in the home to prevent admission and facilitating early discharge are still basically reactive.

What is needed is a cognitive hospital.

A form of hospital that acknowledges the health care system but can finally progress the preventive agenda on an individual, educational basis, fostering self-efficacy, health literacy and if necessary self-care.

Saturday, July 06, 2013

Part I: Pensioners, 'Health students' and Children NHS@75?

As the NHS celebrated its 65th birthday its mobility is clearly challenged.

There are signs of furniture-walking now. Admittedly, there are no asylums now to step from to the cottage hospital, oops nearly! Phew - made it - to the fever hospital. Thankfully, those mobility aids are no more - a great sign of progress.

The pressure for ongoing change is relentless. This week's HSJ is highlighting the true fact on its cover:


There's also a six month exercise by PWC - NHS@75

There are many strands one of which has the following graphic:

If the public is to be informed and proactive about their health then we had better start now....

Medikidz is absolutely great - depression is in there - but as PWC's initiative shows the NHS@75... is going to need much more than explaining illnesses.

Now - https://www.jumohealth.com/

Medikidz image: http://www.themarysue.com/medikidz-comic/

Wednesday, July 03, 2013

Living in the Memory Room: BBC Radio 4

Some people have no choice - they must become time travellers ....

There are 800,000 dementia sufferers in the UK. Kim Normanton presents a personal programme about memory and dementia, inspired by her mother's illness. She explores a new approach to treatment - recreating the past.

As her mother's memory of recent events was destroyed ... more

Monday, July 01, 2013

Hodges' model - DSM V: the Politics of (Well-being (Health [Mental Health])) salience, books and domains


Diagnostic and Statistical Manual of Mental Disorders (DSM-5)
‘Salience syndrome’ replaces ‘schizophrenia’ in DSM-V and ICD-11: psychiatry’s evidence-based entry into the 21st century? J. Van Os

medical, bio-psycho-social, recovery model

DSM5 and Ethical Relativism

Ultimate terminology: 
self, person, patient, service user, client, 
Mr, Miss .....
Diagnostic process
'Evidence', objectivity, 
repeatability, validity, treatment, drugs
Credit Heidi Cartwright, Wellcome Images
The history of DSM: APA : Wikipedia
social services
social network (size, quality)
social norms?

Media: Books review - essay;
Stevenson, T. (2013) Mind field, FT Weekend, May 25-26. p.8.
American Psychiatric Association APA

dx revision watch

Opinion - commentary:

DSM-5: Caught between Mental Illness Stigma and Anti-Psychiatry Prejudice

Is Criticism of DSM-5 'Anti-psychiatry'?

Goldacre: Bad Pharma
.... and much more...

group - population

See also:
WHO History of the development of the International Classification of Diseases

Image: http://wellcomeimages.org/