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Registered Managers in care settings have complex and varied roles, including supporting the staff and those they serve in care homes and domiciliary services. A Department of Health white paper acknowledged that often registered managers do not receive adequate training and support to fulfil this vital role (Department of Health, 2012). In 2020 in response to the pressures of the covid pandemic the UK government set up 41 county-wide mental health hubs offering psychological support to health and social care staff. This hub offered co-produced bi-monthly training days for registered managers for a period of a year, of which a reflective practice group using the Heads and Hearts model was a key element (Kurtz, 2022; Kurtz, 2020). This model provides groups with structure and purpose in looking at the emotional impact of the work, and thinking through practice dilemmas, both in terms of client care and management of staff. Participants' experiences of the group were explored using semi-structured interviews conducted by a trainee clinical psychologist and senior assistant psychologist in the service and was analysed using thematic analysis. Three superordinate themes were identified: Peer support and collaboration, reflexivity and thinking differently, and confidence in making changes. The frame of reflective practice, including the size and stability of the group, were identified as important factors in the participants' experiences of the group. Suggestions for future research and practice are also discussed. [ABSTRACT FROM AUTHOR]

Research examining the prevalence and impacts of stalking on mental health professionals (MHPs) has grown over the last two decades. Yet only one previous review has been undertaken examining impacts on staff and focusing on clients as stalkers, with prevalence estimated between 10% and 13%. This systematic review sought to assess prevalence of stalking, and associated impacts and methods of coping reported by MHPs, irrespective of perpetrator type. The search included all healthcare professional groups working in a mental health setting, reported in English or with available translation. Secondary searches were conducted through references cited in primary papers. Of the 7,060 papers identified in five databases, 11 peer-reviewed papers met rigorous inclusion criteria and were quality appraised. Reviewed studies reported prevalence rates between 10.2% and 50%, with higher quality papers reporting a narrower band, 13.9% and 14.3%. However, substantial variability in stalking definitions, and quality of methodology precluded precise prevalence estimation. Participants within the included studies disclosed significant adverse impacts on confidence and competence at work as a consequence of their experiences. Staff invoked substantial workplace and lifestyle changes to mitigate impacts of stalking. However, studies revealed staff disclosed stalking by perpetrators other than clients, notably colleagues and intimate partners, as often or more frequently than by clients. Limitations of the included research and future directions are discussed. [ABSTRACT FROM AUTHOR]