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Spiritual advisors and old age psychiatry in the United Kingdom
Authors:Dr Robert M. Lawrence  Julia Head  Georgina Christodoulou  Dr Biljana Andonovska  Dr Samina Karamat  Dr Anita Duggal
Affiliation:1. St George's University of London rlawrenc@sgul.ac.uk;3. South London &4. Maudsley NHS Foundation Trust;5. University of Westminster;6. Winford House Hospital;7. St George's University of London;8. Julian Hospital , Norwich
Abstract:This survey investigates the role and views of NHS spiritual advisors across the United Kingdom on the provision of pastoral care for elderly people with mental health needs. The College of Health Care Chaplains provided a database, and questionnaires were sent to 405 registered NHS chaplains/spiritual advisors. The response rate was 59%. Quantitative and qualitative analyses were carried out. Spiritual advisors describe their working patterns and understanding of their roles within the modern NHS, and their observations of the level of NHS staff awareness of the importance of spiritual issues in the mental health care of older adults. They provide insights into possible negative and positive perceptions of their roles at a service level, and contribute suggestions of topics relevant to shared education between pastoral care and clinical services. This survey further highlights ethical and operational dimensions at the point of integration of the work of spiritual advisors and multidisciplinary teams.
Keywords:bereavement  continuing bonds  meaning-making  meaning reconstruction  post-traumatic growth  sense of presence  spirituality
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