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Youth mental health in Ireland and Northern Ireland: an AcCESs Evidence Report
- Authors:
- ROCHFORD Sarah, et al
- Publisher:
- Centre for Effective Services
- Publication year:
- 2018
- Pagination:
- 79
- Place of publication:
- Dublin
This evidence review focuses on the mental health of young people between the ages of 12 and 18 years. It looks at some of the more common mental health problems experienced by young people, the factors that influence youth mental health and what support young people can draw on if they have a mental health difficulty. It identifies a range of factors influencing mental health, including social and cultural influences, environmental and individual factors. It also includes key facts and figures on youth mental health in Ireland and Northern Ireland. Based on the findings, the review provides key messages about emerging trends in youth mental health in Ireland and Northern Ireland, highlights research findings on effective approaches, and lists a number of agencies and organisations providing specialist training and resources. The resource is aimed at front-line professionals who come into regular contact with young people and who want to have a greater understanding of what some of the risk factors are, to recognise the warning signs, and to determine what they can do to support young people. (Edited publisher abstract)
Multisectoral mental health networks in Belgium: an example of successful mental health reform through service delivery redesign
- Authors:
- BORGERMANS Liesbeth, et al
- Publisher:
- World Health Organization. Regional Office for Europe
- Publication year:
- 2019
- Pagination:
- 4
- Place of publication:
- Copenhagen
A good practice briefing looking at reforms carried out in Belgium in response to the need for improved people-centred approaches for people with mental health conditions. The reform aimed to strengthen the community-based care and to reduce the number of psychiatric hospital beds; it improved care integration, social rehabilitation and service users’ recovery, including users' and carers' quality of life. Central to the reform are multisectoral mental health care networks offering outreach services, prevention, in-and outpatient mental health services, primary care, day care, and vocational, housing and social care services. The reform contributed to improving the long-term health of patients and reducing hospital stays. It also significantly reduced the number of psychiatric hospital beds in favour of outreach services to people with mental health conditions. (Edited publisher abstract)
Finding and keeping work: impact of low wellbeing
- Authors:
- GEDIKLI Cigdem, et al
- Publisher:
- What Works Centre for Wellbeing
- Publication year:
- 2018
- Pagination:
- 14
- Place of publication:
- London
Summarises evidence from a systematic review to explore whether people with lower wellbeing are more likely to lose their jobs, move into long-term sick-leave or early retirement, and are they less likely to get back into work if unemployed. It also sought to identify evidence on whether improvements in wellbeing could increase the possibility of returning to work. The wellbeing measures considered in the studies included life satisfaction, job satisfaction and assessments of mental health. The review found international evidence to show that those with poor mental health are at greater risk of being out of work through sick leave or unemployed, and therefore more likely to receive disability or unemployment welfare support. The evidence also shows that poor mental health may be particularly damaging for the employment prospects of young adults. The evidence reinforces the importance of provision of and access to good quality mental health services for all age groups. (Edited publisher abstract)
Mental health problems in young people, aged 11 to 14: results from the first HeadStart annual survey of 30,000 children
- Authors:
- DEIGHTON Jessica, et al
- Publisher:
- CAMHS Press
- Publication year:
- 2018
- Pagination:
- 11
- Place of publication:
- London
This briefing explores the data collected for the HeadStart Learning Programme to explore the prevalence of mental health problems children and young people from 114 participating schools. It also considers the risk of experiencing a mental health problems by demographics such as gender, ethnicity, special educational needs status, free school meal eligibility and child in need status. The results found that 18.4 percent of pupils indicated they were experiencing emotional problems, and this was more common for girls than boys. The risk of experiencing mental health problems were increased for children who were: eligible for free school meals, had special educational needs, or were categorised as a ‘child in need.’ The briefing highlights key implications and recommendations from the results. (Edited publisher abstract)
Screen-based activities and children and young people's mental health and psychosocial wellbeing: a systematic map of reviews
- Authors:
- DICKINSON K., et al
- Publisher:
- University College London. Institute of Education. EPPI-Centre
- Publication year:
- 2019
- Pagination:
- 123
- Place of publication:
- London
This mapping of reviews provides an overview of the characteristics and quality of existing review literature examining the relationship between screen-based activities and children and young people’s mental health and psychosocial wellbeing. The mapping also identifies gaps in the systematic review literature and priorities for new evidence synthesis and primary research. The mapping identified 82 reviews published between 2007 and 2018. The reviews investigated a range of screen-based activities, including: social media; cyberbullying; screen time; problematic/addictive internet use; gaming; sexting; internet use and smartphone use. A range of mental health and psychosocial outcomes were investigated across the reviews, including depression and anxiety, self-esteem, loneliness, social connectedness and life satisfaction. The quality of reviews varied, with most reviews on screen time classified as high quality; and reviews on internet use, sexting and smartphone use, classified as medium or low quality. The mapping identified a lack of evidence synthesis in the areas of: prospective research designs; different types of engagement in screen-based activities and their relationship with mental health and psychosocial outcomes; and children and young people’s experiences and perspectives of screen-based activities and their relationship with mental health and psychosocial wellbeing. (Edited publisher abstract)
Hand in hand: survivors of multiple disadvantage discuss service and support
- Authors:
- HAILES Amanda, et al
- Publisher:
- Agenda
- Publication year:
- 2018
- Pagination:
- 40
- Place of publication:
- London
This report, co-produced by peer researchers for the National Commission on Domestic and Sexual Violence and Multiple Disadvantage, highlights the challenges facing women and girls who have experienced violence or abuse. It draws on interviews with 11 women, who have experienced violence and abuse, and continue to face issues like homelessness, mental ill-health and substance use. The report looks at the impacts of abuse on women's lives, their experiences of seeking help, and contact with services – including police, health and mental health services, substance misuse services, domestic abuse services, housing, and children’s services. The interviews found most of the women had experienced many forms of abuse throughout their life. More than a third of those interviewed had a mental health diagnosis, all described experiencing symptoms of trauma, thirty per cent used drugs to cope, and a quarter had involvement with social services in relation to their children. Despite this, women could struggle to get help or to get services to understand their needs. The report makes recommendations across five themes: awareness raising and prevention work around abuse so that women and girls can recognise what they are experiencing as abuse; for more staff with lived experience to be on the workforce; for multi-agency support so that women can access a range of services in one place; increased staff training on the impact of trauma; and the need for empathy in building a trusting relationship between women and services. The report co-produced by peer researchers with the charities AVA (Against Violence and Abuse) and Agenda, the alliance for Women and Girls at Risk, for the National Commission on Domestic and Sexual Violence and Multiple Disadvantage. (Edited publisher abstract)
Londoners said: an analysis of the Thrive LDN community conversations
- Authors:
- DAVIE E., et al
- Publisher:
- Mental Health Foundation
- Publication year:
- 2018
- Pagination:
- 52
- Place of publication:
- London
This report presents feedback from 17 community workshops, delivered by Thrive LDN in partnership with the Mental Health Foundation, which asked Londoners how they could be better supported to be mentally healthy. The workshops were attended by over 1,000 Londoners including those who commission, provide and use services. In the workshops Londoners gave their views on how Thrive LDN's six aspirations to improve mental health could be delivered. The report includes quotations from attendees. The solutions shared common themes of spreading knowledge, skills and support so that people can better look after themselves and their neighbours. It shows that as well as wanting access to services, Londoners want to be able to help themselves. The report makes recommendations based on the discussions. These include: the development of a network of community champions to tackle isolation; using technological platforms to inform people about support and activities in their community; supporting the development of non-clinical crisis and other wellbeing centres; and providing support for parents through peer-parenting groups. (Edited publisher abstract)
Inequalities in health and service use among people with borderline intellectual impairment
- Authors:
- McMANUS Sally, et al
- Publisher:
- NatCen Social Research
- Publication year:
- 2018
- Pagination:
- 63
- Place of publication:
- London
This report, commissioned by the Department of Health and Social Care, sets out the extent to which people with borderline intellectual impairment face inequalities in health, wellbeing and service use compared with the rest of the population, and aims to improve awareness of these inequalities. Using secondary analysis of data from the Adult Psychiatric Morbidity Survey (APMS) the report profiles the circumstances of people with borderline intellectual impairment living in private households. Chapters examine the prevalence of intellectual impairment in the population and its demographic profile; rates of comorbidity with mental health, physical health, sensory impairment, and disability, suicidal thoughts and self-harm among people with intellectual impairment; and use of mental health treatment and services in England and levels of unmet need. The findings show that that borderline intellectual impairment affects at least one adult in ten in England and that they face high levels of poor mental health, poorer general health, and many limitations in their daily lives. The analysis suggests that level of use of mental health services does not appear to be commensurate with their higher level of need, which may be due to a lack of professional awareness of their needs, to services not adapting enough to meet those needs, or to difficulties the individual faces in seeking treatment and support. The report concludes that improving awareness of the needs of people with borderline intellectual impairment should form part of wider plans to reduce inequalities in health and service use in England. (Edited publisher abstract)
Time for action on perinatal mental health care in Northern Ireland: a report on the perspectives of health visitors and midwives
- Authors:
- CUNNINGHAM Caroline, et al
- Publisher:
- NSPCC
- Publication year:
- 2018
- Pagination:
- 66
- Place of publication:
- London
Sets out the findings of a study exploring health visitors’ and midwives’ roles and experiences of identifying and responding to perinatal mental illness in Northern Ireland. It describes their perspectives about their roles in the recognition, referral and management of perinatal mental illness; training and skillsets; and opportunities and challenges for improving the early identification of perinatal mental illness, and the response provided to women and their families in Northern Ireland. The research covered mental health care for women during pregnancy and up to one year after childbirth, and included a range of mental health problems, including anxiety, depression and postnatal psychotic disorders. A total of 332 responses from health visitors and midwives were received to a survey, which comprised 30 questions. The main challenges identified were underfunding, overwork and growing levels and complexity of demand undermining the face to face time and continuity of care required for early recognition and response. The research also highlights issues around policy and practice in the use of screening tools, and the need for closer alignment between infant mental health and perinatal mental health practice. The report concludes with a number of recommendations. These include the need for a training standard for perinatal mental illness in Northern Ireland; and the need for midwives and health visitors to have more face to face time with mothers and babies, and improvements in continuity of care (Edited publisher abstract)
Census of young people in secure settings on 14 September 2016: characteristics, needs and pathways of care
- Authors:
- HALES Heidi, et al
- Publisher:
- NHS England
- Publication year:
- 2018
- Pagination:
- 63
- Place of publication:
- London
This report looks at the distribution and size of the population of young people in the secure system; the pathways into secure care of the young people; the needs of those detained in different institutions under different legislation; and whether the needs of detained young people differ according to the type of institution. It follows an earlier scoping study which identified all the secure units, in England, in which young people (under the age of 18 years at the point of detention) are detained. It also identifies the three legal frameworks under which young people can be deprived of their liberty in England are: The Mental Health Act (1983, as amended 2007) placing them in hospital, Section 25 of the Children Act (1989) placing them in a secure children’s home (SCH), or under the youth justice system (YJS) on remand or serving a sentence in a SCH, secure training centre (STC) or young offender institution (YOI). From the findings, the report highlights the following points for further discussion: best use of available secure placements; most appropriate resource allocation in view of the needs detected and how young people are distributed around the total system; specific treatment options and how and where they might be delivered; the best possible commissioning system; identification and assurance of outcomes following interventions; understanding needs in terms of vulnerability, complexity and severity; and the role and adequacy of services designed to prevent the escalation of young people into secure placements. It is the second of three reports on secure settings for young people in England. The first provided a scope of services and the third looks at the views of parents and professionals on young people's secure care. (Edited publisher abstract)