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Services for ethnic minorities: a question of trust
- Author:
- APPLEBY Louis
- Journal article citation:
- Psychiatric Bulletin, 33(11), November 2008, pp.401-402.
- Publisher:
- Royal College of Psychiatrists
Mental healthcare for ethnic minorities is a government policy priority. However, debate about how services should develop has been overshadowed by public criticism over high rates of admission and sectioning in some ethnic groups, the implication being that racism is rife in mental healthcare. These criticisms are headline-seeking, scientifically crude and unfair to mental health professionals. However, it is true that some minority communities are mistrustful of the services available. We need to overcome this mistrust with a positive message - and a promise of fair treatment.
Mental health ten years on: progress on mental health care reform
- Author:
- APPLEBY Louis
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2007
- Pagination:
- 8p.
- Place of publication:
- London
A 10-year programme of reform of mental health care was launched in 1999. Since then annual investment in specialist mental health services has increased by over £1.5 billion. We have over 700 new mental health teams in the community offering home treatment, early intervention or intensive support. Last year almost 100,000 people were treated at home rather than admitted to hospital. There have been large increases in all the main staff groups, including a rise of 1300 consultant psychiatrists, 2700 clinical psychologists and almost 10,000 mental health nurses. Modern drug treatments that were previously rationed are now used more than the older drugs – there has been a 20-fold increase in the use of modern anti-psychotic drugs. The national patient survey shows that 77% of community patients rate their care as good, very good or excellent. The suicide rate has fallen to the lowest figure on record - and records began in 1861. The WHO has said that England has the best services in Europe.
National Confidential Inquiry into suicide and homicide by people with mental illness
- Author:
- APPLEBY Louis
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 1997
- Pagination:
- 16p.
- Place of publication:
- London
Progress report from the National Confidential Inquiry into Suicide and Homicide by People with Mental Illness, outlining data collection methods and selected preliminary findings from the Inquiry.
The national confidential inquiry into suicide and homicide by people with mental Illness. Annual report: England, Northern Ireland, Scotland and Wales
- Authors:
- APPLEBY Louis, et al
- Publisher:
- University of Manchester. Centre for Mental Health and Risk. National Confidential Inquiry into Suicide and Homicide by People with Mental Illness
- Publication year:
- 2013
- Pagination:
- 135
- Place of publication:
- Manchester
It is reported that suicide by mental health patients had risen, to 1,333 deaths in 2011 (England), following a previous fall. The rise probably reflected the rise in suicide in the general population, which had been attributed to existing economic difficulties. The proportion of patients dying by suicide who were unemployed had risen in England and Northern Ireland. An apparent rise in Scotland was largely explained by a coding change, but the adjusted figure for patient suicide was still comparatively high. Increases in Wales and Northern Ireland were based on small numbers and should be treated with caution. (Edited publisher abstract)
The national confidential inquiry into suicide and homicide by people with mental illness: annual report: England, Wales, and Scotland
- Authors:
- APPLEBY Louis, et al
- Publisher:
- University of Manchester
- Publication year:
- 2011
- Pagination:
- 91p., bibliog.
- Place of publication:
- Manchester
The National Confidential Inquiry into Suicide and Homicide by People with Mental Illness is a UK-wide research project established at the University of Manchester which examine all incidences of suicide and homicide by people in contact with mental health services in the UK, and also examine cases of sudden death in the psychiatric in-patient population. This annual report presents findings for: suicides in England and Wales for 1997-2008; suicides in Scotland 1998-2008; homicide convictions in England and Wales from 1997-2007; homicide convictions in Scotland from 1998-2008; and sudden unexplained deaths in England and Wales from 1999-2007. It includes statistics on the rates of suicide in the general population and in mental health service patients, by age group, sex, Strategic Health Authority, and by method of suicide. It also includes statistics on the rates of homicide in the general population, mentally ill people in the general population, and mental health service patients by various criteria including age and sex. For both suicides and homicides, the statistics include the number of mental health service patients who refused drug treatment and who missed their last appointment with services.
The national confidential inquiry into suicide and homicide by people with mental illness: suicide and homicide in Northern Ireland
- Authors:
- APPLEBY Louis, et al
- Publisher:
- University of Manchester. Centre for Suicide Prevention. National Confidential Inquiry
- Publication year:
- 2011
- Pagination:
- 112p.
- Place of publication:
- Manchester
The findings of this inquiry aim to improve the prevention of suicide and homicide by people under the care of mental health services. Data were collected on deaths by suicide in mental health patients and on homicides committed by people using mental health services. The data collected covers a nine year period from 2000 to 2008. The report demonstrates the link between mental ill health and suicide. It also indicates that many people who are suicidal, and are likely to have mental health problems, do not access statutory health services. A series of recommendations for policy and practice are presented. Contains extensive figures and tables.
Prison mental health: vision and reality
- Authors:
- APPLEBY Louis, et al
- Publisher:
- Royal College of Nursing
- Publication year:
- 2010
- Pagination:
- 25p., bibliog.
- Place of publication:
- London
The need for better mental health care in prisons has been evident for some time. Reports throughout the last two decades have shown that prisoners have dramatically higher rates of the whole range of mental health problems compared to the general population. This report examines what has been achieved in prison mental health over recent years from a number of different personal perspectives and individual observations of working in England. It looks at the specific achievements of inreach teams and of efforts to divert offenders from custody. It also looks more broadly at the rapid growth of the prison population during the same period and the treatment of offenders with mental health problems outside as well as inside prison.
The national confidential inquiry into suicide and homicide by people with mental illness: lessons for mental health care in Scotland
- Authors:
- APPLEBY Louis, et al
- Publisher:
- University of Manchester
- Publication year:
- 2008
- Pagination:
- 9p.
- Place of publication:
- Manchester
A summary of a report by the National Confidential Inquiry examines the details of individual cases of suicide and homicide by people with mental illness. Scotland has high rates of both suicide and homicide, in the general population and in patients. The report highlights the key areas of clinical practice, and includes suggestions to strengthen training and services for the management of drug and alcohol misuse.
The national confidential inquiry into suicide and homicide by people with mental illness: lessons for mental health care in Scotland
- Authors:
- APPLEBY Louis, et al
- Publisher:
- University of Manchester
- Publication year:
- 2008
- Pagination:
- 160p.
- Place of publication:
- Manchester
This report by the National Confidential Inquiry examines the details of individual cases of suicide and homicide by people with mental illness. In the time covered by the report (six years for suicides, five years for homicides) there were around 5,000 suicides and around 500 homicides in Scotland. However, the Inquiry found that only 28% of the people who died by suicide and 12% of those who committed a homicide had recently been mental health patients. The report highlights the key areas of clinical practice where improvement is needed and suggests what changes could be made. Two points are emphasised. One is the low risk to the general public from mental health patients; the other is that people who need mental health care are at times imprisoned by the courts. Recommendations are made.
Securing better mental health for older adults
- Authors:
- PHILP Ian, APPLEBY Louis
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2005
- Pagination:
- 8p.
- Place of publication:
- London
This document marks the start of a new initiative and provides a vision for how all mainstream and specialist health and social care services should work together to secure better mental health services for older people.This is the first time that the mental health and older people's divisions have adopted such a strategic approach in order to influence change and improve services for older people with mental illness.