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Registering reform in mental health
- Author:
- BARR Wally
- Journal article citation:
- Nursing Times, 17.5.01, 2001, pp.39-40.
- Publisher:
- Nursing Times
Argues that mental health registers were meant to radically improve services but three years on they seem to have made little difference.
Registering concern: the case of primary care registers for people with severe and enduring mental illness
- Author:
- BARR Wally
- Journal article citation:
- Health and Social Care in the Community, 7(6), December 1999, pp.427-433.
- Publisher:
- Wiley
As the focus of mental health care has shifted from the hospital to the community, so the importance of effectively targeting resources on those with the greatest need has become paramount. One approach to identifying and targeting people deemed to have severe and enduring mental health problems is the establishment of mental health case registers at primary care level. This article raises a number of conceptual issues associated with these registers and, on the basis of the available literature, offers suggestions to guide those who are contemplating their introduction.
Emotional support and counselling for people with visual impairment: quantitative findings from a mixed methods pilot study
- Authors:
- BARR Wally, et al
- Journal article citation:
- Counselling and Psychotherapy Research, 12(4), 2012, pp.294-302.
- Publisher:
- Wiley
This study evaluated a new model of emotional support and counselling for people with moderate visual impairment. The CORE Outcome Measure was completed with 35 service users in the UK at baseline and post-intervention to assess the impact of the new service on psychological wellbeing and social functioning. Their perceived needs and expectations of the service were also explored. At each assessment time, mean item scores on the CORE fell significantly, taking the sample from within a clinical population before therapy, to a mean score below this following therapy. A more positive outlook accompanied this improvement in functioning. Findings from the study add to the growing evidence that emotional support and counselling services can play an important role alongside and within related vision services. The authors suggested that a dual model of emotional support and counselling offers benefits for people with visual impairment.
Coming to terms with sight loss: impact of RNIB’s ‘Finding Your Feet’ programmes on participants’ Quality of Life
- Authors:
- KIRKCALDY Andrew, BARR Wally
- Journal article citation:
- British Journal of Visual Impairment, 29(2), May 2011, pp.145-154.
- Publisher:
- Sage
Finding Your Feet (FYF) programmes delivered by the Royal National Institute of Blind People (RNIB) comprise a series of intensive peer support workshops designed to help people deal with the practical and emotional impact of sight loss. This study used both qualitative and quantitative methods to examine the impact of these programmes on participants. Quality of life (QoL) was assessed using the Birmingham Assessment of Low Vision Focus QoL Questionnaire. Sixteen participants (half aged over 65 years) from the north-west of England completed the questionnaire before and after taking part in FYF. These data were analysed alongside transcripts from 17 interviews conducted with participants and observation notes for three separate programmes. The qualitative data demonstrate the positive contribution programmes such as FYF can make to the well-being and QoL of the participants. FYF was also valued by those who had taken part as an environment where people could discuss problems and issues relating to sight loss without fear of rejection or intimidation. The authors stress the importance of this finding in a climate where many people with sight loss feel they receive inadequate support, help and information.
Quantitative findings from a mixed methods evaluation of once-weekly therapeutic community day services for people with personality disorder
- Authors:
- BARR Wally, et al
- Journal article citation:
- Journal of Mental Health, 19(5), October 2010, pp.412-421.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Quantitative findings are presented for a mixed methods study of four one-day-a-week therapeutic communities for people with personality disorder, based in Manchester (2), Leeds and Liverpool. Changes over time in mental health, social functioning, self harm, and service utilisation were assessed for up to 1 year in 20 service users (age 17 to 66 years; 17 females, 3 males). The mean duration of attendance at the service for these subjects was 51.5 weeks. Significant improvements were found in both the mental health and social functional of these service users. Changes in patterns of self harm and service use were suggestive of possible underlying improvement but failed to reach significant levels. A cost-offset analysis also provided evidence of the possible offset of costs within 16 months of an individual leaving one of the services. The authors conclude that this study suggests that one-day therapeutic communities may be both clinically and cost-effective for people with personality disorder.
The impact of community health reform on service users: a cohort study
- Authors:
- BARR Wally, HUXLEY Peter
- Journal article citation:
- Health and Social Care in the Community, 7(2), March 1999, pp.129-139.
- Publisher:
- Wiley
Reports on a study designed to assess the impact of recent reforms on service users. The functioning of users of community mental health services in a North Wales town was assessed before the advent of two significant service changes - the establishment of a local Community Mental Health Team (CMHT) and the introduction of the main community care reforms in April 1993. Results found the establishment of a CMHT was associated with a temporary fall in social functioning, quality of life and satisfaction with services and there was no evidence to conclude that organisational reforms had led to an improvement in user outcomes in the medium term. Concludes that future mental health reorganisation should be based on the evidence of research which includes an assessment of the impact of reforms on service users.
The short straw
- Authors:
- BARR Wally, COTTERILL Lesley
- Journal article citation:
- Nursing Times, 18.3.98, 1998, pp.34-35.
- Publisher:
- Nursing Times
Discusses proposals to target care at patients with severe mental illness. The authors argue that GP-held mental illness registers should be the favoured option.
Effectiveness of interventions to prevent suicide and suicidal behaviour: a systematic review
- Authors:
- LEITNER Maria, BARR Wally Barr, HOBBY Lindsay
- Publisher:
- Scotland. Scottish Government Social Research
- Publication year:
- 2008
- Pagination:
- 6p.
- Place of publication:
- Edinburgh
This review was commissioned in 2005 and is published by the Scottish Government as part of its strategic activity around ‘knowing what works’ in suicide prevention. The remit was to provide a comprehensive overview of the known effectiveness of interventions aimed at preventing suicide, suicidal behaviour and suicidal ideation, both in key risk groups and in the general population. Main findings are presented.
Effectiveness of interventions to prevent suicide and suicidal behaviour: a systematic review
- Authors:
- LEITNER Maria, BARR Wally Barr, HOBBY Lindsay
- Publisher:
- Scotland. Scottish Government Social Research
- Publication year:
- 2008
- Pagination:
- 243p.
- Place of publication:
- Edinburgh
The remit of this review was to provide a comprehensive overview of the known effectiveness of interventions aimed at preventing suicide, suicidal behaviour and suicidal ideation, both in key risk groups and in the general population. Whilst not restricted to the Scottish context, one goal of the review was to evaluate the evidence available to inform the prevention of suicide in Scotland. The specific objectives of the review were to identify the interventions which have been evaluated to date, summarise the conclusions which can be drawn from the literature as it stands, highlight key defining features of the interventions evaluated to date, specify the known impact of interventions, taking into account the populations and settings to which these apply, address the cost-effectiveness of interventions where such data are available, consider the transferability of effective interventions to the Scottish context and examine the implications for implementation and replication, identify gaps in the evidence base, make evidence-based recommendations for the development of national and local policy and practice, and identify variations in strategic approach for different key risk groups.
Evaluation of day services run by agency partnerships and Therapeutic Community Service North
- Authors:
- BARR Wally, HODGE Suzanne, KIRKCALDY Andrew
- Publisher:
- Therapeutic Community Services North
- Publication year:
- 2008
- Pagination:
- 160p.
- Place of publication:
- Manchester
The findings from an evaluation of therapeutic community day services (TCDSs) are presented. The service was originally established and run by a range of agencies working in partnership with Therapeutic Community Services North (TCSN) for people with personality disorder. The specific day services under consideration were ‘Fifteen’ and ‘Personality in Education’ in Manchester, ‘Diverse Pathways’ in Leeds and ‘Rotunda’ in Liverpool. The evaluation assessed both the clinical efficacy of the model and its acceptability to service users, service employees and those who refer clients to the services. The core elements of the evaluation were to establish baseline measures of the functioning and service satisfaction of service users who were attending one of the four day services and to track changes in service users during the 12 month period following baseline assessment. Two main problem areas emerge from the qualitative interviews with service users: relating to others and self-harm and other risky behaviour.