Search results for ‘Author:"rinaldi miles"’ Sort:
Results 1 - 10 of 12
Do our current approaches to care planning and the CPA enhance the experience and outcomes of a person's recovery?
- Authors:
- RINALDI Miles, WATKEYS FLIPPA
- Journal article citation:
- Journal of Mental Health Training Education and Practice, 9(1), 2014, pp.26-34.
- Publisher:
- Emerald
Purpose: Increasingly mental health services are attempting to become recovery focused which demands changing the nature of day-to-day interactions and the quality of the experience in services. Care planning is the daily work of mental health services and within this context, care planning that enhances both the experience and the outcomes of a person's recovery is a key element for effective services. However, care plans, the care planning process and the Care Programme Approach (CPA) continue to pose a challenge for services. The purpose of this paper is to discuss these issues. Design/methodology/approach: Conceptual paper. Findings: Within recovery focused services a care plan becomes the driving force, or action plan, behind a person's recovery journey and is focused on their individual needs, strengths, aspirations and personal goals. If involving people directly in the development of their care plan is critical to creating better outcomes then supporting self-management, shared decision making and coproduction all underpin the care planning process. Based on the evidence of people's experience of care plans and the care planning process it is time to seriously debate our current conceptualisation and approach to care planning and the future of the CPA. Originality/value: The paper describes aspects of the current situation with regard to the effectiveness of care planning in supporting a person's recovery. The paper raises some important questions. (Publisher abstract)
The Individual Placement and Support approach to vocational rehabilitation for young people with first episode psychosis in the UK
- Authors:
- RINALDI Miles, et al
- Journal article citation:
- Journal of Mental Health, 19(6), December 2010, pp.483-491.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
The onset of schizophrenia is associated with a pronounced decline in employment and educational attainment. Previous research has shown that the Individual Placement and Support (IPS) approach to supported employment has been more effective than other approaches in helping people with severe mental health problems gain and retain employment. The aim of this study was to evaluate the impact of implementing an adapted IPS approach to include supported education within an Early Intervention Team for young people with a first episode of psychosis. Between November 2001 and July 2006, the Early Intervention Team collected data monthly on all clients who received a vocational intervention. Fidelity to the evidence-based practice is reported along with the impacts on vocational outcomes at 6, 12, 18 and 24 months. The results showed that by 6 months, 69% of people were supported in open employment and mainstream education or training and this rose to 81% at 18 months. The open employment rate increased significantly from 13% at baseline to 48% at 18 months and this was maintained through to 24 months. The article concludes that the IPS approach combined with supported education was effective at enabling a significant proportion of young people with a first episode of psychosis in a UK Early Intervention Service to gain or retain open employment and mainstream education.
Implementing evidence-based supported employment
- Authors:
- RINALDI Miles, PERKINS Rachel
- Journal article citation:
- Psychiatric Bulletin, 31(7), July 2007, pp.244-249.
- Publisher:
- Royal College of Psychiatrists
The authors evaluated the impact of implementing the individual placement and support (IPS) approach within eight community mental health teams (CMHTs) in two London boroughs. Demographic, clinical and vocational data were collected enabling a comparison of the number of people supported in work/education and individual client outcomes at 6 and 12 months. Following the integration of employment specialists there were significant increases in the number and proportion of clients engaged in mainstream work or educational activity at 6 months and 12 months. The employment specialists supported 38% in open employment at 6 months and 39% at 12 months. The results support the use of IPS in clinical practice in CMHTs.
Not just stacking shelves
- Authors:
- RINALDI Miles, et al
- Journal article citation:
- A Life in the Day, 10(1), February 2006, pp.8-14.
- Publisher:
- Emerald
In this article the authors explore the types of employment gained by people with more serious mental health problems who are clients of a supported employment service in the UK run by South West London and St George's Mental Health NHS Trust. It was found that the majority had found, or retained, jobs in a wide range of occupations and at a wide range of levels, with few working at entry level.
Implementing a user employment programme in a mental health trust: lessons learned
- Authors:
- RINALDI Miles, et al
- Journal article citation:
- A Life in the Day, 8(4), November 2004, pp.9-14.
- Publisher:
- Emerald
The User Employment Programme at South West London & St George's Mental Health Trust pioneered user employment in mental health trusts. Reviews the lessons learned 8 years on, highlighting some pitfalls to avoid and useful pointers for others embarking on this course. Key to its success has been the ongoing support and involvement of senior management, listening to and learning from users, and an incremental approach to breaking down the barriers between 'them' and 'us'.
Using an evidence-based approach to enable people with mental health problems to gain and retain employment, education and voluntary work
- Authors:
- DAVIS Melanie, RINALDI Miles
- Journal article citation:
- British Journal of Occupational Therapy, 67(7), July 2004, pp.319-322.
- Publisher:
- Sage
Employment provides an economic means, gives social status and promotes social inclusion. While people with mental health problems attach a high priority to gaining employment, they face many barriers that inhibit their ability to gain and retain employment. Describes how a mental health trust actively promoted vocational rehabilitation through implementing evidence-based principles within the clinical teams. Reports how the trust acknowledged the unique contribution of occupational therapy in partnership with vocational services to enable its clients to access competitive employment, mainstream education and voluntary work.
What are the benefits of evidence-based supported employment for patients with first-episode psychosis?
- Authors:
- RINALDI Miles, et al
- Journal article citation:
- Psychiatric Bulletin, 28(8), August 2004, pp.281-284.
- Publisher:
- Royal College of Psychiatrists
The aim was to examine the effectiveness of integrating evidence-based supported employment into an early intervention service for young people with first-episode psychosis. Demographic, clinical and vocational data were collected over a 12-month period to evaluate the effect on vocational outcomes at 6 months and 12 months of the employment of a vocational specialist, and to assess model fidelity. Following vocational profiling and input from the vocational specialist and the team, there were significant increases in the proportion of clients engaged in work or educational activity over the first 6 months of the intervention, and in a subsample over a second 6-month period. The evidence-based Supported Employment Fidelity Scale was used to measure the degree of implementation, which scored 71, signifying ‘good implementation’. The results suggest that implementing evidence-based supported employment within an early intervention service increases employment and education opportunities for patients within the service.
Unemployment rates among patients with long term mental health problems
- Authors:
- PERKINS Rachel, RINALDI Miles
- Journal article citation:
- Psychiatric Bulletin, 26(8), August 2002, pp.295-298.
- Publisher:
- Royal College of Psychiatrists
This article surveys the unemployment rates among people with mental health problems in the London Borough of Wandsworth, It argues that greater attention to vocational issues in clinical teams is required. The challenge of mental health services is to make employment interventions available to those who need them.
Challenging fundamental assumptions about mental health service users and work
- Authors:
- RINALDI Miles, HILL Robert
- Journal article citation:
- A Life in the Day, 5(2), May 2001, pp.5-10.
- Publisher:
- Emerald
New research challenges three commonly held assumptions; that mental health service users do not want to work, that work will make their condition worse, and that what they are really best suited to is sheltered work. Re-examines these assumptions in the light of interviews with service users and employers.
Increasing the employment rate for people with longer-term mental health problems
- Authors:
- RINALDI Miles, MONTIBELLER Tatiana, PERKINS Rachel
- Journal article citation:
- Psychiatrist (The), 35(9), September 2011, pp.339-343.
- Publisher:
- Royal College of Psychiatrists
People with mental health problems, especially those accessing secondary services, often experience low rates of employment. However many continue to regard employment as a yardstick of recovery. The low priory given to employment by mental health professionals and low expectation of being able to gain employment by the patients themselves contribute to the problem. This study examined the effects of implementing the individual placement and support (IPS) approach within four community mental health teams (CMHTs) in London. A full-time employment specialist was working in each CMHT and independent assessment confirmed that high quality IPS was being delivered. Demographic, clinical and vocational data were collected through a repeated cross-sectional survey and a service user experience survey was carried out. The IPS approach appeared to have a significant effect on the employment rates for service users, including those with a diagnosis of schizophrenia. A higher proportion felt able to return to employment and a smaller proportion believed they were unable to work because of their mental health problems. Employment rates for service users appeared to be independent of general employment rates.