Search results for ‘Author:"ryan tony"’ Sort:
Results 1 - 10 of 38
Using a whole system approach to service development in rehabilitation and continuing care services
- Author:
- RYAN Tony
- Journal article citation:
- Mental Health Review, 10(4), December 2005, pp.16-20.
- Publisher:
- Pier Professional
There are a number of pressures across mental health services, including over-occupancy of acute wards, difficulty in accessing low and medium secure facilities and escalating use of beds outside local services (OATS - out of area treatments). One method of improving the effectiveness and efficiency of the mental health services of an area is through taking a whole systems approach to development. This article presents data from three case studies where a whole systems approach needs assessment and management has been undertaken. The client group was adults with severe and enduring mental illness with rehabilitation or long-term continuing-care needs. Providers include social services, the NHS, and voluntary and private sector organisations.
A follow up-study of probation service-approved premises residents in contact with mental health services
- Author:
- RYAN Tony
- Journal article citation:
- Journal of Forensic Psychiatry and Psychology (The), December 2005, pp.699-713.
- Publisher:
- Taylor and Francis
The paper examines the service contact at 6–9-month follow-up of residents of seven probation service-approved premises with a dedicated specialist mental health service. The service is designed to assess, provide brief interventions, and promote appropriate linkage with mainstream mental health services upon discharge. Findings suggest that linkage with mainstream services was robust with a significant proportion in contact at time of follow-up. The high levels of non-psychotic mental health needs suggest services of this type may have an important role in ensuring the needs of mentally disordered offenders are appropriately met and that the engagement of primary care services is essential.
Exploring the risk management strategies of informal carers of mental health service users
- Author:
- RYAN Tony
- Journal article citation:
- Journal of Mental Health, 11(1), February 2002, pp.17-25.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Presents the findings of an exploratory study examining the risk management strategies of informal carers of mental health service users. Thirteen carers from two cities were interviewed in depth using a semi-structured interview schedule. Participants had been informal carers between four and 20 years and supported users with formal diagnoses of schizophrenia, manic depression and depression. A grounded theory approach was followed to collect and examine data and to test the resulting models of risk management. Three models of risk management are discussed and relate to a wide range of risks posed and faced by the carers' users. The results of this study are compared with those of an earlier study into the risk management strategies of 22 service users with similarities and differences highlighted.
Do you see what I see?
- Author:
- RYAN Tony
- Journal article citation:
- Open Mind, 94, November 1998, pp.12-13.
- Publisher:
- MIND
When it comes to perceptions of risk, research has shown that it's all in the eye of the beholder. Reports on the results of a survey, of those within the mental health arena, to investigate how risks were perceived. Discusses the results in relation to gender, professional differences and stakeholder differences.
Lost opportunities: purchasing strategies in housing and support for people with learning difficulties
- Author:
- RYAN Tony
- Journal article citation:
- Mental Health Care, 1(9), May 1998, pp.296-299.
- Publisher:
- Pavilion
For people with learning difficulties who have complex or challenging needs, institutional or residential care is often seen as the only option, on grounds of both cost and suitability. Reports on new research which challenges these assumptions, and describes examples of good practice where purchasers have developed alternative, more flexible and less costly services to support people in their own homes. Research shows that strategies which foster independence produce savings in the long-term.
Relative values
- Author:
- RYAN Tony
- Journal article citation:
- Community Care, 14.5.98, 1998, p.22.
- Publisher:
- Reed Business Information
Argues that even for people with the most challenging needs, community care can be both happier and cheaper.
Rainbow's end: transition from school to adulthood
- Author:
- RYAN Tony
- Journal article citation:
- Care Plan, 4(3), March 1998, pp.15-18.
- Publisher:
- Positive Publications/ Anglia Polytechnic University, Faculty of Health and Social Work
Discusses the positive impact of the 1993 Education Act on transitional planning for people with learning difficulties. Argues that traditional ways of planning for people with learning difficulties fail to recognise the complex and unique ways that young people view the transition to adulthood. Reports on some of the findings of a new report published by Values into Action which seeks to address these issues.
The cost of opportunity: purchasing strategies in the housing and support arrangements of people with learning difficulties
- Author:
- RYAN Tony
- Publisher:
- Values into Action
- Publication year:
- 1998
- Pagination:
- 88p.,bibliog.
- Place of publication:
- London
Report drawing on a number of examples of housing and support arrangements to show that people with learning difficulties, including those with complex needs, can be supported in their own homes, resulting in more cost effective and desirable housing and support for all.
Current health and social care issues in a community detoxification centre
- Author:
- RYAN Tony
- Journal article citation:
- Health and Social Care in the Community, 3(2), March 1995, pp.99-104.
- Publisher:
- Wiley
Addresses the nature of alcohol detoxification in the context of community-based centres. Identifies the social and health care features of detoxification in such services. Discusses issues and criteria for emergency and non-emergency admission which under the NHS and Community Care Act remain indistinct. Finally a strategy which reflects the inter-relationship of the health and social care needs of people undergoing detoxification is put forward as a basis for funding placements within such services.
Couples affected by dementia and their experiences of advance care planning: a grounded theory study
- Authors:
- RYAN Tony, MCKEOWN Jane
- Journal article citation:
- Ageing and Society, 40(2), 2020, pp.439-460.
- Publisher:
- Cambridge University Press
Global policy places emphasis on the implementation and usage of advance care planning (ACP) to inform decision making at the end of life. For people with dementia, where its use is encouraged at the point of diagnosis, utilisation of ACP is relatively poor, particularly in parts of Europe. Using a constructivist grounded theory methodology, this study explores the ways in which co-residing couples considered ACP. Specifically, it seeks to understand the ways in which people with dementia and their long-term co-residing partners consider and plan, or do not plan, for future medical and social care. Sixteen participants were interviewed. They identified the importance of relationships in the process of planning alongside an absence of formal service support and as a result few engaged in ACP. The study recognises the fundamental challenges for couples in being obliged to consider end-of-life issues whilst making efforts to ‘live well’. Importantly, the paper identifies features of the ACP experience of a relational and biographical nature. The paper challenges the relevance of current global policy and practice, concluding that what is evident is a process of ‘emergent planning’ through which couples build upon their knowledge of dementia, their networks and relationships, and a number of ‘tipping points’ leading them to ACP. The relational and collective nature of future planning is also emphasised. (Edited publisher abstract)