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Better together
- Author:
- BEIRNE Kevin
- Journal article citation:
- Mental Health Today, March/April 2015, pp.28-29.
- Publisher:
- Pavilion
- Place of publication:
- Hove
Reports on how a housing association, One Housing, worked with Camden and Islington NHS Foundation Trust (C&I) to provide mental health care. Tile House provides a home to 15 residents with a range of complex mental health conditions, and an alternative to institutional care. One Housing and C&I have worked together to develop the innovative Care Support Plus model, which provides a combination of accommodation, clinical support and social care services. The integrated approach has resulted in better outcomes for the people who use services, as well as saving money. The article also includes a short case study which describes how Tile House has helped one woman with schizoaffective disorder. (Original abstract)
Mental health co-production in Bristol seeking to address the challenges
- Authors:
- HICKS Joanna, KEEBLE Justine, FULFORD Bill
- Journal article citation:
- Mental Health Today, January/February 2015, pp.18-19.
- Publisher:
- Pavilion
- Place of publication:
- Hove
This article reports on a project to tackle the barriers to co-production in services using the 3 Keys to a Shared Approach in Mental Health Assessment. The Approach provides a values-based method of conducting an assessment, with service users at the heart of the process. (Edited publisher abstract)
The importance of being prudent
- Author:
- THOMAS Alun
- Journal article citation:
- Mental Health Today, January/February 2015, pp.12-13.
- Publisher:
- Pavilion
- Place of publication:
- Hove
The author, chief executive of the Welsh mental health charity Hafal which works to promote recovery from mental illness, talks about his vision of a 'prudent healthcare' model for mental health services. It is based on two main principles: a) targeting resources to move those patients receiving high end expensive services to a lower level of support and b) providing early intervention services. The article looks at some of the factors that can help achieve a prudent health care approach, which include: the standard Care and Treatment Plan prescribed by the Mental Health (Wales) Measure for all secondary mental health service users in Wales; the 'Recovery/Cost Pathway' analysis of service costs developed by Hafal; and people being active in setting their own recovery goals. (Original abstract)
Could experts by experience gain positions of real power?
- Author:
- CLEWES Jane
- Journal article citation:
- Mental Health Today, November/December 2014, pp.24-27.
- Publisher:
- Pavilion
- Place of publication:
- Hove
Experts by experience rarely get positions of real power in secondary mental health services. This article discusses the barriers facing experts by experience and whether they can have real power to influence decision making in service development within NHS mental health services. (Edited publisher abstract)
Mental health in intellectual disabilities: a reader
- Authors:
- BOURAS Nick, HARDY Steve, HOLT Geraldine
- Publisher:
- Pavilion
- Publication year:
- 2012
- Pagination:
- 200p.
- Place of publication:
- Hove
The fourth edition of this reader draws together contributions from experts in the field to provide up-to-date information on mental health problems in people with intellectual disabilities. Recent changes include: The Mental Capacity Act (2005) which came into operation in 2007; the 2007 revision of The Mental Health Act (1983); and the introduction of the Deprivation of Liberty Safeguards in 2008. There is also emerging evidence of the effectiveness of psychosocial interventions for people with intellectual disabilities. The revisions encompass these changes. Two chapters are dedicated to the new legal and policy frameworks and information on the Care Programme Approach (1990) is included. There are chapters on specific mental health problems, these include: psychosis spectrum disorders; mood, anxiety and eating disorders; personality disorders and substance misuse; neuropsychiatric disorders and epilepsy; and autism. Other topics discussed include: assessment of mental health problems; biological interventions; psycho-social interventions; policy and mental health care for people with intellectual disabilities; staff support and training; consent to treatment; challenging behaviour; and working with families, children, older people and offenders. (The reader provides background knowledge for facilitators using Mental Health in Learning Disabilities: A training resource but can be used as independent resource.)
Outcome measurement in a Scottish mental health charity
- Authors:
- MONGER Bridey, et al
- Journal article citation:
- Mental Health Today, March 2012, pp.24-27.
- Publisher:
- Pavilion
- Place of publication:
- Hove
Routine outcome measurement (ROM) refers to the planned, systematic measurement and recording of clearly defined variables using specified and robust measures. Data collected as part of ROM can be used to map progress, provide feedback to service users, and help clinicians to monitor the impact of their interventions. ROM can also enable services to monitor their effectiveness, plan future developments, and provide evidence of cost efficiency. This article describes how the Scottish mental health charity Penumbra is embedding ROM in its everyday work and the effect it is having. Penumbra has developed a tool, the Individual Recovery Outcomes Counter (i-ROC) which measures recovery on a 1-6 Likert scale across 12 indicators. Once completed, service user’s i-ROC scores are displayed on a spidergram which can be used to track changes over time. I-ROC has been extensively trialled by Penumbra over the past 4 years, and staff and service users have demonstrated their confidence in and liking for the tool. Further work is in place to formally assess its psychometric properties.
What’s your story?
- Author:
- DE JONGH Bertine
- Journal article citation:
- Mental Health Today, March 2012, pp.10-11.
- Publisher:
- Pavilion
- Place of publication:
- Hove
The Cultural Consultation Service (CCS) provides cultural consultation, training, research and policy in order to address inequalities in mental health services. Cultural consultation requires understanding how culture shapes a service user’s experience and expressions of mental illness as well as their personal understanding of recovery. During the past year, the CCS has piloted a new holistic approach by working with service users’ stories and analysing issues of complexity surrounding all levels of their care. This approach has improved the recovery and experiences for service users, reduced reliance on services, and improved the ability of mental health professionals to engage with the cultural aspects of care. The approach looks not only at the culture and narrative of individual service users, but also at those of clinicians, teams and organisations. This article discusses how putting cultural considerations at the forefront of care can provide benefits for service users and clinicians. Not only can it help to identify more effective treatment plans for service users, it also works at all levels within an organisation.
Safe as houses
- Author:
- SCOTT Gael
- Journal article citation:
- Mental Health Today, March 2012, pp.12-13.
- Publisher:
- Pavilion
- Place of publication:
- Hove
Homelessness is linked to both poor mental health and offending, with one often compounding the other. Previous research has suggested that 43% of prisoners with mental health problems had no fixed address on leaving prison. This article considers whether the ‘Housing First’ model used in the United States could provide better outcomes than traditional models in the United Kingdom for securing stable accommodation for offenders with mental health problems. The Housing First model is based on the premise that housing is a basic human right, placing clients with complex needs directly into independent tenancies. This stands in contrast to the traditional approach in the UK, based on a ‘treatment first’ philosophy, where people progress through different levels of transitional housing before being placed in independent housing. There is a growing view that the ‘treatment first’ approach does not necessarily support the recovery of people with complex needs, and some providers in the UK have already begun to look at alternative models of housing support. Turning Point Scotland in Glasgow has launched a 3-year pilot of the Housing First approach, targeting people with drug or alcohol problems. Evaluation of this pilot will assess the extent to which it improves outcomes for service users.
MHT insight guide: women’s secure services
- Authors:
- JACOB Caroline, LILLEY Steve
- Journal article citation:
- Mental Health Today, September 2011, pp.21-23.
- Publisher:
- Pavilion
- Place of publication:
- Hove
Partnerships in Care (PiC) is the largest independent provider of secure mental health facilities across the UK. PiC Midlands provides medium and low secure plus locked rehabilitation services across the East Midlands. Following the introduction of the national Quality, Innovation, Productivity and Prevention (QIPP) programme in 2009, PiC Midlands reviewed its model of care in terms of the aim of the programme and current psychological knowledge of the treatment of women. This article describes the design and early stages of implementation of the new staged model of care adopted by PiC Midlands. The model of care comprises 4 different stages: stabilisation; engagement and awareness; choosing change; and maintaining recovery. A shared care pathway functions across levels of security and streamlines the patient’s journey through PiC Midlands. Transitions during a patient’s recovery are often destabilising factors, and a ‘moving on’ programme for patients aims to help patients in managing transitions, such as transferring to a lower security unit or moving to the next step in the care pathway.
Women with borderline personality disorder in prison
- Authors:
- BLACK Georgia, FOSSEY Matt
- Journal article citation:
- Mental Health Today, December 2010, pp.21-23.
- Publisher:
- Pavilion
- Place of publication:
- Hove
Many women in prison have a mental health problem, and one of the most common of those is borderline personality disorder. The authors discuss current mental health care in prison, the impact on prisoners' children and put forward recommendations for improved mental health care in prisons.