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Journal article

A collaborative approach to meeting the needs of adolescent offenders with complex needs in custodial settings: an 18-month cohort study

Authors:
RYAN Tony, MITCHELL Paul
Journal article citation:
Journal of Forensic Psychiatry and Psychology (The), 22(3), June 2011, pp.437-454.
Publisher:
Taylor and Francis

Previous research has indicated that adolescent offenders have high levels of mental health problems. Although mental health services are provided within all Young Offender Institution (YOIs), these services can find it difficult to meet the needs of young offenders whose mental health needs are compounded and inextricably linked with their behaviours. This study took place in a YOI in North-West England which had undergone a radical overhaul of the mental health services including the establishment of a Complex Needs Unit to meet the needs of the young people who could not be cared for effectively on the main residential wards. The unit provides individualised, highly structured and consistent care to up to 10 young people. It uses a multi-agency approach in which prison officers work in collaboration with mental health staff. This article describes the aims of the unit and reports on a study to evaluate its effectiveness. Data was collected on the first 41 admissions to the unit between February 2008 and July 2009. The results indicate that the young people on the unit derived significant benefit from the intensive and highly structured regime, although many were unable to successfully reintegrate. This collaborative approach between custody staff and mental health professionals can significant improve behavioural and social functioning for young offenders with multiple and complex needs.

Journal article

Working with the independent sector and managing out of area treatments

Authors:
RYAN Tony, RAYNE Mark
Journal article citation:
Mental Health Review Journal, 12(2), June 2007, pp.25-29.
Publisher:
Emerald

Successive government policies over the past 15 years have encouraged the growth of the independent sector (not for profit and for profit) and its involvement in the delivery of mental health care. Not for profit and for profit sectors are currently working both alongside and in competition with NHS provider organisations. How all parts of the service system interconnect will in future be critical for service users and carers. This paper describes the developmental approach in response to many of these issues by agencies in the West Midlands.

Journal article Full text available online for free

Mental health legislation: a time to act?

Authors:
RYAN Tony, HARDY Les
Journal article citation:
Care Plan, 3(2), December 1996, pp.22-24.
Publisher:
Positive Publications/ Anglia Polytechnic University, Faculty of Health and Social Work

Argues that new legislation could include supervision registers but might also give service users new rights to community-based services in their areas.

Book

New approaches to preventing suicide: a manual for practitioners

Editors:
DUFFY David, RYAN Tony
Publisher:
Jessica Kingsley
Publication year:
2004
Pagination:
382p.,bibliogs.
Place of publication:
London

Written by front line professionals in the fields of nursing, mental health, prison services and the law, this text is an essential companion to the government's new suicide prevention strategy. The contributors offer a practical guidance on issues such as risk assessment and management in a range of settings, policy and the legal framework around suicide. Exploring the links between self-harm and suicide, the authors present international approaches to training in suicide prevention for professionals and preventative initiatives targeting wider communities. They debate the legality and morality of assisted self-harm and analyse the rate and causes of suicide among specific groups, including Black and minority ethnic groups, people in custody and people with mental illnesses. This manual provides health, social care and criminal justice professionals with information needed to make a positive contribution to suicide prevention in institutional and community settings.

Book

Good practice in adult mental health

Editors:
RYAN Tony, PRITCHARD Jacki
Publisher:
Jessica Kingsley
Publication year:
2004
Pagination:
352p.
Place of publication:
London

This text is a guide to good practice within adult mental health care, providing a comprehensive introduction to mental health and illness. It is designed to aid mental health professionals and workers, agencies, and any individuals coming in to contact with mental illness, in recognising a mental health need or problem and offering appropriate support. This is an introduction written by practitioners, and also draws from the personal experiences of service users and carers, providing up-to-date and topical material covering major issues such as: the concepts of mental health, illness and recovery; advocacy and empowerment; legal and policy issues relating to practice; gender and ethnicity in mental health; violence and abuse. The range of this book makes it a resource for mental health practitioners, whether experienced or new to the field, support workers, students, and anyone interested in understanding the complexities of mental illness and the mental health system.

Journal article

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:
Informa Healthcare
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.

Journal article

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.

Book Full text available online for free

Preventing suicide: a toolkit for mental health services

Authors:
DUFFY David, RYAN Tony, PURDY Rowan
Publisher:
National Institute for Clinical Excellence
Publication year:
2003
Pagination:
36p.
Place of publication:
London

The National Service Framework for Mental Health set prevention of suicide as one of its seven standards for improving mental health care. This standard is supported by Safety First, the most recent report of The National Confidential Inquiry into Suicide and Homicide by People with Mental Illness. The Confidential Inquiry analysed reports of all suicides by mental health service users. The Inquiry team put forward a large number of recommendations. This audit tool aims to assist mental health services in implementing these recommendations and provides a simple, cost-effective way of measuring existing service standards. It addresses issues of concern along the entire pathway of care from assertive outreach to admission to an in-patient service through to community care. It also covers family/carer involvement, post-incident review and preventive work such as development of a dual diagnosis strategy and liaison with criminal justice agencies.

Journal article

A survey of policy and practice on expenses and other payments to mental health service users and carers participating in service development

Authors:
RYAN Tony, BAMBER Carey
Journal article citation:
Journal of Mental Health, 11(6), December 2002, pp.635-644.
Publisher:
Informa Healthcare
Place of publication:
London

This article reports a survey of 75 organisations commissioning and providing secondary mental health services regarding their policies and practice in respect of payment to mental health services users and informal carers for expenses and their time when participating in the design, development, delivery and monitoring of services. A wide range of statutory and non-statutory organisations was invited to participate. Results indicate that there is a considerable desire to develop practice in this area and that the issue of payments is viewed as important in addressing user and carer participation. Significantly, many organisations employed unwritten policies based on custom and practice and were most likely to relate to basic expenses payments rather than payments for time given. A small number of organisations had developed robust policies and these usually included payment for time as well as expenses payments.

Journal article

Developing 24-hour services

Authors:
RYAN Tony, et al
Journal article citation:
Mental Health Review, 6(1), March 2001, pp.6-10.
Publisher:
Pier Professional

This article reviews models of crisis services in mental health and argues that discrete crisis services should be regarded as specific elements of a system-wide approach to crisis rather that the sole specialised response.

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