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Journal article

A change of perspective

Author:
WILLIAMS Richard
Journal article citation:
Nursing Times, 27.10.93, 1993, pp.64-65.
Publisher:
Nursing Times

If Community Psychiatric Nurses were to discard the 'sickness' model and look at people's problems in a wider, more holistic context, more could be done to help people with mental health problems.

Journal article

Who kills children? re-examining the evidence

Authors:
PRITCHARD Colin, DAVEY Jill, WILLIAMS Richard
Journal article citation:
British Journal of Social Work, 43(7), 2013, pp.1403-1438.
Publisher:
Oxford University Press

Violent children's deaths have become a surrogate indicator of effective child protection but can those who kill children be better identified? A decade-long study of child homicide assailants (population of 2.5 million) is re-examined in the context of nineteen Western nations' child mortality rates and child-abuse-related deaths, correlated with four international measures of relative poverty, focusing on income inequality. Child mortality rates of the nineteen countries were ranked and correlated with levels of poverty. Child mortality and poverty strongly correlated but, unexpectedly, child-abuse-related deaths did not. Child homicide assailants are extremely rare, but three distinct within-family assailant categories can be identified: mentally ill parents, mothers with a child on the Child Protection Register and men with previous convictions for violence. Mentally ill parents were the most frequent assailants, but violent men killed over five times the rate of mentally ill parents. The juxtaposed results indicate that the assailants' problems are essentially psycho-criminological, especially violence, rather than socio-economic, although poverty worsens most situations. Despite the dangers of ‘false positives’, children's services need to give greater weighting to the child protection–psychiatric–violence interface to assist front line staff in improving risk assessment and contribute to reducing the impact that parental mental illness can have on the child. (Publisher abstract)

Book

Child and adolescent mental health services: strategy, planning, delivery, and evaluation

Editors:
WILLIAMS Richard, KERFOOT Michael, (eds.)
Publisher:
Oxford University Press
Publication year:
2005
Pagination:
556p.
Place of publication:
Oxford

The mental health problems of children and adolescents are a major concern and a challenge to policymakers, service designers, planners, commissioners, and providers of services within health and social care. However a considerable amount of evidence has accumulated in the last 50 years about effectiveness and the factors that affect how best to deliver services. This book brings together this evidence in the following areas: the background developments in policymaking, strategic thinking, and adult education that impact on the future roles of professionals, managers, and child and adolescent health services; how to identify problem populations and devise effective methods for obtaining reliable and valid measures of need that will enable service planning to take place, and which will then promote the development of commissioning strategies that make sense to practitioners;  the evidence base for current interventions so that informed choices can be made, particularly in relation to expensive and residential provisions ; how to ensure that children and families are directed to services that are likely to have the optimal effect in relation to their identified needs; how services are currently being mapped and what recent experience tells us about the performance of state-funded services in the UK; what we know from international sources about how the impact of mental health problems on younger people translates into burden on parents, families, carers, and primary level staff; how their experiences relate to demand for and on specialist child and adolescent mental health services, and what the literature tells us about demand management; the developments that have occurred in services in the last 15 years and likely future directions.

Journal article Full text available online for free

Substance use and misuse in psychiatric wards: a model task for clinical governance?

Authors:
WILLIAMS Richard, COHEN Jeff
Journal article citation:
Psychiatric Bulletin, 24(2), February 2000, pp.43-46.
Publisher:
Royal College of Psychiatrists

Substance use has reached endemic proportions. Inevitably, the world of psychiatric wards must reflect issues arising in our society. Recognition of its impact on the psychiatric ward is a key issue for staff and patients alike. This paper discusses the problems of substance use in this setting and suggests some procedures and approaches for dealing with its impact.

Book

Child and adolescent mental health services: together we stand; the commissioning, role and management of child and adolescent mental health services

Editors:
WILLIAMS Richard, RICHARDSON Gregory
Publisher:
HMSO/National Health Service Advisory Service
Publication year:
1995
Pagination:
200p.,tables,bibliog.
Place of publication:
London

Review of all aspects of provision of mental health services to children. Defines the current position and goes on to look at principles for effective services. Includes a section on commissioning which looks at needs assessment, health gain and outcomes, joint commissioning, special services and a commissioning action plan. Also looks at: key leadership and management issues; primary or direct contact services; interventions offered by individual staff and by teams of specialist services; and very specialised interventions and care.

Book

With care in mind secure: a review for the Special Hospitals Service Authority of the services provided by Ashworth Hospital

Editors:
MUTH Zena, WILLIAMS Richard
Publisher:
NHS Health Advisory Service
Publication year:
1995
Pagination:
117p.
Place of publication:
Sutton
Book

Suicide prevention: the challenge confronted; a manual of guidance for the purchasers and providers of mental health care

Editors:
MORGAN H. Gethin, WILLIAMS Richard
Publisher:
HMSO/Great Britain. National Health Advisory Service
Publication year:
1994
Pagination:
145p.,bibliog.
Place of publication:
London

Part A sets out some important basic facts about suicide. Part B outlines the various practical tasks involved in evaluating and managing suicide risk. Part C looks in more detail at vulnerable groups, including adolescents, depressed people and prisoners, as well as at non-fatal deliberate self harm. Part D looks at the implications of the preceding sections for commissioning and provider managers.

Book

Child and adolescent services: safeguards for young minds; young people and protective legislation

Editors:
WILLIAMS Richard, WHITE Richard
Publisher:
Gaskell
Publication year:
2003
Pagination:
122p.,bibliog.
Place of publication:
London

This book is concerned with aspects of the law as it applies to the welfare and protection of minors, and the management of children and adolescents in mental health services. It includes a summary of the provisions of the Children Act. Particular issues relating to the use of the Mental Health Act 1983 with younger people and recent developments wrought by case law are also covered

Book

Mental health services: heading for better care; commissioning and providing mental health services for people with Huntingdon's Disease, acquired brain injury and early onset dementia

Editors:
WILLIAMS Richard, BARRETT Ken, MUTH Zena
Publisher:
Stationery Office
Publication year:
1996
Pagination:
196p.,tables,diags.
Place of publication:
London

Report presenting the findings and recommendations of the HAS review which set out to evaluate the prevailing state of mental health services for people with acquired brain injury, early onset dementia, and Huntington's Disease. Includes sections on: strategy for the future; commissioning and purchasing services; key issues affecting the design and delivery of services; the implications for the providers of services; and checklists and references.

Book

People who are homeless: mental health services; a place in mind; commissioning and providing mental health services for people who are homeless

Editors:
WILLIAMS Richard, AVEBURY Kina
Publisher:
HMSO
Publication year:
1995
Pagination:
166p.,tables,bibliog.
Place of publication:
London

The aim of this thematic review is to offer information and guidance on the commissioning and provision of mental health services to people who are homeless. While the review is mainly addressed to NHS managers, much of the material relates to the social services and housing departments of local authorities. The main thrust of this report is on joint working. The authors of the review are aware that homelessness on its own, or in association with mental health problems, is not always recognised as a major issue by health and social services managers, and that the particular needs of a highly vulnerable group of people may, therefore, remain unmet. This report examines the characteristics of the homeless population and identifies the specific challenges that it presents both to managers, in their development of strategy for commissioning, and to front-line providers in services. This report identifies examples of good practice across England and Wales.

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