Search results for ‘Subject term:"access to services"’ Sort:
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Differences in treatment approach between ethnic groups
- Authors:
- SIZMUR Steve, MCCULLOCH Andrew
- Journal article citation:
- Mental Health Review Journal, 21(2), 2016, pp.73-84.
- Publisher:
- Emerald
Purpose: The mental health experience of people from ethnic minorities differs from that of the majority, including differential access to services and treatments. The 2014 National Health Service (NHS) Community Mental Health survey gathered data from 13,787 individuals in 57 NHS trusts in England, providing one means of monitoring such experience. The purpose of this paper is to analyse survey variables describing treatments offered to respondents for evidence of differential access or treatment experiences associated with ethnicity. Design/methodology/approach: Secondary analysis of survey data. Proportions for target variables were modelled using multilevel logit models. Ethnic background, age and gender were entered as independent variables. Findings: Respondents in most minority groups were more likely to be on the care programme approach (CPA) to provision than white British respondents and less likely to report receiving psychological treatments. Unmet need for psychological treatment was relatively high in certain Asian groups. Medication use was consistently high across respondents, but differences by ethnic background were evident. Research limitations/implications: The study was dependent on existing survey data of a relatively limited nature, and potentially subject to non-response bias. The survey excludes users of certain types of service, giving an incomplete cross-section. Originality/value: This represents a novel use of the data from the Community Mental Health survey, and complements evidence from a range of other sources. The findings mostly concur with other evidence but provide important new data in relation to medication, unmet needs in psychotherapy and use of the CPA. They remain suggestive of the complex nature of discrimination and/or unequal access and treatment in mental health services. (Publisher abstract)
Pathways to care in first episode psychosis: a pilot study on help-seeking precipitants and barriers to care
- Authors:
- JUDGE Abigail M., et al
- Journal article citation:
- Journal of Mental Health, 14(5), October 2005, pp.465-469.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Individuals experiencing first episode (FE) psychosis encounter significant delays in obtaining appropriate treatment. This American study aimed to examine the duration of untreated psychosis in a FE population, to describe precipitants of help-seeking attempts, and to identify barriers to obtaining appropriate treatment. Twenty individuals who recently received antipsychotic treatment for a FE of psychosis were interviewed about help-seeking behaviors. A total of 75 help-seeking attempts were reported. Fifty percent of the sample reported aggressive behaviors toward the self or others prior to obtaining treatment. Patients and their families experienced significant delays in linking with appropriate psychiatric care. The most common barrier to treatment was a failure to recognize the seriousness of behavioral changes as part of a mental illness. The authors call for further investigations on treatment delay that highlight barriers to care and emphasize the patient's perspective.
More, better and fairer: the state of the nation
- Author:
- McGRAIL Sara
- Journal article citation:
- Druglink, 19(6), November 2004, pp.29-31.
- Publisher:
- Drugscope
- Place of publication:
- London
The author, former Assistant Director of Programme Implementation at the NTA, explores the extent to which the NTA's mission statement delivers to the treatment and crime aims of the National Drugs Strategy and makes the case for mainstreaming drug policy.
Complex service needs of emerging adults accessing treatment for co-occurring opioid and mental health conditions
- Authors:
- LOMBARDI Brianna M., et al
- Journal article citation:
- Social Work in Mental Health, 19(6), 2021, pp.502-516.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Emerging adults are at high risk for opioid-use disorders (OUDs); however, their service use and co-occurring needs are infrequently described. This study analyzed county-level Medicaid claims across 3 years (2016–2018). A total of 1,665 individuals aged 17–25 received OUD services. More than 54% of the sample received services for a co-occurring mental health (MH) disorder. Only 21.3% received medications for OUDs (MOUDs), yet those with co-occurring MH were less likely to receive MOUDs and more likely to receive high-intensity services. This article will describe the characteristics of OUD and co-occurring treatment for emerging adults and address implications for social work. (Edited publisher abstract)
Differential gateways, facilitators, and barriers to substance use disorder treatment for pregnant women and mothers: a scoping systematic review
- Authors:
- CHOI Sugy, et al
- Journal article citation:
- Journal of Addiction Medicine, early cite 10 August 2021,
- Publisher:
- Lippincott Williams and Wilkins
- Place of publication:
- Baltimore
Objectives: Access to substance use disorder (SUD) treatment is complex, and more so for pregnant women and mothers who experience unique barriers. This scoping systematic review aimed to summarize contemporary findings on gateways, facilitators, and barriers to treatment for pregnant women and mothers with SUD. Methods: This study used the scoping review methodology and a systematic search strategy via MEDLINE/PubMed and Google Scholar. The search was augmented by the similar article lists for sources identified in PubMed. Scholarly and peer-reviewed articles that were published in English from 1996 to 2019 were included. A thematic analysis of the selected studies was used to summarize pathways to SUD treatment and to identify research gaps. Results: The analysis included 41 articles. Multiple gateway institutions were identified: health care settings, social service agencies, criminal justice settings, community organizations, and employers. Some of the identified facilitators and barriers to SUD treatment were unique to pregnant women and mothers (eg, fear of incarceration for child abuse). Both personal (emotional support and social support) and child-related factors (loss of children, suspension or termination of parental rights, the anticipation of reuniting with children) motivated women to seek treatment. Major access barriers included fear, stigma, charges of child abuse, inconvenience, and financial hardship. Conclusions: There has been progress in implementing different types of interventions and treatments for that were attentive to pregnant women and mothers’ needs. This study developed a conceptual model that characterized women's pathways to treatment by deciphering women's potential engagement in gateway settings. (Edited publisher abstract)
Youth mental health: new economic evidence
- Authors:
- KNAPP Martin, et al
- Publisher:
- Personal Social Services Research Unit
- Publication year:
- 2016
- Pagination:
- 117
- Place of publication:
- London
Examines the economic challenges of youth mental health problems in England, focusing on adolescents and young adults. The report summarise findings from a review of the international evidence on the economic impact of youth mental health services, an analysis of the economic implications of youth mental health problems – including the failure to recognise or treat them – and an evaluation of two models of youth mental health service provision in England. The report found that for young people aged 12–15 at baseline assessment (aged 15–18 by the end of the follow-up period), mental health-related average costs over the three-year follow-up period totalled £1,778 a year. In addition, the report shows that young people aged 16 to 25 with mental health issues at baseline are significantly more likely not to be in employment, education or training (NEET) than those without such issues. Among the group with mental health issues, those in contact with services are much more likely to be receiving benefits. A key theme emerging from the research is the substantial unmet need for services for young people with mental health problems - the treatment gap has been known for at least two decades and this study identifies treatment gaps dating from 1999. Tentative findings suggest that local specialist youth mental health services can generate significant improvements in mental health, employment, education and training outcomes. Contacts with services such as emergency and inpatient hospital care and the criminal justice system can also be reduced. (Edited publisher abstract)
Drug use disorders: QS23
- Author:
- NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE
- Publisher:
- National Institute for Health and Care Excellence
- Publication year:
- 2012
- Place of publication:
- Manchester
This quality standard covers the treatment of adults (18 years or over) who misuse opioids, cannabis, stimulants or other drugs in all settings in which care is received, in particular inpatient and specialist residential and community-based treatment settings. This includes related organisations such as prison services and the interface with other services, for example those provided by the voluntary sector. The standards sets out key quality statements, which focus on: access to needle and syringe programmes; offer of comprehensive assessment to drug users; family and carer assessment; testing and referral for treatment for hepatitis B, hepatitis C and HIV and vaccination for hepatitis B; information and advice about treatment options, including harm-reduction, maintenance, detoxification and abstinence; psychosocial interventions; support to access services that promote recovery and reintegration including housing, education, employment, personal finance, healthcare and mutual aid; appropriate formal psychosocial interventions and/or psychological treatments; continued treatment or support for at least 6 months for people who have achieved abstinence; access to information and advice on the NICE eligibility criteria for residential rehabilitative treatment. (Edited publisher abstract)
A pilot investigation of Quest Institute Cognitive Hypnotherapy services using Improving Access to Psychological Therapies as the benchmark
- Authors:
- ANDREWS William Peter, et al
- Journal article citation:
- Mental Health Review Journal, 20(3), 2015, pp.199-210.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to investigate the treatment effects of Quest cognitive hypnotherapy (QCH) on anxiety and depression, and make comparisons with published data from the Improving Access to Psychological Therapies (IAPT) project. Design/methodology/approach: Adult clients of QCH therapists were invited to enrol in a Practice Research Network (PRN) and completed pre- and post-therapy measures of anxiety (GAD-7) and depression (PHQ-9). Findings: Post-treatment scores were available for 83 of the 106 clients reaching caseness (above the clinical cut-off on either or both measures) on their pre-treatment scores. Totally, 59 clients had moved to recovery, representing 71 per cent of cases where post scores were available and 56 per cent of the intent to treat (ITT) population (106 clients). Additionally, including all cases (both above and below cut-offs) 118 clients had post-treatment measures. In total, 86 (73 per cent) clients improved reliably. The mean number of treatment sessions was between three and four. This compares favourably with 2012-2013 IAPT findings using the same measures. Research limitations/implications: This study was exploratory involving a client group paying privately for treatment. There was no randomised control group or attempt to evaluate the effectiveness of specific components of therapy. Practical implications: QCH may offer a brief effective treatment for clients with clinically significant levels of anxiety and/or depression, widening client choice. Originality/value: As the first study to explore the effectiveness of private QCH this study offers an example of how to use a PRN to compare with published IAPT data using the same measurement tools. (Publisher abstract)
Community-level barriers to recovery for substance-dependent rural residents
- Authors:
- YOUNG Lance Brendan, GRANT Kathleen M., TYLER Kimberly A.
- Journal article citation:
- Journal of Social Work Practice in the Addictions, 15(3), 2015, pp.307-326.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This article identifies potential barriers to substance use recovery associated with rural residence. The evidence is discussed and illustrated with examples. Fourteen specific barriers to substance abuse recovery are identified within 4 broad categories: access to treatment services, access to other professionals, access to peer support groups, and barriers to confidentiality. Although telehealth, expansion of mental health care, intensive referral, and other efforts might enhance access to care, the evidence suggests practitioners and researchers should remain aware of community-level barriers to recovery from substance use disorder and work with clients to overcome them. (Publisher abstract)
Symptoms of depression and their effects on employment
- Authors:
- STEADMAN Karen, TASKILA Tyna
- Publisher:
- The Work Foundation
- Publication year:
- 2015
- Pagination:
- 79
- Place of publication:
- London
This study looks at the role that symptoms associated with depression can have on an individual’s ability to find a job, or remain in employment. It also explores the evidence around which interventions and support might improve employment outcomes for people experiencing these symptoms, and make a series of recommendations on how employment outcomes for this group may be enhanced. The study found that specific symptoms, including low mood, difficulty concentrating, and negative thinking, can have a considerable effect on employment outcomes, and that poor awareness and access to appropriate, evidence-based services are forming barriers to improving rates of employment for people with depression – many of whom want to work, and are able to work. The report was informed by a review of the recent academic literature on symptoms of depression and employment outcomes, and through interviews with experts in the field. (Edited publisher abstract)