This publication provides a detailed picture of people who used NHS funded secondary mental health, learning disabilities and autism services in England during the financial year 2019-20. Key findings include: 2,878,636 people were known to be in contact with secondary mental health, learning disabilities and autism services at some point in the year – 763,888 of these were under 18 years of age; this means that 5.1% of people in England were known to be in contact with secondary mental health, learning disabilities and autism services during this year; 3.6% (104,536) of people known to be in contact with secondary mental health, learning disabilities and autism services spent time in hospital as part of being in contact with these services during 2019-20.
(Edited publisher abstract)
This publication provides a detailed picture of people who used NHS funded secondary mental health, learning disabilities and autism services in England during the financial year 2019-20. Key findings include: 2,878,636 people were known to be in contact with secondary mental health, learning disabilities and autism services at some point in the year – 763,888 of these were under 18 years of age; this means that 5.1% of people in England were known to be in contact with secondary mental health, learning disabilities and autism services during this year; 3.6% (104,536) of people known to be in contact with secondary mental health, learning disabilities and autism services spent time in hospital as part of being in contact with these services during 2019-20.
(Edited publisher abstract)
Subject terms:
mental health, mental health services, learning disabilities, autism;
The Count Me In census 2006 was a joint initiative by the Healthcare Commission, the Mental Health Act Commission and the National Institute for Mental Health in England. It aimed to provide accurate figures on the numbers of inpatients in mental health and learning disability services in England and Wales. This report presents the key findings from the census.
The Count Me In census 2006 was a joint initiative by the Healthcare Commission, the Mental Health Act Commission and the National Institute for Mental Health in England. It aimed to provide accurate figures on the numbers of inpatients in mental health and learning disability services in England and Wales. This report presents the key findings from the census.
Subject terms:
learning disabilities, mental health services, patients;
A research project on the interface between mental health and learning disability services. The main objective of this research project, which was funded by the South West Regional NHS Research and Development Directorate, was to carry out an audit of ‘pressure points’ within services for people with learning disabilities and mental health needs in South West England. A retrospective two-year census of case files (n=348) was carried out, supplemented by in-depth interviews with key clinical staff (n=30), and semi-structured interviews with commissioners from Valuing People Partnership Boards (n =10) and Local Implementation Teams for the National Service Framework for Mental Health (n=9). The main outcome measures were descriptions of patterns of service use, along with the presence (or otherwise) of disputes and/or joint working, set in the context of the views of providers and commissioners.
A research project on the interface between mental health and learning disability services. The main objective of this research project, which was funded by the South West Regional NHS Research and Development Directorate, was to carry out an audit of ‘pressure points’ within services for people with learning disabilities and mental health needs in South West England. A retrospective two-year census of case files (n=348) was carried out, supplemented by in-depth interviews with key clinical staff (n=30), and semi-structured interviews with commissioners from Valuing People Partnership Boards (n =10) and Local Implementation Teams for the National Service Framework for Mental Health (n=9). The main outcome measures were descriptions of patterns of service use, along with the presence (or otherwise) of disputes and/or joint working, set in the context of the views of providers and commissioners.
Subject terms:
learning disabilities, mental health problems, mental health services, outcomes;
University of Leicester. Nuffield Community Care Studies Unit
Publication year:
1995
Pagination:
57p
Place of publication:
Leicester
The Health of the Nation document (1992) identified services for mentally disordered offenders (MDOs) as a priority problem. It is against this background that Leicestershire Health has asked for a literature review of services for this client category in order to inform the commissioning process. This review is chiefly concerned with the overall pattern of services which should be available for MDOs and does not include material specific to the technical skills of the various professionals who provide help for MDOs. For example, there is no discussion of the sorts of therapies which can be used for different sorts of offenders. It is assumed that such information will form part of individual professionals' own skills. Information is not given on specific client categories, such as women, ethnic minorities and people with learning disabilities, or on consumer views.
The Health of the Nation document (1992) identified services for mentally disordered offenders (MDOs) as a priority problem. It is against this background that Leicestershire Health has asked for a literature review of services for this client category in order to inform the commissioning process. This review is chiefly concerned with the overall pattern of services which should be available for MDOs and does not include material specific to the technical skills of the various professionals who provide help for MDOs. For example, there is no discussion of the sorts of therapies which can be used for different sorts of offenders. It is assumed that such information will form part of individual professionals' own skills. Information is not given on specific client categories, such as women, ethnic minorities and people with learning disabilities, or on consumer views.
Extended abstract:
Author:DREWETT Alison Title: A literature review of services for mentally disordered offenders Publisher: University of Leicester. Nuffield Community Care Studies Unit, 1995
Summary
This review is chiefly concerned with the overall pattern of services which should be available for mentally disordered offenders (MDOs), and does not include material specific to the technical skills of the various professionals who provide help for MDOs. For example, there is no discussion of the sorts of therapies which can be used for different sorts of offenders. It is assumed that such information will form part of individual professionals' own skills. Information is not given on specific client categories, such as women, ethnic minorities and people with learning disabilities, or on consumer views.
Context
The Health of the Nation document (1992) identified services for mentally disordered offenders (MDOs) as a priority problem. It is against this background that Leicestershire Health asked for a literature review of services for this client category in order to inform the commissioning process.
Contents
The introduction gives the background and explains how the review was carried out, concentrating chiefly on collecting unpublished and less readily available information (‘grey literature') from the varied agencies which purchase and provide services for this client category. Section 2 discusses numbers of mentally disordered offenders and the psychiatric needs of prisoners, those in contact with the probation service, those taken to police stations, and all offenders. Section 3 is about multi-agency working, discussing the problems and concluding that many agencies are now engaging in a multi-disciplinary approach and authorities are beginning to try to identify what works. The following chapters examine some of the services being put in place. Section 4 is on diverting MDOs, asking why this is done, describing where diversion takes place and the numbers identified and diversion schemes, and discussing effectiveness. Secure accommodation for mentally disordered offenders is discussed in Section 5: prisons, special hospitals, regional secure units, and psychiatric wards, ending with service developments in providing a coherent secure service and assessing risk. Section 6 covers community care for MDOs, with sections on training and service problems. The publication concludes that although the principle of providing health care instead of punishment for MDOs is not new, coherent health and social care is not available for all in the UK , and the level depends very much on where they live. Agencies must work together. The comparatively few offenders presenting serious danger tend to distort responses, with the risk of resources being concentrated on them at the expense of the far more numerous others. Some psychopaths may not receive any health care because they are considered untreatable. All parts are interdependent and repercussions of neglect will be felt elsewhere. While, in theory, there is a push towards helping all types of clients have access to generic services, there is nevertheless some call for specific services staffed by for generic professionals.those trained to help MDOs – as if, in practice, generic services were not answering. Given the scale of need, services are unlikely to be able to given all the help all MDOs need, so there must be a balance between providing highly specialised services on the one hand and, on the other, educating staff in generic services so that they are able to respond to the needs of MDOs. Specialist staff should be available in an advisory capacity
64 references
Subject terms:
learning disabilities, literature reviews, mental health services, mentally disordered offenders;
This Mental Health Action Plan aims to improve people’s experience of mental health services in Northern Ireland and ensure the health and social care system work better to be able to improve people’s experience. The actions in this plan fall into three broad categories: immediate service developments, longer term strategic objectives and preparatory work for future strategic decisions. The first category aims to provide fixes to immediate problems and immediate service developments where there has been an identified immediate need. This includes, for example, consideration of alternative methods of working for the mental health workforce to respond to the immediate, and significant, workforce pressures. The longer-term strategic objectives aim to fulfil future strategic needs and includes, for example, a workforce review to consider how the mental health workforce should be structured. The third category relates to preparatory work for future strategic directions. This includes, for example, development of an action plan for the use of technology and creating better governance structures. The document also contains a COVID-19 Mental Health Response Plan as an annex, which outlines key areas of intervention during the pandemic to help and support the population as a whole.
(Edited publisher abstract)
This Mental Health Action Plan aims to improve people’s experience of mental health services in Northern Ireland and ensure the health and social care system work better to be able to improve people’s experience. The actions in this plan fall into three broad categories: immediate service developments, longer term strategic objectives and preparatory work for future strategic decisions. The first category aims to provide fixes to immediate problems and immediate service developments where there has been an identified immediate need. This includes, for example, consideration of alternative methods of working for the mental health workforce to respond to the immediate, and significant, workforce pressures. The longer-term strategic objectives aim to fulfil future strategic needs and includes, for example, a workforce review to consider how the mental health workforce should be structured. The third category relates to preparatory work for future strategic directions. This includes, for example, development of an action plan for the use of technology and creating better governance structures. The document also contains a COVID-19 Mental Health Response Plan as an annex, which outlines key areas of intervention during the pandemic to help and support the population as a whole.
(Edited publisher abstract)
Subject terms:
Covid-19, mental health services, learning disabilities, planning, government policy;
An earlier report by NDTi, ‘Reasonably adjusted’ (2012) described the reasonable adjustments mental health services were already putting in place for people with learning disabilities and people with autism. The NHS Confederation, supported by the Department of Health, commissioned the NDTi to develop and produce materials to help services review their own quality and share and replicate good practice. These are published as the Green Light Toolkit 2013, which comprise practical new materials designed to help improve the quality of mental health services for adults with learning disabilities and/or autism. The toolkit includes an audit framework to support reviews; an easy-read version of the audit framework and toolkit; and examples.
(Edited publisher abstract)
An earlier report by NDTi, ‘Reasonably adjusted’ (2012) described the reasonable adjustments mental health services were already putting in place for people with learning disabilities and people with autism. The NHS Confederation, supported by the Department of Health, commissioned the NDTi to develop and produce materials to help services review their own quality and share and replicate good practice. These are published as the Green Light Toolkit 2013, which comprise practical new materials designed to help improve the quality of mental health services for adults with learning disabilities and/or autism. The toolkit includes an audit framework to support reviews; an easy-read version of the audit framework and toolkit; and examples.
(Edited publisher abstract)
Subject terms:
mental health services, autistic spectrum conditions, learning disabilities, quality assurance, good practice;
BATES Peter, TURNER Sue, NATIONAL DEVELOPMENT TEAM FOR INCLUSION
Publisher:
National Development Team for Inclusion
Publication year:
2012
Pagination:
65
Place of publication:
Bath
The law requires mental health services to make reasonable adjustments so that they stop discriminating against people with autism or learning disabilities. ‘Reasonably adjusted?’ describes the reasonable adjustments mental health services have put in place for people with learning disabilities and people with autism. It is organised in three sections, starting with a summary of the context. The second section follows a care pathway from first contact with primary care services through referral to specialist help and on to discharge, reporting on the adjustments made by individuals and organisations that are trying to provide high quality services to people and their families The third section: ‘Effective services in a flourishing community’ begins with a broad view of active citizenship and follows an organisational pathway. ‘Reasonably adjusted?’ offers practical examples and includes an easy ready summary. Its content forms the basis of a subsequent NDTi publication, ‘The green light toolkit’ (2013).
(Edited publisher abstract)
The law requires mental health services to make reasonable adjustments so that they stop discriminating against people with autism or learning disabilities. ‘Reasonably adjusted?’ describes the reasonable adjustments mental health services have put in place for people with learning disabilities and people with autism. It is organised in three sections, starting with a summary of the context. The second section follows a care pathway from first contact with primary care services through referral to specialist help and on to discharge, reporting on the adjustments made by individuals and organisations that are trying to provide high quality services to people and their families The third section: ‘Effective services in a flourishing community’ begins with a broad view of active citizenship and follows an organisational pathway. ‘Reasonably adjusted?’ offers practical examples and includes an easy ready summary. Its content forms the basis of a subsequent NDTi publication, ‘The green light toolkit’ (2013).
(Edited publisher abstract)
Subject terms:
autism, learning disabilities, learning disabilities services, mental health services, good practice;
This review of compliance is from The Birling Centre, Kent and Medway NHS, an inpatient facility for people with learning disabilities who may also have a mental illness and severe challenging behaviour. Nine patients were using the service at the time of the visit. The unit is registered to provide: assessment or medical treatment for persons detained under the Mental Health Act 1983; treatment of disease, disorder or injury; and diagnostic and screening procedures. The report found that the Birling Centre was not meeting one or more essential standards. Improvements were needed in the following areas: there were major concerns that outcome 4 needed improvements – ‘people should get safe and appropriate care that meets their needs and supports their rights’; and outcome 7 was adequate – ‘people should be protected from abuse and staff should respect their human rights’.
This review of compliance is from The Birling Centre, Kent and Medway NHS, an inpatient facility for people with learning disabilities who may also have a mental illness and severe challenging behaviour. Nine patients were using the service at the time of the visit. The unit is registered to provide: assessment or medical treatment for persons detained under the Mental Health Act 1983; treatment of disease, disorder or injury; and diagnostic and screening procedures. The report found that the Birling Centre was not meeting one or more essential standards. Improvements were needed in the following areas: there were major concerns that outcome 4 needed improvements – ‘people should get safe and appropriate care that meets their needs and supports their rights’; and outcome 7 was adequate – ‘people should be protected from abuse and staff should respect their human rights’.
Subject terms:
hospitals, inspection, learning disabilities, mental health services, standards;
This review of compliance is from Slade House, Oxfordshire Learning Disability NHS Trust, an inpatient facility for people with learning disabilities who may also have a mental illness and severe challenging behaviour who need to be treated in a secure environment. Fourteen patients were using the service at the time of the inspection. Slade House is registered with the Care Quality Commission to provide: assessment or medical treatment for persons detained under the Mental Health Act 1983; and treatment of disease, disorder or injury. This inspection report found that Slade House was meeting all the essential standards of quality and safety that were reviewed.
This review of compliance is from Slade House, Oxfordshire Learning Disability NHS Trust, an inpatient facility for people with learning disabilities who may also have a mental illness and severe challenging behaviour who need to be treated in a secure environment. Fourteen patients were using the service at the time of the inspection. Slade House is registered with the Care Quality Commission to provide: assessment or medical treatment for persons detained under the Mental Health Act 1983; and treatment of disease, disorder or injury. This inspection report found that Slade House was meeting all the essential standards of quality and safety that were reviewed.
Subject terms:
hospitals, inspection, learning disabilities, mental health services, standards;