Search results for ‘Subject term:"mental health care"’ Sort:
Results 1 - 10 of 41
A utilization-focused approach to evaluating a “youth-friendly” mental health program: The Youth Net/Reseau Ado story
- Author:
- ARMSTRONG Laura Lynne
- Journal article citation:
- Vulnerable Children and Youth Studies, 4(4), December 2009, pp.361-369.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
The major goal of this study was to present an evaluation framework based on utilisation-focused research. The programme under investigation was Youth Net/Reseau Ado, a non-profit, bilingual mental health programme designed to address limited service utilisation and distress experienced by adolescents aged 13-18 years. This was evaluated using the framework of Patton’s utilisation-focused model, which involves the use of decision-makers in all aspects of the evaluation. In this study, both staff and youth stakeholders were involved in the process of designing the evaluation, providing ongoing feedback, interpreting results and establishing recommendations. This resulted in a unique youth-friendly model which took into account and valued the capacity of stakeholders, mobilised their assets and respected their perspectives. The findings of this evaluation were used consistently in meaningful ways for decision-making and program improvement. Furthermore, stakeholder engagement also appeared to enhance commitment to evaluation. Ultimately, the utilisation-focused framework could serve as an evaluation model to enhance continuous improvements in professional practice and outcomes for youth.
Modeling the mental health effects of victimization among homeless persons
- Authors:
- PERRON Brian Edward, et al
- Journal article citation:
- Social Science and Medicine, 67(9), November 2008, pp.1475-1479.
- Publisher:
- Elsevier
Homeless persons are victims of violent and non-violent crime at higher rates than housed populations. While studies have suggested that victimization can induce or exacerbate mental health problems, there is very little known about factors that may buffer the effects of victimization. This cross-sectional study examined the influence of victimization on depressive symptoms in over 9600 homeless and mentally ill adults participating in the Access to Community Care and Effective Services and Supports study (ACCESS) conducted in multiple cities across the USA relationships between victimization, depressive symptoms, and perceived safety were tested within a structural equation modeling framework using data collected at the baseline interview. The overall model exhibited a good fit with the data. Non-physical victimization was associated with higher levels of depressive symptoms, and physical victimization was associated with lower levels of perceived safety. As hypothesized, perceived safety was a significant partial mediator of depressive symptoms. These results underscore the complexity of the relationships between victimization and depression in homeless adults and the importance of addressing different types of victimization in homeless and mentally ill adults.
The trouble with Modernisation: we need better relationships, not policies and procedures
- Author:
- HAIGH Rex
- Journal article citation:
- Mental Health Review, 10(3), September 2005, pp.3-7.
- Publisher:
- Pier Professional
The author offers a personal perspective on how people with a diagnosis of personality disorder can often be made worse from unsuitable care from the statutory services and be caught in a 'cycle of rejection'. He argues that this is inevitable in a system that defines what is acceptable in solely behavioural terms, institutionalises coercion through mechanisms like Care Programme Approach, pays attention to only one type of evidence, prizes the technological over the human, and pays little regard to trust.
A guiding star
- Author:
- IMONIORO Onyemaechi
- Journal article citation:
- Mental Health Today, March 2010, pp.28-29.
- Publisher:
- Pavilion
- Place of publication:
- Hove
This brief article describes the mental health recovery star, soon due to be implemented across five strategic health authorities. The mental health recovery star, developed by Triangle Consulting and the Mental Health Providers Forum, is an outcomes measurement and key working tool that that has been designed for use in adult services, created with input from people with experience of mental ill health. The recovery star model consists of two elements: a visual diagram in the form of a ten pronged star maps progress across ten dimensions seen as central to recovery; and a ladder of change, which outlines five descriptive steps signifying an individual’s journey from mental ill health to recovery. The author examines how this model will be implemented, and looks at some of the issues raised and changes made during its pilot.
Promoting integrated care through a global treatment budget: a qualitative study in German mental health care using Rogers’ diffusion of innovation theory
- Authors:
- AFRAZ Farideh Carolin, et al
- Journal article citation:
- International Journal of Integrated Care, 21(4), 2021, p.4. Online only
- Publisher:
- International Foundation for Integrated Care
Introduction: Since 2003, as a means of enabling integrated care the German mental health care system has offered the innovative option of agreeing a Global Treatment Budget (GTB, also known as a regional psychiatric budget or innovative flexible and integrative forms of treatment FIT) with health insurers and regional care providers across sectors. Despite promoting legal frameworks and positive evidence on improving quality of patient care, this model has not spread widely. The aim of this study is to identify inhibiting and facilitating factors for the innovation diffusion. Theory and methods: We conducted expert interviews with 19 actors from nine German regions involved in GTBs, using a self-developed questionnaire based on Rogers’ theory on innovation diffusion extended by the innovation system approach. Interviews were analysed applying qualitative content analysis. Code categories were built deductively operationalising Rogers’ theory and inductively from the data generated. Results: Observability of the innovation was perceived as good, but trialability, reversibility, compatibility with regular care structures as low, and thus the perceived risks of adoption as high. Complexity up to implementation is high, caused by numerous individuals and stakeholder groups involved. Diffusion took place in environments of strong individuals with venturesomeness, opinion leadership, and informal networking. As favourable framework conditions the monopoly and non-profit position of hospitals in well-defined care regions were identified. Discussion and Conclusions: Diffusion of integrated care could be accelerated by dissolving the multi-actor constellation, changing the communication strategy, and adapting the legal framework. (Edited publisher abstract)
Modelling out-of-area admissions
- Authors:
- PATON Lewis W., TIFFIN Paul A.
- Journal article citation:
- British Journal of Psychiatry, 213(4), 2018, pp.615-616.
- Publisher:
- Cambridge University Press
Out-of-area (OOA) placements occur when patients cannot be admitted to local facilities, which can be extremely stressful for patients and families. Thus, the Department of Health aims to eliminate the need for OOA admissions. Using data from a UK mental health trust the authors developed a ‘virtual mental health ward’ to evaluate the potential impact of referral rates and length of stay (LOS) on OOA rates. The results indicated OOA rates were equally sensitive to LOS and referral rate. This suggests that investment in community services that reduce both LOS and referral rates are required to meaningfully reduce OOA admission rates. (Edited publisher abstract)
The power threat meaning framework: overview
- Authors:
- JOHNSTONE Louise, BOYLE Mary
- Publisher:
- British Psychological Society
- Publication year:
- 2018
- Pagination:
- 139
- Place of publication:
- Leicester
This overview outlines the main principles and scope of the Power Threat Meaning (PTM) Framework and summarises the evidence from which the Framework emerged. The PTM Framework provides an over-arching structure for identifying patterns in emotional distress, unusual experiences and troubling behaviour, as an alternative to psychiatric diagnosis and classification. The Framework comprises four interrelated aspects: the role of various kinds of power in people’s lives, the kind of threat that power may pose to a person or group, how meaning shapes the expression of threat, and the ways people have learnt to respond to those threats. The overview report also includes guidelines on how the PTM Framework might be used in service, peer support or self-help settings and appendices which illustrate some of the ways in which non-diagnostic practice has already been successfully adopted both within and beyond services. (Edited publisher abstract)
The Power Threat Meaning Framework: towards the identification of patterns in emotional distress, unusual experiences and troubled or troubling behaviour, as an alternative to functional psychiatric diagnosis
- Authors:
- JOHNSTONE Lucy, BOYLE Mary
- Publisher:
- British Psychological Society
- Publication year:
- 2018
- Pagination:
- 414
- Place of publication:
- Leicester
This report describes the Power Threat Meaning Framework, which provides an over-arching structure for identifying patterns in emotional distress, unusual experiences and troubling behaviour, as an alternative to psychiatric diagnosis and classification. The Framework summarises evidence about the role of various kinds of power in people’s lives, the kinds of threat that misuse of power poses, and the ways people have learnt to respond to those threats or ‘symptoms’. It looks at how to make sense of these difficult experiences and how messages from wider society can increase feelings of shame, self-blame, isolation, fear and guilt. The report also outlines the context, principles, research and practice from which the Power Threat Meaning Framework emerged. The approach is summarised in four questions that can apply to individuals, families or social groups: What has happened to you? (How is power operating in your life?); How did it affect you? (What kind of threats does this pose?); What sense did you make of it? (What is the meaning of these situations and experiences to you?); and What did you have to do to survive? (What kinds of threat response are you using?). Two further questions look at the skills and resources people might have and how they might pull all these ideas and responses together into a personal narrative or story: What are your strengths? (What access to Power resources do you have?) and What is your story? (How does all this fit together?). (Edited publisher abstract)
Mental health and new models of care: lessons from the vanguards
- Authors:
- NAYLOR Chris, CHARLES Anna, TAGGART Holly
- Publisher:
- Kings Fund
- Publication year:
- 2017
- Pagination:
- 86
- Place of publication:
- London
Based on research conducted by the King’s Fund and the Royal College of Psychiatrists, this report explores what successful integration of mental health within new models of care could look like. It found that while some of the vanguard sites developing new care models report promising early results from adopting a whole-person approach and removing the barriers between mental health and other parts of the health system, the full opportunities to improve care through integrated approaches to mental health have not yet been realised. The report draws on interviews from 22 vanguard sites, in-depth case study interviews with three vanguards and an expert workshop. It sets out nine principles for successful integration of mental health in new models of care. It also describes how multispecialty community providers (MCP) and primary and acute care systems (PACS) vanguard sites are making changes to support people with highly complex needs; ongoing long term care needs; urgent care need; and in supporting whole-population health. Finally it highlights lessons learnt for delivery across the three case study sites and provides a series of recommendations. (Edited publisher abstract)
Family-centered care in adults’ mental health: challenges in clinical social work practice
- Authors:
- WONG Oi Ling, WAN Erica Suk Fan, NG Monica Lai Tuen
- Journal article citation:
- Social Work in Mental Health, 14(5), 2016, pp.445-464.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This article presents findings from an exploratory study to examine mental health social workers’ perspectives on factors that impede the implementation of family-centred care to adult mental health practice in Hong Kong. Seven mental health social workers were interviewed. The analysis identified a paradigm shift from a biomedical to a family-centred and strengths-based perspective; a paradigm shift from risk control to proactive case management, and a paradigm shift from management accountability to professional empowerment as affecting the frontline practitioners in applying a family-centred approach to mental health care. Recommendations for clinical social work practice at individual, organisational, and policy levels are outlined. (Edited publisher abstract)