Search results for ‘Subject term:"mental health care"’ Sort:
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Financing mental health care in Europe
- Authors:
- KNAPP Martin, et al
- Journal article citation:
- Journal of Mental Health, 16(2), April 2007, pp.167-180.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Some of the most heated discussions about health policy concern financing and the funding base for services. How have west European countries approached the financing of their mental health systems? The aim was to describe the financing arrangements for mental health care in 17 European countries, and to identify the consequences for system efficiency, access and development. A structured questionnaire was completed by partners in the Mental Health Economics European Network (MHEEN) to describe funding levels and financing arrangements in their countries. Responses were interpreted in the context of the wider literature on health care financing. All participating countries are committed to collective pre-payment modes of financing of health care in general, and mental health care in particular. However, there is growing reliance on voluntary (private) health insurance, at the margins at least, with implications for targeting and equity. The movement of some support responsibilities into social care and housing sectors could further shift funding burdens onto individuals and families. Europe's long-term commitment to social solidarity and mutuality must not be threatened by changes to funding arrangements that could undermine recent efficiency and equity achievements in mental health systems. Efforts to contain health care expenditure may have adverse consequences for mental health care access and utilization.
SCIE research briefing 30: the relationship between dual diagnosis: substance misuse and dealing with health issues
- Authors:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE, CROME Ilana, et al
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2009
- Pagination:
- 23p.
- Place of publication:
- London
This briefing examines the issues presented by service users with dual diagnosis for UK practitioners in health and social care. Confusingly, the term ‘dual diagnosis’ is used to describe several combinations of physical, psychological or developmental conditions; but for the purpose of this briefing, it refers to the co-existence of substance misuse and mental health problems. This briefing considers all age groups and uses the term ‘substance’ to refer to illegal or illicit drugs; alcohol; nicotine and prescription drugs. The terms ‘substance’ and ‘drug’ are used interchangeably. ‘Mental health problems’ refers to severe or enduring conditions, while ‘substance misuse’ refers to chronic or complex substance use problems. The briefing does not consider specific pharmacological or other treatment interventions in detail, but focuses on issues arising at the health and social care interface. It draws on research and literature from other countries, including the US where the majority of research on dual diagnosis has been conducted; to provide an overview for health and social care practitioners in the UK. Where there are gaps in the research, for example, in regard to service user involvement, recovery approaches and personalisation of services, the briefing draws upon evidence from relevant fields such as mental health and substance misuse. Throughout this briefing the terms, patient, client, and service user are used interchangeably to reflect the different usages prevalent within different sectors of health and social care.
Mental health aftercare in England and Wales: arrangements for resolving disputes over ordinary residence involving local authorities in England and Wales
- Authors:
- GREAT BRITAIN. Department of Health, WALES. Welsh Government
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2015
- Pagination:
- 7
- Place of publication:
- London
Arrangements for resolving disputes about mental health aftercare services involving local authorities in England and Wales. From 1 April 2015 the local authority responsible for mental health aftercare services, under section 117 of the Mental Health Act 1983, will normally be the one where the person was ordinarily resident immediately before they were detained under the Act. This document establishes that the Secretary of State will determine the dispute if the lead authority is in England while the Welsh Ministers will determine the dispute if the lead authority is in Wales. If there is a dispute as to where the person was living immediately before being detained under the 1983 Act, the Secretary of State and the Welsh Ministers will agree between themselves who will determine the dispute. (Edited publisher abstract)
Commissioning for mental health
- Author:
- SEYMOUR Linda
- Journal article citation:
- Mental Health Review Journal, 15(1), March 2010, pp.4-9.
- Publisher:
- Emerald
In this article, the author notes that commissioning is integral to the government's change agenda for public services with its crosscutting aims of keeping people well, improving overall health and reducing inequalities, but that although commissioning for mental health should be a clear-cut aspect of health and social care planning and investment, it remains a significant challenge. The article discusses the reasons for this and helpful models emerging, arguing that a shift towards closer partnership working between health, social care and other organisations has been encouraged by various policies in recent years, some of which are directly relevant to mental health commissioners. It looks at the Commissioning Framework for Health and Wellbeing, key competencies, public service agreements and national indicators, the pace of change, economic impetus, and the future of commissioning in mental health services.
Forced migration and mental health: rethinking the care of refugees and displaced persons
- Editors:
- INGLEBY David, (ed.)
- Publisher:
- Springer
- Publication year:
- 2005
- Pagination:
- 218p.
- Place of publication:
- New York
In the last two decades, the provision of appropriate mental health care for the growing number of asylum seekers, refugees and displaced persons has become a focus of major concern. That care should be provide seems be increasingly accepted, but the Editor of this volume suggests that considerable controversy still remains around what type of care is needed. The contributors aim to provide a critical review of mental health care provision for these groups, to discuss the controversies arising and to highlight new developments. The book is divided into two parts. Part I discusses humanitarian aid and reconstruction programmes and Part II looks at service provision in host countries, including the needs of special groups such as women and children. Building on the themes of cultural appropriateness and an interdisciplinary view of mental health, the writers express the need to view refugees in the context of their own political and existential situations. It tries to avoid imposing Western technological solutions and instead seeks to foster an understanding of the strengths of “indigenous” ways of dealing with hardship and suffering. The book will be of interest to psychiatrist, psychologist and social workers involved with displaced persons as well as policy makers and students.
Mental health care roles of non-medical primary health and social care services
- Author:
- MITCHELL Penny
- Journal article citation:
- Health and Social Care in the Community, 17(1), February 2009, pp.71-82.
- Publisher:
- Wiley
Very little research has examined the nature of the roles that non-medical primary health and social care services actually or potentially play in mental health care. Lack of information about these roles could have inhibited development of service improvement initiatives targeting these services. The present paper reports the results of an exploratory study that examined the mental health care roles of 41 diverse non-medical primary health and social care services in the state of Victoria, Australia. Data were collected in 2004 using a purposive sampling strategy. A novel method of surveying providers was employed whereby respondents within each agency worked as a group to complete a structured survey that collected quantitative and qualitative data simultaneously. This paper reports results of quantitative analyses including a tentative principal components analysis that examined the structure of roles. Non-medical primary health and social care services are currently performing a wide variety of mental health care roles and they aspire to increase their involvement in this work. However, these providers do not favour approaches involving selective targeting of clients with mental disorders.
Creating capable teams approach (CCTA): best practice to support the implementation of new ways of working (NWW) and new roles: executive summary
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2007
- Pagination:
- 13p.
- Place of publication:
- London
This is a companion document to the New Ways of Working (NWW) for Everyone Progress Report as a way of helping mental health teams to reflect on their current and future capabilities and skill mix and so help to deliver NWW in mental health. It is an ‘off the shelf’, 5 step approach to support teams to implement NWW and New Roles. The CCTA can be used in all areas of mental health, across health and social care, for all ages, in statutory, voluntary and private sectors.
Creating capable teams approach (CCTA): best practice to support the implementation of new ways of working (NWW) and new roles: participant's handbook
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2007
- Pagination:
- 144p.
- Place of publication:
- London
This is a companion document to the New Ways of Working (NWW) for Everyone Progress Report as a way of helping mental health teams to reflect on their current and future capabilities and skill mix and so help to deliver NWW in mental health. It is an ‘off the shelf’, 5 step approach to support teams to implement NWW and New Roles. The CCTA can be used in all areas of mental health, across health and social care, for all ages, in statutory, voluntary and private sectors.
Creating capable teams approach (CCTA): best practice to support the implementation of new ways of working (NWW) and new roles: facilitator's handbook
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2007
- Pagination:
- 179p.
- Place of publication:
- London
This is a companion document to the New Ways of Working (NWW) for Everyone Progress Report as a way of helping mental health teams to reflect on their current and future capabilities and skill mix and so help to deliver NWW in mental health. It is an ‘off the shelf’, 5 step approach to support teams to implement NWW and New Roles. The CCTA can be used in all areas of mental health, across health and social care, for all ages, in statutory, voluntary and private sectors.
International Journal of Integrated Care
- Publisher:
- International Foundation for Integrated Care
This is an international, European-based electronic journal which is available free of charge. It focuses on integrated care, including the methods and strategies for linking and coordinating the various aspects of care delivered by different systems at local, national and international levels. The full text of articles are freely available in English and abstracts are available in English, Spanish and French. This title is published as an online only title. This journal is selectively abstracted and indexed in Social Care Online.