Search results for ‘Subject term:"mental health problems"’ Sort:
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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.
Joining the dots: integrating practical support in mental healthcare settings in England
- Authors:
- ISAKSEN Mette, WILLIAMS Richard
- Publisher:
- Citizens Advice
- Publication year:
- 2017
- Pagination:
- 28
- Place of publication:
- London
This report provides an analysis of the advice needs of Citizens Advice clients in England who report having a mental health problem. It shows how recognising the links between people’s mental health and their wider practical problems is crucial both for preventing mental health problems from escalating and improving recovery rates. The report draws on the results of an analysis of client data, a survey of Citizens Advice advisors and a survey of 2,000 people across England. The analysis shows that a growing number of people who turn to Citizens Advice for advice report having mental health problems. In addition, clients with mental health problems tend to have more complex, urgent and multiple advice needs. The report uses Citizen Advice data to explore the advice needs of people with mental health problems across the areas of: finance, essential services, housing, employment, and benefits. It also provides evidence to show that the provision of practical advice and support alongside mental health services can improve patient wellbeing and outcomes and reduce demand on public services. Despite this, the research found that less than a third of people (32 per cent) nationally who access NHS services are referred to advice services, while twice as many (64 per cent) said this would be helpful. The report recommends that service providers should take action to ensure they are responding effectively to the needs of people with mental health problems and calls for government to fund a pilot for integrated practical support in primary mental healthcare settings. (Edited publisher abstract)
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)
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.
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.
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
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.
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.
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
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.