Search results for ‘Subject term:"mental health problems"’ Sort:
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The care programme approach
- Author:
- ROSPOPA John
- Journal article citation:
- Nursing Times, 1.4.98, 1998, pp.55-57.
- Publisher:
- Nursing Times
The author takes an in-depth look at a formalised multidisciplinary approach to caring for people with enduring mental health problems.
Bridging the gap
- Authors:
- LART Rachel, SWYER Barbara
- Journal article citation:
- Community Care, 1.7.97, 1997, pp.30-31.
- Publisher:
- Reed Business Information
The needs of prisoners with mental health problems which are not serious enough to fall within the remit of the Mental Health Act 1983 are often ignored, or at best dealt with by shunting the prisoner between agencies. The authors explain the pioneering work of the Wessex Project which was set up to help span the inter-agency divide.
Coordination, continuity, and centralized control: a policy perspective on service strategies for the chronic mentally ill
- Authors:
- DILL A.E.P., ROCHEFORT D.A.
- Journal article citation:
- Journal of Social Issues, 45(3), 1989, pp.145-159.
- Publisher:
- Wiley
Describes policies designed to encourage co-ordination of services and barriers to their successful implementation.
Joint targeted area inspection of the multi-agency response to children’s mental health in Plymouth
- Authors:
- OFSTED, et al
- Publisher:
- OFSTED
- Publication year:
- 2020
- Pagination:
- 10
- Place of publication:
- Manchester
Findings from a joint inspection about the effectiveness of partnership working and of the work of individual agencies responding to children’s mental health in Plymouth. The inspection was undertaken by HMI Constabulary and Fire & Rescue Services, Ofsted, the Care Quality Commission and HMI Probation. The report sets out the key strengths of partnership working and identifies areas for improvements. The findings show that partnership working is integral to Plymouth’s approach to improving services for children and ell-established strategic planning and commissioning help to focus on improving services and meet the emotional and mental health needs of children. The Plymouth trauma-informed practice approach is starting to be visible in practice across the partnership. However, the report suggests that quality assurance by the Plymouth and Torbay safeguarding children partnership is underdeveloped – this means that the partnership does not have the benefit of a robust analysis of the impact of statutory training and multi-agency audits. In addition, the governance arrangements for the youth offending team (YOT) are weak and require urgent attention. The emotional well-being and mental health needs of children accessing the YOT are not yet fully known or understood, and the partnership cannot be confident that they are being met. (Edited publisher abstract)
Boundary work in inter-agency and interprofessional client transitions
- Authors:
- SAARIO Sirpa, JUHILA Kirsi, RAITAKARI Suvi
- Journal article citation:
- Journal of Interprofessional Care, 29(6), 2015, pp.610-615.
- Publisher:
- Taylor and Francis
This article analyses the accomplishment of boundary work performed by professionals engaged in inter-agency collaboration. As a means of building authority within a particular field, boundary work is found to be a common feature of most professional practices. By analysing the talk of Finnish professionals who work in the field of supported housing in mental health, the article investigates the ways professionals - as collective representatives of their service - talk about doing boundary work when transferring their clients to another agency. The study drew on the principles of exploratory case study design and ethnomethodology. A key finding from the analysis of professionals’ focus groups and team meetings indicated that boundary work is employed when disputes arise between supported housing and collaborating agencies. The article goes on to suggest that professionals accomplish boundary work by rhetorically presenting themselves as holders of "day-to-day evidence" of clients’ mundane living skills and serious ill-health. The paper concludes by arguing that in inter-agency collaboration, boundary work building on day-to-day evidence is used to influence the decision on the most appropriate living arrangement for the client. Boundary work is also used for boosting the authority of professionals as representatives of a relatively new and fixed-term agency in the service system. (Publisher abstract)
Mind your language – complexities in defining “dual diagnosis”
- Author:
- SMITH Martin
- Journal article citation:
- Addiction Today, 21(126), September 2010, pp.34-35.
- Publisher:
- Addiction Recovery Foundation
Professionals often feel isolated when dealing with patients with dual diagnosis, or complex needs. This can be made worse by different interpretations, leading to varying policies across agencies. The author assesses clinical and social issues to develop recommendations. The author suggests there are differences between evidence-based practice, law and social policies, leading to social exclusion of this population. Comprehensive education on the issues should facilitate change. This should be aimed at hospitals, GPs, mental health services, social services, employment services and other relevant services. A service would address substance misuse, risk, housing, social and economic issues, and must have the flexibility to adapt services to client needs. It is this inherent complexity that leaves professionals feeling isolated –adding clear lines of responsibility mitigating the problem.
Falling between the same old cracks
- Author:
- MICKEL Andrew
- Journal article citation:
- Young Minds Magazine, 103, December 2009, pp.18-19.
- Publisher:
- YoungMinds
The link between poor mental health and homelessness has been known for some time, but a new report reveals there is still ignorance and lack of action among agencies to develop a coordinated response.
Client-level measures of services integration among chronically homeless adults
- Authors:
- MARES Alvin S., GREENBERG Greg A., ROSENHECK Robert A.
- Journal article citation:
- Community Mental Health Journal, 44(5), October 2008, pp.367-376.
- Publisher:
- Springer
This American study presents three client-level measures of services integration, two objective measures, representing the proportion of needed services received and the number of outpatient services received by each client, and one subjective measure, a five-item scale measuring perceived coordination of care among clients’ service providers. Data from the evaluation of the collaborative initiative to help end chronic homelessness (CICH) are used to examine bivariate and multivariate relationships of these three client-level measures to two system-level measures of services integration, one addressing interagency services coordination/planning and the other interagency trust/respect as well as to baseline client characteristics among 734 chronically homeless adults in 11 American cities. Client-level measures of service integration were not strongly associated to each other or to the system-level measures, except for weak associations between one objective client measure and the system-level measure of service coordination and planning, and another between client-level use of outpatient mental health services and system-level trust and respect. Multivariate analysis showed that clients who received a greater array of needed services received more service overall and were more likely to have a diagnosis of PTSD and more medical problems, but less serious alcohol problems. Clients who reported more outpatient mental health and substance abuse visits were significantly more likely to be married, to be veterans, to have more serious drug problems, and to be dually diagnosed. Clients with more serious drug problems reported poorer coordination among their service providers on the subjective measure of client-level service integration. Three client-level measures of services integration were, at best, weakly associated with measures of system-level integration. Positive associations between client-level measures of integration and health status, outpatient service use and negative relationships with indicators of substance abuse suggest they may usefully represent the experiences of chronically homeless clients, even though they are not strongly related to system-level measures.
Wraparound: definition, context for development, and emergence in child welfare
- Author:
- FERGUSON Charlie
- Journal article citation:
- Journal of Public Child Welfare, 1(2), 2007, pp.91-110.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Wraparound has grown in stature as a way to provide services to some of the neediest children and families in the foster care system in the United States. With this growth there is a need for clarification of Wraparound's definition, a description of its development, and an understanding of where it fits within the field of child welfare. This paper aims to clarify the definition of Wraparound, as well as its relationship with the closely linked system of care philosophy, before discussing its emergence from the field of mental health and use in child welfare. This clarity is necessary for successful research, evaluation, policy-making, and practice. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).
The rapid response team
- Author:
- LEPPER Joe
- Journal article citation:
- Children Now, 8.02.06, 2006, p.25.
- Publisher:
- Haymarket
The author reports on Brighton and Hove's Child and Adolescent Mental Health Service which emphasises collaboration and teamwork to find positive outcomes for looked-after children in a short timeframe. Professionals at the looked-after children clinic meet monthly to discuss cases and collaborative strategies.