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Implementing what works: the impact of individual placement and support regional trainer: briefing
- Author:
- CENTRE FOR MENTAL HEALTH
- Publisher:
- Centre for Mental Health
- Publication year:
- 2012
- Pagination:
- 12p.
- Place of publication:
- London
Individual Placement and Support (IPS) is now internationally recognised as the most effective and efficient way of supporting people who experience a mental illness into competitive employment. This briefing paper reports on the results of a pilot project to speed up the implementation of IPS across mental health services in Sussex through the creation of a ‘regional trainer’ role. The role was based on the State Trainer model that was developed and is widely used in the United States. A ‘regional trainer’ was employed for a year in Sussex to ensure fidelity to the IPS model in mental health and employment services. During the 12 months of the pilot the number of people using the trust's mental health services who obtained paid work through the IPS service more than doubled the target of 125, with 286 people finding paid employment. Key to the success of the regional trainer was their ability to encourage cultural change, which accepts employment as part of an individual’s recovery, and the use of regular ‘fidelity reviews’ to determine how well the principles of IPS are being applied in practice and to make recommendations for improved outcomes. The findings indicate that wider use of the regional trainer role could help mental health and employment services across the UK to support more people into paid work.
The economic and social costs of mental health problems in 2009/10
- Author:
- CENTRE FOR MENTAL HEALTH
- Publisher:
- Centre for Mental Health
- Publication year:
- 2010
- Pagination:
- 4p.
- Place of publication:
- London
A policy paper published in 2003 estimated that the economic and social costs of mental health problems in England in the financial year 2002/03 amounted to £77.4 billion. Using the same methodology, a straightforward updating of this figure suggests that the aggregate cost of mental health problems in England increased to £105.2 billion in 2009/10. This updated analysis shows that mental ill health should continue to be a priority issue for public policy. The cost of mental ill health continues to fall mainly upon those who experience it and their families but it also creates a high cost for taxpayers and for business. This report suggests that effective responses to people with mental health difficulties are value for public money. Providing good quality parenting support to people with young children, extending access to psychological therapy, early identification of distress at work, diverting offenders with mental health difficulties from custody and assisting people with severe mental health problems into paid work all make a difference to people’s lives and create both immediate and long-term savings to public finances.
Policy briefing: social care funding and mental health
- Author:
- CENTRE FOR MENTAL HEALTH
- Publisher:
- Centre for Mental Health
- Publication year:
- 2019
- Pagination:
- 4
- Place of publication:
- London
This policy briefing explores the principles that would need to underpin any sustainable social care settlement from the perspective of mental health support for working age adults in England. It reviews the current funding and provision of mental health social work and highlights the vital role mental health social work plays helping people to live independently and to secure their rights and dignity. In addition, local authorities play a key role in providing valuable support carers and commission advocacy services, including for people subject to the Mental Health Act. It concludes that a sustainable solution for social care funding needs to recognise the importance of mental health social work and resolve the confusion between health, housing and social care funding for people with ongoing care needs. (Edited publisher abstract)
Community learning mental health research project: phase two evaluation report
- Authors:
- IPSOS MORI, CENTRE FOR MENTAL HEALTH, LAWSON Liz
- Publisher:
- Great Britain. Department for Education
- Publication year:
- 2018
- Pagination:
- 89
- Place of publication:
- Manchester
This report evaluates phase two of the Community Learning Mental Health (CLMH) Research Project, which started in 2016. The project aimed to identify the potential for adult and community learning courses to help people develop the tools, strategies and resilience to manage, and aid recovery from, mild to moderate mental health problems, such as anxiety and depression. The aim of the evaluation was to assess the potential for this educational approach to empower and support individuals with mild to moderate mental health problems. It also explored the relative impact on participants’ mental health and wellbeing outcomes of three different approaches to course delivery: Group A – courses with a focus on managing symptoms of mental health problems, where all participants were experiencing mild to moderate mental health problems; Group B – courses with a focus on traditional community learning topics (e.g. yoga, digital skills, painting), where all participants were experiencing mild to moderate mental health problems; Group C – courses with a focus on traditional community learning topics, where participants were a mix of learners with and without mental health problems. The evaluation found that of the three groups, group A had the largest proportion of learners from the target group who showed a significant improvement in their symptoms, for both depression and anxiety. Group A learners were also more likely to report improvement in their overall mental health and in other aspects of their life such as taking a positive approach to things, making progress in learning, and handling knockbacks. Group A learners also showed the greatest improvement in average wellbeing. The findings collectively indicate that group A had the most positive outcomes, followed by group C, with outcomes for group B being the least positive. The report outlines a number of lessons have been identified as part of this evaluation and concludes that while most people will not experience significant improvement in or recovery from their mental health problem, the evidence suggests that the offer has a place in helping people to manage and/or live with their mental health problem. (Edited publisher abstract)
Supporting carers: mental health carers' assessments in policy and practice
- Author:
- CENTRE FOR MENTAL HEALTH
- Publisher:
- Centre for Mental Health
- Publication year:
- 2016
- Pagination:
- 12
- Place of publication:
- London
Briefing paper which provides a summary of the policy and legislation relating to mental health carers’ assessments in England, one of the key features of the Care Act 2014. It looks at carers’ right to assessment; and the carers’ role in the Triangle of Care. It also draws on exploratory research which interviewed individuals from NHS trusts, local authorities, and carers themselves to see how carers’ assessment worked in practice. It reports that mental health carers may face significant challenges to accessing carers’ assessments and the support that may follow. This is because many people do not identify themselves as ‘carers’; data protection laws can limit information sharing; there may be limits to the support that is available to a carer once the assessment has taken place, and differences between local areas in the quality of carers’ support. A good practice example from South Essex Partnership University NHS Foundation Trust is included to show an example of innovative support. The briefing recommends the need for further research to highlight the current barriers to effective implementation of the Care Act and to champion the need for carers to be adequately supported by statutory bodies. (Edited publisher abstract)
Barriers to employment: what works for people with mental health problems
- Author:
- CENTRE FOR MENTAL HEALTH
- Publisher:
- Centre for Mental Health
- Publication year:
- 2013
- Pagination:
- 16
- Place of publication:
- London
This briefing identifies where the main barriers to employment still lie, what we know about which interventions work (and should be provided more widely), and where there are gaps in evidence-based interventions and what might be tested to develop that evidence. The briefing describes supports which are currently available for people wanting to work, and calls for a more widespread implementation of best practice. One such instance is Individual Placement and Support (IPS), an approach to helping people with severe mental illness to get back into employment; but although Its evidence base is well-established, its availability across the UK is patchy..Using personal budgets is suggested as an option for funding IPS. The briefing comments on the effects of policies such as universal credit (UC), and the work capability assessment (WCA): these do little to tackle inequalities in employment rates for those with mental health problems or other disabilities. The briefing urges commissioners and providers of both employment services and health and social care to make support into employment a priority: employers also need support to be able to help existing employees who develop mental health problems. . (Edited publisher abstract)
The mental health strategy, system reforms and spending pressures: what do we know so far?
- Authors:
- CENTRE FOR MENTAL HEALTH, et al
- Publisher:
- Centre for Mental Health
- Publication year:
- 2012
- Pagination:
- 5p.
- Place of publication:
- London
The Government’s 2011 mental health strategy, ‘No Health Without Mental Health’, set out a vision for both improved mental health for all and better support for people with mental health problems. The aim of this study was to evaluate the delivery of this strategy. A brief questionnaire was sent to 24 national organisations to identify key themes from intelligence they had received to date from their members. This was followed up by either a face-to-face or phone interview with the 17 organisations that responded. The interview focussed on how delivery of the strategy was being influenced by pressures on public spending and the emerging reforms in health local government and other public services. This research paper summarises the main findings of that process and the implications of these findings for mental health policy and practice in England. The findings suggest that the strategy’s practical impact on service commissioning and provision has been limited; knowledge of the strategy among commissioners in particular is variable and there is little evidence that it is being used as a guide to local decision making.
Mental health care and the criminal justice system
- Author:
- CENTRE FOR MENTAL HEALTH
- Publisher:
- Centre for Mental Health
- Publication year:
- 2011
- Pagination:
- 10p., bibliog.
- Place of publication:
- London
- Edition:
- Rev ed.
England and Wales together have one of the highest rates of imprisonment in Western Europe, and responsibility for prison health care lies with the NHS. It aims to give prisoners access to the same quality and range of health services as the general public receives in the community. This is an enormous challenge. Many prisoners have a combination of mental health problems, substance misuse and personality disorder, as well as a range of other issues to deal with. But the costs, both financial and social, of containing people in prison without access to appropriate health care are high. This briefing paper examines the provision of mental health care for adults in the criminal justice system. It looks at what has been achieved to date and identifies priorities for further work.
Coping Through Football: evaluation report 2018
- Authors:
- CENTRE FOR MENTAL HEALTH, UNIVERSITY COLLEGE LONDON
- Publisher:
- Coping Through Football
- Publication year:
- 2018
- Pagination:
- 11
- Place of publication:
- London
Evaluation report of Coping Through Football, an innovative project to improve mental health and physical health outcomes of young people and adults experiencing mental health problems. The project was started by London Playing Fields Foundation in 2005 in collaboration with NELFT (North East London Foundation Trust) and Leyton Orient Trust, shows how football can help people with severe mental health conditions have a better quality of life and better health. The report looks at the origins of the project, how it has been delivered since 2007 followed by a summary of the five studies of the evaluation. The evaluation was led by University College London, with economic analysis of the programme's costs and benefits provided by the Centre for Mental Health. The results of the evaluation found there was nearly a doubling of weekly exercise, a widening of social networks, an increase in self-esteem and other positive lifestyle changes, such as healthy eating and smoking. In addition, over half of the participants went on to volunteering, education and training or employment. There was also a reduction in the number of overnight hospital stays for those who were involved in the project. Although difficult to attribute cost savings, the analysis suggests that the project’s social and economic benefits are likely to far outreach its costs. (Edited publisher abstract)
Preventing prison suicide: perspectives from the inside
- Authors:
- HOWARD LEAGUE FOR PENAL REFORM, CENTRE FOR MENTAL HEALTH
- Publisher:
- Howard League for Penal Reform
- Publication year:
- 2016
- Pagination:
- 8
- Place of publication:
- London
Focuses on the views and lived experience of those with current or past experience of prison, examining what contributes to vulnerability and risk of suicide. In 2014 there was a marked increase in suicides in English and Welsh prisons, when 89 prisoners took their own lives. This was the highest number of suicides since 2007. In 2015 another 89 prisoners took their own lives. The number of suicides in prisons has remained high for two years, and by the end of March 2016 there had already been 27 self-inflicted deaths in prisons. The report highlights that staff shortages have increased the risk of suicide and that relationships between staff and prisoners are key as prisoners need to feel supported, cared for and able to confide in and trust staff. Drawing on findings from focus groups with both current and former prisoners, the briefing reports that prisoners described a culture where, on the whole, distress was not believed or responded to with compassion. In particular, arrival, being released and transferred were all cited as times when prisoners felt most vulnerable. Staff inexperience and lack of training around mental health were seen as a significant factor in increasing risk while mental health services in prison were mainly seen by prisoners as providers of medication. Conversely, wellbeing groups, the chaplaincy and imams, peer mentor schemes and listening schemes were perceived as helpful. The briefing argues that change needs to happen across the system to recognise the influence of the prison environment on people’s vulnerability. Prisons should be enabling environments, striving to be a psychologically informed environment with an emphasis on the quality of relationships. (Edited publisher abstract)