Search results for ‘Subject term:"mental health problems"’ Sort:
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Ageing cities: public health approaches to creating a mentally healthy London for older citizens
- Authors:
- MANTHORPE Jill, et al
- Journal article citation:
- Journal of Public Mental Health, 8(3), September 2009, pp.20-27.
- Publisher:
- Emerald
At a time of increasing interest in mental health in later life, the role of public health approaches is potentially heightened. This paper draws on interview data with older people living in London to consider the interplay between personal and public approaches to health and well-being. The interviews were under taken as part of the midpoint review of the UK government's 10-year strategy for older people (Healthcare Commission et al, 2006) and the social characteristics of London are considered.
A matter of life or death: a rapid review assessment of London's safeguarding adults reviews to inform the future of mental health adult social care under a new Mental Health Act
- Authors:
- GREEN Caroline Emmer De Albuquerque, MANTHORPE Jill, MARTINEAU Stephen
- Publisher:
- NIHR Policy Research Unit in Health and Social Care Workforce, The Policy Institute, King's College London
- Publication year:
- 2021
- Pagination:
- 36
- Place of publication:
- London
Safeguarding Adult Reviews (SARs) can be a valuable source of learning to improve mental health care. In light of the government's commitment to reform the Mental Health Act 1983, this report summarises the qualitative learning from 77 SARs published across 24 London boroughs covering the period January 2017 to November 2020. The premise of this report is that the reform of the Mental Health Act will also prompt a 'wake up' of the entire mental health system in London and the rest of England in which parity of social care with health care becomes the 'new normal'. The SARs analysed for this report tell the stories of Londoners who experienced mental health problems and came to harm or died as a consequence of their condition despite having been in contact with mental health care services and others. From the rapid analysis of the SARs case clusters emerged, with similarities in the individuals' stories and outcomes. These clusters show that there might be groups of people who require particular attention when it comes to reforming the Mental Health Act - and with it the mental health social care 'offer'. The stories of these individuals also raise some concerns around human rights, equality and inclusion with the question: Is enough being done to protect the rights of vulnerable people with mental health problems who receive mental health social care and who may rely on social care to respect these rights? The analysis further suggests that there are two major problem areas across virtually all the cases and clusters - professional knowledge and usage of the Mental Capacity Act 2005 and inter-agency working and communication. (Edited publisher abstract)
Rebuilding lives: mental health matters
- Authors:
- CRANE Maureen, JOLY Louise, MANTHORPE Jill
- Publisher:
- King's College London. Social Care Workforce Research Unit
- Publication year:
- 2016
- Pagination:
- 5
- Place of publication:
- London
Focusing on the participants’ mental health problems, this briefing summarises the findings of the Rebuilding Lives study, which examined the experiences and outcomes for formerly homeless people five years after they were resettled. The study revealed that health problems were common among the participants, and the percentage who reported these problems increased slightly after they were resettled. Some participants had mental health problems that were severe and disabling, and affected their ability to manage independent living and move forward with their lives. For some people, mental health problems were triggered or exacerbated when they faced stressful events after being resettled, or when they tried to resolve or come to terms with past traumas and difficulties. One-third of participants with mental health problems identified help or treatment that they needed but were not receiving. (Edited publisher abstract)
Placing the person at the centre in the diagnosis of dementia
- Authors:
- MANTHORPE Jill, et al
- Journal article citation:
- Journal of Dementia Care, 19(4), July 2011, pp.37-38.
- Publisher:
- Hawker
A research study undertook interviews with 53 people with dementia and family carers in 3 areas of England about their experience of the dementia journey, from when they or their relative first sought help with their problems to diagnosis and afterwards. This article briefly describes the study (The Transition from Cognitive Impairment to Dementia: Older People's Experiences) and its findings. It reports that the study identified key features of service responses which could be improved, such as tailoring information, providing better information about how long things might take and who people could turn to with questions, and developing a person-centred approach to memory assessment and diagnosis. The article urges professionals such as GPs to keep in touch with people during the investigations or diagnostic journey, and to tailor services to individual needs.
Managers' and staff experiences of adult protection allegations in mental health and learning disability residential services: a qualitative study
- Authors:
- REES Paul, MANTHORPE Jill
- Journal article citation:
- British Journal of Social Work, 40(2), March 2010, pp.513-529.
- Publisher:
- Oxford University Press
Adult protection policy slowly developed in England and Wales during the 1990s. In the same decade specialist residential services expanded for people with mental health problems and with learning disabilities. Many referrals to adult protection systems emanate from this sector but few result in conclusive outcomes. This article reports on a small study exploring the impact of adult protection legislation and guidance within a small number of residential adult mental health and learning disability units in England and Wales. The focus of the article is the issues for staff who have been accused of abuse and for the managers of such services during investigations. Data from interviews with 13 residential unit managers and 10 care workers, who were suspended following an allegation but later exonerated, are presented. Perceptions of the development of adult protection practice, policy and legislation were that these have generally led to positive outcomes. However, these data reveal other outcomes including service disruption, stress for residents, staff and managers. Multi-agency collaboration, transparency of practice, training, reflective practice, and effective supervision of frontline staff, appeared to assist managers and care workers in negotiating the positive and negative experiences of the implementation of adult protection systems.
Mental health in later life: better outcomes through wise commissioning
- Author:
- MANTHORPE Jill
- Journal article citation:
- Journal of Integrated Care, 17(5), October 2009, pp.15-22.
- Publisher:
- Emerald
This article is the last in a series on older people’s mental health, and sets the key messages in the context of current and future service commissioning. It considers 3 recent changes in England that impact upon the work of commissioners. First, the National Dementia Strategy 2009 has been supported by a joint commissioning framework for dementia which emphases the importance of commissioning and provides examples of what newly designed services might look like. Second is covered the impact of personalisation and how this affects resource allocation, in particular the greater flexibility offered by individual budgets. Finally, the impact of the recession on the demand for services and also on staff turnover is considered. The article also suggests that commissioners should be taking a role in tackling the prevention of mental health problems in later life. The article concludes by considering the challenges for commissioners and planners in approaching the problems of mental ill-health in later life.
Helping or hindering in adult safeguarding: an investigation of practice
- Authors:
- STEVENS Martin, MARTINEAU Stephen, NORRIE Caroline, MANTHORPE Jill
- Publisher:
- King's College London. Social Care Workforce Research Unit
- Publication year:
- 2017
- Pagination:
- 104
- Place of publication:
- London
Examines current safeguarding practice in England where access to an adult at risk is obstructed by a third party and explores views about whether social workers (and others) need more legal powers. This study focused on adults who are able to make decisions – people who have ‘mental capacity’ – as there are laws covering people who are not able to make decisions. The study found that while problems with getting to talk to adults who appeared to be at risk of harm were common, most are resolved by good social work practice, creativity and persistence. However, in a small number of cases, gaining any access proves very difficult and sometimes impossible. In these cases, legal intervention is sometimes required, but sometimes, no access is achieved. Most of the social workers and older and disabled people who were interviewed or surveyed thought that, on balance, there should be additional legal powers for social workers, including a power of entry. The study concluded that without greater knowledge about the size and nature of the problem – and therefore the costs to local authorities and the outcomes for those involved – policy options may be limited. One option proposed was to ask local authorities to count the number of cases of sustained obstruction. This would need to define terms like sustained obstruction or serious problems. Increasing the scope of current practice guidance, particularly in relation to multi-agency working, was another policy option outlined by the research. (Edited publisher abstract)