Great Britain. Department of Health and Social Care
Publication year:
2022
Place of publication:
London
Guidance providing a working definition of trauma-informed practice for practitioners working in the health and care sector. Trauma-informed approaches have become increasingly cited in policy and adopted in practice as a means for reducing the negative impact of trauma experiences and supporting mental and physical health outcomes. They build on evidence developed over several decades. However, there has been a lack of consensus within the health and social care sector on how trauma-informed practice is defined, what its key principles are and how it can be built into services and systems. This document seeks to address this gap by providing a working definition of trauma-informed practice for practitioners working in the health and care sector. The working definition presented in this document reflects the original internationally recognised definition developed by the United States Substance Abuse and Mental Health Services Administration (SAMHSA). The evidence base exploring the use of trauma-informed practice in different settings and sectors is still being developed. This working definition will be kept under review and updated where appropriate to reflect new evidence.
(Edited publisher abstract)
Guidance providing a working definition of trauma-informed practice for practitioners working in the health and care sector. Trauma-informed approaches have become increasingly cited in policy and adopted in practice as a means for reducing the negative impact of trauma experiences and supporting mental and physical health outcomes. They build on evidence developed over several decades. However, there has been a lack of consensus within the health and social care sector on how trauma-informed practice is defined, what its key principles are and how it can be built into services and systems. This document seeks to address this gap by providing a working definition of trauma-informed practice for practitioners working in the health and care sector. The working definition presented in this document reflects the original internationally recognised definition developed by the United States Substance Abuse and Mental Health Services Administration (SAMHSA). The evidence base exploring the use of trauma-informed practice in different settings and sectors is still being developed. This working definition will be kept under review and updated where appropriate to reflect new evidence.
(Edited publisher abstract)
Subject terms:
traumas, good practice, adverse childhood experiences, mental health problems;
GREAT BRITAIN. Department for Children, Schools and Families
Publisher:
Great Britain. Department for Children, Schools and Families
Publication year:
2008
Place of publication:
London
In association with the Local Government Employers, the Teacher Support Network, Health and Safety Executive, Atos Healthcare and other health professionals, the DCSF has produced a guidance document: Common mental health problems: Supporting school staff by taking positive action. The document is designed to provide guidance to support common mental health problems for school staff and their employers following a review of teachers' sickness absence.
In association with the Local Government Employers, the Teacher Support Network, Health and Safety Executive, Atos Healthcare and other health professionals, the DCSF has produced a guidance document: Common mental health problems: Supporting school staff by taking positive action. The document is designed to provide guidance to support common mental health problems for school staff and their employers following a review of teachers' sickness absence.
Subject terms:
mental health problems, schools, staff, teachers, employment;
This guidance is designed to assist commissioners of mental health services in the refocusing of day services for working-age adults with mental health problems into community resources that promote social inclusion and promote the role of work and gaining skills in line with current policy and legislation.
This guidance is designed to assist commissioners of mental health services in the refocusing of day services for working-age adults with mental health problems into community resources that promote social inclusion and promote the role of work and gaining skills in line with current policy and legislation.
Subject terms:
mental health problems, social inclusion, community care, commissioning, day services;
This guidance concerns children and young people aged 10 to 17 years who may have mental health problems, and who offend or who are at risk of offending. It seeks to inform planners and other key stakeholders responsible for children and young people, principally within local health boards, Welsh police forces and local authorities. It aims to support improvements in mental health provision for this vulnerable and often marginalised group of children and young people by: engaging children and young people in mainstream services through access to high quality prevention, treatment and support; ensuring all services work in a holistic, multi-agency partnership and are accountable for meeting the needs of children and young people; diverting children and young people away from the youth justice system and into services which are accountable for and able to meet their needs; ensuring that the values, attitudes, knowledge and skills of practitioners enable young people to stop offending and lead crime-free lives; and helping children and young people make a seamless transition between a youth justice sentence and an independent, crime-free life. This guidance sets out the key principles of how and where intervention is likely to have the greatest impact, by making recommendations in how best to improve service delivery responses and in how this activity should be governed.
(Edited publisher abstract)
This guidance concerns children and young people aged 10 to 17 years who may have mental health problems, and who offend or who are at risk of offending. It seeks to inform planners and other key stakeholders responsible for children and young people, principally within local health boards, Welsh police forces and local authorities. It aims to support improvements in mental health provision for this vulnerable and often marginalised group of children and young people by: engaging children and young people in mainstream services through access to high quality prevention, treatment and support; ensuring all services work in a holistic, multi-agency partnership and are accountable for meeting the needs of children and young people; diverting children and young people away from the youth justice system and into services which are accountable for and able to meet their needs; ensuring that the values, attitudes, knowledge and skills of practitioners enable young people to stop offending and lead crime-free lives; and helping children and young people make a seamless transition between a youth justice sentence and an independent, crime-free life. This guidance sets out the key principles of how and where intervention is likely to have the greatest impact, by making recommendations in how best to improve service delivery responses and in how this activity should be governed.
(Edited publisher abstract)
Subject terms:
children, young people, young offenders, youth justice, mental health problems, service transitions, diversion;
The aim of this procedure guide is to facilitate timely access to appropriate treatment for prisoners under the Mental Health Act. It covers the process for transferring and remitting remand, unsentenced and sentenced adult prisoners and Immigration Act detainees to and from inpatient treatment under the Mental Health Act. Developed in collaboration with partners from the NHS, Care Quality Commission, Prisons Inspectorate, Royal College of Psychiatrists, Royal College of Nurses, National Offender Management Service, Prison Service and Ministry of Justice, it is intended to promote good practice and support effective joint working between the agencies involved in transfer and remission processes. It includes guidance on determining commissioning responsibility, defining the transfer clock start and stop times, the transfer process, late in sentence transfers, access to the prison estate for visiting health professionals, the legal framework governing prison transfers, and remission to prison. It also provides flowcharts showing the steps required to achieve a good practice time frame for the completion of transfer and remission processes.
The aim of this procedure guide is to facilitate timely access to appropriate treatment for prisoners under the Mental Health Act. It covers the process for transferring and remitting remand, unsentenced and sentenced adult prisoners and Immigration Act detainees to and from inpatient treatment under the Mental Health Act. Developed in collaboration with partners from the NHS, Care Quality Commission, Prisons Inspectorate, Royal College of Psychiatrists, Royal College of Nurses, National Offender Management Service, Prison Service and Ministry of Justice, it is intended to promote good practice and support effective joint working between the agencies involved in transfer and remission processes. It includes guidance on determining commissioning responsibility, defining the transfer clock start and stop times, the transfer process, late in sentence transfers, access to the prison estate for visiting health professionals, the legal framework governing prison transfers, and remission to prison. It also provides flowcharts showing the steps required to achieve a good practice time frame for the completion of transfer and remission processes.
Subject terms:
joint working, mental health law, mental health problems, procedures, prison service, prisoners;
The purpose of this handbook is to assist people who work in secure mental health services to understand the concept of relational security, and what can be done to ensure that it is maintained. Relational security is the knowledge and understanding staff have of a patient and of the environment, and the translation of that information into appropriate responses and care. Safe and effective relationships between staff and patients must be professional, therapeutic and purposeful, with understood limits. This handbook explores the four key areas that help staff maintain relational security. They are: the whole care team; the other patients on the ward; the inside world experienced by patients; and the connections those patients have with the outside world. In the section on the care team, the handbook discusses how to establish and maintain appropriate boundaries, and explores the importance of therapy. In the section on other patients, the handbook discusses the effect of the mix of patients and the dynamic that exists between them. The section on the inside world explores how a patient’s response to events is likely to be affected by their inner feelings and their physical environment. Finally, the section on the outside world explores the effect that visitors can have on patients and looks at the risks, benefits and consequences of outward connections.
The purpose of this handbook is to assist people who work in secure mental health services to understand the concept of relational security, and what can be done to ensure that it is maintained. Relational security is the knowledge and understanding staff have of a patient and of the environment, and the translation of that information into appropriate responses and care. Safe and effective relationships between staff and patients must be professional, therapeutic and purposeful, with understood limits. This handbook explores the four key areas that help staff maintain relational security. They are: the whole care team; the other patients on the ward; the inside world experienced by patients; and the connections those patients have with the outside world. In the section on the care team, the handbook discusses how to establish and maintain appropriate boundaries, and explores the importance of therapy. In the section on other patients, the handbook discusses the effect of the mix of patients and the dynamic that exists between them. The section on the inside world explores how a patient’s response to events is likely to be affected by their inner feelings and their physical environment. Finally, the section on the outside world explores the effect that visitors can have on patients and looks at the risks, benefits and consequences of outward connections.
Subject terms:
mental health care, mental health problems, mental health services, secure units, staff-user relationships, good practice;
This document provides aspirational guidance and best practice, and includes tools and background information, to enable individuals and services in local authorities to understand and fulfil their duties under Sections 25-31 of the Mental Health (Care and Treatment) (Scotland) Act 2003. These duties have an impact on all aspects of life that come under the aegis of local authorities, such as education, leisure services, economic development and housing. Thus, the tools and practices given here are pertinent to all local authority services, not just social care. The duties under Sections 25-31 of the Mental Health (Care and Treatment) (Scotland) Act 2003 sit within a policy framework that addresses inequalities and the promotion of wellbeing. By fulfilling their duties under the Act, local authorities may well find that they are simultaneously meeting the requirements of other Acts.
This document provides aspirational guidance and best practice, and includes tools and background information, to enable individuals and services in local authorities to understand and fulfil their duties under Sections 25-31 of the Mental Health (Care and Treatment) (Scotland) Act 2003. These duties have an impact on all aspects of life that come under the aegis of local authorities, such as education, leisure services, economic development and housing. Thus, the tools and practices given here are pertinent to all local authority services, not just social care. The duties under Sections 25-31 of the Mental Health (Care and Treatment) (Scotland) Act 2003 sit within a policy framework that addresses inequalities and the promotion of wellbeing. By fulfilling their duties under the Act, local authorities may well find that they are simultaneously meeting the requirements of other Acts.
Subject terms:
law, local authorities, mental health problems, policy formulation, service users, wellbeing, good practice;
This guide sets out good practice in relation to making direct payments more accessible to people with mental health problems. It is intended to support the efforts that all local authorities, primary care trusts, mental health trusts and non-statutory providers of mental health services and support will wish to make to ensure that direct payments become a standard option within mental health services. This guide is specifically about the payments that are made to individuals who have been assessed as needing social care services in order that they can make their own arrangements to meet their needs. The number of people receiving direct payments is currently a key performance assessment framework indicator (AO/C51) for local authorities.
This guide sets out good practice in relation to making direct payments more accessible to people with mental health problems. It is intended to support the efforts that all local authorities, primary care trusts, mental health trusts and non-statutory providers of mental health services and support will wish to make to ensure that direct payments become a standard option within mental health services. This guide is specifically about the payments that are made to individuals who have been assessed as needing social care services in order that they can make their own arrangements to meet their needs. The number of people receiving direct payments is currently a key performance assessment framework indicator (AO/C51) for local authorities.
Extended abstract:
Author
GREAT BRITAIN . Department of Health.
Title
Direct payments for people with mental health problems: a guide to action.
Publisher
Great Britain. Department of Health, 2006
Summary
This guide sets out good practice in relation to making direct payments more accessible to people with mental health problems. It is intended to support the efforts that all local authorities, primary care trusts, mental health trusts and non-statutory providers of mental health services and support will wish to make to ensure that direct payments become a standard option within mental health services and is specifically about the payments made to individuals who have been assessed as needing social care services in order that they can make their own arrangements to meet their needs.
Context
The number of people receiving direct payments is currently a key performance assessment framework indicator (AO/C51) for local authorities.
Method
Contents
Sections explain what direct payments are and how they came about. Disabled people led a campaign as a means of achieving the choice and control necessary for independent living. They were originally introduced at the discretion of local authorities for disabled people of working age in April 1997, for older people in 2000, and for carers, parents of disabled children and for 16 and 17 year olds in 2001. The purpose of this guide to action is explained and policy on moving towards independent living and promoting recovery and inclusion outlined.
Detailed guidance on implementing direct payments within mental health service is given and the whole system approach explained. Making direct payments accessible to people who might use them, and necessary staff training and procedures, are discussed. Direct payments in practice are then summarised. People who are eligible to use mental health services (and carers eligible to receive carers' services) can expect to: have a clear statement of the needs for which they are eligible to receive services; be given the maximum possible choice and control in how their eligible needs are met; be offered the option of direct payments at every assessment and review meeting or have a clear statement of the reasons if they are excluded from receiving direct payments; be provided with adequate information about direct payments and sufficient time in order to be able to make an informed choice whether to use them or not; be given the details of people who can support them to consider and use direct payments; be able to use a mixture of direct payments and provided services if they choose; and be able to stop using direct payments at any time and return to using a provided service.
In order to achieve this, action is required from managers and care co-ordinators . Managers need to consider the following: promote direct payments as a standard option within the CPA, and ensure it is included within CPA training; promote the values of independent living and recovery as core to the provision of services, to support a positive and pro-active approach to direct payments; work with the local authority scheme, the support service, service user and carer groups and practitioners to achieve a straightforward and co-ordinated process for considering, applying for and accessing support to manage direct payments; ensure that adequate information and training is provided to those who might wish to use direct payments and all care co-ordinators; ensure that all teams understand their responsibilities in respect of offering direct payments; make specific information available in appropriate formats/languages to all those who might wish to consider or use direct payments to meet their social care needs.
This should be consistent with but additional to the direct payment schemes generic information; record levels of direct payment uptake by people with mental health problems to inform future planning and set current targets; and, where appropriate, work with commissioners to ensure adequate budget setting/flexibility.
Assessors/care co-ordinators need to consider the following: assess people's eligible needs and record them clearly before beginning the process of discussing how those needs might be met; support those they work with to build their future around their aspirations and abilities, and work through risk assessment procedures to minimise risks to an acceptable level wherever possible; always check whether or not a person is excluded from receiving direct payments; offer the option of direct payments to all those who are eligible to receive them at every assessment and review; ensure that all people eligible to receive mental health services are made aware of how to access information and support to consider and/or use direct payments; and be fully aware of DH's guidance, the local authority direct payments policy and the operation of their local authority's scheme/s, and of how to get support and advice for themselves about direct payments.
Sources of further information and resources are given.
28 references
Subject terms:
local authorities, mental health problems, mental health services, service uptake, assessment, direct payments;