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;
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 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;
GREAT BRITAIN. Department of Health, GREAT BRITAIN. Home Office
Publishers:
Great Britain. Department of Health, Great Britain. Home Office
Publication year:
2017
Pagination:
33
Place of publication:
London
This guidance provides advice on putting into practice changes to the provisions on police powers and places of safety, in the Mental Health Act 1983. The changes relate to police powers to act in respect of people experiencing a mental health crisis to ensure their care and safety. The changes include that a police station can no longer be used as a place of safety for anyone under 18; that a police station can only be used as a place of safety for adults in specific circumstances; and a reduction of the maximum detention period to 24 hours. Sections covered in the document are: powers to remove to, or keep at, a place of safety; places that can be used as a place of safety; arrival and stay at places of safety, including period of detention; and suggestions for implementing and monitoring the changes in local areas. The final section provides a listing of relevant legislation, national standards and guidance, and national data sources. The document will be of particular interest to the police, mental health services, clinical commissioning groups and ambulance services. The guidance in not statutory. It is relevant to both England and Wales.
(Edited publisher abstract)
This guidance provides advice on putting into practice changes to the provisions on police powers and places of safety, in the Mental Health Act 1983. The changes relate to police powers to act in respect of people experiencing a mental health crisis to ensure their care and safety. The changes include that a police station can no longer be used as a place of safety for anyone under 18; that a police station can only be used as a place of safety for adults in specific circumstances; and a reduction of the maximum detention period to 24 hours. Sections covered in the document are: powers to remove to, or keep at, a place of safety; places that can be used as a place of safety; arrival and stay at places of safety, including period of detention; and suggestions for implementing and monitoring the changes in local areas. The final section provides a listing of relevant legislation, national standards and guidance, and national data sources. The document will be of particular interest to the police, mental health services, clinical commissioning groups and ambulance services. The guidance in not statutory. It is relevant to both England and Wales.
(Edited publisher abstract)
Subject terms:
mental health problems, severe mental health problems, police, compulsory detention, crisis intervention, safety, policy implementation, government policy;
GREAT BRITAIN. Department of Health, PUBLIC HEALTH ENGLAND, NHS ENGLAND
Publishers:
Great Britain. Department of Health, Public Health England, NHS England
Publication year:
2016
Pagination:
61
Place of publication:
London
Drawing the available evidence, this resource provides practice advice to help mental health nurses to improve the physical health and wellbeing of people living with mental health problems. It builds on work to ensure parity of esteem between mental and physical health by giving equal attention to the physical health of people with mental health problems as is given to the general population, thus reducing health inequalities. The document focuses on how to deal with some of the main risk factors for physical health problems. It focuses on eight key areas for action: smoking, obesity, improving levels of physical activities, alcohol and substance misuse, sexual and reproductive health, medicine optimisation, dental and oral health, and reducing falls. Each area discussed incIudes information on why mental health nurses need to take action, activities to achieve change, examples of good practice and a review of the evidence base for practice. The publication is relevant for mental health nurses working both in inpatient settings and in the community and focuses on adults with mental health problems.
(Edited publisher abstract)
Drawing the available evidence, this resource provides practice advice to help mental health nurses to improve the physical health and wellbeing of people living with mental health problems. It builds on work to ensure parity of esteem between mental and physical health by giving equal attention to the physical health of people with mental health problems as is given to the general population, thus reducing health inequalities. The document focuses on how to deal with some of the main risk factors for physical health problems. It focuses on eight key areas for action: smoking, obesity, improving levels of physical activities, alcohol and substance misuse, sexual and reproductive health, medicine optimisation, dental and oral health, and reducing falls. Each area discussed incIudes information on why mental health nurses need to take action, activities to achieve change, examples of good practice and a review of the evidence base for practice. The publication is relevant for mental health nurses working both in inpatient settings and in the community and focuses on adults with mental health problems.
(Edited publisher abstract)
Subject terms:
mental health problems, health care, access to services, risk, nurses, mental health professionals, assessment, prevention, intervention, good practice;
This best practice handbook provides information, practical advice, sign-posting and best practice examples for criminal justice professionals working with offenders with learning disabilities and learning difficulties. This group includes police suspects and defendants in court. The handbook is intended as an introduction to this work and covers the essential information to help staff identify, communicate with, understand and support this group of people. It also covers relevant legislation that outlines the duties and obligations of criminal justice staff, and also health and social care staff, with regards to offenders with learning disabilities. Much of the advice and legislation covered is also relevant when working with offenders with communication problems and that may affect a person’s ability to cope in the criminal justice system. These include autism, Asperger Syndrome, ADHD (attention deficit hyper-activity disorder), and specific learning difficulties (such as dyslexia).
This best practice handbook provides information, practical advice, sign-posting and best practice examples for criminal justice professionals working with offenders with learning disabilities and learning difficulties. This group includes police suspects and defendants in court. The handbook is intended as an introduction to this work and covers the essential information to help staff identify, communicate with, understand and support this group of people. It also covers relevant legislation that outlines the duties and obligations of criminal justice staff, and also health and social care staff, with regards to offenders with learning disabilities. Much of the advice and legislation covered is also relevant when working with offenders with communication problems and that may affect a person’s ability to cope in the criminal justice system. These include autism, Asperger Syndrome, ADHD (attention deficit hyper-activity disorder), and specific learning difficulties (such as dyslexia).
Subject terms:
learning disabilities, mental health problems, offenders, police, probation service, autistic spectrum conditions, criminal justice, good practice;
Content types:
practice example, practice guidance, government publication
This document describes the Government’s key pledges for mental health and how its public sector reforms and commitment to a Big society will transform public mental health and mental health services. Sections are included on each of the six high level objectives agreed to improve mental health outcomes. These are: more people will have good mental health; more people with mental health problems will recover; more people with mental health problems will have good physical health; more people will have a positive experience of care and support; fewer people will suffer avoidable harm; fewer people will experience stigma and discrimination. Each of these shared objective is explained in detail, how they will improve mental health outcomes, effective interventions that are known work and the evidence base for them, what Government will do to support local action; indicators that can be used to assess progress, and the Quality Standards in development. The document is published alongside 'No Health Without Mental Health: a cross-government mental health outcomes strategy for people of all ages', which outlines the Coalition Government’s overall approach to improving mental health outcomes.
This document describes the Government’s key pledges for mental health and how its public sector reforms and commitment to a Big society will transform public mental health and mental health services. Sections are included on each of the six high level objectives agreed to improve mental health outcomes. These are: more people will have good mental health; more people with mental health problems will recover; more people with mental health problems will have good physical health; more people will have a positive experience of care and support; fewer people will suffer avoidable harm; fewer people will experience stigma and discrimination. Each of these shared objective is explained in detail, how they will improve mental health outcomes, effective interventions that are known work and the evidence base for them, what Government will do to support local action; indicators that can be used to assess progress, and the Quality Standards in development. The document is published alongside 'No Health Without Mental Health: a cross-government mental health outcomes strategy for people of all ages', which outlines the Coalition Government’s overall approach to improving mental health outcomes.
Subject terms:
mental health problems, mental health services, outcomes, prevention, stereotyped attitudes, voluntary sector, communities, early intervention, evidence-based practice;
This guidance covers the assessment and clinical management of patients with mental illness being cared for in psychiatric inpatient or day care settings who also use or misuse alcohol and/or illicit or other drugs. It also covers organisational and management issues to help mental health services manage these patients effectively.
This guidance covers the assessment and clinical management of patients with mental illness being cared for in psychiatric inpatient or day care settings who also use or misuse alcohol and/or illicit or other drugs. It also covers organisational and management issues to help mental health services manage these patients effectively.
Subject terms:
mental health problems, mental health services, patients, acute psychiatric care, assessment, alcohol misuse, care management, day services, drug misuse, dual diagnosis;
This is the second annual report of the Health and Social Care Change Agent Team (CAT). It sets out the work carried out by members of the team, CAT's associates and expert group members in 2003/4. It is meant to be a useful source of practical information and examples of ‘what works’, not just a historical account of past activity. In summary, in 2003/4 CAT has: worked with a further eight health and social care communities, involving a total of 15 councils, 29 PCTs, 20 hospital trusts and 6 other trusts; delivered a dedicated programme to support the introduction of reimbursement under the Community Care (Delayed Discharges etc) Act 2003; produced a further range of development and support products on commissioning and other good practice themes; begun to plan and implement new work on supporting improvements in mental health services for older people (jointly with the National Institute for Mental Health in England) and establishing a new learning and improvement network on better commissioning; and contributed to 67 national and regional events, and directly organised 24 events.
This is the second annual report of the Health and Social Care Change Agent Team (CAT). It sets out the work carried out by members of the team, CAT's associates and expert group members in 2003/4. It is meant to be a useful source of practical information and examples of ‘what works’, not just a historical account of past activity. In summary, in 2003/4 CAT has: worked with a further eight health and social care communities, involving a total of 15 councils, 29 PCTs, 20 hospital trusts and 6 other trusts; delivered a dedicated programme to support the introduction of reimbursement under the Community Care (Delayed Discharges etc) Act 2003; produced a further range of development and support products on commissioning and other good practice themes; begun to plan and implement new work on supporting improvements in mental health services for older people (jointly with the National Institute for Mental Health in England) and establishing a new learning and improvement network on better commissioning; and contributed to 67 national and regional events, and directly organised 24 events.
Subject terms:
hospitals, joint working, joint commissioning, mental health problems, NHS, older people, hospital discharge, social care, social care provision, commissioning, Department of Health, health care, good practice;