The impact of the National Service Framework on mental health services in England are briefly assessed. Areas discussed include: delivering 'effective' services for those diagnosed with a severe mental illness, suicide prevention, combating stigma and discrimination, and improving primary care and access to services.
The impact of the National Service Framework on mental health services in England are briefly assessed. Areas discussed include: delivering 'effective' services for those diagnosed with a severe mental illness, suicide prevention, combating stigma and discrimination, and improving primary care and access to services.
Subject terms:
mental health care, mental health problems, mental health services, standards;
Mental health individual budget pilots are taking place in the local authorities of Barnsley, Oldham, Lincolnshire and Norfolk. The author reports on some of the outcomes. Initial evidence has found that people are moving away from traditional services and instead hiring personal assistants to accompany them to do what they want.
Mental health individual budget pilots are taking place in the local authorities of Barnsley, Oldham, Lincolnshire and Norfolk. The author reports on some of the outcomes. Initial evidence has found that people are moving away from traditional services and instead hiring personal assistants to accompany them to do what they want.
Subject terms:
mental health problems, personal budgets, severe mental health problems, direct payments;
Profiles the Acorn programme, a ward for 12 self-harming clients at the Retreat, the therapeutic community near York. Staff aim to create 'treatment alliances', facilitating clients to take responsibility for their behaviour. There is no suicide watch, clients are expected to dress their own self-harm wounds, and if they storm out threatening to injure themselves nurses will not rush in pursuit. They are encouraged to take collective responsibility for each other, and emergency community meetings decide what to do if a client is judged to be at risk from self-harm.
Profiles the Acorn programme, a ward for 12 self-harming clients at the Retreat, the therapeutic community near York. Staff aim to create 'treatment alliances', facilitating clients to take responsibility for their behaviour. There is no suicide watch, clients are expected to dress their own self-harm wounds, and if they storm out threatening to injure themselves nurses will not rush in pursuit. They are encouraged to take collective responsibility for each other, and emergency community meetings decide what to do if a client is judged to be at risk from self-harm.
Subject terms:
mental health problems, self-harm, suicide, therapeutic communities;
Leeds Survivor-Led Crisis Service has been providing a user-led crisis service for more than 10 years. This article describes the services offered at their crisis sanctuary, Dial House. Visitors to Dial House can have one-to-one support from crisis support workers who have themselves experienced mental health problems. The service offers non-judgemental empathy, safety and a refuge space, welcoming those with challenging behaviour. Almost all visitors have psychiatric diagnosis, such as schizophrenia, personality disorder and depression, but the service distances itself from a psychiatric medical model. It offers itself as an alternative to hospital admission, and is open when most mental health services are closed.
Leeds Survivor-Led Crisis Service has been providing a user-led crisis service for more than 10 years. This article describes the services offered at their crisis sanctuary, Dial House. Visitors to Dial House can have one-to-one support from crisis support workers who have themselves experienced mental health problems. The service offers non-judgemental empathy, safety and a refuge space, welcoming those with challenging behaviour. Almost all visitors have psychiatric diagnosis, such as schizophrenia, personality disorder and depression, but the service distances itself from a psychiatric medical model. It offers itself as an alternative to hospital admission, and is open when most mental health services are closed.
Subject terms:
mental health problems, mental health services, service users, support groups, survivors, user-led organisations, crisis intervention;
This article discusses the significant increase in the proportion of UK teenagers with significant emotional or behavioural problems. The author suggests a number of reasons behind the increase: the culture of diagnosis; that society is afflicted with the "affluenza virus" - placing a high value on money, appearances and fame; social inequality; the lack of family-friendly government policies. The author outlines Labour's record on mental health, Conservative promises and the Scandinavian approach. It concludes that the issue of children's mental health needs to be higher up the political agenda.
This article discusses the significant increase in the proportion of UK teenagers with significant emotional or behavioural problems. The author suggests a number of reasons behind the increase: the culture of diagnosis; that society is afflicted with the "affluenza virus" - placing a high value on money, appearances and fame; social inequality; the lack of family-friendly government policies. The author outlines Labour's record on mental health, Conservative promises and the Scandinavian approach. It concludes that the issue of children's mental health needs to be higher up the political agenda.
Subject terms:
mental health problems, poverty, social policy, young people, children, diagnosis, emotionally disturbed children, government policy;
Looks at the use of cognitive behaviour therapy in the treatment of people with psychosis.
Looks at the use of cognitive behaviour therapy in the treatment of people with psychosis.
Subject terms:
mental health problems, nursing, personality disorders, severe mental health problems, treatment, therapies, therapy and treatment, behaviour therapy, community mental health nurses, cognitive behavioural therapy;
Run by former mental health service users, Dial House in Leeds is a crisis centre with a difference. The author talks to the project's founders about the realisation of a dream.
Run by former mental health service users, Dial House in Leeds is a crisis centre with a difference. The author talks to the project's founders about the realisation of a dream.
Subject terms:
mental health, mental health problems, mental health services, self-help groups, service users, social care provision, user participation, crisis intervention, empowerment;
A group of nurses who believe the medical model of treatment is failing people with mental illness have helped develop an innovative home treatment service for third client group.
A group of nurses who believe the medical model of treatment is failing people with mental illness have helped develop an innovative home treatment service for third client group.
Subject terms:
home care, medical model, mental health problems, nurses, multidisciplinary services, nursing, social skills, social workers, community care, community mental health nurses, community mental health services, community mental health teams;