Search results for ‘Subject term:"mental health problems"’ Sort:
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Discharges from Section 3 of the Mental Health Act 1983; changes in practice
- Author:
- SACKETT Kate
- Journal article citation:
- Health Trends, 28(2), 1996, pp.64-67.
- Publisher:
- Office for National Statistics
With the introduction of the 1983 Mental Health Act (England and Wales) the initial period of detention for the treatment order was reduced from 12 months to 6 months, while the shorter order for assessment, or assessment followed by treatment remained at 28 days. This article reports the results of research undertaken at Coney Hill Hospital to determine any change in practice in discharge since the introduction of the Act. Factors considered included: the length of detention; renewals; appeals to managers or mental health review tribunal; delay between appeal and hearing; discharging agent; and whether patients remained in hospital informally after section discharge. Results found that there was a trend towards earlier discharge. Concludes that these changes could be due to long-term trends predating the 1983 Act, or may reflect continued efforts to comply with the Code of Practice.
Social services responses to psychiatric emergencies: summary of the iterim report
- Authors:
- HUXLEY Peter, KERFOOT Michael
- Publisher:
- University of Manchester. Department of Psychiatry
- Publication year:
- 1992
- Pagination:
- 8p.,diags.
- Place of publication:
- Manchester
Survey of 82 local authorities in England and Wales summarizing the types of services available.
Personal budgets: risk enablement and mental health
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2012
- Place of publication:
- London
This film showcases the work of Stockport Council and Pennine Care NHS Trust. As part of their risk enablement strategy for personal budgets and mental health they established a risk enablement panel as a last resort for discussing final support plans for people considered to be at risk. However, in the three years since the panel was established, they have only used it twice. Stockport has also committed to a culture change where staff and service users are able to openly discuss positive risk taking and concerns about risk. This has resulted in people with mental health problems (even those with more complex needs who use a budget managed by a third party) being able to use their personal budgets more creatively. They are experiencing positive outcomes such as improved confidence and self-determination and greater levels of activity. They also have more opportunities to take up volunteering and training for employment.
Depression in adults: treatment and management
- Author:
- NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE
- Publisher:
- National Institute for Health and Care Excellence
- Publication year:
- 2022
- Pagination:
- 101
- Place of publication:
- London
This guideline covers identifying, treating and managing depression in people aged 18 and over. It recommends treatments for first episodes of depression and further-line treatments, and provides advice on preventing relapse, and managing chronic depression, psychotic depression and depression with a coexisting diagnosis of personality disorder. This guideline includes recommendations on: principles of care; recognition and assessment; choice and delivery of treatments; treatment for a new episode of less severe depression; treatment for a new episode of more severe depression; behavioural couples therapy; preventing relapse; further-line treatment; chronic depressive symptoms; depression in people with a diagnosis of personality disorder; psychotic depression; electroconvulsive therapy, transcranial magnetic stimulation and implanted vagus nerve stimulation; access, coordination and delivery of care. (Edited publisher abstract)
The impact of COVID-19 on gambling behaviour and associated harms: a rapid review
- Author:
- PUBLIC HEALTH ENGLAND
- Publisher:
- Public Health England
- Publication year:
- 2021
- Pagination:
- 70
- Place of publication:
- London
Background: The coronavirus (COVID-19) pandemic has had an unprecedented impact on life throughout the world. Within the UK, measures introduced to curb transmission rates included the repeated closure of land-based gambling venues, and the cancellation of live sports events. However, not all gambling was affected, with National Lottery products and online gambling remaining available. This report explores the impact that COVID-19 and the related restrictions have had on gambling behaviour and associated harms. It aims to address the following questions: 1. What impact has COVID-19 had on gambling behaviour? 2. What impact has COVID-19 had on harms associated with gambling? Methodology: This study used a rapid review methodology. We conducted database searches from 1 January 2020 to 1 October 2020 and searched a range of websites for grey literature on 22 October 2020. Full text articles were screened by one reviewer and checked by a second. This process was repeated for data extraction and the results presented as a narrative synthesis. Results: Nineteen studies (reported in 22 papers) examined the impact of COVID-19 on gambling behaviour. Almost all studies (17) were based on survey data. While 9 of these studies found an overall reduction in gambling during the first UK lockdown in March 2020, 12 studies found a small group of people who increased their gambling, or started using new gambling products. This group were more likely to experience harm from gambling (found in 8 studies), to be younger in age (found in 7 studies) and to be male (found in 6 studies). Nine studies contained data on harms associated with gambling during COVID-19. Three studies found that gambling during COVID-19 restrictions was associated with poorer mental health outcomes. A further 3 studies also found that gambling during COVID-19 restrictions was associated with higher alcohol use and 2 studies found an association with financial difficulties. Conclusions: There was consistent evidence that overall gambling reduced during the initial COVID-19 lockdown period (March to June 2020). A small proportion of people gambled more during this period, attributing this to boredom and more free time. Most of the studies relied on self-reported data and so results should be interpreted with caution. (Edited publisher abstract)
Exploring the barriers and enablers to the implementation and adoption of recovery-orientated practice by community mental health provider organizations in England
- Authors:
- ERONDU Chima, McGRAW Caroline
- Journal article citation:
- Social Work in Mental Health, 19(5), 2021, pp.457-475.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
In England, implementation and adoption of recovery-orientated (RO) practice has been slow and uneven. This qualitative study explored the barriers and enablers to the implementation and adoption of RO practice in community mental health provider organizations. Thirteen registered managers took part in semi-structured interviews. Four themes were identified: RO practice is not an entirely alien concept; RO practice is a labor intensive and skilled activity; Families need to be on onboard with RO support; and Limited community capacity for RO support. The most salient barriers and/or enablers were: staff training, public misconceptions of mental illness, and joint-working with families. (Edited publisher abstract)
Who are they? Where are they? 2020: children in tier 4 mental health units: technical report
- Authors:
- CLARKE Tom, NELSON Emma
- Publisher:
- Children's Commissioner for England
- Publication year:
- 2020
- Pagination:
- 45
- Place of publication:
- London
This analysis examines four data extracts covering children in inpatient mental health wards during 2019/20. The extracts cover: all admissions of children to tier 4 units during 2019/20 2; children in a tier 4 unit on 31st March 2020; all discharges from tier 4 beds during 2019/20; admissions to tier 4 wards during 2019/20 where the child had a previous discharge within the same financial year. Key findings include: at 31st March 2020 there were 944 children in a bed in a tier 4 unit in England; over 1 in 5 children are in units that are more than 50 miles from their last known home postcode; children in secure units are notably more likely to be placed more than 50 miles from their last known home postcode; just over a third of children discharged from a tier 4 unit during 2019/20 had been there for more than 3 months (90 days); even after accounting for other factors, children aged under 15 discharged during 2019/20 were 20% more likely to have been in a tier 4 unit for over 3 months; boys are slightly more likely than girls to be discharged to their permanent (or a temporary) place of residence while girls are slightly more likely to be discharged to a subsequent medical institution, with 1 in 5 being discharged to a hospital or subsequent mental health ward (compared to 15% of boys); girls over-represent amongst readmissions to tier 4 wards during 2019/20, accounting for 80% of readmissions compared to 74% of discharges during the year. (Edited publisher abstract)
A retrospective case note review of young people in transition from adolescent medium secure units to adult services
- Authors:
- LIVANOU Maria I., et al
- Journal article citation:
- Journal of Forensic Practice, 22(3), 2020, pp.161-172.
- Publisher:
- Emerald
Purpose: There is substantial evidence that young people moving from child and adolescent mental health services to adult services are more likely to experience poor transitions. However, little is known about the care pathways of young people transitioning from forensic services. This retrospective case note review sought to examine the clinical characteristics, transition pathways and psychosocial indicators of transition outcomes amongst young people in forensic medium secure services discharged to adult services. Design/methodology/approach: The electronic records of 32 young people, who transitioned from six adolescent medium secure units in England to adult services between May 2015 and June 2016, were examined. Findings: Approximately 65% of young people were between 18 and 19 years at the time of transition and the average waiting time from referral to discharge was six months. A total of 63% young people transitioned to community placements and adult medium secure services. Four pathways describing the journey into and out of adolescent medium secure services were identified in a subsample of 12 young people. A total of 25% young people with neurodevelopmental problems moved to specialist services. Practical implications: The results suggest that diagnosis, severity of offence and clinical background are associated with transition pathway. Promoting a person-centred approach and gradual independence of the young person may improve current practice. Originality/value: These results inform existing policy and clinical practice in an effort to reform transition guidelines around young people’s needs during transition times. Further studies in adolescent forensic services are needed to understand complex neurodevelopmental problems and comorbidities. (Edited publisher abstract)
Growing the availability of evidence based supported employment
- Authors:
- PERKINS Rachel, REPPER Julie
- Journal article citation:
- Mental Health and Social Inclusion, 23(4), 2019, pp.145-148.
- Publisher:
- Emerald
This article looks at the growth Individual Placement and Support (IPS) evidence based supported employment for people with serious mental health issues. It highlights the importance of maintaining the quality of ISP services, for quality IPS services to span the primary/secondary care divide and provide the ongoing access to employment support, and for services to provide support for job retention. (Original abstract)
Chronicles of one woman’s journey towards well-being: re-membering
- Author:
- MULLEN Jo
- Journal article citation:
- Mental Health and Social Inclusion, 23(4), 2019, pp.189-191.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to share the experiences and reflections of one woman’s journey toward well-being. Design/methodology/approach: A narrative approach has been taken to structure reflections based on lived experience. Findings: Reflections are offered based on a personal journey toward well-being. Originality/value: This paper adds to the accounts of the lived experience of the journey toward well-being, and as such, contributes to the understanding of the process of rebuilding a life. (Publisher abstract)