Search results for ‘Subject term:"mental health problems"’ Sort:
Results 1 - 3 of 3
Immigration Removal Centres in England: a mental health needs analysis
- Authors:
- DURCAN Graham, STUBBS Jessica, BOARDMAN Jed
- Publication year:
- 2017
- Pagination:
- 49
- Place of publication:
- London
Sets out the findings of a rapid mental health needs assessment across Immigration Removal Centres (IRCs) in England. Ten IRCs were assessed to explore the wellbeing of detainees, the services in place and the perspectives of people working with those detained. The report finds that people detained in IRCs often face significant challenges to their mental health and that levels of distress, problems with living conditions and lack of both certainty and liberty, all had a significant impact on the wellbeing of those detained. The most commonly reported problem was depressed mood or anxiety, and the most severe reported problems were hallucinations or delusions. The report finds some positive examples of services, such as psychological therapy, wellbeing groups and the support provided by chaplains. But it also finds that most detainees felt that they were not listened to, not taken seriously, or treated as if they were lying. Similarly, some staff reported that it was easy to become assimilated into a culture which disbelieved detainees. In addition, mental health care staff face significant challenges working in IRCs where people may be removed at short notice and face high levels of uncertainty about their future. The report highlights the multifaceted wellbeing needs of people in immigration detention, and makes recommendations to address this. It calls for greater lengths to ensure that those with a marked vulnerability are not detained; mental health awareness training for all IRC staff; 24/7 access to crisis care; and greater provision of alternative support such as peer support and relaxation groups. (Edited publisher abstract)
More than shelter: supported accommodation and mental health
- Author:
- BOARDMAN Jed
- Publisher:
- Centre for Mental Health
- Publication year:
- 2016
- Pagination:
- 36
- Place of publication:
- London
This report looks at evidence about the provision of supported housing for people with mental health problems in England, including those with multiple needs and substance misuse, and presents key themes for its future development. It highlights the significant links between housing and mental wellbeing, indicating that factors such as overcrowding, insufficient daylight and fear of crime all contribute to poorer mental health. The review identifies a wide range of types of housing support, including help for people to remain their own tenancies to specialist supported accommodation, hostels, crisis houses and the Housing First approach. Although the review identified limited evidence about what kinds of housing support are most effective and cost-effective, small-scale studies suggest that housing support can reduce the costs of hospital stays. When looking at the type of support people want, the literature found most people prefer help in their own homes to being in sheltered or transitional accommodation. The report calls for better provision of housing support and also argues that housing support should be funded jointly by local authorities and the NHS to ensure that services are delivered in partnership between health, housing and social care providers. (Edited publisher abstract)
Implementing recovery: a methodology for organisational change
- Authors:
- SHEPHERD Geoff, BOARDMAN Jed, BURNS Michael
- Publisher:
- Sainsbury Centre for Mental Health
- Publication year:
- 2010
- Pagination:
- 19p.
- Place of publication:
- London
Recovery, the pursuit of quality of life by people with mental health problems, is core to mental health services in Australia, New Zealand, Ireland, USA, as well as England (‘New Horizons’, 2009). Following two Sainsbury Centre for Mental Health’s papers about recovery in 2008 and 2009, this methodology for the organisational changes, needed and reported in 2009 (following workshops with over 300 professionals, from 5 mental health trusts and independent organisations), can be used by statutory/non-statutory mental health providers and health/social care commissioners to deliver a ‘person-centred’ service. The principles mirror those in the 2009 National Mental Health Development Unit commissioning guidance. With, sections entitled ‘developing and how to use the methodology’, ‘views of commissioners’, ‘assessing services at the outset’, ‘agreeing priorities for action’, ‘tracking progress’, ‘future developments’, with reference to SMART goals (specific, measureable, agreed-upon, realistic, time-based) and boxed areas highlighting 10 changes/challenges and defining 3 engagement, development, and transformation stages of organisational change, the text is followed by 10 frameworks for organisational change and 2 templates for identifying priorities. In addition, the authors relate health system reforms, such as the 2010 standard National Mental Health contract and the National Social Inclusion programme (2009) suggesting they might add leverage to driving providers towards recovery-oriented delivery.