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Application of community treatment orders (CTOs) in adults with intellectual disability and mental disorders
- Authors:
- GUPTA Jaya, et al
- Journal article citation:
- Advances in Mental Health and Intellectual Disabilities, 9(4), 2015, pp.196-205.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to explore use of community treatment orders (CTOs) in adults with intellectual disability (ID) and mental health problems across England and Wales. Design/methodology/approach: A web-based exploratory survey was sent to 359 consultants on the database of the Faculty of the Psychiatry of ID, Royal College of Psychiatrists who had declared ID as their main speciality. Socio-demographic details of responding consultants, clinical characteristics of adults with ID on CTO, subjective views of consultants on using CTOs in people with ID were collected and analysed. Findings: In total, 94 consultant questionnaires were returned providing information on 115 patients detained under CTO. More than 75 per cent of the respondents had used CTO in their clinical practice. Patients subject to CTO were generally young, white males with mild ID and living in supported accommodation. CTOs were primarily used in situations of non-engagement (52.2 per cent), non-compliance with medication (47 per cent) or non-compliance with social care supports (49.6 per cent). Practical implications: Responding consultants expressed concerns about encroachment of civil liberties and ethics of using CTOs in people with ID who may lack capacity and stressed that decision to use CTOs needs to be therefore done on individual basis. Originality/value: This is the first national study to examine the practice of applying CTOs in adults with ID and mental disorders. Current practice is based on evidence from research done in adults with normal intelligence. Further research is needed to investigate the utility of CTOs in routine clinical practice in adults with ID and mental disorders. (Publisher abstract)
Improving equality of access to Independent Mental Health Advocacy (IMHA): a briefing for providers
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2015
- Pagination:
- 3
- Place of publication:
- London
This summary aims to help Independent Mental Health Advocate (IMHA) providers to open up their service to everyone who has the right to use it. Ensuring equalities within IMHA services means reaching all qualifying patients regardless of their ethnicity, age, gender, disability, beliefs, sexual orientation or any other characteristics protected by the 2010 Equalities Act. It also means taking these characteristics into careful account and developing a service that can understand their impact and meet people's needs in the best possible way. (Edited publisher abstract)
Improving equality of access to Independent Mental Health Advocacy (IMHA): a report for providers
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2015
- Pagination:
- 17
- Place of publication:
- London
This report aims to help Independent Mental Health Advocate (IMHA) services reach everyone who is entitled to their support. It aims to help IMHA providers to achieve the best possible outcomes for all people treated under the Mental Health Act 1983 amended in 2007. Drawing directly on the findings and recommendations of the national review of the quality of IMHA services in England, the report highlights the problem of unequal uptake of IMHA by some groups of ‘qualifying patients' and explores what can be done to change this situation. It highlights the obligations of IMHA services under the Equality Act (2010) and provides concrete suggestions about how to take effective action and improve practice when working with people sharing relevant protected characteristics. It also suggest steps that IMHA providers can take to help them identify, understand, and address the barriers to the full and effective use of their service by everyone who is entitled to access it. (Edited publisher abstract)
Admission of patients to mental health facilities in Wales, 2014-15
- Authors:
- DOLMAN Rachel, WALES. Welsh Government. Knowledge and Analytical Services
- Publisher:
- WALES. Welsh Government. Knowledge and Analytical Services
- Publication year:
- 2015
- Pagination:
- 12
- Place of publication:
- Cardiff
This release contains summary information on the number of patients admitted to mental health facilities in Wales both formally and informally, and patients subject to supervised community treatment. In 2014-15, there were 9,762 admissions (excluding place of safety detentions) to mental health facilities in Wales, a decrease of 532 (5 per cent) from 2013-14. 1,921 were admitted under the Mental Health Act 1983 (excluding place of safety detentions) and other legislation, a 14 per cent increase on previous year. There were 240 patients subject to supervised community treatment. Of this total, 163 were male and 77 were female. (Original abstract)
The clinical profile of employees with mental health problems working in social firms in the UK
- Authors:
- MILTON Alyssa, et al
- Journal article citation:
- Journal of Mental Health, 24(4), 2015, pp.242-248.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Background: UK social firms are under-researched but are a potentially important vocational option for people with mental health problems. Aims: To describe the clinical profile, satisfaction levels and experiences of social firms employees with mental health problems. Method: Clinical, work and service use characteristics were collected from social firms’ employees with mental health problems in England and Wales. Workplace experience and satisfaction were explored qualitatively. Results: Predominantly, social firms’ employees (N = 80) report that they have a diagnosis of depression (56%) and anxiety (41%). People with schizophrenia (20%) or bipolar disorder (5%) were a minority. Respondents had low symptom and disability levels, high quality of life and job satisfaction and experienced reductions in secondary mental health service use over time. High-workplace satisfaction was related to flexibility, manager and colleague support and workplace accommodations. Conclusions: The clinical profile, quality of life and job satisfaction level of employees with mental health problems suggest social firms could be a useful addition to UK vocational services for some people. Current employees mainly have common mental disorders, and social firms will need to shift their focus if they are to form a substantial pathway for the vocational recovery of people currently using community mental health teams. (Publisher abstract)
Making a difference: measuring the impact of independent Mental Health Advocacy (IMHA)
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2015
- Place of publication:
- London
An effective Independent Mental Health Advocate (IMHA) service is one that delivers good outcomes for the person (sometimes called the 'advocacy partner' or 'partner') receiving the advocacy support. This report looks at the difference that IMHA services can make to the lives of people subject to compulsion under the Mental Health Act 1983. It provides service users, IMHA providers, commissioners and mental health services with information to discuss outcomes, what they are, how they will know they have been achieved, what performance indicators can be used to measure the effectiveness of services, and how outcomes can be measured. (Edited publisher abstract)
Independent Mental Health Advocacy (IMHA) improving equality of access
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2015
- Pagination:
- 7 minutes 11 seconds
- Place of publication:
- London
This film focuses explores issues of equality and diversity and ways of improving the take-up of Independent Mental Health Advocacy (IMHA). It highlights groups of people that are less likely to be offered the IMHA service, such as people from black and minority ethnic communities, people with learning disabilities or people with different forms of communication and suggests ways to improve access to IMHA services. Key learning points include: working in partnership with community organisations; monitor who is using your services; use creative and innovative way to communicate with individuals and groups; and ensure policies and practice take account of equality and diversity. (Original abstract)
Statutory disclosure guidance
- Author:
- GREAT BRITAIN. Home Office
- Publisher:
- Great Britain. Home Office
- Publication year:
- 2015
- Pagination:
- 6
- Place of publication:
- London
- Edition:
- 2nd ed.
Revised statutory code of practice for chief officers of police to help them decided what police information to disclose during Disclosure and Barring Service (DBS) checks. The revised guidance includes advice on disclosing information relating to mental health, and advises whether and when to include information about detentions in police cells or health-based places of safety when someone experiencing a mental health crisis comes into contact with the police. Information from Disclosure and Barring Service (DBS) checks is used by an employer to decide whether someone is a suitable person to work with children or vulnerable adults. (Edited publisher abstract)
Better practice in mental health for black and minority ethnic communities
- Authors:
- BUTT Jabeer, et al
- Publishers:
- Mental Health Providers Forum, Race Equality Foundation
- Publication year:
- 2015
- Pagination:
- 19
- Place of publication:
- London
Evidence shows that black and minority ethnic communities have significantly poorer mental health outcomes and poorer experience of services. This report aimed to identify good practice in the provision of mental health services for black and minority ethnic communities by voluntary and community organisations. It provides a brief summary of the existing evidence in relation to the mental health of black and minority ethnic communities; outlines the current policy context for mental health in England and Wales; and then presents the results of a series of interviews and focus groups with voluntary and community groups providing mental health support with black and minority ethnic communities. Key themes that emerged from the interviews and focus groups are discussed. These included: meeting the needs of specific communities, ensuring services are culturally appropriate, challenging stigma, and partnership working. The different approaches, target user groups and challenges faced by the organisations are also compared. Criteria were used to identify good practice focused on evidence of service user involvement in the design, implementation and evaluation of projects. The report aims to encourage funders and the statutory sector to address the challenges faced by voluntary and community sector organisations working with black and minority ethnic communities, and highlight some of the lessons that can be learned from their work in order to influence the process of change. (Edited publisher abstract)
The importance of being prudent
- Author:
- THOMAS Alun
- Journal article citation:
- Mental Health Today, January/February 2015, pp.12-13.
- Publisher:
- Pavilion
- Place of publication:
- Hove
The author, chief executive of the Welsh mental health charity Hafal which works to promote recovery from mental illness, talks about his vision of a 'prudent healthcare' model for mental health services. It is based on two main principles: a) targeting resources to move those patients receiving high end expensive services to a lower level of support and b) providing early intervention services. The article looks at some of the factors that can help achieve a prudent health care approach, which include: the standard Care and Treatment Plan prescribed by the Mental Health (Wales) Measure for all secondary mental health service users in Wales; the 'Recovery/Cost Pathway' analysis of service costs developed by Hafal; and people being active in setting their own recovery goals. (Original abstract)