Search results for ‘Subject term:"mental health problems"’ Sort:
Results 1 - 10 of 129
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.
Navigating multiple roles as a researcher in a Photovoice project
- Author:
- BRYCE Hazel
- Journal article citation:
- Groupwork, 22(3), 2012, pp.33-48.
- Publisher:
- Whiting and Birch
This article focuses on the authors experience of facilitating a Photovoice project within the context of a government funded outreach mental health team based in the UK. An auto ethnographic lens was used to explore the experience of being simultaneously a facilitator, researcher, participant and mental health professional during the project. Photovoice is a participatory action research methodology which values and shares peoples’ expertise and intimate knowledge of their own communities, through the use of photographs and written captions. The theme for this group project was: the experience of participating in social activity groups that were facilitated by the outreach team. This article discusses and reflects on Photovoice methodology, and considers the multiple roles adopted and how this relates to insider and outsider positions whilst working with groups. It is suggested that the notion of co-curation could be used to further understand and explore the exhibition that was produced. Co-curation is the process of collecting artefacts to produce an exhibition together which represents a shared aspect of life. In this instance photography is the chosen medium to facilitate co-curation. (Edited publisher abstract)
Evaluation of a pilot project for mental health screening for children looked after in an inner London borough
- Authors:
- NEWLOVE-DELGADO Tamsin, MURPHY Elizabeth, FORD Tamsin
- Journal article citation:
- Journal of Children's Services, 7(3), 2012, pp.213-225.
- Publisher:
- Emerald
This study evaluated the feasibility of a screening test for looked after children in order to identify undetected psychiatric disorders. Children aged 4 to 16 in care in the London Borough of Southwark for four consecutive months were eligible for screening. Where the Strengths and Difficulties Questionnaire suggested that a psychiatric disorder was possible, participants were then invited to complete the Developmental and Well-Being Assessment, which was rated by a senior psychiatrist to generate diagnoses if appropriate. Findings revealed that that over one year, 23 children were eligible for screening, a total of 18 underwent the initial stage of screening, and 7 were subsequently diagnosed with a formal psychiatric disorder. The authors concluded that the study highlighted the unmet need for mental health interventions among children looked after by the local authority, and confirmed the feasibility of a simple screening protocol.
Importance of specialisation in psychiatric services. Commentary on... How did we let it come to this?
- Author:
- KILLASPY Helen
- Journal article citation:
- Psychiatrist (The), 36(10), October 2012, pp.364-365.
- Publisher:
- Royal College of Psychiatrists
In his editorial (ibid, pp.361-363), George Lodge makes a plea for continuity of care, making a case that the increased specialisation of mental healthcare over recent years has led to fragmentation of patient care. This response argues that continuity of care is not a straightforward concept and its relationship to clinical outcome is not established. Three arguments are presented: difficulties with the concept of continuity of care; specialisation as a reason for celebration; and ensuring efficiency in service delivery. It concludes that the increased specialisation of mental healthcare reflects an evolving evidence base that has increased our understanding of mental illness and the treatments and delivery systems that are most effective. In other words, specialisation is the sign of a progressive field.
Strategic thinking
- Authors:
- DAVIES Jill, BURKE Christine
- Journal article citation:
- Mental Health Today, September 2012, pp.12-14.
- Publisher:
- Pavilion
- Place of publication:
- Hove
People with learning disabilities are more likely to develop mental health problems compared to the general population. The Government’s mental health strategy, ‘No health without mental health’ (DH, 2011), makes several references to people with learning disabilities. In particular, it highlights the importance of mental health services for people with learning disabilities and autism, the need to ensure that mainstream services are inclusive to this group, including that staff have appropriate skills and can provide reasonable adjustments to meet individual needs. The strategy also mentions the need for early intervention to prevent later problems for children with special educational needs and disabilities, including those who have underlying or associated mental health problems. In 2012, the Government issued an accompanying implementation framework that aims to translate the ideals of the strategy into concrete actions on a local level. This article discusses what the implementation framework means for people with learning disabilities. It shows that, despite the strategy highlighting the needs of people with learning disabilities, the framework offers little specifically for this group. This raises concern that this group will remain off the radar for those in mainstream services and organisations that could support them to maintain their mental health and wellbeing.
Strategic thinking
- Authors:
- DAVIES Jill, BURKE Christine
- Journal article citation:
- Learning Disability Today, October 2012, pp.16-17.
- Publisher:
- Pavilion
- Place of publication:
- Hove
People with learning disabilities are more likely to develop mental health problems compared to the general population. The Government’s mental health strategy, ‘No health without mental health’ (DH, 2011), makes several references to people with learning disabilities. In particular, it highlights the importance of mental health services for people with learning disabilities and autism, the need to ensure that mainstream services are inclusive to this group, including that staff have appropriate skills and can provide reasonable adjustments to meet individual needs. The strategy also mentions the need for early intervention to prevent later problems for children with special educational needs and disabilities, including those who have underlying or associated mental health problems. In 2012, the Government issued an accompanying implementation framework that aims to translate the ideals of the strategy into concrete actions on a local level. This article discusses what the implementation framework means for people with learning disabilities. It shows that, despite the strategy highlighting the needs of people with learning disabilities, the framework offers little specifically for this group. This raises concern that this group will remain off the radar for those in mainstream services and organisations that could support them to maintain their mental health and wellbeing.
Implementing what works: the impact of individual placement and support regional trainer: briefing
- Author:
- CENTRE FOR MENTAL HEALTH
- Publisher:
- Centre for Mental Health
- Publication year:
- 2012
- Pagination:
- 12p.
- Place of publication:
- London
Individual Placement and Support (IPS) is now internationally recognised as the most effective and efficient way of supporting people who experience a mental illness into competitive employment. This briefing paper reports on the results of a pilot project to speed up the implementation of IPS across mental health services in Sussex through the creation of a ‘regional trainer’ role. The role was based on the State Trainer model that was developed and is widely used in the United States. A ‘regional trainer’ was employed for a year in Sussex to ensure fidelity to the IPS model in mental health and employment services. During the 12 months of the pilot the number of people using the trust's mental health services who obtained paid work through the IPS service more than doubled the target of 125, with 286 people finding paid employment. Key to the success of the regional trainer was their ability to encourage cultural change, which accepts employment as part of an individual’s recovery, and the use of regular ‘fidelity reviews’ to determine how well the principles of IPS are being applied in practice and to make recommendations for improved outcomes. The findings indicate that wider use of the regional trainer role could help mental health and employment services across the UK to support more people into paid work.
Therapeutic activities and psychological interventions by cognitive behavioural and psychodynamic therapists working with medically unexplained symptoms: a qualitative study
- Author:
- LUCA Maria
- Journal article citation:
- Counselling and Psychotherapy Research, 12(2), 2012, pp.118-127.
- Publisher:
- Wiley
Medically unexplained symptoms (MUS), or signs of physical malfunction that cannot be accounted for by a physical disorder, weighs heavily on NHS resources and are difficult for psychological therapists to work with. The belief of some MUS clients that their symptoms are purely physical perpetuates this difficulty. The aim of this paper is to report on therapeutic activities and psychological interventions used to treat MUS clients by experienced cognitive behavioural and psychodynamic therapists. Twelve in-depth, semi-structured, qualitative interviews with psychotherapists, recruited from 2 NHS Departments, were conducted. Interview transcripts were analysed using grounded theory. The findings showed that therapists from 2 modalities share the following activities and interventions: working together with clients; sensitive, empathic responding and building trust; being flexible with techniques; keeping an open mind; and multi-disciplinary cooperation. They also use a number of modality specific interventions which differentiate them from their colleagues. While the therapists spoke of the difficulty that experienced in engaging MUS clients psychologically, they also felt that working together with clients produced more positive outcomes.
Too much too young
- Author:
- MIZEN Susan
- Journal article citation:
- Young Minds Magazine, 116, Summer 2012, pp.19-21.
- Publisher:
- YoungMinds
This article examines how the experiences of being a carer during childhood can have long-term consequences in later life. The author, a consultant running a psychotherapy service for people with serious mental health problems, had noticed that about 25% of patients had been involved in a caring capacity during childhood for a parent or sibling. The article suggests that the long-term emotional and financial costs of placing the burden of care on young people might provide an incentive to policy makers to provide adequate support to families where children are caring for sick relatives.
Does early intervention for psychosis services make economic sense?
- Author:
- McCRONE Paul
- Journal article citation:
- Mental Health Today, June 2012, pp.31-33.
- Publisher:
- Pavilion
- Place of publication:
- Hove
Early intervention services have existed in England for more than a decade. This article examines whether they deliver the cost savings and cost effectiveness to justify them. It suggests that current evidence points to early intervention services providing cost savings and cost effectiveness, but more research is needed to clarify the conclusions. It concludes that much of the cost saving can be made in terms of increased economic activity and reduced crime, as well as reducing costs in health care settings.