Search results for ‘Subject term:"mental health problems"’ Sort:
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Permanent supportive housing: assessing the evidence
- Authors:
- ROG Debra J., et al
- Journal article citation:
- Psychiatric Services, 65(3), 2014, pp.287-294.
- Publisher:
- American Psychiatric Association
Objectives: Permanent supportive housing provides safe, stable housing for people with mental and substance use disorders who are homeless or disabled. This article describes permanent supportive housing and reviews research. Methods: Authors reviewed individual studies and literature reviews from 1995 through 2012. Databases surveyed were PubMed, PsycINFO, Applied Social Sciences Index and Abstracts, Sociological Abstracts, Social Services Abstracts, Published International Literature on Traumatic Stress, the Educational Resources Information Center, and the Cumulative Index to Nursing and Allied Health Literature. The authors chose from three levels of evidence (high, moderate, and low) on the basis of benchmarks for the number of studies and quality of their methodology. They also described the evidence of service effectiveness. Results: The level of evidence for permanent supportive housing was graded as moderate. Substantial literature, including seven randomized controlled trials, demonstrated that components of the model reduced homelessness, increased housing tenure, and decreased emergency room visits and hospitalization. Consumers consistently rated this model more positively than other housing models. Methodological flaws limited the ability to draw firm conclusions. Results were stronger for studies that compared permanent supportive housing with treatment as usual or no housing rather than with other models. Conclusions: The moderate level of evidence indicates that permanent supportive housing is promising, but research is needed to clarify the model and determine the most effective elements for various subpopulations. Policy makers should consider including permanent supportive housing as a covered service for individuals with mental and substance use disorders. An evaluation component is needed to continue building its evidence base. (Publisher abstract)
Supported employment: assessing the evidence
- Authors:
- MARSHALL Tina, et al
- Journal article citation:
- Psychiatric Services, 65(1), 2014, pp.16-23.
- Publisher:
- American Psychiatric Association
Objective: Supported employment is a direct service with multiple components designed to help adults with mental disorders or co-occurring mental and substance use disorders choose, acquire, and maintain competitive employment. This article describes supported employment and assesses the evidence base for this service. Methods: Authors reviewed meta-analyses, research reviews, and individual studies from 1995 through 2012. Databases surveyed were PubMed, PsycINFO, Applied Social Sciences Index and Abstracts, Sociological Abstracts, Social Services Abstracts, Published International Literature on Traumatic Stress, the Educational Resources Information Center, and the Cumulative Index to Nursing and Allied Health Literature. Authors chose from three levels of evidence (high, moderate, and low) based on benchmarks for the number of studies and quality of their methodology. They also described the evidence for service effectiveness. Results: The level of research evidence for supported employment was graded as high, based on 12 systematic reviews and 17 randomized controlled trials of the individual placement and support model. Supported employment consistently demonstrated positive outcomes for individuals with mental disorders, including higher rates of competitive employment, fewer days to the first competitive job, more hours and weeks worked, and higher wages. There was also strong evidence supporting the effectiveness of individual elements of the model. Conclusions: Substantial evidence demonstrates the effectiveness of supported employment. Policy makers should consider including it as a covered service. Future research is needed for subgroups such as young adults, older adults, people with primary substance use disorders, and those from various cultural, racial, and ethnic backgrounds. (Publisher abstract)
Late life depression: a historical perspective upon a maturing field of inquiry
- Author:
- BLAZER Dan G.
- Journal article citation:
- Aging and Mental Health, 18(5), 2014, pp.538-539.
- Publisher:
- Taylor and Francis
In this editorial, the author reviews the findings of seven studies on the topic of late life depression and compares these studies with the state of the field in terms of empirical research when he wrote his 1982 book. (Original abstract)
Key facts and trends in mental health: 2014 update
- Author:
- NHS CONFEDERATION. Mental Health Network
- Publisher:
- NHS Confederation. Mental Health Network
- Publication year:
- 2014
- Pagination:
- 8
- Place of publication:
- London
In 2011, the Mental Health Network (MHN) published a factsheet on key statistics and trends in mental health. This updated factsheet reflects new figures, statistics and resources, and givees an overview of the major trends and challenges facing mental health services. This factsheet sets out available data relating to: investment in services; trends in morbidity; suicide and homicide rates; service activity; use of mental health legislation; the mental health of children and young people; service user experience; inequalities experienced by people with mental health problems; and workforce and staff satisfaction.. (Edited publisher abstract)
Understanding Independent Mental Health Advocacy (IMHA) for mental health staff
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2014
- Pagination:
- 5
- Place of publication:
- London
This briefing describes the role of Independent Mental Health Advocacy, who is eligible, and what mental health staff can do to support people who use services to access IMHA support. Independent Mental Health Advocacy (IMHA) is a statutory right for people who have been detained under most sections of the Mental Health Act or who are on a community treatment order (CTO). This information will help to ensure people’s rights are respected when they are sectioned under the Mental Health Act. (Edited publisher abstract)
Fit for life: a community exercise group for older people with a mental health condition
- Author:
- JOINT IMPROVEMENT TEAM
- Publisher:
- Joint Improvement Team
- Publication year:
- 2014
- Pagination:
- 4
- Place of publication:
- Edinburgh
An outline of the Fit for Life programme, designed to help bridge the gap between NHS mental health services and main-stream community exercise groups with the aim of: increasing physical activity levels, reducing risk of falls and maintaining/improving mental health and well-being for older people with mental health conditions. The programme has evolved in the last four years to encompass the principles of recovery orientated practice whereby individuals are able to actively build a meaningful life while continuing to experience mental health problems or following a period of poor mental health. It consists of a 12 week community-based group, run three times a year. The format includes strengthening/balance exercises and Tai Chi. Case studies are included to illustrate impact and outcomes of the programme. (Edited publisher abstract)
Who can I talk to? Self-harm and seeking help among 16 year olds: changes between 2008 and 2013
- Author:
- McCANN Mark
- Publisher:
- ARK
- Publication year:
- 2014
- Pagination:
- 47
- Place of publication:
- Belfast
This briefing compares questionnaire results from the 2008 and 2013 Young Life and Times survey on self-harm and help seeking behaviour for young people in Northern Ireland, to identify any changes in young people's behaviours. The survey invites every 16-year old born in February and March of the survey year who receives Child Benefit Payments to take part. The numbers of 16 year olds responding to the survey was 941 in 2008 (23% response rate) and 1,367 in 2013 (35% response rate). Key findings include: a slight increase in the number of 16-year old's who said they self-harmed from 2008 to 2013; in both years, more females were more likely than males to say they thought about self-harm or did self-harm; a smaller percentage had talked to someone or tried to get help before self-harming; there was also a large drop in the number of young people who talked to friends before self-harming. However, the survey also found that most self-harming people do not use helplines for support. More work needs to be done to encourage young people to show young people where they can go for support. (Original abstract)
Mental health treatment requirements: guidance on supporting integrated delivery
- Author:
- NATIONAL OFFENDER MANAGEMENT SERVICE
- Publisher:
- National Offender Management Service
- Publication year:
- 2014
- Pagination:
- 24
- Place of publication:
- London
This (non-statutory) guidance seeks to provide support to service commissioning and provider agencies so that appropriate mental health service provision and inter-agency partnerships enable MHTR delivery locally. The MHTR is intended for the sentencing of offenders convicted of an offence(s) which is below the threshold for a custodial sentence and who have a mental health problem which does not require secure in-patient treatment. The guidance reflects the changes to responsibility for probation services in England and Wales from 2014 resulting from the Government's Transforming Rehabilitation reforms and the Offender Rehabilitation Act 2014. It outlines the legal framework and the challenges in delivering MHTR and sets out an integrated delivery model. This comprises: partnership, contributions and responsibilities; clerks of the court and sentencers; consent; health agencies; providers of probation services; and mental health assessments. (Edited publisher abstract)
A sign that something is wrong?: young people talking about self-harm
- Author:
- CHANDLER Amy
- Publisher:
- University of Edinburgh. Centre for Research on Families and Relationships
- Publication year:
- 2014
- Pagination:
- 4
- Place of publication:
- Edinburgh
Research briefing which summarises the results of research into how self-harm was understood by a group of 122 young people, mostly aged 13-16 years. In the study 33 young people participated in 6 focus groups and a further 88 young people completed a qualitative online survey. The results look methods of self-harm reported; why people self-harm; and young people's views on self-harm as 'attention-seeking'; . The most common reasons for self harm were as a way of dealing with emotions and a way of communicating to others. There was some disagreement about the extent to which self-harm was related to mental illness and also about whether publicising self harm on the internet was for 'attention-seeking'. The research indicated that self-harm could have some positive meanings for some young people and so focusing on cessation can be counter productive. (Edited publisher abstract)
A safer place to be: findings from our survey of health-based places of safety for people detained under section 136 of the Mental Health Act
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2014
- Pagination:
- 60
- Place of publication:
- Newcastle upon Tyne
Examines the provision and use of health-based places of safety for people detained under section 136 of the Mental Health Act, which gives police officers the power to detain people, believed to have a mental disorder, in a public place and to take them to a place of safety for assessment. The report, based on the findings from a survey of NHS mental health trusts and social enterprise providers of health-based places of safety in England, focuses on: the availability, in practice, of health-based places of safety; accessibility, including any exclusion criteria; staffing and training of those involved in operating places of safety; target times and delays in carrying out MHA assessments after people have been taken to places of safety; governance, reporting and multi-agency working; and the role of police and ambulance services. The report highlights four key findings that need to be urgently addressed: too many places of safety are turning people away or requiring people to wait for long periods with the police, because they are already full or because there are staffing problems; too many providers operate policies that exclude young people, people who are intoxicated, and people with disturbed behaviour from all of their places of safety; too many commissioners are not adequately fulfilling their responsibilities for maintaining an oversight of the section 136 pathway; and too many providers are not appropriately monitoring their own service provision. As a result and despite guidance from the MHA Code of Practice and elsewhere, the use of police stations across the country is far from uncommon. (Edited publisher abstract)