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Positive duty of care? The mental health crisis in immigration detention: a briefing paper by the Mental Health in Immigration project
- Authors:
- McGINLEY Ali, TRUDE Adeline
- Publisher:
- Association of Visitors to Immigration Detainees; Bail for Immigration Detainees
- Publication year:
- 2012
- Pagination:
- 20
- Place of publication:
- London
The Mental Health in Immigration Detention Project is a policy initiative which aims to secure the humane and lawful treatment of immigration detainees. It is a joint project by the Association of Visitors to Immigration Detainees (AVID) and Bail for Immigration Detainees (BID). The project was started in 2010 in response to policy changes by the UK Border Agency (UKBA), bringing together the concerns of visitors groups and detention organisations, and drawing on expert advice from specialist lawyers and clinicians. This paper states that people with mental illness should never be subjected to immigration detention. However, while people with mental illness are being detained, AVIS and BID aim to ensure: that they are treated humanely and in accordance with best practice, receiving care equivalent to that found in the community; and that the UKBA acknowledges its duty of care for people with mental ill health, and exercises that positive duty in accordance with its legal obligations
Improving mental health services for veterans
- Author:
- NHS CONFEDERATION
- Publisher:
- NHS Confederation
- Publication year:
- 2010
- Pagination:
- 6p.
- Place of publication:
- London
In recent years an increasing focus has been placed on the availability of appropriate mental health services for military veterans. This briefing describes the scale of the issue and the common barriers to veterans accessing the services they need. Secondly, it outlines the broader policy context and looks at some of the recent initiatives aimed at improving services. Thirdly, it highlights the key findings from the Murrison Review into veterans’ mental health. Finally, it suggests a number of key questions that boards should be asking.
Building blocks
- Author:
- INMAN Kendra
- Journal article citation:
- Community Care, 25.9.03, 2003, pp.59-60.
- Publisher:
- Reed Business Information
Discusses how people with mental health problems often have trouble obtaining good quality housing.
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)
Barriers and opportunities: improving access to mental health support for refugees and people seeking asylum
- Authors:
- VCSE HEALTH AND WELLBEING ALLIANCE, BRITISH RED CROSS
- Publisher:
- British Red Cross
- Publication year:
- 2022
- Pagination:
- 27
- Place of publication:
- London
This research seeks to explore the barriers faced by adult refugees and people seeking asylum when trying to access support for their mental health. By working closely with 16 individuals with lived experience of seeking asylum in England (VOICES Ambassadors), the research draws on some of the benefits of co-production. The fieldwork consisted of two focus groups with 16 professionals working within organisations such as the NHS and charities such as Solace, Doctors of the World and the British Red Cross who provide mental health services and/or related support to refugees and people seeking asylum. The research has highlighted multiple barriers experienced by refugees and people seeking asylum when attempting to access support for their mental health. These included: a lack of awareness of available support (among both refugees and people seeking asylum and professionals); problems with accessing support (including stigma, language barriers, digital exclusion and financial hardship); issues with quality and delivery of care (a lack of trauma-informed working, communication issues and problems associate with the dispersal process) and inadequate feedback mechanisms. Participants also agreed on the importance of addressing social determinants of mental health, particularly concerning social isolation. Ambassadors identified several opportunities to address the barriers encountered when attempting to access mental health support and to address the factors which contribute to poor mental health: ensure a person-centred, trauma-informed approach; improve communication with refugees and people seeking asylum; improve communication between services; provide access to peer support; improve continuity of care; ensure effective feedback mechanisms. (Edited publisher abstract)
Multiple disadvantage and co-occurring substance use and mental health conditions
- Author:
- MAKING EVERY ADULT MATTER
- Publisher:
- Making Every Adult Matter
- Publication year:
- 2022
- Pagination:
- 20
- Place of publication:
- London
Substance use and mental health needs are two of the primary concerns for many people experiencing multiple disadvantage. People who experience both issues at the same time (also known as "co-occurring conditions" or "dual diagnosis") find it difficult or impossible to access the right support for their needs. Appropriate support for people with cooccurring conditions remains an unresolved challenge for many local areas. Without appropriate support, individuals' health, wellbeing and trust in services can be drastically harmed. In this briefing, we: 1. Examine the prevalence of co-occurring conditions among people experiencing multiple disadvantage; 2. Explore the existing national guidance around supporting people with cooccurring conditions; 3. Investigate the barriers to accessing support for co-occurring conditions; 4. Investigate the enablers to accessing support for co-occurring conditions; 5. Recommend improvements in policy, commissioning and local practice for people with co-occurring conditions. This briefing is informed by conversations with local areas from across the MEAM Approach and Fulfilling Lives networks, providing an in-depth understanding of the difficulties faced by support. In addition, a survey of local strategic leads across the networks was carried out exploring the scale and nature of the challenge of cooccurring conditions, access to and quality of services, as well as good practice in local areas. Overall, the picture appears to be that access to appropriate support remains extremely difficult, leading to poor health, wellbeing, housing and offending outcomes and significant levels of unmet need for these individuals. Systems that keep the commissioning, design and delivery of substance use treatment and mental health services separate from one another inevitably struggle to meet the needs of people experiencing co-occurring conditions. However, despite repeated challenges and frustrations, professionals are passionate about trying to tackle these issues and as a result improvements are being developed and good practice is emerging in some local areas. (Edited publisher abstract)
A head start: early support for children's mental health
- Author:
- CHILDREN'S COMMISSIONER FOR ENGLAND
- Publisher:
- Children's Commissioner for England
- Publication year:
- 2022
- Pagination:
- 33
- Place of publication:
- London
This report describes six ambitions for early mental health support for children. These are based on the ideas children shared with the Children's Commissioner's Office. Alongside this the report has been shaped by wider engagement and thinking conducted to date on mental health with stakeholders, policymakers, organisations and charities, and parents and carers. The six ambitions are: Ambition 1 - Every family receives support to promote good mental health and wellbeing through pregnancy and the early years through Family Hubs, including mental health support for parents where needed; Ambition 2 - All children are protected from harm and taught the digital skills they need to be safe online, making the online world safe and exciting place for children to have fun, learn and connect with others, and all; Ambition 3 - All children have plentiful access to safe and fun spaces to play with their friends; Ambition 4 - All children's needs are met where they are and they receive support in school, through families of schools; Ambition 5 - The taboo of accessing support needs to be broken by making sure children can access it quickly, locally, in their communities or online; Ambition 6 - Specialist NHS support is available for any child who needs it, with no child turned away or stuck in a spiral of escalation whilst waiting for support. (Edited publisher abstract)
Ask how I am: supporting emotional health among people living with long-term conditions
- Authors:
- WILTON Jo, BELL Andy
- Publisher:
- Centre for Mental Health
- Publication year:
- 2021
- Pagination:
- 39
- Place of publication:
- London
This research set out to develop a clearer picture of the emotional needs of people living with long-term conditions; to explore the impact of long-term illness on people’s psychological wellbeing; to understand what would make the most difference, in terms of reducing this impact; and to address the barriers to providing and accessing effective support. The report finds that people with long-term conditions have too few opportunities to ask for help with their mental health. Short appointments, over-stretched services and stigma all make it hard for people to say they are struggling. Having a long-term condition affects people’s mental health in a number of ways, including coming to terms with the illness and its effects; living with it day-to-day, and for many years; the burden of having to go through repeated appointments, treatments and procedures; and the effects on people’s relationships. People’s experiences varied according to a number of factors. There was as much difference between people living with the same conditions as there was between different types of illness. Key factors included age; racial discrimination; poverty and financial difficulty; and fluctuating and progressive conditions, which mean people’s experiences and needs change over time. Key elements of an effective system of support for people’s emotional wellbeing and mental health included: making emotional support a standard part of care for their long-term condition; psychological interventions; joined-up mental and physical healthcare; a holistic, whole-person approach; being offered help proactively, not having to search for support; peer support; opportunities to give support to others; help for carers and family members. (Edited publisher abstract)
Listen. Act. Thrive. The emotional and mental health of care experienced children and young people
- Authors:
- NSPCC WALES, VOICES FROM CARE CYMRU
- Publisher:
- NSPCC
- Publication year:
- 2019
- Pagination:
- 4
- Place of publication:
- London
An overview of the key findings from research to explore how care experienced children and young people’s emotional and mental health needs are being assessed and supported in Wales. The research consulted 21 care experienced young people (aged 15-21), and carried out surveys with 26 looked after children nurses and 44 Independent Reviewing Officers (IROs) in Wales. Children and young people felt they were not receiving the emotional and mental health support they need. Key issues identified during the consultation include: health assessments, access to services, training, and multi-agency working. The briefing makes recommendations to improve the mental health support for care experienced children in Wales. (Edited publisher abstract)