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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.
Impact of welfare reforms on minority ethnic communities
- Author:
- FAITHFUL Lesley
- Journal article citation:
- Open Mind, 164, January 2011, pp.6-7.
- Publisher:
- MIND
People with mental health support needs from black and minority ethnic communities are likely to face additional difficulties claiming Disability Living Allowance (DLA) in the context of new reforms. A short case study highlights these difficulties which include languages issues, lack of familiarity with psychiatric terminology and difficulties in accessing culturally appropriate support services.
Mental health in later life, a neglected area of policy and research allocation: summary of the UK Inquiry into Mental Health in Later Life
- Authors:
- HURST Philip, MINTER Jane
- Journal article citation:
- Housing Care and Support, 10(3), December 2007, pp.17-20.
- Publisher:
- Emerald
This article summarises the issues identified in the UK Inquiry report on Mental Health in Later Life. It looks at how the Inquiry undertook its work, how older people with mental health problems are often overlooked and what their views and experiences are of accessing services, what actions are proposed for the housing, health and care sectors, and key issues and recommendations.
Working together to improve access to learning
- Author:
- JAMES Kathryn
- Journal article citation:
- A Life in the Day, 11(1), February 2007, pp.23-25.
- Publisher:
- Emerald
The author outlines a national partnership project to promote and facilitate access to adult education for people with mental health problems. Those working in the partnership are the National Institute for Mental Health in England (NIMHE), the National Institute of Adult Continuing Education (NIACE) and the Learning and Skills Council (LSC).
Cash in their hands
- Authors:
- COLDHAM Tina, NEWBIGGING Karen, VICK Nicola
- Journal article citation:
- Mental Health Today, June 2005, pp.26-28.
- Publisher:
- Pavilion
- Place of publication:
- Hove
This article reports on a project undertaken by the Health and Social Care Advisory Service (HASCAS), and funded by the Joseph Rowntree Foundation, to explore the barriers to implementing direct payments in mental health and the ways in which take up of direct payments by people experiencing direct payments could be increased. The project used focus groups to facilitate dialogue between mental health professionals and service users about the potential offered by direct payments to give more choice and control to service users. The project also aimed to target people from black and minority communities. Summarises some of the main findings.
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)
"We need to slowly break down this barrier": understanding the barriers and facilitators that Afro-Caribbean undergraduates perceive towards accessing mental health services in the UK
- Authors:
- SANCHO Tamara Nadine, LARKIN Michael
- Journal article citation:
- Journal of Public Mental Health, 19(1), 2020, pp.63-81.
- Publisher:
- Emerald
Purpose: This paper aims to understand the barriers and facilitators that Afro-Caribbean undergraduates perceive towards accessing mental health services in the UK. Design/methodology/approach: Critical Incident Technique was used as the qualitative method because it explores the critical factors that contribute to or detract from a specific experience. Seventeen Afro-Caribbean undergraduates participated in five focus groups. This involved engaging in a novel psychosocial activity that incorporated vignettes to encourage the identification of barriers and facilitators to service access. The data were analysed thematically to generate categories of critical incidents and wish-list items. Findings: Analysis revealed rich data from a sub-group rarely researched within UK literature. Fifteen barriers, eleven facilitators and five wish-list items were identified. The importance of mental health literacy, social networks, cultural sensitivity and concerns surrounding services underpinned many categories. Originality/value: Findings provide a new perspective on barriers reported in previous literature. Novel facilitators were highlighted where, although psychological and sociocultural factors were deemed valuable, structural changes were most desired. Recommended changes illustrate innovative interventions that could make services accessible for young adult Afro-Caribbean populations. Future research should explore the barriers and facilitators identified by Afro-Caribbean undergraduates across various universities who have successfully accessed and engaged with services. This could provide a holistic perspective on viable facilitators enabling access despite the presence of barriers. (Edited publisher abstract)
Expecting change
- Author:
- SHRUBB Richard
- Journal article citation:
- Mental Health Today, July/August 2015, pp.12-13.
- Publisher:
- Pavilion
- Place of publication:
- Hove
A fifth of women experience mental health issues in the perinatal period, yet services to address this remain patchy. This article discusses how implementing such services for pregnant women and new mothers could save money and lead to better outcomes for those affected. It looks at the costs of poor perinatal provision to society as a whole, the need for better training for doctors and midwives, and the option of setting up a perinatal psychiatric team within maternity services. (Edited publisher abstract)