Search results for ‘Subject term:"mental health problems"’ Sort:
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Policy initiative to improve access to psychological services for people with affective and anxiety disorders: population-level analysis
- Authors:
- HARRIS Meredith G., et al
- Journal article citation:
- British Journal of Psychiatry, 198(2), February 2011, pp.99-108.
- Publisher:
- Cambridge University Press
A new publicly funded psychological service for people with affective and anxiety disorders, the Better Access programme, was introduced in Australia in 2006. In the context of suggestions that the programme is selectively treating socio-economically advantaged people, this paper explores whether Better Access is contributing to mental health care disparities. The research used epidemiological data from the 2007 National Survey of Mental Health and Wellbeing, which collected detailed information on sociodemographic and clinical characteristics as well as service use for mental health problems. The analysis found that Better Access did not appear to be overservicing individuals without potential need or contributing to social inequalities in mental health care, and appeared to be reaching people who had not previously received psychological care. The authors suggest that detection and/or referral to Better Access psychological services could be improved for people who have anxiety disorders that are not comorbid with affective disorders, and that a substantial number of people with affective or anxiety disorders who could potentially benefit from Better Access services did not use these or any other services.
Covid-19 and the nation’s mental health: forecasting needs and risks in the UK: October 2020
- Author:
- O'SHEA Nick
- Publisher:
- Centre for Mental Health
- Publication year:
- 2020
- Pagination:
- 8
- Place of publication:
- London
This is the third Centre for Mental Health forecast of the mental health impacts of the Covid-19 pandemic in England. The forecast model predicts that up to 10 million people (almost 20% of the population) will need either new or additional mental health support as a direct consequence of the crisis. 1.5 million of those will be children and young people under 18. About two-thirds of people who will need support already have existing mental health needs, including severe mental illness. The majority of people will need support for depression or anxiety, or both. Others will need help for trauma symptoms and a range of other difficulties, including complicated grief arising from bereavement and loss. As further evidence becomes available, the figures may rise: for example when the extent of the unequal effects of the pandemic on Black and minority ethnic communities, on care homes and disabled people becomes clear. Further waves of the virus, and its consequences, will exacerbate the effects on mental health and the numbers of people needing support. The Government and the NHS can and must take steps now to prepare for this additional need among people of all ages. Mental health problems cannot be ignored. A proactive, timely, compassionate and effective response will help people experiencing mental health difficulties before they reach crisis point. (Edited publisher abstract)
Ensuring ill health is not all in the mind
- Author:
- STANTON Emma
- Journal article citation:
- Health Service Journal, 7.2.13, 2013, pp.32-33.
- Publisher:
- Emap Healthcare
The Improving Access to Psychological Therapies programme is a national initiative aimed at improving access to routine evidence-based treatments for people with common mental health problems such as anxiety and depression. This article looks at the initial objectives of the programme, existing outcome and performance data and reviews the success of the programme.
Common mental health disorders: the NICE guideline on identification and pathways to care
- Author:
- NATIONAL COLLABORATING CENTRE FOR MENTAL HEALTH
- Publisher:
- Royal College of Psychiatrists; British Psychological Society
- Publication year:
- 2011
- Pagination:
- 310p., CD ROM
- Place of publication:
- London
The published version of the full evidence-based clinical guideline on common mental health disorders: identification and pathways to care (Clinical Guideline 123), commissioned by the National Institute for Health and Clinical Excellence (NICE). This guideline aims to help clinicians and service commissioners in providing and planning high-quality care for people with a common mental health disorder, while emphasising the importance of the experience of care for them and their families and carers. It covers depression and anxiety disorders, including phobias, obsessive compulsive disorders and post traumatic stress disorders. The first three chapters provide a summary of the clinical practice and research recommendations, a general introduction to guidelines and the topic, and to the methods used to develop the guideline. Chapter 4 to Chapter 7 cover provide the evidence that underpins the recommendations. These chapters cover: access to healthcare; assessment; risk assessment and outcome monitoring; systems for organising and developing local care pathways. The final chapter provides a summary of the recommendations. The guideline is relevant to those providing primary, community and secondary care, and other healthcare professionals who have direct contact with and make decisions concerning the care of adults with common mental health disorders. It is also relevant for, though doesn't cover the work of, social services.
COVID-19: mental health and wellbeing surveillance report
- Author:
- PUBLIC HEALTH ENGLAND
- Publisher:
- Public Health England
- Publication year:
- 2020
- Place of publication:
- London
This report presents close to real time intelligence on the mental health and wellbeing of the population in England during the COVID-19 pandemic. It compiles routinely updated indicators from multiple sources and summarises important recent findings from a pre-defined set of studies. It aims to inform policy, planning and commissioning in health and social care and is designed to assist stakeholders at both national and local level. The report includes 7 chapters: chapter 1 introduces the overall report; chapter 2 summarises important findings so far; chapter 3 triangulates different sources of intelligence to provide robust findings for anxiety, depression, loneliness and life satisfaction; chapter 4 presents weekly data on a range of mental health and wellbeing measures from the COVID-19 Social Study, ONS and YouGov; chapter 5 presents plain English abstracts of recent analysis from relevant research; chapter 6 presents service use data and commentary from a range of remote mental health and wellbeing service providers; and chapter 7 is dedicated to the experiences of children and young people. Chapters 2 to 7 will be updated regularly and will draw upon new intelligence that has become available. (Edited publisher abstract)
Emotional support for sight loss: research findings
- Authors:
- MENTAL HEALTH FOUNDATION SCOTLAND, ROYAL BLIND, SCOTTISH WAR BLINDED
- Publisher:
- Mental Health Foundation Scotland
- Publication year:
- 2019
- Pagination:
- 18
- Place of publication:
- Edinburgh
This research explores the mental health impacts of visual impairment. It reports the results of a survey conducted through questionnaires and interviews amongst both young and older people using the services of the charities Royal Blind and Scottish War Blinded. A total of 378 people responded to the survey. The majority of respondents said they had experienced challenges to their mental health a result of their visual impairment. The four top challenges to emotional wellbeing identified were: worry about the future; feeling of anxiousness; being upset; and feeling angry. Potential causes identified by respondents included loss of confidence, diminished self-esteem and inability to undertake activities they had previously been able to engage in. The report makes recommendations for policy based on the findings. These include the need for regular screening for depression among people experiencing sight loss and signpost to support; and person-centred social care and support plans that address mental health risks and triggers, such as mobility, access to services, employment, economic support and other needs. (Edited publisher abstract)
Parent-reported stigma and child anxiety: a mixed methods research study
- Authors:
- CHAVIRA Denise A., et al
- Journal article citation:
- Children and Youth Services Review, 76, 2017, pp.237-242.
- Publisher:
- Elsevier
Background: Stigma has been frequently cited as a barrier to service use for various mental health problems. Studies suggest that stigma may be greater for childhood mental health problems that are perceived as more atypical. Aims: This study utilised a mixed methods research design (qual + QUAN) to examine parental endorsement of stigma and its impact on service utilisation among children with significant anxiety—a common childhood problem frequently perceived as normative. Methods: Semi-structured qualitative interviews were conducted with 29 parents of anxious children. Qualitative data were coded using a grounded theory approach, and stigma-related responses were examined for emergent themes. Quantitative data was analysed with frequency counts and chi-square analysis. Results: Stigma related to children's anxiety symptoms and seeking mental health services was reported by 41.3% (n = 12) of parents. Emergent themes included: 1) Parental Concern for Negative Consequences, 2) Parent Internalised Stigma, and 3) Negative Associations with Mental Health Treatment. Latino parents discussed stigma more frequently than non-Latino White parents (70% vs. 17.6%, respectively, X2(1, N = 27) = 5.33, p < 0.05). Conclusions: Although anxiety is a common childhood problem, stigma is still frequently reported by parents and may be an important barrier to mental health service use, especially among Latino youth. (Edited publisher abstract)
Learning disabilities: positive practice guide
- Authors:
- DAGNAN Dave, et al
- Publisher:
- Foundation for People with Learning Disabilities
- Publication year:
- 2015
- Pagination:
- 34
- Place of publication:
- London
This practice guide provides information on how to best support people with learning disabilities to access their local Access to Psychological Therapies (IAPT) service. It is aimed at those who work in, commission, or refer to the Improving Access to Psychological Therapies (IAPT) services. The guide outlines the reasonable adjustments that are recommended to ensure that people with learning disabilities get the maximum benefit from treatment within an IAPT service. Areas discussed include: service models, changes to referral and access pathways; screening; adjustments to mainstream IAPT pathways; assessment; adaptations to treatment and interventions; and making information accessible. Practical examples are included to show how some teams have made reasonable adjustments to support access to IAPT service. The guide also covers the importance of training and developing the workforce and provides key points for commissioners of IAPT services consider to ensure that mainstream services effectively meet the needs of people with learning disabilities. (Edited publisher abstract)
CBT and the challenge of primary care: developing effective, efficient, equitable, acceptable and accessible services for common mental health problems
- Author:
- WHITE Jim
- Journal article citation:
- Journal of Public Mental Health, 7(1), August 2008, pp.32-41.
- Publisher:
- Emerald
Recent guidelines suggest that cognitive behavioural therapy has a pivotal role to play in the treatment of common mental health problems. There is a danger that we ask for 'more of the same' instead of looking at all the current limitations preventing individuals from accessing appropriate help. This paper suggests that progress in primary care mental health has been much more limited than mental health workers and, in particular, researchers often acknowledge. It looks at the major obstacles barring the way to the development of services that could meet the needs of the very large number of people in our communities with common mental health problems.
“Just keep pushing”: Parents' experiences of accessing child and adolescent mental health services for child anxiety problems
- Authors:
- CROUCH Lauren, et al
- Journal article citation:
- Child: Care, Health and Development, 45(4), 2019, pp.491-499.
- Publisher:
- Wiley
Background: Anxiety disorders are among the most common psychopathologies in childhood; however, a high proportion of children with anxiety disorders do not access effective treatments. The aim of the present qualitative study was to understand families' experiences of seeking help and accessing specialist treatment for difficulties with childhood anxiety. Methods: Parents of 16 children (aged 7–12 years) referred to a child mental health service for difficulties with anxiety were interviewed about their experiences of seeking and accessing treatment within Child and Adolescent Mental Health Service (CAMHS). All interviews were transcribed verbatim and thematically analysed for similarities and differences in families' experiences. Results: Factors that helped and/or hindered families accessing treatment related to (a) parental recognition, (b) contact with professionals, (c) reaching CAMHS, (d) parental effort, and (e) parental knowledge and concerns. High demands on services and parents' uncertainty surrounding the help‐seeking process presented key hurdles for families. The critical role of parental persistence and support from general practitioners and school staff was evident across interviews. Conclusions: Findings highlighted the need for information and guidance on identifying child anxiety difficulties and professional, peer, and self‐help support, and ensuring sufficient provision is available to allow families prompt access to support. (Edited publisher abstract)