Search results for ‘Subject term:"mental health problems"’ Sort:
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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.
Obstacles and dilemmas in the delivery of direct payments to service users with poor mental health
- Author:
- TAYLOR Nichola S.D.
- Journal article citation:
- Practice: Social Work in Action, 20(1), March 2008, pp.43-55.
- Publisher:
- Taylor and Francis
In 2003 the English labour government placed a mandatory responsibility on local authorities to offer direct payments to all eligible people and are continuing to actively promote this service option. This paper explores some of the key reasons why the take-up of direct payments for mental health service users has been particularly slow compared to other user groups. The main themes of this article have been drawn from a large, detailed review of literature and research published between 2000 and 2006 and will provide practitioners and students with an overview of the key current implementation issues concerning direct payments in mental health services. Several major obstacles and dilemmas have contributed to low uptake including the legislation itself as well as local authority guidance. This paper discusses the documented confusion surrounding eligibility for mental health service users as well as the detrimental impact of fluctuating needs set in the context of a dual service provision of health and social care. Differing models of disability are discussed in addition to the fundamental process of recovery. The evidenced reluctance of practitioners and care co-ordinators to offer this service provision to mental health service users is considered, particularly their desire for power and aversion to risk taking. This paper concludes many social workers in mental health teams need to reappraise their current attitudes and practices to enable direct payments to become a viable and attractive service option.
In the driving seat
- Author:
- THORP Samantha
- Journal article citation:
- Care and Health Magazine, 10.8.04, 2004, pp.22-23.
- Publisher:
- Care and Health
Looks at reasons for the reluctance of some practitioners to discuss using direct payments with their clients. Also highlights work in Essex, who has been successful in implementing direct payments.
Payments reform stalls
- Author:
- REVANS Lauren
- Journal article citation:
- Community Care, 28.9.00, 2000, p.12.
- Publisher:
- Reed Business Information
After a slow start the take-up of direct payments among disabled people is increasing. However, it is a different story among mental health service users.
Getting personal: making direct payments work in local authorities
- Author:
- RETHINK
- Publisher:
- Rethink
- Publication year:
- 2011
- Pagination:
- 8p.
- Place of publication:
- London
As of March 2010 there were 107,000 people receiving Direct Payments for their social care needs. However, only 8,580 were getting them to help with social care needs arising due to mental health problems even though 100% of people recently surveyed stated that receiving a direct payment for their social care needs had made a positive impact on their lives. A number of barriers preventing people with mental illness accessing direct payments have also been identified. This report explores: what people with mental health problems are using their Direct Payments for; what makes the personalisation process easier for people with mental health problems; the role of carers; and common problems that are being encountered by people with mental health problems and their carers when trying to access personalised care services.
Enabling access to direct payments: an exploration of care co-ordinators decision-making practices
- Authors:
- SPANDLER Helen, VICK Nicola
- Journal article citation:
- Journal of Mental Health, 14(2), April 2005, pp.145-155.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
This study considers how workers have responded to direct payments in practice and how they can enable or limit greater access. The analysis is primarily based on 20 in-depth interviews with care co-ordinators who took part in an evaluation of a national pilot to implement direct payments in mental health. Three key responses were identified which mediated care co-ordinators' pursuit of direct payments as an option for clients: using selective criteria; incorporating it into a dominant framework (of ‘providing services’) and re-conceptualizing their role as enabling greater capacity for choice and control. In order to make sense of these responses it was necessary to examine their conflicting work context. The authors conclude that initiatives such as direct payments suggest the need to re-appraise the role of care co-ordinators and may require a significant shift in the focus of their practice. Whilst tensions inherent in their role may make this shift difficult, the analysis also suggests that it could lead to opportunities for putting into practice ideas about user empowerment which should be central to their practice.
Is help easily at hand?
- Author:
- SALE Anabel Unity
- Journal article citation:
- Community Care, 6.5.04, 2004, pp.28-31.
- Publisher:
- Reed Business Information
Direct payments were introduced to empower service users. Looks at their impact so far and the barriers that exist to people taking-up direct payments.
Individualised funding, social inclusion and the politics of mental health
- Author:
- SPANDLER Helen
- Journal article citation:
- Journal of Critical Psychology Counselling and Psychotherapy, 7(1), Spring 2007, pp.18-27.
This article explores how the changing nature of welfare provision can open up, or close down, opportunities for people to organise their own lives and develop their own communities. In particular, it focuses on the rise of individualised funding or direct payments, where individuals can receive money, instead of services, in order to plan, purchase and direct their own support arrangements.
Direct payments in England: factors linked to variations in local provision
- Authors:
- FERNANDEZ Jose-Luis, et al
- Journal article citation:
- Journal of Social Policy, 36(1), January 2007, pp.97-121.
- Publisher:
- Cambridge University Press
- Place of publication:
- Cambridge
Direct payments have moved to the heart of the government's drive for increased user choice. At the same time, implementation has remained disappointing. This article explores the demand, supply and related factors associated with patterns of local variability in uptake and intensity of care package provision. Statistical analyses are conducted for key client groups – people with physical disabilities, older people, people with learning disabilities and people who use mental health services – using data for England from 2000–01 to 2002–03. The results suggest that direct payments variability reflects a complex array of factors, both within and beyond the control of local public actors. In particular, while local policy preferences appear to shape the extent of direct payments growth, the results also demonstrate that understanding levels of activity requires attention to local circumstances.
Direct dollars
- Author:
- ALAKESON Vidhya
- Journal article citation:
- Mental Health Today, March 2007, pp.16-18.
- Publisher:
- Pavilion
- Place of publication:
- Hove
In the United States, some states have introduced pilot programmes in 'self-directed care' through their public mental health system. With an individual budget, participants are able to create a package of services that is personal to their needs. This article looks at how self-directed care has transformed users' lives. The article then goes on to argue that direct payments and individual budgets in the UK should also be extended into the NHS. Currently direct payments and individual budgets in the UK are of limited relevance to people with mental health conditions as they can only be used to pay for social care services - and most people with mental health conditions get their care from the NHS.