Search results for ‘Subject term:"mental health problems"’ Sort:
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COCOA: care for offenders continuity of access
- Authors:
- BYNG Richard, et al
- Publisher:
- National Institute for Health Research
- Publication year:
- 2012
- Pagination:
- 265p.
- Place of publication:
- London
Adult offenders have a high incidence and prevalence of many illnesses, particularly poor mental health and substance misuse. Passage through the various elements of the criminal justice system (CJS) provides both the potential for initial access to healthcare and also the disruption of existing care. The aim of this project was to inform policy on improving health and reducing recidivism for offenders by examining access to, and continuity of, healthcare. A multi-method investigation of continuity of healthcare for offenders included: interviews and health records study of 200 offenders; 5 focus groups; and 8 case studies. A quantitative analysis of the offender interviews demonstrates the extent of the deficit in access. A qualitative analysis of interviews and focus groups data provides insights into how offenders view healthcare and the potential impact on achieving access and continuity. The case studies provide information about the barriers and facilitators from an institutional viewpoint. These findings are used in the development of theory related to offender continuity of care. The study demonstrates that continuity of access to healthcare, particularly for mental health problems, is far from perfect. However, pockets of good practice and innovative projects demonstrate the potential for improving continuity and the quality of care provided.
An investigation into the prevalence of mental health disorder and patterns of health service access in a probation population
- Authors:
- BROOKER Charlie, et al
- Publisher:
- University of Lincoln. Criminal Justice and Health Research Group
- Publication year:
- 2011
- Pagination:
- 10p.
- Place of publication:
- Lincoln
The aim of this study was to pilot a methodology for assessing the prevalence of mental health disorder and substance misuse amongst offenders under probation supervision in Lincolnshire. The study was divided into 3 stages. Stage 1 investigated the prevalence of mental health disorders, substance misuse and patterns of health service access amongst offenders under probation supervision in Lincolnshire through a series of clinical interviews with a random sample of 173 offenders. Stage 2 compared the findings from the clinical interviews conducted in stage 1 with information in probation case files. This stage aimed to examine the extent to which probation staff are aware of and recording offenders’ mental health and substance misuse problems and the nature of any action taken to address these. Stage 3 consisted of 20 qualitative interviews with probation staff and offenders to investigate both enablers to and barriers to health service access for offenders. The findings show that many offenders’ health needs are unmet and that there are a number of ongoing barriers to access to health services for offenders, particularly for those with complex needs. The methodological learning from this pilot study is discussed.
There to help 2: ensuring provision of appropriate adults for vulnerable adults detained or interviewed by police
- Author:
- BATH Chris
- Publisher:
- National Appropriate Adult Network
- Publication year:
- 2019
- Pagination:
- 115
- Place of publication:
- Ashford
Based on Freedom of Information Act requests to police forces in England and Wales, this report provides an updated on the need for, and access to, appropriate adults (AA) for vulnerable adults in police custody. Vulnerable adults may have a mental illness, learning disability, brain injury or autism. The report provides information on: the identification of need for an AA amongst adult suspects; the application of the AA safeguard (the extent to which vulnerable adult suspects actually receive the support of an AA); and the availability of organised AA provision in England and Wales. Based on police figures, the report finds that in the 12 months ending 31st March 2018 at least 111,445 police detentions and voluntary interviews of vulnerable adult suspects were carried out without the support of an 'appropriate adult'. It also found that where police had no access to an organised AA scheme, they were half as likely to record an adult as needing one. Despite being a key recommendation of There to Help (2015), local authorities are only legally required to run schemes for children, not for vulnerable adults. The report makes a number of recommendations. (Edited publisher abstract)
Safe and well: mental health and domestic abuse
- Author:
- SAFELIVES
- Publisher:
- SafeLives
- Publication year:
- 2019
- Pagination:
- 73
- Place of publication:
- Bristol
This 'Spotlight' report focuses on victims and survivors of domestic abuse who experience mental health problems and the barriers they experience in accessing services. It focuses on six key findings from evidence gathered within the Spotlight series and wider SafeLives' research which are used to make recommendations for change. The key findings show: there is a strong association between having mental health problems and being a victim of domestic abuse; domestic abuse often goes undetected within mental health services and domestic abuse services are not always equipped to support mental health problems; that survivors with mental health problems are more likely to be experiencing multiple disadvantage; the need for available trauma-informed services for survivors and perpetrators; improved integration of domestic abuse services into the health sector; and the need for a greater awareness of the relationship between domestic abuse and mental health within organisations and the general public. The report provides 21 recommendations, including recommendations for governments, multi-agency partnerships and domestic abuse and mental health services. (Edited publisher abstract)
Race, mental health and criminal justice: moving forward
- Authors:
- NACRO, CLINKS, ASSOCIATION FOR MENTAL HEALTH PROVIDERS, RACE EQUALITY UNIT
- Publisher:
- Clinks
- Publication year:
- 2017
- Pagination:
- 9
- Place of publication:
- London
This joint briefing from Nacro, Clinks, Association for Mental Health Providers, and the Race Equality Foundation explores the challenges in providing effective mental health support for people from black, Asian and minority ethnic (BAME) communities that have contact with the criminal justice system. It looks at how services can be more effectively integrated to provide appropriate support and how to address disproportional access to mental health services and how to ensure that mental needs of BAME people are effectively met. The briefing and its recommendations are based on analysis of existing research, and workshops with people with lived experience from BAME communities and voluntary sector practitioners. The recommendations focus on addressing disproportionate access to health services in the justice system in the areas of: providing appropriate services; using data; involving people with lived experience; workforce and training; and integrated working. (Edited publisher abstract)
Beyond bars: Scotland's Prison Service has worked with public health officials to find out how best to handle mental health problems from anxiety to psychosis
- Author:
- COSH Jackie
- Journal article citation:
- Mental Health Today, November 2009, pp.15-16.
- Publisher:
- Pavilion
- Place of publication:
- Hove
Reports on a joint project by the Scottish Prison Service and the Scottish Public Health Network to deliver a mental health patient pathway for prisoners. The research was based on interviews with prisoners and prison staff, discussions with prison mental health teams and a literature review, and was overseen by an advisory board. Areas of good practice were identified and examined. The resulting document identifies eight steps which comprise the pathway for supporting prisoners experiencing emotional distress of mental health problems.
Access to justice: a review of the existing evidence of the experiences of adults with mental health problems
- Author:
- KM RESEARCH AND CONSULTANCY
- Publisher:
- Great Britain. Ministry of Justice
- Publication year:
- 2009
- Pagination:
- 78p., bibliog.
- Place of publication:
- London
This is the report of a systematic review that was undertaken to investigate how adults with mental health problems experience civil, family and criminal justice. The findings are presented and discussed under the following headings: associations and characteristics of adults with mental health problems; services and agencies accessed by adults with mental health problems and their effectiveness; experiences, barriers and potential barriers to accessing justice for adults with mental health problems. The report concludes with a summary of key findings and notes that mental health in under-researched within the context of access to justice. Areas for further research are suggested. The appendices include details of the search strategies used and databases searched.
Hand to mouth: the impact of poverty and financial exclusion on adults with multiple needs
- Authors:
- PRATT Ellen, JONES Sarah
- Publisher:
- Revolving Doors Agency
- Publication year:
- 2009
- Pagination:
- 96p., bibliog.
- Place of publication:
- London
People who have a range of needs including homelessness and mental health and substance use problems, and are involved with the criminal justice system, often live at the margins of our society. This research aimed to examine this group’s abilities to access financial services, their financial management skills and the interplay between key life events, mental health and offending. The bulk of research was conducted through in-depth, semi-structured interviews with service users recruited through two partner organisations: St Mungos and P3. The report provides a policy and literature review. The research methodology is then described, the research findings discussed, and an analysis of their implications for adults with multiple needs provided. The report makes recommendations to improve financial inclusion of this group. Illustrative case studies are included throughout the report.
West-Yorkshire Finding Independence (WY-FI): effectiveness, outcomes and impact
- Authors:
- CRISP Richard, et al
- Publisher:
- Sheffield Hallam University. Centre for Regional Economic and Social Research
- Publication year:
- 2020
- Pagination:
- 69
- Place of publication:
- Sheffield
This final report summarises the key findings emerging from a six-year evaluation of the West Yorkshire Finding Independence (WY-FI) project. WY-FI is part of the National Lottery Community Fund’s Fulfilling Lives programme which aims to improve the stability, confidence and capability of people with multiple and complex needs to lead better lives as a result of timely, supportive and co-ordinated services. The project focuses on adults with at least three needs including homelessness, reoffending, substance misuse and mental ill health and who are disengaged from services. The report draws upon evidence gathered from a series of 31 stakeholder interviews conducted in 2019 and 2020 to identify good practice and learning. The headline finding is that WY-FI has shown irrefutably that the approach works well although some will continue to need support beyond the programme period. The project has had a transformational impact on the lives of many men and women across West Yorkshire. Furthermore, implementation has validated the key principles underpinning the Fulfilling Lives Programme in terms of an asset-based approach that assumes people can improve their circumstances and life chances with the right support. However, the delivery of WY-FI has also highlighted a ‘hard core’ of individuals that are resistant to the approach. (Edited publisher abstract)
Highlights from the evaluation of Birmingham Changing Futures Together
- Author:
- REVOLVING DOORS AGENCY
- Publishers:
- Revolving Doors Agency, Birmingham Changing Futures Together
- Publication year:
- 2019
- Pagination:
- 20
- Place of publication:
- London
This report brings together key findings from the three individual evaluations the Birmingham Changing Futures Together programme, which aims to improve the lives of people experiencing multiple and complex needs across Birmingham. The report also highlights key learning from the overall programme. The evaluation focuses on three elements: understanding the current experiences of people facing multiple and complex needs across Birmingham; the impact of Psychologically Informed Environment (PIE) training on staff and their ways of working, and; the impact of the Every Step of the Way 'Expert by Experience' programme on the wider system. In total the evaluation interviewed 26 service users, 18 practitioners, 8 Experts by Experience and 10 stakeholders. Three peer researchers from the Experts by Experience were also trained to conduct the service user interviews and co-analyse the findings. The findings include that the work of Lead Workers and Peer Mentors in supporting those with more complex needs to navigate the system was highly valued and appeared to a positive difference to outcomes. (Edited publisher abstract)