Search results for ‘Subject term:"mental health problems"’ Sort:
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Acute mental health admissions in inner London: changes in patient characteristics and clinical admission thresholds between 1988 and 1998
- Authors:
- FITZPATRICK N.K., et al
- Journal article citation:
- Psychiatric Bulletin, 27(1), January 2003, pp.7-11.
- Publisher:
- Royal College of Psychiatrists
The authors undertook a retrospective case-note review of three cohorts of mental health admissions to determine the extent to which patient and service characteristics changed between 1988 and 1998. Changes in clinical admission thresholds were investigated by a psychiatrists' review of handwritten medical admission assessments. Patients admitted in 1998 were demographically less stable and clinically more complex than those admitted 10 years earlier. Clinical admission thresholds remained consistent. Findings suggest that the perceived increase in pressure on psychiatric services over this period was a response to a change in population need. This study highlights important questions about the clinical decision-making process leading to use of alternatives to admission and the appropriateness of acute admissions.
London's state of mind: King's Fund mental health inquiry 2003
- Authors:
- LEVENSON Ros, GREATLEY Angela, ROBINSON Janice
- Publisher:
- King's Fund
- Publication year:
- 2003
- Pagination:
- 178p.
- Place of publication:
- London
This report offers a comprehensive overview of substantial changes that have taken place since 1997 in the policy environment and in the organisation and delivery of services. It also identifies the characteristics of the capital’s population that pose particular challenges and opportunities for London’s mental health and mental health services. The report draws on a series of working papers, commissioned to explore areas where information was felt to be lacking, along with consultations with service users, carers and key stakeholders.
Development of services for people with a mental illness in England: thirteenth report prepared pursuant to section 11 of the Disabled Persons (Services, Consultation and Representation) Act 1986
- Author:
- GREAT BRITAIN. Parliament. House of Commons
- Publisher:
- Stationery Office
- Publication year:
- 2003
- Pagination:
- 25p.
- Place of publication:
- London
Thirteenth report prepared pursuant to section 11 of the Disabled Persons (Services, Consultation and Representation) Act 1986 as amended. published by the Department of Health. The twelfth report (March 2001) (HCP 339 2000/01) was entitled "Development of services for people with learning disabilities (mental handicap) or mental illness in England".
Where next?: new directions in in-patient mental health services for young people; report 1 different models of provision for young people; facts and figures
- Authors:
- STREET Cathy, SVANBERG Jenny
- Publisher:
- YoungMinds
- Publication year:
- 2003
- Pagination:
- 51p.,bibliog.
- Place of publication:
- London
Looks at issues emerging, and views from young people, parents and staff. Different Models of provision for young people: facts and figures, the background context to the study is set out, along with the study design and methodology and the conclusions and recommendations arising from the research. One chapter describes the sample in-patient units, including for each the challenges they identified in providing services and their plans for the future. Another presents a range of different models for providing support to young people with mental health difficulties on a residential basis. These include a service designed to fill the gap between adolescent and adult psychiatry and one set up for young people with early onset psychosis. The report also discusses the learning from the study on how to consult with young people about mental health services and includes an appendix summarising useful literature on this issue.
London's state of mind: King's Fund mental health inquiry 2003; summary
- Authors:
- LEVENSON Ros, GREATLEY Angela, ROBINSON Janice
- Publisher:
- King's Fund
- Publication year:
- 2003
- Pagination:
- 13p.
- Place of publication:
- London
This report offers a comprehensive overview of substantial changes that have taken place since 1997 in the policy environment and in the organisation and delivery of services. It also identifies the characteristics of the capital’s population that pose particular challenges and opportunities for London’s mental health and mental health services. The report draws on a series of working papers, commissioned to explore areas where information was felt to be lacking, along with consultations with service users, carers and key stakeholders.
A qualitative evaluation of the 'Trailblazers' teaching the teachers programme in mental health
- Authors:
- BROWN Celia, et al
- Journal article citation:
- Learning in Health and Social Care, 2(2), June 2003, pp.74-82.
- Publisher:
- Blackwell
This article aims to provide an evaluation of the 'Trailblazers' programme, and seeks to identify the factors affecting the impact of the programme. 'Trailblazers' is a learner-centred 'Teaching the Teachers' programme in primary care mental health. In the first programme to be run in the West Midlands, seven pairs of participants attended three residential modules and developed an action plan that was cascaded to local colleagues. A primarily qualitative investigation, exploring the experiences of the first cohort of 14 Trailblazers in the West Midlands, demonstrated that the modules were well received and over 200 other professionals benefited from education sessions delivered by the participants. Most delegates were keen to be involved in future programmes and regional policy-making. The Trailblazers programme demonstrated short-term effectiveness in terms of participant reaction, knowledge and changes in professional practice.
Delivering race equality; a framework for action; mental health services consultation document
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2003
- Pagination:
- 48p.
- Place of publication:
- London
This draft framework, which is being issued for consultation, sets out what those planning, delivering and monitoring local primary care and mental health services need to do to improve services for users experiencing mental illness and distress, and their relatives and carers, from Black and minority ethnic communities. There is clear evidence that these users and their relatives and carers experience inequitable services and outcomes. The document focuses on achieving improvements in three generic aspects of delivery (information, appropriate and responsive services and community engagement). These are termed the ‘building blocks’ as they are fundamental to delivering improvements in the outcomes and experiences of Black and minority ethnic users and their carers and relatives. The document then looks in detail at three specialist areas (suicide, pathways to care and acute inpatient care) of particular concern. Actions needed to be taken to comply with statutory obligations and assist in meeting existing national targets and other standards and commitments are set out for each ‘building block’ and for each specialist area.
Where next?: new directions in in-patient mental health services for young people; report 2
- Authors:
- SVANBERG Jenny, STREET Cathy
- Publisher:
- YoungMinds
- Publication year:
- 2003
- Pagination:
- 42p.
- Place of publication:
- London
Views from young people, parents and staff as much as possible quotes from those who were interviewed for the study are used to illustrate the issues raised by the research. The issues are clustered into four main phases of contact with in-patient CAMHS: issues before admission; the admission process; issues during stay and discharge and after. Throughout the report, checklists are presented that will be of value to practitioners working with young people who require in-patient care and treatment. These include what young people want to know on admission, the views of older adolescents towards their involvement in their care and what young people identified as helpful aspects of care. One chapter also draws together all the things identified by young people that can help to make the experience of admission to an in-patient unit more positive.
Primary solutions: an independent policy review on the development of primary care mental health services
- Author:
- SAINSBURY CENTRE FOR MENTAL HEALTH
- Publisher:
- Sainsbury Centre for Mental Health
- Publication year:
- 2003
- Pagination:
- 44p.
- Place of publication:
- London
Primary care plays a fundamental role in caring for people with mental health problems. It also plays an important role in determining the way in which secondary care resources are utilised. However, despite the fundamental role of primary care in addressing mental health problems, there is no clear and comprehensive national policy framework on primary care mental health.
Ethnic differences in prisoners: risk factors and psychiatric service use
- Authors:
- COID Jeremy, et al
- Journal article citation:
- British Journal of Psychiatry, 181(12), December 2002, pp.481-487.
- Publisher:
- Cambridge University Press
The aim of this article is to compare early environmental risks, stressful daily living experiences and reported use of psychiatric services in prisoners from different ethnic groups. Fewer Black and South Asian male prisoners reported childhood traumas and conduct disorder, and fewer Black prisoners experienced stressful prison experiences, than White prisoners. Fewer Black women had received previous psychiatric treatment, and fewer Black men had their psychiatric problems identified in prison. Black prisoners were less likely to have received psychiatric treatment than Whites. The lower prevalence of psychiatric morbidity observed in Black prisoners corresponds with reduced exposure to risk factors. Higher rates of imprisonment might be explained by higher rates of conduct disorder, adolescent-onset criminality and disadvantage within the criminal justice system.