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Mental health co-production in Bristol seeking to address the challenges
- Authors:
- HICKS Joanna, KEEBLE Justine, FULFORD Bill
- Journal article citation:
- Mental Health Today, January/February 2015, pp.18-19.
- Publisher:
- Pavilion
- Place of publication:
- Hove
This article reports on a project to tackle the barriers to co-production in services using the 3 Keys to a Shared Approach in Mental Health Assessment. The Approach provides a values-based method of conducting an assessment, with service users at the heart of the process. (Edited publisher abstract)
Courting favour
- Author:
- GILLEN Sally
- Journal article citation:
- Mental Health Today, June 2010, pp.10-11.
- Publisher:
- Pavilion
- Place of publication:
- Hove
This article describes two projects that have been trying to steer mentally ill offenders away from prison. Since January 2009, two magistrates’ courts (one in Stratford, east London, the other in Brighton, Sussex) have been piloting mental health courts. As part of this programme, a mental health practitioner screens those arriving from police custody and prison, and, where necessary, carries out an assessment. Information from this assessment is taken into account by the magistrate when deciding how to deal with each case. If a person is identified as having mental health problems, community treatment is sought, rather than a custodial sentence. For those that are imprisoned, the assessment arrives with them to ensure their particular needs or risks are identified from the outset. The author concludes that, aside from the compelling moral argument for diverting people with mental health problems away from prison into community services, there are economic benefits too – figures suggest that a custodial sentence costs £13,125 on average, compared to a community order costing £1,500 to £4,000.
Listen and learn
- Author:
- HOPKINS Graham
- Journal article citation:
- Community Care, 16.03.06, 2006, pp.38-39.
- Publisher:
- Reed Business Information
Service users are rarely asked about their experiences of Mental Health Act assessments. The author reports on an innovative scheme in Milton Keynes that is changing that. It allows service users to feedback on the how they have found the process of their assessment.
Good practice guidance: provision of hospital treatment for physical illness where a person with a mental disorder refuses treatment
- Author:
- MENTAL WELFARE COMMISSION FOR SCOTLAND
- Publisher:
- Mental Welfare Commission for Scotland
- Publication year:
- 2010
- Pagination:
- 7p.
- Place of publication:
- Edinburgh
The presence of mental disorder may, for some people, be a barrier to necessary physical health care if the person lacks capacity. This guidance refers specifically to the situation where the person refuses to attend hospital in a situation where others think that such attendance for physical health reasons is necessary. The guidance emphasises the need to carry out a proper assessment of capacity; the need to take account of the views of the individual and other with an interest; and the need to base interventions on an analysis of the risks and benefits, including the risk of not intervening. A flow chart shows the decisions that can be made mental health and incapacity law. Case study examples are also provided.
The fall and rise of 'mental health' diversion
- Authors:
- PAKES Francis, WINSTONE Jane
- Journal article citation:
- Prison Service Journal, 177, May 2008, pp.43-47.
- Publisher:
- Her Majesty's Prison Service of England and Wales
The notion and practice of diversion of individuals with mental health problems has undergone transformations in the last twenty years. The 'classic' conception of diversion is the removal of an individual away from prison (or remand) into a health setting. Currently many diversion schemes offer information to the courts and support the disordered individual without diversion being the over-riding objective. Their operation might be seen as a mixture of assessment, referral, liaison and advocacy. This article describes areas of effective practice identified from a comprehensive literature review, and key findings from a pilot study.
Developing a mental health triage service in primary care
- Author:
- SAWYER Simon
- Journal article citation:
- Nursing Times, 4.12.07, 2007, pp.28-29.
- Publisher:
- Nursing Times
This article describes the development of a mental health triage service that was rolled out across Gloucestershire between June 2004 and January 2007. The service was provided directly to clients with common mental health problems. The article focuses on the first cluster of GP surgeries to be covered in the Cheltenham. It outlines the success in improving access to service users to appropriate and timely assessment as well as reducing referrals from GPs to specialist mental health services.
Health warnings
- Author:
- SMITH Martin
- Journal article citation:
- Community Care, 16.06.05, 2005, pp.38-39.
- Publisher:
- Reed Business Information
This article explains how the mental and physical health needs of young clients are being addressed in a pioneering scheme in the Waltham Forest youth offending team.
To preserve or not to preserve: That is the question. Decision-making about family preservation among families in multi-problem situations
- Authors:
- VISCHER Anne-Fleur W.K., et al
- Journal article citation:
- Children and Youth Services Review, 99, 2019, pp.441-450.
- Publisher:
- Elsevier
High rates of failed reunification indicate that family preservation (FP) does not necessarily lead to permanency for children. It could be argued that, in such failed cases, the decision-making process leading to the preservation of the family was inadequate. In order to gain insight into the role that decision-making plays in family preservation practice, the authors studied decision-making within an FP-intervention programme provided by the Expertise Center. The Expertise Center explicitly combines treatment and decision-making in an assessment-based intervention that is provided to families seeking either to be reunited with their young child (0–2) or to avoid an out-of-home placement of the child. In addition, at least one of the parents has psychiatric problems. The authors attempted to a) map decision-making trajectories in practice and b) provide feedback about Expertise Center decision-making based on evidence regarding the – sometimes evolving – quality of parental behaviour as observed in the participants. They used a descriptive design (n = 100) as well as a one-group repeated measures design (n = 28) to examine parental behaviour using the Atypical Maternal Behavior Instrument for Assessment and Classification (AMBIANCE). The authors hypothesized that a negative recommendation regarding family preservation would manifest itself in the display of more frequent and more severe atypical parental behaviour. The results indicate that the Expertise Center succeeded in contributing broadly to timely decision-making in the context of permanency planning, and that implementation of the Decision-making Continuum potentially improved the quality of clinical decision-making. Furthermore, the authors' hypothesis was confirmed by four out of five measurements of parental behaviour that have been proven to be significant for children's attachment security. Since these are promising results, the Expertise Center program could serve as an inspiration for the practice field. (Edited publisher abstract)
Supporting people with alcohol and drug problems: making a difference
- Author:
- GALVANI Sarah
- Publisher:
- Policy Press
- Publication year:
- 2012
- Pagination:
- 224p.
- Place of publication:
- Bristol
This book addresses the challenges social workers face when working with people with alcohol and other drug problems. It addresses a perceived gap in social work education by providing a combination of research evidence, policy frameworks and practical hints and tips for good social work practice. The text is based around practice examples from both adults' and children's social care and combines knowledge with action as well as providing an introduction to the evidence base on assessment, intervention and partnership working with specialist substance use colleagues. The book is written for all those working in children's and adults' social work and social care settings who are working with people who use, or have problems with, alcohol or other drugs. Among the topics discussed are : theories, models and methods; multidisciplinary working; minority ethnic people; parental substance use; domestic abuse and substance use; older people's use; young people's use; people with mental ill health; and people with disabilities.
Stop, look and listen: service user and carer consultation can make a genuine difference to a service
- Author:
- OLDKNOW Helen
- Journal article citation:
- Working with Older People, 11(1), March 2007, pp.32-36.
- Publisher:
- Emerald
The author describes the aims and objectives of the Doncaster and South Humber Healthcare NHS Trust's clinical audit of its community mental health nursing team. In the audit the views of service users and carers on their initial assessment interview were sought. The following simple changes in practice regarding out-of-hours contact made a genuine difference to service users and carers.