Search results for ‘Subject term:"mental health problems"’ Sort:
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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)
Self-harm: assessment, management and preventing recurrence
- Author:
- NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE
- Publisher:
- National Institute for Health and Care Excellence
- Publication year:
- 2022
- Pagination:
- 81
- Place of publication:
- London
This guideline covers assessment, management and preventing recurrence for children, young people and adults who have self-harmed. It includes those with a mental health problem, neurodevelopmental disorder or learning disability and applies to all sectors that work with people who have self-harmed. In this guideline, self-harm is defined as intentional self-poisoning or injury, irrespective of the apparent purpose. The guideline does not cover repetitive, stereotypical self-injurious behaviour (such as head banging). This guideline includes recommendations on: information and support; consent and confidentiality; safeguarding; involving family members and carers; psychosocial assessment and care by mental health professionals; risk assessment tools and scales; assessment and care by healthcare professionals and social care practitioners; assessment and care by professionals from other sectors; admission to and discharge from hospital; initial aftercare after an episode of self-harm; interventions for self-harm; supporting people to be safe after self-harm; safer prescribing and dispensing; training and supervision. (Edited publisher abstract)
A safer place to be: findings from our survey of health-based places of safety for people detained under section 136 of the Mental Health Act
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2014
- Pagination:
- 60
- Place of publication:
- Newcastle upon Tyne
Examines the provision and use of health-based places of safety for people detained under section 136 of the Mental Health Act, which gives police officers the power to detain people, believed to have a mental disorder, in a public place and to take them to a place of safety for assessment. The report, based on the findings from a survey of NHS mental health trusts and social enterprise providers of health-based places of safety in England, focuses on: the availability, in practice, of health-based places of safety; accessibility, including any exclusion criteria; staffing and training of those involved in operating places of safety; target times and delays in carrying out MHA assessments after people have been taken to places of safety; governance, reporting and multi-agency working; and the role of police and ambulance services. The report highlights four key findings that need to be urgently addressed: too many places of safety are turning people away or requiring people to wait for long periods with the police, because they are already full or because there are staffing problems; too many providers operate policies that exclude young people, people who are intoxicated, and people with disturbed behaviour from all of their places of safety; too many commissioners are not adequately fulfilling their responsibilities for maintaining an oversight of the section 136 pathway; and too many providers are not appropriately monitoring their own service provision. As a result and despite guidance from the MHA Code of Practice and elsewhere, the use of police stations across the country is far from uncommon. (Edited publisher abstract)
Psychometric properties of the Worker Role Interview (version 10.0) in mental health
- Authors:
- LOHSS Isabel, FORSYTH Kirsty, KOTTORP Anders
- Journal article citation:
- British Journal of Occupational Therapy, 75(4), April 2012, pp.171-179.
- Publisher:
- Sage
Occupational therapists working in psychiatry are often required to undertake vocational assessments and to support clients into work. The use of evidence-based practice and outcome measures is becoming increasingly important in ensuring that the process is effective. This study examined the psychometric properties of the Worker Role Interview (WRI) with a psychiatric population in London, particularly its construct validity as a baseline assessment and an outcome measure. Data were collected from 34 psychiatric clients rated by seven occupational therapists. Rasch analysis was used to examine scale validity, validity of therapists' rating patterns of clients, rater consistency, precision of client measurement and the scale's aptitude in detecting different ability levels. All the items except “expectation of success in work” worked together well to reflect psychosocial work ability. Over 90% of clients fitted the model. The scale detected five ability levels, but client measures were a little imprecise. There was evidence of good inter-rater consistency; however the implications of rater tendencies towards leniency are discussed. The authors conclude that the WRI can validly assess psychosocial ability to work within a mental health setting. They suggest that further development of the WRI might be indicated and its usefulness as an outcome measure should be tested with larger samples.
Real listening – using personal construct assessment with people with intellectual disabilities: two case studies
- Authors:
- HARE Dougal Julian, SEARSON Ruth, KNOWLES Rebecca
- Journal article citation:
- British Journal of Learning Disabilities, 39(3), September 2011, pp.190-197.
- Publisher:
- Wiley
Although the situation is improving, many people with intellectual disabilities are still not being listened to by services providing them with care and support. When this happens, they become upset and frustrated and are all too readily regarded as being mentally ill. This article, in an attempt to help people with intellectual disabilities describe and make sense of their experiences and feelings in a non-judgemental manner without the need for these experiences to be interpreted and explained, describes the use of an adapted repertory grid procedure developed from George Kelley’s personal construct psychology. Although such an approach has been identified as being particularly suitable for working with people with intellectual disabilities in a person-centred way, little data is available. To improve on this situation, this article presents an outline of personal construct psychology and its use with people with intellectual disabilities to highlight its use in clinical practice.
The assessment of pain in older people
- Authors:
- ROYAL COLLEGE OF PHYSICIANS, BRITISH GERIATRICS SOCIETY, BRITISH PAIN SOCIETY
- Publisher:
- Royal College of Physicians
- Publication year:
- 2007
- Pagination:
- 13p.
- Place of publication:
- London
Pain is under-recognised and under-treated in older people, and the assessment of pain is particularly challenging in the presence of severe cognitive impairments, communication difficulties or language and cultural barriers. This guidance sets out the key components of assessing pain in older people, together with a range of practical scales that can be used with different groups, including those with cognitive or communication impairment. It aims to provide professionals with a set of practical skills to assess pain as the first step towards its effective management. It describes the background and methodology used, key components of an assessment of pain, and types of scale used to assess pain. It also provides a summary of recommendations in the full guidelines covering: pain awareness, pain enquiry, pain description, pain location and intensity, communication, assessment in people with impaired cognition/communication, cause of pain, and re-evaluation. It notes that the basic guidelines should be a routine part of the training and care provision of all healthcare professionals. The appendices include the guideline development process, an algorithm for the assessment of pain in older people, a pain map, and examples of pain scales.
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.
Fluctuating needs: the Care Act 2014
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2015
- Pagination:
- 6 minutes 56 seconds
- Place of publication:
- London
Under the Care Act 2014, assessments should reflect more accurately a comprehensive picture of people's needs - including how they change over time. In this film two people, one with mental health needs, the other with a physical disability, talk about their conditions, assessment, how their needs can fluctuate and the impact this has on the level of care and support they need. The film illustrates how the new requirement aims to recognise people as individuals by endorsing a much-needed degree of flexibility and responsive care, as well as offering valuable support for people with mental health and physical health conditions which may vary over time. (Edited publisher abstract)
Introduction to adult mental health services
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2012
- Pagination:
- 12p.
- Place of publication:
- London
This briefing paper provides an overview of the adult mental health system. and the legislation and guidance that covers the structure and delivery of services. It includes details of key legislation; different ways of working, including care pathways and approaches; commonly used interventions; and general information about mental disorders. It also covers the importance of setting effective protocols for working together. The briefing is aimed at people who have little or no experience in adult mental health services.