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Think child, think parent, think family
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2009
- Pagination:
- 5p.
- Place of publication:
- London
This At a Glance summary presents key recommendations from the SCIE guide 'Think child, think parent, think family: a guide to parental mental health and child welfare'. The summary outlines the current policy and organisational context. It then makes key recommendations to improve services for families where a parent has a mental health problem in the areas of: screening, assessment, care planning, and care plan reviews. Recommendations for strategic changes are then provided.
Assessing the mental health needs of young people living in state care using the Strengths and Difficulties Questionnaire
- Authors:
- MCCRYSTAL Patrick, MCALONEY Kareena
- Journal article citation:
- Child Care in Practice, 16(3), July 2010, pp.215-226.
- Publisher:
- Taylor and Francis
Young people living in the state care system are often reported to experience poorer levels of mental health and wellbeing. Government policy encourages a holistic approach to the assessment of all aspects of health and wellbeing of these young people. The aim of this study was to use data from the Youth Development Study, a longitudinal study being undertaken at Queens University Belfast, to show the value of the Strengths and Difficulties Questionnaire (SDQ) as a screening tool for mental health issues with young people entering state care. The data were obtained during the first year of the study, with young people aged 11 and 12 years, and fourth year, with young people aged 14 and 15 years. The data obtained using the SDQ was compared for young people who indicated they were living in state care with those living with at least one biological parent outside care. The findings showed that a higher proportion of young people living in state care reported scores on the SDQ that indicated a higher propensity to problem behaviour at both stages of the survey. The results show that the SDQ is a tool that may assist professionals to make an informed decision on the health and wellbeing of young people entering the care system and possibly can lead to an empirically assisted decision on intervention planning.
The Mental Health (Northern Ireland) Order 1986: statutory instrument 1986 no. 595 (N.I.4)
- Author:
- GREAT BRITAIN
- Publisher:
- Stationery Office
- Publication year:
- 1986
- Pagination:
- 130p.
- Place of publication:
- London
The 1986 Mental Health (Northern Ireland) Order provides the legal framework in Northern Ireland for compulsory admission and treatment of patients suffering from mental illness. GPs can be involved in Mental Health Order assessments in different settings.Compulsory admission for assessment of a patient can only occur when: they are suffering from a mental disorder of a nature or degree that warrants detention in hospital for assessment (or for assessment followed by medical treatment); and failure to detain the patient would create a substantial likelihood of serious physical harm to themselves or to other persons.
Prevalence of psychiatric disorder and the need for psychiatric care in Northern Ireland: population study in the District of Derry
- Authors:
- McCONNELLL P., et al
- Journal article citation:
- British Journal of Psychiatry, 181, September 2002, pp.214-219.
- Publisher:
- Cambridge University Press
This study assess the prevalence of psychiatric disorder and the needs for treatment in the general population of Derry. The sample was drawn at random with a two-phase design using the General Health Questionnaire during the first phase, and the Schedules for Clinical Assessment in Neuropsychiatry with the Needs for Care Assessment in the second phase. Results found rates of psychiatric disorder in Derry were even higher than those reported by a similar survey in inner London. This almost certainly reflects the very high levels of social deprivation in the District. Needs for treatment were often unmet.
Mental disorders and suicide in Northern Ireland
- Authors:
- FOSTER Tom, GILLESPIE Kate, McCLELLAND Roy
- Journal article citation:
- British Journal of Psychiatry, 170, May 1997, pp.447-452.
- Publisher:
- Cambridge University Press
The aim of this study was to investigate the prevalence of DSM-III-R axis I (clinical syndrome) and axis II (personality) disorders among suicides (14 years and older) in Northern Ireland during a one-year period. Concludes that notwithstanding the aetiological complexity of suicide, the prevention, recognition and treatment of mental disorder will continue to play key roles in suicide prevention.
Think child, think parent, think family: a guide to parental mental health and child welfare
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2009
- Pagination:
- 90p., bibliog.
- Place of publication:
- London
This guide is about working with parents who have mental health problems and their children. It provides guidance on policy and practice and makes recommendations for key areas of professional education, workforce development and research. This guide identifies what needs to change and makes recommendations to improve service planning and delivery, and ultimately to improve outcomes for these families. The guide begins by highlighting the priority recommendations for adult mental health and children’s services. The next section describes current policy and organisational context, and the needs of parents with a mental health problem and their children. The approach which used to underpin the recommendations in the guide, ‘think child, think parent, think family’, is then described. The Family Model is then introduced as a useful conceptual tool to assist staff in thinking about different family members, their relationships with each other and the impact of external environmental factors. A description of the characteristics of a successful service is then provided which is drawn from the requirements of law and policy, and messages from research and practice. The concluding sections of the guide set out recommendations for what needs to change at every stage of the care pathway and the implications for frontline staff, organisations and managers. A list of additional resources and practice examples are also included.
The strengths and difficulties questionnaire: a useful screening tool to identify mental health strengths and needs in looked after children and inform care plans at looked after children reviews?
- Authors:
- WHYTE Stewart, CAMPBELL Anne
- Journal article citation:
- Child Care in Practice, 14(2), April 2008, pp.193-206.
- Publisher:
- Taylor and Francis
The mental health of Looked After Children is not routinely assessed either upon entering the care system or during their period in care. Many children only receive help when difficulties become entrenched and more intensive treatment is required. Often this occurs when placements are fragile or have broken down. The Department of Health, Social Services and Public Safety (DHSSPS) 2007 Consultation Paper “Care Matters in Northern Ireland - A Bridge to a Better Future” has recommended “systematic assessment of the psychological and emotional needs of children on the edge and LAC”. This paper outlines the findings of three focus groups with social workers and managers following Strengths and Difficulties Questionnaire (SDQ) screening of a sample of Looked After Children within four generic childcare teams and a team for children with special needs in Homefirst Community Trust in Northern Ireland. Participants reflected on the usefulness of the SDQ in identifying mental health strengths and difficulties to inform decision-making at Looked After Children Reviews. Participants recommended that routine SDQ screening is undertaken with all Looked After Children, with early intervention provided to children identified with some mental health difficulties and prioritisation of children with significant need. The usefulness of SDQ identification of child strengths as a foundation for promoting resilience in Looked After Children was also recognised. Recommendations were also made regarding specific service provision for Looked After Children and training for field social workers, link social workers and carers.
The use of assessment scales in Old Age Psychiatry Services in England and Northern Ireland
- Authors:
- REILLY D., et al
- Journal article citation:
- Aging and Mental Health, 8(3), May 2004, pp.249-255.
- Publisher:
- Taylor and Francis
Implementation of the Single Assessment Process in the UK is designed to ensure that more standardized assessment procedures are in place across all areas and agencies, that practice improves and older people's needs are comprehensively assessed. This study provides a unique picture of the range and prevalence of standardized scales used within Old Age Psychiatry Services in England and Northern Ireland, reported by 73% of old age psychiatrists. Most services (64%) used three or more standardized assessment scales (range 1-12). Sixty-two separate instruments were identified. The six most used measures were the Mini Mental State Examination (95%), the Geriatric Depression Scale (52%) and the Clock Drawing (50%), the Clifton Assessment Procedures for the elderly (26%), the Barthel Index (18%) and the Health of the Nation Outcome Scales (HoNOS) 65 + (18%). A number of factors were associated with greater use of certain standardized assessment scales. Shared documentation, along with other indicators of integration between health and social care were associated with greater use of standardized scales. The provision of a memory clinic was associated with greater use of neuropsychiatric scales and lower levels of use of cognitive scales. These results provide key material for shaping the provision of psychiatric services for older people
Time for action on perinatal mental health care in Northern Ireland: a report on the perspectives of health visitors and midwives
- Authors:
- CUNNINGHAM Caroline, et al
- Publisher:
- NSPCC
- Publication year:
- 2018
- Pagination:
- 66
- Place of publication:
- London
Sets out the findings of a study exploring health visitors’ and midwives’ roles and experiences of identifying and responding to perinatal mental illness in Northern Ireland. It describes their perspectives about their roles in the recognition, referral and management of perinatal mental illness; training and skillsets; and opportunities and challenges for improving the early identification of perinatal mental illness, and the response provided to women and their families in Northern Ireland. The research covered mental health care for women during pregnancy and up to one year after childbirth, and included a range of mental health problems, including anxiety, depression and postnatal psychotic disorders. A total of 332 responses from health visitors and midwives were received to a survey, which comprised 30 questions. The main challenges identified were underfunding, overwork and growing levels and complexity of demand undermining the face to face time and continuity of care required for early recognition and response. The research also highlights issues around policy and practice in the use of screening tools, and the need for closer alignment between infant mental health and perinatal mental health practice. The report concludes with a number of recommendations. These include the need for a training standard for perinatal mental illness in Northern Ireland; and the need for midwives and health visitors to have more face to face time with mothers and babies, and improvements in continuity of care (Edited publisher abstract)