Search results for ‘Subject term:"mental health problems"’ Sort:
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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.
Replacing DoLS: proposals appraised
- Author:
- JOLLEY David
- Journal article citation:
- Journal of Dementia Care, 25(4), 2017, pp.16-17.
- Publisher:
- Hawker
The author describes why there is a need to replace the Deprivation of Liberty Safeguards (DoLs) and explains how proposals from the Law Commission will be cheaper and more manageable than the system currently in place (Edited publisher abstract)
Self-harm: treating people differently, intervening early
- Author:
- JOHN Ann
- Journal article citation:
- Mental Health Today, March 2012, pp.18-19.
- Publisher:
- Pavilion
- Place of publication:
- Hove
Self-harm, usually defined as intentional self-poisoning or self-injury, is an important public health problem. The method, nature of motivation, or degree of suicidal intent is complex and may change for any individual over time. Long-term outcome studies in adults consistently highlight the association between self-harm and completed suicide. Those who repeat self-harm are at significantly greater risk of committing suicide than those how have a single episode. There are many factors associated with self-harm: mental health problems, particularly depression; alcohol and substance misuse; personality disorders; and a range of social, economic and cultural issues. All people who self-harm who present at hospital should have a psychosocial assessment and any associated disorders should be managed according to NICE guidelines. All frontline staff should receive suicide and self-harm awareness training and be enabled to manage people in a caring, compassionate manner.
The Mental Health (Wales) Measure
- Author:
- WALES. Welsh Assembly Government
- Publisher:
- Wales. Welsh Assembly Government
- Publication year:
- 2010
- Pagination:
- 5p.
- Place of publication:
- Cardiff
The Mental Health (Wales) Measure has been laid before the National Assembly for Wales, and if enacted will make a number of important changes to the legislative arrangements in respect of the assessment and treatment of people with mental health problems. The purpose of this briefing sheet is to provide general information about those changes, explain how interested parties can become involved in shaping the legislation, and explain how the Welsh Assembly Government intends that the legislation will be implemented. The Measure has five broad policy intentions. The first is to provide assessment of a person’s mental health and, where appropriate, provide treatment for their mental ill-health within primary care. The second is to create statutory requirements around care and treatment planning and care coordination for all persons receiving care and treatment with secondary mental health services. The third is to require secondary mental health services to have in place arrangements to ensure the provision of timely access to assessment for previous service users. The fourth is to extend the group of qualifying patients under the Mental Health Act 1983 entitled to receive support from an Independent Mental Health Advocate (IMHA), and the final intention is to enable all patients receiving care and treatment for mental health problems in hospital to have access to independent and specialist mental health advocacy.
Mental health diagnosis by nurses using the Global Mental Health Assessment Tool: a validity and feasibility study
- Authors:
- SHARMA Vimal K., et al
- Journal article citation:
- British Journal of General Practice, 58(551), June 2008, pp.411-416.
- Publisher:
- Royal College of General Practitioners
The Global Mental Health Assessment Tool - Primary Care Version (GMHAT/PC) has been developed to assist health professionals to make a quick and comprehensive standardised mental health assessment. This study aimed to assess the feasibility of using a computer-assisted diagnostic interview by nurses and to examine the level of agreement between the GMHAT/PC diagnosis and psychiatrists' clinical diagnosis. A total of 215 patients between the ages of 16 and 75 years were assessed by nurses and psychiatrists in various settings in England and Wales: 54 in a primary care centre, 98 in a cardiac rehabilitation centre, and 63 in a community mental health clinic. The time taken for the interview, and feedback from patients and interviewers were indicators of feasibility, and the kappa coefficient, sensitivity, and specificity of the GMHAT/PC diagnosis were measures of validity. Mean duration of interview was under 15 minutes. The agreement between nurses' GMHAT/PC interview-based diagnosis and psychiatrists' International Classification of Diseases (ICD)-10 criteria-based clinical diagnosis was 80% It is concluded that the GMHAT/PC can assist nurses to make accurate mental health assessment and diagnosis in various healthcare settings and it is acceptable to patients.
Community treatment orders in England and Wales: how many people will be affected?
- Author:
- LAWTON-SMITH Simon
- Journal article citation:
- Mental Health Review, 10(4), December 2005, pp.21-24.
- Publisher:
- Pier Professional
This article reports on a study from the King's Fund which aimed to assist in estimating future patient needs in the community, and ensuring adequate resources are allocated to meet these needs; and to contribute to the debate around the impact of non-residential orders on mental health services and workforce. The study drew on data collected from international research, interviews with people involved in mental health services in England and Wales and a review of available literature on the use of community-based orders. From this the study was able to produce a range of estimates of people who may be placed on non-residential orders.
Improving lives: the work, health and disability green paper
- Authors:
- GREAT BRITAIN. Department for Work and Pensions, GREAT BRITAIN. Department of Health
- Publishers:
- Great Britain. Department for Work and Pensions, Great Britain. Department of Health
- Publication year:
- 2016
- Pagination:
- 95
- Place of publication:
- London
Employment rates amongst disabled people reveal one of the most significant inequalities in the UK today, with less than half (48%) of disabled people are in employment compared to 80% of the non-disabled population. This consultation paper sets out the nature of the problem and consults on how disabled people and people with long-term health conditions can be best supported to get into, and to stay in, work. The paper highlights why change is needed by employers, the welfare system, and health and care providers. Chapters cover: tackling the inequalities of the disability employment gap; supporting disabled people and those with long term conditions into work; assessments for benefits for people with health conditions; supporting employers to recruit with confidence and create healthy workplaces; and supporting employment by providing health and high quality care for all. The final chapter summarises the government commitments to act and their plans to: change perceptions and culture around health, work and disability; hold a wide-ranging consultation around the issues and proposals in this green paper; and sets out their action plan for the next 10 years. Areas for action include ensuring that disabled people and people with long-term health conditions have equal access to labour market opportunities; more effectively integrate the health and social care and welfare systems to help people remain in sustainable employment; parity of mental and physical health; and changing cultures and attitudes across society. A summary of consultation questions is included in the appendices. (Edited publisher abstract)
Common mental health disorders: identification and pathways to care: quick reference guide
- Author:
- NATIONAL COLLABORATING CENTRE FOR MENTAL HEALTH
- Publisher:
- National Institute for Health and Clinical Excellence
- Publication year:
- 2011
- Pagination:
- 22p.
- Place of publication:
- London
Common mental health disorders, such as depression, generalised anxiety disorder, panic disorder, obsessive-compulsive disorder, post-traumatic stress disorder and social anxiety disorder, may affect up to 15% of the population at any one time. They vary considerably in their severity but all of these conditions can be associated with significant long-term disability. The vast majority of depression and anxiety disorders that are diagnosed are treated in primary care. However, many individuals do not seek treatment and common mental health disorders often go unrecognised. Recognition of anxiety disorders is particularly poor in primary care and only a small minority of people experiencing anxiety disorders ever receive treatment. This quick reference clinical guideline offers evidence-based advice on the care and treatment of adults who have common mental health disorders, with a particular focus on primary care. It brings together advice from existing guidelines and combines it with new recommendations on access to care, assessment and developing local care pathways for common mental health disorders. It also provides advice on treatment and referral.
Common mental health disorders: identification and pathways to care
- Author:
- NATIONAL COLLABORATING CENTRE FOR MENTAL HEALTH
- Publisher:
- National Institute for Health and Clinical Excellence
- Publication year:
- 2011
- Pagination:
- 57p.
- Place of publication:
- London
This National Institute for Health and Clinical Excellence (NICE) clinical guideline presents recommendations about the treatment and care of people with specific diseases and conditions in the NHS in England and Wales. This guidance represents the view of NICE, which was arrived at after careful consideration of the evidence available. Healthcare professionals are expected to take it fully into account when exercising their clinical judgement. However, the guidance does not override the individual responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or guardian or carer, and informed by the summary of product characteristics of any drugs they are considering. Implementation of this guidance is the responsibility of local commissioners and/or providers. Commissioners and providers are reminded that it is their responsibility to implement the guidance, in their local context, in light of their duties to avoid unlawful discrimination and to have regard to promoting equality of opportunity.
Common mental health disorders: identification and pathways to care: full guideline
- Author:
- NATIONAL COLLABORATING CENTRE FOR MENTAL HEALTH
- Publisher:
- National Institute for Health and Clinical Excellence
- Publication year:
- 2011
- Pagination:
- 384p., bibliog.
- Place of publication:
- London
Common mental health disorders, such as depression, generalised anxiety disorder, panic disorder, obsessive-compulsive disorder, post-traumatic stress disorder and social anxiety disorder, may affect up to 15% of the population at any one time. They vary considerably in their severity but all of these conditions can be associated with significant long-term disability. The vast majority of depression and anxiety disorders that are diagnosed are treated in primary care. However, many individuals do not seek treatment and common mental health disorders often go unrecognised. Recognition of anxiety disorders is particularly poor in primary care and only a small minority of people experiencing anxiety disorders ever receive treatment. This full clinical guideline offers evidence-based advice on the care and treatment of adults who have common mental health disorders, with a particular focus on primary care. It brings together advice from existing guidelines and combines it with new recommendations on access to care, assessment and developing local care pathways for common mental health disorders. It also provides advice on treatment and referral.