Search results for ‘Subject term:"mental health problems"’ Sort:
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Mental health and policing: improving crisis care
- Authors:
- NHS CONFEDERATION. Mental Health Network, ASSOCIATION OF CHIEF POLICE OFFICERS
- Publisher:
- NHS Confederation. Mental Health Network
- Publication year:
- 2015
- Pagination:
- 12
- Place of publication:
- London
This briefing highlights some of the emerging good practice between the police and mental health providers to deliver improved care for people in mental health crisis. It demonstrates that by focusing on early intervention, partnership working can substantially reduce the number of people being subjected to mental health legislation. Benefits include: less distress for service users; better use of professional skill mix; cost savings for police, healthcare and local authority services; and improved signposting and provision of appropriate interventions for individuals. The briefing makes a number of recommendations, including: more work needs to be done to support multiagency information sharing on the front line; NHS commissioners need to work with providers to ensure there are sufficient health-based places of safety to meet local demand; commissioners need to ensure that sufficient services are in place for 24/7 provision to meet local need; the formal evaluation of the triage pilots should outline the key considerations for implementing different models of triage across different populations and demographics; and the outcome of the Home Office pilot should inform the role the voluntary sector can play in providing alternative places of safety for individuals in crisis. (Edited publisher abstract)
The Esteem Team: co-ordinated care in the Sandwell Integrated Primary Care Mental Health and Wellbeing Service
- Authors:
- THIEL Veronika, et al
- Publisher:
- King's Fund
- Publication year:
- 2013
- Pagination:
- 34
- Place of publication:
- London
The Sandwell Esteem Team is part of the Sandwell Integrated Primary Care Mental Health and Wellbeing Service (the Sandwell Wellbeing Hub) in the West Midlands. The hub is a holistic primary and community care-based approach to improving social, mental and physical health and wellbeing in the borough of Sandwell. The key aim of the Esteem Team is to support people with mild to moderate mental health conditions and complex social needs at an early stage, to prevent deterioration and admission to secondary care services. It aims to empower patients to take control of their own lives by offering guided therapies and tools for self-help. This report examines the process of care co-ordination: referrals; the care pathway; team culture; and ways in which information is exchanged. The impact of this pilot project has been assessed using the Core 10 assessment tool and the Warwick-Edinburgh Mental Health and Wellbeing Scale (WEMWBS), which indicate improvements for patients, who themselves comment on the support they receive. The authors observe that while subjects in the Co-ordinated care for people with complex chronic conditions series have unique histories which cannot be replicated elsewhere, the underliying principles and values in developing the service and its team can be applied elsewhere. These are: the involvement of patients and service users; the recruitment of staff with personal experience of mental health problems; awareness-raising and relationship-building; and the holistic psychosocial approach, tailoring care to patients' needs in a joined-up way. This study is part of a research project undertaken by The King’s Fund and funded by Aetna and the Aetna Foundation in the United States, to compare five successful UK-based models of care co-ordination. (Original abstract)
Integrative treatment in persons with intellectual disability and mental health problems
- Author:
- DOSEN A.
- Journal article citation:
- Journal of Intellectual Disability Research, 51(1), January 2007, pp.66-74.
- Publisher:
- Wiley
Clinical experience has proven thus far that a monodisciplinary treatment approach to behavioural and psychiatric problems in persons with intellectual disability (ID), such as psychotropic medication or behaviour modification programmes, has yielded limited success. It is clear that the complexity of behavioural and psychiatric problems in this population calls for a treatment approach from different perspectives. This article describes a multidimensional treatment approach to the persons with ID who suffer from behaviour problems and psychiatric disorders. Four dimensions – biological, psychological, social and developmental – are represented as well in an integrative diagnosis as in an integrative treatment, embodied by cooperation of different professionals, such as a psychiatrist, psychologist, pedagogues, social worker, nurse and, where possible, the person's caretakers. The developmental dimension receives a salient attention of assessors. By introducing the developmental dimension in diagnostics and treatment, the bio-psycho-social dimensions are set in a new context, more appropriate for persons with ID. The integrative treatment should not be primarily directed towards the symptoms of the disorder but towards restoring a person's mental well-being. The disorder is combated through treatment of the underlying processes that have led to its onset. Different treatment methods from different perspectives may be applied. Strategy and methodological procedures of an integrative treatment are discussed by way of case presentations.
Unlocking our community assets in designing a sustainable pathway to recovery in mental health
- Author:
- LILLEY William
- Journal article citation:
- Journal of Integrated Care, 22(1), 2014, pp.10-14.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to highlight case studies of how housing associations have worked effectively with the NHS and adult social care in developing a joined approach to mental health recovery. Design/methodology/approach: This is primarily two case studies from Bromford. Findings:These are just case studies contributed by the Bromford on existing examples. Originality/value: All material is original and any reference is attributed to the original author. (Publisher abstract)
Exploring the factors influencing care management arrangements in adult mental health services
- Authors:
- HUGHES Jane, et al
- Journal article citation:
- Research Policy and Planning, 23(1), 2005, pp.31-42.
- Publisher:
- Social Services Research Group
This article explores issues intrinsic to the development of integrated care for adults with mental health problems: multidisciplinary team working practices; arrangements for determining eligibility and assessment; integrating care management and CPA; and joint commissioning. It comprises information from six case studies derived primarily from interviews with senior and first-time managers, consequent on a national study of care management arrangements. These findings are discussed in the light of current policy initiatives and demonstrate the complexities of developing assessment and care management arrangements with an integrated service framework.