Search results for ‘Subject term:"mental health problems"’ Sort:
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Co-production in mental health: not just another guide
- Authors:
- MINGHELLA Edana, LINSKY Kate
- Publisher:
- Skills for Care
- Publication year:
- 2018
- Pagination:
- 44
- Place of publication:
- Leeds
This guide explores what’s stopping people from attempting co-production and what can help, using the experience of people involved in co-production in different settings across England. It shares learning about: where and how things are working well, the features of different models of co-production, leadership and culture change, how co-production contributes to delivering better experiences and outcomes for people with mental health conditions, and others’ views of hurdles and how to overcome them. The guide draws on existing guides and frameworks and examples from practice. The guide, jointly commissioned with the National Development Teams, aims to help people who commission, design or deliver mental health services to understand co-production better and reflect on their practice. (Edited publisher abstract)
Innovation in housing, care and support
- Author:
- NHS CONFEDERATION. Mental Health Network
- Publisher:
- NHS Confederation. Mental Health Network
- Publication year:
- 2017
- Pagination:
- 12
- Place of publication:
- London
This briefing, informed by case studies and interviews with providers of innovative support and care services, outlines the vital role that supported housing plays in the recovery pathway of people with severe mental health problems. It also outlines the potential of the housing sector to deliver improved outcomes and financial savings through partnership working with providers of NHS services, clinical commissioning groups and local government. Potential benefits of appropriate provision of supported housing identified include: a reduction of delayed discharges from hospital; the vacation of hospital beds allowing providers to close expensive long-stay wards; reduction in hospital admission rates and duration of hospital stays; and an improvement in mental and physical health. Four case studies provide examples of supported housing delivered through collaborations between housing and healthcare providers. (Edited publisher abstract)
A multi-level ecological model of psychotropic prescribing to adults with intellectual disability
- Authors:
- EDWARDS Niki, et al
- Journal article citation:
- Advances in Mental Health and Intellectual Disabilities, 8(1), 2014, pp.24-31.
- Publisher:
- Emerald
Purpose: Simple linear accounts of prescribing do not adequately address reasons “why” doctors prescribe psychotropic medication to people with intellectual disability (ID). Greater understanding of the complex array of factors that influence decisions to prescribe is needed. Design/methodology/approach: After consideration of a number of conceptual frameworks that have potential to better understand prescribing of psychotropic medication to adults with ID, an ecological model of prescribing was developed. A case study is used to outline how the model can provide greater understanding of prescribing processes. Findings: The model presented aims to consider the complexity and multi-dimensional nature of community-based psychotropic prescribing to adults with ID. The utility of the model is illustrated through a consideration of the case study. Research limitations/implications:The model presented is conceptual and is as yet untested. Practical implications: The model presented aims to capture the complexity and multi-dimensional nature of community-based psychotropic prescribing to adults with ID. The model may provide utility for clinicians and researchers as they seek clarification of prescribing decisions. Originality/value: The paper adds valuable insight into factors influencing psychotropic prescribing to adults with ID. The ecological model of prescribing extends traditional analysis that focuses on patient characteristics and introduces multi-level perspectives that may provide utility for clinicians and researchers. (Publisher abstract)
Using explanatory models in the care of a person with intellectual disabilities
- Authors:
- INWANG Francis, HEMMINGS Colin, HVID Cindy
- Journal article citation:
- Advances in Mental Health and Intellectual Disabilities, 7(3), 2013, pp.152-160.
- Publisher:
- Emerald
A case study exploring the differences between carer and professional perspectives in the assessment and treatment of a young man with intellectual disabilities, autism and mental health problems. The opinions and perspectives of psychiatrists involved in the care and treatment of “S” and “S”'s mother about the aetiology, course, treatment and prognosis of “S”'s condition, are explored using “explanatory models”. The similarities and the differences of opinions and perspectives about the mental health care of a person with intellectual disabilities are highlighted. It shows how the explicit comparison of notions about a person's condition, assessment and treatment may help all involved to work together for the common ground of achieving the best outcomes for service users. (Edited publisher abstract)
Ethical issues in considering ‘religious impairment’ in diagnosis
- Author:
- YARHOUSE Mark A.
- Journal article citation:
- Mental Health Religion and Culture, 6(2), July 2003, pp.131-147.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
There are several ethical implications of clinician assessment of clinically significant religious impairment (CSRI). This paper draws upon the American Psychological Association’s (APA’s) Code of Ethics (1992) to review relevant ethical principles and standards. It then presents a continuum of responses to the relationship between psychology and religion: religion as harmful, benign neglect of religion, formal: problem-focused, formal: domainfocused, and religion as paradigmatic alternative. This continuum is followed by a discussion of three clinical vignettes and an examination of the potential ethical tensions for each model. The conclusions drawn from this review are that the formal: domain-focused model presents a rationale for inclusion of CSRI in assessment and is the most promising among alternative models for avoiding professional obsolescence, expanding alternatives for clients and clinicians, and enhancing ethical practice and professionalism.
The role of community businesses in providing health and wellbeing services: challenges, opportunities and support needs
- Authors:
- STUMBITZ Bianca, et al
- Publisher:
- Power to Change
- Publication year:
- 2018
- Pagination:
- 54
- Place of publication:
- London
This report examines community businesses that deliver health and wellbeing services to address the needs of individuals and communities, including those who are vulnerable and disadvantaged. It focuses primarily on the factors that enable health and wellbeing community businesses to thrive. The research used a qualitative approach to conduct 10 case studies of community businesses delivering services with a primary focus on mental or physical health across England. These included business delivering statutory public services under contract from the public sector, user funded health and wellbeing services, leisure and sports activities; and vocational and volunteering activities for therapeutic and rehabilitation. It highlights key findings in the following areas: types of wellbeing activities and outcomes, sources of income and business models, the role of partnerships and business support, navigating tensions between commercial and social objectives, managing staff and volunteers, scaling-up impact and managing declining income. The research found that in the continued climate of austerity, community businesses are struggling to be sustainable as there is increased competition for the limited funding available. The report makes a number of policy recommendations. These include for central and local government to recognise the potential of community businesses to deliver effective services local areas and ease the pressure on the wider NHS and for commissioners of health services to better use the Social Value Act to consider the wider social impact of the services they commission, which will help community businesses to flourish. This report was produced by researchers at CEEDR at Middlesex University and Social Enterprise UK, and funded by Power to Change. (Edited publisher abstract)
The welfare of children with mentally ill parents: learning from inter-country comparisons
- Authors:
- HETHERINGTON Rachael, BAISTOW Karen, KATZ Ilan, MESIE Jeffrey, TROWELL Judith
- Publisher:
- Wiley
- Publication year:
- 2002
- Pagination:
- 262p., bibliog.
- Place of publication:
- Chichester
Children with mentally ill parents have complex needs, and a wide range of mental health and social services may be involved. This can lead to problems of liaison and co-operation between different agencies and different disciplines. The study looks at different approaches to supporting families in ten European countries and one state in Australia. Common problems and effective responses are identified and used to build a European model of good practice, which takes into account the nature of the difficulties facing families and the strengths and weaknesses of national systems. The model is used as a basis for analysing the particular problems of the English system.