Search results for ‘Subject term:"mental health problems"’ Sort:
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Perception of need and barriers to access: the mental health needs of young people attending a Youth Offending Team in the UK
- Authors:
- WALSH Judi, et al
- Journal article citation:
- Health and Social Care in the Community, 19(4), July 2011, pp.420-428.
- Publisher:
- Wiley
Young people who offend may have considerable mental health needs which may often go unmet. This study aimed to explore young offenders’ own views of their mental health needs, their experiences of and views on support, and their perceptions of barriers in accessing services. Between May and September 2008, 44 young offenders attending an east of England Youth Offending Service completed a questionnaire about their self-reported levels of mental health need, and their behaviour, preferences and evaluation regarding different sources of support and advice for mental health issues. A subset of 6 of these young people participated in a follow-up interview. The findings showed that these vulnerable young people had a high level of mental health need, and were most likely to seek support from people with whom they had a confiding and long-standing relationship, such as parents and friends. For these young people, low levels of service use were not the result of a lack of provision, but because there were psychological, social, structural and cultural barriers to accessing those services including issues of understanding, stigma and confidentiality.
Health on the inside
- Author:
- GOVEAS Asha
- Journal article citation:
- Children Now, 14.02.07, 2007, pp.20-21.
- Publisher:
- Haymarket
Forty percent of young offenders have an identifiable mental health disorder, but services both in and outside of custody vary wildly. The author looks at changes on the horizon with increased investment in child and adolescent mental health services and several NHS trusts developing specialist child and adolescent forensic mental health services to meet young offenders needs.
A collaborative approach to meeting the needs of adolescent offenders with complex needs in custodial settings: an 18-month cohort study
- Authors:
- RYAN Tony, MITCHELL Paul
- Journal article citation:
- Journal of Forensic Psychiatry and Psychology (The), 22(3), June 2011, pp.437-454.
- Publisher:
- Taylor and Francis
Previous research has indicated that adolescent offenders have high levels of mental health problems. Although mental health services are provided within all Young Offender Institution (YOIs), these services can find it difficult to meet the needs of young offenders whose mental health needs are compounded and inextricably linked with their behaviours. This study took place in a YOI in North-West England which had undergone a radical overhaul of the mental health services including the establishment of a Complex Needs Unit to meet the needs of the young people who could not be cared for effectively on the main residential wards. The unit provides individualised, highly structured and consistent care to up to 10 young people. It uses a multi-agency approach in which prison officers work in collaboration with mental health staff. This article describes the aims of the unit and reports on a study to evaluate its effectiveness. Data was collected on the first 41 admissions to the unit between February 2008 and July 2009. The results indicate that the young people on the unit derived significant benefit from the intensive and highly structured regime, although many were unable to successfully reintegrate. This collaborative approach between custody staff and mental health professionals can significant improve behavioural and social functioning for young offenders with multiple and complex needs.
Health offensive
- Author:
- SMITH Martin
- Journal article citation:
- Young Minds Magazine, 72, September 2004, pp.18-19.
- Publisher:
- YoungMinds
Looks at how Havering Youth Offending Team works with their local child and adolescent mental health service (CAMHS) and other health services to meet the physical and mental health needs of young offenders. They hold monthly inter-agency meetings with CAMHS. In particular they look at those who haven’t been sectioned under the Mental Health Act but have severe mental health and drug problems. Also looks at how they work with young people, giving a list of times when they have found it important to build a therapeutic relationship with young people and their families.
Rethinking mental health provision in the secure estate for children and young people: a framework for integrated care (SECURE STAIRS)
- Authors:
- TAYLOR Jenny, ROGERS Andrew, MITCHELL Paul
- Journal article citation:
- Safer Communities, 17(4), 2018, pp.193-201.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to outline the challenges to achieving positive outcomes for young people within the secure estate in England, and introduces a psychologically informed framework, SECURE STAIRS (SS), aimed at improving outcomes. Design/methodology/approach: The paper argues that there is a need for a fundamental shift in the way care and intervention for young people within the secure estate is delivered. It gives an overview of current challenges and needs and summarises the theoretical concepts and evidence base which can guide practice and form the foundations of the SS framework. Findings: The framework recommends that intervention shift from focusing primarily on individual assessment and treatment to a greater emphasis on supporting the work of the wider system of care. Recommendations include promoting trauma-informed care, a focus on the system dynamics within institutions and how these impact on the care young people receive, and on the collaborative development with residential staff and young people of formulation-led care plans that include a focus on issues of sustainability after leaving the secure estate. Practical implications: These include the establishment of discrete residential groupings with truly integrated and trauma-informed work across residential, mental health, education and criminal justice agencies. This involves addressing governance issues around shared record keeping, and challenges to sustainability and the accompanying need for local implementation plans for each establishment alongside central support at a strategic level. Originality/value: This paper describes a new and innovative way of working within secure settings to ensure children and young people’s needs are better met. (Publisher abstract)
Young offenders' and their families' experiences of mental health interventions
- Authors:
- JACK Anna, LANSKEY Caroline, HARVEY Joel
- Journal article citation:
- Journal of Children's Services, 10(4), 2015, pp.353-364.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to explore the relevance of young people's experiences of mental health interventions with Child and Adolescent Mental Health Services (CAMHS) before and during their time with youth offending services. Design/methodology/approach: This qualitative interpretive study involved 14 interviews with young people who had offended, five of their carers and five CAMHS professionals from one local authority. Findings: The paper identifies understanding, recognition, respect and trust as key principles in the practitioner-young person relationship, and in the intervention process more broadly, and suggests that systematic consultation with young people and their caregivers about their experience of mental health interventions would be beneficial. It notes important similarities and differences in the views of the different parties which shed further light on reasons why a young person may or may not engage with mental health services. Research limitations/implications: The study is based on a small sample of young people from one service, but it is hoped that the findings will be a useful springboard for other services to reflect upon. Practical implications: The paper proposes the importance of recognising young people's agency in the intervention process and the value of systematic consultation with young people and their caregivers for securing their engagement in interventions. Originality/value: The study takes a multi-perspective approach (of young people, their carers and practitioners) to capture the synergies and tensions in the expectations of and interactions between young people, practitioners and caregivers. (Publisher abstract)
The role of mental health practitioners in youth offending teams in Wales: executive summary
- Author:
- NACRO CYMRU YOUTH OFFENDING UNIT
- Publisher:
- NACRO
- Publication year:
- 2009
- Pagination:
- 5p.
- Place of publication:
- Port Talbot
This report summarises a Nacro Cymru Youth Offending Team report in to the role of mental health practitioners in youth offending teams in Wales. The report outlines how the Welsh Assembly Government has devolved responsibility for health matters and although the Youth Justice Board centrally determines the policy direction of youth offending teams (YOTs) there are sometimes differences in strategic priorities and their implementation in Wales. For YOTs this means having cognisance of what the YJB require but also consideration of any particular implications in the Welsh context. YOTs have to respond to the demands of the criminal justice system within particular time frames whereas health services respond to need on a clinical and not referred basis. The requirements of both services can potentially be at odds with one another, as culturally they are very different and it has undoubtedly been a challenge at times to find common ground. However, there is good evidence of integration between health and YOTs and the significant benefit this has brought for young people. This report considers: the arrangements for delivering mental health services in YOTs; the value of the worker; he role of the health professional; protocols and agreements; training of the health specialist and YOT practitioners; use of screening tools; referral; gaps in services; and reviewing an monitoring performance. The report concludes that all YOTs need access to a mental health specialist. YOTs and CAMHS need to have cohesive working arrangements that include representation on YOT management boards, YOT representation within CAMHS strategic planning forums and joint monitoring and review of service provision. Reviews of CAMHS should consider extending the provision of services for young people up to 18 years of age. Despite changes to YOT key performance indicators it would be helpful for YOTs and the Welsh Assembly Government to continue to monitor the mental health needs of young people.
Reading the signs
- Author:
- THORP Samantha
- Journal article citation:
- Care and Health Magazine, 31, 12.3.03, 2003, pp.11-19.
- Publisher:
- Care and Health
There are a significant group of young people mental health problems in contact with the criminal justice system who fall through the safety net of services. Reports on efforts to address the problem through Youth Offending Teams and child and adolescent mental health services.
Treatment family foster care: its history and current role in the foster care continuum
- Authors:
- DORE Martha Morrison, MULLIN Deborah
- Journal article citation:
- Families in Society, 87(4), October 2006, pp.475-482.
- Publisher:
- The Alliance for Children and Families
This article reviews the historical development in the United States of treatment family foster care as an alternative to the psychiatric hospitalization or long-term residential treatment of children and youth with serious emotional and behavioural disorders. Treatment family foster care has developed in three discrete systems of care: juvenile justice, child welfare, and mental health. The authors examine the relative contribution of each of these systems to its development, its current role in the provision of services to children with emotional and behavioural challenges, and the evidence-base for this form of care.
Working together for healthy young minds: a practitioner's workbook
- Author:
- WALKER Steven
- Publisher:
- Russell House
- Publication year:
- 2003
- Pagination:
- 152p.
- Place of publication:
- Lyme Regis
This workbook is intended for staff, trainers, educators, managers and planners in child protection, fostering and adoption, family support, youth work, counselling, education, youth justice, probation, primary care, paediatric nursing, and child and adolescent mental health services. Twenty four activities, a number of photocopiable sections, and advice and guidance are designed to stimulate reflective capacity and offer you resources to bring to bear on the difficulties faced by your clients or service users. The workbook contributes to the understanding and assessment of the mental health needs and problems of children, adolescents and young people.