Search results for ‘Subject term:"mental health problems"’ Sort:
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The Daily Living Programme : preliminary comparison of community versus hospital-based treatment for the seriously mentally ill facing emergency admission
- Authors:
- MUIJEN M., et al
- Journal article citation:
- British Journal of Psychiatry, 160, March 1992, pp.379-384.
- Publisher:
- Cambridge University Press
Describes the result of a study of patients with serious mental illness who were randomly assigned to hospital or to the Daily Living Programme; the latter being a home care service involving a keyworker and a multidisciplinary team.
Mental health and housing: potential economic benefits for improved transitions along the acute care pathway to support recovery for people with mental health needs
- Authors:
- MCDAID David, PARK A-La
- Publisher:
- London School of Economics. Personal Social Services Research Unit
- Publication year:
- 2016
- Pagination:
- 18
- Place of publication:
- London
This brief paper looks at some of potential economic benefits that may be realised through the inclusion of housing services as part of the acute care recovery pathway for people with mental health problems. The paper identifies some potential opportunities for freeing up resources from inpatient care which might then be used to invest in alternative community and residential support services that may be provided by or supported by housing organisations. The paper provides a brief background on the acute care pathway and possible areas where economic efficiencies can be made. It then looks briefly at some current trends in the provision of mental health services and their implications for further potential economic efficiencies. It then describes and quantifies some of the potential benefits of reduced use of specialist acute inpatient care services and identify potential opportunities for the housing sector. The report estimates that if all delayed discharges could be eliminated, with appropriate care for this time provided in other forms of supported accommodation net resources of more than £54 million might be freed up for alternative use within the mental health system. These resource savings would be greater if individuals are able to move to even more independent living arrangements. (Edited publisher abstract)
We will keep you out of hospital
- Author:
- VALIOS Natalie
- Journal article citation:
- Community Care, 3.8.00, 2000, pp.30-31.
- Publisher:
- Reed Business Information
Reports on a north London crisis team which is striving to make care in the community work for people with mental health problems by working with clients in their homes and preventing their crises from leading to hospitalisation.
Social networks and service use among representative cases of psychosis in South London
- Authors:
- BECKER T, et al
- Journal article citation:
- British Journal of Psychiatry, 171, July 1997, pp.15-19.
- Publisher:
- Cambridge University Press
Large social networks in patients with severe mental illness have been reported to be associated with a low rate of hospitalisation. Presents the findings of a study to examine whether social network size is related to the likelihood of hospitalisation and the amount of service use. The results found that the likelihood of hospitalisation decreased with an increase in network size, while the number of services used by patients grew as the social network size increased. Concludes that while larger social networks may be associated with a lower likelihood of hospitalisation, they may also be related to wider use of non-hospital services.
A new Community Mental Health Team based in primary care - a description of the service and its effect on service use in the first year
- Authors:
- JACKSON Gayle, et al
- Journal article citation:
- British Journal of Psychiatry, 162, March 1993, pp.375-384.
- Publisher:
- Cambridge University Press
A new community multidisciplinary team based in primary care is described and the experience of the first year discussed. The effect the team had on the use of psychiatric services in its first year was studied. There was a threefold increase in the rate of inception to care, leading to a doubling in the prevalence of treated psychiatric disorder. There has been a reduction in the demands made on the hospital out-patient services, but no change in the use of in-patient resources or emergency contacts.
“Why can’t they be in the community?” a policy and practice analysis of transforming care for offenders with intellectual disability
- Authors:
- ALEXANDER Regi T., et al
- Journal article citation:
- Advances in Mental Health and Intellectual Disabilities, 9(3), 2015, pp.139-148.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to describe key policy and practice issues regarding a significant subgroup of people with intellectual disability – those with offending behaviour being treated in forensic hospitals. Design/methodology/approach: The reasons why psychiatrists continue to be involved in the treatment of people with intellectual disability and mental health or behavioural problems and the factors that may lead to patients needing hospital admission are examined. Using two illustrative examples, three key questions – containment vs treatment, hospital care vs conditional discharge and hospital treatment vs using deprivation of liberty safeguards usage in the community are explored. Findings: Patients with intellectual disability, mental health problems and offending behaviours who are treated within forensic inpatient units tend to have long lengths of stay. The key variable that mediates this length of stay is the risk that they pose to themselves or others. Clinicians work within the framework of mental health law and have to be mindful that pragmatic solutions to hasten discharge into the community may not fall within the law. Originality/value: This paper makes practical suggestions for the future on how to best integrate hospital and community care for people with intellectual disability, mental health and offending behaviours. (Publisher abstract)
Managing self-harm in young people
- Author:
- ROYAL COLLEGE OF PSYCHIATRISTS
- Publisher:
- Royal College of Psychiatrists
- Publication year:
- 2014
- Pagination:
- 28
- Place of publication:
- London
Provides updated guidance on managing self-harm in young people up to the age of 18, including young people who have an intellectual disability. Focusing on professional responses to clinical need, this report primarily addresses broad matters such as professional roles and links and pathways between professionals. It also addresses service arrangements and links between services. The report begins with an overview of the commissioning services across the UK, briefly examines risk factors and reviews the evidence on young people’s experiences of services. It then examines the presentation of self-harm in the community, discussing the role of professionals, including general practitioners and school staff, and acute presentation to hospital, including roles and responsibilities of involved staff. The impact of digital technology on self-harm in young people is examined. The report makes a series of recommendations, including: ensuring that front-line professionals are able to carry out the basics of a mental health risk assessment; involving young people who self-harm in the planning and delivery of training for professionals; and ensuring that good-quality care is provided in a non-judgemental, confidential manner, respecting the young person and their family with a view to emotionally supporting recovery and treatment. (Edited publisher abstract)
Predictors of hospital admission for women with learning disabilities and psychiatric disorders compared with women maintained in community settings
- Authors:
- TAGGART Laurence, MCMILLAN R., LAWSON Annette
- Journal article citation:
- Advances in Mental Health and Learning Disabilities, 3(1), March 2009, pp.30-41.
- Publisher:
- Emerald
This study examined the personal characteristics and social context of two groups of women with learning disabilities and psychiatric disorders who resided in some form of community residential facility. One group of women had been admitted to hospital in the past 12 months (N = 20) and the other had been maintained in the community without any admissions (N = 33). A prospective natural group comparison design was employed over a 12-month period to study any differences between the groups. Data was collected from the women's key workers using a pro forma and three standardised instruments: Index of Social Competence, Aberrant Behaviour Checklist and the PAS-ADD Checklist. The groups were matched on age and level of learning disabilities. Differences were found between the groups' behavioural and psychiatric profiles. Anti-psychotic medication was the first line of treatment. A non-significant trend was found on negative life experiences, and a binary logistic regression analysis confirmed that high levels of challenging behaviour and having behavioural/mental health management strategies in place predicted hospital admission. The findings of this study are discussed and improvements are explored.
The balance of care: reconfiguring services for older people with mental health problems
- Authors:
- TUCKER S., et al
- Journal article citation:
- Aging and Mental Health, 12(1), January 2008, pp.81-91.
- Publisher:
- Taylor and Francis
The belief that most older people, including those with complex needs, can, and would prefer to be, cared for in their own homes underpins community care policy in many developed nations. There is thus a common desire to avoid the unnecessary or inappropriate placement of older people in care homes or in hospital by shifting the balance of provision. This paper demonstrates the utility of a 'balance of care' approach to address these issues in the context of commissioners' intention to reconfigure services for older people with mental health problems in a defined geographical area of the North West of England. The findings suggest that, if enhanced community services were available, a number of people currently admitted to residential or hospital beds could be more appropriately supported in their own homes at a cost that is no greater than local agencies currently incur.
Assertive community treatment in Amsterdam
- Authors:
- DEKKER J., et al
- Journal article citation:
- Community Mental Health Journal, 38(5), October 2002, pp.425-436.
- Publisher:
- Springer
In Amsterdam in 1993, an intensive case management project was initiated. This article describes this Dutch project as it was tested in a randomised clinical trial using regular outpatient and inpatient care as the control conditions. All the patients in this project are very ill and most of them suffer from schizophrenia. The new form of care has the same effect on everyday problems as regular care. The basis of this data is too narrow for the drawing of conclusions about the risk of suicide. Longer follow-up would be advisable in order to improve understanding of this problem.