Search results for ‘Subject term:"mental health problems"’ Sort:
Results 1 - 7 of 7
Late-life depression, social support, instrumental activities of daily living, and utilization of in-home and community-based services in older adults
- Authors:
- LAM Brian Trung, CERVANTES Anna R., LEE Wilfred K.
- Journal article citation:
- Journal of Human Behavior in the Social Environment, 24(4), 2014, pp.499-512.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This study examined the relationship between social support, depression, instrumental activities of daily living (IADLs), and utilisation of in-home and community-based services. The sample included 39 adults age 65 years old and older. The data were collected by distributing a self-administered questionnaire. Depression levels significantly decreased as levels of social support increased. IADLs functioning significantly decreased as depression levels increased. The number of in-home services used significantly increased as IADLs functioning decreased. The number of community-based services used significantly increased as depression levels decreased. The number of in-home and community-based services used significantly increased as levels of support decreased. (Edited publisher abstract)
An exploration of service user and practitioner experiences of community treatment orders
- Author:
- NATIONAL INSTITUTE FOR HEALTH RESEARCH. School for Social Care Research
- Publisher:
- NIHR School for Social Care Research
- Publication year:
- 2014
- Pagination:
- 4
- Place of publication:
- London
Summarises the findings of a research study exploring service user and practitioner experiences of community treatment orders (CTOs) in the Sussex Partnership NHS Trust area, within a policy context of person-centred care that aims to provide service users with increased autonomy and choice. A case study method was used in relation to CTOs in the trust area and included quantitative analysis of trust data and semi-structured qualitative interviews with 72 participants including service users, nearest relatives, care coordinators, responsible clinicians, approved mental health professionals and service (accommodation) providers. The study findings suggest CTOs can be effective for the ‘right’ service user with certain needs and perceptions: for example, to work within clear boundaries. CTOs were perceived as more successful in teams where they were carefully planned over time as an appropriate intervention, rather than where they were made almost as a matter of course. The study indicates a number of specific ways in which CTOs could be better aligned with ethical practice and person-centred care. These include: full involvement of service users in all stages of the process; approved mental health professionals involvement as early as possible in any team discussions about the potential making of a CTO; avoiding decision-making around the making of the CTO taking place during a ward round since this can be a disempowering environment for the service user; nearest relatives to be involved where appropriate; and better information and training on CTOs to be provided to service users and providers. (Edited publisher abstract)
An exploration of service user and practitioner experiences of community treatment orders
- Authors:
- STROUD Julia, DOUGHTY Karolina, BANKS Laura
- Publisher:
- University of Brighton
- Publication year:
- 2014
- Pagination:
- 97
- Place of publication:
- Brighton
This research study investigates service user and practitioner experiences of community treatment orders (CTOs) within a climate of personalisation of services that aims to provide service users with increased autonomy and choice over their care. A CTO is the legislative power by which patients with mental health difficulties who are treated involuntarily in hospital can be discharged into the community but still remain subject to compulsory treatment. The CTO thus extends the setting for involuntary treatment from being exclusively confined to the hospital ward to the community. A case study method was used in relation to CTOs in the trust area and included quantitative analysis of trust data and semi-structured qualitative interviews with 72 participants including service users, nearest relatives, care coordinators, responsible clinicians, approved mental health professionals and service (accommodation) providers. The study findings suggest CTOs can be effective for the ‘right’ service user with certain needs and perceptions: for example, to work within clear boundaries. CTOs were perceived as more successful in teams where they were carefully planned over time as an appropriate intervention, rather than where they were made almost as a matter of course. The study indicates a number of specific ways in which CTOs could be better aligned with ethical practice and person-centred care. These include: full involvement of service users in all stages of the process; approved mental health professionals involvement as early as possible in any team discussions about the potential making of a CTO; avoiding decision-making around the making of the CTO taking place during a ward round since this can be a disempowering environment for the service user; nearest relatives to be involved where appropriate; and better information and training on CTOs to be provided to service users and providers. (Edited publisher abstract)
The Transinstitutionalisation of People Living in Licensed Boarding houses in Sydney
- Author:
- DRAKE Gabrielle
- Journal article citation:
- Australian Social Work, 67(2), 2014, pp.240-255.
- Publisher:
- Taylor and Francis
Deinstitutionalisation, one of the most significant social policies of the last century, was introduced into Australia from the 1960s, and involved the closure or downsizing of large institutions and the integration of people with disability and mental illness into the community. One of the community-based accommodation options for people leaving institutions was boarding houses. This paper presents the findings of a study into the use of licensed boarding houses for people with intellectual disability and people with mental illness in Sydney, Australia. The study aimed to explore how boarding houses operate as an accommodation option within the policy of deinstitutionalisation and the extent to which this accommodation type upholds human rights principles and contributes to residents' quality of life. Forty interviews were conducted with a range of participants including current and former residents, proprietors of licensed boarding houses, and staff of community organisations and government agencies about licensed boarding houses and the quality of life of residents. The study found that licensed boarding houses are a form of transinstitutionalisation and do not serve to enact the human rights principles articulated in current policy and legislation. (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)
Managing the care of people with long-term conditions: second report of session 2014-15: volume 1: report, together with formal minutes, oral and written evidence
- Author:
- GREAT BRITAIN. Parliament. House of Commons. Health Committee
- Publisher:
- Stationery Office
- Publication year:
- 2014
- Pagination:
- 222
- Place of publication:
- London
The Health Committee set out to examine the way in which the NHS and social care system in England supported people with long-term conditions. It sought evidence and comments on a range of issues, including outside hospital treatment and cost and effectiveness of redesigning services accordingly; readiness of local NHS and social care services to treat patients with long-term conditions (including multiple conditions) within the community; practical assistance offered to commissioners to support the design of services which promote community-based care and provide for the integration of health and social care in the management of long-term conditions; ability of NHS and social care providers to treat multi-morbidities and the patient as a person rather than focusing on individual conditions; obesity as a contributory factor to conditions including diabetes, heart failure and coronary heart disease and how it might be addressed; examples of effective integration of services across health, social care and other services which treat and manage long-term conditions; implications of an ageing population for the prevalence and type of long-term conditions, together with evidence about the extent to which existing services will have the capacity to meet future demand; interaction between mental health conditions and long-term physical health conditions and extent to which patients are being offered personalised services (including evidence of their contribution to better outcomes). This report outlines the findings of the Committee’s inquiry and makes specific recommendations with respect to three broad areas, including: the strategic direction of services for long-term conditions, clinical care for people with long-term conditions, and managing the system to deliver better care for long-term conditions. (Edited publisher abstract)
Social services statistics Wales 2012-13
- Author:
- WALES. Welsh Government
- Publisher:
- Welsh Government
- Publication year:
- 2014
- Pagination:
- 73
- Place of publication:
- Cardiff
An annual report collating the social services statistical returns from local authorities in Wales. The report includes information on children, adults receiving services, people with physical, sensory of a learning disability, mental health services and staff directly employed by local authority social services departments. (Edited publisher abstract)