Search results for ‘Subject term:"mental health problems"’ Sort:
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A qualitative investigation of models of community mental health care for women with perinatal mental health problems
- Authors:
- TAYLOR Billie Lever, et al
- Journal article citation:
- Journal of Mental Health, 30(5), 2021, pp.594-600.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Background: Specialist community perinatal mental health teams support women diagnosed with moderate to severe psychiatric difficulties in pregnancy or postnatally. These teams are being expanded across the UK, and there is considerable international interest in this model of care. However, not all women access these teams, and many are instead supported by community mental health services that do not specialise in the perinatal period. Aims: To explore perinatal women’s experiences of specialist perinatal versus generic non-perinatal community mental health support. Methods: Semi-structured interviews were conducted with 36 women diagnosed with perinatal mental health difficulties who were supported in the community either by a specialist perinatal or general non-perinatal mental health service. Data were analysed thematically. Results: Women felt that specialist perinatal and non-perinatal services alike were under-resourced and somewhat too narrow in their remit, but reported positive experiences across both settings. They particularly valued the specialist expertise offered by perinatal teams, but also valued greater continuity of care over a longer period, which some non-perinatal teams provided. Conclusions: The findings suggest that women who experience perinatal mental health difficulties value specialist perinatal expertise, but that general, non-perinatal teams may also have advantages for some. Further research into optimal care arrangements is merited. (Edited publisher abstract)
The long term occupational fitness of UK military personnel following community mental health care
- Authors:
- JONES Norman, et al
- Journal article citation:
- Journal of Mental Health, 27(2), 2018, pp.142-149.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Background: Fitness to undertake operational deployment is a key requirement of military service. Aim: To assess individual deployment fitness at a single point from one month to eight years following discharge from mental healthcare. Method: Survival analyses assessed levels of deployability; the predictive effects of key covariates upon time to being classified as non-deployable were examined using univariate and multivariate Cox proportional hazards regression procedures. Results: A total of 1405 individuals provided study data. 437 individuals (31.1%) were non-deployable or discharged from service during follow-up. 17.2% were non-deployable in the first year following mental healthcare; the proportion did not rise above this level until year seven when it was 19.1% and then 30.6% in year eight. Risk factors for being classified as non-deployable were female sex, receipt of intermediate duration therapy, management by the multidisciplinary team and previous referral to mental health services. Previous deployment was significantly associated with reduced risk. Overall, the levels of non-deployability appeared to be no higher than those found among the wider military services. Conclusion: Non-deployable status among mental healthcare recipients was broadly similar to that found among the wider UK military; risk factors for non-deployability could be amenable to targeted relapse prevention measures. (Publisher abstract)
A successful implementation strategy to support adoption of decision making in mental health services
- Authors:
- MACDONALD-WILSON Kim L., et al
- Journal article citation:
- Community Mental Health Journal, 53(3), 2017, pp.251-256.
- Publisher:
- Springer
Individual involvement in treatment decisions with providers, often through the use of decision support aids, improves quality of care. This study investigates an implementation strategy to bring decision support to community mental health centres (CMHC). Fifty-two CMHCs implemented a decision support toolkit supported by a 12-month learning collaborative using the Breakthrough Series model. Participation in learning collaborative activities was high, indicating feasibility of the implementation model. Progress by staff in meeting process aims around utilisation of components of the toolkit improved significantly over time. Survey responses by individuals in service corroborate successful implementation. Community-based providers were able to successfully implement decision support in mental health services as evidenced by improved process outcomes and sustained practices over 1 year through the structure of the learning collaborative model. (Edited publisher abstract)
Intensive, not intrusive: our visits and telephone interviews with individuals and carers who have had contact with Intensive Home Treatment Services and the service providers
- Author:
- MENTAL WELFARE COMMISSION FOR SCOTLAND
- Publisher:
- Mental Welfare Commission for Scotland
- Publication year:
- 2012
- Pagination:
- 33p.
- Place of publication:
- Edinburgh
For several years, there has been a move away from hospital-based care and treatment for people with mental illness, learning disability and related conditions. Intensive home treatment (IHT) is an alternative to hospital admission. This report presents the findings of visits and telephone interviews from October 2011 to February 2012 with individuals who had received IHT and their carers in order to obtain their views of the service. The study covered both adult services and child and adolescent mental health services (CAMHS). Semi-structured interviews were conducted with a total of 106 individuals, 25 carers and 23 service managers. The findings showed an overwhelmingly positive view of IHT, with the vast majority of the individuals and careers highly valuing the service. Local service managers reported that the availability of IHT has reduced the need for hospital admission. There is no overall consistent model of IHT across Scotland. While it is unrealistic to expect a ‘one size fits all’ model for intensive home treatment, the report concludes that all NHS Boards should ensure that they have services to assess and support people at home during times of mental health crises. A number of key messages and recommendations are provided to help to develop further this model of service.
Women's experience of forensic mental health services: implications for practice
- Authors:
- COOKE Kerry, BAILEY Di
- Journal article citation:
- Journal of Mental Health Training Education and Practice, 6(4), 2011, pp.186-194.
- Publisher:
- Emerald
A pilot study was undertaken to explore women's experiences of forensic mental health care and inform a potential larger scale research project. Participants were recruited from women service users of a forensic community mental health team. In-depth interviews were undertaken with 7 women who had experience of using secure services. Using content analysis, three broad themes were identified: women's experiences of different settings and treatments, relationships with staff, and the impact of placements and social contacts. The article discusses the findings, with examples from the interviews. It reports that despite their relatively disadvantaged position, the women were able to articulate what worked and offered clear suggestions for improving services.
Ethnicity and access to an inner city home treatment service: a case-control study
- Authors:
- BOOKLE Matthew, WEBBER Martin
- Journal article citation:
- Health and Social Care in the Community, 19(3), May 2011, pp.280-288.
- Publisher:
- Wiley
Evidence suggests that people from black and minority ethnic groups are more likely to be diagnosed with a mental health problem and are disproportionately represented in mental health inpatient services. The aim of this study, undertaken in a large inner London borough, was to establish whether people of black ethnic origin had equal access to home treatment in a mental health crisis. The researchers selected a random sample of 240 inpatient episodes and compared them with a sample of 77 home treatment episodes over a 12 month period, comparing the circumstances and characteristics of people using the home treatment team and inpatient services. The study found no association between ethnicity and the likelihood of receiving home treatment as opposed to a hospital admission whilst in a mental health crisis, although the findings showed that when admitted to hospital people from black ethnic groups experienced significantly longer admissions than people of white British origin. The authors suggest that further research is required for the early discharge function of home treatment teams to evaluate whether this aspect of care is experienced differently by different ethnic groups.
Supporting briefing note: community mental health survey 2010
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2010
- Pagination:
- 12p.
- Place of publication:
- London
Key findings from a 2010 survey of people who use community mental health services are reported. The 2010 survey comprises a sample of service users aged 16 and over who had been in contact with NHS community mental health services in the period 1 July 2009 to 30 September 2009 and who were receiving specialist help for a mental health condition. A total of 17,199 questionnaires were returned, a response rate of 32%. The survey aimed to find out about the experiences of people using mental health services in the community. These services provide care and treatment to people who have been referred to a psychiatric outpatient clinic, local community mental health team, or other community-based mental health services. The survey results are presented separately for those on Care Programme Approach (CPA) and those not on CPA. The survey questions relate to: health and social care workers; medications; talking therapies; care coordinators or lead professionals; care plans; care reviews; day to day living; and crisis care. Overall, service users rated the care they received from mental health services in the last 12 months as: excellent 29%, very good 30%, good 20%, fair 12%, poor 5% and very poor 4%.
Therapeutic communities for psychosis: philosophy, history and clinical practice
- Editors:
- GALE John, REALPE Alba, PEDRIALLI Enrico, (eds.)
- Publisher:
- Routledge
- Publication year:
- 2008
- Pagination:
- 272p.
- Place of publication:
- London
This book offers a global insight into the renewed interest in the use of therapeutic communities for the treatment of psychosis, as complementary to pharmacological treatment. Twenty nine authors from 14 different countries describe their work. The book is divided into three parts which cover the historical and philosophical background of therapeutic communities and the treatment of psychosis in this context; treatment settings and clinical models; and alternative therapies and extended applications. It is intended as a resource for all mental health professionals, targeting readers from a number of disciplines including psychiatry, psychology, social work, psychotherapy, and group analysis.
Alternatives to inpatient mental health care for children and young people (review)
- Authors:
- SHEPPARD Sasha, et al
- Publisher:
- John Wiley and Sons
- Publication year:
- 2009
- Pagination:
- 65p., bibliog.
- Place of publication:
- Chichester
This review aimed to assess the effectiveness, acceptability and cost of mental health services that provide an alternative to inpatient care for children and young people, and to identify the range and prevalence of different models of service that seek to avoid hospitalisation for children and young people. Selection criteria were: randomised controlled trials of mental health services providing specialist care, as an alternative to inpatient mental health care, for children or adolescents aged from five to 18 years who have a serious mental health condition. The control group received mental health services in an inpatient or equivalent setting. Seven randomised controlled trials (recruiting a total of 799 participants) met the criteria, evaluating four distinct models of care: multisystemic therapy (MST) at home, specialist outpatient service, intensive home treatment and intensive home-based crisis intervention (’Homebuilders’ model for crisis intervention). There were small, significant patient improvements reported in both groups in the trial evaluating the intensive home-based crisis intervention using the ’Homebuilders’ model. No differences at follow up were reported in the two trials evaluating intensive home treatment, or in the trials evaluating specialist outpatient services. The quality of the evidence base currently provides very little guidance for the development of services. If randomised controlled trials are not feasible then consideration should be given to alternative study designs, such as prospective systems of audit conducted across several centres, as this has the potential to improve the current level of evidence. These studies should include baseline measurement at admission along with demographic data, and outcomes measured using a few standardised robust instruments.
Multisectoral mental health networks in Belgium: an example of successful mental health reform through service delivery redesign
- Authors:
- BORGERMANS Liesbeth, et al
- Publisher:
- World Health Organization. Regional Office for Europe
- Publication year:
- 2019
- Pagination:
- 4
- Place of publication:
- Copenhagen
A good practice briefing looking at reforms carried out in Belgium in response to the need for improved people-centred approaches for people with mental health conditions. The reform aimed to strengthen the community-based care and to reduce the number of psychiatric hospital beds; it improved care integration, social rehabilitation and service users’ recovery, including users' and carers' quality of life. Central to the reform are multisectoral mental health care networks offering outreach services, prevention, in-and outpatient mental health services, primary care, day care, and vocational, housing and social care services. The reform contributed to improving the long-term health of patients and reducing hospital stays. It also significantly reduced the number of psychiatric hospital beds in favour of outreach services to people with mental health conditions. (Edited publisher abstract)