Search results for ‘Subject term:"mental health problems"’ Sort:
Results 1 - 10 of 16
Budding relationship
- Author:
- CHADDA Dolly
- Journal article citation:
- Health Service Journal, 26.3.98, 1998, pp.10-11.
- Publisher:
- Emap Healthcare
Assertive outreach has been touted as the saviour of community care. Discusses the work of the Tulip Project whose original aim of providing residential places in the community for people with mental health problems released from long-stay hospitals has now been extended to provide all outreach services for people with mental health problems in Enfield and Haringey.
Improving treatment access and primary care referrals for depression in a national community-based outreach program for the elderly
- Authors:
- NYUNT Ma Shwe Zin, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 24(11), November 2009, pp.1267-1276.
- Publisher:
- Wiley
This paper describes a nationwide community-based outreach service model, the Community-Based Early Psychiatric Intervention Strategy (CEPIS) programme, aimed at improving access and acceptance of treatment for depression among the elderly population in Singapore. In the CEPIS, community nurses routinely screened older people for depressive symptoms, and provided psychoeducation (giving information about depression and its causes and treatment and availability of care by a general practitioner, and addressing commonly held negative beliefs and attitudes) and referral for primary care treatment. The authors evaluated the impact of the programme and the extent to which determinants of treatment-seeking were altered by removing socioeconomic, physical and cognitive barriers to care. Their conclusions were that an outreach service model of routine and active screening for depressive symptoms in a community setting of providing social services for the elderly population greatly increased the use of primary care treatment for depression, and that by eliminating socioeconomic, physical, knowledge, belief and attitudinal barriers, equitable care to all in need is attainable through such a service.
ElderLynk: a community outreach model for the integrated treatment of mental health problems in the rural elderly
- Authors:
- McGOVERN Rene J., et al
- Journal article citation:
- Ageing International, 32(1), March 2008, pp.43-53.
- Publisher:
- Springer
- Place of publication:
- New York
In 2000, a rural consortium of health care education and service providers established a geriatric mental health outreach program (ElderLynk) for the underserved elderly (aged 65 and older) in ten rural counties in northeast Missouri. ElderLynk evaluated the efficacy of an integrated community-based treatment model through the creation and evaluation of a clinical database. Ten rural counties in northeast Missouri were chosen because they were designated as mental health shortage areas (MHSAs) and because their elderly population approximates the projected level of elderly in the USA in 2020. All patients were managed by a geriatric nurse with treatment planning and oversight provided by a community-based interdisciplinary team which included a psychiatrist, geriatrician, psychologist, and social worker. Using the Geriatric Depression Scale (GDS); the Government Performance and Results Act data (GPRA) to assess life satisfaction, independence/autonomy, psychosocial functioning, and overall health; the Instrumental Activities of Daily Living (IADL); the Mini-Mental Status Examination (MMSE); and patterns of service usage (number of hours of case management and number of counselling sessions), ElderLynk patients improved significantly in overall psychological functioning, level of depression, and reported life satisfaction despite significant declines in mental status, daily function, and overall health.
Taking it to the street: a psychiatric outreach service in Canada
- Authors:
- FARRELL Susan J, et al
- Journal article citation:
- Community Mental Health Journal, 41(6), December 2005, pp.737-746.
- Publisher:
- Springer
This paper describes a model of flexible psychiatric outreach service in Canada designed to meet the needs of persons who are homeless or marginally housed and have mental illness. The activities of the Psychiatric Outreach Team of the Royal Ottawa Hospital for individual clients and the community agencies who serve them are profiled, followed by a demographic and mental and physical health profile of the clients seen in the past year. The differences from other models of service and the benefits and limitations of this unique multidisciplinary team are discussed, with implications for future service development for this vulnerable population.
Services for African and African-Caribbeans:the Antenna Outreach Service
- Author:
- McKENZIE Kwame
- Journal article citation:
- Mental Health Review, 8(3), September 2003, pp.16-21.
- Publisher:
- Pier Professional
Reports on Antenna Outreach, an innovative service that includes assertive outreach, community-based rehabilitation and education schemes, a 24-hour crisis line, a volunteer group, primary prevention, and the development of the capacity of mainstream services to allow access to people with mental health problems. It targets African and African-Caribbean service users aged 16-25 who are difficult to engage or who have complex mental health problems.
Outreach across the pond
- Authors:
- WINCHESTER Ruth, LLOYD Ken
- Journal article citation:
- Community Care, 4.4.02, 2002, pp.30-31.
- Publisher:
- Reed Business Information
Assertive outreach is widely acknowledged as the way forward to improve quality of life for people in the community mental health problems. Looks at progress to date in the UK and describes how outreach teams work in the USA.
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)
Enhancing recovery: transition intervention service for return to the community following exit from an alternative to psychiatric inpatient admission: a residential recovery house
- Authors:
- GRIFFITHS Christopher Alan, HEINKEL Samira, DOCK Bohdana
- Journal article citation:
- Journal of Mental Health Training Education and Practice, 10(1), 2015, pp.39-50.
- Publisher:
- Emerald
Purpose: This paper evaluates the impact on recovery and personal goal attainment of a transition intervention service for return to the community following exit from an alternative to psychiatric inpatient admission, a residential recovery house. The services seek to facilitate community reintegration, promote recovery and prevent future mental health crisis. The service was funded by the Stone Family Foundation. Design/methodology/approach: This evaluation employed a within groups design: a single case evaluation follow-up. Analysis of Recovery Star and personal goal achievement data collected at service entry and exit points during routine practice (n=181), at four sites in England. The adults had mental illness diagnoses including depression, schizophrenia, bipolar disorder, personality disorder, and anxiety disorder. Findings: There was a significant increase in overall Recovery Star scores with a large effect size, and significant increases in eight of the ten Recovery Star life domains. There were significant increases in the goal scores linked to "Managing mental health", "Self-care" and "Living skills". Practical implications: A transitional intervention service provided by the third sector for return to community following mental health crisis may contribute to recovery and personal goal achievement. A randomised control trial of this transition intervention service is recommended. Originality/value: This is first outcome evaluation of an alternative to psychiatric inpatient admission transition intervention service and findings indicate the potential positive effect of having this service incorporated into the design of alternative to admission provision. (Publisher abstract)
Active outreach: an independent service user evaluation of a model of assertive outreach practice
- Authors:
- GRALEY-WETHERELL Roberta, MORGAN Steve
- Publisher:
- Sainsbury Centre for Mental Health
- Publication year:
- 2001
- Pagination:
- 44p.,bibliog.
- Place of publication:
- London
Assertive (Active) Outreach is a flexible and creative team based approach to working with the complex needs and wishes of a clearly defined group of people. This group is frequently referred to as experiencing severe and enduring mental health problems, and as being hard to engage or resistant to services. They have generally been inadequately served in the mainstream development of community and inpatient mental health services. The aim of this publication is to show the importance of gaining service users' views on the innovative local practices that they receive and to provide an example of how service user involvement can be more widely implemented through direct consultation.
Homelessness, mental illness and citizenship
- Authors:
- ROWE Michael, et al
- Journal article citation:
- Social Policy and Administration, 35(1), March 2001, pp.14-31.
- Publisher:
- Wiley
Assertive mental health outreach to homeless persons points towards the goals of community membership and "citizenship" - a connection to the rights, responsibilities, roles and resources that society offers through public and social institutions and informal "associational life" - for homeless persons. The authors argue that the concept of citizenship is a useful framework for approaching these goals. Go on to review the principles of assertive mental health outreach and relevant aspects of contemporary citizenship theory; present a case example of outreach leading to a "citizenship project"; and discuss the potential benefits and pitfalls of a citizenship framework, including strategies and recommendations for program administrators, researchers and policy makers.