Search results for ‘Subject term:"mental health problems"’ Sort:
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What contribution can ordinary people make to national mental health policies?
- Authors:
- HAYWARD Robert, CUTLER Paul
- Journal article citation:
- Community Mental Health Journal, 43(5), October 2007, pp.517-526.
- Publisher:
- Springer
This article describes the progress and achievements of grassroots organisations and people with mental health problems in Romania in developing policies to promote community-based mental health services at a national level.
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)
Mental health day services in the United Kingdom from 1946 to 1995: an 'untidy set of services'
- Author:
- BRYANT Wendy
- Journal article citation:
- British Journal of Occupational Therapy, 74(12), December 2011, pp.554-561.
- Publisher:
- Sage
This critical review of mental health day services in the United Kingdom from the 1940s was conducted to inform local responses to modernisation. A wide range of contemporary and retrospective published accounts was critically analysed. The findings indicate that since the first reported mental health day hospital opened in 1946, researchers and practitioners have described and evaluated the services. Service users have been encouraged to define their own goals and used a variety of approaches to achieve them. The importance of social contact, structured occupations and community links has been emphasised throughout. Locations and functions of day services have shifted in response to health and social care policies, yet have consistently engaged and been valued by service users. Criticisms have indicated issues of insufficient resources and too broad a remit, making services difficult to categorise and evaluate systematically. Tensions throughout have been concerned with the location of services and the scope for user involvement in service provision and evaluation. Recognising the origins of these tensions could enhance current approaches to modernisation. The article concludes that combining social and occupational perspectives would enhance understanding and indicate future directions for day services.
Personalisation and mental health
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2009
- Place of publication:
- London
The video is introduced by a worker from a community mental health service. She gives a practitioner perspective on personalisation, emphasising that service user and carer participation, co-production and empowerment are vital. The video introduces the work of support, time and recovery (STR) workers and shows how by giving support and time to service users they can promote recovery. Personalisation has implications for practitioners; instead of ‘treating’ people, they will need to focus on enabling and supporting the individual. The video also looks at personal budgets for people with mental health problems. [This film has been reviewed and is no longer available to view].
Engaging users: the essence of the therapeutic community approach
- Authors:
- HYDE K., et al
- Journal article citation:
- Therapeutic Communities: the International Journal of Therapeutic Communities, 26(3), Autumn 2005, pp.261-272.
- Publisher:
- Emerald
This article describes the clinical orientation of a community-based service provided to a large geographical region, developed by staff who had established Webb House, a residential therapeutic community replicating the Henderson approach. Responding to changes in commissioning arrangements, the service further developed its community-based approach reflecting recommended practice in 'No Longer a Diagnosis of Exclusion' published by NIMHE. It considers the developmental process through which a 'user' becomes a 'service user consultant' and their potential to intervene in a dyadic relationship to support engagement. The potential of user consultants is described. The development of a user-led professionally facilitated organisation that supports joint working of users with professionals and provides a forum for users supporting their continuing development is considered.
Exploring the consumer's and provider's perspective on service quality in community mental health care
- Authors:
- MASON Karen, et al
- Journal article citation:
- Community Mental Health Journal, 40(1), February 2004, pp.33-46.
- Publisher:
- Springer
A series of seven focus groups of community mental health care consumers were conducted to identify the factors that contributed to consumer satisfaction. Three major themes were identified: bonding with providers, provider competence/knowledge, and cultural/religious competence. These findings are compared with findings from several healthcare satisfaction studies. Four focus groups with providers were also conducted to identify barriers to service quality. The major theme identified was that providers strive to have more time with consumers but struggle with large caseloads and large amounts of paperwork. An important finding is that consumers want to have their culture and religion seamlessly woven into service delivery. Potential explanations for the consumers' and providers' discrepant perspectives, conclusions and future areas for research are explored.
Streetcred?: values and dilemmas in mental health work with young people
- Author:
- DAVIES Bernard
- Publisher:
- National Youth Agency
- Publication year:
- 2000
- Pagination:
- 127p.
- Place of publication:
- Leicester
Discusses the work of 42nd Street, a Manchester-based community mental health resource for young people under stress. explores the values and ideology behind the project with reference to ideas about young people and mental health; the services it provides in the way of youth work, therapy and informal support; equal opportunities and participation issues;and relations with external agencies.
Patient held information record: adult mental health
- Author:
- PICKERSGILL David
- Publisher:
- Wakefield and Pontefract Community Health
- Publication year:
- 1999
- Pagination:
- 123p.,bibliog.
- Place of publication:
- Wakefield
Report on a pilot project undertaken to develop a patient held record system for people with mental health problems. The project was a partnership between Wakefield and Pontefract Community Health Service, who took the lead, and Wakefield SSD and the Richmond Fellowship for Community Mental Health.
Art and mental health recovery: evaluating the impact of a community-based participatory arts program through artist voices
- Author:
- BONE Tracey A.
- Journal article citation:
- Community Mental Health Journal, 54(8), 2018, p.1180–1188.
- Publisher:
- Springer
This study sought to evaluate the impact of participation in a 6-month community-based participatory arts programme on mental health recovery. Using a case study methodology, a total of nine recent graduates from one of five separate groups held during the study period (2012–2015) were interviewed. All but one of the nine participants reported positive personal, emotional, physical and/or mental health changes as a result of her or his participation in the programme. Voices of all participants are explored. Analysis of the interviews revealed four key themes: safe space to create, change in identity, biggest impact, and programme-related challenges. This study supports community-based arts programming as a positive experience for people living with mental illness. Employing staff and volunteers with lived experience of mental health problems enhanced the overall participant experience. (Edited publisher abstract)
The least worst option: user experiences of antipsychotic medication and lack of involvement in medication decisions in a UK community sample
- Authors:
- MORANT Nicola, et al
- Journal article citation:
- Journal of Mental Health, 27(4), 2018, pp.322-328.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Background: Treatment decision-making that fully involves service users is an aim across medicine, including mental health. Aim: To explore service users experiences of taking antipsychotic medication for psychotic disorders and their perceptions of decision-making about this. Method: Semi-structured interviews with 20 users of community mental health services, conducted by service user researchers and analysed using thematic analysis.Results: Antipsychotic medication was perceived to have beneficial effects on symptoms and relapse risk, but adverse effects were prominent, including a global state of lethargy and demotivation. Weighing these up, the majority viewed antipsychotics as the least worst option. Participants were split between positions of “willing acceptance”, “resigned acceptance” and “non-acceptance” of taking antipsychotics. Many felt their choices about medication were limited, due to the nature of their illness or pressure from other people. They commonly experienced their prescribing psychiatrist as not sufficiently acknowledging the negative impacts of medication on life quality and physical health concerns and described feeling powerless to influence decisions about their medication. Conclusion: The study highlights the complexity of agendas surrounding antipsychotic medication, including the pervasive influence of coercive processes and the challenges of implementing collaborative decision-making for people with serious mental health problems.