Search results for ‘Subject term:"mental health problems"’ Sort:
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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)
Treating mental health in the community: a policy review
- Authors:
- HUDSON Gen Maitland, TOUROUNTIS Dimitrios, HARGRAVE Russell
- Publisher:
- Power to Change
- Publication year:
- 2017
- Pagination:
- 50
- Place of publication:
- London
A review of evidence on the effectiveness of different community approaches to mental health. The final synthesis looks at 48 studies, published between 2004 and 2017, drawn from the UK and comparable high-income countries. It focuses mainly on the highest-quality evidence, including systematic reviews, evaluations drawing on randomised control trials (RCTs), and comparative longitudinal data. The synthesis identified 29 interventions methods. The studies included public health interventions aiming to promote wellbeing using volunteers / peers or ‘green care’; community development interventions; and intervention focused on exercise or physical activity. The review identified a lack of high-quality evidence to guide community work on mental health. There was some evidence to suggest that community-centred projects which draw on the support networks and skills already available in a community, have a positive impact on mental health. However, it found no high-quality evidence that ‘community-based’ projects, which simply deliver services in a local area, have a positive impact on mental health. It highlights the need for new 'community-centred' projects in local places, with rigorous evaluations to assess the evidence that these projects are effective in helping people with mental health problems. (Edited publisher abstract)
Mental Health Act assessments: professional narratives on alternatives to hospital admission
- Author:
- HALL Peter
- Journal article citation:
- Journal of Social Work Practice, 31(4), 2017, pp.445-459.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This article draws on themes derived from research conducted as part of a doctoral study, using Framework Analysis, in which fifteen mental health professionals were involved in nine Mental Health Act assessments in the UK. In this work, risk is explored in terms of the social context, using a social constructionist perspective, in which concepts of ‘social crisis/mental illness’, professional negotiations and social capital are explored. The key findings highlighted: the social constructions of service users’ worlds, as presented by the Approved Social Workers (ASWs) and Home Treatment Professionals (HTPs), were notably different; the negotiations between the ASWs and HTPs provided the ASWs with a number of roles including negotiator, deal-maker and decision-maker; and the service user’s social network and the provision of home treatment showed that the ‘treatments’ provided can be seen as a shared role. Finally, the implications for contemporary mental health social work practice are presented. (Publisher abstract)
Resilience, mental health and Assertive Community Treatment
- Authors:
- HURLEY Dermot J., O’REILLY Richard L.
- Journal article citation:
- Social Work in Mental Health, 15(6), 2017, pp.730-748.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Clinicians try to promote resilience by building an effective therapeutic relationship with their clients. Assertive Community Treatment (ACT) is an established approach for providing services to individuals with severe mental illness who have not fared well in the regular mental health system. This work underscores the importance of a resilient therapeutic relationship in preventing relapse and assuring adherence to therapeutic outcomes. Persistent psychiatric illness takes a toll on the resilience of the client, while the relationship work takes a toll on the resilience of the clinician. This article explores the concept of relational resilience between clinician and client as a dynamic process of shared success and failure, progress and regression through cycles of crisis, stabilisation, relapse, and partial recovery. This is a qualitative study exploring how ACT clinicians promote and sustain resilience and is based on interviews with social workers, nurses, occupational and recreational therapists, coordinators, and psychiatrists. (Publisher abstract)
Human rights in mental health services: good practice guide
- Author:
- MENTAL WELFARE COMMISSION FOR SCOTLAND
- Publisher:
- Mental Welfare Commission for Scotland
- Publication year:
- 2017
- Pagination:
- 74
- Place of publication:
- Edinburgh
This guide explains how and where human rights impact on the provision of mental health care and how staff can best ensure that the key rights are respected. It is aimed at staff in hospital and community teams in Scotland and has been written in consultation with mental health care practitioners, users of services, and patients’ relatives who have direct experience of adult acute settings. It looks at each of the rights set out in the Rights in Mind pathway to patients’ rights in mental health services. There is a section for each stage, covering patient’s rights in the community, hospital admission, hospital care, and hospital discharge. The guide also sets out overarching rights that apply across all of these stages. Short case studies are included to illustrate different scenarios. The guide can be used both as a reference guide and as an improvement resource to help staff reflect on their policies and practice. (Edited publisher abstract)
Yoga, quality of life, anxiety, and trauma in low-income adults with mental illness: a mixed-methods study
- Authors:
- BROWN Jodi L. Constantine, EUBANKS Caitlin, KEATING Amber
- Journal article citation:
- Social Work in Mental Health, 15(3), 2017, pp.308-330.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
The authors used a mixed-methods convergent parallel design to explore the effect of yoga on quality of life, trauma, and anxiety in low-income adults with mental illness. Participants included a convenience sample (N = 18) of parents at a community mental health agency who participated in a six-week yoga intervention. Participants completed standardised measures of quality of life, anxiety, and post-traumatic stress disorder (PTSD) pre- and post-intervention. Focus groups were conducted to further explore barriers to and the effects of participation in the yoga intervention. Wilcoxon Signed Ranks Tests indicated a statistically significant decrease in anxiety and PTSD after the yoga intervention, but no significant changes in quality of life or trait anxiety. Qualitative results reveal five themes related to participation in yoga classes, including barriers to participation and ways to improve the class. Qualitative results corroborate quantitative findings, suggesting improved relaxation and anger management for participants who strongly endorsed the benefits they experienced. (Edited publisher abstract)
Making connections: severe mental illness and closeness with other people
- Authors:
- PRINCE Jonathan D., et al
- Journal article citation:
- Social Work in Mental Health, 15(1), 2017, pp.1-13.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Much has been written about social lives of people with severe mental illness (SMI). Before social lives can flourish, however, people with SMI must first get close to other people. The authors studied this closeness by holding three hour-long focus groups at Fountain House, a community mental health agency in New York City. It was found that closeness between two people with SMI is challenging because someone with depression, for example, may have trouble understanding someone with a different disorder (e.g., schizophrenia). Romantically, closeness is also challenging—SMI is hard to explain to partners. In the workplace, closeness is difficult because SMI can alienate co-workers. It could push them away. In mental health programmes, the authors found that closeness has more of a chance to develop (1) during evening and weekend activities; (2) when activities are planned often enough to prevent isolation; and (3) when staff reach out to people before extended absence causes distance. (Edited publisher abstract)
Inpatient provision for children and young people with mental health problems
- Author:
- FRITH Emily
- Publisher:
- Education Policy Institute
- Publication year:
- 2017
- Pagination:
- 33
- Place of publication:
- London
This report examines the state of child and adolescent mental health inpatient services in England. It explores the latest evidence and NHS data on admissions, quality of care, staffing and capacity of inpatient services – including geographical distribution and out of area placements. It also looks briefly at community alternatives to hospital admission and delayed discharge. It highlights five challenges in order to raise standards in young people’s mental health provision. These include: addressing workforce shortages, improving access to inpatient beds and reduce geographical disparity in access; and increasing the capacity of community mental health and social care support services to enable young people to be discharged from hospital sooner. (Edited publisher abstract)