Search results for ‘Subject term:"mental health problems"’ Sort:
Results 1 - 10 of 12
Development and preliminary testing of a framework for quantifying local service provision for people with dementia
- Authors:
- HUGHES Jane, et al
- Journal article citation:
- Quality in Ageing and Older Adults, 21(3), 2020, pp.193-202.
- Publisher:
- Emerald
Purpose: It was hypothesised that there were variations in health and social care services available for older people with dementia and their carers, and that measurement of this between localities was possible. The purpose of this paper is to present a framework for examining this. Design/methodology/approach: Using a case study approach, data from national surveys of local authorities providing social care and National Health Services Trusts providing old age mental health services conducted in 2014/2015 in England were used. From these, indicators of variation in services for people with dementia and their carers in different geographical areas were created. Measurement of the presence/absence of each service permitted the creation of a service mix score for each area. Findings: The framework comprised 16 attributes each with indicators describing the characteristics of the organisations providing the services; the skill mix of community mental health teams for older people; and the health care and social care services available in localities. Variation was evident, confirmed by quartile analysis and exemplars, suggesting that older people with dementia and their carers in different localities are likely to experience differences in the range of provision available, particularly social care services. Originality/value: The case study approach used achieved its objectives, and the resultant framework has potential for generalisability and utility, given acceptable ecological validity and discriminant validity in identifying variations in service mix. It could be used in both research and practice. (Edited publisher abstract)
Out of sight out of mind
- Authors:
- SHERRATT Chris, YOUNGER-ROSS Sue
- Journal article citation:
- Community Care, 29.4.04, 2004, pp.40-41.
- Publisher:
- Reed Business Information
Intermediate care helps many people stay in their own home and frees up hospital beds, yet many people with dementia are often excluded from these services. Looks at how to provide intermediate care services for older people with dementia, and what can go wrong.
The highs and lows of rural life
- Author:
- COSH Jackie
- Journal article citation:
- Mental Health Today, December 2008, pp.14-15.
- Publisher:
- Pavilion
- Place of publication:
- Hove
The rural highlands of Scotland have traditionally seen a higher than average rate of mental health problems. Discusses the challenges of providing emergency psychiatric care to those in rural isolated areas.
Ethnic minority, young onset, rare dementia type, depression: a case study of a Muslim male accessing UK dementia health and social care services
- Author:
- REGAN Jemma L.
- Journal article citation:
- Dementia: the International Journal of Social Research and Practice, 15(4), 2016, pp.702-720.
- Publisher:
- Sage
A case study comprised of formal interviews, formal observations and informal discussions investigated the motivations and experiences accessing dementia care health and social care services for a Muslim, Pakistani male with dementia. Motivations derived from ‘desperation’ and an inability to access support from family or religious community. Experiences of accessing services were mostly negative. Dementia services were ill-informed about how to support persons with young onset dementia, with pre-existing mental health conditions, from an ethnic minority. Education and training to remove barriers to all dementia care services is required for persons with dementia, their families and within dementia services and religious communities. (Publisher abstract)
The NHS atlas of variation in healthcare: reducing unwarranted variation to increase value and improve quality
- Author:
- NATIONAL HEALTH SERVICE. Right Care
- Publisher:
- Public Health England
- Publication year:
- 2015
- Pagination:
- 277
- Place of publication:
- London
This publication uses maps to show the variation in health care for a variety of conditions across England and Wales. The maps are accompanied by commentary on the background context, scale of variation and options for action. Conditions covered include: care of mothers, babies, and children and young people; mental health problems; dementia; care of older people; end of life care; and learning disabilities. Twenty one of the indicators are also presented by local authority area. The Atlas also highlights the work being done by Right to Care to support anyone wanting to reduce unwarranted variation of health care provision within their locality or between their locality and other areas of the country. (Edited publisher abstract)
South Asian older adults with memory impairment: improving assessment and access to dementia care
- Authors:
- GIEBE Clarissa M., et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 30(4), 2015, pp.345-356.
- Publisher:
- Wiley
Objective: With increasing international migration, mental health care of migrants and ethnic minorities is a public health priority. South Asian older adults experience difficulties in accessing services for memory impairment, dementia and mental illness. This review examines barriers and facilitators in the pathway to culturally appropriate mental health care. Methods: Web of Knowledge, Pubmed and Ovid databases were searched for literature on South Asian older adults or their family carers, their understandings of mental illness and dementia and their pattern of service use. Dates were from 1984 to 2012. Abstracts were assessed for relevance, followed by detailed reading of salient papers. Three researchers rated the quality of each included study. A narrative synthesis was undertaken of extracted and charted data. Results: Eighteen studies met the eligibility criteria for the review. South Asians and health professionals highlighted several difficulties which deterred help seeking and access to care: a lack of knowledge of dementia and mental illness, and of local services; stigma; culturally preferred coping strategies; and linguistic and cultural barriers in communication and decision making. Conclusions: To improve access for these groups, service users and providers need to be better informed; services need to be more culturally tailored, sometimes employing staff with similar cultural backgrounds; and health professionals can benefit from dementia education and knowledge of local services. These factors are key to the delivery of the National Dementia Strategy in England. (Publisher abstract)
Meeting the mental health needs of older people from black and minority ethnic communities
- Authors:
- SHAH Ajit, ADELMAN Simon
- Journal article citation:
- Mental Health Today, November 2009, pp.25-29.
- Publisher:
- Pavilion
- Place of publication:
- Hove
The proportion of people from black and minority ethnic (BME) groups over the age of 65 has progressively increased over the last three decades in England and Wales, and now stands at 8.2 per cent. This article describes the inequality in access to mental health care in older people from BME groups and potential ways forward under the sub-headings: scale of the problem; inequality in mental health care; barriers to receiving appropriate care; recognising and tackling suicide risk; policy context; finding a way forward; and beyond psychiatry
Why are older people left out?
- Author:
- MOORE Nick
- Journal article citation:
- Nursing Times, 23.11.00, 2000, pp.27-28.
- Publisher:
- Nursing Times
Asks whether ageism is built into the system regarding the care of older people with mental health problems, as they are not seen as 'newsworthy'. A mental health nurse gives his opinion.
The right to advocacy: a review of how local authorities and NHS Boards are discharging their responsibilities under the Mental Health (Care and Treatment) (Scotland) Act 2003
- Author:
- MENTAL WELFARE COMMISSION FOR SCOTLAND
- Publisher:
- Mental Welfare Commission for Scotland
- Publication year:
- 2018
- Pagination:
- 53
- Place of publication:
- Glasgow
This report investigates access to independent advocacy services for people with mental health problems, learning disability, dementia and related conditions in Scotland. It is based on information received from health boards, local authorities, and from the new health and social care partnerships (HSCPs). The report also investigates whether the integrated children’s services plans of local authorities cover the provision of independent advocacy services for children and young people with mental illness, learning disability or related conditions. The results show that the planning and provision of advocacy services across Scotland is variable and lacks clarity. It found services for adults were often prioritised for those who were receiving compulsory care or treatment .There is a lack of clarity on which organisation is responsible for co-ordinating the preparation of strategic advocacy plans, and on how advocacy providers and people using advocacy services will be involved in planning. The report identifies significant gaps in service provision for children and young people, with some of the services not providing independent advocacy and very restricted eligibility criteria. (Edited publisher abstract)
The second year of the Independent Mental Capacity Advocacy Service 2008/2009
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2009
- Pagination:
- 54p.
- Place of publication:
- London
The Mental Capacity Act 2005 created the Independent Mental Capacity Advocate (IMCA) service as a safeguard for people without the capacity to make certain important decisions and without family or friends to support them. The Act also introduced a legal duty on NHS bodies and local authorities to refer eligible people to the IMCA service. The service started on 1st April 2007 and this is the report on its second year’s work. There was a 27 percent rise (to 6582) in the number of people receiving representation from the IMCA service compared to the first year. This comprised a 14 percent increase (to 3496) for decisions relating to accommodation moves; a 102 percent increase (to 387) for decisions relating to care reviews; a 43 percent increase (to 968) for decisions relating to serious medical treatment; and a 29 percent increase (to 960) in adult protection proceedings. There is concern that the service is not yet reaching all the people who would benefit, particularly with regard to the continuing low rate of referrals for serious medical treatment. A small study revealed that commissioners were mainly pleased with the service though they wanted IMCAs to be more available and to deliver reports faster. MCA leads in local authorities commented on the professionalism of IMCAs and the benefits to the client group. However, there was a perception within health care settings that involving an IMCA delayed treatment..