Search results for ‘Subject term:"mental health problems"’ Sort:
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Mental health in later life: better outcomes through wise commissioning
- Author:
- MANTHORPE Jill
- Journal article citation:
- Journal of Integrated Care, 17(5), October 2009, pp.15-22.
- Publisher:
- Emerald
This article is the last in a series on older people’s mental health, and sets the key messages in the context of current and future service commissioning. It considers 3 recent changes in England that impact upon the work of commissioners. First, the National Dementia Strategy 2009 has been supported by a joint commissioning framework for dementia which emphases the importance of commissioning and provides examples of what newly designed services might look like. Second is covered the impact of personalisation and how this affects resource allocation, in particular the greater flexibility offered by individual budgets. Finally, the impact of the recession on the demand for services and also on staff turnover is considered. The article also suggests that commissioners should be taking a role in tackling the prevention of mental health problems in later life. The article concludes by considering the challenges for commissioners and planners in approaching the problems of mental ill-health in later life.
Developing flexible, responsive teamwork
- Authors:
- BARBER Bob, DORMER Lynne, PRASCADU Dharmachari
- Journal article citation:
- Journal of Dementia Care, 4(1), January 1996, pp.26-27.
- Publisher:
- Hawker
Following a ward closure the authors set up a community based service for people with dementia in North East Manchester. Describes the opportunities and challenges they experienced in setting up the service and explains how it was planned and evaluated after the first year.
A voice at planning level
- Author:
- FURNISH Sally
- Journal article citation:
- Journal of Dementia Care, 3(1), January 1995, pp.14-15.
- Publisher:
- Hawker
Describes a project on carer participation in services for people with dementia and older people with mental illness in South Glamorgan.
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)
Improving the effectiveness of multidisciplinary team meetings for patients with chronic diseases: a prospective observational study
- Authors:
- RAINE R., et al
- Journal article citation:
- Health and Social Care Delivery Research, 2(37), 2014, Online only
- Publisher:
- National Institute for Health Research
- Place of publication:
- London
This study investigated multidisciplinary team (MDT) meetings for chronic illnesses: cancer, dementia, heart failure and mental illnesses. These teams are widely used across the NHS. They comprise different professionals, for example doctors, nurses, social workers and psychologists, and meet weekly to discuss their patients and make treatment plans. The teams work in a wide variety of different ways, not all of which may be helpful for making high-quality decisions for patients. The authors wanted to identify the factors that influence effective decision-making in these teams (by which we mean decisions being carried out). It was found that 78% of treatment plans were implemented overall, though this varied across teams: mental health teams were less likely to have implemented the agreed plan than cancer, heart failure and memory clinic teams. By observing 370 meetings the authors identified factors that help explain this. Teams with many different types of professionals present at the meeting were less likely to carry out the treatment plans agreed by the team. It was also crucial to have a good team atmosphere, and clear goals and processes. It was found that patients living in more deprived areas were less likely to get the treatment recommended by the team. This was not explained by whether or not patients' preferences or their other illnesses had been discussed. It was also found that individual teams had varying aims and organisational structure, and discussed different information when making decisions. Based on these differences, the authors asked a group of experts to recommend improvements to MDT meetings, which could help all teams regardless of whether they care for cancer, heart failure or mental health patients. They agreed on 21 indications for good practice, including that there should be yearly audits to check that MDT meetings are achieving their goals, and that the most appropriate time to discuss treatment options with patients is after the meeting, when information about treatment options is more complete. (Edited publisher abstract)
The implications of the early recognition of dementia for multiprofessional teamworking : conflicts and contradictions in practitioner perspectives
- Authors:
- MANTHORPE Jill, ILIFFE Steve, EDEN Alison
- Journal article citation:
- Dementia: the International Journal of Social Research and Practice, 2(2), June 2003, pp.163-179.
- Publisher:
- Sage
In health and social care in the UK there is increasing emphasis on the need to recognize mental health problems as early as possible, particularly among older people. Both research and policy have identified the difficulties caused by delayed or late awareness of dementia and depression, and the potential benefits of their recognition at earlier stages. This article draws on the output from a series of multidisciplinary dementia workshops to explore the implications of such a shift in practice for interprofessional working. At a time when core specialist mental health teams have been identified as a way forward for dementia care in the UK, this discussion sets out four key bipolar categories derived from the workshops which may be useful in planning, implementing and reviewing the development of services and the drawing of professional responsibilities. These categories are opportunistic recognition versus population screening; referral and responsibility; key working and team working; generalist versus specialist roles. From this discussion we note a further four determinants which in our view need to be addressed in order to promote positive developments in dementia services: learning processes, resource implications, professional capacity and confidence and the impact of new teams on broader systems.
Time to design upwards in mental health services for older people
- Author:
- GOSS Tony
- Journal article citation:
- Care Plan, 7(3), March 2001, pp.18-22.
- Publisher:
- Positive Publications/ Anglia Polytechnic University, Faculty of Health and Social Work
Four main areas of working need improvement if services for older people with mental health needs are to match the aspirations of the National Service Framework for Older People and the NHS plan. Describes what needs to be done and says that in the future we should be designing services from the recipient upwards.
Caring for an older spouse with a psychiatric illness
- Authors:
- MURRAY J.M., et al
- Journal article citation:
- Aging and Mental Health, 1(3), August 1997, pp.256-260.
- Publisher:
- Taylor and Francis
Presents a descriptive study of the second stage of a community survey of older people, in which the prevalence of psychiatric illness among married individuals was significantly lower than among the currently unmarried. Couples in which one or both partners had dementia or depression were interviewed to determine psychiatric status, social difficulties and support. Care giving spouses of those with either depression or dementia were both at high risk of mental illness. The most frequently reported social difficulties concerned loneliness, social life, housing and finance. Concludes that both practical and psychosocial difficulties should be taken into account when planning interventions for this group.