Search results for ‘Subject term:"mental health problems"’ Sort:
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Making the web work for older people
- Authors:
- PEARSON Nick, RAWLINGS Jeremy
- Journal article citation:
- Journal of Dementia Care, 16(2), March 2008, pp.12-13.
- Publisher:
- Hawker
The authors describe the development of a website on mental health for older people. The site was developed by a team of mental health professionals, service users and the NHS trust web development team.
Developing collective advocacy for people who fall within the remit of the new Mental Health (Scotland) Bill: final report
- Authors:
- SCOTTISH HUMAN SERVICES TRUST, SCOTTISH DEVELOPMENT CENTRE FOR MENTAL HEALTH
- Publisher:
- Scottish Human Services Trust
- Publication year:
- 2003
- Pagination:
- 62p.
- Place of publication:
- Edinburgh
This report is the result of a research project commissioned by the Scottish Human Services Trust that studies collective advocacy for people who fall within the remit of the new Mental Health (Scotland) Bill. The purpose of the study was to map existing collective advocacy groups in Scotland for people with mental health problems, those with learning disabilities, people with dementia or acquired brain injury. Also, to describe the issues currently faced by collective advocacy groups and the likely challenges and opportunities presented by the proposed new legislation; and, to identify the steps that might be taken to enable collective advocacy groups to respond effectively to the new Mental Health (Scotland) Bill and other recent legislation. A framework was developed that enabled information to be gathered on the structure and function of collective advocacy groups. Information was collected on 54 groups across Scotland. The mapping exercise showed that a wide range of different types and sizes of groups undertake collective advocacy and that a wide range of collective advocacy work is undertaken. It also became clear that the term “collective advocacy” is not always used by groups offering a collective advocacy service. The report concludes that it is important to take into account the breadth of collective advocacy functions. Also, that the fragility and vulnerability of much collective advocacy activity and the variable amounts of information and knowledge about legislative developments held by collective advocacy groups suggests that there is need for a considerable building of capacity.
Caring For Me and You: the co-production of a computerised cognitive behavioural therapy (cCBT) package for carers of people with dementia
- Journal article citation:
- Aging and Mental Health, 22(10), 2018, pp.1287-1294.
- Publisher:
- Taylor and Francis
Objectives: Carers of people with dementia face barriers in accessing therapy for mental health difficulties. Computerised cognitive behavioural therapy (cCBT) packages can be effective in treating a range of presentations; however, tailored packages for carers' unique needs are lacking. The authors' aim was to design a cCBT package for carers to address the limitations of previous online interventions, by including users and experts as consultants and collaborators throughout the project. Method: The authors adopted a three-phase approach to the development process. Firstly, a data-gathering phase in which current literature and best practice was reviewed, and semi-structured interviews conducted with service users, academic and clinical experts. Secondly, a co-production and refinement phase with carers testing materials and providing feedback. Thirdly, a pilot field testing phase of service users and the research team testing the package. Results: The ‘Caring For Me and You’ package adopted a transdiagnostic approach to take account of the range of difficulties that carers face. The package consisted of 20 short sessions with features built in to engage users and personalise content to meet individuals' needs. Conclusion: User involvement was central to the design of the ‘Caring For Me and You’ package which is currently being evaluated in a three-arm randomised controlled trial. (Edited publisher abstract)
A synthesis of the evidence on peer research with potentially vulnerable adults: how this relates to dementia
- Authors:
- DI LORITO Claudio, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 32(1), 2017, pp.58-67.
- Publisher:
- Wiley
Background: This study aims to identify the benefits, the risks and the practical challenges and to develop a model of good practice in peer research with people with dementia. Methods: The review conducted searches on PsycInfo, PubMed and Google Scholar for empirical investigations or discussion papers on peer research. Given the limited literature in the field of dementia, studies with groups who share similar demographics (older people), experience of stigma (mental health service users) and exclusion from research (people with learning disabilities) were included. No restrictions on language and publication date were applied. Analysis: Three themes were identified: the potential benefits, the potential risks and the practical challenges of peer research. The authors the developed a model of good practice. The European Working Group of People with Dementia reviewed the authors' paper and added to the findings. Results: Seven papers were included in the evidence synthesis. Potential benefits of peer research included enriched data and empowering people with dementia. Potential risks included power differentials between researchers and issues of representativeness. The practical issues for good practice included the training of peer researchers, defining involvement and roles, working with cognitive impairment and considering resource implications. The European Working Group of People with Dementia emphasised the importance of equality issues. Conclusion: Involving people with dementia in peer research can generate several benefits, including empowerment and opportunities for inclusion for the peer researchers and the research participants living with dementia, challenging academics' traditional views on research processes and gathering enhanced research data. There remains a need for further research on the impact of peer research in dementia studies. (Edited publisher abstract)
Work satisfaction, stress, quality of care and morale of older people in a nursing home
- Authors:
- REDFERN Sally, et al
- Journal article citation:
- Health and Social Care in the Community, 10(6), November 2002, pp.512-517.
- Publisher:
- Wiley
The aim in this study, which was carried out in one nursing home for older people, was to determine the feasibility of working with care workers and very frail service users to investigate links between the levels of work satisfaction and stress of the staff, and the quality of care and morale of the residents. The findings revealed a staff group with a fairly high level of job dissatisfaction and stress, who were, nevertheless, very committed to the nursing home. The morale of the residents was good although the residents rated the home atmosphere lower than the staff did.
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.
Report of the community led research project focussing on Gujarati-speaking Asian elders' experiences/views and attitudes of mental health and mental health services in Harrow
- Authors:
- JOSHI Arvind, PARMAR Damyanti, SMITH Janet
- Publisher:
- National Institute for Mental Health in England
- Publication year:
- 2008
- Pagination:
- 96p.
- Place of publication:
- Leeds
This report explores Gujarati-speaking Asian elders’ understanding and perceptions of mental health and the services available in the Borough of Harrow. Thirty percent of Harrow’s residents are South Asians, with the largest group being Gujarati speakers. Data was collected by means of in depth qualitative interviews with some semi-structured questionnaires for quantitative information. There were a total of 50 respondents; 17 users of mental health services, 12 of their carers, and 21 members of the public not known to be using services. The data was analysed for the following issues: their understanding and perceptions of mental health and its origins, including views about memory loss; factors influencing their take-up of services; their views of treatments on offer; and their coping skills under present circumstances and what they find helpful. The report discusses: factors contributing to mental health problems; perceived causes of memory loss; pressures on carers; stigma surrounding mental illness; what people find helpful; equality of access, cultural sensitivity of services, communication and information; and choice of culturally appropriate services and therapies. The report concludes with a number of recommendations.
Explaining about...mental health and well-being
- Authors:
- BORROWMAN Fiona, DEMPSTER Sarah
- Journal article citation:
- Working with Older People, 13(1), March 2009, pp.11-14.
- Publisher:
- Emerald
This article is about NHS Health Scotland's Mental Health and Wellbeing in Later life Programme, which aims to promote mentally healthy ageing in Scotland. A core aspect of the programme is involving older people in the design, delivery and evaluation of health improvement projects. The article presents three case studies: the use of peer researchers to facilitate focus groups in Glasgow; focused action research in Lothian care homes; and the production of Facing Dementia, a booklet based on real experiences and featuring quotes from people with dementia. The article concludes by outlining future plans, including developing an action plan focused on longer-term priorities for promoting mental well-being.
Promoting the mental health and well-being of older people: trainer manual to support the level 3 certificate and the level 3 introductory award
- Authors:
- CLARE Alison, CUTHBERT Sharon Lee
- Publisher:
- Pavilion
- Publication year:
- 2008
- Pagination:
- 333p., CD ROM
- Place of publication:
- Brighton
This training manual provides the resources and materials to deliver training to those involved in improving the mental health and well-being of older people, including paid staff, volunteers and informal carers. It includes guidance for trainers, activities and timings, and suggests learning materials and resources. The manual has been developed to support the Level 3 introductory City and Guilds Award, but can also be used to delivery non-accredited learning programmes. The contents are split into eleven units, which include: communication and relationships; working with carers, families and significant others; supporting participation; supporting older people with dementia; supporting older people with depression and anxiety; and assessment, care, support planning and risk management.
The needs of older people with mental health problems according to the user, the carer, and the staff
- Authors:
- HANCOCK Geraldine, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 18(9), September 2003, pp.803-811.
- Publisher:
- Wiley
Individual assessment of needs has been recognised as the most appropriate way to allocate health and social care resources. These assessments, however, are often made by the staff or by a carer who acts as an advocate for the user themselves. Little is known about how these proxy measures compare to how individual patients perceive their own needs. The aim of this study was to measure and compare ratings of need for older people with mental health problems by the older person themselves, their carer, and an appropriate staff member. One-hundred and one older people were identified from various mental health services and 87 users, 57 carers, and 95 staff were interviewed using the Camberwell Assessment of Need for the Elderly (CANE) to identify met and unmet needs. Users identified significantly fewer of their needs (5.5) than either staff (8.1) or carers (8.3) did, but this difference was accounted for by people with dementia reporting less needs. Users identified fewer psychological or social needs (e.g. daytime activities, company, or carer distress) than staff or carers did. The average Kappa indicating level of agreement between staff and user was 0.52, between user and carer was 0.53, and between carer and user was 0.58. This showed only a fair level of reliability between different ratings of need. User perspectives should be given a high priority when assessing individual needs. Fears that assessment of need would be unduly time-consuming or would simply reflect individual demands should be allayed. A user-based assessment will assist healthcare providers to prioritise needs according to what the user themselves consider to be most important, beneficial, and acceptable to them. Reliance solely on assessment by staff or carers may not lead to the most equitable or appropriate use of services.