Search results for ‘Subject term:"mental health problems"’ Sort:
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A society of readers
- Authors:
- HILHORST Sacha, LOCKEY Alan, SPEIGHT Tom
- Publisher:
- DEMOS
- Publication year:
- 2018
- Pagination:
- 50
- Place of publication:
- London
This report, commissioned by The Reading Agency, assesses the potential of reading to tackle the issues of loneliness, mental health problems, dementia and lack of social mobility. It looks at evidence in three short literature reviews and highlights findings from reading initiatives. It also forecasts the scale of the challenge posed by an increase in loneliness, mental health problems and dementia over the next decade without effective intervention. Findings from literature reviews suggest that reading can help to combat the growing issue of loneliness, as well as acting as a tool to protect future generations from the loneliness and can also improve common symptoms of both depression and dementia. It concludes by setting out thirteen practical reading-based policies that suggest how the Government can make the most of readings potential. These include for the Government to invest £200 million in using reading to combat loneliness and for more book-based interventions as part of a social prescribing strategy for mental health and dementia. (Edited publisher abstract)
Sporting memories & the social inclusion of older people experiencing mental health problems
- Authors:
- CLARK Michael, et al
- Journal article citation:
- Mental Health and Social Inclusion, 19(4), 2015, pp.202-211.
- Publisher:
- Emerald
Purpose: Social exclusion and isolation of older people and their mental health are likely to be more significant, interlinked issues for society as countries experience an ageing demographic profile. The authors urgently need to identify effective ways of addressing these challenges that can be easily mobilised to meet diverse needs in different settings. The purpose of this paper is to explore the impact of sporting memories (SM) work as one approach to help meet this need. This SM work entails the use of sports-based reminiscence to engage with older people experiencing mental health problems. To date this has especially focused on people living with dementia in institutional and in community settings. Design/methodology/approach: The paper sets out the SM idea and discusses lessons learnt from case studies of its application to meet the inclusion and mental health needs of different older people in institutional and community settings. Findings: The evidence from the application of SM work to date is that it is an effective and flexible means of engaging people to improve their social inclusion and mental well-being. It can be readily deployed in various care and community settings. Research limitations/implications: The evidence to date is of case studies of the use of SM work, and, although these are now extensive case studies, further research is needed on the costs and impacts of SM work. Practical implications: SM work is a flexible and readily adoptable intervention to engage older people and help improve their social inclusion and mental well-being. Social implications: SM work can be an important part of meeting some of the challenges society faces with an ageing population profile. Originality/value: This is the first paper to set out the SM work. (Publisher abstract)
Cognitive–behavioural therapy for anxiety in dementia: pilot randomised controlled trial
- Authors:
- SPECTOR Aimee, et al
- Journal article citation:
- British Journal of Psychiatry, 206(6), 2015, pp.509-516.
- Publisher:
- Cambridge University Press
Background: Anxiety is common and problematic in dementia, yet there is a lack of effective treatments. Aims: To develop a cognitive–behavioural therapy (CBT) manual for anxiety in dementia and determine its feasibility through a randomised controlled trial. Method: A ten-session CBT manual was developed. Participants with dementia and anxiety (and their carers) were randomly allocated to CBT plus treatment as usual (TAU) (n = 25) or TAU (n = 25). Outcome and cost measures were administered at baseline, 15 weeks and 6 months. Results: At 15 weeks, there was an adjusted difference in anxiety (using the Rating Anxiety in Dementia scale) of (–3.10, 95% CI –6.55 to 0.34) for CBT compared with TAU, which just fell short of statistical significance. There were significant improvements in depression at 15 weeks after adjustment (–5.37, 95% CI –9.50 to –1.25). Improvements remained significant at 6 months. CBT was cost neutral. Conclusions: CBT was feasible (in terms of recruitment, acceptability and attrition) and effective. A fully powered RCT is now required. (Publisher abstract)
New perspectives and approaches to understanding dementia and stigma: a compendium of essays
- Editors:
- BAMFORD Sally-Marie, HOLLEY-MOORE George, WATSON Jessica
- Publisher:
- International Longevity Centre UK
- Publication year:
- 2014
- Pagination:
- 62
- Place of publication:
- London
Examines the social stigma which surrounds dementia, highlighting that stigma is impeding early diagnosis, care and research into the disease. The report, published by the International Longevity Centre UK (ILC-UK) in collaboration with the MRC, Alzheimer’s Research UK, Alzheimer’s Society and supported by the drug company Pfizer, discusses the impact the fear around dementia has on those living with the condition, their families and carers, which prevents the research community from capturing a full picture of the disease. According to data in the report, people over the age of 55 fear being diagnosed with dementia more than any other condition and at least 1 in 4 people hide their diagnosis, citing stigma as the reason. The issue of stigma is widely acknowledged as a serious challenge for people with dementia and their carers at the individual, family and societal level, and serves as a barrier to access care, support and treatment. The report considers the causes of stigma and explore this from a multidisciplinary perspective. After holding a high level discussion in the House of Lords, the themes that emerged were explored in this compendium, with contributions from across academia, the public and private sector and the voluntary sector. (Edited publisher abstract)
All things to all people? The provision of outreach by community mental health teams for older people in England: findings from a national survey
- Authors:
- TUCKER Sue, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 29(5), 2014, pp.489-496.
- Publisher:
- Wiley
Objective: The objective of this study is to identify the extent of outreach activity community mental health teams (CMHTs) for older people provide to mainstream services in light of the recommendations of the National Dementia Strategy. In particular, to determine the range of settings in receipt of support; to specify the form of this activity; to identify the professionals involved; and to explore the factors associated with the provision of such support. Methods: A self-administered postal questionnaire was sent to all CMHTs in England. The reported arrangements were categorised and reviewed according to a taxonomy of outreach developed from the literature. Results: Three hundred and seventy six (88%) of the CMHTs responded. Although nearly all teams undertook some outreach work, much of this was informal in nature. Nevertheless, the vast majority of teams had some formal outreach arrangements in at least one mainstream setting. Just less than three-quarters provided support (most typically education) to care homes, approaching half centres to day centres, and over a third to primary care practices, social services teams, home care providers and general hospitals, respectively. Link workers were the favoured means of supporting general hospital staff. Community mental health nurses were most commonly involved in providing outreach, and larger teams were more likely than smaller teams to have formalised arrangements. A significant minority of teams expressed concerns about their capacity to provide effective services. Conclusions: The findings suggest that both more resources and more evidence will be needed to meet the National Dementia Strategy's aim of improving care for older people with mental health problems in mainstream settings. (Publisher abstract)
Government proposals to close the Bournewood gap
- Authors:
- CURRAN Christopher, GRIMSHAW Catherine, DEERY Anthony
- Journal article citation:
- Openmind, 142, November/December 2006, pp.24-25.
- Publisher:
- MIND
The authors explain the government's proposals to address some of the issues required to close the 'Bournewood Gap'. The safeguards are for people who lack capacity and are deprived of their liberty but do not receive mental health legislation safeguards. The principles of the Mental Capacity Act will apply, including the requirement to act in the best interests of the incapacitated person and in the least restrictive manner.
Peer support in mental health and learning disability
- Author:
- MENTAL HEALTH FOUNDATION
- Publisher:
- Mental Health Foundation
- Publication year:
- 2012
- Pagination:
- 16p.
- Place of publication:
- London
This report provides a short descriptive overview of peer support in mental health (including dementia) and learning disabilities, based on some of the recent literature, and highlights key messages from work being undertaken across the UK by the Mental Health Foundation. This work looks at how peer support can help people to recover, or get more control over their condition, and to live fulfilling lives in their communities. The report quotes the views of people who have both given and received peer support, and concludes with recommendations for the expansion of both informal and formal peer support. The key messages from the Foundation’s work confirm what the literature suggests - the benefits of peer support are widespread, for the individual receiving the support, the person giving it, and for services. They include better mental health, an increased sense of wellbeing, increased confidence and learning skills, greater social connectedness, improved recovery and coping skills and fewer hospital admissions.
The interface between learning disability and old age psychiatry: two specialties travelling alone or travelling together?
- Authors:
- BENBOW Susan Mary, et al
- Journal article citation:
- Mental Health Review Journal, 16(1), March 2011, pp.25-35.
- Publisher:
- Emerald
Despite existing policy, there is little guidance on what quality of care and equity of service provision for people with learning difficulties and mental health problems might look like. To address this gap, the Royal College of Psychiatrists set up a group to look at the interface between old age psychiatry and learning disability. It also commissioned a survey of learning disability and old age psychiatrists to investigate their experience of working across the interface between the two specialities - this paper is based on the final report. It presents findings from the survey and sets out eight recommendations to further the work: guidelines on interface working; joint training opportunities; working with social/health care commissioners; development of interface protocols; awareness of other care professionals; development of service models; sharing of expertise; and inclusion of users and carers from the interface area. The authors concluded that, while there were no clear ideas on how services should be provided to older people with a learning disability who also develop a mental health problem, the need for collaboration between the two fields was convincing.
Ageism and age discrimination in mental health care in the United Kingdom: a review from the literature
- Author:
- LIEVESLEY Nat
- Publisher:
- Centre for Policy on Ageing
- Publication year:
- 2009
- Pagination:
- 80p., bibliog.
- Place of publication:
- London
The Department of Health has commissioned this review of ageism and age discrimination in the provision of mental health services for older people in the context of the European Commission Draft Directive (July 2008) - COM (2008) 426 and the passage through the United Kingdom parliament during 2009‐10 of the Equality Bill and related secondary legislation that will outlaw age discrimination in the provision of goods and services, including health and social care. Topics include: ageism and types of age discrimination; stigma, stereotypes and ageist attitudes; mental health services for older people; age discrimination in the treatment of particular conditions: common mental disorders, dementia, less common conditions, comorbidity; prevention and public health interventions; NICE guidelines and QALY; education and training. This review is one of four reviews of ageism and age discrimination in health and social care.
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.