Search results for ‘Subject term:"mental health problems"’ Sort:
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Mental health and policing: improving crisis care
- Authors:
- NHS CONFEDERATION. Mental Health Network, ASSOCIATION OF CHIEF POLICE OFFICERS
- Publisher:
- NHS Confederation. Mental Health Network
- Publication year:
- 2015
- Pagination:
- 12
- Place of publication:
- London
This briefing highlights some of the emerging good practice between the police and mental health providers to deliver improved care for people in mental health crisis. It demonstrates that by focusing on early intervention, partnership working can substantially reduce the number of people being subjected to mental health legislation. Benefits include: less distress for service users; better use of professional skill mix; cost savings for police, healthcare and local authority services; and improved signposting and provision of appropriate interventions for individuals. The briefing makes a number of recommendations, including: more work needs to be done to support multiagency information sharing on the front line; NHS commissioners need to work with providers to ensure there are sufficient health-based places of safety to meet local demand; commissioners need to ensure that sufficient services are in place for 24/7 provision to meet local need; the formal evaluation of the triage pilots should outline the key considerations for implementing different models of triage across different populations and demographics; and the outcome of the Home Office pilot should inform the role the voluntary sector can play in providing alternative places of safety for individuals in crisis. (Edited publisher abstract)
Adolescent mental health evidence brief 2: the relationship between emotional and behavioural problems in adolescence and adult outcomes
- Authors:
- CLARKE Aleisha, LOVEWELL Katie
- Publisher:
- Early Intervention Foundation
- Publication year:
- 2021
- Pagination:
- 12
- Place of publication:
- London
This brief sets out the evidence for the association between emotional and behavioural problems experienced during adolescence and later life outcomes. Adolescents who experience persistent emotional problems such as anxiety and depression are at greater risk of a range of negative outcomes, for example – there is strong evidence that persistent depression during adolescence is associated with a significant increased risk of depression during adulthood; studies consistently show that young people with persistent emotional problems are at an increased risk of poorer employment and educational outcomes including school drop-out and NEET (not in education, employment or training) status; there is some evidence from individual studies to suggest an association between adolescent mental health disorders and poorer general health in adulthood, social withdrawal, increased risk of intimate partner victimisation and unplanned pregnancy. Adolescents who exhibit behavioural problems such as conduct problems are also at increased risk of poor adult outcomes, including: poor mental health, such as depression and anxiety, education outcomes — school drop-out, NEET, and at work without basic education level — and a range of physical and social outcomes; importantly, behaviour problems do not seem to occur in isolation and often coexist with mental health problems. Being a perpetrator and/or victim of bullying is strongly associated with a range of mental health problems in young adulthood, including increased risk of anxiety disorders and depression and suicidal behaviour. These findings illustrate that issues during adolescence cast a long shadow over individuals’ life chances. The findings highlight the need to invest not just in the treatment of disorders but also in prevention and early intervention support, and the promotion of positive mental health and prosocial behaviour, in order to reduce vulnerabilities and enhance protective factors. (Edited publisher abstract)
De-escalating interventions for troubled adolescents
- Author:
- JONES Ian
- Publisher:
- Public Policy Institute for Wales
- Publication year:
- 2016
- Pagination:
- 25
- Place of publication:
- Cardiff
Drawing on evidence gathered through an expert workshop and additional research, this report reviews the evidence for introducing lower level interventions in adolescent mental health and social services, and identifies lessons from approaches adopted in the area of youth justice. It begins by setting out the context for de-escalating interventions. It then summarises the findings from the workshops and evidence covering the areas of: support for de-escalating interventions; evidence of effective interventions across service areas, including diversionary approaches to youth justice, promoting emotional mental wellbeing and resilience, children and families with complex needs; the importance of different agencies and services working together in a holistic way; enabling professionals to manage the risks of lower level interventions. The report identified a growing evidence base to suggest that minimal intervention initiatives are effective in diverting adolescents from entering the formal youth justice system, and reducing reconvictions. The report also found that experts favour de-escalating interventions but acknowledge it will not always be appropriate in the most severe cases. Lower level interventions can also result in freeing up specialist resources for those with the greatest needs. The report concludes that de-escalating interventions is not always about doing less, but can mean doing things differently in order to use existing resources in a more timely and effective manner. This may include refocusing interventions so that they are tailored to the circumstances of individuals which can only be achieved through agencies working. (Edited publisher abstract)
What works in preventing and treating poor mental health in looked after children?
- Authors:
- LUKE Nikki, et al
- Publisher:
- National Society for the Prevention of Cruelty to Children
- Publication year:
- 2014
- Pagination:
- 214
- Place of publication:
- London
A review of the evidence on poor mental health prevention and treatment in looked after children. Looked after children have a higher than average risk of developing mental health difficulties as a result of a range of individual factors (biology, personal characteristics) as well as environmental factors (experiences before and in care, situational context. A biological or behavioural response that is a strength in one context can become problematic in a different context. The report considers the evidence on general features of the care environment and children’s well-being and assesses the choice between being at home and being in care, between different forms of permanence for those not returned to their families and between residential care, foster care, and multi-dimensional foster care for those who have not achieved family-based permanence. It also examines some of the assessment instruments used with looked after children and reviews a number of specific interventions for mental health issues. The report offers some recommendations for policy, practice and research, emphasising the importance of early interventions, strong relationships, carer training, continuity of care, child-centred interventions and a flexible interpretation of children’s behaviour. (Edited publisher abstract)
Right here: literature review summary version: young people aged 16 to 25: the promotion of mental health and well-being and the early intervention in mental health problems
- Author:
- GARCIA Ines
- Publisher:
- Mental Health Foundation; Paul Hamlyn Foundation
- Publication year:
- 2008
- Pagination:
- 16p., bibliog.
- Place of publication:
- London
This paper summarises a review of the literature on promoting young people’s mental health and early intervention in mental health problems. The literature search was wide ranging but focused on UK research in the last five years. The authors begin by looking at how mental health and its problems are defined, the numbers of young people experiencing problems and the potential impacts of poor mental health. Risk and protective factors are discussed alongside strategies to promote mental health and resilience. Perceptions of mental health and stigma and discrimination are explored and the evidence regarding how best to tackle these issues reviewed. The paper also looks at the importance of, challenges to, and the impact of meaningful young person participation in developing new projects, programmes and services. The review concludes that: mental health is more than the absence of mental health problems, increased focus on mental health is needed; early intervention in detecting and treating problems is essential, as is promoting mental health; strategic frameworks promoting mental health and resilience need to strengthen both individuals and communities, and reduce barriers; fully-evaluated action plans that promote the mental health and resilience during times of transition are needed; action plans to tackle stigma and discrimination are crucial; and all organisations need to ensure meaningful young people’s participation.
The importance of vocation in recovery for young people with psychiatric disabilities
- Authors:
- LLYOD Chris, WAGHORN Geoff
- Journal article citation:
- British Journal of Occupational Therapy, 70(2), February 2007, pp.50-59.
- Publisher:
- Sage
Young people with psychiatric disabilities are particularly disadvantaged when it comes to participating in vocational training or higher education or to seeking and maintaining employment. A review of the literature reveals that this is due to a number of factors, including low expectations by health professionals, stigma and discrimination, symptomatology and the lack of a clear responsibility for promoting vocational and social outcomes. A useful approach for occupational therapists to use is a recovery framework combining evidence-based employment and educational assistance with mental health care, provided in parallel with brief vocational counselling, illness management skills, training in stigma countering and disclosure strategies, context-specific social skills and skills in social network development. It is concluded that there is an urgent need to link evidence-based vocational practices with quality mental health care, in order to restore hope among young people of ever realising their vocational goals and once again feeling included as valued members of society.
The role of mental health nurses in supporting young people’s mental health: a review of the literature
- Authors:
- ARNOLD Jessica Louise, BAKER Charley
- Journal article citation:
- Mental Health Review Journal, 23(3), 2018, pp.197-220.
- Publisher:
- Emerald
Purpose: Adolescent mental health issues are on the increase, in particular depression, which is now a major public health concern globally. Mental health education is important and young people’s awareness of mental health is potentially limited. This is one factor that creates barriers to seeking support. School nurses and educational professionals recognise that they do not necessarily have the required skill base to support emotional health concerns with young people. The purpose of this paper is to synthesise qualitative evidence related to the nurse’s role in supporting adolescents. Design/methodology/approach: A literature review using a systematic approach was undertaken, predominantly through collection of primary qualitative research studies. In total, 22 published studies are included in this review, extracted from four databases – CINAHL, Embase, Medline and Scopus. Findings: This review shows that awareness of mental health is needed early in adolescence, while at school, to encourage young people to access support and have knowledge of their own emotional health. The need for further mental health education and provision is asserted. Practical implications: Young people benefit from someone who is accessible and familiar to them in schools so that they can access emotional support as and when needed. Careful involvement of families (including extended families) is noted. It is proposed that this role should be a mental health nurse role, who should be accessible within the school environment. Originality/value: This paper is original and adds to existing knowledge that mental health challenges are increasing, and more needs to be done in schools to promote mental health and reduce the stigma associated with seeking support. (Edited publisher abstract)
Looking after infant mental health: our case for change. A summary of research evidence
- Author:
- NATIONAL SOCIETY FOR THE PREVENTION OF CRUELTY TO CHILDREN
- Publisher:
- National Society for the Prevention of Cruelty to Children
- Publication year:
- 2016
- Pagination:
- 21
- Place of publication:
- London
Drawing on evidence from research and practice, this report sets out a case for prioritising the mental health needs of young children in care who have experienced abuse or neglect. The report focuses England and Wales, and includes data and statistics throughout to support key points. It presents evidence to show that children who experience maltreatment and grow up without positive and stable relationships are at greater risk of mental health problems and other poor outcomes throughout their lives. It looks at the lack of stable relationships for children in care due to unstable placements; the need for specialist support for foster carers; the need for services to support vulnerable birth parents to care for their children; and the need for more services to identify and look after the mental health of babies and infants. Finally the report presents evidence to show the benefits of investing early to provide the right support for children, their parents and carers, highlighting the savings and long term benefits to society as a whole. The report forms part of the NSPCC case for change, which, by highlighting the fundamental importance of looking after infant mental health, aims to build awareness and understanding, and to create change for the better. (Edited publisher abstract)
Looking after infant mental health in Scotland: our case for change. A summary of research evidence
- Author:
- NATIONAL SOCIETY FOR THE PREVENTION OF CRUELTY TO CHILDREN
- Publisher:
- National Society for the Prevention of Cruelty to Children
- Publication year:
- 2016
- Pagination:
- 21
- Place of publication:
- London
Drawing on evidence from research and practice, this report sets out a case for prioritising the mental health needs of young children in care in Scotland who have experienced abuse or neglect. Statistics from Scotland are included throughout to support key points. The report presents evidence to show that children who experience maltreatment and grow up without positive and stable relationships are at greater risk of mental health problems and other poor outcomes throughout their lives. It looks at the lack of stable relationships for children in care due to unstable placements; the need for specialist support for foster carers; the need for services to support vulnerable birth parents to care for their children; and the need for more services to identify and look after the mental health of babies and infants. Finally the report presents evidence to show the benefits of investing early to provide the right support for children, their parents and carers, highlighting the savings and long term benefits to society as a whole. The report forms part of the NSPCC case for change, which, by highlighting the fundamental importance of looking after infant mental health, aims to build awareness and understanding, and to create change for the better. (Edited publisher abstract)
Missed opportunities: a review of recent evidence into children and young people's mental health
- Author:
- KHAN Lorriane
- Publisher:
- Centre for Mental Health
- Publication year:
- 2016
- Pagination:
- 120
- Place of publication:
- London
Drawing on recent evidence, this review provides an overview of mental health and wellbeing in children and young people aged 0-25 in the UK and looks at the factors that influence their mental health at different stages of their lives. It draws on a systematic search of literature published between 1990 and 2015, including some publications from 2016, and additional internet and website searches. The report presents findings on access to services and the barriers to seeking support that mean families, children and young people do not get the support that they need. It then breaks down findings into four age groups: pregnancy to age 4; children aged 5-10, 11-15 year olds, and young adults aged 16-25. For each age group the report focuses on what is known about trends over time, risk factors for poor mental health, the most vulnerable groups, and what works. It finds that mental health problems are common among young people, affecting one in ten young people. However, awareness is poor and most attempts by parents to get help are unsuccessful. Children and young people with mental health difficulties go ten years between first becoming unwell and getting any help. The report finds that most common childhood mental health problems can be treated effectively, if early and effective help is provided. The evidence illustrates the importance of raising awareness and mental health literacy among families, schools and young people and the importance of making effective help more accessible and responsive. Priorities for future research are also identified. (Edited publisher abstract)