Search results for ‘Subject term:"mental health problems"’ Sort:
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Factors that influence decision making by 8-12 year olds in child and adolescent mental health services (CAMHS): a systematic review
- Authors:
- COX Annette, et al
- Journal article citation:
- Research Policy and Planning, 31(3), 2016, pp.195-209.
- Publisher:
- Social Services Research Group
There is significant legal guidance and case law available to support clinicians in assessing whether young people aged over 13 years are able to make informed decisions about their own healthcare; however when working with children aged 8-12 years, the guidance is unclear. In order to assess whether 8-12 year olds are able to make decisions in their own healthcare, we first need to understand the factors that influence this process. A systematic literature review of five electronic databases (PsycINFO, EBSCO, Science Direct, Science Full Text, Web of Science All Databases) was conducted. The search identified 12 studies and one piece of government guidance. The studies were identified from a variety of health and social research journals. The six factors that were identified were: 1) consent, competence and capacity, 2) best interests, 3) communication, 4) risks and conflicts, 5) legal frameworks, and, 6) parental role. The review concludes that it is possible for some children 8-12 years of age to make decisions regarding their own healthcare. The necessary conditions are that age specific language is used through a variety of mediums which will include risks, benefits and options for the proposed interventions. Clinicians need to be skilled in the assessment of the child’s ability to make decisions and be effective communicators with a commitment to children’s involvement. Further research in both these areas is needed. (Edited publisher abstract)
Supporting transitions in child and adolescent mental health services: a rough guide to introducing peer support
- Authors:
- LAMBERT Marissa, et al
- Journal article citation:
- Journal of Mental Health Training Education and Practice, 9(4), 2014, pp.222-231.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to share the lessons learnt during the implementation of a Peer Support Worker (PSW) pilot project within Child and Adolescent Mental Health Services (CAMHS). The project aimed to reduce the barriers experienced by young people and carers during the process of transition between child and Adult Mental Health Services (AMHS). Design/methodology/approach: The paper combines reflections of staff, PSWs and trainers in order to share the lessons that may be taken from this project. This includes a rough guide for those hoping to employ PSWs to support transitions. Findings: The PSWs provided the vehicle to support the process of transition by empowering young people and their carers to use their strengths to facilitate a hopeful and timely transition. Recommendations regarding support for peers, staff and the organisation during the process of training and employing peers are discussed. Research limitations/implications: The paper provides a purely reflective account of the pilot project. These reflections may provide guidance for others wishing to develop peer support positions within CAMHS so that an evidence base for the effectiveness of peer support within transitions may continue to grow. Originality/value: Rotherham Doncaster and South Humber NHS Foundation Trust are the first NHS Trust in the UK to employ PSWs specifically to support transitions between CAMHS and AMHS. This paper builds on the work of Oldknow et al. (2014) to highlight the first attempts to use peer support to support transitions. (Original abstract)
See beyond the label: empowering young people who self-harm: a training manual
- Author:
- SELLEN Julie
- Publisher:
- YoungMinds
- Publication year:
- 2006
- Pagination:
- 111p., bibliog., handouts, CD ROM
- Place of publication:
- London
This training manual offers a method of involving young people who self-harm, and those staff who seek to support them, to achieve four key aims. Aim 1 To provide opportunities for all of us to think about our attitudes about self-harm Aim 2 To increase our understanding about why children and young people self-harm Aim 3 To seek out ways to tackle the stigma commonly associated with expressions of mental distress Aim 4 To ensure the involvement of young people who self-harm in the design, implementation and evaluation of local self-harm protocols It does not seek to be a ‘one fit all’ solution, but it is hoped that this manual will support the provision of co-ordinated, consistent and respectful services to address the mental health needs of children and young people who self-harm.
Impact of empowerment training on the professional work of family peer advocates
- Authors:
- OLIN S. Serene, et al
- Journal article citation:
- Children and Youth Services Review, 32(10), October 2010, pp.1426-1429.
- Publisher:
- Elsevier
In the children’s mental health field, the last decade has seen an increase in the establishment of local family advocacy, support, and education organisations. This paper describes a pilot study which examined the impact of a collaboratively developed training model, called the Parent Empowerment Program (PEP), for professionally-employed family peer advocates who work with caregivers of children with mental health needs. The training used a combination of didactic, practice exercises and group discussion, and targeted specific mental health knowledge and collaborative skills to help the work of family peer advocates in empowering caregivers. The training consisted of a 40-hour face-to-face training, followed by six monthly face-to-face booster sessions. A total of 15 advocates participated in assessments conducted at baseline and post-training. This group of experienced family peer advocates showed no significant increase in knowledge about mental health, but post-training assessments indicated increased collaborative skills and mental health services self-efficacy. This initial evaluation suggests expanded training and support for the emergent workforce of professionally-employed family peer advocates in children's mental health services.
Mental health advocacy outcomes from service user perspectives
- Authors:
- RIDLEY Julie, NEWBIGGING Karen, STREET Cathy
- Journal article citation:
- Mental Health Review Journal, 23(4), 2018, pp.280-292.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to address a knowledge gap on advocacy outcomes from mental health service users’ perspective, and the implications for evaluating advocacy impact. The studies discussed highlight challenges for measuring the outcomes of advocacy, but underline the importance of doing so, and of involving service users alongside other stakeholders in co-designing evaluation systems. Design/methodology/approach: The paper uses findings from three qualitative studies of independent advocacy involving focus groups and interviews with: 30 African and African Caribbean men who were mental health service users; 90 “qualifying patients” in a study of Independent Mental Health Advocate services; and nine young women in children and adolescent mental health services (CAMHS). Findings: A comparative analysis and synthesis of findings from three studies identifies four common dimensions: how mental health advocacy is conceptualised and understood; how service users define advocacy outcomes; wider impacts; and, user involvement in evaluating advocacy outcomes. Advocacy outcomes were conceptualised as increasing involvement, changing care and treatment and supporting personal development. There was evidence of advocacy acting to empower mental health service users, and of broader impacts on service regimes and policies. However, there was limited evidence of transformational impact. Evaluating advocacy outcomes is increasingly seen as important. Originality/value: Few researchers have focused primarily on the perspectives of people using independent mental health advocacy, or on the experience of “advocacy as empowerment”, and none have done so across diverse groups. This analysis adds insight into the impact of independent advocacy. Data from empirical studies attest to the important role independent advocacy plays in modern mental health systems.
Child sexual exploitation and mental health
- Authors:
- LUKE Nikki, et al
- Publishers:
- University of Oxford. Rees Centre for Research in Fostering and Education, Great Britain. Department for Education
- Publication year:
- 2017
- Pagination:
- 32
- Place of publication:
- London
Summarises evidence from eight projects in the Children's Social Care Innovation Programme that focused specifically on groups of young people who were experiencing or at risk of experiencing child sexual exploitation (CSE) or mental health issues. The projects took differing approaches to support young people with complex needs, including testing residential facilities as an alternative to secure accommodation or mental health inpatient settings, working with families and specialist foster carers to increase their understanding of CSE, developing a new service model based on building supportive relationships, a bespoke outreach service, and out-of-hours support for families that included access to psychiatric and psychological services. Despite the short period available for evaluation, it reports that all of the evaluations presented some evidence of positive change. The use of health and social care services was reduced or managed with less intensive or high-cost services in six of the projects and there was evidence of a reduction in key CSE risk factors and an increase in protective factors in all four CSE projects. The analysis suggests a number of avenues that should be considered by services looking to improve mental health and reduce the risk of CSE. These include the use of Multi-Disciplinary Teamwork, whole family approaches; empowerment approaches to help young people and their families to manage their own needs and life choices; and using services to develop relationships between young people, families, and staff. (Edited publisher abstract)
Gaining knowledge about parental mental illness: how does it empower children?
- Authors:
- GROVE Christine, REUPERT Andrea, MAYBERY Darryl
- Journal article citation:
- Child and Family Social Work, 20(4), 2015, pp.377-386.
- Publisher:
- Wiley
This study examined the utility of a digital video disc (DVD) intervention, designed to educate children, whose parents have depression and/or anxiety. Twenty-nine children completed pre- and post-DVD exposure questionnaires, on mental health knowledge and help seeking, and 18 were interviewed about their experiences and use of the DVD. Post-DVD, children's knowledge of mental illness improved. The DVD also challenged mental illness misconceptions. Most children preferred watching the DVD with a parent. The study explains how children utilise information about mental illness. (Publisher abstract)
Vulnerable adults and community care: a reader
- Editor:
- BROWN Keith
- Publisher:
- Bournemouth University
- Publication year:
- 2003
- Pagination:
- 184p.,bibliog.
- Place of publication:
- Poole
This text was written primarily to support candidates undertaking a post qualifying social work award in the field of Community Care and working with Vulnerable Adults. Contnets include: needs assessment and community care; assessing rights and risk; Primary Care Groups; are waiting lists inevitable?; the elderly welfare consumer; intermediate care for the older person; caring for older people - informal carers; empowerment; practicing partnership; quality care and interprofessional working; mental health in later life; chronic illness and disability; and adult protection for vulnerable adults.
Empowering children and families
- Author:
- HAYDEN Anne
- Journal article citation:
- Family Policy, Autumn 1998, p.8.
Describes how a GP-led counselling service is helping children and young people deal with problems at home and school.
Families and the mental health system for children and adolescents: policy, services and research
- Editors:
- HEFLINGER Craig Anne, NIXON Carol T.
- Publisher:
- Sage
- Publication year:
- 1996
- Pagination:
- 270p.,bibliog.
- Place of publication:
- Thousand Oaks, CA
Examines policy, research, and practice issues related to families of children with severe emotional disorders. Includes chapters on: family issues in health care reform; family- centred services for children with mental health problems; a family focused model of prevention; implementing community mental heath services for children; family empowerment; family research methods; and mental health services for rural children.