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Implementing what works: the impact of individual placement and support regional trainer: briefing
- Author:
- CENTRE FOR MENTAL HEALTH
- Publisher:
- Centre for Mental Health
- Publication year:
- 2012
- Pagination:
- 12p.
- Place of publication:
- London
Individual Placement and Support (IPS) is now internationally recognised as the most effective and efficient way of supporting people who experience a mental illness into competitive employment. This briefing paper reports on the results of a pilot project to speed up the implementation of IPS across mental health services in Sussex through the creation of a ‘regional trainer’ role. The role was based on the State Trainer model that was developed and is widely used in the United States. A ‘regional trainer’ was employed for a year in Sussex to ensure fidelity to the IPS model in mental health and employment services. During the 12 months of the pilot the number of people using the trust's mental health services who obtained paid work through the IPS service more than doubled the target of 125, with 286 people finding paid employment. Key to the success of the regional trainer was their ability to encourage cultural change, which accepts employment as part of an individual’s recovery, and the use of regular ‘fidelity reviews’ to determine how well the principles of IPS are being applied in practice and to make recommendations for improved outcomes. The findings indicate that wider use of the regional trainer role could help mental health and employment services across the UK to support more people into paid work.
A crisis intervention team program: four-year outcomes
- Author:
- TYUSE Sabrina W.
- Journal article citation:
- Social Work in Mental Health, 10(6), 2012, pp.464-477.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Surveys of people incarcerated in US jails and prisons in 1997 estimated that 16% of jail and state prison inmates and 7% of federal inmates had a mental illness. A recent initiative to decrease the number of incarcerated persons with mental illness has been the development of Crisis Intervention Team (CIT) programmes to train law enforcement officers to serve as first or second responders to individuals experiencing a psychiatric crisis. CIT programmes are designed to enable law enforcement officers to recognise and understand a mental health crisis, to communicate effectively with a person in crisis, and to acquire the necessary skills to de-escalate the crisis. This article presents outcomes of the first 4 years of a CIT programme in St. Louis, Missouri. The study utilised all CIT reports completed by CIT law enforcement officers from July 2005 to June 2009 that involved a person experiencing or having a history of severe mental illness or involved a suicide threat or suicide attempt. This resulted in a sample size of 5,623 CIT calls over the course of the study. The findings of this evaluation suggest that the CIT programme is effective in diverting individuals in crisis to treatment. CIT officers are significantly more likely to take individuals in mental health crisis to a hospital emergency department for a psychiatric evaluation. This is particularly true for CIT calls involving individuals making a suicide threat or a suicide attempt.
Mental health crisis/respite service: a process evaluation
- Authors:
- GRANT Jill G., WESTHUES Anne
- Journal article citation:
- Social Work in Mental Health, 10(1), January 2012, pp.34-52.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This article describes a process evaluation of a mental health crisis stabilisation/respite service in a medium-sized city in Ontario, Canada. Seventeen service users, 13 referring organisations, and 19 staff members were interviewed and surveyed about their experiences with the service. All three stakeholder groups identified the service as much needed, identifying its role as an alternative to more intrusive forms of crisis support, as a transition place, a safe place, and a place to take a break and work toward goals. As with any programme, there are challenges in its development, some of which, the authors argue, are representative of the interaction of two very different approaches to providing mental health services that currently influence our mental health systems.
Evaluation of the fit for work service pilots: first year report
- Authors:
- HILLAGE Jim, et al
- Publisher:
- Great Britain. Department for Work and Pensions
- Publication year:
- 2012
- Pagination:
- 128p.
- Place of publication:
- London
In March 2010, 11 pilot Fit for Work Services (FFWS) were established to provide personalised, case-managed support for workers in the early stages of sickness absence or ill-health in order to expedite return to work and support job retention. This report presents the findings from an evaluation of the first year. The research comprised: management information; over 200 interviews with stakeholders, providers and others; the first wave of a 2-wave telephone survey of over 300 FFWS clients; interviews with a panel of 64 FFWS clients drawn from 4 pilot areas; and interviews with 30 General Practitioners. By the end of March 2011, 6,726 people had taken up the service offered by the pilots. Nearly all FFWS clients were employed and two-thirds were ‘presentees’ (attending work but at risk of sickness absence) rather than absentees. This report describes the findings of the evaluation in relation to: the pilot take-up; engagement and referrals; the client journey through the service; and outcomes. It finds that 62% of the clients who were supported by the pilots in the first year had been discharged by the end of March 2011. Three-quarters of absentees who were discharged were back at work by the time they left. Qualitative evidence from clients indicates that the FFWS provided significant support to return to work. Without this support, in some cases the return would not have happened at all, and in others it was made quicker, easier or more sustained.
Evaluation of the fit for work service pilots: first year report: research summary
- Author:
- GREAT BRITAIN. Department for Work and Pensions
- Publisher:
- Great Britain. Department for Work and Pensions
- Publication year:
- 2012
- Pagination:
- 4p.
- Place of publication:
- London
In March 2010, 11 pilot Fit for Work Services (FFWS) were established to provide personalised, case-managed support for workers in the early stages of sickness absence or ill-health in order to expedite return to work and support job retention. This report presents the findings from an evaluation of the first year. The research comprised: management information; over 200 interviews with stakeholders, providers and others; the first wave of a 2-wave telephone survey of over 300 FFWS clients; interviews with a panel of 64 FFWS clients drawn from 4 pilot areas; and interviews with 30 General Practitioners. By the end of March 2011, 6,726 people had taken up the service offered by the pilots. Nearly all FFWS clients were employed and two-thirds were ‘presentees’ (attending work but at risk of sickness absence) rather than absentees. This research summary describes the findings of the evaluation in relation to: the pilot take-up; engagement and referrals; the client journey through the service; and outcomes. It finds that 62% of the clients who were supported by the pilots in the first year had been discharged by the end of March 2011. Three-quarters of absentees who were discharged were back at work by the time they left. Qualitative evidence from clients indicates that the FFWS provided significant support to return to work. Without this support, in some cases the return would not have happened at all, and in others it was made quicker, easier or more sustained.
Life lines: evaluation of mental health helplines
- Authors:
- MORGAN Kirsten, CHAKKALACKAL Lauren, CYHLAROVA Eva
- Publisher:
- Mental Health Foundation
- Publication year:
- 2012
- Pagination:
- 40p.
- Place of publication:
- London
Mental Health Helplines Partnership is a membership body for organisations providing helpline and related support for people with mental health and emotional wellbeing needs. It commissioned this evaluation of the effectiveness of mental health helplines and how they are perceived by stakeholders, including helpline staff and volunteers, health professionals, and the people who call helplines. Data was collected using staff interviews with helpline workers and managerial staff from 9 helplines (5 providing a national service and 4 providing a local service), a survey of general practitioners, interviews with staff from 23 community mental health teams across the English regions, and a survey of helpline callers. This report describes the study and presents its results, covering helpline characteristics and the views of helpline staff, general practitioners, community mental health team workers and callers. It reports that most helplines received in excess of 1,000 calls per month, that participants were generally very positive about the services that mental health helplines provide, and that the evaluation evidence suggested that mental health helplines are helping to meet some of the key objectives of the government's mental health strategy.
Thematic review of family therapy journals 2011
- Author:
- CARR Alan
- Journal article citation:
- Journal of Family Therapy, 34(4), November 2012, pp.431-451.
- Publisher:
- Wiley
In 2011 there was some expansion of the evidence base for systemic practice with child-focused and adult-focused problems, couples problems and family therapy conducted in medical and military contexts. There were important developments in the areas of integrative systemic practice models, competency-based training and real world research on the cost effectiveness and comparative effectiveness of family therapy. In this article the contents of the principal English-language family therapy journals published in 2011 are reviewed under these headings: child-focused problems, adult-focused problems, couples therapy, medical family therapy, military family therapy, theory, research, training, the new Journal of Couple and Family Psychology and Human Systems twenty-first anniversary.
Improving outcomes for at-risk youth: findings from the Prodigy Cultural Arts Program
- Authors:
- RAPP-PAGLICCI Lisa, STEWART Chris, ROWE William
- Journal article citation:
- Journal of Evidence-Based Social Work, 9(5), October 2012, pp.512-523.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
The Prodigy Cultural Arts Program comprises cultural art classes with a skill based curriculum targeted at at-risk youth and those diverted from the juvenile justice system. The classes are used to build social skills, anger management, and problems solving skills. The programme runs for 8 weeks with the youth attending 3 hours per week. A quasi experimental pre- and posttest was conducted to evaluate programme effects on participant’s mental health symptoms. The sample comprised 140 adolescents aged 8-18 years who entered the programme between March 2007 and March 2008. Most of the sample (77%) had been adjudicated by the state juvenile system. The findings showed a significant reduction in mental health symptoms (particularly for females) and behavioural dysregulation (particularly for males), and increases in academic performance and family functioning. There was also a relationship between decreased mental health symptomology and perceived academic performance. The article concludes that the Prodigy Cultural Arts Program appears to be successful in intervening with youth who present challenges to the juvenile justice system due to the complexity of their mental health symptoms and behavioural regulation difficulties.
Including families and carers: an evaluation of the Family Liaison Service on inpatient psychiatric wards in Somerset, UK
- Author:
- STANBRIDGE Roger
- Journal article citation:
- Mental Health Review Journal, 17(2), 2012, pp.70-80.
- Publisher:
- Emerald
National mental health policies for working age adults and older people recommend the development of working partnerships between people who use mental health services, their families and carers and professionals. In Somerset, a Family Liaison Service has been developed aiming to improve communication between staff and families. In this model, a member of staff, with systemic family therapy training and experience in working with families, is employed to work alongside psychiatric ward staff to jointly hold meetings with families as part of the assessment and admissions process. The aim of this article is to describe the development of the Family Liaison Service and report on evaluation of its progress. Evaluation data was collected in 3 ways: audit data collected on the number of meetings offered and conducted; feedback from families using the service; and a survey of staff experience. The findings suggest that, although there is still progress to be made, considerable success has been achieved in embedding the service on inpatient units with a substantial increase in meetings held between staff and families. Feedback from families is positive and staff report increased confidence in engaging with families and carers.
Quality of life and health promotion intervention – a follow up study among newly-arrived Arabic-speaking refugees in Malmö, Sweden
- Authors:
- ERIKSSON-SJÖÖ Tina, et al
- Journal article citation:
- International Journal of Migration Health and Social Care, 8(3), 2012, pp.112-126.
- Publisher:
- Emerald
This article focuses on the benefits of a health promotion programme for newly arrived refugees from Arabic-speaking countries. The Health Promotion Intervention Course (HPIC) is a group training course set up in Malmö, Sweden in which the participants receive information from clinical professionals such as nurses and physicians. This study aims to illuminate self-perceived health-related quality of life (HRQoL) among newly-arrived Arabic-speaking refugees before and after they had participated in the HPIC. Data was collected before and immediately after the HPIC and at a 6-month follow-up. The research methods comprised questionnaires, observations and oral evaluations in groups. A total of 39 participants completed the survey at all 3 time points. The results show that disturbed sleep was significantly associated with 4 of the 5 health states (mobility, main activities, pain/discomfort, and anxiety/depression). The majority of the participants described stress, diseases and treatments, and also a lack of trust in the Swedish health care system. There were changes over time, with the participant’s perceptions of their health and quality of life significantly improving after the HPIC. Sleep and recovery problems were perceived as less difficult at the course completion and the second follow-up.