Search results for ‘Subject term:"mental health problems"’ Sort:
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The homeless mentally ill initiative: summary report
- Authors:
- CRAIG T., et al
- Publisher:
- Mental Health Foundation
- Publication year:
- 1995
- Pagination:
- 51p.,tables.
- Place of publication:
- London
Summary of an evaluation report on a project designed to bring homeless people with mental health problems back into mainstream services.
Case management with homeless mentally ill people
- Authors:
- RIFE John C., et al
- Journal article citation:
- Health and Social Work, 16(1), February 1991, pp.58-67.
- Publisher:
- Oxford University Press
Reports and evaluates a demonstration project which used a mobile case management team.
PIEs five years on
- Author:
- COCKERSELL Peter
- Journal article citation:
- Mental Health and Social Inclusion, 20(4), 2016, pp.221-230.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to consider evidence for the effectiveness of the psychologically informed environments (PIEs) approach to working with homeless people in the five years since the national guidance was published. Design/methodology/approach: The author reviewed the intended outcomes of the original guidance and then looked at a range of data from evaluations of current PIE services in UK and Ireland. Findings: The findings were that the PIE approach is effective in meeting the outcomes suggested by the original guidance; in reducing social exclusion and improving the mental health of homeless people; and in improving staff morale and interactions. Research limitations/implications: This is a practice-based evidence. There needs to be more practice-based evidence gathered, and it would be useful if there were some standardised measures, as long as these did not limit the richness of the data which suggests that PIEs have a wide, not narrow, impact. Practical implications: The implications are that homelessness services should use the PIE approach, and that they should be supported by clinically trained psychotherapists or psychologists; and that wider mental health services should look at the PIE approach in terms of working effectively with socially excluded people with complex needs/mental health problems. Originality/value: This is the first review of evidence, much of it so far unpublished, for the effectiveness of PIEs, despite the fact that this approach has been increasingly adopted by both providers and commissioners in the homelessness sector. (Publisher abstract)
The effects of housing stability on service use among homeless adults with mental illness in a randomized controlled trial of housing first
- Authors:
- KERMAN Nick, et al
- Journal article citation:
- BMC Health Services Research, 18(190), 2018, Online only
- Publisher:
- BioMed Central Ltd
Background: Housing First is an effective intervention to stably house and alter service use patterns in a large proportion of homeless people with mental illness. However, it is unknown whether there are differences in the patterns of service use over time among those who do or do not become stably housed and what effect, if any, Housing First has on these differing service use patterns. This study explored changes in the service use of people with mental illness who received Housing First compared to standard care, and how patterns of use differed among people who did and did not become stably housed. Methods: The study design was a multi-site randomized controlled trial of Housing First, a supported housing intervention. 2039 participants (Housing First: n = 1131; standard care: n = 908) were included in this study. Outcome variables include nine types of self-reported service use over 24 months. Linear mixed models examined what effects the intervention and housing stability had on service use. Results: Participants who achieved housing stability, across the two groups, had decreased use of inpatient psychiatric hospitals and increased use of food banks. Within the Housing First group, unstably housed participants spent more time in prison over the study period. The Housing First and standard care groups both had decreased use of emergency departments and homeless shelters. Conclusions: The temporal service use changes that occurred as homeless people with mental illness became stably housed are similar for those receiving Housing First or standard care, with the exception of time in prison. Service use patterns, particularly with regard to psychiatric hospitalizations and time in prison, may signify persons who are at-risk of recurrent homelessness. Housing support teams should be alert to the impacts of stay-based services, such as hospitalizations and incarcerations, on housing stability and offer an increased level of support to tenants during critical periods, such as discharges. (Edited publisher abstract)
Training frontline community agency staff in dialectical behaviour therapy: building capacity to meet the mental health needs of street-involved youth
- Authors:
- McCAY Elizabeth, et al
- Journal article citation:
- Journal of Mental Health Training Education and Practice, 12(2), 2017, pp.121-132.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to evaluate the effectiveness of the dialectical behaviour therapy (DBT) training which was provided to community agency staff (N=18) implementing DBT in the community with street-involved youth. Design/methodology/approach: Staff participated in a multi-component approach to training which consisted of webinars, online training, self-study manuals, and ongoing peer consultation. To evaluate assess the effectiveness of the training, questionnaires assessing evaluating DBT skills knowledge, behavioural anticipation and confidence, and DBT skills use, were completed at baseline, immediately post-training, four to six months post-training, and 12-16 months post-training. Additionally, the mental health outcomes for youth receiving the DBT intervention are reported to support the effectiveness of the training outcomes. Findings: Results demonstrate that the DBT skills, knowledge, and confidence of community agency staff improved significantly from pre to post-training and that knowledge and confidence were sustained over time. Additionally, the training was clinically effective as demonstrated by the significant improvement in mental health outcomes for street-involved youth participating in the intervention. Practical implications: Findings suggest that this evidence-based intervention can be taught to a range of staff working in community service agencies providing care to street-involved youth and that the intervention can be delivered effectively. (Edited publisher abstract)
Simple but effective: local solutions for adults facing multiple deprivation: adults facing chronic exclusion evaluation: final report
- Authors:
- CATTELL Jack, et al
- Publisher:
- Great Britain. Department for Communities and Local Government
- Publication year:
- 2011
- Pagination:
- 45p.
- Place of publication:
- London
The Adults facing Chronic Exclusion programme (ACE) tests new ways of working with excluded people who do not access services in the community because their lives are chaotic and their needs are too complex. The programme comprised 12 pilots across England which began in 2007. The pilots differed in terms of the characteristics of their clients, the intervention, the cost of the service, and their outcomes. They were tasked with helping clients access local services and benefits, supporting them with transition points in their lives, and changing the way in which local agencies responded to their needs. In all cases the interventions offered support from a consistent, trusted adult who could advocate between local services and service users. This report presents the findings of a 3-year evaluation of the ACE pilots. The evaluation looked at the following outcome measures: accommodation status; employment status; use of health services; receipt of benefits; offending and victimisation; and subjective health and well-being. The report concludes that the work of the pilots was effective and inexpensive. They were effective in bringing about better outcomes for the individuals, particularly in terms of health, and persuading local services to engage with the client group. Some of the pilots were highly replicable and half have received continuation funding locally. The lessons for public sector reform, particularly how to make services more flexible and collaborative, are discussed.
Adults facing chronic exclusion programme: evaluation findings: summary
- Authors:
- CATTELL Jack, et al
- Publisher:
- Great Britain. Department for Communities and Local Government
- Publication year:
- 2011
- Pagination:
- 8p.
- Place of publication:
- London
The Adults facing Chronic Exclusion programme (ACE) tests new ways of working with excluded people who do not access services in the community because their lives are chaotic and their needs are too complex. The programme comprised 12 pilots across England which began in 2007. The pilots differed in terms of the characteristics of their clients, the intervention, the cost of the service, and their outcomes. They were tasked with helping clients access local services and benefits, supporting them with transition points in their lives, and changing the way in which local agencies responded to their needs. In all cases the interventions offered support from a consistent, trusted adult who could advocate between local services and service users. This report summary outlines the findings of a 3-year evaluation of the ACE pilots. The evaluation looked at different outcomes measures including: accommodation status; employment status; use of health services; receipt of benefits; and offending and victimisation. The report summary concludes that the pilots were effective in achieving positive housing, health and well-being outcomes with the clients. The pilots reduced the cost of healthcare, but the positive outcome of securing accommodation and benefits for homeless people resulted in an overall net cost. The pilots demonstrate that long term, positive, outcomes can be secured for this client group, and that these interventions are likely to be cost effective.
A 12-month follow-up evaluation of integrated treatment for homeless individuals with co-occurring disorders
- Authors:
- MOORE Kathleen A., et al
- Journal article citation:
- Journal of Social Service Research, 35(4), September 2009, pp.322-335.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
In the context that individuals with a co-occurring disorder (COD) are at special disadvantage when attempting to secure homeless shelter services, this study examined the effectiveness of the Comprehensive, Continuous, Integrated System of Care (CCISC) model in addressing co-occurring mental health and substance use disorders. Clients were eligible for participation if they had a COD and were homeless or at risk of homelessness, and 48 clients receiving services at a residential programme in central Florida received a comprehensive array of services consistent with the CCISC model. Measures assessing housing, employment, mental health, and substance use were completed at the start, and at 6 and 12 month follow-ups. The results showed significant improvements in housing, employment, mental health and substance use at 12 month follow-up. The researchers concluded that the study validates the effectiveness of the integrated CCISC model of care for use with diverse population groups, and that the results underscore the effectiveness of implementing evidence-based care.
Cost-effectiveness of assertive community treatment for homeless persons with severe mental illness
- Authors:
- LEHMAN Anthony F., et al
- Journal article citation:
- British Journal of Psychiatry, 174, April 1999, pp.346-352.
- Publisher:
- Cambridge University Press
Homelessness is a major public health problem among persons with severe mental illness. Evaluates the cost-effectiveness of an assertive community treatment (ACT) programme for these persons in the USA. Concludes that ACT provides a cost effective approach to reducing homelessness among persons with severe and persistent mental illness.
Connecting with digital
- Author:
- MUNOZ Natasha
- Publisher:
- Good Things Foundation
- Publication year:
- 2019
- Pagination:
- 23
- Place of publication:
- Sheffield
An evaluation of the Community Connectors programme, run as part of the Reboot UK programme to help people experiencing homelessness or mental health issues to improve their digital skills, and their wellbeing. The programme used Community Connectors, who were either people with lived experience or people committed to co-production, to recruit and train frontline works or volunteers as Digital Champions. These workers were specialists in Mental Health and Homelessness services working across 74 community organisations. The evaluation included site visits, interviews and outcomes from a self-evaluation workshop. The report presents the main findings and challenges and solutions identified. It shows the programme created 15 Community Connector roles, trained 259 Digital Champions, and was able to support 2,507 people. People supported through the programme reported the following benefits: a sense of independence, support with loneliness and isolation issues, increased confidence, increased relaxation, better financial management, and greater knowledge of local service. In addition, both Community Connectors and the Digital Champions gained new skills by being part of the programme. The Community Connector role also helped organisations to understand the importance of digital inclusion, and to embed it into the delivery of existing services. (Edited publisher abstract)