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.
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.
Subject terms:
mental health problems, mental health services, supported employment, evaluation;
Community Mental Health Journal, 42(3), June 2006, pp.233-242.
Publisher:
Springer
A qualitative procedure based on self-administered open-ended questions was assessed in three psychiatric outpatient clinics in Montreal, Canada. Acceptability to clients, mode of administration and convergent validity were evaluated. Comparison with findings from personal interviews demonstrates a lower frequency in responses but similar patterns in sources of satisfaction/dissatisfaction. Scores generated by quantification of responses to one of the open-ended questions presented a significant correlation with a standardized questionnaire (OQOS) administered to 242 psychiatric outpatients. Findings suggest that a self-administered procedure based on open-ended questions could be practical and useful for both formative evaluation and monitoring in environments with limited resources.
A qualitative procedure based on self-administered open-ended questions was assessed in three psychiatric outpatient clinics in Montreal, Canada. Acceptability to clients, mode of administration and convergent validity were evaluated. Comparison with findings from personal interviews demonstrates a lower frequency in responses but similar patterns in sources of satisfaction/dissatisfaction. Scores generated by quantification of responses to one of the open-ended questions presented a significant correlation with a standardized questionnaire (OQOS) administered to 242 psychiatric outpatients. Findings suggest that a self-administered procedure based on open-ended questions could be practical and useful for both formative evaluation and monitoring in environments with limited resources.
Subject terms:
mental health problems, mental health services, user views, evaluation;
Guide to evaluation methods and to the practical issues to be considered when carrying out evaluation in a mental health settings. Opens up debate about how to gauge the success of mental health services over and above the more traditional qualitative approaches. Aimed at all those involved in managing, developing and providing services for people with mental health problems.
Guide to evaluation methods and to the practical issues to be considered when carrying out evaluation in a mental health settings. Opens up debate about how to gauge the success of mental health services over and above the more traditional qualitative approaches. Aimed at all those involved in managing, developing and providing services for people with mental health problems.
Subject terms:
mental health problems, mental health services, evaluation;
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.
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.
Subject terms:
mental health problems, mental health services, user views, crisis intervention, evaluation;
Learning Disability Today, 10(5), June 2010, pp.20-21.
Publisher:
Pavilion
Place of publication:
Hove
The author reports that, for many project leads who are working on implementing local “Green Light” action plans to improve mental health support for people with learning disabilities, change is proving difficult and slow to achieve. Green Light is a service improvement toolkit centred on the National Service Framework (NSF) for mental health. It includes a self-assessment checklist to evaluate how well local areas are applying the NSF to meet the specific needs of people with learning disabilities who experience mental health problems. Green Light is designed to help local areas plan action to ensure that people with learning disabilities benefit from improvements in the same way as everyone else. To encourage and support the implementation of Green Light the Care Services Improvement Partnership funded a national programme: Green Light: Making It Happen. The author discusses the themes around the struggle to implement action plans that emerged: a lack of local data; capacity issues and competing priorities; the need to change practices; engagement issues; the challenge of change; and a lack of agreements and pathways. She goes on to consider what helps and list things that appear to have made a real difference in local areas. The New Horizons short briefings series beginning in the Spring of 2010 to inform and update local decision makers is welcomed but the author believes there is still a need for a new Green Light support programme.
The author reports that, for many project leads who are working on implementing local “Green Light” action plans to improve mental health support for people with learning disabilities, change is proving difficult and slow to achieve. Green Light is a service improvement toolkit centred on the National Service Framework (NSF) for mental health. It includes a self-assessment checklist to evaluate how well local areas are applying the NSF to meet the specific needs of people with learning disabilities who experience mental health problems. Green Light is designed to help local areas plan action to ensure that people with learning disabilities benefit from improvements in the same way as everyone else. To encourage and support the implementation of Green Light the Care Services Improvement Partnership funded a national programme: Green Light: Making It Happen. The author discusses the themes around the struggle to implement action plans that emerged: a lack of local data; capacity issues and competing priorities; the need to change practices; engagement issues; the challenge of change; and a lack of agreements and pathways. She goes on to consider what helps and list things that appear to have made a real difference in local areas. The New Horizons short briefings series beginning in the Spring of 2010 to inform and update local decision makers is welcomed but the author believes there is still a need for a new Green Light support programme.
Extended abstract:
Author
COLE Angela, GREGORY Margaret.
Title
Green Light for mental health: a service improvement toolkit.
Publisher
Foundation for People with Learning Disabilities, 2004
Summary
Green Light is a framework and self audit toolkit for improving mental health support services for people with learning disabilities, providing a picture of what services should be aiming to achieve, including quality outcomes, and a self assessment checklist, and aimed at Mental Health Local Implementation Teams and Learning Disability Partnership Boards.
Contents
Part A is a guide to the pack itself and to improving services and support for people with mental health problems who have learning disabilities. Section One introduces Green Light, telling users about the pack and what it's for and giving some ideas about getting the most benefit from the toolkit. Section Two is an easy to read summary designed primarily for use with and by people with learning disabilities. Section Three has two parts which, when added together, give an overall picture of what services should be aiming to achieve. The first gives the national policy context and highlights what the government expects of services in relation to people with mental health problems who have learning disabilities. The second is about quality outcomes for people with mental health problems who have learning disabilities and for their carers, from their own perspectives. Section Four creates a concrete picture of what needs to happen ‘out there' in the reality of services. It highlights key challenges for services in moving towards integrated mental health services for people with learning disabilities; explores what the national policy objectives actually look like in practice, i.e., accessible, integrated mental health support services, using examples from around the UK wherever possible. Section Five is about how to work out what needs to be sustained or changed locally. It introduces the self-assessment checklist and some ready-to-use survey tools which are found in Part B. The self-assessment checklist is at the core of the service improvement toolkit. There is guidance about getting information and evidence to underpin your local self-assessment, and about presenting findings to the Local Implementation Teams and Partnership Board. Part B – the toolkit – has four sections. Section One contains the self-assessment checklist and an action planning proforma. Section Two is a survey of in-patient experience Section Three is a survey of community support experiences. Section Four is a survey of carers' experiences. Throughout the guide there are quotations from the test sites and from people with mental health problems who have learning disabilities, which reinforce points in the text, and references to publications, resources and sources of information. These are listed at the end.
23 references
Subject terms:
learning disabilities, mental health problems, mental health services, social care provision, evaluation;
Advances in Mental Health and Learning Disabilities, 3(2), June 2009, pp.3-7.
Publisher:
Emerald
Green Light was developed to enable service providers to implement the National Service Framework for Mental Health (NSF MH), and asks how good your mental health services are for people with a learning disability. A multi-agency user and carer project in Hampshire has evaluated and improved the quality of existing service provision for adults with learning disabilities who also have a mental health problem.
Green Light was developed to enable service providers to implement the National Service Framework for Mental Health (NSF MH), and asks how good your mental health services are for people with a learning disability. A multi-agency user and carer project in Hampshire has evaluated and improved the quality of existing service provision for adults with learning disabilities who also have a mental health problem.
Subject terms:
learning disabilities, mental health problems, mental health services, quality assurance, evaluation;
Describes the development and evaluation of an education and training pathway for older people's mental health aiming to increase the knowledge and skills of non-specialist NHS-registered and support staff working on acute wards for older people. Concludes the workshops were successful because learning outcomes appear to have been achieved. Summarises factors affecting success and makes recommendations to improve training.
Describes the development and evaluation of an education and training pathway for older people's mental health aiming to increase the knowledge and skills of non-specialist NHS-registered and support staff working on acute wards for older people. Concludes the workshops were successful because learning outcomes appear to have been achieved. Summarises factors affecting success and makes recommendations to improve training.
Subject terms:
mental health problems, mental health services, older people, training, evaluation;
Mental Health Care, 1(12), August 1998, pp.402-404.
Publisher:
Pavilion
Anecdotal evidence suggests that the use of CS spray by the police has created a number of problems for mental health services. Reports the findings of the first ever survey of psychiatric units to examine the scale and nature of these problems.
Anecdotal evidence suggests that the use of CS spray by the police has created a number of problems for mental health services. Reports the findings of the first ever survey of psychiatric units to examine the scale and nature of these problems.
Subject terms:
mental health problems, mental health services, NHS, police, evaluation;