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If the support's right, she's right: an evaluation of Partners for Inclusion
- Author:
- MACINTYRE Gillian
- Publisher:
- Scottish Consortium for Learning Disability
- Publication year:
- 2011
- Pagination:
- 58p., bibliog.
- Place of publication:
- Glasgow
Partners for Inclusion is a voluntary organisation that provides support for adults with learning disabilities and mental health problems. It has adopted a person-centred approach to supporting people with ‘high’ or ‘complex’ support needs in order to provide services based on individual needs, wants and desires. This report presents the findings of an evaluation aiming to measure the progress made in the 4 years since the service was last evaluated. Specifically, it aimed to address: whether people are living the life they choose; whether people are living in the place that makes sense for them now; in what ways people’s lives have changed since receiving a service from Partners for Inclusion; and the experiences of staff who work for Partners for Inclusion. The research included a total of 50 interviews with individuals who receive services, support staff, family members, friends, and other professionals. The findings show that, for some people, lives have changed in significant ways since receiving support from Partners for Inclusion. However, further work is needed in areas of social inclusion, such as participating in education and employment. In common with other person-centred organisations, the staff often experience lone working with a resultant reduction in collegial support. A number of recommendations are provided in the areas of: personalisation; creating opportunities; and organisational capacity.
Styles of case management: the philosophy and practice of case managers
- Authors:
- HROMCO Joseph G., LYONS John S., NIKKEL Robert E.
- Journal article citation:
- Community Mental Health Journal, 33(5), October 1997, pp.415-428.
- Publisher:
- Springer
A great deal of discussion and research has gone into defining and clarifying the role of "case manager" (CM) for persons with severe mental illness. This three state survey from the USA examines the philosophy and activities of practising CMs in an attempt to identify current style of case management. A cluster analysis based on CM rankings of five CM function suggested four styles of case management: "supportive social worker", "individual therapist", "therapist broker", and "community advocate". Overall, CMs rated supportive interventions as most important and formal psychotherapy as relatively unimportant. CM style was related to CM activity (i.e., distribution of effort). Differences between states are noted and implications for future research are discussed.
Values into action: tools for development and training
- Author:
- PAYNE Chris
- Journal article citation:
- Journal of Practice and Staff Development, 4(2), January 1995, pp.57-80.
- Publisher:
- PEPAR Publications
Summarises a number of packages that have a common aim of establishing a sound value base for services, particularly for older people and adults with learning difficulties and mental health problems.
Information, consultation or control: User involvement in mental health services in England at the turn of the century
- Authors:
- PECK Edward, GULLIVER Pauline, TOWEL David
- Journal article citation:
- Journal of Mental Health, 11(4), August 2002, pp.441-451.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
A wide variety of forms of user involvement in mental health services - ranging from information through consultation to control - have arisen in England over the past 10 years. The evaluation of the creation of a joint commissioning board and a combined mental health and social care NHS Trust offered the opportunity to assess the nature and development of service user involvement in a specific English locality over a 30-month period. Data were collected using interviews with service users, senior managers and members of the joint commissioning board, a mail administered survey for staff members, and focus groups with service users, carers and staff members. Although user consultation around management and planning of services appeared to increase as a consequence of the changes, there was only one example of user control in the system, and the level of service user involvement with their own care seemed dependent on individual staff members.
Developing a systematic method analysing serious incidents in mental health
- Authors:
- VINCENT Charles, STANHOPE Nicola, TAYLOR-ADAMS Sally
- Journal article citation:
- Journal of Mental Health, 9(1), February 2000, pp.89-103.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Formal, quasi-legal, inquiries into homicides, suicides and serious incidents, even when sensitively and carefully conducted, may be experienced as persecuting to staff, excessively blame-oriented and damaging to an already weakened service. This article describes a structured and systematic method of investigating adverse incidents on an acute psychiatric ward which draws attention to the wider organisational context as well as to the actions or omissions of individuals. An analysis of a serious incident, albeit one from which no permanent harm resulted is also presented. Detailed analysis provides information both about specific management problems and more general unsafe features of an organisation, such as deficiencies in training or supervision, and problems in written or verbal communication, both between staff and between staff and patients.
Case management for the mentally ill: a comparative evaluation of client satisfaction
- Authors:
- CULLEN Deborah, et al
- Journal article citation:
- Health and Social Care in the Community, 5(2), March 1997, pp.106-115.
- Publisher:
- Wiley
Reports on client satisfaction with community mental health services using a Client Satisfaction Interview as one outcome measure in a randomised controlled study of clinical case management vs. standard community care. Found that case management clients had significantly higher total satisfaction scores than control group clients who received standard community care at 9 months but not at baseline or 18 months. In addition to a quantitative measure of satisfaction, clients were asked to provide more qualitative accounts of their experience with services. Discusses the findings in relation to the team's model of case management and the differences between case management and control services. Considers the limitations of the study in the context of methodological issues surrounding measurement of client satisfaction and the study's own methodological shortcomings.
Mental health
- Authors:
- RYAN Peter, Newton Jennifer
- Journal article citation:
- Research Matters, October 1996, pp.31-36.
- Publisher:
- Community Care
There are almost as many models of care management as there are social services departments. In mental health services in particular, the community care arrangements have weathered intense scrutiny and criticism in recent months. Asks what works and what doesn't from the point of view of both service users and professionals.
Community care: evaluation of the provision of mental health services
- Editors:
- CROSBY Charles, BARRY Margaret M.
- Publisher:
- Avebury
- Publication year:
- 1995
- Pagination:
- 283p.,tables,diags.,bibliogs.
- Place of publication:
- Aldershot
Includes papers on: evaluation of the North Wales Resettlement Programme; care environments, care management and staff attitudes; psychiatric and behavioural outcomes for users 12 months after discharge from hospital; social networks and lives of people with long-term mental health problems; assessing the impact of community placement on quality of life; costing hospital and community care for long-stay psychiatric patients; the development of community mental health services in North Wales; involving users in mental health services in an era of new technology; and user views of community mental health care.
Adults with learning disabilities and mental health needs: conceptual and service issues
- Author:
- GRAVESTOCK Shaun
- Journal article citation:
- Tizard Learning Disability Review, 4(2), April 1999, pp.6-13.
- Publisher:
- Emerald
This article introduces service changes impacting on adults with learning disabilities, defines the concepts of learning disability, needs and need assessments, dual diagnosis and mental health needs and considers their service implications. The findings from a national multi-professional survey of services for adults with learning disabilities and mental health needs are summarised and the difficulties of meeting the complex needs of these adults are demonstrated. Recent developments in clinical diagnostic assessment, needs assessment, care planning, outcome monitoring, staff training and service evaluation are discussed, including the possible advantages of the care programme approach (CPA). Recommendations are given for services for adults with learning disabilities and mental health needs and points for discussion with service users and carers are suggested.
Down your street: models of extended community support services for people with mental health problems
- Authors:
- WARNER Lesley, et al
- Publisher:
- Sainsbury Centre for Mental Health
- Publication year:
- 1998
- Pagination:
- 48p.,bibliog.
- Place of publication:
- London
This report brings together the results of the evaluations of five domiciliary support services which provide support for people with severe mental illness living in their own homes. This report discusses the key issues, providing examples drawn from the evaluation work, and setting out key learning points for purchasers and providers of community support services.