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Briefing note on establishing multi-agency protocols for responding to mental ill health and learning disabilities
- Author:
- NATIONAL POLICING IMPROVEMENT AGENCY
- Publisher:
- National Policing Improvement Agency
- Publication year:
- 2010
- Pagination:
- 5p.
- Place of publication:
- London
This briefing note is designed for police officers and staff when developing joint protocols with partner agencies to govern the response to people with mental ill health or learning disabilities. Multi-agency protocols help to ensure effective referrals and improved service delivery; they also contribute to the appropriate and efficient use of police resources and that of other agencies. Multi-agency protocols between the police and other agencies may need to cover situations that arise in a criminal justice capacity – where the person with mental ill health or learning disability is a victim of crime, a witness to crime or suspected of or known to have committed a crime. Also, situations arising in a health care capacity where police may be: acting in support of healthcare agencies dealing with someone experiencing a mental health crisis; supporting a person experiencing mental ill health until healthcare professionals are involved; responding to families and carers of people with mental ill health or learning disabilities who have concerns about them; and responding to members of the public seeking a service from the police in relation to suspected mental ill health or learning disabilities on the part of an individual.
Supplementary credit approvals to local authorities in 1997/98 for the development of social care services for people with a mental illness
- Author:
- GREAT BRITAIN. Department of Health. National Health Service Executive
- Publisher:
- Great Britain. Department of Health. National Health Service Executive
- Publication year:
- 1997
- Pagination:
- 6p.
- Place of publication:
- London
Guidance replacing HSG(96)6. Parallel guidance for local authorities is in LAC(97)10.
Improving the physical health of people with mental health problems: actions for mental health nurses
- Authors:
- GREAT BRITAIN. Department of Health, PUBLIC HEALTH ENGLAND, NHS ENGLAND
- Publishers:
- Great Britain. Department of Health, Public Health England, NHS England
- Publication year:
- 2016
- Pagination:
- 61
- Place of publication:
- London
Drawing the available evidence, this resource provides practice advice to help mental health nurses to improve the physical health and wellbeing of people living with mental health problems. It builds on work to ensure parity of esteem between mental and physical health by giving equal attention to the physical health of people with mental health problems as is given to the general population, thus reducing health inequalities. The document focuses on how to deal with some of the main risk factors for physical health problems. It focuses on eight key areas for action: smoking, obesity, improving levels of physical activities, alcohol and substance misuse, sexual and reproductive health, medicine optimisation, dental and oral health, and reducing falls. Each area discussed incIudes information on why mental health nurses need to take action, activities to achieve change, examples of good practice and a review of the evidence base for practice. The publication is relevant for mental health nurses working both in inpatient settings and in the community and focuses on adults with mental health problems. (Edited publisher abstract)
Positive and proactive care: reducing the need for restrictive intervention
- Author:
- NHS CONFEDERATION. Mental Health Network
- Publisher:
- NHS Confederation
- Publication year:
- 2014
- Pagination:
- 7
- Place of publication:
- London
This briefing provides a summary of new Department of Health guidance on minimising the use of restrictive practices, highlighting what it means for providers in practice. The guidance is aimed at promoting the development of therapeutic environments so that restrictive practices are only used as a last resort and prone (face-down) restraint ended. It is part of a wider two-year initiative – the Positive and Safe programme – to deliver this transformation across all health and adult social care. (Edited publisher abstract)
Managing the impact of violence on mental health, including among witnesses and those affected by homicide: position statement
- Author:
- ROYAL COLLEGE OF PSYCHIATRISTS
- Publisher:
- Royal College of Psychiatrists
- Publication year:
- 2012
- Pagination:
- 8p.
- Place of publication:
- London
Physical violence, including sexual violence, is a major cause of mental health morbidity among individuals injured in violence, witnesses and those affected by homicide. The purpose of this Position Statement is to improve mental health outcomes for those affected by violence across genders, all age groups and all violence categories. Cost-effective interventions have been developed but pathways in which they can be delivered have been identified only recently. Guidance is therefore necessary which defines and promotes a care pathway across all relevant agencies. This Position Statement outlines a stratified, stepped care model for people injured in or affected by violence in other ways. It is intended for psychiatrists, mental health service commissioners and managers, Victim Support and other support providers and commissioners, government victim service commissioners and planners, general practitioners and emergency physicians.
Psychosis with substance misuse in over 14s: assessment and management
- Author:
- NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE
- Publisher:
- National Institute for Health and Clinical Excellence
- Publication year:
- 2011
- Pagination:
- 43
- Place of publication:
- London
Approximately 40% of people with psychosis misuse substances at some point in their lifetime, at least double the rate seen in the general population. This guideline covers the assessment and management of adults and young people aged 14 years and older who have a clinical diagnosis of psychosis (a term used to describe a group of severe mental health disorders) with coexisting substance misuse. It aims to help healthcare professionals guide people with psychosis who use drugs and/or alcohol, to stabilise, reduce or stop their substance misuse and to improve treatment adherence and outcomes. It offers best practice advice on assessment and management and person centred care. It sets out key priorities for implementation, covering principles of care, recognition of psychosis with coexisting substance misuse, primary care, secondary care mental health services, substance misuse services, inpatient mental health services, staffed accommodation, and specific issues for young people with psychosis and coexisting substance misuse. Accompanying publications include the full guideline 'Psychosis with coexisting substance misuse: assessment and management in adults and young people' (with all the recommendations, details of how they were developed and reviews of the evidence they were based on) and Understanding NICE Guidance (a summary for patients and carers). Includes changes after publication (latest changes: February 2013).
Depression in adults with a chronic physical health problem: treatment and management
- Author:
- NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE
- Publisher:
- National Institute for Health and Clinical Excellence
- Publication year:
- 2009
- Pagination:
- 397p., bibliog.
- Place of publication:
- London
This draft national clinical practice guideline was commissioned by the National Institute for Health and Clinical Excellence (NICE) and developed within the National Collaborating Centre for Mental Health (NCCMH). The guideline is intended for adults with depression and chronic health problems and covers the care provided by primary, community, secondary, tertiary and other healthcare professionals who have contact with, and make decisions concerning the care of, adults with depression and chronic health problems. It makes recommendations for the treatment and management of people with depression and chronic health problems, starting with an introduction to the topic of depression and chronic physical health problems and an explanation of the methods used to develop the guideline, and then providing the evidence that underpins the recommendations about the treatment and management of people with depression and chronic health problems, including personal accounts from service users and carers offering an insight into their experience, and looking at the identification of depression in people with chronic physical health problems, service-led interventions, psychosocial interventions, and pharmacological interventions.
Working together: developing and providing services for people with learning disabilities and mental health problems
- Author:
- UNIVERSITY OF LONDON. King's College. Centre for Mental Health Services Development
- Publisher:
- Foundation for People with Learning Disabilities
- Publication year:
- 2003
- Pagination:
- 110p.
- Place of publication:
- London
The Working Together Resource Pack provides materials to encourage and support joint working between mental health and learning disability services. The aim is to improve access to effective and appropriate support for people with learning disabilities and additional mental health problems. The pack will be useful to a broad range of staff in learning disability and mental health services, PCTs and Local Authorities, Local Implementation Teams and Valuing People Partnership Boards. It should be of interest to family carers, staff and people who use both mental health and learning disability services, to understand services systems, structures and processes.
Supporting people with a learning disability and/or autism who display behaviour that challenges, including those with a mental health condition: service model for commissioners of health and social care services
- Authors:
- NHS ENGLAND, LOCAL GOVERNMENT ASSOCIATION, ASSOCIATION OF DIRECTORS OF ADULT SOCIAL SERVICES
- Publishers:
- NHS England, Local Government Association, Association of Directors of Adult Social Services
- Publication year:
- 2015
- Pagination:
- 41
- Place of publication:
- London
This service model brings together good practice taking place in local areas to describe what good services should look like for children, young people and adults with a learning disability and/or autism who display behaviour that challenges. It covers all aspects of commissioning: strategic, operational and individual/micro commissioning. The model is organised around nine principles from the perspective of the people using services. These are: a good and meaningful life; person-centred care and support; choice and control; support for family carers and care staff; choice of housing; good health care; access to specialist community health and social care; getting support in staying out of trouble when at risk of being in contact with the criminal justice system; and having access to high quality assessment and treatment in a hospital setting where necessary. The model gives people a clear picture of what they can expect from the services they use. It also allows those designing and commissioning services flexibility to ensure services work for local areas. The new model, which was co-produced by people using services, commissioners and health and social care system leaders, has been finalised using the feedback from early implementation by six ‘fast track’ areas. (Edited publisher abstract)
Supporting people with a learning disability and/or autism who have a mental health condition or display behaviour that challenges: draft service model for commissioners of health and social care services
- Authors:
- LOCAL GOVERNMENT ASSOCIATION, ASSOCIATION OF DIRECTORS OF ADULT SOCIAL SERVICES, NHS ENGLAND
- Publishers:
- Local Government Association, Association of Directors of Adult Social Services, NHS England
- Publication year:
- 2015
- Pagination:
- 49
- Place of publication:
- London
A draft national framework designed to improve the care of people with learning disabilities, shifting services away from hospital care and towards community-based settings. The document outlines a service model designed to ensure a degree of national consistency, while giving commissioners the flexibility to design services that best fit the needs of their local population. It sets out to provide clarity on ‘what good looks like’ for health, social care and housing services for people with a learning disability and/or autism and a mental illness or behaviour that challenges. It focuses on services and packages of care and support funded by the NHS and local government, as well as NHS/local government interfaces with other services (e.g. education), but not those services funded by other public sector agencies themselves (e.g. schools). The model comprises nine principles that should underpin the design of good services, and these are: planned, proactive and coordinated care; service users’ choice and control over their care; support in the community; service users’ choice over where they live; fulfilling and purposeful everyday life; good care from mainstream NHS services; access to specialist health and social care support in the community; access to services aimed at preventing or reducing anti-social or offending behaviour; and access to high-quality hospital treatment. (Edited publisher abstract)