Search results for ‘Subject term:"mental health problems"’ Sort:
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Managing perinatal mental health disorders effectively: identifying the necessary components of service provision and delivery
- Authors:
- ROTHERA Ian, OATES Margaret
- Journal article citation:
- Psychiatric Bulletin, 32(4), April 2008, pp.131-133.
- Publisher:
- Royal College of Psychiatrists
The paper identifies problems with the management of perinatal mental health disorders and areas where improvements are thought-required. The study used qualitative methods comprising focus groups with recovered patients and interviews with health professionals. Issues identified included a lack of knowledge, skills, integrated working, poor access to resources and ill-defined professional roles and responsibilities. Improving care and service provision requires the development of training and education programmes, care pathways and protocols, and referral guidelines and liaison services. Difficulties over managing perinatal mental illnesses occur at all levels of healthcare provision. The findings confirm best practice recommendations which emphasise improved joint working and the provision of specialist services in all localities.
Looked after children: caring for health
- Author:
- PAYNE Heather
- Journal article citation:
- Childright, 231, November 2006, pp.18-21.
- Publisher:
- Children's Legal Centre
This article looks at the health outcomes of 'looked after' children and what is being done to provide them with equal access to appropriate health services. It focuses on the health status of looked after children in England Wales.
LGBT in Britain: health report
- Authors:
- BACHMANN Chaka L., GOOCH Becca
- Publisher:
- Stonewall
- Publication year:
- 2018
- Pagination:
- 20
- Place of publication:
- London
This report looks at mental health and well-being of LGBT people and investigates the specific experiences of LGBT people when accessing healthcare services. It is based on the findings of a YouGov survey of over 5,000 lesbian, gay, bi and trans (LGBT) people across England, Scotland and Wales, which asked about their life in Britain today. It looks at the rates of depression, anxiety and other mental health conditions among LGBT people and levels of substance misuse. It also looks at the accessibility of healthcare services and discrimination LGBT people face when seeking medical support. The study identifies high levels of poor mental health among LGBT people compared to the general population and high level of hostility and unfair treatment faced by many LGBT people when accessing healthcare services. In addition, a quarter of LGBT people surveyed also faced a lack of understanding of their specific health needs; a figure that rises to 62 per cent for trans patients. It makes recommendations for better training for all health and social care staff, with specific guidance on how to meet the needs of LGBT patients. It also recommends that NHS England should make mental health a key priority for the new National LGBT Health Adviser. (Edited publisher abstract)
COCOA: care for offenders continuity of access
- Authors:
- BYNG Richard, et al
- Publisher:
- National Institute for Health Research
- Publication year:
- 2012
- Pagination:
- 265p.
- Place of publication:
- London
Adult offenders have a high incidence and prevalence of many illnesses, particularly poor mental health and substance misuse. Passage through the various elements of the criminal justice system (CJS) provides both the potential for initial access to healthcare and also the disruption of existing care. The aim of this project was to inform policy on improving health and reducing recidivism for offenders by examining access to, and continuity of, healthcare. A multi-method investigation of continuity of healthcare for offenders included: interviews and health records study of 200 offenders; 5 focus groups; and 8 case studies. A quantitative analysis of the offender interviews demonstrates the extent of the deficit in access. A qualitative analysis of interviews and focus groups data provides insights into how offenders view healthcare and the potential impact on achieving access and continuity. The case studies provide information about the barriers and facilitators from an institutional viewpoint. These findings are used in the development of theory related to offender continuity of care. The study demonstrates that continuity of access to healthcare, particularly for mental health problems, is far from perfect. However, pockets of good practice and innovative projects demonstrate the potential for improving continuity and the quality of care provided.
Health disparities in the Hispanic population: an overview
- Authors:
- GONZALEZ-RAMOS Gladys, GONZALEZ Manny J.
- Journal article citation:
- Journal of Immigrant and Refugee Services, 3(1/2), 2005, pp.1-19.
- Publisher:
- Routledge
- Place of publication:
- Philadelphia, USA
This article examines health and mental health disparities in the Hispanic population in the US and suggests some future directions to be considered. It highlights a number of reasons for these inequalities that seem to include an interplay of social, personal, and environmental factors. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580)
Health services utilization between older and younger homeless adults
- Authors:
- NAKONEZNY Paul A., OJEDA Michael
- Journal article citation:
- Gerontologist, 45(2), April 2005, pp.249-254.
- Publisher:
- Oxford University Press
This American study examineed the relationship between health services utilization delivered by means of the Homeless Outreach Medical Services (HOMES) programme and health services utilization delivered by means of the Parkland emergency room and inpatient units among a sample of older and younger homeless adults being served by the Parkland Health and Hospital System. The HOMES programme uses two 40-ft-long mobile medical units and a fixed-site outpatient clinic to provide primary health care on a walk-in, no-charge basis to individuals who are homeless. A quasi-experimental design was used, and health services utilization data was randomly selected from 293 male and 288 female homeless patients from among the 14,876 homeless patients aged 20–64 years who used HOMES and the Parkland Health and Hospital System between June 1, 1992, and June 30, 1999. The dependent variables were measurements of inpatient and outpatient utilization of psychiatric, substance abuse, and musculoskeletal services by homeless patients. Inpatient and outpatient utilization patterns by age were assessed. Results found older homeless individuals utilized the HOMES more than inpatient services for substance abuse and musculoskeletal conditions, but they utilized inpatient services the most for psychiatric-related conditions. The authors conclude this level of inpatient utilization is perhaps a result of greater severity or progression of mental illness among older homeless adults. The level of outpatient utilization is probably because the HOMES program mitigates many of the barriers that prevent homeless individuals from obtaining primary medical care.
Instead of looking at my disability, listen to what I'm trying to tell you
- Author:
- TRUELAND Jennifer
- Journal article citation:
- Health Service Journal, 09.12.04, 2004, pp.14-15.
- Publisher:
- Emap Healthcare
Health inequalities for those with learning difficulties and mental health problems are to be the subject of a ground-breaking investigation by the Disability Rights Commission who are launching their investigation 'Equal treatment: closing the gap'. Asks if it will blame GPs.
Ethnic minority, young onset, rare dementia type, depression: a case study of a Muslim male accessing UK dementia health and social care services
- Author:
- REGAN Jemma L.
- Journal article citation:
- Dementia: the International Journal of Social Research and Practice, 15(4), 2016, pp.702-720.
- Publisher:
- Sage
A case study comprised of formal interviews, formal observations and informal discussions investigated the motivations and experiences accessing dementia care health and social care services for a Muslim, Pakistani male with dementia. Motivations derived from ‘desperation’ and an inability to access support from family or religious community. Experiences of accessing services were mostly negative. Dementia services were ill-informed about how to support persons with young onset dementia, with pre-existing mental health conditions, from an ethnic minority. Education and training to remove barriers to all dementia care services is required for persons with dementia, their families and within dementia services and religious communities. (Publisher abstract)
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)
The NHS atlas of variation in healthcare: reducing unwarranted variation to increase value and improve quality
- Author:
- NATIONAL HEALTH SERVICE. Right Care
- Publisher:
- Public Health England
- Publication year:
- 2015
- Pagination:
- 277
- Place of publication:
- London
This publication uses maps to show the variation in health care for a variety of conditions across England and Wales. The maps are accompanied by commentary on the background context, scale of variation and options for action. Conditions covered include: care of mothers, babies, and children and young people; mental health problems; dementia; care of older people; end of life care; and learning disabilities. Twenty one of the indicators are also presented by local authority area. The Atlas also highlights the work being done by Right to Care to support anyone wanting to reduce unwarranted variation of health care provision within their locality or between their locality and other areas of the country. (Edited publisher abstract)