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Exploration of joint working practices on anti‐social behaviour between criminal justice, mental health and social care agencies: a qualitative study
- Authors:
- KRAYER Anne, ROBINSON Catherine A., POOLE Rob
- Journal article citation:
- Health and Social Care in the Community, 26(3), 2018, pp.e431-e441.
- Publisher:
- Wiley
Although the police play an important role for people with mental health problems in the community, little is known about joint working practices between mental health, social care and police services. There is potential for tensions and negative outcomes for people with mental health problems, in particular when the focus is on behaviours that could be interpreted as anti‐social. This study explores perceptions about joint working between mental health, social care and police services with regard to anti‐social behaviour. It was a multi‐method sequential qualitative study in the UK collecting data between April 2014 and August 2016. Data were collected from two study sites: 60 narrative police logs of routinely gathered information, and semi‐structured interviews and focus groups with professionals from a range of statutory and third sector organisations (N = 55). Data sets were analysed individually, using thematic iterative coding before integrating the findings. Sequencing and turning points in the police logs, were also considered. Findings mapped on a continuum of joint working practices, with examples more likely to be away from the policy ideal of partnership working as being central to mainstream activities. Joint working was driven by legal obligations and concerns about risk rather than a focus on the needs of a person with mental health problems. This was complicated by different perceptions of the police role in mental health. Adding anti‐social behaviour to this mix intensified challenges as conceptualisation of the nature of the problem and agreeing on best practice and care is open to interpretations and judgements. Of concern is an evident lack of awareness of these issues. There is a need to reflect on joint working practices, including processes and goals, keeping in mind the health and welfare needs of people with mental health problems. (Edited publisher abstract)
Balancing act: addressing health inequalities among people in contact with the criminal justice system: a briefing for Directors of Public Health
- Authors:
- REVOLVING DOORS AGENCY, PROBATION CHIEFS ASSOCIATION, PUBLIC HEALTH ENGLAND
- Publisher:
- Revolving Doors Agency
- Publication year:
- 2013
- Pagination:
- 20
- Place of publication:
- London
There is evidence that those who have or are at risk of offending frequently suffer from multiple and complex health issues, including mental and physical health problems, learning difficulties, substance misuse and increased risk of premature mortality. These underlying health issues are often exacerbated by difficulties in accessing the full range of health and social care services available in the local community. This briefing paper outlines the extent and multiplicity of health inequalities among people in contact with the criminal justice system. The briefing is intended to support Directors of Public Health as they assume significant new responsibilities for improving the health and well-being of their local population. It suggests positive action and approaches which Directors of Public Health could use to tackle the health inequalities of people in contact with the criminal justice system living in their locality. The aim is to understand their specific health needs; build on existing partnerships arrangements and forums in identifying risk factors and determinants associated with poor health and offending; and explore joint commissioning with partner agencies to tailor local services to meet this group’s needs. The briefing outlines key steps and promising practice examples from areas around the country which could offer significant health improvements among this group. (Edited publisher abstract)
Implementing personalisation for people with mental health problems: A comparative case study of four local authorities in England
- Authors:
- LARSEN John, et al
- Journal article citation:
- Journal of Mental Health, 22(2), 2013, pp.174-182.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Background: Enhancing choice and control for people using services is a mental health and social-care service priority in England. Personalisation is a new policy and practice for delivery of social-care services where eligible adults are allocated a personal budget to spend to meet their agreed support needs. Aims: To describe approaches to introducing personal budgets to people with severe and enduring mental health needs, and to identify facilitators or barriers encountered. Method: Within four English local authority (LA) areas, purposively selected to provide maximum variation, semi-structured interviews were undertaken with 58 participants from LAs, NHS trusts and third-sector organisations. An Interpretive Framework analysis considered within- and across-site insights. Results: Issues arising from the implementation of personalisation for people with mental health needs are presented under two general themes: “responsibility and power” and “vision and leadership”. Key challenges identified were complexities of working across NHS and LAs, the importance of effective leadership and engagement with service user representatives. Conclusions: Implementing personal budgets in mental health requires effective engagement of health and social-care systems. Change processes need strong leadership, clear vision and personal commitment, with ownership by all key stakeholders, including front-line practitioners. (Publisher abstract)
Integrated care: what do patients, service users and carers want?
- Author:
- NATIONAL VOICES
- Publisher:
- National Voices
- Publication year:
- 2013
- Pagination:
- 13p.
- Place of publication:
- London
This paper was commissioned by the Integration workstream of the NHS Future Forum. It discusses what aspects of care are associated with a good patient experience. It argues that the aspects of care that are important to patients are relational. Patients want to be listened to, to share in decisions, and to be treated with empathy and compassion. Patients also want continuity of care and smooth transitions. This requires good planning and co-ordination of care and treatment. The integration of service organisations is secondary. It is therefore important that any integrated care service must provide this care co-ordination at the point of use. The paper looks at the particular needs of 3 exemplar groups of service users: children with complex needs; adults with enduring mental health conditions; and frail elderly people. It also makes recommendations on various issues including: integrating mental and physical health; joining up local and specialist services; care planning; and medicines management and review.
Crossing boundaries: identifying and meeting the mental health needs of Gypsies and Travellers
- Authors:
- GOWARD P., et al
- Journal article citation:
- Journal of Mental Health, 15(3), June 2006, pp.315-327.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Although little is known about the mental health of Gypsies and Travellers, their life expectancy is lower than the general population, perinatal death rates are higher, and non-UK studies of the mental health of Roma people suggest higher rates of mental disorders and suicide. The aim was to explore the mental health needs of Gypsies and Travellers in Sheffield, the extent to which services are meeting these needs and ways in which services might be improved. This mixed method study included: (1) A health status survey which revealed higher levels of anxiety and depression and lower social functioning than a comparison group in a local deprived area, (2) Semi-structured interviews with Gypsies and Travellers to elicit their views about mental health problems and services. Most interviewees talked about “feeling low” or “stressed” due to social and economic factors. They were unclear about the role of psychiatric services, and (3) Focus groups with service providers to explore their experiences and views about providing services for Gypsies and Travellers. They found it difficult to address the high levels of deprivation and complexity of need presented by this community partly because of limited and inaccurate information. The study concurs with recent calls for “joined-up” working: services need to work across boundaries to address social and economic factors underlying distress and to ensure consistency and communication between primary and secondary care. Family and community-based models of care may improve acceptability and effectiveness of services. Education, information and training are required to reduce discrimination and increase existing support to meet the mental health needs of Gypsies and Travellers.
Local implementation of the Social Exclusion Unit report
- Author:
- GREAT BRITAIN. Office of the Deputy Prime Minister. Social Exclusion Unit
- Publisher:
- Great Britain. Office of the Deputy Prime Minister. Social Exclusion Unit
- Publication year:
- 2004
- Pagination:
- 8p.
- Place of publication:
- London
The report sets out a new model for partnership working across sectors and an action plan to achieve change. The over-arching objective of this plan is to ensure that experiencing mental health problems does not present a barrier to achieving individual goals and participating in society. Health and social care services have a critical role to play in helping people recover – or hold on to – what they value in life, by facilitating access to advice, support and mainstream opportunities. At the same time, it is essential that other service providers, including those in the fields of housing, arts and leisure and supported employment, actively address the issues faced by this client group and engage with the health sector to deliver change. Local strategies to meet these objectives will need to take into account differing local characteristics, eg rural or geographically dispersed populations or services, the age/ethnicity profile, transport links and areas of deprivation.
Independent and able to cope: evaluation of Working Together in London; an integrated mental health initiative
- Authors:
- LEE John, McCRONE Paul, FORD Richard
- Publisher:
- Sainsbury Centre for Mental Health,|King's Fund
- Publication year:
- 2002
- Pagination:
- 66p.
- Place of publication:
- London
This report is an evaluation of the 'Working Together in London project', set up by the Sainsbury Centre for Mental Health, the King's Fund and the DoH to support people with severe and long term mental health problems. This project examined the work of three assertive outreach teams in the capital. The full report of this project, draws out the key lessons for health and social care professionals, and offers guidance on how to put assertive outreach into practice.
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.
Is partnership possible
- Author:
- BASSET Thurstine
- Journal article citation:
- Openmind, 104, July 2000, pp.12-13.
- Publisher:
- MIND
The author wonders if past experience can help mental health services really engage in partnership. Looks at the realities of partnership in mental health, some of the barriers, and what the future holds.
Service integration requires planning from the top
- Author:
- GREEN Linda
- Journal article citation:
- Community Care, 25.3.99, 1999, p.10.
- Publisher:
- Reed Business Information
Looks at how while important steps have been made to improve care for mental health service users, the Social Services Inspectorate still believes that more ground can be made in integrating services.