Search results for ‘Subject term:"mental health problems"’ Sort:
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Collaborative care: an exploration into core tenents, fidelity, and policy
- Author:
- SHAH Shivam
- Publisher:
- Centre for Mental Health
- Publication year:
- 2018
- Pagination:
- 49
- Place of publication:
- London
This report reviews the available evidence the effectiveness and cost effectiveness of collaborative care models providing integrated treatment for people with co-exiting mental and physical health needs. It identifies the core principles of collaborative care and evaluates its performance in achieving the triple aim of health care of reducing costs, improve population health, and improving care experience. It also proposes policy recommendations for greater integration of this model in both the United States and the United Kingdom. (Edited publisher abstract)
Children living with parents with mental illness
- Author:
- ALDRIDGE Jo
- Publisher:
- Scottish Child Care and Protection Network
- Publication year:
- 2011
- Pagination:
- 4p.
- Place of publication:
- Stirling
This research briefing looks at the research evidence on outcomes for children of living with a parent with mental illness. It also highlights key messages for health and social care professionals who work with children and families affected by parental mental illness. The briefing summarises why the issue is important, provides key implications for practice, and lists further resources.
Health needs of prisoners in England and Wales: the implications for prison healthcare of gender, age and ethnicity
- Authors:
- HARRIS Francesca, HEK Gill, CONDON Louise
- Journal article citation:
- Health and Social Care in the Community, 15(1), January 2007, pp.56-66.
- Publisher:
- Wiley
This paper aims to provide evidence of the healthcare needs of prisoners in relation to gender, age and ethnicity, drawing from a larger systematic overview of the policy and research literature concerning primary care nursing in prisons in England and Wales. The literature overview shaped the initial stages of a research project funded by the Department of Health to examine the views and perspectives of prisoners and nurses working in prisons, and to identify good primary care nursing in the prison environment. At total of 17 databases were searched using search terms related to primary healthcare in prisons (health, nurs*, primary care, healthcare, family medicine, prison*, offender*, inmate*) with terms truncated where possible in the different databases. Following this, a sifting phase was employed using inclusion/exclusion criteria to narrow and focus the literature perceived as relevant to the research questions. All papers were critically appraised for quality using standardised tools. Findings from the literature overview show that prisoners are more likely to have suffered some form of social exclusion compared to the rest of society, and there are significantly greater degrees of mental health problems, substance abuse and worse physical health in prisoners than in the general population. Women, young offenders, older prisoners and those from minority ethnic groups have distinct health needs compared to the prison population taken as a whole, with implications for the delivery of prison healthcare, and how these needs are met effectively and appropriately.
Health concordance within couples: a systematic review
- Authors:
- MEYLER Deanna, STIMPSON Jim P., PEEK M. Kristen
- Journal article citation:
- Social Science and Medicine, 64(11), June 2007, pp.2297-2310.
- Publisher:
- Elsevier
Research has consistently linked marriage and positive health outcomes. In addition, many researchers have found that couples often have similar or concordant health statuses. However, concordance research has been conducted in many fields for decades without a concise review of the literature, nor has one theory of health concordance been established. A systematic review was performed implementing rigorous identification strategies, and 103 health concordance research articles were identified and reviewed to understand what research has been conducted in mental health, physical health, and health behaviour concordance among couples. The research overwhelmingly suggests evidence for concordant mental and physical health, as well as health behaviours among couples. Each area of health concordance research offers room for greater research and deeper understanding for the causes of health concordance.
Enabling older people with mental health needs to engage with community social care: a scoping review to inform a theory of change
- Authors:
- NEWBOULD Louise, TUCKER Susan, WILBERFORCE Mark
- Journal article citation:
- Health and Social Care in the Community, 30(4), 2022, pp.1286-1306.
- Publisher:
- Wiley
Despite apparent need, many older people with cognitive impairment and/or mental health needs do not fully engage with social care. This can manifest in different ways, including passive or aggressive attempts to avoid or repel care workers. However, little is known about how to support such individuals in their own homes and deliver effective care. Against this background, the researchers undertook a scoping review with a view to developing a preliminary theory of change suggesting how care might be modified to engage this client group. The most recent search was conducted on 21/04/21. Papers were included if they (i) focused on older people (65+) living at home with social care needs and (ii) described difficulties/problems with the provision/receipt of social care associated with individuals’ mental health needs. Twenty-six citations were identified through electronic database searches and reference screening, and the results were charted according to key theory of change concepts (long-term outcomes, preconditions, interventions, rationale and assumptions). All the included papers were related to people with dementia. Four subgroups of papers were identified. The first highlights those external conditions that make it more likely an intervention will be successful; the second describes specific interventions to engage older people who by virtue of their mental health needs have not engaged with social care; the third explores what services can be done to increase service uptake by older people with mental health needs and their caregivers more generally; and the fourth details theoretical approaches to explaining the behaviour of people with dementia. Each provides information that could be used to inform care delivery and the development of interventions to improve engagement with health and social care for these individuals. The study concludes that different framing of engagement difficulties, such as that offered through positioning theory, may assist in future service design. (Edited publisher abstract)
Integrated care to address the physical health needs of people with severe mental illness: a mapping review of the recent evidence on barriers, facilitators and evaluations
- Authors:
- RODGERS Mark, et al
- Journal article citation:
- International Journal of Integrated Care, 18(1), 2018, Online only
- Publisher:
- International Foundation for Integrated Care
People with mental health conditions have a lower life expectancy and poorer physical health outcomes than the general population. Evidence suggests this is due to a combination of clinical risk factors, socioeconomic factors, and health system factors, notably a lack of integration when care is required across service settings. Several recent reports have looked at ways to better integrate physical and mental health care for people with severe mental illness (SMI). The authors built on these by conducting a mapping review that looked for the most recent evidence and service models in this area. This involved searching the published literature and speaking to people involved in providing or using current services. Few of the identified service models were described adequately and fewer still were evaluated, raising questions about the replicability and generalisability of much of the existing evidence. However, some common themes did emerge. Efforts to improve the physical health care of people with SMI should empower staff and service users and help remove everyday barriers to delivering and accessing integrated care. In particular, there is a need for improved communication among professionals and better information technology to support them, greater clarity about who is responsible and accountable for physical health care, and greater awareness of the effects of stigmatisation on the wider culture and environment in which services are delivered. (Edited publisher abstract)
The impacts of child sexual abuse: a rapid evidence assessment
- Authors:
- FISHER Cate, et al
- Publisher:
- Independent Inquiry into Child Sexual Abuse
- Publication year:
- 2017
- Pagination:
- 196
- Place of publication:
- London
This rapid evidence assessment (RAE) summarises the existing evidence for the impacts of child sexual abuse on victims and survivors throughout their lives, in relation to physical health, emotional wellbeing and mental health; externalising behaviours, interpersonal relationships, socio-economic impact, religious and spiritual beliefs and vulnerability to revictimisation. The REA also looks at impact of CSA on the families of victims and survivors and wider society. Searches were conducted using peer-reviewed journal databases and sources of grey literature during 2016 and the results of over 200 of the most relevant and robust studies were synthesised for the report. The review found compelling evidence that CSA is associated with an increased risk of adverse outcomes in almost every sphere of victims and survivors’ lives, and that this risk can persist across their lifespan. It also identified impacts for family members of the victims and survivors, and for wider society in both financial and less tangible ways. The evidence also shows that resilience and recovery are possible for victims and survivors. Protective factors identified include the receipt of effective support services and a positive and sensitive response from family, friends and professionals following disclosure of CSA. The review identifies evidence gaps in a number of areas, including the impact of CSA on pre-adolescent and older (65 plus) victims and survivors, as well as on black and minority ethnic (BME), lesbian, gay, bisexual and transgender (LGBT) and disabled people. (Edited publisher abstract)
The mental health of young LGB&T people
- Author:
- WEEKS Harri
- Publisher:
- National LGB&T Partnership
- Publication year:
- 2017
- Pagination:
- 12
- Place of publication:
- London
This review summarises the findings of existing research into young LGBTQ+ people's mental health. It aims to provide information and recommendations to support improved service provision. The research referenced draws from primary research with young people with experiences of poor mental health, primary research with adults with prior experience of poor mental health as young people, and population health surveys. It reports that young LGBTQ+ people have higher rates of poor mental health, self-harm and suicide than other young people. It also found that LGBTQ+ young people are often reluctant to access services, particularly CAMHS, NHS and support in schools. The findings cover: the risk factors for poor mental health in young LGBTQ+ people; young people's experience of seeking support and their reluctance to access services; factors that can help increase the resilience of young people; and the needs of commissioners and service providers. The review makes recommendations to improve the mental health of young LGBTQ+ people at a system wide and local level. (Edited publisher abstract)
Why is it important to consider so-called 'invisible' older people in UK healthcare?
- Authors:
- TINKER Anthea, et al
- Journal article citation:
- Quality in Ageing and Older Adults, 15(4), 2014, pp.187-196.
- Publisher:
- Emerald
Design/methodology/approach: Using information obtained from academic literature, government statistics and other publications from relevant organisations, this paper discusses older people who are in groups that are not readily visible to policy makers and practitioners. The authors investigated one 'invisible' group each and comparisons and conclusions were then made collaboratively. The six underserved populations covered were older people with physical disabilities, learning disabilities, those from LGBT communities, older prisoners, older people with chronic long-term mental health problems (in particular depression and dementia) and those who are homeless. The issues of health needs, access to health care and provision of services are discussed. Findings: Many groups of older people seem to be absent from statistics and from policy making. The paper suggests that there needs to be more research to identify the scale of any problems and how they may be solved. Practical implications: There are practical implications for health and social care professionals if they do not recognise that there are groups in society about whom little is known. Lack of knowledge and empathy may affect their approach to these groups. (Edited publisher abstract)
School nurse practice: a decade of change
- Author:
- DeBELL Diane
- Journal article citation:
- Community Practitioner, 79(10), October 2006, pp.324-327.
- Publisher:
- Community Practitioners' and Health Visitors' Association
This article reports on a scoping review of evidence about the nature of school nurse practice across the four countries of the UK, carried out for the dates from 1999 to the end of 2005,. The review included research and descriptions of practice. The results found that the service, although relatively invisible, is experiencing something of a renaissance but without any increase in the total numbers of qualified staff. The findings also demonstrated that school nursing practice has experienced a shift from a medical to a social model of care. The service now works from a public health ethos and has a preventive agenda. The focus is on the child rather than a service for schools. Under-resourcing was identified as a continued problem.