Search results for ‘Subject term:"mental health problems"’ Sort:
Results 1 - 9 of 9
Health matters: reducing health inequalities in mental illness
- Author:
- PUBLIC HEALTH ENGLAND
- Publisher:
- Public Health England
- Publication year:
- 2018
- Place of publication:
- London
Online resource bringing together data and evidence about what works in removing health inequalities experienced by people living with mental illness. The resource sets out the scale of the problem and looks at some of the factors that drive health inequalities. It then outlines some of the actions that local areas can take to reduce health inequalities, so that people with mental illness can achieve the same health outcomes and life expectancy as the rest of the population. These include addressing the social factors and improving living and working conditions; building stronger communities and social connectors; early intervention; and improving access to services; and building a competent workforce. The resource is aimed at health and care professionals, local commissioners and system partners, including the community and voluntary sector. The focus is on adults with more severe and enduring mental health problems, but many of the actions will be of benefit to all people experiencing mental illness. (Edited publisher abstract)
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)
Addressing the health and mental health needs of unaccompanied immigrant youth through an innovative school-based health center model: successes and challenges
- Authors:
- SCHAPIRO Naomi A., et al
- Journal article citation:
- Children and Youth Services Review, 92, 2018, pp.133-142.
- Publisher:
- Elsevier
Unaccompanied immigrant youth (UIY) have traveled from Central America and Mexico across the US Mexico border for many years, seeking work or education, reunifying with immigrant parents and fleeing violence in their home countries. However, in response to rising levels of violence in Central America, this number dramatically increased, and over 120,000 UIY have come to the United States (US) from these countries since Fiscal Year (FY) 2014. California has been one of the top three destinations for resettled youth in the US, and a large urban school district in Northern California enrolled 2200 newcomers in the 2016–2017 academic year, of whom 289 are identified as unaccompanied minors. The majority of UIY in this district are from Guatemala, many of them speaking Mam or another indigenous language, instead of Spanish. With the support of community and academic partners, a school-based health center administered by a Federally Qualified Health Center developed a plan for outreach, systematic screening and referral to services for newcomer youth. Of 56 youth screened in Fall 2015, 44% were referred to behavioral health services, and 64.2% had follow-up medical visits within six months. Successes and challenges of working with this vulnerable population and tracking care are discussed. (Edited publisher abstract)
Transforming mental health services for children who have been abused: July 2018
- Author:
- NATIONAL SOCIETY FOR THE PREVENTION OF CRUELTY TO CHILDREN
- Publisher:
- National Society for the Prevention of Cruelty to Children
- Publication year:
- 2018
- Pagination:
- 12
- Place of publication:
- London
An analysis of Clinical Commissioning Group (CCGs) local transformation plans for 2017/18 to assess the extent to which they recognise the increased vulnerability of groups of children and young people (including those who have been abused) to mental health problems. The report also compares the findings for 2017/18 plans, alongside those of the preceding two years. It uses a traffic light rating to indicate improvements in the plans; red - no recognition of the increased mental health needs of vulnerable children and young people; amber - some recognition; and green - explicit use of data to assess local need and inform service provision. It reports that in 2017/18, just 12 per cent of the 195 CCGs in England were covered by a ‘green’ plan. However, over the past three years, there has been a significant reduction in the proportion of CCGs which are covered by a ‘red’ plan, from 37 per cent in 2015/16 to 11 per cent in 2017/18. It also includes case studies of plans that received a green rating for 2017/18. (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 extension of a set of needs-led mental health clusters to accommodate people accessing UK intellectual disability health services
- Authors:
- PAINTER Jon, et al
- Journal article citation:
- Journal of Mental Health, 27(2), 2018, pp.103-111.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Background: A development of a needs-led mental health classification system based on the Health of the National Outcome Scales (HoNOS) has previously been developed. Aims: To extend the needs-based mental health (MH) clusters to accommodate the additional needs of people accessing UK intellectual disabilities health services. Method: Hierarchical cluster analysis was performed on assessment data from 18 National Health Service (NHS) provider organisations. The statistical results were clinically shaped through multi-disciplinary workshops. The resulting clusters were combined with six independently rated measures for a second data collection exercise. Based on these data, refinements were made before performing internal and external validity checks.Results: Eight additional clusters for people with health needs associated with their intellectual disabilities were produced. Three described primarily physical health (PH) needs, four described needs arising from behaviours which challenged (with/without autism) whilst one described people with generally low needs. Together, these covered 83.4% of cases with only a 10% overlap. The clusters were replicable and had clinical utility and validity. Conclusions: It was possible to extend the needs-led mental health classification system to capture the additional needs of people accessing UK intellectual disability services. (Edited publisher abstract)
Young men’s access to community-based mental health care: qualitative analysis of barriers and facilitators
- Author:
- RICE Simon M.
- Journal article citation:
- Journal of Mental Health, 27(1), 2018, pp.59-65.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Background: Young men experiencing mental ill health report the lowest rates of professional help-seeking of any demographic group across the lifespan. This phase of life (i.e. adolescence and emerging adulthood) also corresponds to a period of disconnection from healthcare services for young men. Aims: The present exploratory qualitative study aimed to identify barriers and facilitators to mental health care, as identified by a sample of young help-seeking men and staff involved in mental health service provision. Method: Interviews and focus groups were undertaken with 25 young males (mean = 18.80 years, SD = 3.56) and four service providers. Participants were recruited from headspace enhanced primary care early intervention centres in Australia. Results: Thematic analysis indicated four overarching barriers and facilitators. The identified barriers were male role expectations, talk therapy as unknown territory, difficulties navigating the system and intake processes. The identified facilitators were positive initial contact, effective cross-sector partnerships, availability of male practitioners and use of targeted messaging. Conclusions: Given the ongoing low rates of help-seeking, high rates of suicide and other adverse outcomes for young men, priority research and clinical attention is needed for this group. Recommendations are offered for future research, including suggestions for implementation of targeted strategies addressing gender-based health needs. (Publisher abstract)
Characteristics of double care demanding patients in a mental health care setting and a nursing home setting: results from the SpeCIMeN study
- Authors:
- COLLET Janine, et al
- Journal article citation:
- Aging and Mental Health, 22(1), 2018, pp.333-39.
- Publisher:
- Taylor and Francis
Background: Older patients suffering from a combination of psychiatric disorders and physical illnesses and/or dementia are called Double Care Demanding patients (DCDs). Special wards for DCDs within Dutch nursing homes (NHs) and mental health care institutions (MHCIs) offer a unique opportunity to obtain insight into the characteristics and needs of this challenging population. Methods: This observational cross-sectional study collected data from 163 DCDs admitted to either a NH or a MHCI providing specialised care for DCDs. Similarities and differences between both DCD groups are described. Results: Neuropsychiatric symptoms were highly prevalent in all DCDs but significantly more in MHCI-DCDs. Cognitive disorders were far more present in NH-DCDs, while MHCI-DCDs often suffered from multiple psychiatric disorders. The severity of comorbidities and care dependency were equally high among all DCDs. NH-DCDs expressed more satisfaction in overall quality of life. Conclusions: The institutionalised elderly DCD population is very heterogeneous. Specific care arrangements are necessary because the severity of a patient's physical illness and the level of functional impairment seem to be equally important as the patient's behavioural, psychiatric and social problems. Further research should assess the adequacy of the setting assignment and the professional skills needed to provide adequate care for elderly DCDs. (Publisher abstract)
Caring for better health: an investigation into the health needs of care leavers
- Authors:
- BRADEN Jakeb, GODDARD Jim, GRAHAM David
- Publisher:
- Care Leavers' Association
- Publication year:
- 2018
- Pagination:
- 54
- Place of publication:
- Manchester
This report summarises the findings of research into the views of care leavers and health professionals on how health services can be improved to better meet the needs of care leavers of all ages, including adult care leavers over the age of 25 years. The project received funding from the Department of Health, and was carried out during 2014-2017. It involved surveys and forums with both health professionals and care leavers to gather their views The Care Leavers Association also worked with Clinical Commissioning Groups (CCGs) to set up working groups to explore care leaver health needs in different local areas. A total of 418 care leavers also completed a survey on health needs. The initial findings of the survey found that a high number of carer leavers experienced low self-esteem, anxiety, depression and isolation. In some cases these experiences continued over several decades, highlighting the importance of address the causal factors as early as possible. The report makes recommendations designed to improve the commissioning process and improve health outcomes for care leavers. (Edited publisher abstract)