Search results for ‘Subject term:"mental health problems"’ Sort:
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When one door closes…
- Author:
- McMILLIAN Ian A.
- Journal article citation:
- Learning Disability Today, 10(1), January 2010, pp.22-23.
- Publisher:
- Pavilion
- Place of publication:
- Hove
The article contains an interview with Shaun Gravestock, a full-time consultant psychiatrist at the newly opened Mental Health and Learning Disabilities at the Bethlem Royal Hospital in Beckenham, Kent. This unit caters specifically for people with learning disabilities who need intensive mental health care. It contains 13 beds, 9 funded by local primary care trusts and 4 available to commissioners around the UK. Gravestock argues that mainstream acute mental health units are not the best places for potentially vulnerable people with learning disabilities, as staff may find it difficult to establish rapport, the atmosphere can be volatile, and staff are under pressure to quickly move patients through the system. The Bethlem unit aims to fill this gap for a specialist service for those with learning disabilities and mental health problems.
Older and wiser: findings from our unannounced visits to NHS continuing care wards
- Author:
- MENTAL WELFARE COMMISSION FOR SCOTLAND
- Publisher:
- Mental Welfare Commission for Scotland
- Publication year:
- 2007
- Pagination:
- 16p.
- Place of publication:
- Edinburgh
A report of visits to 16 continuing care wards across Scotland by the Mental Welfare Commission for Scotland is presented. Some of the wards were also used to assess individuals’ care needs before they were moved to other care settings. Many of the people who are patients in these wards have dementia, but some have other types of mental illnesses and many have physical illnesses associated with old age. The visits were unannounced and took place in the early evening. Each ward was visited by 2 or 3 Commission staff who met with patients and any relatives or carers who were present. Information given to patients and relatives, the quality of the environment, privacy and dignity, assessment of care needs, awareness of national clinical guidelines, use of life histories, use of restraint, physical health care, and activities are discussed. Key messages for service providers are outlined.
Spiritual advisors and old age psychiatry in the United Kingdom
- Authors:
- LAWRENCE Robert M., et al
- Journal article citation:
- Mental Health Religion and Culture, 11(3), April 2008, pp.273-286.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This survey investigates the role and views of NHS spiritual advisors across the United Kingdom on the provision of pastoral care for elderly people with mental health needs. The College of Health Care Chaplains provided a database, and questionnaires were sent to 405 registered NHS chaplains/spiritual advisors. The response rate was 59%. Quantitative and qualitative analyses were carried out. Spiritual advisors describe their working patterns and understanding of their roles within the modern NHS, and their observations of the level of NHS staff awareness of the importance of spiritual issues in the mental health care of older adults. They provide insights into possible negative and positive perceptions of their roles at a service level, and contribute suggestions of topics relevant to shared education between pastoral care and clinical services. This survey further highlights ethical and operational dimensions at the point of integration of the work of spiritual advisors and multidisciplinary teams.
Human rights in mental health services: good practice guide
- Author:
- MENTAL WELFARE COMMISSION FOR SCOTLAND
- Publisher:
- Mental Welfare Commission for Scotland
- Publication year:
- 2017
- Pagination:
- 74
- Place of publication:
- Edinburgh
This guide explains how and where human rights impact on the provision of mental health care and how staff can best ensure that the key rights are respected. It is aimed at staff in hospital and community teams in Scotland and has been written in consultation with mental health care practitioners, users of services, and patients’ relatives who have direct experience of adult acute settings. It looks at each of the rights set out in the Rights in Mind pathway to patients’ rights in mental health services. There is a section for each stage, covering patient’s rights in the community, hospital admission, hospital care, and hospital discharge. The guide also sets out overarching rights that apply across all of these stages. Short case studies are included to illustrate different scenarios. The guide can be used both as a reference guide and as an improvement resource to help staff reflect on their policies and practice. (Edited publisher abstract)
Mental health care for children and young people and human rights: a practitioners guide
- Author:
- BRITISH INSTITUTE OF HUMAN RIGHTS
- Publisher:
- British Institute of Human Rights
- Publication year:
- 2016
- Pagination:
- 16
- Place of publication:
- London
Booklet providing advice for practitioners on using human rights values and approaches when working with children and young people in hospital mental health settings. It also contains relevant information for practitioners working with children and young people in the community. The booklet is arranged around three key issues: seclusion and de-escalation, which includes a decision making flow chart; supporting young people with eating disorders; and private and family life on the ward. Each section outlines potential human rights issues for practice; offers suggested responses which take a human rights approach; provides information about the key rights most likely to be relevant to that area of practice; and includes worked examples. Although produced for practitioners, it includes information that may also be useful for people using services, their family, carers or advocates. It is one of eight booklets developed as part of the British Institute of Human Rights (BIHR) project ‘Delivering Compassionate Care: Connecting Human Rights to the Frontline’, which aims to help ensure that frontline staff have the knowledge and skills to place human rights at the heart of mental health services. (Edited publisher abstract)
Age suitable environments – the new duty of care
- Author:
- THOMPSON Susan
- Journal article citation:
- Every Child Journal, 1(4), 2010, pp.56-60.
- Publisher:
- Imaginative Minds
- Place of publication:
- Birmingham
The detention of children and young people on adult inpatient wards for treatment of mental disorders is a long standing concern, and well documented by the Mental Health Act Commission. As of April 2010 this will only be lawful in certain circumstances. This article describes how hospital managers must provide patients with an ‘age suitable environment’, and outlines the legal details. Asking what is the legal duty, who is responsible for delivering an age suitable environment, what exactly does ‘suitable’ mean, and will the legal duty make a difference in practice, the author discusses monitoring the appropriateness of care delivered, and examines the role of the regulator, who, with a focus on outcome rather than output, will help to shift the compliance agenda towards the whole patient experience. The author concludes by examining two case studies – that of an emergency admission, and that of an atypical admission.
Transition between inpatient mental health settings and community or care home settings: QS159
- Author:
- NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE
- Publisher:
- National Institute for Health and Care Excellence
- Publication year:
- 2017
- Place of publication:
- London
This quality standard describes priority areas for improvement in the area of transitions for children, young people and adults between mental health hospitals and their own homes, care homes or other community settings. The standard includes the period before, during and after a person is admitted to, and discharged from, a mental health hospital. It consists of four quality statements cover: ensuring people admitted to an inpatient mental health setting have access to independent advocacy services; out of area admissions to have placement reviews every 3 months, improved communication of care plans on discharge, and for people identified as at suicide risk to received follow up within 48 hours of being discharged. For each quality statement the standard provides details of quality measures and suggested data sources. (Edited publisher abstract)
Inpatient provision for children and young people with mental health problems
- Author:
- FRITH Emily
- Publisher:
- Education Policy Institute
- Publication year:
- 2017
- Pagination:
- 33
- Place of publication:
- London
This report examines the state of child and adolescent mental health inpatient services in England. It explores the latest evidence and NHS data on admissions, quality of care, staffing and capacity of inpatient services – including geographical distribution and out of area placements. It also looks briefly at community alternatives to hospital admission and delayed discharge. It highlights five challenges in order to raise standards in young people’s mental health provision. These include: addressing workforce shortages, improving access to inpatient beds and reduce geographical disparity in access; and increasing the capacity of community mental health and social care support services to enable young people to be discharged from hospital sooner. (Edited publisher abstract)
Checking how the Mental Health Act is used: easy read
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2010
- Pagination:
- 30p.
- Place of publication:
- London
This document is the easy read version of the first report into the work of the Care Quality Commission on monitoring the use of the Mental Health Act. It covers the period from April 2009 until March 2010. It describes the findings of these visits, listing aspects that need to be improved. It considers the following: taking people into hospital and keeping them there; children or young people; safe places; general hospitals; what things are like for people who are kept in hospital under the Mental Health Act; locked wards; low secure services; involving patients and looking after their rights; Independent Mental Health Advocates; Mental Health Tribunals; people being stopped, held or kept away from others; patients agreeing to treatment; Second Doctors; electro-convulsive therapy; and supervised community treatment. It concludes that services need to get better at involving patients who are kept in hospital in their care and treatment, checking whether patients understand and can agree to treatment, and treating people as individuals and making sure rules to keep people safe do not take away everyone’s rights.