Search results for ‘Subject term:"mental health problems"’ Sort:
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Boundary work in inter-agency and interprofessional client transitions
- Authors:
- SAARIO Sirpa, JUHILA Kirsi, RAITAKARI Suvi
- Journal article citation:
- Journal of Interprofessional Care, 29(6), 2015, pp.610-615.
- Publisher:
- Taylor and Francis
This article analyses the accomplishment of boundary work performed by professionals engaged in inter-agency collaboration. As a means of building authority within a particular field, boundary work is found to be a common feature of most professional practices. By analysing the talk of Finnish professionals who work in the field of supported housing in mental health, the article investigates the ways professionals - as collective representatives of their service - talk about doing boundary work when transferring their clients to another agency. The study drew on the principles of exploratory case study design and ethnomethodology. A key finding from the analysis of professionals’ focus groups and team meetings indicated that boundary work is employed when disputes arise between supported housing and collaborating agencies. The article goes on to suggest that professionals accomplish boundary work by rhetorically presenting themselves as holders of "day-to-day evidence" of clients’ mundane living skills and serious ill-health. The paper concludes by arguing that in inter-agency collaboration, boundary work building on day-to-day evidence is used to influence the decision on the most appropriate living arrangement for the client. Boundary work is also used for boosting the authority of professionals as representatives of a relatively new and fixed-term agency in the service system. (Publisher abstract)
Safeguarding Adult Review in respect of Mr AA: died January 2014
- Author:
- KLEE Deborah
- Publishers:
- Norfolk Safeguarding Adults Board, Suffolk Safeguarding Adults Board
- Publication year:
- 2015
- Pagination:
- 53
- Place of publication:
- Norwich
A joint Safeguarding Adult Review (SAR) of Mr AA, a Norfolk resident diagnosed as living with paranoid schizophrenia, who died in a Suffolk hospital in January 2014 from bronchopneumonia. The Review was commissioned due to concerns about the intervention he received up until the time of his death. In 2011 as a result of organisational change in the mental health trust, AA lost is long term care coordinator, received reduced levels of care and support, and was discharged from the care programme approach in 2013. This resulted in a series of events that led to his death in 2014, including lack of an informed risk assessment to manage his challenging behaviour, use of physical control to restraint, and the use of seclusion in hospital. The review's analysis focuses on the way in which professionals and services worked together in five areas: self-neglect; care plan approach and person-centred care; information sharing and joint decision making; the use of control and restraint; and attention to physical health needs. The report shows how a number of incidents impacted on each other which meant that staff did not have the information, knowledge or resources to make good decisions. It makes a number of recommendations to ensure that partners can work together to effectively support people who self neglect; involve the person and their family as appropriate in planning care; consider the impact of organisational change on adults at risk; improve the quality of multi-agency risk assessment and joint decision making in complex cases; improve information sharing; and ensure the appropriate use of all types control and restraint methods. (Edited publisher abstract)
Serious case review: family A
- Authors:
- CARMI Edina, WALKER-HALL Nicki
- Publisher:
- Kingston and Richmond Local Safeguarding Children Board
- Publication year:
- 2015
- Pagination:
- 70
- Place of publication:
- Twickenham
A review of the deaths of three children P, Q and R, who were smothered by their birth mother on 22 April 2014. The mother was given a hospital order in November 2014 after admitting manslaughter by diminished responsibility of her daughter and sons. The three youngest children had spinal muscular atrophy type 2, a condition that affects voluntary muscles causing severe muscle weakness, which can result in problems moving, eating, breathing and swallowing. The report provides a summary of the overall context, describes what happened from the perspective of those involved at the time, including both professionals and family, and considers the facts of the children's health needs. It concludes with findings relating to family and professional interactions, professional and organisational culture and safeguarding practice and sets out key recommendations. The review argues that the role of the lead professional is critical in complex cases to co-ordinate the multiagency services and act as a single point of contact and suggests that the consultant paediatrician may not be best suited to undertake this role. (Edited publisher abstract)
The experience of receiving and delivering consultation in a residential childcare setting for looked-after and accommodated children: a sequential exploratory design
- Authors:
- DURKA Katie, HACKER Thomas
- Journal article citation:
- Child Care in Practice, 21(4), 2015, pp.392-407.
- Publisher:
- Taylor and Francis
Looked-after and accommodated children are at higher risk of poor mental health and behavioural difficulties and experience high levels of emotional and psychological distress. Consultation by clinical psychologists can play a pivotal role in providing indirect support to vulnerable children and young people by supporting staff in residential settings. The aim of this study was to explore the experience of consultation in three residential childcare settings to examine the perceived benefits of consultation, the perceived role of the consultant, and to identify the relevant aspects of the consultation relationship. A mixed-methods sequential exploratory design was used. In the initial phase, a questionnaire survey exploring consultees' experience of the consultation process was conducted in three residential care establishments (N = 30). In the second phase, focus groups were conducted with both staff groups and consultants (N = 15). Results from the first phase identified themes around the interpersonal skills of the consultant, the helpfulness and the limitations of consultation. Using a thematic analysis approach in this second phase, three consultee themes emerged: the value of consultation, a new way of working, and the consultation relationship. The three consultant themes identified were: understanding roles, challenges, and building the consultation relationship. Results are discussed with reference to the current literature. These findings may impact on service development and clinical practice to improve the quality of care for looked-after and accommodated children. (Edited publisher abstract)
Adolescent mental health: frontline briefing (tool)
- Author:
- BEVINGTON Dickon
- Publisher:
- Research in Practice
- Publication year:
- 2015
- Pagination:
- 8
- Place of publication:
- Dartington
This resource contains two tools that can be used to help professionals when working with young people with mental health problems, the 'Collaborative Care Planning Tool' and the ‘Dis-integration Grid Tool’. The ‘Collaborative Care Planning Tool' supports collaborative working between practitioners and young people. The ‘Dis-integration Grid Tool’ can be used to help identify the most unhelpful ‘dis-integrations’ in a network. It allows staff to outline their understanding of the different positions of key people in a network (the young person, carer, and staff from other agencies) and how each person might: see the problem, what to do about it, and who should be doing what. The resource also lists some of the most commonly used screening and outcomes measures. An accompanying Research in Practice Frontline Briefing Adolescent mental health provides further information about the research that underpins these tools. (Edited publisher abstract)
The mental health needs of low-income pregnant teens: a nursing-social work partnership in care
- Authors:
- PAYNE Nancy A., ANASTAS Jeane W.
- Journal article citation:
- Research on Social Work Practice, 25(5), 2015, pp.595-606.
- Publisher:
- Sage
While the rates of teen childbearing have declined in the United States, adolescents who become pregnant and decide to rear their babies are often from low-income, highly stressed families and communities. This article describes the psychosocial problems of pregnant urban teens and how exposure to interpersonal trauma and current mental health problems may affect their prenatal health behaviour. It will discuss nurse home visiting as a preventive intervention with proven effectiveness in enhancing maternal prenatal health and behaviour and the health and development of children born to mothers at risk, and how a nurse–family collaboration with social workers can facilitate this mission. By providing collaborative care that addresses psychosocial, health, and mental health concerns, interventions like home visiting can reach their full potential. (Edited publisher abstract)
W4 serious case review
- Author:
- BAKER Gill
- Publisher:
- Walsall Safeguarding Children Board
- Publication year:
- 2015
- Pagination:
- 51
- Place of publication:
- Walsall
A serious case review of a young person who died as a result of inhalation of products of combustion, having barricaded herself into her bedroom and set fire to the mattress. The scene of the fire was at a care home in Ellesmere, Shropshire where she was the only resident with two adult carers. During her time in care it was found that she had complex needs and continually exhibited challenging, disruptive and risk-taking behaviour. The review found that it was predictable that she would eventually cause serious harm to herself and/or to others. The failure to adequately address the escalation of her unmanageable behaviour may in part be due to issues of gender, carers being afraid of physical assault or of allegations being made against them. However, the review concludes that a more co-ordinated robust holistic multi-agency approach, an earlier and full mental health assessment and formulation, monitoring and reviewing of treatment for ADHD, plus utilising the option of secure accommodation would have provided an opportunity to fully assess and meet her needs in a safe environment which may have contributed to potentially preventing her death. (Edited publisher abstract)
Alternative place of safety: the West Sussex pilot evaluation 2015
- Author:
- GREAT BRITAIN. Home Office
- Publisher:
- Great Britain. Home Office
- Publication year:
- 2015
- Pagination:
- 72
- Place of publication:
- London
An evaluation of the pilot of an alternative place of safety in Sussex for adults detained under section 136 of the Mental Health Act 1983 which aimed to examine whether this alternative could provide a better option for people experiencing a mental health crisis whilst awaiting a mental health assessment. Specifically the evaluation examined: if a third sector organisation could work in partnership with statutory agencies to provide an effective place of safety as a viable alternative to a custody suite in a police station; the number, type and characteristic of detentions manageable by an APoS; and perceptions of police officers and partner agencies involved in implementing and utilising the scheme. The report provides a description of the service offered, its impact on some of the recipients of these services and the lessons that were learned by the organisations whilst setting up and running the service. Although the number of section 136 detentions were low during the pilot, those involved felt that the APoS was a suitable alternative that functioned effectively. Building on the pilot it is recommended that those responsible for proving places of safety seek to commission third sector organisations to support people detained as an alternative to police custody; develop a model of best practice for an APoS; ensure places of safety have onward pathways in place for those detained so they are offered practical solutions and support such as housing, employment, debt and relationship advice; and promote a person centred-approach for people in crisis who require a combination of psychological, social and medical crisis intervention and support. (Edited publisher abstract)