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)
Key dimensions of collaboration quality in mental health care service networks
- Authors:
- NICAISE Pablo, et al
- Journal article citation:
- Journal of Interprofessional Care, 35(1), 2021, pp.28-36.
- Publisher:
- Taylor and Francis
Appropriate care delivery for patients with severe mental illness (SMI) requires a high level of collaboration quality between primary, mental health, and social care services. Few studies have addressed the interpersonal and inter-organizational components of collaboration within one unique study setting and it is unclear how these components contribute to overall collaboration quality. Using a comprehensive model that includes ten key indicators of collaboration in relation to both components, we evaluated how interpersonal and inter-organizational collaboration quality were associated in 19 networks that included 994 services across Belgium. Interpersonal collaboration was significantly higher than inter-organizational collaboration. Despite the internal consistency of the model, analysis showed that respondents perceived a conflict between client-centered care and leadership in the network. Our results reveal two approaches to collaborative service networks, one relying on interpersonal interactions and driven by client needs and another based on formalization and driven by governance procedures. The results reflect a lack of strategy on the part of network leaders for supporting client-centered care and hence, the persistence of the high level of fragmentation that networks were expected to address. Policy-makers should pay more attention to network formalization and governance mechanisms with a view to achieving effective client-centered outcomes. (Edited publisher abstract)
Applying the recovery approach to the interface between mental health and child protection services
- Authors:
- DUFFY Joe, DAVIDSON Gavin, KAVANAGH Damien
- Journal article citation:
- Child Care in Practice, 22(1), 2016, pp.35-49.
- Publisher:
- Taylor and Francis
There is a range of theoretical approaches which may inform the interface between child protection and adult mental health services. These theoretical perspectives tend to be focused on either child protection or mental health with no agreed integrating framework. The interface continues to be identified, in research, case management reviews and inquiry reports, as complex and problematic. This article proposes that more positive, integrated approaches to service user engagement, risk assessment and management may lead to better outcomes in working with families experiencing parental mental health problems and child protection concerns. It is proposed that the recovery approach, increasingly used in mental health services, can inform the processes of engagement, assessment and intervention at the mental health and child protection interface. The article provides a critical overview of the recovery approach and compares it with approaches typifying interventions in child protection work to date. Relevant research and inquiries are also examined as a context for how to more effectively respond to cases where there are issues around parental mental health problems and child protection. The article concludes with case material to illustrate the potential application of the recovery approach to the interface between mental health and child protection services. (Publisher abstract)
Together we're stronger
- Author:
- FAREBROTHER Thomas
- Journal article citation:
- Mental Health Today, November/December 2014, pp.12-13.
- Publisher:
- Pavilion
- Place of publication:
- Hove
In order to help statutory and voluntary sector services to support and meet the needs of people in a mental health crisis more effectively in Manchester, a Manchester's Crisis Provider's Forum was set up. It brings together representatives from Manchester's Mental Health Home Treatment Teams (MHHTs), Greater Manchester Police, voluntary sector organsiations, A&E psychiatric liason services, and Turning Point's Crisis Point service. Through partnership working the Forum aims to undertake a mapping to get a clear view of statutory and voluntary sector crisis provision across Manchester; to develop cross-agency and shared-care working; to identify caps in crisis provision; to promote the range of crisis services available though the development of a stepped care model of mental health crisis provision; and to work collaboratively to improve outcomes. (Edited publisher abstract)
Making the connection
- Author:
- BROWN Samantha
- Journal article citation:
- Mental Health Today, May 2011, pp.16-17.
- Publisher:
- Pavilion
- Place of publication:
- Hove
Many women in touch with mental health services have experienced domestic abuse. This article looks at the benefits of a multi-agency approach. It reports on the case of one women whose case went to a multi-agency risk assessment conferences (MARAC). MARACs enable professionals from a range of different agencies to share information on high risk domestic abuse cases. A safety plan can then be developed which is co-ordinated by the independent domestic violence adviser.
A personal service
- Author:
- BOGG Daisy
- Journal article citation:
- Mental Health Today, September 2010, pp.13-15.
- Publisher:
- Pavilion
- Place of publication:
- Hove
The barriers to implementing personalisation in mental health services are discussed. The author comments that the progress towards personalised services for mental health service users has not been as speedy as it could have been. She argues that risk perception, service cultures and negotiating the health and social care divide are some of the key areas that are acting as barriers to wholesale implementation. The author suggests that for personalisation to really impact on the experiences of individuals who need support several things need to be addressed and considered. First, risk needs to be considered holistically, with a consideration of the risks the person faces as well as what they may pose. Second, there needs to be a shift in culture and thinking, and the presumption that individuals cannot make choices that are in their own best interests needs to be addressed. Stigma and discrimination have a negative impact on how mental health services operate. Third, there needs to be an awareness out in the practice context that personalisation is not just a social care initiative, but the responsibility of everyone across the community and public services.
Developing a capable dual diagnosis strategy: a good practice guide
- Authors:
- HUGHES Liz, GORRY Ann, DODD Tom
- Publisher:
- National Mental Health Development Unit
- Publication year:
- 2009
- Pagination:
- 11p., bibliog.
- Place of publication:
- London
This document, for commissioners and lead providers of services involved in the care and treatment of people with a dual diagnosis, describes how a Dual Diagnosis Strategy will set out the vision and values for local service provision and be the focal point for collaboration between all key stakeholders at a local level. People with a dual diagnosis of mental health and substance use often have multiple and complex long term needs, which require a comprehensive, coordinated, seamless, multi-agency response. However, due to a variety of factors (such as resources, lack of clarity around local service responses, and a lack of workforce skills), this group often fail to receive good quality and consistent care. A robust local Dual Diagnosis Strategy will set out the vision and values for local service provision, and be the focal point for collaboration between all key stakeholders at a local level. A successful strategy will be able to account for the varying needs of all groups and will be comprehensive and flexible in its approach. This document is designed to support the development of a capable dual diagnosis strategy built on recommendations from national policy guidance and best practice.
Mental health and housing: making the links in policy, research and practice
- Author:
- JOHNSON Robin
- Journal article citation:
- Journal of Public Mental Health, 4(4), December 2005, pp.21-28.
- Publisher:
- Emerald
This article documents policy developments at local and national level in England that reflect a growing recognition of the role of housing and the built environment in promoting and maintaining mental health. It first considers the role of housing disadvantage experienced by people with moderate and severe mental health problems and the negative impact of poor housing and neighbourhood circumstances on mental health. It goes on the explore the expansion in housing related support and housing-based solutions in the 1990s, and the revived ambition to integrate housing with community care and community cohesion initiatives. It concludes by describing the work of the NIMHE housing reference group in co-ordinating policy guidance, promoting positive practice in communication and co-operation between housing and mental health services, conducting research to fill gaps in current understanding.
Partnership in mental health and child welfare: social work responses to children living with parental mental illness
- Author:
- SHEEHAN Rosemary
- Journal article citation:
- Social Work in Health Care, 39(3/4), 2004, pp.309-323.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Mental illness is an issue for a number of families reported to child protection agencies. Parents with mental health problems are more vulnerable, as are their children, to having parenting and child welfare concerns. A recent study undertaken in the Melbourne Children's Court (Victoria, Australia) found that the children of parents with mental health problems comprised just under thirty percent of all new child protection applications brought to the Court and referred to alternative dispute resolution, during the first half of 1998. This paper reports on the study findings, which are drawn from a descriptive survey of 228 Pre-Hearing Conferences. A data collection schedule was completed for each case, gathering information about the child welfare concerns, the parents' problems, including mental health problems, and the contribution by mental health professionals to resolving child welfare concerns. The study found that the lack of involvement by mental health social workers in the child protection system meant the Children's Court was given little appreciation of either a child's emotional or a parent's mental health functioning. The lack of effective cooperation between the adult mental health and child protection services also meant decisions made about these children were made without full information about the needs and the likely outcomes for these children and their parents. This lack of interagency cooperation between mental health social work and child welfare also emerged in the findings of the Icarus project, a cross-national project, led by Brunel University, in England. This project compared the views and responses of mental health and child welfare social workers to the dependent children of mentally ill parents, when there were child protection concerns. It is proposed that adult mental health social workers involve themselves in the assessment of, and interventions in, child welfare cases when appropriate, and share essential information about their adult, parent clients. Children at risk of abuse and neglect are the responsibility of all members of the community, and relevant professional groups must accept this responsibility. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580)
Therapeutic collaboration: bridging the gap between statutory and therapeutic work
- Author:
- ROBINSON Mark
- Journal article citation:
- Australian Social Work, 57(4), December 2004, pp.374-380.
- Publisher:
- Taylor and Francis
Considers the clinical effectiveness of child and youth mental health workers and child protection workers employing a therapeutic collaborative model for practice when engaged with extremely at risk and vulnerable families. Argues that this approach has the potential to assist professionals work in a meaningful way enhancing therapeutic containment and subsequent engagement with families. Advocates a model that does not demarcate statutory from psychological thinking. Indeed, such a split, it is argued, promotes barriers that impede and fragment the helping process. Discusses examples using this practice model, including the need for greater flexibility and professional goodwill across government and non-government agencies.