Search results for ‘Subject term:"mental health problems"’ Sort:
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Coordination, continuity, and centralized control: a policy perspective on service strategies for the chronic mentally ill
- Authors:
- DILL A.E.P., ROCHEFORT D.A.
- Journal article citation:
- Journal of Social Issues, 45(3), 1989, pp.145-159.
- Publisher:
- Wiley
Describes policies designed to encourage co-ordination of services and barriers to their successful implementation.
More than shelter: supported accommodation and mental health
- Author:
- BOARDMAN Jed
- Publisher:
- Centre for Mental Health
- Publication year:
- 2016
- Pagination:
- 36
- Place of publication:
- London
This report looks at evidence about the provision of supported housing for people with mental health problems in England, including those with multiple needs and substance misuse, and presents key themes for its future development. It highlights the significant links between housing and mental wellbeing, indicating that factors such as overcrowding, insufficient daylight and fear of crime all contribute to poorer mental health. The review identifies a wide range of types of housing support, including help for people to remain their own tenancies to specialist supported accommodation, hostels, crisis houses and the Housing First approach. Although the review identified limited evidence about what kinds of housing support are most effective and cost-effective, small-scale studies suggest that housing support can reduce the costs of hospital stays. When looking at the type of support people want, the literature found most people prefer help in their own homes to being in sheltered or transitional accommodation. The report calls for better provision of housing support and also argues that housing support should be funded jointly by local authorities and the NHS to ensure that services are delivered in partnership between health, housing and social care providers. (Edited publisher abstract)
Care Programming and Care Management in Rochester
- Authors:
- ONYETT Steve, DAVENPORT Sue
- Journal article citation:
- Community Care Management and Planning, 1(4), October 1993, pp.116-123.
- Publisher:
- Pavillion
Reports on the utilisation of the care programme approach (CPA) and care management approaches in Rochester in Kent to promote interagency working for the most difficult to service mental health service users.
Translating coercion policy into inter-organisational collaboration–the implementation of compulsory community care for people with mental illness
- Authors:
- ZETTERBERG Liv, MARKSTROM Urban, SJOSTROM Stefan
- Journal article citation:
- Journal of Social Policy, 45(4), 2016, pp.655-671.
- Publisher:
- Cambridge University Press
- Place of publication:
- Cambridge
In 2008, compulsory community care (CCC) for people with severe mental illness was introduced in Sweden. CCC requires co-operation between psychiatric and social services, thus further complicating the longstanding difficulties with service coordination in the mental health field. This article investigates what happens when a new policy is introduced that assumes complex co-operation of two organisations bestowed with high degrees of discretion. The process of institutionalisation will be analysed in terms of how an idea is translated and materialised on local levels. This has been investigated by interviewing key informants within psychiatric and social services at three different locations. The implementation was perceived as relatively successful and occurred without major conflict. The main effect of the new legislation was improvement in the coordination of services, where designing a template form for a coordinated care plan was central. The inter-organisational discussions about service coordination that arose had a spill-over effect on services for other patient groups. In essence, respondents describe CCC as a pedagogical reform to promote the coordination of services, rather than a reform to increase coercive powers over patients. This raises concerns about the legitimacy of the reform. (Publisher abstract)
Evaluation of the Vale of Glamorgan Dispersed Housing Scheme: final report
- Author:
- JENKINS Heledd
- Publisher:
- Welsh Government Social Research
- Publication year:
- 2016
- Pagination:
- 72
- Place of publication:
- Cardiff
Reports on the findings of a small scale evaluation of the Vale of Glamorgan Dispersed Housing Scheme (DHS) for people with severe and enduring mental health problems. The scheme is a collaboration between housing, support and mental health services and is made up of the following partners Gofal Cymru, Cardiff and Vale Health Board, Vale of Glamorgan Local Authority Supporting People team, and Newydd Housing Association. The evaluation was designed to examine the implementation of the scheme, the extent to which the scheme contributes to the intended outcomes; and draw lessons learn from the scheme and implications for its future sustainability. Face to face interviews were conducted with key project stakeholders, staff delivering the service and clients. The research found the scheme’s working model of delivering collaborative and integrated services has so far proved successful. There was evidence of: the scheme’s ability to deliver person centred and joined up care to individuals and the ability to deliver these services within clients’ home environments and without unmanageable risk to their mental health or tenancy. Evidence of positive outcomes from the clients point of view also include: no hospital readmissions due to relapse in the mental health condition of clients; improvements in the independence and confidence of service users; and service user improvements in mental health, daily living skills, physical health and self care and taking responsibility. The report makes recommendations for the Welsh Government, the Vale of Glamorgan Dispersed Housing and Scheme and for future evaluations of integrated health and social care delivery. (Edited publisher abstract)
Out of the loop
- Author:
- STANLEY Nicky
- Journal article citation:
- Community Care, 15.4.04, 2004, pp.32-33.
- Publisher:
- Reed Business Information
Looks at the separation of children's and adult's services implied in the Children Bill. Argues that children whose parents have mental health problems might not be well served by the separation. Reports on research by the University of Hull which surveyed 500 health and social care professionals.
Outsiders coming in?: achieving social inclusion for people with mental health problems
- Authors:
- SAYCE Liz, MORRIS David
- Publisher:
- MIND
- Publication year:
- 1999
- Pagination:
- 43p.
- Place of publication:
- London
A core aim of government policy is to reduce social exclusion. This requires community engagement and success is dependent on multiagency partnerships. Given the mental health dimension in social exclusion, achievements will be limited without significant involvement from mental health agencies.
Relationship style between GPs and community mental health teams affects referral rates
- Authors:
- HULL S.A., et al
- Journal article citation:
- British Journal of General Practice, 52(475), February 2002, pp.101-107.
- Publisher:
- Royal College of General Practitioners
This study examines whether the style of working relationship between general practices and CMHTs affects the numbers and types of referrals from general practices to CMHT's, taking into account population and practice factors and provision of other mental health services which may influence referral rates. All 161 general practices in East London and the City Health Authority were surveyed. Results found where good working relationships (a consultation-liaison style) exist between CMHTs and general practice, there are great numbers of referrals requiring both long and short-term work by CMHTs. Where primary care-based psychologists work with practices there are greater numbers of CMHT referrals, but less use of psychiatric services. Concludes that shifting to a consultation-liaison relationship should increase rates of referral of patients with serious mental illness, including those who can most benefit from the skills of CMHT's. Increasing the provision of primary care-based psychology might improve practice use of mental health services, reducing avoidable out-patient psychiatric referrals.
Targeting services to meet need: a tired approach to mental health care
- Author:
- MAUNDER Lesley
- Journal article citation:
- Mental Health and Learning Disabilities Care, 4(11), July 2001, pp.366-369.
- Publisher:
- Pavilion
Faced with ever-increasing and often conflicting demands Northumberland's health and social services have developed a structured framework to ensure patients with mental health problems receive the level of care appropriate to their needs. The Northumberland tiered approach has meant that primary care practitioners receive training and support to treat patients with more common mental health problems while secondary and specialist services are able to focus their resources on those with more disabling conditions. Describes the evolution and operation of the framework.
Co-ordinating care provision: toward sharing case-critical information
- Author:
- MANNING Bryan
- Journal article citation:
- New Technology in the Human Services, 13(1/2), 2000, pp.9-17.
- Publisher:
- Centre for Human Service Technology
The introduction of the Care Programme Approach to improve multi-disciplinary, multi-agency management of severely mentally ill patients in the UK emphasised the need for better and faster communication between all parties involved in service provision. The central problem that emerges is how to gain secure access from any given location to widely distributed case records. Also this access needs to be restricted to a "need to know" basis as the case records are often highly sensitive and confidential. This article outlines a system which has been developed to provide multi-level record access with security controls at each level set by the professional who holds the casenotes concerned. All carers within the co-operating agencies can use a variety of personal computers to maintain and update their diaries, whilst groupware software will automatically cross-index the entries to "virtual client care diaries" which are available to all the carers with access.