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Meeting the need: what makes a 'good' JSNA for mental health or dementia?
- Author:
- BELL Andy
- Publisher:
- Centre for Mental Health
- Publication year:
- 2016
- Pagination:
- 24
- Place of publication:
- London
This report investigates what makes a ‘good’ joint strategic needs assessment (JSNA) for mental health or dementia that can bring about real change in people’s lives. It looks at how five local areas across England carried out their JSNAs to understand how they produced their needs assessments, how they used them and what impact they had. The local areas visited were: Blackburn with Darwen, Bradford, Haringey, Surrey, and Swindon. The analysis found that needs assessments can help raise the profile of mental health and dementia, direct investment, improve services and help local agencies work together more effectively. The report highlights eight factors that characterise successful needs assessments for mental health and dementia that result in the greatest impact. These are: effective leadership to ensure JSNA findings result in action once the assessment is completed; a clear purpose; engagement and collaboration when creating the statement, national policy directives; reliable and up-to-date evidence and data; including the views of people with lived experience, presentation, ensuring the findings are easily accessible; and follow up. To have the biggest impact, they need a clear purpose, effective leadership and advocacy, and partnerships that continue after the JSNA is completed to ensure that they lead to action. The report also provides key messages for local and national bodies. (Edited publisher abstract)
Flexible care can be just a jive
- Author:
- TAYLOR Carolyn
- Journal article citation:
- Care Plan, 8(1), September 2001, pp.28-30.
- Publisher:
- Positive Publications/ Anglia Polytechnic University, Faculty of Health and Social Work
Reports on one of the winners of the health and social care awards. Looks at the use of "flexible carers" in Oxfordshire, who provided regular home based support to older people suffering from functional mental illness or dementia.
The implications of the early recognition of dementia for multiprofessional teamworking : conflicts and contradictions in practitioner perspectives
- Authors:
- MANTHORPE Jill, ILIFFE Steve, EDEN Alison
- Journal article citation:
- Dementia: the International Journal of Social Research and Practice, 2(2), June 2003, pp.163-179.
- Publisher:
- Sage
In health and social care in the UK there is increasing emphasis on the need to recognize mental health problems as early as possible, particularly among older people. Both research and policy have identified the difficulties caused by delayed or late awareness of dementia and depression, and the potential benefits of their recognition at earlier stages. This article draws on the output from a series of multidisciplinary dementia workshops to explore the implications of such a shift in practice for interprofessional working. At a time when core specialist mental health teams have been identified as a way forward for dementia care in the UK, this discussion sets out four key bipolar categories derived from the workshops which may be useful in planning, implementing and reviewing the development of services and the drawing of professional responsibilities. These categories are opportunistic recognition versus population screening; referral and responsibility; key working and team working; generalist versus specialist roles. From this discussion we note a further four determinants which in our view need to be addressed in order to promote positive developments in dementia services: learning processes, resource implications, professional capacity and confidence and the impact of new teams on broader systems.
Health care utilization in dementia patients with psychiatric comorbidity
- Authors:
- KUNIK Mark E., et al
- Journal article citation:
- Gerontologist, 43(1), February 2003, pp.92-98.
- Publisher:
- Oxford University Press
The purpose of this research was to determine if differences in service use exist between dementia patients with and without psychiatric comorbidity. Examination of 2-year health service use revealed that, after adjusting for demographic and medical comorbidity differences, dementia patients with psychiatric comorbidity had increased medical and psychiatric inpatient days of care and more psychiatric outpatient visits compared with patients without psychiatric comorbidity. A coordinated system of care with interdisciplinary teamwork may provide both cost-effective and optimal treatment for dementia patients.
Time to design upwards in mental health services for older people
- Author:
- GOSS Tony
- Journal article citation:
- Care Plan, 7(3), March 2001, pp.18-22.
- Publisher:
- Positive Publications/ Anglia Polytechnic University, Faculty of Health and Social Work
Four main areas of working need improvement if services for older people with mental health needs are to match the aspirations of the National Service Framework for Older People and the NHS plan. Describes what needs to be done and says that in the future we should be designing services from the recipient upwards.
Mental health services for older people towards an integrates approach
- Author:
- MIDDLETON Tony
- Journal article citation:
- Mental Health Review, 6(2), June 2001, pp.22-24.
- Publisher:
- Pier Professional
This article describes how Thurrock Council Social Services Department and South Essex Mental Health and Community Care NHS Trust launched a joint initiative to develop an integrated service strategy and implementation plan for older people's mental health services in Thurrock. The main principles of the approach were: service user and carer involvement, the active participation of mental health professionals working directly with service users and carers, representatives from all key agencies involved in the planning process.
Developing a joint mental health strategy for elders
- Author:
- HILL Kathryn
- Journal article citation:
- Mental Health Review, 6(2), June 2001, pp.14-17.
- Publisher:
- Pier Professional
Reports on the development of a joint mental health strategy for older people in a central London Borough. The project brought together clinicians and practitioners from a variety of settings, the voluntary sector, and users and carers. The aim of the project was to develop a shared philosophy of care based on promoting independence and from this to identify the components of a spectrum of care that would meet the wide range of needs of elders with mental ill health. The borough had high levels of deprivation, unemployment and poor housing. In addition there was a rich ethnic diversity within the borough.