Search results for ‘Subject term:"mental health problems"’ Sort:
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Working together: developing and providing services for people with learning disabilities and mental health problems
- Author:
- UNIVERSITY OF LONDON. King's College. Centre for Mental Health Services Development
- Publisher:
- Foundation for People with Learning Disabilities
- Publication year:
- 2003
- Pagination:
- 110p.
- Place of publication:
- London
The Working Together Resource Pack provides materials to encourage and support joint working between mental health and learning disability services. The aim is to improve access to effective and appropriate support for people with learning disabilities and additional mental health problems. The pack will be useful to a broad range of staff in learning disability and mental health services, PCTs and Local Authorities, Local Implementation Teams and Valuing People Partnership Boards. It should be of interest to family carers, staff and people who use both mental health and learning disability services, to understand services systems, structures and processes.
Improving outcomes for homeless inpatients in mental health
- Authors:
- KHAN Zana, et al
- Journal article citation:
- Housing Care and Support, 22(1), 2019, pp.77-90.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to describe the delivery of the first clinically led, inter-professional Pathway Homeless team in a mental health trust, within the King’s Health Partners hospitals in South London. The Kings Health Partners Pathway Homeless teams have been operating since January 2014 at Guy’s and St Thomas’ (GStT) and Kings College Hospital and expanded to the South London and Maudsley in 2015 as a charitable pilot, now continuing with short-term funding. Design/methodology/approach: This paper outlines how the team delivered its key aim of improving health and housing outcomes for inpatients. It details the service development and integration within a mental health trust incorporating the experience of its sister teams at Kings and GStT. It goes on to show how the service works across multiple hospital sites and is embedded within the Trust’s management structures. Findings: Innovations including the transitional arrangements for patients’ post-discharge are described. In the first three years of operation the team saw 237 patients. Improved housing status was achieved in 74 per cent of patients with reduced use of unscheduled care after discharge. Early analysis suggests a statistically significant reduction in bed days and reduced use of unscheduled care. Originality/value: The paper suggests that this model serves as an example of person centred, value-based health that is focused on improving care and outcomes for homeless inpatients in mental health settings, with the potential to be rolled-out nationally to other mental health Trusts (Publisher abstract)
The role of community businesses in providing health and wellbeing services: challenges, opportunities and support needs
- Authors:
- STUMBITZ Bianca, et al
- Publisher:
- Power to Change
- Publication year:
- 2018
- Pagination:
- 54
- Place of publication:
- London
This report examines community businesses that deliver health and wellbeing services to address the needs of individuals and communities, including those who are vulnerable and disadvantaged. It focuses primarily on the factors that enable health and wellbeing community businesses to thrive. The research used a qualitative approach to conduct 10 case studies of community businesses delivering services with a primary focus on mental or physical health across England. These included business delivering statutory public services under contract from the public sector, user funded health and wellbeing services, leisure and sports activities; and vocational and volunteering activities for therapeutic and rehabilitation. It highlights key findings in the following areas: types of wellbeing activities and outcomes, sources of income and business models, the role of partnerships and business support, navigating tensions between commercial and social objectives, managing staff and volunteers, scaling-up impact and managing declining income. The research found that in the continued climate of austerity, community businesses are struggling to be sustainable as there is increased competition for the limited funding available. The report makes a number of policy recommendations. These include for central and local government to recognise the potential of community businesses to deliver effective services local areas and ease the pressure on the wider NHS and for commissioners of health services to better use the Social Value Act to consider the wider social impact of the services they commission, which will help community businesses to flourish. This report was produced by researchers at CEEDR at Middlesex University and Social Enterprise UK, and funded by Power to Change. (Edited publisher abstract)
An exemplar of GP commissioning and child and adolescent mental health service partnership: Cambridge 1419 young people’s service
- Authors:
- HUMPHREY Ayla, et al
- Journal article citation:
- Journal of Integrated Care, 24(1), 2016, pp.26-37.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to draw attention to commissioning and service structures enabling implementation of evidence-based cost-effective care as illustrated by the “1419” young people’s service treating mild to moderate severity mental health difficulties in teenagers old 14 to 19 years. The authors describe relevant local contextual factors: “relational commissioning”, demand capacity planning and a receptive and safe clinical context. Design/methodology/approach: The authors used a participant observer qualitative research design to describe commissioning and service design. Treatment outcomes were analysed using a quantitative design and found significant improvement in service user mental health and daily function. These results will be reported elsewhere. Findings: The dynamics and structures described here enabled clear shared goals between service user, service purchaser, service provider and service partners. The goals and design of the service were not static and were subject to ongoing development using routine outcome measures and conversations between referrers, commissioners, service users and within the team about what was and was not working. Research limitations/implications: The methods are limited by the lack of a prospective systematic evaluation of the implementation process and by the time limitations of the service. Practical implications: Implementation of whole system change such as that envisioned by Children and Young People’s Improving Access to Psychological Therapies requires consideration of local context and process of implementation. The authors suggest key factors: consideration of “relational commissioning” with purchasers, providers and service users designing services together; case-level collaboration between services and partner agencies; smaller child and adolescent mental health teams eliminating competing task demands, permitting speed of action, providing psychological safety for staff, promoting shared goals and innovation; rigorous demand/capacity planning to inform funding. Social implications: The failings of child and adolescent mental health services (CAMHS) are detailed in the Department of Health report “Future in mind: promoting, protecting and improving our children and young people’s mental health and wellbeing” (2015). The aims of the report are contingent on the ability of local health providers to implement its recommendations. The authors provide a theoretical approach to enable this implementation. Originality/value: To date there are no published papers addressing the key characteristics enabling implementation of evidence-based practice within CAMHS. The unique experience in forming the“1419” service has important implications nationally and brings together evidence of an effective service within a theoretical underpinned context. (Publisher abstract)
Include us too: developing and improving services to meet the mental health needs of people with learning disabilities; a workbook for commissioners and managers in mental health and learning disability services
- Author:
- COLE Angela
- Publisher:
- University of London. King's College. Institute for Applied Health and Social Po
- Publication year:
- 2002
- Pagination:
- 71p.
- Place of publication:
- London
This workbook is for commissioners and managers in mental health and learning disability services. It is about helping people with learning disabilities to maintain good mental health or to have a good lifestyle and good support if they have mental health problems. It is about what commissioners and managers can do to secure positive outcomes for people, outcomes indicated in national policy documents like the National Service Framework for Mental Health, in Valuing People (the White Paper on learning disability service) and in Joint Investment Planning Initiatives.
Mental health services for children and young people: the past, present and future of service development and policy
- Author:
- CHARMAN Stella
- Journal article citation:
- Mental Health Review, 9(2), June 2004, pp.6-14.
- Publisher:
- Pier Professional
Provides an overview of the development of mental health services for children and young people (CAMHS) in England and Wales. Assesses its current position in relation to the national policy agenda, and draws conclusions about how services are likely to change in the future. The comments are based on the author's extensive experience of working as a consultant with CAMHS and on a database of information on over 40 specialist teams.
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.
A shared approach: developing adult mental health services
- Author:
- ACCOUNTS COMMISSION FOR SCOTLAND
- Publisher:
- Accounts Commission for Scotland
- Publication year:
- 1999
- Pagination:
- 65p.,diags.,bibliog.
- Place of publication:
- Edinburgh
Study looking at: the development of comprehensive services to meet the needs of users and carers; expenditure on mental health services by the NHS and local authorities in Scotland; how these resources are being used and the extent to which they are being targeted, in line with government policy, on people with the most serious and enduring mental health problems; and examining the ways in which health bodies, local authorities and other agencies are working jointly to plan and provide comprehensive mental health services in Scotland.