Search results for ‘Subject term:"mental health problems"’ Sort:
Results 1 - 10 of 20
A framework for mental health research
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2017
- Pagination:
- 53
- Place of publication:
- London
Policy document providing a collective view of how mental health research should develop in the UK over the next decade, developed in collaboration with academics, research funders and people who have mental health problems. The framework sets out a structure to improve co-ordination and strengthen the focus on areas where mental health research is likely to translate into significant health benefit. It describes the impact mental health problems can have on individuals, its wider societal and economic consequences. It also explains the importance of mental health research in driving innovation in mental health care and provides case studies to illustrate the UK’s current strengths and the difference UK-based research has already made. In identifying the current barriers to mental health research in the UK and future research opportunities, the Framework highlights the importance of taking a life-course approach to mental health research; the value of involving of people with mental health problems; the need for securing closer integration of mental and physical health research to maximise research capacity. It provides ten recommendations to address the barriers and opportunities for UK mental health research. (Edited publisher abstract)
Analysis of the association of clubhouse membership with overall costs of care for mental health treatment
- Authors:
- HWANG Seungyoung, EATON William W.
- Journal article citation:
- Community Mental Health Journal, 53(1), 2017, pp.102-106.
- Publisher:
- Springer
This study examined whether frequency of attendance at the B’More Clubhouse was associated with lower mental health care costs in the Medicaid database, and whether members in the B’More Clubhouse (n = 30) would have lower mental health care costs compared with a set of matched controls from the same claims database (n = 150). Participants who attended the Clubhouse 3 days or more per week had mean 1-year mental health care costs of US $5697, compared to $14,765 for those who attended less often. B’More Clubhouse members had significantly lower annual total mental health care costs than the matched comparison group ($10,391 vs. $15,511; p < 0.0001). Membership in the B’More Clubhouse is associated with a substantial beneficial influence on health care costs. (Edited publisher abstract)
What staffing structures of mental health services are associated with improved patient outcomes? A rapid review
- Authors:
- LAWES Anna, MARCUS Elena, PILLING Steve
- Publisher:
- NHS Improvement
- Publication year:
- 2017
- Pagination:
- 22
- Place of publication:
- London
This rapid review is a summary of the best available evidence on safe staffing structures of mental health teams to inform the development of specific sustainable safe staffing guidance for the National Safe Sustainable Staffing Guidance Programme Board. The starting point for the review was evidence from mental health settings. It included studies from inpatient and community mental health settings in the following domains: adult mental health; child and adolescent; mental health; forensic mental health; learning disabilities and neurodevelopmental disorders; and older people’s mental health and dementia. The findings cover these four broad areas: staff numbers and skills; staff productivity; staff wellbeing and support; unit culture/organisation and leadership. The review found there were considerable limitations in the available data. The reviews identified were sparse and predominantly of low quality. There was limited evidence for child and adolescent mental health services (CAMHS), forensic services and community mental health teams. (Edited publisher abstract)
Establishing core mental health workforce attributes for the effective mental health care of people with an intellectual disability and co-occurring mental ill health
- Authors:
- WEISE Janelle, FISHER Karen R., TROLLOR Julian N.
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 30(Supplement S1), 2017, pp.22-33.
- Publisher:
- Wiley
Background: People with intellectual disability experience high rates of mental ill health but multiple barriers to access to quality mental health care. One significant barrier to access is a generalist mental health workforce that lacks capacity, and consensus on what constitutes core workforce competencies in this area. As such, the first step in developing a comprehensive strategy that addresses these barriers is to define the core mental health workforce attributes. Methods: Thirty-six intellectual disability mental health experts from across Australia participated in a modified online Delphi which aimed to reach consensus on the core attributes required of the generalist mental health workforce. At the end of each Delphi round, descriptive analyses and thematic analyses were completed. Results: Consensus was reached among the participants for 102 attributes across 14 clinical domains. The results highlighted specific attributes in all areas of clinical practice, especially for communication (e.g., utilises assistive communication technology), assessment (e.g., assess contributing factors to behaviours) and intervention (e.g., uses integrative interventions).Conclusion: A comprehensive strategy is required to facilitate the generalist mental health workforce to obtain these attributes. (Edited publisher abstract)
A successful implementation strategy to support adoption of decision making in mental health services
- Authors:
- MACDONALD-WILSON Kim L., et al
- Journal article citation:
- Community Mental Health Journal, 53(3), 2017, pp.251-256.
- Publisher:
- Springer
Individual involvement in treatment decisions with providers, often through the use of decision support aids, improves quality of care. This study investigates an implementation strategy to bring decision support to community mental health centres (CMHC). Fifty-two CMHCs implemented a decision support toolkit supported by a 12-month learning collaborative using the Breakthrough Series model. Participation in learning collaborative activities was high, indicating feasibility of the implementation model. Progress by staff in meeting process aims around utilisation of components of the toolkit improved significantly over time. Survey responses by individuals in service corroborate successful implementation. Community-based providers were able to successfully implement decision support in mental health services as evidenced by improved process outcomes and sustained practices over 1 year through the structure of the learning collaborative model. (Edited publisher abstract)
Perceptions of emerging adults who accessed residential treatment and entered a parental role
- Authors:
- TRAN Amy, et al
- Journal article citation:
- Social Work in Mental Health, 15(2), 2017, pp.184-208.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Youth who accessed residential mental health treatment (RT) continue to experience challenges related to their emotional and behavioural disorders, and continue to struggle in several life domains. Some of these youth also become parents. The purpose for this report was to explore the perceptions of emerging adults who accessed RT as a child or youth, and who became parents, about their life domains. These participants (n = 12) reported continued challenges in several domains of living, and some reported that impending parenthood helped motivate them to improve their behaviours. Many reported continued reliance on previous social workers. Implications for practice are discussed. (Edited publisher abstract)
Mental Health Act assessments: professional narratives on alternatives to hospital admission
- Author:
- HALL Peter
- Journal article citation:
- Journal of Social Work Practice, 31(4), 2017, pp.445-459.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This article draws on themes derived from research conducted as part of a doctoral study, using Framework Analysis, in which fifteen mental health professionals were involved in nine Mental Health Act assessments in the UK. In this work, risk is explored in terms of the social context, using a social constructionist perspective, in which concepts of ‘social crisis/mental illness’, professional negotiations and social capital are explored. The key findings highlighted: the social constructions of service users’ worlds, as presented by the Approved Social Workers (ASWs) and Home Treatment Professionals (HTPs), were notably different; the negotiations between the ASWs and HTPs provided the ASWs with a number of roles including negotiator, deal-maker and decision-maker; and the service user’s social network and the provision of home treatment showed that the ‘treatments’ provided can be seen as a shared role. Finally, the implications for contemporary mental health social work practice are presented. (Publisher abstract)
Online mental health support of young people
- Author:
- FRITH Emily
- Publisher:
- Education Policy Institute
- Publication year:
- 2017
- Pagination:
- 48
- Place of publication:
- London
This report summarises recent research on online mental health care for young people, including research on efficacy and key issues associated with providing counselling and advice via the Internet. It then focuses on the Kooth online counselling model, developed by XenZone. Using data provided by Kooth, the report examines the demographics of those using online mental health support; the patterns of service usage; and client feedback and initial outcomes monitoring. The research also conducted interviews and analysed local data from three Kooth services in Hertfordshire, Plymouth and Halton. It found that in all three areas young people appreciated the anonymity, confidentiality, accessibility and control offered by online counselling. Local commissioners also valued the data about service use and that the service could reach groups that were not always accessing traditional services. Despite the benefits, the commissioners all acknowledged the need for a blended approach so that face-to-face support was available for those young people who did not want to receive counselling online. The report concludes by outlining what further research could be undertaken to evaluate the impact of blending online support with a traditional face-to-face mental health service. (Edited publisher abstract)
National Confidential Inquiry into Suicide and Homicide by People with Mental Illness. Annual report: England, Northern Ireland, Scotland and Wales. October 2017
- Author:
- NATIONAL CONFIDENTIAL INQUIRY INTO SUICIDE AND HOMICIDE BY PEOPLE WITH MENTAL ILLNESS
- Publisher:
- University of Manchester
- Publication year:
- 2017
- Pagination:
- 132
- Place of publication:
- Manchester
Presents data and analysis on suicide, homicides and sudden unexplained deaths in the UK between 2005 and 2015, focusing on mental health. As well as providing data for the individual countries of the UK, it also provides UK-wide data for suicide in people with eating disorders, autism spectrum disorders, people living with dementia, carers and members of the armed forces. The report also makes recommendations for clinical practice to improve safety in mental health care. Key findings show that there were 1,538 patient suicides in the UK in 2015. Northern Ireland has the highest general population suicide rate, while the rates in the other countries have fallen. There have also been downward trends in the number of suicides by patients recently discharged from hospital in England and Scotland; and suicide by mental health in-patients. Messages to improve mental health care include a renewed emphasis on suicide prevention on in-patient wards; for services to build on the recent fall in suicide following discharge from in-patient care; and for a greater focus on alcohol and drug misuse as a key component of risk management in mental health care. (Edited publisher abstract)
Evaluation of the Belhaven service: research report
- Authors:
- BOXFORD Stephen, et al
- Publisher:
- Great Britain. Department for Education
- Publication year:
- 2017
- Pagination:
- 48
- Place of publication:
- London
An evaluation of the Belhaven residential care project, which provides mental health treatment in a local residential care home to reduce the risk of referral to mental health inpatient services (CAMHS) and breakdown of educational and care arrangements for young people. Referrals to the service come from young people’s social workers at Suffolk County Council. During the evaluation period 5 young people accessed Belhaven services. Due to the small numbers of children accessing the service, the report does not provide conclusions about the effectiveness of the services, but looks at its impact to date and progress concerning its implementation. The evaluation found evidence that the service led to fewer episodes of hospitalisation for 3 young people, and to avoidance of admission to CAMHS inpatient service in at least one case; positive outcomes in relation to education; positive improvements in mental and emotional health and wellbeing; and improved relationships with family and friends for some young people. The report makes recommendations for the future development of the service. (Edited publisher abstract)