Search results for ‘Subject term:"mental health problems"’ Sort:
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NICE impact mental health
- Author:
- NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE
- Publisher:
- National Institute for Health and Care Excellence
- Publication year:
- 2019
- Pagination:
- 22
- Place of publication:
- London
This Impact report considers how NICE's evidence-based guidance contributes to improvements in the care of people with mental health conditions. It focuses on impact in the following areas: common mental health problems - including digital enabled therapies and improving access for south Asian women; severe mental health problems - covering early intervention and improving physical health; people's experience of care, and improving mental health provision for children and young people. (Edited publisher abstract)
Multisectoral mental health networks in Belgium: an example of successful mental health reform through service delivery redesign
- Authors:
- BORGERMANS Liesbeth, et al
- Publisher:
- World Health Organization. Regional Office for Europe
- Publication year:
- 2019
- Pagination:
- 4
- Place of publication:
- Copenhagen
A good practice briefing looking at reforms carried out in Belgium in response to the need for improved people-centred approaches for people with mental health conditions. The reform aimed to strengthen the community-based care and to reduce the number of psychiatric hospital beds; it improved care integration, social rehabilitation and service users’ recovery, including users' and carers' quality of life. Central to the reform are multisectoral mental health care networks offering outreach services, prevention, in-and outpatient mental health services, primary care, day care, and vocational, housing and social care services. The reform contributed to improving the long-term health of patients and reducing hospital stays. It also significantly reduced the number of psychiatric hospital beds in favour of outreach services to people with mental health conditions. (Edited publisher abstract)
Report on the key themes from the Mental Health Act Survey: independent Mental Health Act review
- Authors:
- DURCAN Graham, HARRIS Androulla
- Publisher:
- Centre for Mental Health
- Publication year:
- 2018
- Pagination:
- 42
- Place of publication:
- London
Key themes from an analysis of responses to a survey, carried out to provide evidence for an independent review of the Mental Health Act 1983. The survey received over 2,000 responses from people with direct experience of the Mental Health Act 1983, that is those who had been detained or were currently detained, and people who were a carer for a person detained. This report focuses on the desired changes and reforms that respondents expressed a view on. It also includes people's experiences of the Mental Health Act, being detained under section or caring for someone detained under section. Survey results include that there was an acceptance of the necessity of compulsory detention and assessment and treatment under the Mental Health Act. However, concerns included: that in some cases little or no treatment was available unless someone was detained under the Act, that Community Treatment Orders were often perceived as being the only reliable guarantee of quick access to a bed when inpatient treatment was required, the 'paucity' of care offered when detained in hospital, a lack of appropriate community care, and carers sometimes not feeling informed or taken seriously. (Edited publisher abstract)
Be the change: ensuring an effective response to all in psychiatric emergency equal to medical care
- Authors:
- NHS CLINICAL COMMISSIONERS, RI INTERNATIONAL
- Publishers:
- NHS Clinical Commissioners, RI International
- Publication year:
- 2018
- Pagination:
- 20
- Place of publication:
- London
This report outlines ten recommendations in order to address inequalities and improve urgent and emergency mental health care for people in crisis. It also identifies good practice in systems around the world that could be adapted and adopted in other regions. The recommendations were developed at an international summit on urgent and emergency mental healthcare attended by a group of 50 leaders from the UK and USA. The ten recommendations, aimed at government, policymakers and those implementing health and social services, include to: end the current fragmentation of care through an integrated, systematic approach at the national level; actively develop crisis service alternatives to the usual emergency measures of formal assessment and psychiatric inpatient care; include special consideration to cater for armed forces veterans; develop balanced scorecard dashboards that provide meaningful data and outcome measures that support continuous quality improvement; embed users, peers and carers in the design and leadership of crisis systems; for agencies to support a zero-suicide aspiration; and for family and friends to be fully engaged in crisis care. (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)
A critical narrative analysis of shared decision-making in acute inpatient mental health care
- Author:
- STACEY Gemma
- Journal article citation:
- Journal of Interprofessional Care, 30(1), 2016, pp.35-41.
- Publisher:
- Taylor and Francis
Shared decision-making (SDM) is a high priority in healthcare policy and is complementary to the recovery philosophy in mental health care. This agenda has been operationalised within the Values-Based Practice (VBP) framework, which offers a theoretical and practical model to promote democratic interprofessional approaches to decision-making. However, these are limited by a lack of recognition of the implications of power implicit within the mental health system. This study considers issues of power within the context of decision-making and examines to what extent decisions about patients’ care on acute in-patient wards are perceived to be shared. Focus groups were conducted with 46 mental health professionals, service users, and carers. The data were analysed using the framework of critical narrative analysis (CNA). The findings of the study suggested each group constructed different identity positions, which placed them as inside or outside of the decision-making process. This reflected their view of themselves as best placed to influence a decision on behalf of the service user. In conclusion, the discourse of VBP and SDM needs to take account of how differentials of power and the positioning of speakers affect the context in which decisions take place. (Publisher abstract)
Is mental health care improving?: topic overview
- Author:
- DORMON Felicity
- Publisher:
- Health Foundation
- Publication year:
- 2015
- Pagination:
- 18
- Place of publication:
- London
This overview uses available data to assess the quality of health care services for people with mental health problems in England. It focuses on three different groups: adults with common mental health problems, adults with severe and enduring mental health problems, and children and young people. For each of these three groups it provides data and statistics: on referral and access to services, waiting times, experience and outcomes for each of the three groups. The data finds that availability of the services for people with common mental health problems, such as depression and anxiety disorders, is improving through the Adults access to the Improving Access to Psychological Therapies (IAPT) programme. It also finds that demand for secondary mental health care is increasing, and here is evidence to suggest services are becoming less accessible and treatment more coercive. Very little national information about mental health services for children and young people is available and what information there is suggests quality is declining. lt is concluded that despite many improvements to services, mental health services still tend to be of lower quality than those with physical health. This was seen to be particularly true for those with severe mental health problems and for children and young people. (Edited publisher abstract)
Stronger code: better care. Government response to the Consultation on the Mental Health Act 1983: code of practice
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2014
- Pagination:
- 90
- Place of publication:
- London
This document summarises responses and key theme identified from the consultation on revising the Mental Health Act 1983: Code of Practice. The consultation gave respondents an opportunity to evaluate how policies are being delivered and realised in practice, in areas including the use of restrictive interventions, seclusion, use of police powers to detain people in places of safety, and the use of community treatment orders. The consultation received almost 350 responses. Details are provide of the major changes made to the specific Code chapters and what respondents wanted to change, but have remained as they are. (Edited publisher abstract)
Mental Health Act 1983: code of practice
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2015
- Pagination:
- 457
- Place of publication:
- Norwich
This code of practice provides guidance to mental health professionals and other practitioners on how they should carry out their duties under the Mental Health Act. As well as providing guidance for professionals, the revised code of practice also guides patients, their families and carers on their rights. Chapters are grouped into seven areas: Using the Act; Protecting patient's rights and autonomy; Assessment, transport and admission to hospital; Additional considerations for the needs of specific patients; Care, support and treatment in hospital; Leaving hospital; and additional information for professional with specific responsibilities under the Act. Subjects covered in individual chapters include: the nearest relative; independent mental health advocates; mental capacity and deprivation of liberty; detention in hospital; police community treatment orders; guardianship; after care; and care programme approach. The code of practice will come into force on 1 April 2015, depending on Parliamentary approval. (Edited publisher abstract)
Public mental health: evidence, practice and commissioning
- Author:
- CAMPION Jonathan
- Publisher:
- Royal Society for Public Health
- Publication year:
- 2019
- Pagination:
- 233
- Place of publication:
- London
Based on a review of recent literature, this report summarises evidence around public mental health practice. Public mental health practice takes a population approach to mental health which includes three levels of mental disorder prevention and mental wellbeing promotion. The review covers: the impact of mental health problems and of mental wellbeing; risk factors for mental disorder and protective factors for mental wellbeing; groups at higher risk of poor mental health; effective interventions to treat mental disorder and to prevent associated impacts, preventing mental disorder from arising and promoting mental wellbeing; and economic savings of different public mental health interventions. It finds that despite the existence of cost-effective public mental health interventions, only a minority of people with a mental condition in England receive any treatment, receive interventions to prevent associated impacts or receive intervention to prevent mental conditions or promote mental wellbeing. It sets out a number of actions to improve coverage of evidence based interventions to reduce the population impact of mental disorder and promote population mental wellbeing. The report has been endorsed by the Association of Directors of Public Health, Faculty of Public Health, Health Education England, Local Government Association, Royal College of General Practitioners, Royal College of Psychiatrists and RSPH (Royal Society of Public Health). (Edited publisher abstract)