Search results for ‘Subject term:"mental health problems"’ Sort:
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Could experts by experience gain positions of real power?
- Author:
- CLEWES Jane
- Journal article citation:
- Mental Health Today, November/December 2014, pp.24-27.
- Publisher:
- Pavilion
- Place of publication:
- Hove
Experts by experience rarely get positions of real power in secondary mental health services. This article discusses the barriers facing experts by experience and whether they can have real power to influence decision making in service development within NHS mental health services. (Edited publisher abstract)
An urgent need: We Need to Talk’s manifesto for better talking therapies for all
- Author:
- WE NEED TO TALK COALITION
- Publisher:
- MIND
- Publication year:
- 2014
- Pagination:
- 4
- Place of publication:
- London
Sets out an action plan for improving access to psychological therapies for people with mental health problems, drawing on findings from a 2014 survey of 2,000 people who have tried to access talking therapies within the last two years. The study showed that one third of people had to ask for therapy, rather than being offered and half had waited more than three months for an assessment, with 1 in 10 waiting more than a year for assessment. While waiting for therapy 67 per cent of people became more mentally unwell, 40 per cent harmed themselves and 1 in 6 attempted to take their own life. The manifesto calls on the Government to invest in psychological therapies, so that the NHS in England can offer a full range of evidence-based psychological therapies to all who need them within 28 days of requesting a referral. In particular, it advocates: a commitment to equality between physical and mental health; greater investment in talking therapies; the introduction of national access standards and waiting times; improving the choice of therapies people are able to access, choice about when and where they access them, as well as help to take informed decisions; increasing access to psychological therapies for children and young people; and expanding research and evidence base for talking therapies. (Edited publisher abstract)
Integrating personal budgets for people with mental health problems
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2014
- Place of publication:
- London
A guide for professionals charged with integrating personal budgets for adults of working age with mental health problems. The guide provides an overview of the terminology and policy background and puts forward some recommendations for implementing integrated personal budgets in mental health. It describes what a good integrated personal budget looks like, highlights some of the challenges of integration, looks at what works well and provides examples from practice. It also examines the key areas that need to be tackled for integration at the point of the individual to become a reality. The guide draws on a review of available published research evidence, practice examples and visits to sites attempting to implement integrated personal budgets. An Advisory Group ensured the guide reflected experience and practice at the grass-roots level of service provision. (Edited publisher abstract)
Improving mental health through social support: building positive and empowering relationships
- Author:
- LEACH Jonathan
- Publisher:
- Jessica Kingsley
- Publication year:
- 2014
- Pagination:
- 208
- Place of publication:
- London
This book examines the nature of social support and offers a practical approach to how it can be enhanced. Social support is the everyday assistance offered by family, friends, neighbours and colleagues, as well as the foundations of support in a range of non-clinical settings, and plays a vital role in a person's mental health and wellbeing. Focusing on the relationships between service users and supporters, this book examines service users' experiences of issues of identity, stigma, social exclusion and social networks. Individual chapters look in depth at how social support is enacted in close relationships, educational institutions and in the world of employment. The nature of 'community' is explored with particular reference to how service users can be supported into greater engagement with social networks. (Edited publisher abstract)
Patient experience of MDT care and decision-making
- Authors:
- O'DRISCOLL William, et al
- Journal article citation:
- Mental Health Review Journal, 19(4), 2014, pp.265-278.
- Publisher:
- Emerald
Purpose: This paper explores physical and mental health patients’ experience of multidisciplinary team (MDT) care and decision making in order to highlight factors underlying effective care and to identify areas in which patient experience could be improved. Design/methodology/approach: Totally, 12 MDTs within the North Thames area participated; the authors recruited 13 patients from physical health MDTs and seven patients from mental health MDTs. The authors conducted semi-structured interviews with each participant and thematically analysed the transcripts. Findings: The study found a marked contrast in patient experience: physical health patients emphasised their faith in the judgement of MDT clinicians, described experiencing high quality care and expressed a strong preference not to attend MDT meetings; mental health patients highlighted a range of negative experiences, were frequently sceptical about their diagnosis, and expressed a desire to have greater involvement in the decisions directing their care. Research limitations/implications: It was necessary to revise the initial target of interviewing six patients per MDT due to recruitment difficulties. Practical implications: In order to improve care, mental health MDTs should focus on promoting a shared understanding of illness by increasing the transparency of the diagnostic process. Key factors underlying effective MDT care in physical health services include enabling patients to determine their level of involvement in decision making and ensuring patients have a clear understanding of their care plan. Originality/value: The paper highlights the importance of mental health MDTs focusing on developing a shared understanding of illness with their patients. (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)
Technology-based interventions in social work practice: a systematic review of mental health interventions
- Authors:
- RAMSEY Alex T., MONTGOMERY Katherine
- Journal article citation:
- Social Work in Health Care, 53(9), 2014, pp.883-899.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This systematic review describes accounts of technology-based mental health interventions delivered by social workers over the past 10 years. Searches were conducted on the following databases: Academic Search Complete, Academic Search Premier, ERIC, PsycINFO, CINAHL, CINAHL Plus, PsycARTICLES, MEDLINE, Social Work Abstracts, and PsycCRITIQUES. A total of 5,289 items were retrieved, 87 full articles were assessed and resulted in six articles that reported on five studies for the final inclusion. The content and target population of the technology-based interventions spanned widely, including computer-based cognitive behavioural therapy to treat childhood anxiety, online self-help groups to manage recovery in sex offending adults, and videophone hospice care support for senior caregivers. Results highlight the impacts of these tools and summarize advantages and disadvantages to utilising technologies as a method for delivering or facilitating interventions. (Edited publisher abstract)
The costs of perinatal mental health problems
- Authors:
- BAUER Annette, et al
- Publisher:
- Centre for Mental Health
- Publication year:
- 2014
- Pagination:
- 43
- Place of publication:
- London
This report sets out the findings of a project on the economic and social impact of maternal mental health problems in the perinatal period, defined as the period during pregnancy and the first year after childbirth. The report finds that taken together, perinatal depression, anxiety and psychosis carry a total long-term cost to society of about £8.1 billion for each one-year cohort of births in the UK. This is equivalent to a cost of just under £10,000 for every single birth in the country. Nearly three-quarters of this cost relates to adverse impacts on the child rather than the mother. The current provision of services is widely described as patchy, with significant variations in coverage and quality around the country. The report demonstrates that given the costs of perinatal mental health problems, even a relatively modest improvement in outcomes as a result of better services would be sufficient to justify the additional spending on value for money grounds. (Edited publisher abstract)
Achieving better access to mental health services by 2020
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2014
- Pagination:
- 20
- Place of publication:
- London
Sets out the government plan to end the disparity of esteem for mental health and achieve better access to mental health services. This comprises a first phase in 2014-15 in which substantial investments will be targeted to end the practice of young people being admitted to mental health beds far away from where they live, or from being inappropriately admitted to adult wards; to support people in mental health crisis; and to boost early intervention services, that help some of the most vulnerable young people to get well and stay well. The second phase, from next year, will see the introduction of access standards and waiting time standards for mental health services, with the aim to deliver: treatment within 6 weeks for 75 per cent of people referred to the Improving Access to Psychological Therapies programme, with 95 per cent of people being treated within 18 weeks; treatment within 2 weeks for more than 50 per cent of people experiencing a first episode of psychosis. Additional targeted investment is also promised to help people in crisis to access effective support in more acute hospitals. Subject to future resourcing decisions following the next Spending Review, the final phase from 2016 to 2020, would see the continuous staged roll out of these new access and waiting time standards across the whole of mental health services in England. (Edited publisher abstract)
Transforming mental health: a plan of action for London
- Authors:
- GILBURT Helen, EDWARDS Nigel, MURRAY Richard
- Publisher:
- King's Fund
- Publication year:
- 2014
- Pagination:
- 52
- Place of publication:
- London
This report describes a vision for the future of mental health provision in London, generated through a process of engagement with key stakeholders in the capital. The vision is based on a collaborative, integrated approach towards mental health that is relevant in London and elsewhere. A number of key steps have been identified to support systemic implementation of this vision. These are: developing a process of collaborative commissioning to facilitate change; driving change through collective systems leadership; ensuring that service users and clinicians are at the core of provision; using contracting systems to support integration; building a public health approach to mental wellbeing; developing pan-London solutions to increase impact; improving the availability of meaningful outcomes data; utilising London’s academic infrastructure to disseminate best practice; and creating a new narrative for mental health. The report includes an evaluation of the impact of mental illness in London, examines the determinants of mental health needs in the London's population and offers and overview of the current provision of services. (Edited publisher abstract)