Search results for ‘Subject term:"mental health problems"’ Sort:
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Learning from mental health PHBs in Stockport
- Authors:
- DEAN Shirley, ROBERTS Doreen, ROBERTS Ian
- Publisher:
- All Together Positive
- Publication year:
- 2016
- Pagination:
- 35
- Place of publication:
- Stockport
An evaluation of the implementation of mental health personal health budgets in Stockport. Evidence gained by the PHB project confirmed people’s reliance on costly emergency services at times of crisis yet they had a strong reluctance to engage further with traditional services. Reliance on emergency services dramatically reduced once planning began and self-defined, individualised, alternative support solutions were planned to meet outcomes. The cohort were seen as complex and costly prior to receiving a PHB, yet interestingly enough they only required modest budgets to meet their outcomes and reduced reliance on traditional emergency services. The reduction in use of emergency services after the PHB planning process emphasises the importance of people being in control and being encouraged and supported to find more personal, practical and easily managed solutions and alternative coping strategies. Using solution-focused thinking led to people searching for their ‘perfect-fit’ solution to changes they wanted and needed to make in their personal circumstances, once funding was released they were easily implemented. Opting-in to the PHB process, person-centred planning and individualised goal setting enabled the person to be fully involved, having choice and control over their support solutions from the beginning of their involvement. Testimonies show the significance placed on the PHB approach ‘feeling different’ to traditional service responses, by using the values of co-production, personalisation and recovery, focusing on assets and resilience and having motivational conversations developed confidence in the process. (Edited publisher abstract)
Co-production in mental health care
- Author:
- CLARK Michael
- Journal article citation:
- Mental Health Review Journal, 20(4), 2015, pp.213-219.
- Publisher:
- Emerald
Co-production is becoming a more widely used term in mental health care in England, but it is not always clear what this means nor what the evidence base is behind particular uses of the concept. This editorial provides a short review and discussion of some key issues and evidence relevant to co-production in mental health in order to highlight the challenges with operationalising more co-production. Some key historical insights from other moves to transform mental health care are discussed, recognising that these developments can take a long time to reach maturity in services and practice across the whole country. The editorial then provides an overview of the other articles on co-production in this special edition. The discussion of research and of the other articles in this special edition helps to highlight what foundations there are in place for greater co-production in mental health care, and what remains as some of the challenges and gaps in the knowledge. (Edited publisher abstract)
Admission of patients to mental health facilities in Wales, 2014-15
- Authors:
- DOLMAN Rachel, WALES. Welsh Government. Knowledge and Analytical Services
- Publisher:
- WALES. Welsh Government. Knowledge and Analytical Services
- Publication year:
- 2015
- Pagination:
- 12
- Place of publication:
- Cardiff
This release contains summary information on the number of patients admitted to mental health facilities in Wales both formally and informally, and patients subject to supervised community treatment. In 2014-15, there were 9,762 admissions (excluding place of safety detentions) to mental health facilities in Wales, a decrease of 532 (5 per cent) from 2013-14. 1,921 were admitted under the Mental Health Act 1983 (excluding place of safety detentions) and other legislation, a 14 per cent increase on previous year. There were 240 patients subject to supervised community treatment. Of this total, 163 were male and 77 were female. (Original abstract)
What works in promoting social and emotional well-being and responding to mental health problems in schools?
- Author:
- WEARE Katherine
- Publisher:
- National Children's Bureau
- Publication year:
- 2015
- Pagination:
- 15
- Place of publication:
- London
This advice covers two overlapping areas of school practice: promoting positive social and emotional wellbeing for all in schools, and tackling the mental health problems of pupils in more serious difficulty. Based on evidence from systematic reviews, this guidance sets out a framework of effective approaches, which include: adopting whole school thinking; engaging the whole community; prioritising professional learning and staff development; implementing targeted programmes and interventions (including curriculum); developing supportive policy; connecting appropriately with approaches to behaviour management; and implementing targeted responses and identifying specialist pathways. The study concludes that a focus on wellbeing and mental health directly supports the promotion of effective learning. (Edited publisher abstract)
Youth with mental illness: attitudes towards and therapeutic benefits of residential stepped care
- Authors:
- MAGOR-BLATCH Lynne E., INGHAM Laura
- Journal article citation:
- Community Mental Health Journal, 51(3), 2015, pp.338-346.
- Publisher:
- Springer
There is little research reporting the 'lived experience' of young people undertaking treatment for mental health conditions. This pilot study explores the phenomenological experiences of a small group of six young people aged 14-18 years who were resident of a youth stepped-care mental health program in the Australian Capital Territory. Using semi-structured interviews, data were collected and two main themes emerged: (a) 'Life engagement' and (b) 'Relationships.' Participants also provided responses on self-report measures at baseline and follow-up and feedback on aspects of the program. Further research is suggested to build on this study to increase research outcomes. (Edited publisher abstract)
Zero tolerance; measured response: responding to violence in mental health or learning disability care settings
- Author:
- MENTAL WELFARE COMMISSION FOR SCOTLAND
- Publisher:
- Mental Welfare Commission for Scotland
- Publication year:
- 2012
- Pagination:
- 16p.
- Place of publication:
- Edinburgh
Although workplace violence is unacceptable, when it relates to mental ill-health within a care setting the issues are complex. Staff may be caught between providing appropriate and sensitive care for people whose mental disorder results in violence, and reporting significant incidents to the police in order to protect the person, other service users and themselves. This guidance looks at best practice in responding to incidents of violence in learning disability and mental health settings. It reflects the findings of a national consultation with a wide range of stakeholders using a number of anonymised case examples. The guidance questions the traditional idea of ‘zero tolerance’ and aims towards developing a more measured response. The 2 essential outcomes from all incidents of violence in mental health and learning disability care settings are: ensuring the safety of all persons; and ensuring that the needs of the person for care and treatment (and the needs of any others affected by the incident, including staff) continue to be met in a safe and appropriate care setting. A number of recommendations are provided on the development of policies in response to violent incidents. [An updated version titled 'Responding to violence in a mental health or learning disability care setting' was published in 2017].
Mental health in intellectual disabilities: a reader
- Authors:
- BOURAS Nick, HARDY Steve, HOLT Geraldine
- Publisher:
- Pavilion
- Publication year:
- 2012
- Pagination:
- 200p.
- Place of publication:
- Hove
The fourth edition of this reader draws together contributions from experts in the field to provide up-to-date information on mental health problems in people with intellectual disabilities. Recent changes include: The Mental Capacity Act (2005) which came into operation in 2007; the 2007 revision of The Mental Health Act (1983); and the introduction of the Deprivation of Liberty Safeguards in 2008. There is also emerging evidence of the effectiveness of psychosocial interventions for people with intellectual disabilities. The revisions encompass these changes. Two chapters are dedicated to the new legal and policy frameworks and information on the Care Programme Approach (1990) is included. There are chapters on specific mental health problems, these include: psychosis spectrum disorders; mood, anxiety and eating disorders; personality disorders and substance misuse; neuropsychiatric disorders and epilepsy; and autism. Other topics discussed include: assessment of mental health problems; biological interventions; psycho-social interventions; policy and mental health care for people with intellectual disabilities; staff support and training; consent to treatment; challenging behaviour; and working with families, children, older people and offenders. (The reader provides background knowledge for facilitators using Mental Health in Learning Disabilities: A training resource but can be used as independent resource.)
The making of a film about recovery
- Authors:
- CARSON Jerome, et al
- Journal article citation:
- Mental Health and Social Inclusion, 16(2), 2012, pp.72-78.
- Publisher:
- Emerald
The Recovery Film, a 20 minute film about recovery directed and edited by someone who has lived experience of mental health problems and featuring only service users, was launched in 2011. It was funded by the charitable trustees of the South London and Maudsley NHS Foundation Trust. This article explains how the film came about and describes the process of making it. A number of service users were auditioned for the film and four were chosen to participate. The article illustrates the main themes from the film, with quotations from participants to illustrate the narrative: the experience of being mentally ill, what caused mental illness, what recovery is, what helped people, and the process of recovery. The film is available on the internet http://www.slam.nhs.uk/patients/recovery.aspx www.slam.nhs.uk/patients/recovery.aspx (Edited publisher abstract)
Conceptual framework for personal recovery in mental health: systematic review and narrative synthesis
- Authors:
- LEAMY Mary, et al
- Journal article citation:
- British Journal of Psychiatry, 199(6), December 2011, pp.445-452.
- Publisher:
- Cambridge University Press
A recovery orientation is mental health policy in most Anglophone countries. However the implications of recovery orientation for working practice are unclear and guidelines for developing recovery–based services have only recently become available. Current approaches to understanding personal recovery are primarily based on qualitative research or consensus methods. The aims of this study were to undertake a systematic review of the available literature and to use a modified narrative synthesis to develop a new conceptual framework for recovery. A conceptual framework in this context being a network, or a plane, of interlinked concepts that together provide a comprehensive understanding of the phenomenon and an empirical basis for future recovery-orientated research and practice. A total of 5208 papers were identified, 366 reviewed, and 97 were included in this analysis. The emergent conceptual framework consists of: 13 characteristics of the recovery journey; five recovery processes comprising: connectedness; hope and optimism about the future; identity; meaning in life; and empowerment (giving the acronym CHIME); and recovery stage descriptions which mapped onto the transtheoretical model of change. Studies that focused on recovery for individuals of black and minority ethnic origin showed greater emphasis on spirituality and stigma and identified two additional themes: culturally specific facilitating factors and collectivist notions of recovery.
No one leaves unchanged: insights for civilian mental health care professionals into the military experience and culture
- Authors:
- COLL Jose E., WEISS Eugenia L., YARVIS Jeffrey S.
- Journal article citation:
- Social Work in Health Care, 50(7), August 2011, pp.487-500.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Military personnel form a fairly distinct subset of American society, governed by a separate set of laws, norms, traditions and values. Service members indoctrinated into such an influential culture can experience adjustment problems upon re-entry into the larger society. It is therefore critical for civilian mental health care practitioners to be well-informed of the military experience in order to administer culturally sensitive prevention and intervention services in order to effectively meet the needs of military personnel. This article starts by describing the military culture and values. It goes on to provide an overview of the major mental health concerns that are prevalent in combat veterans, especially for those returning from Operation Iraqi Freedom (OIF) and Operation Enduring Freedom (OEF), and presents a brief overview of treatment modalities implemented both within and outside of the military. Practical therapeutic suggestions for clinicians with little or no knowledge of the military are discussed.