Search results for ‘Subject term:"mental health problems"’ Sort:
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Introduction to adult mental health services
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2012
- Pagination:
- 12p.
- Place of publication:
- London
This briefing paper provides an overview of the adult mental health system. and the legislation and guidance that covers the structure and delivery of services. It includes details of key legislation; different ways of working, including care pathways and approaches; commonly used interventions; and general information about mental disorders. It also covers the importance of setting effective protocols for working together. The briefing is aimed at people who have little or no experience in adult mental health services.
Women prisoners: an analysis of the process of hospital transfers
- Authors:
- BARTLETT Annie, et al
- Journal article citation:
- Journal of Forensic Psychiatry and Psychology (The), 23(4), August 2012, pp.538-553.
- Publisher:
- Taylor and Francis
Department of Health guidelines suggest that transfers of prisoners with mental health problems to secure psychiatric hospitals for treatment under the Mental Health Act should take 14 days from first assessment to transfer. This study examined the extent to which transfers of women prisoners from a large women's prison in England met this target. It analysed pre-existing routinely collected data relating to 100 recommendations for hospitalisation to establish rate of transfer and, where applicable, reasons for slow transfer. The article reports on the data analysis and results, including characteristics of women transferred and not transferred to hospital, diagnosis and transfer duration, offending behaviour and transfer duration, and type of hospital placement and transfer duration. The study found that, of the 86 women who completed transfer, only 13% of cases were transferred within the recommended 14 days, and that the process median was 37 days. Less serious offending was related to shorter transfer times, but legal routes intended for urgent hospitalisation under section 48 of the 2007 Mental Health Act were found to be no quicker than other methods. The authors conclude that transfer delays are not acceptable and that the use of the section 48 urgent treatment order needs review.
Good practice guidance: provision of hospital treatment for physical illness where a person with a mental disorder refuses treatment
- Author:
- MENTAL WELFARE COMMISSION FOR SCOTLAND
- Publisher:
- Mental Welfare Commission for Scotland
- Publication year:
- 2010
- Pagination:
- 7p.
- Place of publication:
- Edinburgh
The presence of mental disorder may, for some people, be a barrier to necessary physical health care if the person lacks capacity. This guidance refers specifically to the situation where the person refuses to attend hospital in a situation where others think that such attendance for physical health reasons is necessary. The guidance emphasises the need to carry out a proper assessment of capacity; the need to take account of the views of the individual and other with an interest; and the need to base interventions on an analysis of the risks and benefits, including the risk of not intervening. A flow chart shows the decisions that can be made mental health and incapacity law. Case study examples are also provided.
Mental Health: the role of the approved social worker
- Author:
- SHEPPARD Michael
- Publisher:
- University of Sheffield. Joint Unit for Social Services Research, Community Care
- Publication year:
- 1990
- Pagination:
- 169p., tables, bibliog.
- Place of publication:
- Sheffield
Approved social workers as gatekeepers; assessment for compulsory admission; a schedule for assessing compulsory admission; the role of the ASW in context.
Everyday aspects of the Mental Health Act 1983
- Author:
- PEGLEY Marjorie
- Publisher:
- Northamptonshire Health Authority
- Publication year:
- 1989
- Pagination:
- 69p.
- Place of publication:
- Northampton
A handbook providing information on various aspects of the way the Mental Health Act 1983 operates in practice.
Assessing the mental health needs of older people
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2006
- Place of publication:
- London
- Edition:
- Rev. ed.
This web-based resource provides an overview of information and current practice to all those involved in assessing the social care needs of older people with mental health needs. It is aimed primarily at practitioners undertaking assessments, in particular, those front-line staff who may be the first professional in contact with an older person or their family and friends. The Guide provides access to the information and skills that inform sound judgements in the support of service users and carers. Its coverage includes: messages from research; current policy and guidance; service users and carers; the social workers role in assessment; assessing need; black and minority ethnic older people; implications of the Mental Health Act 1983; and interagency working. Also incorporated in the contents are practice and service examples, useful further reading and links to additional information on the web and to full text of official guidance and standards. (Previously published as SCIE Practice Guide no. 2).
The early experience of consultant psychiatrists in application of the Mental Capacity Act: issues for black and minority individuals
- Authors:
- SHAH Ajit, et al
- Journal article citation:
- Ethnicity and Inequalities in Health and Social Care, 2(2), July 2009, pp.4-10.
- Publisher:
- Emerald
The Mental Capacity Act 2005 (MCA) was fully implemented in October 2007 in England and Wales. This article reports on two similar, but separate, pilot questionnaire studies that examined the experience of consultants in old age psychiatry and consultants in other psychiatric specialities in the early implementation of the MCA pertaining to issues relevant to black and minority ethnic (BME) groups. Fifty-two (27%) of the 196 consultants in old age psychiatry and 113 (12%) of the 955 consultants in other psychiatric specialities returned useable questionnaires. Eighty per cent or more of the consultants in old age psychiatry and consultants in other psychiatric specialities gave consideration to religion and culture and ethnicity in the assessment of decision-making capacity (DMC). Almost 50% of the consultants in old age psychiatry reported that half or more of the patients lacking fluency in English or where English was not their first language received an assessment of DMC with the aid of an interpreter and 40% of the consultants in other psychiatric specialities reported that no such patients received an assessment of DMC with the aid of an interpreter. The low rate of using interpreters is of concern. The nature of the consideration and implementation of factors relevant to culture, ethnicity and religion in the application of the MCA and the precise reasons for the low rate of using interpreters in patients lacking fluency in English or English not being their first language require clarification in further studies.
Powers to detain under mental health legislation in England and the role of the Approved Social Worker: an analysis of patterns and trends under the 1983 Mental Health Act in six local authorities
- Author:
- HATFIELD Barbara
- Journal article citation:
- British Journal of Social Work, 38(8), December 2008, pp.1553-1571.
- Publisher:
- Oxford University Press
The study reported makes use of an existing database in order to examine a group of individuals assessed by approved social workers (ASWs) under the Mental Health Act, with a view to detention in psychiatric hospital. The study aims to develop a profile of these individuals, their pathways to assessment and the outcome of the assessments, and to examine the social implications of the findings. The study also seeks to identify changes over a nine-year period. The role of the ASW is reviewed in the light of the analysis of the nine-year information. Key features in the social situations of individuals are identified that may be associated with mental health need. Specific aspects of gender and life-stage vulnerability are suggested, as are poor material resources, isolation and lifestyle issues such as drug and alcohol misuse. The close association of psychiatric severity and social disadvantage is evident, presenting assessing ASWs with challenging and complex assessments. Mental health social workers are uniquely equipped to identify issues in the social context that may contribute to mental health crisis. Interventions underpinned by social approaches, including social inclusion and the recovery model, have the potential to help provide services in the longer term that provide social support and minimize the need for crisis admission.
Mental Health Act 1983: consultation on the draft revised Mental Health Act 1983 code of practice
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2007
- Pagination:
- 16p.
- Place of publication:
- London
The consultation document invites comments on the draft revised Mental Health Act 1983 Code of Practice (in the light of the Mental Health Act 2007). The Code provides guidance to registered medical practitioners (“doctors”), approved clinicians, managers and staff of hospitals and approved mental health practitioners (who have defined responsibilities under the provisions of the Act), on how they should proceed when undertaking duties under the Act. It should also be considered by others working in health and social services (including the independent and voluntary sectors).
Mental Health Act 1983: draft revised Mental Health Act 1983 code of practice
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2007
- Pagination:
- 237p.
- Place of publication:
- London
The Department of Health has published the draft revised Mental Health Act 1983 Code of Practice and draft secondary legislation under the Mental Health Act 2007 (the 2007 Act). The Code will come into force in October 2008. The Code provides guidance to practitioners and clinicians on how they should proceed when undertaking duties under the Act. It should also be considered by others working in health and social services. The secondary legislation mainly gives effect to the changes to the 1983 Act which are being introduced under the 2007 Act in October 2008 (or, in the case of independent mental health advocacy, as soon as practicable thereafter).