This guideline covers identifying, treating and managing depression in people aged 18 and over. It recommends treatments for first episodes of depression and further-line treatments, and provides advice on preventing relapse, and managing chronic depression, psychotic depression and depression with a coexisting diagnosis of personality disorder. This guideline includes recommendations on: principles of care; recognition and assessment; choice and delivery of treatments; treatment for a new episode of less severe depression; treatment for a new episode of more severe depression; behavioural couples therapy; preventing relapse; further-line treatment; chronic depressive symptoms; depression in people with a diagnosis of personality disorder; psychotic depression; electroconvulsive therapy, transcranial magnetic stimulation and implanted vagus nerve stimulation; access, coordination and delivery of care.
(Edited publisher abstract)
This guideline covers identifying, treating and managing depression in people aged 18 and over. It recommends treatments for first episodes of depression and further-line treatments, and provides advice on preventing relapse, and managing chronic depression, psychotic depression and depression with a coexisting diagnosis of personality disorder. This guideline includes recommendations on: principles of care; recognition and assessment; choice and delivery of treatments; treatment for a new episode of less severe depression; treatment for a new episode of more severe depression; behavioural couples therapy; preventing relapse; further-line treatment; chronic depressive symptoms; depression in people with a diagnosis of personality disorder; psychotic depression; electroconvulsive therapy, transcranial magnetic stimulation and implanted vagus nerve stimulation; access, coordination and delivery of care.
(Edited publisher abstract)
Subject terms:
depression, mental health problems, treatment, mental health services;
Community Mental Health Journal, 57(3), 2021, pp.405-415.
Publisher:
Springer
The COVID-19 pandemic has presented a formidable challenge to care continuity for community mental health clients with serious mental illness and for providers who have had to quickly pivot the modes of delivering critical services. Despite these challenges, many of the changes implemented during the pandemic can and should be maintained. These include offering a spectrum of options for remote and in-person care, greater integration of behavioral and physical healthcare, prevention of viral exposure, increased collaborative decision-making related to long-acting injectable and clozapine use, modifying safety plans and psychiatric advance directives to include new technologies and broader support systems, leveraging natural supports, and integration of digital health interventions. This paper represents the authors’ collaborative attempt to both reflect the changes to clinical practice we have observed in CMHCs across the US during this pandemic and to suggest how these changes can align with best practices identified in the empirical literature.
(Edited publisher abstract)
The COVID-19 pandemic has presented a formidable challenge to care continuity for community mental health clients with serious mental illness and for providers who have had to quickly pivot the modes of delivering critical services. Despite these challenges, many of the changes implemented during the pandemic can and should be maintained. These include offering a spectrum of options for remote and in-person care, greater integration of behavioral and physical healthcare, prevention of viral exposure, increased collaborative decision-making related to long-acting injectable and clozapine use, modifying safety plans and psychiatric advance directives to include new technologies and broader support systems, leveraging natural supports, and integration of digital health interventions. This paper represents the authors’ collaborative attempt to both reflect the changes to clinical practice we have observed in CMHCs across the US during this pandemic and to suggest how these changes can align with best practices identified in the empirical literature.
(Edited publisher abstract)
Subject terms:
mental health services, community care, telehealth, mental health problems;
NATIONAL HEALTH SERVICE. Improving Access to Psychological Therapies
Publisher:
National Health Service. Improving Access to Psychological Therapies
Publication year:
2009
Pagination:
11p.
Place of publication:
London
The background and policy framework is explained. Offenders' problems gaining access to adequate health and social care services are outlined. Sections then discuss understanding offenders' needs, removing barriers to access, engaging with offenders and training and developing the workforce.
The background and policy framework is explained. Offenders' problems gaining access to adequate health and social care services are outlined. Sections then discuss understanding offenders' needs, removing barriers to access, engaging with offenders and training and developing the workforce.
Subject terms:
mental health problems, mental health services, offenders;
This guideline covers the identification and treatment of depression in children (5-11 years) and young people (12-18 years) in primary, community and secondary care. The guidance covers: the care children and young people with depression can expect to get from their doctor, nurse or counsellor; the information they can expect to be given; what they can expect from treatment; and the kinds of services that can help young people and children with depression, including family doctor (general practitioner or GP), health staff at school, and specialists in clinics or hospitals.
(Edited publisher abstract)
This guideline covers the identification and treatment of depression in children (5-11 years) and young people (12-18 years) in primary, community and secondary care. The guidance covers: the care children and young people with depression can expect to get from their doctor, nurse or counsellor; the information they can expect to be given; what they can expect from treatment; and the kinds of services that can help young people and children with depression, including family doctor (general practitioner or GP), health staff at school, and specialists in clinics or hospitals.
(Edited publisher abstract)
Subject terms:
depression, mental health problems, mental health services, children, young people;
This report describes the current global context of mental health. Beginning with an outline of the current burden of mental disorders, the module sets the stage by describing the historical background to the current situation and summarising recent developments in the understanding, treatment and care of people with mental disorders. An analysis is provided of trends in global health reform and their implications for mental health. To illustrate how these global trends can be addressed by governments, and to introduce the reader to the guidance package, a summary is then provided of the modules in the guidance package. This module will enable readers to gain an understanding of the global context of mental health and to select which modules will be useful to them in their particular situations. Part of a series on good practice in mental health care.
This report describes the current global context of mental health. Beginning with an outline of the current burden of mental disorders, the module sets the stage by describing the historical background to the current situation and summarising recent developments in the understanding, treatment and care of people with mental disorders. An analysis is provided of trends in global health reform and their implications for mental health. To illustrate how these global trends can be addressed by governments, and to introduce the reader to the guidance package, a summary is then provided of the modules in the guidance package. This module will enable readers to gain an understanding of the global context of mental health and to select which modules will be useful to them in their particular situations. Part of a series on good practice in mental health care.
Subject terms:
mental health care, mental health problems, mental health services, policy, United Nations;
Mental health legislation is essential for protecting the rights of people with mental disorders, who comprise a vulnerable section of society. This module provides information to help guide the development of mental health legislation. The module begins by setting out the activities that are required before legislation is formulated. The content of legislation is then described, including substantive provisions for specific mental health legislation and legislation impacting on mental health. Process issues in mental health legislation are then outlined, including drafting procedures, consultation and the implementation of legislation. Part of a series on good practice in mental health care.
Mental health legislation is essential for protecting the rights of people with mental disorders, who comprise a vulnerable section of society. This module provides information to help guide the development of mental health legislation. The module begins by setting out the activities that are required before legislation is formulated. The content of legislation is then described, including substantive provisions for specific mental health legislation and legislation impacting on mental health. Process issues in mental health legislation are then outlined, including drafting procedures, consultation and the implementation of legislation. Part of a series on good practice in mental health care.
Extended abstract:
Author
WORLD HEALTH ORGANIZATION.
Title
Quality improvement for mental health.
Publisher
World Health Organization, 2003
Summary
This module of the Mental Health Policy and Service Guidance Package provides a step-by-step programme that should assist countries to improve the quality of mental health care.
Context
In mental health care, quality is a measure of whether services increase the likelihood of desired mental health outcomes and are consistent with current evidence-based practice. This definition incorporates two components. For people with mental disorders, their families and the population as a whole, it emphasises that services should produce positive outcomes. For practitioners, service planners and policy makers, it emphasises the best use of current knowledge and technology. Improved quality means that mental health services should preserve the dignity of people with mental disorders; provide accepted and relevant clinical and non-clinical care aimed at reducing the impact of the disorder and improving the quality of life of people with mental disorders; use interventions which help people with mental disorders to cope by themselves with their mental health disabilities; make more efficient and effective use of scarce mental health resources; and ensure that quality of care is improved in all areas, including mental health promotion, prevention, treatment and rehabilitation in primary health care, out-patient, in-patient and community residential facilities.
Contents
An executive summary is followed by the aims and target audience. It has two purposes: to ensure that quality is placed firmly on the policy agenda for mental health care; and to provide practical guidance for the implementation of quality improvement mechanisms in mental health services at national and local level. It is intended for policy-makers and planners, administrators, mental health workers, people with mental disorders, their families and representative organisations.
The introduction explains the importance and value of quality in mental health care and provides a conceptual guide to the issue of quality improvement and some of the approaches developed in order to improve quality. The core of the book is Chapter 2, which takes the user from policy alignment to review of mechanisms in seven steps, subdivided into tasks: align policy for quality improvement; design a standards document; establish accreditation procedures; monitor the mental health service by using the quality mechanisms; integrate quality improvement into the ongoing management and delivery of services; and review the quality mechanisms. Chapter 3 gives barriers and solutions and Chapter 4 recommendations and conclusions. The main recommendations are: countries should adapt this guidance in accordance with their specific circumstances and needs. Specific recommendations are made in relation to the level of quality development in countries' mental health services. By improving the quality of care, countries can increase the likelihood of outcomes reflecting the desires and aspirations of the populations served. The goal of quality improvement is ultimately to respect the rights of people with mental disorders, ensure they are provided with the best available evidence-based care, increase self-reliance and improve the quality of life. Annex 1 is a glossary of terms, Annex 2 lists clinical guidelines that may be used as references for countries' mental health service development, and annex 3 is a country example, the accreditation of therapeutic communities in Chile . Much information is given in figures and boxes, and many sections have key points.
43 references
Subject terms:
mental health care, mental health problems, mental health services, quality assurance, United Nations;
ANNA FREUD NATIONAL CENTRE FOR CHILDREN AND FAMILIES, NATIONAL ASSOCIATION OF HEAD TEACHERS, PSHE ASSOCIATION
Publisher:
National Association of Head Teachers
Publication year:
2020
Pagination:
16
Place of publication:
Haywards Heath
This guidance aims to help school leaders and their staff, in all phases of education, support children and young people with their mental health and wellbeing in light of the impact of the coronavirus pandemic, by outlining some universal approaches for all pupils and for with those with low-level mental health needs. The guide covers the impact of coronavirus pandemic on children and young peoples’ mental health and well-being; how the experiences of COVID-19 and lockdown might affect pupils when they return to school; how to support pupils to readjust, recover and move forwards; fear, anxiety and uncertainty; transitions; relationships; self-regulation, concentration and engagement; what schools and teachers can do through PSHE education; and supporting the well-being of school staff. The guide recognises that coronavirus is amplifying the inequalities associated with social determinants of mental and physical health. Several social and economic factors (e.g. poverty and separation from parents and carers) make some young people more vulnerable to the mental health challenges of the pandemic. Children and young people from homes where domestic abuse is a concern are at increased risk of mental health difficulties.
(Edited publisher abstract)
This guidance aims to help school leaders and their staff, in all phases of education, support children and young people with their mental health and wellbeing in light of the impact of the coronavirus pandemic, by outlining some universal approaches for all pupils and for with those with low-level mental health needs. The guide covers the impact of coronavirus pandemic on children and young peoples’ mental health and well-being; how the experiences of COVID-19 and lockdown might affect pupils when they return to school; how to support pupils to readjust, recover and move forwards; fear, anxiety and uncertainty; transitions; relationships; self-regulation, concentration and engagement; what schools and teachers can do through PSHE education; and supporting the well-being of school staff. The guide recognises that coronavirus is amplifying the inequalities associated with social determinants of mental and physical health. Several social and economic factors (e.g. poverty and separation from parents and carers) make some young people more vulnerable to the mental health challenges of the pandemic. Children and young people from homes where domestic abuse is a concern are at increased risk of mental health difficulties.
(Edited publisher abstract)
Subject terms:
children, school children, mental health, mental health problems, Covid-19, mental health services, wellbeing;
This report sets out key principles and recommendations towards developing a whole prison approach to good mental health for people in contact with the criminal justice system, especially those with protected characteristics. It highlights the barriers experience in maintaining their mental health and wellbeing in prison. It outlines three key principles in order to develop a foundation for a holistic approach to support good mental health: Respond to everyone's needs - including people from groups protected under the Equality Act (2010); Continuity of care throughout an individual's sentence - including entering and leaving custody and transferring between custodial settings; and Creating a wellbeing culture for all that is embedded in the structure and core business of all those working in the custodial estate. The report was commissioned by the VCSE Health and Wellbeing Alliance and in particular highlights the role of the voluntary sector in supporting a whole prison approach to mental health care. It has been informed by a literature review and two workshops with representatives from the voluntary and public sectors. Case studies of good practice are included.
(Edited publisher abstract)
This report sets out key principles and recommendations towards developing a whole prison approach to good mental health for people in contact with the criminal justice system, especially those with protected characteristics. It highlights the barriers experience in maintaining their mental health and wellbeing in prison. It outlines three key principles in order to develop a foundation for a holistic approach to support good mental health: Respond to everyone's needs - including people from groups protected under the Equality Act (2010); Continuity of care throughout an individual's sentence - including entering and leaving custody and transferring between custodial settings; and Creating a wellbeing culture for all that is embedded in the structure and core business of all those working in the custodial estate. The report was commissioned by the VCSE Health and Wellbeing Alliance and in particular highlights the role of the voluntary sector in supporting a whole prison approach to mental health care. It has been informed by a literature review and two workshops with representatives from the voluntary and public sectors. Case studies of good practice are included.
(Edited publisher abstract)
Subject terms:
prisons, prisoners, holistic care, mental health problems, health needs, mental health services, access to services;
A guide to help standardise staffing decisions for mental health services in community and inpatient settings. This resource is designed to help commissioners and providers of NHS commissioned services, create, review and sustain safe and effective specialist health services for people with mental health needs of all ages. The resource draws on evidence from a commissioned rapid review of literature and professional review of practice. It aims to provide principles and an assurance framework to help standardise approaches to making decisions about staffing in a multidisciplinary mental health setting, within organisations and across the system supporting the patient experience and outcomes.
(Edited publisher abstract)
A guide to help standardise staffing decisions for mental health services in community and inpatient settings. This resource is designed to help commissioners and providers of NHS commissioned services, create, review and sustain safe and effective specialist health services for people with mental health needs of all ages. The resource draws on evidence from a commissioned rapid review of literature and professional review of practice. It aims to provide principles and an assurance framework to help standardise approaches to making decisions about staffing in a multidisciplinary mental health setting, within organisations and across the system supporting the patient experience and outcomes.
(Edited publisher abstract)
Subject terms:
mental health services, mental health care, mental health problems, NHS, staff development, staffing levels, staff management;
A practice guide providing advice on what needs to be considered for progressing towards ‘transformative co-production’ in mental health services. The advice is presented as three ‘steps’: understanding the context and environment in which co-production is going to take place; creating the right conditions for co-production to work; and working together and achieving parity and genuine collaboration. Each step is illustrated by practice lessons from what different people and organisations in the field have tried and tested, with direct quotes from the examples to illustrate key points. The guide also includes three short case studies from different mental health settings, which are: experience-based co-design on an NHS Trust inpatient mental health ward; improving the physical health of people admitted to a mental health ward; and peer-led mental health support provider project. The guide will be particularly useful for mental health service users, carers and their organisations as well as practitioners and managers who want to engage with and understand transformative coproduction. It is one of a series of publications produced as part of the NDTi’s ‘Peoples Voice’ programme with funding from the Esmée Fairbairn Foundation has been co-produced with people who use services. A checklist of key questions to consider and actions that can be taken when thinking about and starting a co-productive project has also been produced alongside this guide.
(Edited publisher abstract)
A practice guide providing advice on what needs to be considered for progressing towards ‘transformative co-production’ in mental health services. The advice is presented as three ‘steps’: understanding the context and environment in which co-production is going to take place; creating the right conditions for co-production to work; and working together and achieving parity and genuine collaboration. Each step is illustrated by practice lessons from what different people and organisations in the field have tried and tested, with direct quotes from the examples to illustrate key points. The guide also includes three short case studies from different mental health settings, which are: experience-based co-design on an NHS Trust inpatient mental health ward; improving the physical health of people admitted to a mental health ward; and peer-led mental health support provider project. The guide will be particularly useful for mental health service users, carers and their organisations as well as practitioners and managers who want to engage with and understand transformative coproduction. It is one of a series of publications produced as part of the NDTi’s ‘Peoples Voice’ programme with funding from the Esmée Fairbairn Foundation has been co-produced with people who use services. A checklist of key questions to consider and actions that can be taken when thinking about and starting a co-productive project has also been produced alongside this guide.
(Edited publisher abstract)
Subject terms:
co-production, mental health problems, mental health services, service development, case studies, collaboration, good practice;