Search results for ‘Subject term:"mental health problems"’ Sort:
Results 1 - 10 of 56
Patient suicide: the impact of service changes: a UK wide study
- Author:
- NATIONAL CONFIDENTIAL INQUIRY INTO SUICIDE AND HOMICIDE BY PEOPLE WITH MENTAL ILLNESS
- Publisher:
- University of Manchester
- Publication year:
- 2013
- Pagination:
- 18
- Place of publication:
- Manchester
The National Confidential Inquiry into Suicide and Homicide by People with Mental Illness (NCISH) aimed to examine the relationship between mental health service changes and patient suicide rates in the UK. The specific objectives were to investigate: the take up of service changes over time; the association between the number of service changes implemented and suicide rates; the association between service changes and suicide rates before and after their implementation; and the effect of individual service changes on specific patient sub-groups. A detailed service questionnaire was sent to all mental health services in the UK. Questions related to whether specific policies or service changes had been implemented. 17 recommendations and service changes were selected for consideration, reflecting their clinical and policy importance. (Edited publisher abstract)
SOS: a relational orientation towards social inclusion
- Authors:
- DENHAM-VAUGHAN Sally, CHIDIAC Marie-Anne
- Journal article citation:
- Mental Health and Social Inclusion, 17(2), 2013, pp.100-107.
- Publisher:
- Emerald
Purpose – Relational approaches have become fashionable in a variety of areas from organisational to clinical interventions, however the practical implications of such approaches are still misunderstood. This paper aims to define what we mean by “relational” and explores how understanding and practising a specific type of relational approach is necessary to truly promote social inclusion and recovery. Design/methodology/approach – A hypothetical case study is described giving a practical illustration of how a relational approach would be used in the context of the provision of socially inclusive mental health services. Findings – The paper makes the case for a relational and socially inclusive approach to change. A three-pronged “SOS” model calling attention to the exploration of Self, Other and Situation is outlined. Most importantly, the model attempts to balance the complex and varying needs of clients, others and the wider situation/community/organisation, as opposed to primarily focussing on individual “fault/lack”. Research limitations/implications – The paper relies on self-report methods from a relatively small number of individuals. Originality/value – The paper challenges a still predominant individualistic paradigm to change. Instead it suggests the need to redirect attention to clients’ existing relational supports to effect quicker and more sustainable change. (Publisher abstract)
Clinicians, researchers and community activism: lessons for mental health services from another field of medicine - HIV/AIDS
- Author:
- MILLER Robert
- Journal article citation:
- Psychiatrist (The), 37(3), 2013, pp.81-84.
- Publisher:
- Royal College of Psychiatrists
Consumer participation in mental health services has grown in recent years. Preceding this, a very productive collaboration in another area - the emerging crisis of HIV/AIDS - built a coalition of service users, researchers and clinicians which had a decisive impact on research and saved many lives. There is much to learn from this for the mental health field, where, at present, partnership between service users, caregivers, researchers and clinicians is not such a productive force. This editorial outlines the respective histories in these two areas and the lessons to be learnt for consumer involvement in the mental health field. (Publisher abstract)
Mental health bulletin: annual report from MHMDS returns England 2011-12: initial national figures
- Author:
- NATIONAL HEALTH SERVICE. Information Centre for Health and Social Care
- Publisher:
- National Health Service. Information Centre for Health and Social Care
- Publication year:
- 2013
- Pagination:
- 48
- Place of publication:
- Leeds
The statistics and analysis set out in this annual report from the Mental Health Minimum Dataset relate to data on NHS funded specialist mental health services for adults for the financial year 2011/12. The report presents national analysis (a second publication, due for publication in spring 2013, will include organisation level analysis). It covers people using services (including hospital and community care, age and gender, legal status of people who spent time in hospital, complexity of care, and analysis by ethnic group) and service activity (including contact with health care professionals and day care attendances, and inpatient activity). A special feature in the report uses a linked data set to compare mortality rates of those in contact with mental health services with the general population and provides information about cause of death. The report includes information about the new version of the Mental Health Minimum Dataset and changes to data sources and processing.
Showing restraint
- Author:
- MacATTRAM Matilda
- Journal article citation:
- Mental Health Today, January/February 2013, pp.10-11.
- Publisher:
- Pavilion
- Place of publication:
- Hove
Sean Riggs lost his life after being restrained by a team of police officers, while in urgent need of mental health care. This case has led some to demand a review of how patients from this community are treated in relation to both policing and mental health. Riggs, suffering from schizophrenia, had stopped taking his medicine and hostel staff noted he was becoming increasingly unwell. Police eventually arrested him, but instead of taking him to a hospital he was transferred to Brixton police station where he collapsed and died. This article discusses the inquest verdict and the follow-up action that has since been put in place. It also discusses lessons learned from this, and similar, cases, and suggests methods for training those responsible for these situations.
Social networks for mental health clients: resources and solution
- Authors:
- KOGSTAD Ragnfrid Eline, MONNESS Erik, SORENSEN Tom
- Journal article citation:
- Community Mental Health Journal, 49(1), 2013, pp.95-100.
- Publisher:
- Springer
Several studies have illustrated the importance of social support and social networks for persons with mental health problems. Social networks may mean a reduced need for professional services, but also help to facilitate access to professional help. The interplay between social networks and professional services is complicated and invites further investigation. Compare aspects of clients’ experiences with social networks to experiences with professional services and learn about the relationship between network resources and help from the public health service system. Quantitative analyses of a sample of 850 informants. Supportive networks exist for a majority of the informants and can also be a substitute for public/professional services in many respects. Regarding help to recover, social networks may offer qualities equal to those of professional services. Furthermore, there is a positive relationship between trust in a social network and trust in public professional services. Trust in a social network also increases the probability of achieving positive experiences with professional services. Our findings imply that more network qualities should be included in professional services, and also that professionals should assist vulnerable groups in building networks. (Publisher abstract)
A comparison of different models to meet the mental health needs of adults with intellectual disabilities
- Authors:
- SHEEHAN Rory, PASCHOS Dimitrios
- Journal article citation:
- Advances in Mental Health and Intellectual Disabilities, 7(3), 2013, pp.161-168.
- Publisher:
- Emerald
This paper aims to review the current knowledge on different ways of structuring psychiatric services to meet the needs of people with intellectual disability and co-morbid mental illness. It summarises the current debate and presents evidence from original research and opinion from clinical experience. It briefly at a number of different models, including: community care, community intellectual disability services, mainstream services, teritary' specialist services, in-patient care, generic vs specialist wards, specialist in-patient beds on general psychiatric wards, and emergency psychiatric services. The authors find a lack of robust research evidence to support any particular model of service provision. However, it seems to be increasingly accepted that purely generic models of care for people with intellectual disabilities and co-morbid mental illness are not appropriate. Integration of the expertise from specialist services within mainstream services is presented as potentially the most advantageous approach. (Edited publisher abstract)
The CORE-10: a short measure of psychological distress for routine use in the psychological therapies
- Authors:
- BARKHAM Michael, et al
- Journal article citation:
- Counselling and Psychotherapy Research, 13(1), 2013, pp.3-13.
- Publisher:
- Wiley
Background: There is a need for a generic, short, and easy-to-use assessment measure for common presentations of psychological distress in UK primary care mental health settings. This paper sets out the development of the CORE-10 in response to this need. Method: Items were drawn from the CORE-OM and 10 items were selected according to a combination of usefulness, coverage of item clusters, and statistical procedures. Three CORE-OM datasets were employed in the development phase: (1) a primary care sample, (2) a sample from an MRC platform trial of enhanced collaborative care of depression in primary care, and (3) a general population sample derived from the Office of National Statistics Psychiatric Morbidity Follow-up survey. A fourth dataset comprising a sample from an occupational health setting was used to evaluate the CORE-10 in its standalone format. Results: The internal reliability (alpha) of the CORE-10 was .90 and the score for the CORE-10 correlated with the CORE-OM at .94 in a clinical sample and .92 in a non-clinical sample. The clinical cut-off score for general psychological distress was 11.0 with a reliable change index (90% CI) of 6. For depression, the cut-off score for the CORE-10 was 13 and yielded sensitivity and specificity values of .92 (CI=.83–1.0) and 0.72 (CI=.60–.83) respectively. Conclusion: The CORE-10 is an acceptable and feasible instrument that has good psychometric properties and is practical to use with people presenting with common mental health problems in primary care settings. (Publisher abstract)
Experiences of discrimination among people using mental health services in England 2008-2011
- Authors:
- CORKER E., et al
- Journal article citation:
- British Journal of Psychiatry, 202(s55), April 2013, pp.s58-s63.
- Publisher:
- Cambridge University Press
To determine whether the Time to Change (TTC) programme target of 5% reduction in discrimination against people using mental health services had been achieved, separate samples of people using mental health services were interviewed annually from 2008 to 2011 using the Discrimination and Stigma Scale. Ninety-one per cent of participants reported one or more experiences of discrimination in 2008 compared with 88% in 2011. The median negative discrimination score was 40% in 2008 and 28% in 2011. The proportion of participants experiencing no discrimination increased significantly over the course of TTC but by less than the initial target. The overall median discrimination score fell by 11.5%. Data from 2010 and 2011 suggest that these gains may be hard to maintain during economic austerity. (Edited publisher abstract)
Monitoring the Mental Health Act in 2012/13; presented to Parliament by the Secretary of State for Health pursuant to section 120D(3) of the Mental Health Act 1983
- Authors:
- CARE QUALITY COMMISSION, GREAT BRITAIN. Department of Health
- Publisher:
- Care Quality Commission
- Publication year:
- 2013
- Pagination:
- 94
- Place of publication:
- Newcastle upon Tyne
This is the fourth annual report by the Care Quality Commission (CQC) on its monitoring of the use of the Mental Health Act 1983. It collates findings of CQC’s specialist MHA visits, the concerns of people who use services and of professional stakeholders, and policy issues relevant to psychiatric detention in England. In 2012/13 people were detained or treated under the MHA more than 50,000 times; and community treatment orders were imposed more than 4,600 times. The total number of people who are subject to the MHA has risen by 12% in the last five years, with 17,000 people detained at the end of 2012/13. The report considers the extent to which mental health services are responsive to people’s needs; ways in which people are subject to restrictions; issues around consent to treatment; access to care during mental health crisis; and deaths of patients subject to the Act. While there is welcome for improvements in access to independent advocacy services, in helping people to draw up advance statements of preferences for care and treatment, the report notes that 27% of care plans showed no evidence of patient involvement. CQC expects there to be change in respect of promoting dignity and autonomy; promoting cultures that support therapeutic practices and reduce restraint and seclusion to a minimum; and being proactive in embedding learning from the deaths of people subject to the Act. (Edited publisher abstract)