Search results for ‘Subject term:"mental health problems"’ Sort:
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Getting heard
- Author:
- ZUCCHELLI Fabio
- Journal article citation:
- Mental Health Today, January/February 2014, pp.12-13.
- Publisher:
- Pavilion
- Place of publication:
- Hove
The Hearing Voices Movement has become established in the UK and provides an alternative to the traditional psychiatric view to what hearing voices means. This article provides a brief history of the movement and the development of the Network in the UK. It also looks at how the approach works within mental health services and with practitioners. (Original abstract)
Key facts and trends in mental health: 2014 update
- Author:
- NHS CONFEDERATION. Mental Health Network
- Publisher:
- NHS Confederation. Mental Health Network
- Publication year:
- 2014
- Pagination:
- 8
- Place of publication:
- London
In 2011, the Mental Health Network (MHN) published a factsheet on key statistics and trends in mental health. This updated factsheet reflects new figures, statistics and resources, and givees an overview of the major trends and challenges facing mental health services. This factsheet sets out available data relating to: investment in services; trends in morbidity; suicide and homicide rates; service activity; use of mental health legislation; the mental health of children and young people; service user experience; inequalities experienced by people with mental health problems; and workforce and staff satisfaction.. (Edited publisher abstract)
Mental health treatment requirements: guidance on supporting integrated delivery
- Author:
- NATIONAL OFFENDER MANAGEMENT SERVICE
- Publisher:
- National Offender Management Service
- Publication year:
- 2014
- Pagination:
- 24
- Place of publication:
- London
This (non-statutory) guidance seeks to provide support to service commissioning and provider agencies so that appropriate mental health service provision and inter-agency partnerships enable MHTR delivery locally. The MHTR is intended for the sentencing of offenders convicted of an offence(s) which is below the threshold for a custodial sentence and who have a mental health problem which does not require secure in-patient treatment. The guidance reflects the changes to responsibility for probation services in England and Wales from 2014 resulting from the Government's Transforming Rehabilitation reforms and the Offender Rehabilitation Act 2014. It outlines the legal framework and the challenges in delivering MHTR and sets out an integrated delivery model. This comprises: partnership, contributions and responsibilities; clerks of the court and sentencers; consent; health agencies; providers of probation services; and mental health assessments. (Edited publisher abstract)
Dual diagnosis discourse in Victoria Australia: the responsiveness of mental health services
- Authors:
- ROBERTS Bridget M., MAYBERY Darryl
- Journal article citation:
- Journal of Dual Diagnosis, 10(3), 2014, pp.139-144.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
In recent decades, psychiatric services have been challenged to be more responsive to patients’ coexisting problems, in particular those concerning substance use. In Australia this has been referred to as a “No Wrong Door” approach. This qualitative study involved a review of the research literatures, analysis of policy documents, and interviews with 19 key informants in a case study of the State of Victoria, Australia. Informants were from a range of professional backgrounds, including medical, nursing, social work, and a variety of experience in the relevant service sectors. The analysis resulted in two broad themes surrounding the implications of dual diagnosis discourse for the mental health sector. The first involves progress regarding the concept of No Wrong Door with subthemes including interprofessional cultural conflicts, intersectoral professional status issues, terminology, problem definition, perspectives on serious mental illness, the role of the client, and pharmacological treatment. The second overarching theme focuses upon informants’ thoughts on future directions for the sector and highlights divided opinion on the implications of dual diagnosis discourse for the mental health service and social care systems. While the perspectives on system change and multiple issues such as resource concerns and cultural clashes are presented here, the informants in this study also gave clear guidance for the future of dual diagnosis work in the mental health sector (e.g., focusing on orienting services toward consumer strengths and recovery), along with recommendations for future research. This paper contributes to the small body of qualitative research on the history and course of efforts to develop appropriate practice in mental health services with regard to patients who have substance use problems and other mental health disorders. (Edited publisher abstract)
A critique of the diagnostic construct schizophrenia
- Author:
- WONG Stephen E.
- Journal article citation:
- Research on Social Work Practice, 24(1), 2014, pp.132-141.
- Publisher:
- Sage
This article examines problems in the clinical utility of the diagnosis of schizophrenia including reliance on questionable data, arbitrary criteria and categorization, inadequate precision for assessment and treatment evaluation, and omission of information on causal current and historical environmental factors. Some alternatives to the Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-5) are briefly considered including continuous recording of individual client’s specific problems and goals, and functional assessments and functional analyses. The article discusses how biomedical assumptions implicit in the DSM-5 diverts mental health workers’ attention from social adversity factors contributing to the development of psychotic behavior and available psychosocial interventions for this disorder, thereby perpetuating biomedical dominance of mental health services. (Publisher abstract)
Together for mental health: annual report 2013-14
- Author:
- WALES. Welsh Government
- Publisher:
- Welsh Government
- Publication year:
- 2014
- Pagination:
- 63
- Place of publication:
- Cardiff
This is the second annual report on the implementation of the Welsh Government mental health strategy. The review focuses on four overarching themes, which include: promoting better mental well-being and preventing mental health problems, which covers support in schools, support for families and communities, support in the workplace, support for older people and prevention of suicide and self-harm; a new partnership with the public, focusing on promoting equality, tackling stigma and discrimination, raising mental health awareness, engagement of service users and carers and deprivation of liberty safeguards; a well designed, fully integrated network of care, looking at progress around safety and dignity, the duties set out in the Mental Health (Wales) Measure 2010, integrated services and service priorities; one system to improve mental health, focusing on financial aspects, housing and accommodation, and the physical health of people with mental health problems; and delivering for mental health, which examines the workforce development. The document also sets out the key priorities for the future, including: child and adolescent mental health services; psychological therapies; dementia; older people; and suicide and self-harm. (Edited publisher abstract)
Prevalence, patterns and possibilities: the experience of people from black and ethnic minorities with mental health problems in the criminal justice system
- Author:
- KANE Eddie
- Publisher:
- NACRO
- Publication year:
- 2014
- Pagination:
- 12
- Place of publication:
- London
Drawing on the findings from key reports and analysis of available data, this paper examines the experiences of people from black and minority ethnic communities with mental health problems in contact with the criminal justice system. It presents statistics to show how black and minority ethnic groups are disproportionately represented within the criminal justice system in England and Wales at all levels of contact. It also highlights ethnic minority groups' differential access to health services and summarises other key areas of inequality. Areas identified for action are: the need to improve awareness and trust between services and those in contact with the criminal justice system; better access to care for people from black and minority ethnic people with mental health problems and better data collection to help contribute to a greater understanding of existing inequalities. Other lessons from related fields include the need for cultural competence; partnership working with groups in black and minority ethnic communities; more user involvement in service design, and adopting a whole person approach rather than focusing on only the immediate problem or offence. (Edited publisher abstract)
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 exploration of service user and practitioner experiences of community treatment orders
- Authors:
- STROUD Julia, DOUGHTY Karolina, BANKS Laura
- Publisher:
- University of Brighton
- Publication year:
- 2014
- Pagination:
- 97
- Place of publication:
- Brighton
This research study investigates service user and practitioner experiences of community treatment orders (CTOs) within a climate of personalisation of services that aims to provide service users with increased autonomy and choice over their care. A CTO is the legislative power by which patients with mental health difficulties who are treated involuntarily in hospital can be discharged into the community but still remain subject to compulsory treatment. The CTO thus extends the setting for involuntary treatment from being exclusively confined to the hospital ward to the community. A case study method was used in relation to CTOs in the trust area and included quantitative analysis of trust data and semi-structured qualitative interviews with 72 participants including service users, nearest relatives, care coordinators, responsible clinicians, approved mental health professionals and service (accommodation) providers. The study findings suggest CTOs can be effective for the ‘right’ service user with certain needs and perceptions: for example, to work within clear boundaries. CTOs were perceived as more successful in teams where they were carefully planned over time as an appropriate intervention, rather than where they were made almost as a matter of course. The study indicates a number of specific ways in which CTOs could be better aligned with ethical practice and person-centred care. These include: full involvement of service users in all stages of the process; approved mental health professionals involvement as early as possible in any team discussions about the potential making of a CTO; avoiding decision-making around the making of the CTO taking place during a ward round since this can be a disempowering environment for the service user; nearest relatives to be involved where appropriate; and better information and training on CTOs to be provided to service users and providers. (Edited publisher abstract)
An exploration of service user and practitioner experiences of community treatment orders
- Author:
- NATIONAL INSTITUTE FOR HEALTH RESEARCH. School for Social Care Research
- Publisher:
- NIHR School for Social Care Research
- Publication year:
- 2014
- Pagination:
- 4
- Place of publication:
- London
Summarises the findings of a research study exploring service user and practitioner experiences of community treatment orders (CTOs) in the Sussex Partnership NHS Trust area, within a policy context of person-centred care that aims to provide service users with increased autonomy and choice. A case study method was used in relation to CTOs in the trust area and included quantitative analysis of trust data and semi-structured qualitative interviews with 72 participants including service users, nearest relatives, care coordinators, responsible clinicians, approved mental health professionals and service (accommodation) providers. The study findings suggest CTOs can be effective for the ‘right’ service user with certain needs and perceptions: for example, to work within clear boundaries. CTOs were perceived as more successful in teams where they were carefully planned over time as an appropriate intervention, rather than where they were made almost as a matter of course. The study indicates a number of specific ways in which CTOs could be better aligned with ethical practice and person-centred care. These include: full involvement of service users in all stages of the process; approved mental health professionals involvement as early as possible in any team discussions about the potential making of a CTO; avoiding decision-making around the making of the CTO taking place during a ward round since this can be a disempowering environment for the service user; nearest relatives to be involved where appropriate; and better information and training on CTOs to be provided to service users and providers. (Edited publisher abstract)