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Consumption of mental health services by people with intellectual disabilities
- Authors:
- SPILLER Mary Jane, et al
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 20(5), September 2007, pp.430-438.
- Publisher:
- Wiley
This study examined the distribution of service resources using a mental health service for people with learning disabilities. A service consumption index based on the number of outpatient clinics attended, contacts with the community psychiatric nurses, home visits by a psychiatrist and the number of admissions was constructed. This consumption index was used to divide the sample (n = 115) into two groups: heavy and light service users. Logistic regression analysis indicated that, after controlling for the length of service contact, individuals with a diagnosis of schizophrenia spectrum disorder and those with a greater number of affective/neurotic symptoms were more likely to be heavy service users. Age, living situation and the degree of intellectual disabilities were not found to be significant predictors of service consumption. The results also suggest that a small proportion of service users consumed almost half of the service resources.
Inside job
- Author:
- FORREST Emma
- Journal article citation:
- Health Service Journal, 17.11.05, 2005, pp.28-30.
- Publisher:
- Emap Healthcare
With 80 per cent of prisoners suffering mental health problems, PCTs are facing an enormous task when they take on prison health services in April next year. This article looks at how specialist teams are preparing for the task ahead.
The data trap
- Author:
- BALBERNIE Robin
- Journal article citation:
- Young Minds Magazine, 73, November 2004, p.34.
- Publisher:
- YoungMinds
Discusses the problems of collecting data in CAMHS services. Focuses on the target for seeing new referrals and argues that collecting data does not necessarily improve health care provision.
Improving access to Independent Mental Health Advocacy for providers of mental health services
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2015
- Pagination:
- 5
- Place of publication:
- London
The majority of patients detained under the Mental Health Act 1983 are eligible, under section 130 of the 2007 Act, to access Independent Mental Health Advocate (IMHA) services. However research has shown that less than half of those qualifying for an IMHA appear to be accessing them. This summary and flowchart provide the essential information needed to implement an open access policy. Open access means qualifying patients are automatically referred to IMHA services unless they object. This approach has implications for IMHA service capacity; resourcing; consent and confidentiality. This summary of how to implement an open access process for IMHA services should be considered in conjunction with the Improving Open Access to IMHA flowchart. (Edited publisher abstract)
Facilitating mental health service use for caregivers: referral strategies among child welfare caseworkers
- Authors:
- BUNGER Alicia C., CHUANG Emmeline, McBEATH Bowen
- Journal article citation:
- Children and Youth Services Review, 34(4), April 2012, pp.696-703.
- Publisher:
- Elsevier
Caregivers involved with the child welfare system are disproportionately likely to have mental health needs. Child welfare caseworkers are well positioned to identify service needs and refer caregivers to treatment. The aim of this study was to examine child welfare caseworkers' use of different referral strategies and the extent to which these strategies are associated with caregivers' receipt of mental health services. The study utilised data from the second cohort of families from the National Survey of Child and Adolescent Well-Being. The sample used for this study comprised 640 caregivers who were assessed by caseworkers as needing mental health services and for whom a referral was made. Analysis suggests that child welfare workers more often use informational strategies for referring caregivers, including suggesting treatment or providing information about treatment options. However, social referral strategies such as providing caregivers with direct assistance in completing applications and making and attending appointments were associated with a greater likelihood of caregivers receiving mental health services. These findings indicate that service use is facilitated by caseworkers' direct support for arranging services. Implications for research and for child welfare managers and administrators are discussed.
Referral patterns to a mental health of intellectual disability team
- Authors:
- AJAZ Ali, EYEOYIBO Mo
- Journal article citation:
- Advances in Mental Health and Intellectual Disabilities, 5(3), 2011, pp.24-29.
- Publisher:
- Emerald
Noting that people with an intellectual disability are at an increased risk of developing mental illness, this study examined the patterns of referral to a mental health team for adults with an intellectual disability to identify areas for improvement of service provision. It used data from the mental health of intellectual disability team in Dartford, Kent, which was formed in 2008 and comprises doctors, psychologists and specialist community intellectual disability nurses. All new referrals over a 12 month period from June 2008 were examined. The article describes the study methods and results, including source of referrals, eligible cases, referral outcomes and time taken for assessments to occur. 50 patients were referred in total, with the primary source being GPs (58%). Referrals were considered by the clinical team and 40% of all referrals were deemed to be inappropriate. The reason for referral was mainly concerns about mental health (56%) and challenging behaviour (28%). The majority of appropriate referrals were assessed within a 2 to 4 week period. The authors conclude that the findings identify areas of focus for closer liaison with colleagues to improve the quality of referrals and reduce the demands placed on the service.
Community gatekeepers' advice to young people to seek help from mental health professionals: youth workers and sport coaches
- Authors:
- MAZZER Kelly R., RICKWOOD Debra J.
- Journal article citation:
- International Journal of Mental Health Promotion, 11(2), May 2009, pp.13-23.
- Publisher:
- Taylor and Francis
This Australian study investigated the intentions of community gatekeepers, youth workers and coaches to refer young people to mental health professionals, and examined the factors that influence the advice gatekeepers give to young people concerning help-seeking for mental health problems. The Theory of Planned Behaviour (TPB) was used as a framework, and gatekeepers' attitudes, subjective norms and perceived behavioural control were expected to predict referral intentions. These constructs were expected to mediate the effects on referral intentions of past referral behaviour, own help-seeking intentions, perceived helpfulness of mental health services and emotional competence. Youth workers (N = 92) and coaches (N = 47) completed a self-report questionnaire that measured intentions to refer young people to sources of help and factors that influence those intentions. Path analysis revealed that the TPB constructs did not effectively predict gatekeepers' referral intentions. Rather, past referral behaviour, perceived helpfulness and own help-seeking intentions had direct influences on referral intentions, collectively accounting for 39% of the variance in gatekeepers' intentions to refer. The results are discussed with regard to practical implications for helping young people seek the mental health support they need.
Referral to consumer-run programs by mental health providers: a national survey
- Author:
- HARDIMAN Eric R.
- Journal article citation:
- Community Mental Health Journal, 43(3), June 2007, pp.197-210.
- Publisher:
- Springer
This study describes mental health providers’ awareness of, attitudes toward, and likelihood to refer to consumer-run programs. A mail survey method was used with a total of 301 questionnaires returned (33.5% response rate) from a national random sample in the United States. Findings suggest that providers believe consumers are able to provide effective mental health services, yet have less confidence in consumer-run programs. Slightly over half of the providers were aware of consumer-run programs and fewer had made referrals. Providers in non-public settings, agencies that hire consumers as providers, and agencies that collaborate with consumer-run programs were more likely to have made referrals. To maximize available community supports for service recipients, providers should consider newer, consumer-run service technologies.
Why a ‘roof’ is not enough: the characteristics of young homeless people referred to a designated mental health service
- Authors:
- TAYLOR Helen, et al
- Journal article citation:
- Journal of Mental Health, 14(4), August 2006, pp.491-501.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Mental health is a growing concern for organizations offering temporary accommodation to young homeless people. The aim was to establish the characteristics of homeless young people referred to a mental health service provided by the non-statutory sector, to determine the appropriateness of referral. The service was provided by five mental health practitioners to 18 Foyers in five regions. Data was collected on 150 consecutively referred young people aged 16 – 25 years on their psychosocial history, mental health problems and risk factors. Young people reported multiple needs such as use of illicit drugs, experience of physical or sexual abuse, and self-harm. They presented with lengthy and recurrent mental health problems from childhood, with intermittent and usually fragmented contact with services. Young people presented with a range of mental complaints, predominantly depressive, anxiety and post-traumatic stress symptoms, as well as different risk factors. The young homeless people referred to the mental health service reported a range of complex mental health needs, the majority of which could not be met by statutory specialist services. Young people's lower to medium level mental health needs could be met by services operating on the interface with specialist services, if these are jointly planned and co-coordinated.
Comparison of liaison psychiatry service models for older patients
- Authors:
- MUJIC Fedza, et al
- Journal article citation:
- Psychiatric Bulletin, 28(5), May 2004, pp.171-173.
- Publisher:
- Royal College of Psychiatrists
At a London teaching hospital, the existing off-site consultation model psychiatric liaison service for older people was replaced with an on-site liaison model service in December 2000. Several indicators of the functioning of the service were audited using identical methods before and after this change. The case-load increased by 50%, but the liaison psychiatrists were more satisfied with the appropriateness of referrals. The case mix did not change. The new service achieved target waiting times more consistently, particularly for urgent referrals. Referring teams were more satisfied with the speed of response, while the new service maintained the salience and clarity of advice. Findings are on the whole favourable, and support the wider introduction of specialist old-age liaison psychiatric services.