Search results for ‘Subject term:"mental health problems"’ Sort:
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Depression in adults: treatment and management
- Author:
- NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE
- Publisher:
- National Institute for Health and Care Excellence
- Publication year:
- 2022
- Pagination:
- 101
- Place of publication:
- London
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)
Who are they? Where are they? 2020: children in tier 4 mental health units: technical report
- Authors:
- CLARKE Tom, NELSON Emma
- Publisher:
- Children's Commissioner for England
- Publication year:
- 2020
- Pagination:
- 45
- Place of publication:
- London
This analysis examines four data extracts covering children in inpatient mental health wards during 2019/20. The extracts cover: all admissions of children to tier 4 units during 2019/20 2; children in a tier 4 unit on 31st March 2020; all discharges from tier 4 beds during 2019/20; admissions to tier 4 wards during 2019/20 where the child had a previous discharge within the same financial year. Key findings include: at 31st March 2020 there were 944 children in a bed in a tier 4 unit in England; over 1 in 5 children are in units that are more than 50 miles from their last known home postcode; children in secure units are notably more likely to be placed more than 50 miles from their last known home postcode; just over a third of children discharged from a tier 4 unit during 2019/20 had been there for more than 3 months (90 days); even after accounting for other factors, children aged under 15 discharged during 2019/20 were 20% more likely to have been in a tier 4 unit for over 3 months; boys are slightly more likely than girls to be discharged to their permanent (or a temporary) place of residence while girls are slightly more likely to be discharged to a subsequent medical institution, with 1 in 5 being discharged to a hospital or subsequent mental health ward (compared to 15% of boys); girls over-represent amongst readmissions to tier 4 wards during 2019/20, accounting for 80% of readmissions compared to 74% of discharges during the year. (Edited publisher abstract)
Immigration Removal Centres in England: a mental health needs analysis
- Authors:
- DURCAN Graham, STUBBS Jessica, BOARDMAN Jed
- Publication year:
- 2017
- Pagination:
- 49
- Place of publication:
- London
Sets out the findings of a rapid mental health needs assessment across Immigration Removal Centres (IRCs) in England. Ten IRCs were assessed to explore the wellbeing of detainees, the services in place and the perspectives of people working with those detained. The report finds that people detained in IRCs often face significant challenges to their mental health and that levels of distress, problems with living conditions and lack of both certainty and liberty, all had a significant impact on the wellbeing of those detained. The most commonly reported problem was depressed mood or anxiety, and the most severe reported problems were hallucinations or delusions. The report finds some positive examples of services, such as psychological therapy, wellbeing groups and the support provided by chaplains. But it also finds that most detainees felt that they were not listened to, not taken seriously, or treated as if they were lying. Similarly, some staff reported that it was easy to become assimilated into a culture which disbelieved detainees. In addition, mental health care staff face significant challenges working in IRCs where people may be removed at short notice and face high levels of uncertainty about their future. The report highlights the multifaceted wellbeing needs of people in immigration detention, and makes recommendations to address this. It calls for greater lengths to ensure that those with a marked vulnerability are not detained; mental health awareness training for all IRC staff; 24/7 access to crisis care; and greater provision of alternative support such as peer support and relaxation groups. (Edited publisher 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 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.
Strategic thinking
- Authors:
- DAVIES Jill, BURKE Christine
- Journal article citation:
- Mental Health Today, September 2012, pp.12-14.
- Publisher:
- Pavilion
- Place of publication:
- Hove
People with learning disabilities are more likely to develop mental health problems compared to the general population. The Government’s mental health strategy, ‘No health without mental health’ (DH, 2011), makes several references to people with learning disabilities. In particular, it highlights the importance of mental health services for people with learning disabilities and autism, the need to ensure that mainstream services are inclusive to this group, including that staff have appropriate skills and can provide reasonable adjustments to meet individual needs. The strategy also mentions the need for early intervention to prevent later problems for children with special educational needs and disabilities, including those who have underlying or associated mental health problems. In 2012, the Government issued an accompanying implementation framework that aims to translate the ideals of the strategy into concrete actions on a local level. This article discusses what the implementation framework means for people with learning disabilities. It shows that, despite the strategy highlighting the needs of people with learning disabilities, the framework offers little specifically for this group. This raises concern that this group will remain off the radar for those in mainstream services and organisations that could support them to maintain their mental health and wellbeing.
Strategic thinking
- Authors:
- DAVIES Jill, BURKE Christine
- Journal article citation:
- Learning Disability Today, October 2012, pp.16-17.
- Publisher:
- Pavilion
- Place of publication:
- Hove
People with learning disabilities are more likely to develop mental health problems compared to the general population. The Government’s mental health strategy, ‘No health without mental health’ (DH, 2011), makes several references to people with learning disabilities. In particular, it highlights the importance of mental health services for people with learning disabilities and autism, the need to ensure that mainstream services are inclusive to this group, including that staff have appropriate skills and can provide reasonable adjustments to meet individual needs. The strategy also mentions the need for early intervention to prevent later problems for children with special educational needs and disabilities, including those who have underlying or associated mental health problems. In 2012, the Government issued an accompanying implementation framework that aims to translate the ideals of the strategy into concrete actions on a local level. This article discusses what the implementation framework means for people with learning disabilities. It shows that, despite the strategy highlighting the needs of people with learning disabilities, the framework offers little specifically for this group. This raises concern that this group will remain off the radar for those in mainstream services and organisations that could support them to maintain their mental health and wellbeing.
Implementing what works: the impact of individual placement and support regional trainer: briefing
- Author:
- CENTRE FOR MENTAL HEALTH
- Publisher:
- Centre for Mental Health
- Publication year:
- 2012
- Pagination:
- 12p.
- Place of publication:
- London
Individual Placement and Support (IPS) is now internationally recognised as the most effective and efficient way of supporting people who experience a mental illness into competitive employment. This briefing paper reports on the results of a pilot project to speed up the implementation of IPS across mental health services in Sussex through the creation of a ‘regional trainer’ role. The role was based on the State Trainer model that was developed and is widely used in the United States. A ‘regional trainer’ was employed for a year in Sussex to ensure fidelity to the IPS model in mental health and employment services. During the 12 months of the pilot the number of people using the trust's mental health services who obtained paid work through the IPS service more than doubled the target of 125, with 286 people finding paid employment. Key to the success of the regional trainer was their ability to encourage cultural change, which accepts employment as part of an individual’s recovery, and the use of regular ‘fidelity reviews’ to determine how well the principles of IPS are being applied in practice and to make recommendations for improved outcomes. The findings indicate that wider use of the regional trainer role could help mental health and employment services across the UK to support more people into paid work.
Does early intervention for psychosis services make economic sense?
- Author:
- McCRONE Paul
- Journal article citation:
- Mental Health Today, June 2012, pp.31-33.
- Publisher:
- Pavilion
- Place of publication:
- Hove
Early intervention services have existed in England for more than a decade. This article examines whether they deliver the cost savings and cost effectiveness to justify them. It suggests that current evidence points to early intervention services providing cost savings and cost effectiveness, but more research is needed to clarify the conclusions. It concludes that much of the cost saving can be made in terms of increased economic activity and reduced crime, as well as reducing costs in health care settings.