Search results for ‘Subject term:"mental health problems"’ Sort:
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Mental health care clusters and payment by results: considerations for social inclusion and recovery
- Author:
- CLARK Michael
- Journal article citation:
- Mental Health and Social Inclusion, 15(2), 2011, pp.71-77.
- Publisher:
- Emerald
The policy agenda in mental health care has included a national commitment to move to a model of payment by results (PbR). The presumptions of PbR are that it provides clearer transparency and incentives to service providers to achieve defined goals or results, and thereby leads to better value for money for commissioners. A model of care clusters is being proposed by the Department of Health as the basis for PbR in mental health care, with different tariffs being set for each care cluster. This paper discusses the move to PbR and its possible implications for the recovery and social inclusion agenda. The language of the 21 care clusters and allocation tool are critically examined. Pathways of care leading from the care clusters and the interaction with personalisation are also considered. The findings show that there is scope in the ongoing development of care clusters and associated pathways to continue the progressive developments towards recovery and social inclusion in the commissioning and delivery of mental health care. However, there are also risks and much that needs to be defined. The article concludes with a call to those with an interest in furthering social inclusion for mental health service users to engage locally and nationally with care clusters developments.
The cost effectiveness of employment support for people with disabilities: final detailed research report
- Authors:
- GREIG Rob, et al
- Publisher:
- National Development Team for Inclusion
- Publication year:
- 2014
- Pagination:
- 121
- Place of publication:
- Bath
The final report from a two year study on employment support for people with mental health problems or learning disabilities. The study focused on three areas: the cost effectiveness or value for money of current models of employment support, whether outcomes varied for different models used, and if outcomes were affected by approaches of commissioners to implementing local employment strategies. The report summarises the findings of a scoping review, findings from national and local data collection on the quality and effectiveness of employment support, and findings from in-depth field work visits to 11 sites to see local commissioners implemented employment strategies. Five Theories of Change identified from the field visits are discussed: shifting culture, employment outcomes, strategic direction, developing the market and performance management. They were seen as aspects that needed to be in place to delivery cost effective outcomes. (Edited publisher abstract)
Employment support for disabled people: investigating the relationship between investment and outcomes: research findings
- Author:
- NATIONAL DEVELOPMENT TEAM FOR INCLUSION
- Publisher:
- NIHR School for Social Care Research
- Publication year:
- 2014
- Pagination:
- 4
- Place of publication:
- London
This briefing summarises the findings of research on the cost effectiveness of different service models and commissioning approaches to employment support for people with mental health problems or learning disabilities. The study analysed national data and in addition analysed cost and outcome data from 70 different sites and also carried out fieldwork visits to six sites. Data analysis included an analysis of costs per job outcome (securing new jobs, retaining jobs or moving into self employment). Good evidence was also found to support Individual Placement and Support (IPS) in mental health services and supported employment in learning disabilities services were the most effective ways of supporting people. The study also identified five different organisational or system 'conditions' that were most likely to be found in successful cost effective services.
Working together to provide age-appropriate environments and services for mental health patients aged under 18: a briefing for commissioners of adult mental health services and child and adolescent mental health services
- Author:
- NATIONAL MENTAL HEALTH DEVELOPMENT UNIT
- Publisher:
- National Mental Health Development Unit
- Publication year:
- 2009
- Pagination:
- 50p.
- Place of publication:
- London
The new section 131A of the Mental Health Act is due to come into force in April 2010. This amendment will ensure that patients aged under 18 are treated in an environment in hospital which is suitable having regard to their age, with the purpose of preventing the inappropriate admission of children and young people to adult psychiatric wards. This briefing highlights how commissioners can work together to meet the new duty on age-appropriate accommodation in a timely manner. Contents include: the change in legislation; commissioning age-appropriate environments and services - where are we now?; what do young people want; getting ready for 2010 - meeting the new duty. The Annexes include fundamental principles in the Code of Practice and the legislation and policy context.
Time to step up to patient-centred care
- Author:
- CLAIRE Ailsa
- Journal article citation:
- Health Service Journal, 6.09.07, 2007, pp.16-17.
- Publisher:
- Emap Healthcare
The author argues that mental health clients using services in the community can become commissioners in their own right. The author draws on the model of care used at Barnsley primary care trust which places an emphasis on self care and self directed support.
Good practice in social prescribing for mental health: the role of nature-based interventions
- Authors:
- BRAGG R., LECK C.
- Publisher:
- Natural England
- Publication year:
- 2017
- Pagination:
- 117
- Place of publication:
- York
Building on early findings from Natural England, this research the value of nature-based or green care interventions within social prescribing services for people with mental health problems and highlights good practice in social prescribing services for commissioners. It draws on the results of an evidence review and an event for health and social care professionals involved with social prescribing in Leeds. The report looks at definitions of green care, models of social prescribing, examples of good practice, suggestions for scaling up nature-based interventions with social prescribing, and evidence of effectiveness and cost effectiveness. The review identified a number of different social prescribing models currently operating in England. The case studies included in the report suggest that good practice in social prescribing depends on good partnerships, high levels of cooperation and joint ownership between a wide range of individuals, groups and organisations with very different organisational cultures. Barriers to the sustainability and scaling up of social prescribing included the lack of a consistent referral mechanism and lack of direct funding for the social prescription element delivered by third sector providers. The report identifies key areas for future action (Edited publisher abstract)
Supporting people with a learning disability and/or autism who display behaviour that challenges, including those with a mental health condition: service model for commissioners of health and social care services
- Authors:
- NHS ENGLAND, LOCAL GOVERNMENT ASSOCIATION, ASSOCIATION OF DIRECTORS OF ADULT SOCIAL SERVICES
- Publishers:
- NHS England, Local Government Association, Association of Directors of Adult Social Services
- Publication year:
- 2015
- Pagination:
- 41
- Place of publication:
- London
This service model brings together good practice taking place in local areas to describe what good services should look like for children, young people and adults with a learning disability and/or autism who display behaviour that challenges. It covers all aspects of commissioning: strategic, operational and individual/micro commissioning. The model is organised around nine principles from the perspective of the people using services. These are: a good and meaningful life; person-centred care and support; choice and control; support for family carers and care staff; choice of housing; good health care; access to specialist community health and social care; getting support in staying out of trouble when at risk of being in contact with the criminal justice system; and having access to high quality assessment and treatment in a hospital setting where necessary. The model gives people a clear picture of what they can expect from the services they use. It also allows those designing and commissioning services flexibility to ensure services work for local areas. The new model, which was co-produced by people using services, commissioners and health and social care system leaders, has been finalised using the feedback from early implementation by six ‘fast track’ areas. (Edited publisher abstract)
Implementing recovery: a methodology for organisational change
- Authors:
- SHEPHERD Geoff, BOARDMAN Jed, BURNS Michael
- Publisher:
- Sainsbury Centre for Mental Health
- Publication year:
- 2010
- Pagination:
- 19p.
- Place of publication:
- London
Recovery, the pursuit of quality of life by people with mental health problems, is core to mental health services in Australia, New Zealand, Ireland, USA, as well as England (‘New Horizons’, 2009). Following two Sainsbury Centre for Mental Health’s papers about recovery in 2008 and 2009, this methodology for the organisational changes, needed and reported in 2009 (following workshops with over 300 professionals, from 5 mental health trusts and independent organisations), can be used by statutory/non-statutory mental health providers and health/social care commissioners to deliver a ‘person-centred’ service. The principles mirror those in the 2009 National Mental Health Development Unit commissioning guidance. With, sections entitled ‘developing and how to use the methodology’, ‘views of commissioners’, ‘assessing services at the outset’, ‘agreeing priorities for action’, ‘tracking progress’, ‘future developments’, with reference to SMART goals (specific, measureable, agreed-upon, realistic, time-based) and boxed areas highlighting 10 changes/challenges and defining 3 engagement, development, and transformation stages of organisational change, the text is followed by 10 frameworks for organisational change and 2 templates for identifying priorities. In addition, the authors relate health system reforms, such as the 2010 standard National Mental Health contract and the National Social Inclusion programme (2009) suggesting they might add leverage to driving providers towards recovery-oriented delivery.