Search results for ‘Subject term:"mental health problems"’ Sort:
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Costing different models of mental health service provision
- Authors:
- McCRONE Paul, CHISHOLM Daniel, BOULD Martin
- Journal article citation:
- Mental Health Research Review, 6, May 1999, pp.14-17.
- Publisher:
- Personal Social Services Research Unit
This article describes one recent attempt to model the costs of a range of mental health care strategies in an outer-London health authority. The perceived value of the modelling approach to service costing was to supply insights into and estimates of broad directions of change, which could subsequently inform a wider discussion between local clinicians, planners and managers about future mental health service in the locality.
Reflections on leadership role as Fellow in Ageing and Mental Health with the National Institute of Mental Health England 2003-2006
- Author:
- BENBOW Susan M.
- Journal article citation:
- International Journal of Leadership in Public Services, 3(1), April 2007, pp.26-36.
- Publisher:
- Emerald
The National Institute of Mental Health England (NIMHE) appointed a Fellow in Ageing and Mental Health to take on a national leadership role for a three-year period from 2003 to 2006. Starting from a position where the NIMHE website could only address older adult issues under social exclusion, a group of committed individuals in a range of organisations came together and a regional and national work programme in older people's mental health was developed. This article offers reflections on the issues raised during the Fellowship in respect of older people's mental health services and this Fellowship model of leadership.
A theory of mental health and optimal service delivery for homeless children
- Author:
- MARCAL Katherine E.
- Journal article citation:
- Child and Adolescent Social Work Journal, 34(4), 2017, pp.349-359.
- Publisher:
- Springer
Homeless children are a vulnerable group with high risk for developing mental health disorders. The environments of homeless children are uniquely chaotic, marked by frequent moves, family structure changes, household and neighbourhood disorder, parenting distress, and lack of continuous services. Despite high rates of service use, mental health outcomes remain poor. This paper reviews the literature on homeless children’s mental health, as well as prior theoretical explorations. Finally, the paper proposes a theoretical model that explains elevated rates of mental health problems among homeless children as consequences of harmful stress reactions triggered by chronic household instability along with repeated service disruptions. This model draws upon existing conceptual frameworks of child development, family poverty, health services utilisation, and the biology of stress to clarify the role of environmental chaos in the development of child emotional and behavioural problems. Potential strategies to mitigate the risk for mental health disorders among homeless children and future research directions are discussed. (Edited publisher abstract)
Developing a new approach to case management in youth mental health: strengths model for youth case management
- Authors:
- MENDENHALL Amy N., GRUBE Whitney
- Journal article citation:
- Child and Adolescent Social Work Journal, 34(4), 2017, pp.369-379.
- Publisher:
- Springer
Strengths Model (SM) case management has been utilized as a community based intervention with adults diagnosed with a mental illness since the 1980s. This paper describes the developmental, familial, and systemic adaptations made to the model so that it can be used with youth with mental illness. The resulting SM for Youth provides an alternative framework for providing case management to youth with mental illness which allows the youth to drive goal development and attainment by identifying and capitalizing on the youth’s strengths and resources. The model has the potential to positively impact youth mental health services by equipping supervisors and case managers with a formal model and tools, helping the case managers to feel more prepared and less stressed in their roles, and by empowering youth to engage in services that are positive and driven by their desires. (Publisher abstract)
Mental health and the settings of housing support: a systematic review and conceptual model
- Author:
- BURGOYNE Jon
- Journal article citation:
- Housing Care and Support, 17(1), 2014, pp.26-40.
- Publisher:
- Emerald
Purpose: The purpose of this qualitative systematic review is to examine how the nature and quality of housing affect adults receiving support for mental health problems, focusing on the less considered structural aspects of housing. Design/methodology/approach: A systematic search identified relevant research. Data consisting exclusively of service-user testimony was taken from seven studies based in varied types of accommodation in England. A synthesis was carried out using thematic analysis, and a conceptual model developed based on the themes identified from the data. A literature review examines the context, with relevant material drawn from a variety of disciplines and professions. Findings: There were three main determinants of whether housing was a setting that enabled users to benefit from support and enjoy a good quality of life – “autonomy”, “domain”, and “facilitation”. Secondary themes influenced these primary themes, or described respondents’ condition or feelings in relation to their housing situation. The “Tripod Model” illustrates the relationships between these themes. Research limitations/implications: Applying systematic review methods to qualitative material proved contentious and challenging. The model produced is a hypothesis based on limited data and requiring further investigation. Practical implications: The findings suggest that a balance is required to increase the chances of successful and sustainable housing outcomes for service-users. Originality/value: The model enables a holistic understanding of issues affecting service-users, and the interdependent nature of these. It offers a new typology based on a synthesis of data drawn from a spectrum of accommodation, which gives it a breadth a single piece of research could not encompass. (Publisher abstract)
Jean Vanier and the transformational model of rehabilitation
- Authors:
- FORSTER Donna, et al
- Journal article citation:
- Mental Health Review Journal, 14(4), December 2009, pp.36-45.
- Publisher:
- Emerald
Using 3 sources of data (books by Jean Vanier, interviews with key informants from the L'Arche group homes established by Jean Vanier, and an interview with Jean Vanier), this interpretive case study was designed to examine the contributions that Jean Vanier and his work could make to rehabilitation therapy and mental health services. A set of concepts, called the Transformational Model of Rehabilitation, emerged from the data analysis, with 4 main elements: definition of the problem, the relationship between client and professional, the change process, and the outcome of the change process. The authors describe the Transformational Model of Rehabilitation, asserting that it makes a unique contribution to rehabilitation therapy in mental health services through its requirement that the professional engage in his/her own transformational process, comparing this approach to other rehabilitation models and demonstrating the relevance of transformational rehabilitation to mental health.
Specialist versus generic models of psychiatry training and service provision for people with intellectual disabilities
- Authors:
- JESS Gillian, et al
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 21(1), March 2008, pp.183-193.
- Publisher:
- Wiley
Models of service provision and professional training differ between countries. This study aims to investigate a specialist intellectual disabilities model and a generic mental health model, specifically comparing psychiatrists’ knowledge and competencies, and service quality and accessibility in meeting the mental health needs of people with intellectual disabilities. Data were collected from consultant and trainee psychiatrists within a specialist intellectual disabilities model (UK) and a generic mental health model (Australia). The sample sizes were 294 (UK) and 205 (Australia). Statistically significant differences were found, with UK participants having positive views about the specialist intellectual disabilities service model they worked within, demonstrating flexible and accessible working practices and service provision, responsive to the range of mental health needs of the population with intellectual disabilities, and providing a wide range of treatments and supports. The UK participants were knowledgeable, well trained and confident in their work. They wanted to work with people with intellectual disabilities. In all of these areas, the converse was found from the Australian generic mental health service model. The specialist intellectual disabilities model of service provision and training has advantages over the generic mental health model.
Policy implications of a psychological model of mental disorder
- Authors:
- KINDERMAN Peter, SELLWOOD William, TAI Sara
- Journal article citation:
- Journal of Mental Health, 17(1), February 2008, pp.93-103.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Mental health care in the United Kingdom is rapidly changing, but many commentators, particularly sociologists and psychologists, view systems as remaining wedded to a medical model and not "fit for purpose". If services are to improve, the way that mental health problems are understood by the services providing care needs to change radically. To illustrate how a psychological model of mental disorder - the "mediating psychological processes model"- could assist mental health service policy development and implementation. A review of selected literature and policy documents was conducted. A "manifesto" for mental health service policy is presented, based on psychological principles. Psychological models, at least in addition to medical approaches, could better inform policy and service design.
Service innovations: the role of a consultant in old age psychiatry: experience of an adapted model of care
- Authors:
- LAWLEY David, et al
- Journal article citation:
- Psychiatric Bulletin, 29(3), March 2005, pp.101-103.
- Publisher:
- Royal College of Psychiatrists
There is increased recognition that the role and function of a consultant psychiatrist is ill-defined and associated with excessive workloads, low job satisfaction, high levels of stress and high rates of premature retirement. This has led to examination and debate about how consultants in general psychiatry could adapt models of working to address these difficulties and also face the agenda of change facing the NHS as a whole and mental health services in particular. These challenges are not, of course, unique to general psychiatry, but as yet there has been little debate about how consultants in other specialities, including old age psychiatry, could begin to try and address these difficulties. This article aims to stimulate debate, by describing an adapted model of working adopted by 2 consultants in old age psychiatry in the Hull and East Riding Community Health NHS Trust.
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.