Search results for ‘Subject term:"mental health problems"’ Sort:
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Research into practice
- Author:
- COLOMBO Anthony
- Journal article citation:
- Community Care, 13.05.04, 2004, p.52.
- Publisher:
- Reed Business Information
Looks at recent research which found that a hidden medical model agenda may be damaging decision-making within mental health teams. The study found clear differences between practitioner groups with psychiatrists and community psychiatric nurses favouring a medical interpretation of mental disorder; while social workers showed strong support for the social and psychotherapeutic models.
Tiered approach: matching mental health services to needs
- Authors:
- PAXTON Roger, et al
- Journal article citation:
- Journal of Mental Health, 9(2), April 2000, pp.137-144.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Discusses how there is a need for a framework to manage the conflicting priorities faced by mental health services. Describes the development of a tiered approach to mental health needs and services, along with the intended benefits and current problems. Outlines the relationships between this approach and other frameworks.
Internal vs. external care management in severe mental illness: randomized controlled trial and qualitative study
- Authors:
- RUTTER Deborah, et al
- Journal article citation:
- Journal of Mental Health, 13(5), October 2004, pp.453-466.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Case management is the encompassing model for managing people with severe mental illness, but models of case management vary. The aim was to compare the effectiveness of an integrated (internal) model of care management (in which the social worker is a member of the multidisciplinary healthcare team) against a brokerage model in which the care manager operates "externally" to the healthcare team. Patients with severe mental illness meeting a high threshold of need referred to a community team were randomized to a care manager newly appointed to the team, or to a care manager outside the team. Days spent in hospital were the primary outcome measure, and costs for patients in each arm were compared. Semi-structured qualitative interviews were employed to explore a sample of cases in each category; compare joint working practice in both models; and compare practice in London to that within a well-established integrated CMHT in Nottingham. The randomized trial of "internal" vs. "external" care management showed no significant differences in outcome or costs among 26 patients. However, the qualitative study revealed worker dissatisfaction with the brokerage model, and identified inefficiencies and duplication of effort. The brokerage model of case management should not be maintained.
Right on time
- Author:
- FORREST Emma
- Journal article citation:
- Health Service Journal, 1.4.04, 2004, pp.26-27.
- Publisher:
- Emap Healthcare
Early intervention and crisis resolution work with psychiatric patients are increasingly seen as ways to prevent unnecessary stays and can prevent conditions becoming worse. Looks at some key features of early intervention services.
Culture and insight revisited
- Authors:
- SARAVANAN B., et al
- Journal article citation:
- British Journal of Psychiatry, 184(2), February 2004, pp.107-109.
- Publisher:
- Cambridge University Press
Insight signifies a variety of ways in which a person's mental life approximates to that of others - in terms of what constitutes an illness, what beliefs are abnormal and what medical advice it is reasonable to follow. A number of shared assumptions allow these aspects to be incorporated in the mental model that psychiatrists have of what constitutes insight. This takes into account other clinical features, including history, course, culture, etc. In its own way, this is reliable and may even be valid. Hence, if a person could acknowledge some kind of non-visible change in his or her body or mind that affects the ability to function socially, and if he or she feels the need for restitution, then, irrespective of the attribution and the pathways of care that the person seeks, we could call this the presence of ‘insight’. Insight is not only at the interface of biological and psychosocial explanations in psychiatry but also at the interface of globalisation and related cultural transitions. Globalisation and colonisation in various guises introduce new social effects and spread biomedical systems of thought, including causal explanations.
Child protection and mental health services: interprofessional responses to the needs of mothers
- Authors:
- STANLEY Nicky, et al
- Publisher:
- Policy Press
- Publication year:
- 2003
- Pagination:
- 148p.,bibliog.
- Place of publication:
- Bristol
Health and social care professionals are constantly exhorted to work collaboratively. This book reports on research which examines interprofessional work with families in which mothers have a mental health problem and where there are also concerns about child protection. Breakdowns in interprofessional collaboration, issues of risk and relevant resources are all addressed. Mothers' views and experiences are contrasted with professional perspectives. This book: reports on a survey of 500 practitioners working in health, social services and the voluntary sector; presents data from in-depth interviews with mothers with severe mental health problems; identifies weaknesses in interprofessional coordination in this area of work; and suggests a new model for work with families where mental health problems and child protection concerns co-exist.
Developing a child and adolescent mental health service for children with learning disabilities
- Authors:
- GREEN Kath, et al
- Journal article citation:
- Psychiatric Bulletin, 25(7), July 2001, pp.264-267.
- Publisher:
- Royal College of Psychiatrists
Discusses the development of a service for children with learning disabilities within a child and adolescent mental health team using the Health Advisory Service Together We Stand tier system. The paper also includes an audit of the service 8 months after it was started. The audit suggests that the aims of the service are being achieved but given the fact that the numbers of new referrals significantly outweigh the discharge rate, it is concluded that a greater emphasis is placed on liaison, consultation and joint working with other agencies.
Putting the missing rungs into the vocational 'ladder'
- Authors:
- BUTTERWORTH Roger, DEAN Jo
- Journal article citation:
- A Life in the Day, 4(1), February 2000, pp.5-9.
- Publisher:
- Emerald
The Avon and Western NHS Trust's work development programme in Bristol is a beacon award winner. This Department of Health award has been made for achievements in establishing a comprehensive vocational advice and support service for people with mental health problems. Central to the service model are close partnerships with occupational therapy as well as the employment service, further education and service providers from the voluntary sector. Describes how the service was developed.
A social services' perspective
- Author:
- BRAND Don
- Journal article citation:
- Mental Health Review, 2(4), December 1997, pp.21-22.
- Publisher:
- Pier Professional
The author comments on Barker and Peck's Framework Feature (pp.7-16) from a social services' perspective.
Supervision and control: a community psychiatric nursing perspective
- Authors:
- GODIN Paul, SCANLON Christopher
- Journal article citation:
- Journal of Mental Health, 6(1), February 1997, pp.75-84.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Community psychiatric nursing has long been seen as an integral part of community mental health care. However, recent changes to the way in which this care is organised and delivered, for example the introduction of the supervision register and supervised discharged, has resulted in changing work patterns for all mental health workers. This study reports on in-depth interviews with community psychiatric nurses (CPNs) about how they perceive their work in the light of supervision and other changes. The findings suggest that CPNs are concerned about not only the adverse effects of supervision upon their clients and relationships with them but also about the controlling effect supervision has upon them. The consequences of these findings are discussed in relation to possible implications for multi-disciplinary practice and inter-professional shared learning.