Search results for ‘Subject term:"mental health problems"’ Sort:
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Evaluation of the Enhanced Case Management approach: final report
- Author:
- CORDIS BRIGHT
- Publisher:
- Welsh Government
- Publication year:
- 2017
- Pagination:
- 63
- Place of publication:
- Cardiff
An evaluation of the Enhanced Case Management (ECM) approach, a new approach to working with young people with experience of the youth justice system. The approach is based on the Trauma Recovery Model, a seven-stage model that matches intervention and support to presenting behaviours and to underlying needs. It was designed to provide Youth Offending Team (YOT) practitioners and managers with increased understanding in relation to how early attachment and trauma can impact on a young person's ability to engage with youth justice interventions and to provide a psychology-led approach to multi-agency case formulation and intervention planning. Three youth offending teams YOTs volunteered to trial the approach, which was carried out with 21 young people with prolific offending histories and complex needs. The evaluation included a review of case documents and interviews with YOT staff, project leads, young people and their parents or carers. The evaluation found there was a high degree of support for the ECM approach from all stakeholders involved in the trial and qualitative data highlighted positive improvements in young people’s lives. The evaluation also recommends some adjustments to the EMC approach. (Edited publisher abstract)
Co-production in mental health: not just another guide
- Authors:
- MINGHELLA Edana, LINSKY Kate
- Publisher:
- Skills for Care
- Publication year:
- 2018
- Pagination:
- 44
- Place of publication:
- Leeds
This guide explores what’s stopping people from attempting co-production and what can help, using the experience of people involved in co-production in different settings across England. It shares learning about: where and how things are working well, the features of different models of co-production, leadership and culture change, how co-production contributes to delivering better experiences and outcomes for people with mental health conditions, and others’ views of hurdles and how to overcome them. The guide draws on existing guides and frameworks and examples from practice. The guide, jointly commissioned with the National Development Teams, aims to help people who commission, design or deliver mental health services to understand co-production better and reflect on their practice. (Edited publisher abstract)
Supported decision making: experiences, approaches and preferences
- Authors:
- DAVIDSON Gavin, et al
- Publishers:
- Praxis Care, Mencap, Queens University Belfast
- Publication year:
- 2018
- Pagination:
- 72
- Place of publication:
- Belfast
This report presents the findings from research which explores how people are supported to make their own decisions. The report includes the results of a review of literature on supported decision making, including different approaches; a review of key guidance; and findings from interviews with 41 people with mental health problems and/ or intellectual disabilities carried out by peer researchers. The interviews provided an in-depth understanding of people’s experiences of support for decision making and their ideas on how decision making should be supported in the future. The research was funded by the Disability Research on Independent Living and Learning (DRILL) programme and was led by Praxis Care in partnership with Mencap NI and Queen’s University Belfast. The findings identified three things that participants felt make decision making harder: the type of decision; the role of other people; and what the outcome might be. Time was also identified as an important factor. In terms of support, people said they would like: practical support including more accessible information; emotional support including someone to talk to; and sometimes the options to choose from. The report makes a number of recommendations for how support for decision making should be provided but also specifically for how these findings might help to inform how the new support principle in the Mental Capacity Act (Northern Ireland) 2016 should be implemented in practice. (Edited publisher abstract)
Models of care and care pathways to support mental health and wellbeing of looked after children: Findings of call for evidence
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2017
- Pagination:
- 63
- Place of publication:
- London
This document presents the findings of a call for evidence to identify examples of effective practice in relation to mental health and wellbeing support for looked after children (including unaccompanied asylum seeking children), care leavers, those under a Special Guardianship Order and adopted children. It was conducted as part of a Department of Health and Department for Education-funded project to develop models of care and care pathways to support the mental health and wellbeing of looked after children. Contributions were invited from the following four areas: care pathways, models of care, prevention and early help, and assessment. A total of 68 practice examples were received and a further 14 submissions which took the form of a proposal or policy response to the group. The examples are presented under the follow clusters: Multi-disciplinary looked after children’s emotional and mental health support services; screening and identification; training and support for foster carers; foster care placement types; approaches and models in residential care; residential placements for children and young people with complex needs; training and support for adoptive parents; independent/third sector specialist therapeutic teams; care leavers; attachment assessment framework; reunification practice framework; CAMHS based in education; forensic CAMHS services; boarding school places; building self-esteem; raising awareness; and policy submissions from national bodies. (Edited publisher abstract)
The role of community businesses in providing health and wellbeing services: challenges, opportunities and support needs
- Authors:
- STUMBITZ Bianca, et al
- Publisher:
- Power to Change
- Publication year:
- 2018
- Pagination:
- 54
- Place of publication:
- London
This report examines community businesses that deliver health and wellbeing services to address the needs of individuals and communities, including those who are vulnerable and disadvantaged. It focuses primarily on the factors that enable health and wellbeing community businesses to thrive. The research used a qualitative approach to conduct 10 case studies of community businesses delivering services with a primary focus on mental or physical health across England. These included business delivering statutory public services under contract from the public sector, user funded health and wellbeing services, leisure and sports activities; and vocational and volunteering activities for therapeutic and rehabilitation. It highlights key findings in the following areas: types of wellbeing activities and outcomes, sources of income and business models, the role of partnerships and business support, navigating tensions between commercial and social objectives, managing staff and volunteers, scaling-up impact and managing declining income. The research found that in the continued climate of austerity, community businesses are struggling to be sustainable as there is increased competition for the limited funding available. The report makes a number of policy recommendations. These include for central and local government to recognise the potential of community businesses to deliver effective services local areas and ease the pressure on the wider NHS and for commissioners of health services to better use the Social Value Act to consider the wider social impact of the services they commission, which will help community businesses to flourish. This report was produced by researchers at CEEDR at Middlesex University and Social Enterprise UK, and funded by Power to Change. (Edited publisher abstract)
Blackpool Fulfilling Lives. Year two evaluation report: value for money analysis
- Author:
- CORDIS BRIGHT
- Publisher:
- Cordis Bright
- Publication year:
- 2017
- Pagination:
- 48
- Place of publication:
- London
An evaluation of the second year of the Blackpool Fulfilling Lives (BFL) project, covering the period from 1 October 2015 to 30 September 2016. BFL is a Big Lottery funded project which supports people with complex needs, focusing on experiencing at least two of the following issues: homelessness, reoffending, problematic substance misuse, or mental ill health. The BFL service model includes the role of navigator, which has evolved from someone who would help service users to ‘navigate’ other services, to the point where therapeutic engagement, advice, advocacy and support have become part of the role. This second year evaluation explores why the navigator service model works and what benefits is has for individuals and the wider system. It includes a theory of change model, which explains how the changes BFL aims to help service users make lead to outcomes which results in reductions in the cost of homelessness, crime and poor physical and mental health. The methodology included a desktop review, interviews with service users and staff, and analysis of project data. The results of the evaluation show that the project is having a positive impact for service users; both staff and service users believe that the navigator model works well; and the involvement of people with lived experience as navigators helps people to engage and begin to trust workers. It finds that the BFL service plays a key role in reducing the costs of service use for the most complex people, who would otherwise continue to be heavy users of the criminal justice and health system. It estimates the service has the potential to save around £133,000 per person over a lifetime. (Edited publisher abstract)
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)
Meeting us where we're at: learning from INTEGRATE's work with excluded young people
- Authors:
- DURCAN Graham, ZLOTOWITZ Sally, STUBBS Jessica
- Publisher:
- Centre for Mental Health
- Publication year:
- 2017
- Pagination:
- 14
- Place of publication:
- London
This briefing summarises findings of an evaluation of three projects developed by MAC-UK which worked with excluded and vulnerable young people, including those in contact with the criminal justice system. The projects - Music & Change, Positive Punch, and RO|OЯ - use the INTEGRATE approach, which engages with young people through co-designing and co-delivering projects, and by securing referrals through peers. The approach aims to wrap holistic support, including mental health and emotional wellbeing provision, around excluded young people. The evaluation looked at the impact of the projects on young people in terms of improving mental wellbeing; increasing social integration and help seeking; and reducing risk of offending and antisocial behaviour. It also examined whether the project had a wider impact on the community and whether it was successful in creating wider social change such as transforming services. The results found that all three projects were: successful in engaging groups of marginalised young people at risk of offending; increased mental health awareness and reduced stigma; and were successful in bringing young people into education, employment and training. The briefing also highlights wider recommendations to young people's services, including the value of peer team members and an emphasis on co-production. (Edited publisher abstract)