Search results for ‘Subject term:"mental health problems"’ Sort:
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Listening to experience: an independent inquiry into acute and crisis mental healthcare
- Author:
- MIND
- Publisher:
- MIND
- Publication year:
- 2011
- Pagination:
- 52p., bibliog.
- Place of publication:
- London
Mind commissioned an independent panel to carry out an inquiry into acute and crisis mental health care. It ran a call for evidence, held hearings and visited a range of services. It asked: what do people in mental health crisis need; what is good about existing acute and crisis services – what would you like to protect or have more of; what are the problems in acute and crisis care; if services in your area are being reorganised, what impact is this having on acute and crisis care (if you know); and what changes in acute and crisis care do you want this campaign to achieve? This report found that while excellent crisis care does exist, there are problems with inpatient hospitals and community crisis teams including people struggling to get help, staffing problems, poor quality care environments and not enough treatment provided to help people recover. It also sets out a series of recommendations on how crisis care should be improved to give the best possible treatment to some of the most vulnerable people in NHS care.
Another rather than other: experiences of peer support specialist workers and their managers working in mental health services
- Authors:
- BERRY Clio, HAYWARD Mark I., CHANDLER Ruth
- Journal article citation:
- Journal of Public Mental Health, 10(4), 2011, pp.238-249.
- Publisher:
- Emerald
While the integration of peer support workers with experience of mental health problems into existing mental health services has been found beneficial, some peer support workers have experienced unique challenges in terms of role confusion and limited opportunities for networking and support. This qualitative study investigated the experiences of two peer support specialist (PSS) workers and their managers within one southern English mental health trust through the use of semi-structured interviews. Findings revealed positive experiences and challenges in relation to PSS employment, both for PSS workers and their teams. Overarching themes concern the PSS worker as "other", as a "change agent", and "readiness for PSS worker employment". In ending, the authors present strategies to support PSS integration based on the recommendations of participants and the findings of the current study.
Housing and mental health
- Author:
- NHS CONFEDERATION
- Publisher:
- NHS Confederation
- Publication year:
- 2011
- Pagination:
- 8p.
- Place of publication:
- London
Good housing is critical for good mental health. This briefing paper outlining the ways that mental health providers and housing associations can work together to improve the quality of services and reduce costs of providing housing with support services. Two short case studies, one providing floating support and another providing an early intervention services for young people between the ages of 14 and 30 who are experiencing their first episode of psychosis are included.
Improving access to psychological therapies: systemic therapy in the Newham pilot site
- Author:
- KUHN Patrick
- Journal article citation:
- Journal of Family Therapy, 33(4), November 2011, pp.400-414.
- Publisher:
- Wiley
Since the introduction in two pilot sites in Newham, England, the improving access to psychological therapies (IAPT) programme has dramatically changed the provision of mental health services for depression and anxiety disorders in the National Health Service. The IAPT programme has focused on the provision of cognitive behaviour therapy but incorporated a small systemic therapy service in the pilot site. Using data from sixty five individuals who were eligible for inclusion in the study, this article presents the outcomes of this systemic service. The majority of clients seen by the service suffered from depression and anxiety disorders. Findings revealed that for the depression and anxiety measures the recovery rate was above 50% and the effect sizes were large. Most of the clients were satisfied with the service. Also, an increase in employment was identified. The outcomes are discussed in comparison with those of the cognitive behaviour therapy service. Implications for practice and future research are presented.
Mental health care and the criminal justice system
- Author:
- CENTRE FOR MENTAL HEALTH
- Publisher:
- Centre for Mental Health
- Publication year:
- 2011
- Pagination:
- 10p., bibliog.
- Place of publication:
- London
- Edition:
- Rev ed.
England and Wales together have one of the highest rates of imprisonment in Western Europe, and responsibility for prison health care lies with the NHS. It aims to give prisoners access to the same quality and range of health services as the general public receives in the community. This is an enormous challenge. Many prisoners have a combination of mental health problems, substance misuse and personality disorder, as well as a range of other issues to deal with. But the costs, both financial and social, of containing people in prison without access to appropriate health care are high. This briefing paper examines the provision of mental health care for adults in the criminal justice system. It looks at what has been achieved to date and identifies priorities for further work.
What's it worth now?: the social and economic costs of mental health problems in Scotland
- Author:
- SCOTTISH ASSOCIATION FOR MENTAL HEALTH
- Publisher:
- Scottish Association for Mental Health
- Publication year:
- 2011
- Pagination:
- 30p.
- Place of publication:
- Glasgow
This report evaluates the social and economic costs of mental health problems in Scotland. It focuses on the costs of health and social care for people with mental health problems, including services provided by the NHS and local authorities, and assesses the costs of output losses in the economy that result from the adverse impact of mental health problems on work and employment. The report examines the human costs of mental health problems, particularly their negative impact on quality of life, and outlines the prevalence of mental health problems in the workplace and the cost to employers from sickness absence, staff turnover and workplace interventions. It examines the importance of prevention, recognition, early identification, rehabilitation and awareness training in the workplace. Finally, it discusses the extent and cost of mental health problems among people not in work, and employment support for workless people. The report estimates the human costs to be £5.6 billion, output losses £3.2 billion, health and social care costs £1.9 billion - a total of £10.7 billion in 2009-2010.
The development of care pathways and packages in mental health based on the Model of Human Occupation Screening Tool
- Authors:
- LEE Sun Wook, et al
- Journal article citation:
- British Journal of Occupational Therapy, 74(6), June 2011, pp.284-294.
- Publisher:
- Sage
The NHS Payment by Results (PbR) funding mechanism has recently been extended to include mental health care in England. The system allocates service users to one of 20 clusters based on similarity of care needs and will provide funding based on cluster membership, rather than, as before, on block contracts. Occupational therapists are challenged to define care packages for each of the clusters. To facilitate the development of these care packages, this study identified the occupational profiles of service users in each cluster. It used existing data from the clinical records of 625 service users from two organisations, collected through use of the Mental Health Clustering Tool and the Model of Human Occupation Screening Tool. Service users showed greatest problems with habituation, followed by volition and process skills. Qualitatively distinct occupational profiles were identified across the clusters. Service users with non-psychotic problems showed the least interference with occupational participation; those in clusters involving psychosis showed moderate levels of interference; and those in clusters involving cognitive impairment demonstrated the most difficulty with occupational participation. These findings contribute to the evidence base for thinking about the occupational needs of service users within the various PbR clusters and the corresponding services that might be offered.
Getting help and support for common mental health problems: understanding NICE guidance
- Author:
- NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE
- Publisher:
- National Institute for Health and Clinical Excellence
- Publication year:
- 2011
- Pagination:
- 15p.
- Place of publication:
- London
This guidance booklet from the National Institute for Health and Clinical Excellence addresses the care and treatment of adults with common mental health problems, including depression, generalised anxiety disorder, panic disorder, obsessive-compulsive disorder, post-traumatic stress disorder and social anxiety disorder, in the NHS in England and Wales. It is written for people experiencing common mental health problems but it may also be useful for their families or carers, or for anyone with an interest in common mental health problems. The booklet is designed to help in the understanding of the care and treatment options that should be available in the NHS. It does not describe common mental health problems, tests or treatments in detail. The booklet should be discussed with a member of the healthcare team. Sections include: common mental health problems; how can I get help for common mental health problems?; what should I expect to happen at an assessment?; what treatments might I be offered?; information for families and carers; explanation of technical words and terms; more information; about NICE.
Common mental health disorders: identification and pathways to care: full guideline
- Author:
- NATIONAL COLLABORATING CENTRE FOR MENTAL HEALTH
- Publisher:
- National Institute for Health and Clinical Excellence
- Publication year:
- 2011
- Pagination:
- 384p., bibliog.
- Place of publication:
- London
Common mental health disorders, such as depression, generalised anxiety disorder, panic disorder, obsessive-compulsive disorder, post-traumatic stress disorder and social anxiety disorder, may affect up to 15% of the population at any one time. They vary considerably in their severity but all of these conditions can be associated with significant long-term disability. The vast majority of depression and anxiety disorders that are diagnosed are treated in primary care. However, many individuals do not seek treatment and common mental health disorders often go unrecognised. Recognition of anxiety disorders is particularly poor in primary care and only a small minority of people experiencing anxiety disorders ever receive treatment. This full clinical guideline offers evidence-based advice on the care and treatment of adults who have common mental health disorders, with a particular focus on primary care. It brings together advice from existing guidelines and combines it with new recommendations on access to care, assessment and developing local care pathways for common mental health disorders. It also provides advice on treatment and referral.
Common mental health disorders: identification and pathways to care: quick reference guide
- Author:
- NATIONAL COLLABORATING CENTRE FOR MENTAL HEALTH
- Publisher:
- National Institute for Health and Clinical Excellence
- Publication year:
- 2011
- Pagination:
- 22p.
- Place of publication:
- London
Common mental health disorders, such as depression, generalised anxiety disorder, panic disorder, obsessive-compulsive disorder, post-traumatic stress disorder and social anxiety disorder, may affect up to 15% of the population at any one time. They vary considerably in their severity but all of these conditions can be associated with significant long-term disability. The vast majority of depression and anxiety disorders that are diagnosed are treated in primary care. However, many individuals do not seek treatment and common mental health disorders often go unrecognised. Recognition of anxiety disorders is particularly poor in primary care and only a small minority of people experiencing anxiety disorders ever receive treatment. This quick reference clinical guideline offers evidence-based advice on the care and treatment of adults who have common mental health disorders, with a particular focus on primary care. It brings together advice from existing guidelines and combines it with new recommendations on access to care, assessment and developing local care pathways for common mental health disorders. It also provides advice on treatment and referral.