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Supporting recovery in mental health
- Author:
- NHS CONFEDERATION. Mental Health Network
- Publisher:
- NHS Confederation. Mental Health Network
- Publication year:
- 2012
- Pagination:
- 8p.
- Place of publication:
- London
In mental health, recovery means the process through which people find ways of living meaningful lives with or without ongoing symptoms of their condition. The Implementing Recovery through Organisational Change project is a new approach to helping people with mental health problems that aims to change how the NHS and its partners operates so that they can focus more on helping those people with their recovery. The Department of Health commissioned the NHS Confederation’s Mental Health Network and the Centre for Mental Health to pilot this major national project involving 29 mental health provider sites from April 2010. This Briefing details the interim findings of the project. Users of mental health services have identified three key principles: the continuing presence of hope that it is possible to pursue one’s personal goals and ambitions; the need to maintain a sense of control over one’s life and one’s symptoms; and the importance of having the opportunity to build a life beyond illness.
Liaison psychiatry: the way ahead: briefing
- Author:
- NHS CONFEDERATION. Mental Health Network
- Publisher:
- NHS Confederation. Mental Health Network
- Publication year:
- 2012
- Pagination:
- 8p.
- Place of publication:
- London
People with a long-term physical health condition are more than twice as likely to have a mental health problem as the general population. This can have a huge effect on a patient’s chances of recovery; for example, someone with chronic heart failure is eight times more likely to die within 30 months if they also have depression. Liaison psychiatry services provide immediate access to specialist mental health support for people being treated for physical health problems, most often in general hospitals and in some cases, in the community. This reports finds that liaison psychiatry services can save an average hospital £5 million a year by reducing the number and length of admissions to beds. Even bigger savings could be achieved in future if liaison psychiatry services were extended to work in the community to prevent crises from happening at all.
Guidance for commissioners of primary mental health care services: volume two: practical mental health commissioning
- Author:
- JOINT COMMISSIONING PANEL FOR MENTAL HEALTH
- Publisher:
- Royal College of Psychiatrists
- Publication year:
- 2012
- Pagination:
- 20p.
- Place of publication:
- London
This guide is about the commissioning of good quality, integrated primary mental health care. It suggests that mental health problems should be managed mainly in primary care by the primary health care team working collaboratively with other services, with access to specialist expertise and to a range of secondary care services as required. Effective treatment of common mental health disorders in primary care requires integrated services using a stepped care model. This should deliver evidence-based treatments that can be accessed via flexible referral routes, including self-referral, and offer a choice of psychological and non-psychological interventions. Allocation of funds to reflect these principles will result in better integrated patient care pathways that are able to meet a wider range of needs.
The mental health strategy, system reforms and spending pressures: what do we know so far?
- Authors:
- CENTRE FOR MENTAL HEALTH, et al
- Publisher:
- Centre for Mental Health
- Publication year:
- 2012
- Pagination:
- 5p.
- Place of publication:
- London
The Government’s 2011 mental health strategy, ‘No Health Without Mental Health’, set out a vision for both improved mental health for all and better support for people with mental health problems. The aim of this study was to evaluate the delivery of this strategy. A brief questionnaire was sent to 24 national organisations to identify key themes from intelligence they had received to date from their members. This was followed up by either a face-to-face or phone interview with the 17 organisations that responded. The interview focussed on how delivery of the strategy was being influenced by pressures on public spending and the emerging reforms in health local government and other public services. This research paper summarises the main findings of that process and the implications of these findings for mental health policy and practice in England. The findings suggest that the strategy’s practical impact on service commissioning and provision has been limited; knowledge of the strategy among commissioners in particular is variable and there is little evidence that it is being used as a guide to local decision making.
Mental health and homelessness: planning and delivering mental health services for homeless people
- Author:
- NHS CONFEDERATION. Mental Health Network
- Publisher:
- NHS Confederation. Mental Health Network
- Publication year:
- 2012
- Pagination:
- 8p.
- Place of publication:
- London
Around 70% of people accessing homelessness services have a mental health problem. St Mungo’s homelessness charity has estimated that 64% of their clients have drug and/or alcohol problems. Although the causes of homelessness are complex, mental ill health is a major contributing factor. Becoming homeless can worsen existing conditions or cause a mental health problem to occur. This Briefing sets out the policy context around tackling homelessness and addressing the mental health needs of homeless people. It also examines what considerations need to be made when planning, designing and delivering mental health services for homeless people and highlights many examples of good practice. The report concludes that access to mental health services for homeless people can be improved through improving staff awareness and delivering services differently – including use of non-clinical settings – plus through effective joint working with partner agencies.
Health and social care reform: making it work for mental health
- Author:
- GREAT BRITAIN. Parliament. All Parliamentary Group on Mental Health
- Publisher:
- Great Britain. Parliament. All Party Parliamentary Group on Mental Health
- Publication year:
- 2012
- Pagination:
- 21p.
- Place of publication:
- London
In April 2011, the All Party Parliamentary Group on Mental Health (APPGMH) launched a year-long inquiry into the effect that the reforms contained in the Health and Social Care Bill would have on both mental health services and those that use them. The APPGMH was concerned that mental health could lose out, despite its impact on the population and the NHS. The purpose of the inquiry was therefore to explore the potential challenges and difficulties posed by the reforms, and make recommendations for overcoming any such challenges. Over the course of a year, evidence was taken from people with mental health problems, carers, the Minister for Care Services, clinicians, voluntary sector providers and representatives of minority groups. Four areas emerged in which there were key concerns: commissioning; local decision making; integrated care pathways; and personalisation and patient choice. Recommendations are provided to Clinical Commissioning Groups, Health and Wellbeing Boards, the Government, and MPs to address these concerns.
How mental illness loses out in the NHS
- Author:
- LONDON SCHOOL OF ECONOMICS. Centre for Economic Performance. Mental Health Policy Group
- Publisher:
- London School of Economics, Centre for Economic Performance
- Publication year:
- 2012
- Pagination:
- 34p.
- Place of publication:
- London
This report, written by a team of economists, psychologists, doctors and NHS managers, looks at the scale of mental illness in Britain and the priority the NHS gives to treating these conditions. It is stated that only a quarter of all those people with mental illness are in treatment, compared with the vast majority of those with physical conditions. Within the term 'mental illness' the report includes in its coverage clinical depression, anxiety, schizophrenia, bipolar disorder and children conduct disorder. The report covers: the scale and severity of mental illness; the costs of mental illness to the NHS; the wider costs of mental illness to the government and to society; what treatments exist, such as psychological therapies and how successful and cost-effective they are; the extent to which treatments are available in the NHS, and the policy implications of our conclusions. The report makes six key recommendations. These include need to complete the national roll-out of Improved Access to Psychological Therapy by 2014, reflect IATP outcomes in the NHS Outcomes Framework, and the training of GPs in IAPT or CAMHS services.