Search results for ‘Subject term:"mental health problems"’ Sort:
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Housing and health: a reading list
- Authors:
- KULAKIEWICZ Aaron, WILSON Wendy
- Publisher:
- Great Britain. Parliament. House of Commons Library
- Publication year:
- 2022
- Pagination:
- 15
- Place of publication:
- London
This reading list draws together reports and other material demonstrating the interconnectedness of housing and health. It draws attention to literature on the links between housing and major medical conditions, including Covid-19, dementia and mental health problems; the impact of different types of housing on health, looking at the private rented sector, housing with care, social housing and homelessness; and the various collaborative partnerships in place working to combat these issues. The list comprises a selection of publications – it is not intended to be an exhaustive list. (Edited publisher abstract)
The right to advocacy: a review of how local authorities and NHS Boards are discharging their responsibilities under the Mental Health (Care and Treatment) (Scotland) Act 2003
- Author:
- MENTAL WELFARE COMMISSION FOR SCOTLAND
- Publisher:
- Mental Welfare Commission for Scotland
- Publication year:
- 2018
- Pagination:
- 53
- Place of publication:
- Glasgow
This report investigates access to independent advocacy services for people with mental health problems, learning disability, dementia and related conditions in Scotland. It is based on information received from health boards, local authorities, and from the new health and social care partnerships (HSCPs). The report also investigates whether the integrated children’s services plans of local authorities cover the provision of independent advocacy services for children and young people with mental illness, learning disability or related conditions. The results show that the planning and provision of advocacy services across Scotland is variable and lacks clarity. It found services for adults were often prioritised for those who were receiving compulsory care or treatment .There is a lack of clarity on which organisation is responsible for co-ordinating the preparation of strategic advocacy plans, and on how advocacy providers and people using advocacy services will be involved in planning. The report identifies significant gaps in service provision for children and young people, with some of the services not providing independent advocacy and very restricted eligibility criteria. (Edited publisher abstract)
Co-producing support for people with long-term health conditions: evaluation of an NHS East of England co-production programme
- Author:
- NATIONAL DEVELOPMENT TEAM FOR INCLUSION
- Publisher:
- National Development Team for Inclusion
- Publication year:
- 2016
- Pagination:
- 42
- Place of publication:
- Bath
Shares the knowledge and experience from an evaluation of six NHS sites in the East of England Strategic Clinical Network region which adopted co-production to develop support for long-term health conditions such as progressive neurological disease, mental health and learning disabilities. The evaluation findings are reported in three sections. Section one looks at how the projects worked in co-production, the challenges they faced, the lessons they learned and the outcomes achieved around working in co-production. Section two reports on the activities and progress made towards to achieving an improved service outcome for people using services. Section three discusses the wider impact of the projects in local areas going forward. The sites all faced challenges in implementing co-production, These included the process being more time-consuming than anticipated; more resource intensive; and difficulties in achieving equal partnerships due to well-established power relationships. However, early evidence suggests that alternative approaches to service delivery are developing that should lead to outcome and cost-effective benefits in the future. In addition the projects have identified an increased understanding between services and people who use services and benefits for those involved including development of skill levels and work competencies. The report identifies eight lessons for those trying to implement co-production strategies within the health sector. (Edited publisher abstract)
Improving the effectiveness of multidisciplinary team meetings for patients with chronic diseases: a prospective observational study
- Authors:
- RAINE R., et al
- Journal article citation:
- Health and Social Care Delivery Research, 2(37), 2014, Online only
- Publisher:
- National Institute for Health Research
- Place of publication:
- London
This study investigated multidisciplinary team (MDT) meetings for chronic illnesses: cancer, dementia, heart failure and mental illnesses. These teams are widely used across the NHS. They comprise different professionals, for example doctors, nurses, social workers and psychologists, and meet weekly to discuss their patients and make treatment plans. The teams work in a wide variety of different ways, not all of which may be helpful for making high-quality decisions for patients. The authors wanted to identify the factors that influence effective decision-making in these teams (by which we mean decisions being carried out). It was found that 78% of treatment plans were implemented overall, though this varied across teams: mental health teams were less likely to have implemented the agreed plan than cancer, heart failure and memory clinic teams. By observing 370 meetings the authors identified factors that help explain this. Teams with many different types of professionals present at the meeting were less likely to carry out the treatment plans agreed by the team. It was also crucial to have a good team atmosphere, and clear goals and processes. It was found that patients living in more deprived areas were less likely to get the treatment recommended by the team. This was not explained by whether or not patients' preferences or their other illnesses had been discussed. It was also found that individual teams had varying aims and organisational structure, and discussed different information when making decisions. Based on these differences, the authors asked a group of experts to recommend improvements to MDT meetings, which could help all teams regardless of whether they care for cancer, heart failure or mental health patients. They agreed on 21 indications for good practice, including that there should be yearly audits to check that MDT meetings are achieving their goals, and that the most appropriate time to discuss treatment options with patients is after the meeting, when information about treatment options is more complete. (Edited publisher abstract)
Review of older people's services in NHS Ayrshire and Arran
- Publisher:
- National Health Service. Quality Improvement Scotland
- Publication year:
- 2003
- Pagination:
- 26p.
- Place of publication:
- Edinburgh
The report found that compliance with the NHS Quality Improvement Scotland Older People’s Quality Indicators is variable and there is evidence of progress towards full compliance in some areas. The inequity of access to services and the need to improve liaison with the different services between North and South Ayrshire should be addressed. The key issuesinclude: input to communities and community hospitals; memory clinics; ortho-geriatric care; liaison with old age psychiatry; and a review of consultant job plans. Consultant geriatricians should be involved in the assessment of all patients being considered for community care assessment to minimise inappropriate placements and reduce the number of moves an individual patient makes. The multi-agency strategy for older people should have an implementation plan with priorities for investment identified and dates for implementation. It should also address the issues raised in this report such as unsuitable accommodation, lack of advocacy services and a review of continuing care, respite and day hospital provision. Bed management issues should be addressed to reduce the number of patient moves.This should include the triage of patients in medical admissions units and the review of beds for continuing care patients in wards shared with those patients whose discharge is delayed. There is a need to audit compliance with the resuscitation policy, the prescribing of ‘as required’ medicines and implementation of the Adults with Incapacity Act.
Delayed discharge, a solvable problem?: the place of intermediate care in mental health care of older people
- Authors:
- PATON J. M., FAHY M. A., LIVINGSTONE G. A.
- Journal article citation:
- Aging and Mental Health, 8(1), January 2004, pp.34-39.
- Publisher:
- Taylor and Francis
The National Service Framework for Older People envisages the development of intermediate care for older people. This study examined the possible role of intermediate care beds within mental health trusts. We interviewed senior clinicians in an inner city old age psychiatry service about the 91 current in-patients on the old age psychiatric wards. Sixty-five were classified as acute patients and the remaining 26 were continuing care patients. Structured instruments were used to collect information regarding neuropsychiatric symptoms, activities of daily living and current met and unmet needs. Where discharge was delayed an assessment was made regarding the appropriateness for an intermediate care setting according to the criteria set by the Department of Health guidelines. A total of 30 (46%) patients' discharges were delayed. Of these, 19 (29%) patients met the DOH criteria for intermediate care; 10 (53%) had dementia, five (26%) affective disorder, and four (21%) with schizophrenia. The 11 other delayed discharges were because of lack of availability of finance for placements. The study found that the prompt discharge of older patients from acute psychiatric care was a significant problem and many of those patients may benefit from the therapeutic and rehabilitative process afforded by intermediate care.
Use of the internet and of the NHS direct telephone helpline for medical information by a cognitive function clinic population
- Author:
- LARNER A. J.
- Journal article citation:
- International Journal of Geriatric Psychiatry, 18(2), February 2003, pp.118-122.
- Publisher:
- Wiley
Internet websites and medical telephone helplines are relatively new and huge resources of medical information (cybermedicine and telemedicine, respectively) accessible to the general public without prior recourse to a doctor. The aim of the article was to measure use of internet websites and of the NHS Direct telephone helpline as sources of medical information by patients and their families and/or carers attending a cognitive function clinic. It was found that More than 50% of patients and families/carers had internet access; 27% had accessed relevant information, but none volunteered this. 82% expressed interest in, or willingness to access, websites with relevant medical information if these were suggested by the clinic doctor. Although 61% had heard of the NHS Direct telephone helpline, only 10% of all patients had used this service and few calls related to the reason for attendance at the Cognitive Function Clinic.
Mental health services for older people towards an integrates approach
- Author:
- MIDDLETON Tony
- Journal article citation:
- Mental Health Review, 6(2), June 2001, pp.22-24.
- Publisher:
- Pier Professional
This article describes how Thurrock Council Social Services Department and South Essex Mental Health and Community Care NHS Trust launched a joint initiative to develop an integrated service strategy and implementation plan for older people's mental health services in Thurrock. The main principles of the approach were: service user and carer involvement, the active participation of mental health professionals working directly with service users and carers, representatives from all key agencies involved in the planning process.
Towards a consensus on continuing care for older adults with psychiatric disorder: report of a meeting on 27 March 1995 at the Royal College of Psychiatrists
- Authors:
- WATTIS John P., FAIRBAIRN Andrew
- Journal article citation:
- International Journal of Geriatric Psychiatry, 11(2), February 1996, pp.163-168.
- Publisher:
- Wiley
Explores the role of the NHS in providing long-term care for older people with mental illness, principally those with dementia. Argues that NHS continuing care units medically supervised by a specialist consultant are an essential part of a system of assessment, treatment and care that must be sensitive to the needs of patients and carers. Also looks at the characteristics of patients likely to need admission to NHS units. The extent and impact of the current wide local variations in NHS long-stay provision and the feasibility and benefits of general practice registers of patients with dementia are identified as areas for further investigation.
Mental health services: heading for better care; commissioning and providing mental health services for people with Huntingdon's Disease, acquired brain injury and early onset dementia
- Editors:
- WILLIAMS Richard, BARRETT Ken, MUTH Zena
- Publisher:
- Stationery Office
- Publication year:
- 1996
- Pagination:
- 196p.,tables,diags.
- Place of publication:
- London
Report presenting the findings and recommendations of the HAS review which set out to evaluate the prevailing state of mental health services for people with acquired brain injury, early onset dementia, and Huntington's Disease. Includes sections on: strategy for the future; commissioning and purchasing services; key issues affecting the design and delivery of services; the implications for the providers of services; and checklists and references.