Search results for ‘Subject term:"mental health problems"’ Sort:
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Exploring the impact of peer support in early intervention in psychosis
- Authors:
- WHITE Hannah, PRICE Laura, BARKER Tom
- Journal article citation:
- Mental Health and Social Inclusion, 22(2), 2017, pp.102-109.
- Publisher:
- Emerald
Purpose: Peer support (PS) has, over recent years, been implemented across a variety of NHS adult mental health settings. In November 2015, peer support workers (PSW) were introduced to an Early Intervention in Psychosis Service (EIS) in the Midlands. The purpose of this paper is to focus on organisational factors, asking how do PS impact on an early intervention in psychosis multi-disciplinary team (MDT). Design/methodology/approach: Six EIS MDT members participated in an hour-long focus group. The data were analysed using thematic analysis, in line with a qualitative methodology (Braun and Clarke, 2006). Findings: Two themes were generated, including “The values of PS” (consisting of three sub-themes: improving service engagement; personal qualities; and the peer relationship); and “The peer support role” (consisting of three sub-themes: living experience; boundaries; and alternative perspectives). Findings imply that PS in the current EIS related to: improved service engagement and greater understanding between service providers and users; which could be linked to better outcomes for service users (such as reduced duration of untreated psychosis (DUP)). Originality/value: It has been suggested that PSWs facilitate an improved understanding between service providers and service users (Repper and Watson, 2012). However, research into organisational and team benefits of PS is lacking, with a need for more exploration (Repper, 2013). The current study begins to address the lack of literature regarding the organisational impact of PS, and even further regarding early intervention. (Publisher abstract)
Mental health services for children and young people: seventy-second report of session 2017-19
- Author:
- GREAT BRITAIN. Parliament. House of Commons. Committee of Public Accounts
- Publisher:
- House of Commons
- Publication year:
- 2018
- Pagination:
- 25
- Place of publication:
- London
A report of an inquiry held by the Committee of Public Accounts into NHS mental health services for children and young people. The report considers the current performance of mental health services and the effectiveness of cross-departmental working. The inquiry found that many children and young people with a mental health condition do not receive NHS-funded treatment or face long waits for treatment. It also reports that work to increase mental health staff numbers has been slow; that government has not yet clarified what ‘parity of esteem’ between mental and physical health services means in terms of access to services, waiting times, or patient outcomes; and that there are weaknessess in data to monitor progress of service improvement. The inquiry also finds that action to improve prevention and early intervention services to tackle mental health problems among children and young people, have been slower than work to improve NHS treatment. The report provides recommendations. (Edited publisher abstract)
Smoothing the pathways
- Authors:
- SPENCER Elizabeth, et al
- Journal article citation:
- Mental Health Today, December 2003, pp.26-28.
- Publisher:
- Pavilion
- Place of publication:
- Hove
Looks at the importance of partnerships within and outside the NHS if early intervention services for young people with mental health problems are to be successful. Reports on the work of the Birmingham early intervention service.
Economic evaluation of early intervention (EI) services: phase IV report
- Authors:
- McCRONE Paul, PARK A-La, KNAPP Martin
- Publisher:
- Personal Social Services Research Unit
- Publication year:
- 2010
- Pagination:
- 22p., bibliog.
- Place of publication:
- Canterbury
Using a 2006 model adapted during 3 previous research phases, Phase IV focuses on the economic impacts of early intervention services (EI) on vocational and employment outcomes of people with mental health problems, including psychoses, in the UK. The report also covers long-term outcomes of EI and the impact on costs associated with suicide and murder. Four findings are discussed. Firstly, EI reduced NHS health care, and wages costs of employment lost to mental health problems, with employment rates of 36% and 27% attributed to those in EI and standard care (SC), respectively. Costs of homicide are low, say these authors, with annual costs per person at £6 for those in EI compared with £80 for SC. Thirdly, suicide is estimated to occur in 1.3% EI and 4% SC patients, equating to annual savings of £957 per person. Finally, long-term outcomes associated with EI are dependent on readmission rates following EI discharge. They equate to costs savings of £36,632 over 8 years if rates remain constant. If rates gradually or immediately converge expected savings dip to £27,029 and £17,427, respectively. The increased work and decreased homicides and suicides recorded here reinforce earlier work that EI is beneficial to the UK’s mental health.
Outcomes for children's health and well-being
- Author:
- KURTZ Zarrina
- Journal article citation:
- Children and Society, 17(3), June 2003, pp.173-183.
- Publisher:
- Wiley
Health outcomes are implicit in the government's major policies on reducing poverty, unemployment and social exclusion, and in environmental regeneration, as well as in explicitly targeted policies for modernising the National Health Service. The impact of policies in childhood are regarded as a key feature in determining socioeconomic outcomes in many domains, among which mental health plays a particularly important part. But although early intervention is recognised as crucial in the achievement of socioeconomic and health policy aims, outcomes in children and for children have only recently received full recognition. This article outlines the impact that government policies may have on health outcomes for children. However, the assessment of changes in health status is difficult and mostly relies on proxy measures. The evidence that any changes can be related to policy is extremely limited and mostly based on small-scale and locally specific projects. What can be learnt from these and from collective analysis of linked projects, such as those funded through the CAMHS Innovation Grant, is discussed. Because of the attention paid by the government to evidence-based policy, outcomes in all domains will become known before long for major national children's policy initiatives such as the Sure Start programme, highlighting the crucial and continuing need for evaluation of the ways in which policies are implemented.
Developing early intervention services in the NHS: a survey to guide workforce and training needs
- Authors:
- SINGH Swaran, et al
- Journal article citation:
- Psychiatric Bulletin, 27(7), July 2003, pp.254-258.
- Publisher:
- Royal College of Psychiatrists
The authors conducted a questionnaire study to establish the incidence, specialist staff availability, treatment provision and socio-demographic profile of patients with first-episode psychosis referred to all adult and child and adolescent community mental health teams in south and west London. All 39 teams completed the questionnaire, identifying 295 cases of first-episode psychosis (annual incidence 21/100 000/year) referred in the year 2000. Teams manage to engage most patients with first-episode psychosis. A total of 73% of cases of first-episode psychosis were on some form of Care Programme Approach. However, many teams did not have adequately trained staff to provide psychosocial interventions. Even where such staff were available, care was focused mainly on monitoring medication and risk assessment, with only half the teams providing psycho-educational programmes and only a quarter offering individual cognitive-behavioural therapy to those with first-episode psychosis. Establishing early intervention services nationwide will require significant new resources, including specialist trained staff, which could prove difficult to provide in inner-city areas. Rather than a single, uniform service model, several models of early intervention services based on locally determined need might be more realistic and appropriate, and also allow research into their relative efficacy.