Search results for ‘Subject term:"mental health problems"’ Sort:
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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.
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)
Managing the care of people with long-term conditions: second report of session 2014-15: volume 1: report, together with formal minutes, oral and written evidence
- Author:
- GREAT BRITAIN. Parliament. House of Commons. Health Committee
- Publisher:
- Stationery Office
- Publication year:
- 2014
- Pagination:
- 222
- Place of publication:
- London
The Health Committee set out to examine the way in which the NHS and social care system in England supported people with long-term conditions. It sought evidence and comments on a range of issues, including outside hospital treatment and cost and effectiveness of redesigning services accordingly; readiness of local NHS and social care services to treat patients with long-term conditions (including multiple conditions) within the community; practical assistance offered to commissioners to support the design of services which promote community-based care and provide for the integration of health and social care in the management of long-term conditions; ability of NHS and social care providers to treat multi-morbidities and the patient as a person rather than focusing on individual conditions; obesity as a contributory factor to conditions including diabetes, heart failure and coronary heart disease and how it might be addressed; examples of effective integration of services across health, social care and other services which treat and manage long-term conditions; implications of an ageing population for the prevalence and type of long-term conditions, together with evidence about the extent to which existing services will have the capacity to meet future demand; interaction between mental health conditions and long-term physical health conditions and extent to which patients are being offered personalised services (including evidence of their contribution to better outcomes). This report outlines the findings of the Committee’s inquiry and makes specific recommendations with respect to three broad areas, including: the strategic direction of services for long-term conditions, clinical care for people with long-term conditions, and managing the system to deliver better care for long-term conditions. (Edited publisher abstract)
Unlocking our community assets in designing a sustainable pathway to recovery in mental health
- Author:
- LILLEY William
- Journal article citation:
- Journal of Integrated Care, 22(1), 2014, pp.10-14.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to highlight case studies of how housing associations have worked effectively with the NHS and adult social care in developing a joined approach to mental health recovery. Design/methodology/approach: This is primarily two case studies from Bromford. Findings:These are just case studies contributed by the Bromford on existing examples. Originality/value: All material is original and any reference is attributed to the original author. (Publisher abstract)