Search results for ‘Subject term:"mental health problems"’ Sort:
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Mental health services: addressing the care deficit
- Author:
- NHS PROVIDERS
- Publisher:
- NHS Providers
- Publication year:
- 2019
- Pagination:
- 40
- Place of publication:
- London
This report looks at the levels of demand reported by leaders of mental health trusts across the range of services they provide and examines what lies behind the growing pressures. It highlights increasing demand for mental health services resulting from the impact of growing social and economic hardship, in particular concerns about benefits cuts and the impact of universal credit. It also suggests that loneliness, homelessness and financial hardship are adding to pressures on NHS mental health services. Increasing demand for services come at a time of financial and capacity pressures such as: workforce shortages; constrained mental health funding which does not always reach the frontline services; and the impact of cuts to wider public services, in particular those commissioned by local authorities such as drug and alcohol services. (Edited publisher abstract)
British social attitudes: 33
- Editors:
- CURTICE John, PHILLIPS Miranda, CLERY Liz
- Publisher:
- NatCen Social Research
- Publication year:
- 2016
- Pagination:
- 137
- Place of publication:
- London
Annual British Social Attitudes report which asks a sample of approximately 3,000 people what they think it is like to live in Britain and what they think about how Britain is run. This edition focuses on social class; welfare reform, specifically people's views on reducing expenditure and limiting the circumstances when benefits can be received; employment; dissatisfaction with the NHS and its funding; attitudes to mental health and mental wellbeing; politics; Euroscepticism; and views on Brexit. (Edited publisher abstract)
We still need to talk: a report on access to talking therapies
- Author:
- MIND
- Publisher:
- MIND
- Publication year:
- 2013
- Pagination:
- 40
- Place of publication:
- London
The Health and Social Care Act 2012 puts mental health on a par with physical health; and the current Mandate to NHS England requires NHS England to achieve parity of esteem between mental and physical health. The We Need to Talk coalition calls for the NHS in England to offer a full range of evidence based psychological therapies to all who need them within 28 days of requesting a referral, even sooner when someone is in need of urgent access when n a mental health crisis. This report outlines why psychological therapies are important and cost-effective. It presents findings of a survey of more than 1600 people with mental health problems who have used psychological therapies, also two focus groups of 10 participants from black and minority ethnic (BME) communities. Among findings are that more than half have been waiting 3 months or more for treatment; 58% were not offered choice in the type of therapies they received; and only one in ten felt that their cultural needs were taken into account by the services they were offered. It includes case studies of the role of local voluntary organisations in service provision. (Edited publisher abstract)
Trends in service use and treatment for mental disorders in adults throughout Great Britain
- Authors:
- BRUGHA Traolach S., et al
- Journal article citation:
- British Journal of Psychiatry, 185(11), November 2004, pp.378-384.
- Publisher:
- Cambridge University Press
Trends in health treatments and outcomes in the general population may be used to monitor achievement of health targets. The aim was to investigate changes in mental health services and treatment in Britain over a 7-year period. National surveys of psychiatric morbidity were completed in 1993 and 2000 in households throughout Great Britain. Standardised interviews were used to establish psychiatric case status and service and treatment utilisation in adults aged 16–64 years. Use of psychotropic medication doubled in those designated as psychiatric cases. In the non-case-status population antidepressant use rose from 0.16% in 1993 (95% CI 0.07–0.25) to 2.02% in 2000 (95% CI 1.69–2.35). However, the overall prevalence of neurotic and psychotic disorder hardly changed from 1993 to 2000. Use of specialised ‘talking treatments’did not increase significantly, except in the non-case group. Treatment with psychotropic medication alone is unlikely to improve the overall mental health of the nation. A policy based almost exclusively on treatment of identified cases should be augmented by preventive approaches.
Satisfaction research and the uncrowned king: challenges and future directions
- Authors:
- POWELL Richard A., et al
- Journal article citation:
- Journal of Mental Health, 13(1), February 2004, pp.11-20.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
After decades of paternalistic health service provision, National Health Service users in the United Kingdom are encouraged to express preferences for services; ‘‘the patient is king’’. Whilst the mental health service user voice is encouraged in multiple forums, it is in satisfaction research (especially using the survey method) as a commentary on services provided that it is primarily heard. However, methodological concerns exist regarding the use of satisfaction surveys as a measure of healthcare quality. The aim was to discuss the arguments against and for using satisfaction surveys in mental health research. There are a number of significant criticisms of satisfaction surveys and their continued use in mental health research. Despite these criticisms, the limitations of satisfaction surveys do not merit their abandonment. The authors indicate possible future directions for the satisfaction research agenda.
Slow progress
- Authors:
- ANDREWS Fred, BURDON Paul, COOPER Kevin Huggins
- Journal article citation:
- Community Care, 21.2.02, 2002, pp.32-33.
- Publisher:
- Reed Business Information
During the past two years, the Audit Commission's, district audit, which audits local authority and NHS spending, has reviewed the provision of mental health and rehabilitation services for older people by the NHS and local authorities. Reports on the author's findings.
Survey of patients from an inner-London health authority in medium secure psychiatry care
- Authors:
- LELLIOTT Paul, AUDINI Bernard, DUFFETT Richard
- Journal article citation:
- British Journal of Psychiatry, 179, January 2001, pp.62-66.
- Publisher:
- Cambridge University Press
Under-provision by the National Health Service (NHS) has led to an increase in medium secure psychiatric beds managed by the independent sector. Black people are over-represented in medium secure care. This study describes those people from an inner-London health authority occupying all forms of medium secure provision, and compares those in NHS provision with those in the independent sector, and Black patients with White patients. The researchers concluded that the NHS meets only part of the need for medium secure care of the population of this London health authority. This comparison of the characteristics of Black and White patients does not help to explain why Black people are over-represented in medium secure settings.
WARRN – a formulation-based risk assessment process: its implementation and impact across a whole country
- Authors:
- SNOWDEN Robert J., et al
- Journal article citation:
- Journal of Mental Health Training Education and Practice, 14(6), 2019, pp.399-410.
- Publisher:
- Emerald
Purpose: Wales Applied Risk Research Network (WARRN) is a formulation-based technique for the assessment and management of serious risk (e.g. violence to others, suicide, etc.) for users of mental health services. It has been gradually adopted as the risk evaluation and safety-planning technique for all seven health boards in Wales. The purpose of this paper is to examine the opinions of WARRN as used within these health boards. Design/methodology/approach: An online survey was disseminated to NHS clinicians in secondary mental health services to evaluate their perceptions of the use and effectiveness of WARRN. Data from 486 clinicians were analysed with both quantitative and qualitative methods. Findings: Results indicated that the overall impact of WARRN on secondary mental health care was very positive, with clinicians reporting increased skills in the domains of clinical risk formulation, safety-planning and communication, as well as increased confidence in their skills and abilities in these areas. Clinicians also reported that the “common-language” created by having all NHS health boards in Wales using the same risk assessment process facilitated the communication of safety-planning. Crucially, NHS staff believed that the safety of service users and of the general public had increased due to the adoption of WARRN in their health board and many believed that lives had been saved as a result. Originality/value: WARRN is perceived to have improved clinical skills in risk assessment and safety-planning across Wales and saved lives. (Publisher abstract)
National survey of local innovation and research needs of the NHS: full report
- Author:
- ACADEMIC HEALTH SCIENCE NETWORK
- Publisher:
- Academic Health Science Network
- Publication year:
- 2019
- Pagination:
- 45
- Place of publication:
- London
The findings from a survey with health and social care stakeholders to identify local innovation and research needs in England. The project aimed to help the Academic Health Science Networks (AHSNs) and other research funders and practitioners to ensure their work is aligned with these needs. The views of local health stakeholders within each AHSNs region were collected through qualitative interviews and a questionnaire. The survey found that whilst there were some differences in regional priorities, common themes emerged which reflected wider challenges facing the NHS. Key themes covered: addressing workforce challenges; delivery of mental health services and providing care for patients with mental health needs, including community based support; older people, including community support and tackling social isolation; integrating services to provide effective care for patients with complex needs, including multimorbidity and frailty; and use of digital and artificial intelligence technology. (Edited publisher abstract)
Social disability, challenging behaviour and risk: A comparison of health and Social Services residential provision for people with severe and enduring mental health problems
- Authors:
- DILKS Sarah, et al
- Journal article citation:
- Journal of Mental Health, 10(5), October 2001, pp.547-557.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
The population characteristics of people with severe and enduring mental health problems living in 'high support' Health and Local Authority (LA) residential facilities were compared in this survey of social functioning and psychiatric symptomatology. The survey was intended to assist in local service planning, particularly in the targeting of relatively high cost provision. A cross-sectional survey of all 62 residents of the three Local Authority hostels was conducted and compared to an earlier survey of 76 residents living in seven NHS residential facilities. Residents of NHS facilities were found to have poorer social functioning than LA residents; had more physical health problems; had higher levels of behaviour problems and risk behaviours which were both rated as more serious in terms of their effect on community tenure. The survey's findings were consistent with the results of other surveys of the characteristics of people considered 'hard to place' in the community as a result of mental health problems.