Search results for ‘Subject term:"mental health problems"’ Sort:
Results 21 - 30 of 231
Shock treatment
- Author:
- FOGARTY Maggie
- Journal article citation:
- Social Work Today, 21.5.92, 1992, p.12.
- Publisher:
- British Association of Social Workers
Reports on the preliminary findings of a survey conducted by the Royal College of Psychiatrists, which indicate that over the past decade sixty children or adolescents have received electro convulsive therapy in NHS psychiatric establishments.
Mental health, social inclusion and the development of vocational services in the NHS: what can be learnt?
- Author:
- BERTRAM Mark
- Journal article citation:
- Mental Health Review Journal, 24(2), 2019, pp.133-143.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to describe the learning from a historical NHS vocational service development that focused on: mental health, employment and social inclusion – in an inner city area – involving service users, staff and commissioners. Design/methodology/approach: It is a descriptive case study. A range of historical documents was content analysed and described through a first-person narrative: service user consultations, service specifications, audit records, outcome frameworks, internal service evaluations and published literature. Findings: When vocational NHS service developments are grounded in what service users say helps them (person-centred, networked and co-ordinated approaches) the evidence indicates people can achieve their vocational goals. Research limitations/implications: The range of documents described is factual, although the learning insights from some of the service developments are based on personal judgements. The author was the responsible manager – personal bias is high. There is not enough robust evidence to warrant generalisation. Practical implications: When employment and social inclusion are prioritised, as core business in NHS, outcomes and health impact can increase. Greater detail is needed from healthcare policy makers – focusing on who exactly should undertake this work and what the key commissioning social inclusion performance indicators are. Originality/value: The bulk of literature on employment support focuses on promoting evidence from one model: individual placement and support. Evidence here indicates a broader range of activity (education, training and volunteering) can have value and health impact. (Publisher abstract)
Safe, sustainable and productive staffing: an improvement resource for mental health services
- Author:
- NATIONAL QUALITY BOARD
- Publisher:
- NHS Improvement
- Publication year:
- 2018
- Pagination:
- 43
- Place of publication:
- London
- Edition:
- 1st ed
A guide to help standardise staffing decisions for mental health services in community and inpatient settings. This resource is designed to help commissioners and providers of NHS commissioned services, create, review and sustain safe and effective specialist health services for people with mental health needs of all ages. The resource draws on evidence from a commissioned rapid review of literature and professional review of practice. It aims to provide principles and an assurance framework to help standardise approaches to making decisions about staffing in a multidisciplinary mental health setting, within organisations and across the system supporting the patient experience and outcomes. (Edited publisher abstract)
Exploring experiences of and attitudes towards mental illness and disclosure amongst health care professionals: a qualitative study
- Authors:
- WAUGH William, et al
- Journal article citation:
- Journal of Mental Health, 26(5), 2017, pp.457-463.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Background: The literature suggests that many health professionals hold stigmatising attitudes towards those with mental illness and that this impacts on patient care. Little attention has been given to how these attitudes affect colleagues with a mental illness. Current research demonstrates that stigma and discrimination are common in the UK workplace and impact on one’s decision to disclose mental illness. Aims: This study aims to explore health professionals’ experiences of and attitudes towards mental illness and disclosure in the workplace. Methods: This qualitative study involved semi-structured interviews with 24 health professionals employed by an NHS (National Health Service) trust. 13 of these worked in mental health, and 11 in other health fields. Interviews were transcribed and thematic analysis was used to identify themes. Results: Five key themes were identified from the data: personal experiences and their effect in changing attitudes; perceived stigmatising views of mental illness in other staff members; hypothetical disclosure: factors affecting one’s decision; attitudes towards disclosure; support in the workplace after disclosure; and, applying only to those working outside of the mental health field, mental illness is not talked about. The results indicated that participants had a great deal of experience with colleagues with a mental illness and that support in the workplace for such illnesses is variable. Attitudes of participating health professionals towards colleagues with a mental illness appeared to be positive, however, they did report that other colleagues held negative attitudes. Deciding to disclose a mental illness was a carefully thought out decision with a number of advantages and disadvantages noted. In particular, it was found that health professionals’ fear stigma and discrimination from colleagues and that this would dissuade participants from disclosing a mental illness. Conclusion: In many respects, this research supports the findings in other workplaces. Such findings need to be investigated further to identify the degree to which these experiences and attitudes can be applied to other health professionals in other healthcare settings to determine what intervention is necessary. Importantly, this study has also indicated that the level of support available to NHS health professionals with a mental illness is variable, suggesting the need to identify and replicate positive practice. (Publisher abstract)
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)
Mind your language!
- Author:
- GILFOYLE Sharon Ann
- Journal article citation:
- Mental Health and Social Inclusion, 21(1), 2017, pp.47-52.
- Publisher:
- Emerald
Design/methodology/approach: This paper explores the use of recovery and mental health language and the application in modern day mental health services. Findings: The language that is used to describe mental health is often based on a traditional medical model primarily focussing on diagnosis, symptoms and problems. This is a stark difference to the modern day use of recovery orientated language. Practical implications: The paper can be used as a discussion topic in teams to explore themes around recovery language. (Edited publisher abstract)
Staff training on formulation and fire-setting in people with intellectual disabilities
- Authors:
- TOSTEVIN Amy, SHAIKH Abdul
- Journal article citation:
- Advances in Mental Health and Intellectual Disabilities, 9(6), 2015, pp.371-380.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to present the development and evaluation of an original training package for staff members on fire-setting in people with intellectual disabilities. It also included training on functional analysis as a model of formulating the fire-setting behaviour. The quality and effectiveness of the training was assessed and is reported in this paper. Design/methodology/approach: The training was delivered on a ward for people with intellectual disabilities in a UK NHS Trust Low Secure Hospital and was attended by various members of the multidisciplinary team for the ward. The workshop consisted of four modules: theoretical background of fire-setting, the functional analysis model of fire-setting formulation, offence-paralleling behaviours in secure settings and a case study practice. Level of self-reported understanding of the various aspects of the training was measured by an evaluation questionnaire completed pre and post training. Findings: The results of this study showed that following the training there was a significant increase in self-reported understanding of staff members. The participants reported an increase in understanding of fire-setting, functional analysis and formulation of individuals with an intellectual disability and history of fire-setting. Originality/value: This study highlights the potential for staff training to increase awareness of fire-setting behaviours by people with intellectual disabilities. The staff training in formulation would encourage their involvement in development of team formulations and may subsequently increase their understanding of such individuals. (Publisher abstract)
Integration that works: an evaluation of the Tile House: executive summary
- Author:
- CROCKER Amy
- Publisher:
- One Housing
- Publication year:
- 2015
- Pagination:
- 15
- Place of publication:
- London
This paper evaluates One Housing Group's Care Support Plus model at Tile House, Camden, a scheme providing care and support to people with complex mental health problems in conjunction with Camden and Islington NHS Foundation Trust. The evaluation found that services provided through this integrated health and housing model: helped save the NHS nearly £900,000 since the scheme opened in 2012; freed-up hospital beds by reducing the number of admissions and length of overall patient stays in hospital; and supported people with complex needs to build up their confidence, live independently, and improve their health and quality of life. (Edited publisher abstract)
Could experts by experience gain positions of real power?
- Author:
- CLEWES Jane
- Journal article citation:
- Mental Health Today, November/December 2014, pp.24-27.
- Publisher:
- Pavilion
- Place of publication:
- Hove
Experts by experience rarely get positions of real power in secondary mental health services. This article discusses the barriers facing experts by experience and whether they can have real power to influence decision making in service development within NHS mental health services. (Edited publisher abstract)
Monitoring the Mental Health Act in 2012/13; presented to Parliament by the Secretary of State for Health pursuant to section 120D(3) of the Mental Health Act 1983
- Authors:
- CARE QUALITY COMMISSION, GREAT BRITAIN. Department of Health
- Publisher:
- Care Quality Commission
- Publication year:
- 2013
- Pagination:
- 94
- Place of publication:
- Newcastle upon Tyne
This is the fourth annual report by the Care Quality Commission (CQC) on its monitoring of the use of the Mental Health Act 1983. It collates findings of CQC’s specialist MHA visits, the concerns of people who use services and of professional stakeholders, and policy issues relevant to psychiatric detention in England. In 2012/13 people were detained or treated under the MHA more than 50,000 times; and community treatment orders were imposed more than 4,600 times. The total number of people who are subject to the MHA has risen by 12% in the last five years, with 17,000 people detained at the end of 2012/13. The report considers the extent to which mental health services are responsive to people’s needs; ways in which people are subject to restrictions; issues around consent to treatment; access to care during mental health crisis; and deaths of patients subject to the Act. While there is welcome for improvements in access to independent advocacy services, in helping people to draw up advance statements of preferences for care and treatment, the report notes that 27% of care plans showed no evidence of patient involvement. CQC expects there to be change in respect of promoting dignity and autonomy; promoting cultures that support therapeutic practices and reduce restraint and seclusion to a minimum; and being proactive in embedding learning from the deaths of people subject to the Act. (Edited publisher abstract)