Search results for ‘Subject term:"mental health problems"’ Sort:
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Diversion: a better way for criminal justice and mental health
- Authors:
- PARSONAGE Michael, et al
- Publisher:
- Sainsbury Centre for Mental Health
- Publication year:
- 2009
- Pagination:
- 64p., bibliog.
- Place of publication:
- London
Diversion finds that court diversion and liaison schemes in England only work with one in five of the people with mental health problems who go through the criminal justice system. Many opportunities for diversion are being missed and too little is being done to ensure that offenders with mental health problems make continuing use of community mental health services. But in the absence of a clear national policy framework, diversion services have developed in a piecemeal and haphazard way. Many schemes are insecurely funded and there is an unacceptably wide degree of variation in their ways of working. The report looks at the evidence on outcomes and the effectiveness of diversion, it includes information from site visits and looks at whether diversion is good value for money.
Barriers and facilitators to the implementation of individual placement and support (IPS) for patients with offending histories in the community: the United Kingdom experience
- Authors:
- KHALIFA Najat, et al
- Journal article citation:
- British Journal of Occupational Therapy, 83(3), 2020, pp.179-190.
- Publisher:
- Sage
Introduction: This study aimed to identify the barriers and facilitators to the implementation of a high fidelity individual placement and support service in a community forensic mental health setting. Method: In-depth interviews were conducted with clinical staff (n = 11), patients (n = 3), and employers (n = 5) to examine barriers and facilitators to implementation of a high fidelity individual placement and support service. Data was analysed using thematic analysis, and themes were mapped onto individual placement and support fidelity criteria. Results: Barriers cited included competing interests between employment support and psychological therapies, perceptions of patients’ readiness for work, and concerns about the impact of returning to work on welfare benefits. Facilitators of implementation included clear communication of the benefits of individual placement and support, inter-disciplinary collaboration, and positive attitudes towards the support offered by the individual placement and support programme among stakeholders. Offences, rather than mental health history, were seen as a key issue from employers’ perspectives. Employers regarded disclosure of offending or mental health history as important to developing trust and to gauging their own capacity to offer support. Conclusions: Implementation of individual placement and support in a community mental health forensic setting is complex and requires robust planning. Future studies should address the barriers identified, and adaptations to the individual placement and support model are needed to address difficulties encountered in forensic settings. (Edited publisher abstract)
Mental health
- Author:
- RYAN Peter
- Journal article citation:
- Research Matters, 2005, pp.31-36.
- Publisher:
- Community Care
Assertive outreach has been extended in the US to older people with mental health difficulties and mentally ill people in the criminal justice system. This article resports on research looking at the expansion of assertive outreach to older people with mental illness and people with mental illness in the criminal justice system.
Implementation of individual placement and support (IPS) into community forensic mental health settings: lessons learned
- Authors:
- TALBOT Emily, et al
- Journal article citation:
- British Journal of Occupational Therapy, 81(6), 2018, p.338–347.
- Publisher:
- Sage
Introduction: Assessment of the effectiveness of individual placement and support in forensic mental health settings is a relatively new field of research despite evidence demonstrating its effectiveness in generic mental health settings. Method: IPS was implemented into a community forensic mental health setting within a large National Health Service trust in the United Kingdom over 6 months. Using the Consolidated Framework for Implementation Research this paper describes the lessons learned from implementing individual placement and support into such settings. Results: Our findings suggest that implementation of individual placement and support in forensic mental health settings is complex and requires robust planning and collaboration with internal and external agencies. Barriers to implementation included staff attitudes, difficulty engaging employers and lack of employment related performance indicators, and facilitators included the support of service managers and outside groups. Adaptations to the IPS model were made to address challenges encountered, including difficulty starting rapid job searches, concerns about stigma, lack of confidence, uncertainty around employment opportunities, offence restrictions and lack of interest from potential employers. Conclusion: This paper adds to the limited literature in the field. Findings are relevant to practitioners and service providers who wish to implement individual placement and support services for people with mental disorder and offending histories. (Edited publisher abstract)
Wasted opportunities
- Author:
- BEECH Sarah
- Journal article citation:
- Mental Health Today, March 2004, pp.27-29.
- Publisher:
- Pavilion
- Place of publication:
- Hove
Looks at how the multiple needs of ex-offenders with mental health problems might be better managed. Highlights link-worker schemes established by Revolving Doors Agency which aim to connect the client with the many services they require such as housing, primary care, benefits and drug and alcohol support. The service shows the benefits of interagency working. The article also provides an overview of a CD-ROM tool kit developed by the Revolving Doors Agency which can be used to evaluate existing provisions and identify where gaps lie.
Day care for mentally disordered offenders
- Authors:
- VAUGHAN Phillip J, KELLY Maria, PULLEN Nick
- Journal article citation:
- British Journal of Forensic Practice, 1(4), December 1999, pp.9-16.
- Publisher:
- Emerald
Day care service provision provides a crucial safety net for mentally disordered offenders, although dedicated services to this group are not widespread, leaving mainstream services to cater for all groups. This survey of provision concludes that an extension of provision would be beneficial.
Management of conditionally discharged patients and others who present similar risks in the community: integrated or parallel?
- Authors:
- SNOWDEN Pete, McKENNA John, JASPER Anne
- Journal article citation:
- Journal of Forensic Psychiatry, 10(3), December 1999, pp.583-596.
- Publisher:
- Routledge
There is no literature available on the styles of service provision for the supervision of high-risk mentally disordered offenders, in particular those subject to the provisions of s.41 of the Mental Health Act 1983. This article describes the historical background to the terms 'integrated' and parallel' care for mentally disordered offenders. It is argued that these terms no longer have any value. A four-level model of managing high-risk patients in the community is proposed, which relates to the assessment of clinical risks.
Services for mentally disordered offenders in community psychiatry teams
- Authors:
- VAUGHAN Phillip J., PULLEN Nick, KELLY Maria
- Journal article citation:
- Journal of Forensic Psychiatry, 11(3), December 2000, pp.571-586.
- Publisher:
- Routledge
This research surveyed a community team in Wessex to determine their capacity to support mentally disordered offenders (MDOs) in the community. Results found proficiency levels of key workers did not match the demands of this group. The compartmentalised nature of services also led to appropriate expertise being denied to MDOs. Learning disability teams had problems of discriminating between health and social care. They had the highest levels of MDOs on their case-loads and their clients posed the greatest challenge in terms of violence, self-harm and sexual offences. Concludes that services should adopt a more co-operative style of working with improved communication between secure institutions and community teams. Additionally, community teams could be supplemented and supported by district forensic community teams, to maintain MDOs in mainstream services.
A model program for the treatment of mentally ill offenders in the community
- Authors:
- ROSKES Erik, et al
- Journal article citation:
- Community Mental Health Journal, 35(5), October 1999, pp.461-472.
- Publisher:
- Springer
There is a recent growing interest among community mental health service providers in the United States about 'correctional psychiatry', and attention is being paid to the treatment of mentally disordered offenders. This article introduces the reader to the magnitude of the correctional system and to the prevalence of mental health problems among the correctional population. Several model programmes designed for work with mentally disordered offenders are discussed, and a collaborative approach between community mental health services and a probation office is described. Barriers to treatment such as stigma, lack of support and dual diagnosis are also explored.
When will they ever work? The importance of employment
- Author:
- FOSTER Tom
- Journal article citation:
- Journal of Forensic Psychiatry, 10(2), September 1999, pp.245-248.
- Publisher:
- Routledge
Paid work holds a central place in the lives of most people of working age, not only as a source of income, but also for the psychological satisfactions and social supports work can provide. The absence of work is just as significant for those people who are unemployed. This article is a brief discussion of the psychological effects of unemployment.