Search results for ‘Subject term:"mental health problems"’ Sort:
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Offenders: positive practice guide
- Author:
- NATIONAL HEALTH SERVICE. Improving Access to Psychological Therapies
- Publisher:
- National Health Service. Improving Access to Psychological Therapies
- Publication year:
- 2009
- Pagination:
- 11p.
- Place of publication:
- London
The background and policy framework is explained. Offenders' problems gaining access to adequate health and social care services are outlined. Sections then discuss understanding offenders' needs, removing barriers to access, engaging with offenders and training and developing the workforce.
COCOA: care for offenders continuity of access
- Authors:
- BYNG Richard, et al
- Publisher:
- National Institute for Health Research
- Publication year:
- 2012
- Pagination:
- 265p.
- Place of publication:
- London
Adult offenders have a high incidence and prevalence of many illnesses, particularly poor mental health and substance misuse. Passage through the various elements of the criminal justice system (CJS) provides both the potential for initial access to healthcare and also the disruption of existing care. The aim of this project was to inform policy on improving health and reducing recidivism for offenders by examining access to, and continuity of, healthcare. A multi-method investigation of continuity of healthcare for offenders included: interviews and health records study of 200 offenders; 5 focus groups; and 8 case studies. A quantitative analysis of the offender interviews demonstrates the extent of the deficit in access. A qualitative analysis of interviews and focus groups data provides insights into how offenders view healthcare and the potential impact on achieving access and continuity. The case studies provide information about the barriers and facilitators from an institutional viewpoint. These findings are used in the development of theory related to offender continuity of care. The study demonstrates that continuity of access to healthcare, particularly for mental health problems, is far from perfect. However, pockets of good practice and innovative projects demonstrate the potential for improving continuity and the quality of care provided.
Diverson tactics
- Author:
- SAMUEL Mithran
- Journal article citation:
- Community Care, 4.8.11, 2011, pp.26-27.
- Publisher:
- Reed Business Information
Manchester Offenders: Diversion Engagement Liaison (MO:DEL) service is working to reduce reoffending among offenders with mental health problems who have additional needs. The services helps them engage with mental health and substance misuse services. Staff involved in the project include one social worker, one probation officer, four nurses and a consultant nurse. Two short case studies show how the project has changed the lives of two offenders.
The fall and rise of 'mental health' diversion
- Authors:
- PAKES Francis, WINSTONE Jane
- Journal article citation:
- Prison Service Journal, 177, May 2008, pp.43-47.
- Publisher:
- Her Majesty's Prison Service of England and Wales
The notion and practice of diversion of individuals with mental health problems has undergone transformations in the last twenty years. The 'classic' conception of diversion is the removal of an individual away from prison (or remand) into a health setting. Currently many diversion schemes offer information to the courts and support the disordered individual without diversion being the over-riding objective. Their operation might be seen as a mixture of assessment, referral, liaison and advocacy. This article describes areas of effective practice identified from a comprehensive literature review, and key findings from a pilot study.
Understanding help seeking behaviour among male offenders: qualitative interview study
- Authors:
- HOWERTON Amanda, et al
- Journal article citation:
- British Medical Journal, 10.02.07, 2007, pp.303-306.
- Publisher:
- British Medical Association
To explore the factors that influence help seeking for mental distress by offenders a qualitative study based on in-depth interviews with prisoners before and after release was conducted. Participants were 35 male offenders in England aged 18-52, a quarter of whom had been flagged as being at risk of self harm. Most respondents reported that they would not seek help from a general practitioner or other healthcare professional if experiencing mental distress. When followed up after release, none had sought medical help despite the fact that many had considerable emotional problems. Many participants were hesitant to seek help because they feared being given a formal diagnosis of mental illness. Some of these men feared the stigma that such a diagnosis would bring, whereas others feared that a diagnosis would mean having to confront the problem. Lack of trust emerged as the most prominent theme in prisoners' discourse about not seeking help from health professionals. Distrust towards the "system" and authority figures in general was linked to adverse childhood experiences. Distrust directed specifically at healthcare professionals was often expressed as specific negative beliefs: many perceived that health professionals (most often doctors) "just don't care," "just want to medicate," and treat patients "superficially." Those men who would consider going to a general practitioner reported positive previous experiences of being respected and listened to.
The mental health of residents of approved premises in the Greater Manchester probation area: a cohort study
- Authors:
- HATFIELD Barbara, et al
- Journal article citation:
- Probation Journal, 51(2), June 2004, pp.101-115.
- Publisher:
- Sage
Reports on a 12 month cohort study of mental disorder among residents of approved premises within the Greater Manchester probation area which had contracted psychiatric support via the local NHS Trust. Generally high rates of mental health problems were identified, particularly at the premises with psychiatric support and the women's premises, and also among bailees across all premises. Not all of those with mental health problems were receiving mental health services. Implications for service development within the probation service and alongside health and social care agencies are considered.
Prisoners with psychosis in England and Wales: a one-year national follow-up study
- Authors:
- MELZER David, et al
- Journal article citation:
- Howard Journal of Criminal Justice, 41(1), February 2002, pp.1-13.
- Publisher:
- Wiley
It is well established that significant numbers of prisoners have psychosis, yet little is known of what happens to them over time. One hundred and forty prisoners with probable psychosis from the National Survey of Psychiatric Morbidity in Prisons were re-interviewed at one-year follow-up. During the follow-up year 10% were admitted to hospitals, detox or medium secure units. At follow-up, 65% had ‘caseness’ levels of current psychiatric illness, but less than a quarter had appointments with psychiatric professionals: for violent or sexual offenders, only 41% had such appointments. Three per cent of those released were in supported accommodation at follow-up.
Therapeutic interventions for forensic mental health nurses
- Editors:
- KETTLES Alyson M., WOODS Phil, COLLINS Mick
- Publisher:
- Jessica Kingsley
- Publication year:
- 2002
- Pagination:
- 278p.,bibliog.
- Place of publication:
- London
Explores current and emerging interventions in forensic nursing and the care of offenders with mental health problems, with an emphasis on clinical practice and clinical competence. Looks at the practical problems facing forensic nurses, such as environment and safety issues, as well as the possible emotional trauma of such a role. Examines a range of intervention strategies, such as exercise. Covers a range of diverse perspectives, including: the care of women in secure services; severely assaultive patients; sex offenders; the role of inpatient therapy and nurse therapists; and the importance of spiritual nursing and educational interventions.
Diverted to where? What happens to the diverted mentally disordered offender
- Authors:
- ROWLANDS Robert, et al
- Journal article citation:
- Journal of Forensic Psychiatry, 7(2), September 1996, pp.284-296.
- Publisher:
- Routledge
Describes a court diversion scheme in a provincial city using a forensic community psychiatric nurse specialist. Results found that failure to secure continued psychiatric follow-up was significantly more likely for those who had substance dependence problems or personality disorders. The study demonstrates that diversion schemes can run successfully with the nurse as the main focus, but that there is a high default rate among mentally disordered offenders who receive outpatient management. Argues that there is a need for greater availability of secure beds for the minority of mentally disordered offenders who present as severely disordered.
Forensic social work: competence and workforce data; a CCETSW project
- Author:
- CENTRAL COUNCIL FOR EDUCATION AND TRAINING IN SOCIAL WORK
- Publisher:
- Central Council for Education and Training in Social Work
- Publication year:
- 1995
- Pagination:
- 36p.
- Place of publication:
- London
Contains a statement of competencies for good practice in forensic social work. Identifies 8 key tasks: assessment, care planning and management, report writing, working with individuals and families, managing crisis and trauma, social supervision, working with external systems, and complementary professional activity. Breaks these down into activities, together with the underpinning knowledge and understanding required and the range of settings in which they should be demonstrated.