Search results for ‘Subject term:"mental health problems"’ Sort:
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The MOPAC Youth Outcomes Framework
- Authors:
- MAYOR'S OFFICE FOR POLICING AND CRIME, PROJECT ORACLE
- Publisher:
- Mayor's Office for Policing and Crime
- Publication year:
- 2016
- Pagination:
- 3
- Place of publication:
- London
This resource presents the Mayor's Office for Policing and Crime (MOPAC) Youth Outcomes Framework (2016), which was developed by MOPAC and Project Oracle in 2013. The Outcomes Framework is based on: a review of existing children and youth outcomes frameworks; consultation with over 75 youth justice organisations, funders and commissioners across London; a pilot of the MOPAC Youth Outcomes Framework within three London local authorities and lessons learned from their experiences. The Framework is a tool to support those working in the youth justice sector to identify their intended outcomes, and to assess and demonstrate those outcomes. It is a 'menu' of outcomes and measurement tools which organisations can select from to explore and demonstrate the impact of their work. Outcomes and measurement tools are grouped around five themes: offending, violence and victimisation; behaviour; attitudes and relationships; personal skills and attributes; and mental health and wellbeing. (Edited publisher abstract)
A checklist of key questions to guide the mental health co-production process
- Author:
- NATIONAL DEVELOPMENT TEAM FOR INCLUSION
- Publisher:
- National Development Team for Inclusion
- Publication year:
- 2016
- Pagination:
- 4
- Place of publication:
- Bath
A checklist to enable strategists, managers, service users, groups and practitioners to co-create change by understanding and addressing practical issues that are likely to come up during the co-production process. The checklist is divided into four main steps: What activity do you want to co-produce and why?; Developing a shared understanding about the problem or issue being addressed; Identifying desirable outcomes and paying attention to the process; Tracking progress; and Learning from experience. It includes a series of questions and suggested strategies for each step in the process. The checklist is one of a series of publications produced as part of the NDTi’s ‘Peoples Voice’ programme, with funding from the Esmée Fairbairn Foundation, and has been co-produced with people who use services. (Edited publisher abstract)
Current issues in child sexual abuse, gender and health outcomes: shedding new lights to inform worldwide policy and practice
- Authors:
- COLLIN-VEZINA Delphine, GARRIDO Edward F.
- Journal article citation:
- Child Abuse and Neglect, 63, 2016, p.245–248.
- Publisher:
- Elsevier
This paper introduces the articles in this special issue, which builds upon a growing literature on CSA, gender and outcomes that calls for action to further prevent, address and respond to cases of sexual violence. The calls for action highlighted in this series of papers are paramount to improving the well-being of children and youth, and to building communities and societies that can nolonger ignore the magnitude of the problem of CSA and the extent of its impact. (Edited publisher abstract)
Reducing outcome measures in mental health: a systematic review of the methods
- Authors:
- SMITH Wayne, et al
- Journal article citation:
- Journal of Mental Health, 25(5), 2016, pp.461-472.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Background: Traditionally, classical test theory (CTT) has been used for instrument development and various methods have since been proposed for reducing outcome measures to shorter versions. These reduction methods have not previously been compared in mental or physical health. Aim: To identify and compare the various methods used to develop brief versions of outcome measures from existing measures in mental health. Method: A systematic review of the literature in Embase, Medline, PsychInfo and from a grey literature was done. Search strategies were developed in each database to identify all relevant literature based on the inclusion criteria. Each paper identified was briefly described and then assessed using a bespoke assessment checklist developed by the authors. Methods for reducing outcome measures found across all studies were compared. Results: Ten papers were identified. Five methods were used for scale reduction: Rasch analysis (RA), exploratory factor analysis (EFA), graded response models (GRMs), all-subset regression, and regression. RA was the most widely used process. Conclusion: The Rasch model (RM) is the only model where “‘specific objectivity”‘ is a defining property of the model. This property is necessary for constructing scales in line with the fundamental principles of measurement. (Publisher abstract)
We need to talk Wales: improving access to psychological therapies
- Author:
- WE NEED TO TALK (WALES)
- Publisher:
- We Need to Talk (Wales)
- Publication year:
- 2016
- Pagination:
- 16
This report, published a coalition of mental health charities and service providers, provides evidence on the clinical and economic benefits of improving access to psychological therapies for patients in Wales. It highlights four key priority areas and recommendations for the Welsh Government: timely access; choice; outcomes through the lens of the service user; and measuring lasting impact. A general practitioner and a ‘talking therapies’ professional also give their views on access to, and benefits of talking therapies. The report calls for people with mental health problems in Wales to be able to access psychological therapies within 28 days of referral in order to support their recovery and prevent unnecessary deterioration. (Edited publisher abstract)
Mental health and housing: housing on the pathway to recovery
- Authors:
- HACT, NATIONAL HOUSING FEDERATION, COMMON CAUSE CONSULTING
- Publisher:
- National Housing Federation
- Publication year:
- 2016
- Pagination:
- 36
- Place of publication:
- London
Outlines the evidence to support the inclusion of housing in the mental health recovery pathway, including examples of the types of intervention that can contribute to improvements in quality and cost savings in mental health. It is designed to support both the continued development of a more outcome-based approach to commissioning and a more integrated approach to service provision. It also looks at the potential economic benefits of reduced admissions to hospital, reducing delays in discharge, reducing readmissions, and reducing out of area placement. The document also includes four case examples to show how housing and housing related services have been able to improve cost effectiveness while also delivering higher quality services. The report argues for a whole system approach to ensure that every intervention that can contribute to someone’s recovery are considered. It highlights the importance of focusing early in the pathway on someone’s housing circumstances to ensure that they only stay in institutional forms of care out of choice or real necessity. (Edited publisher abstract)
A survey of consultant psychiatrists in intellectual disability based in England
- Authors:
- GUINN Ashley, et al
- Journal article citation:
- Advances in Mental Health and Intellectual Disabilities, 10(4), 2016, pp.258-270.
- Publisher:
- Emerald
Purpose: Community mental health services are of increasing importance for people with an intellectual disability (ID), as the government aims to reduce the number of people treated within inpatient services. However, due to limited evidence base, it is unclear which service models are most effective for treating people with both ID and a mental health condition. Therefore, the purpose of this paper is to carry out a survey in order to gain a better understanding of the current state of ID community services. Design/methodology/approach The survey was e-mailed to 310 consultant psychiatrists based in England and whose main specialism was in ID. In total, 65 consultants responded to the survey with 53 complete data sets. Findings: In total, 84 per cent of consultants identified themselves as working in a generic community ID team. The majority of services were not integrated with social care (71 per cent). Regional differences were found. In contrast to the rest of England, the majority of services in London were integrated with social care. The Health of the Nation Outcome Scale for people with Learning Disabilities (HoNOS-LD) was found to be the most common outcome measure used by services. A range of interventions are widely available across services including psychological therapies and specialist memory assessments. The survey also provides evidence for increased decommissioning of specialist inpatient units and a need for more robust community services. Research limitations/implications: Findings limited by low return rate (21 per cent) and because responses could not be matched to specific services. The implications of this survey are that there is still a variable level of integration with social care and that lack of integration could affect the quality of service. While HoNOS-LD is used consistently across services, there may be a need to supplement it with other outcome measures. There is a need for larger scale and higher quality studies in this area to strengthen the evidence base and therefore demonstrate the benefits of integration and specialisation more convincingly to health professionals and commissioners. Originality/value: This survey presents an overview of the current state of community services for adults with ID in England. This information can be harnessed to add to revised approaches to mental health service models for people with ID. (Publisher abstract)
Are recovery and quality of life different outcome measures for community-based psychosocial program?
- Authors:
- YOUNG Daniel, et al
- Journal article citation:
- Social Work in Mental Health, 14(4), 2016, pp.360-378.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This research study aims to explore the relationship between quality of life (QoL) and recovery in mental illness in a community-based psychosocial programme. By adopting a prospective, naturalistic, longitudinal follow-up research design, a cohort of 87 consumers who were discharged from mental hospitals and participated in a community-based psychosocial programme were followed for one year. QoL and recovery of these individuals were assessed at baseline, 6-month and 12-month follow up assessments. At the 12-month follow up, this cohort of participants showed improvement in QoL and achieved a recovery rate of 8%. ANOVA analysis indicated that overall QoL was not related to recovery. Moreover, multiple linear regression analysis showed that overall QoL was predicted significantly by self-efficacy at baseline, improvement in self-efficacy and improvement in functioning (adjusted R2 = 22.8; F(3,81) = 9.272, p < .001). Multivariate logistic regression analysis showed that recovery was significantly predicted by baseline functioning level and improvement in open employment (Nagelkerke R2: 36.7, Model χ2 = 13.214, p < .001). Therefore, overall QoL and recovery were predicted by different factors. These results indicate that recovery and QoL should be conceptualised as two different outcome measures. Community-based psychosocial programmes should include both recovery and QoL as outcome measures and adopt different strategies to facilitate recovery and QoL for consumers. (Edited publisher abstract)
Prevalence and trajectories of psychiatric symptoms among sober living house residents
- Authors:
- POLCIN Doug, et al
- Journal article citation:
- Journal of Dual Diagnosis, 12(2), 2016, pp.175-184.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Objective: Sober living houses are alcohol- and drug-free recovery residences that help individuals with substance use disorders maintain long-term abstinence. Given the prevalence of co-occurring mental disorders among individuals entering substance use treatment, it is likely that many such residents are also contending with psychiatric symptoms, and it is unclear how these symptoms may affect their sobriety. This study sought to describe the prevalence and trajectories of different types of symptoms among sober living house residents and examine how these symptoms affect substance use outcomes. Methods: Data for this study were collected as part of a larger study on outcomes among sober living house residents in Northern California. The current study examined data from 300 residents in two housing groups; residents were interviewed upon entry and re-interviewed at 6-, 12-, and 18-month follow-ups. Psychiatric symptoms were assessed using the Brief Symptom Inventory (BSI). General estimating equations tested changes in BSI global psychological distress and clinical symptom scales over time and examined the relationship between scale scores and substance use in longitudinal models controlling for demographics, length of stay, and psychiatric service utilisation. Results: The average age of residents was 38.5 years, and they were mostly male (80%) and Caucasian (65%). Retention rates were high, with 90% participating in at least one follow-up interview. Overall psychological distress, symptoms of depression, and phobic anxiety significantly improved over time. In all models examining the relationship between BSI scale scores and substance use, rates of abstinence and days of use among those who reported using substances also improved over time. Overall distress as well as higher scores on the somatization, depression, hostility, and phobic anxiety subscales were significantly associated with a decreased likelihood of abstinence. Symptoms of somatization were associated with an increase in the number of days substances were used among those who reported use. Conclusions: Psychological symptoms among sober living house residents improve over time, but they are risk factors for relapse, suggesting that additional support provided to residents with psychiatric symptoms could improve substance use outcomes. (Edited publisher abstract)
Evaluation of Doncaster Social Prescribing Service: understanding outcomes and impact
- Authors:
- DAYSON Chris, BENNETT Ellen
- Publisher:
- Sheffield Hallam University. Centre for Regional Economic and Social Research
- Publication year:
- 2016
- Pagination:
- 34
- Place of publication:
- Sheffield
An evaluation of the Doncaster Social Prescribing Service, providing an analysis of outcomes for service users and the costs and benefits of the service between August 2015 and July 2016. It uses interviews with staff and key stakeholders from across health and social care, and users of the service; self-evaluation questionnaires from 292 people using the Service; and quality of life surveys completed by 215 users of the Service. The Social Prescribing Service reached more than 1,000 people referred by their GP, Community Nurse or Pharmacist and enabled almost 600 local people to access support within the community during the evaluation period. The main reasons for referral were a long term health or mental health condition. Positive outcomes for clients included improvements in health related quality of life (HRQL), social connectedness, and financial well-being. However, there was little evidence to suggest a reduction in the use of secondary care and inpatient stays. In health terms, the evaluation estimates that for every £1 of the £180,000 funding spent, the Service produced more than £10 of benefits in terms of better health. (Edited publisher abstract)