Search results for ‘Subject term:"mental health problems"’ Sort:
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Informal mental health patients: what are they told of their legal rights?
- Authors:
- ASHMORE Russell, CARVER Neil
- Journal article citation:
- Mental Health Review Journal, 22(1), 2017, pp.51-62.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to determine what written information is given to informally admitted patients in England and Wales regarding their legal rights in relation to freedom of movement and treatment. Design/methodology/approach: Information leaflets were obtained by a search of all National Health Service mental health trust websites in England and health boards in Wales and via a Freedom of Information Act 2000 request. Data were analysed using content analysis. Findings: Of the 61 organisations providing inpatient care, 27 provided written information in the form of a leaflet. Six provided public access to the information leaflets via their website prior to admission. Although the majority of leaflets were accurate the breadth and depth of the information varied considerably. Despite a common legal background there was confusion and inconsistency in the use of the terms informal and voluntary as well as inconsistency regarding freedom of movement, the right to refuse treatment and discharge against medical advice. Research limitations/implications: The research has demonstrated the value of Freedom of Information Act 2000 requests in obtaining data. Further research should explore the effectiveness of informing patients of their rights from their perspective. Practical implications: Work should be undertaken to establish a consensus of good practice in this area. Information should be consistent, accurate and understandable. Originality/value: This is the only research reporting on the availability and content of written information given to informal patients about their legal rights. (Publisher abstract)
Efficacy of a triage system to reduce length of hospital stay
- Authors:
- WILLIAMS P., et al
- Journal article citation:
- British Journal of Psychiatry, 204(6), 2014, pp.480-485.
- Publisher:
- Cambridge University Press
Background: Attempts have been made to improve the efficiency of in-patient acute care. A novel method has been the development of a ‘triage system’ in which patients are assessed on admission to develop plans for discharge or transfer to an in-patient ward. Aims: To compare a triage admission system with a traditional system. Method: Length of stay and readmission data for all admissions in a 1-year period between the two systems were compared using the participating trust’s anonymised records. Results: Despite reduced length of stay on the actual triage ward, the average length of stay was not reduced and the triage system did not lead to a greater number of readmissions. There was no significant difference in costs between the two systems. Conclusions:Based on the findings the authors cannot conclude that the triage system reduced length of stay, but can conclude that it does not increase the number of readmissions as some have feared. (Edited publisher abstract)
Inpatients from black and minority ethnic backgrounds in mental health services in Wales: a secondary analysis of the Count Me In census, 2005–2010
- Authors:
- ROIYAH Saltus, et al
- Journal article citation:
- Diversity and Equality in Health and Care, 10(3), 2013, pp.165-176.
- Publisher:
- Insight Medical Publishing
Count Me In was an annual census of mental health inpatients that was undertaken in England and Wales from 2005 to 2010. This paper presents a secondary analysis of the census data, with a focus on mental health inpatients from Black and minority ethnic backgrounds in Wales. Analyses focused on the number and characteristics of patients (age, gender, ethnicity, language and religion), the distribution of patients across Wales, sources of referral, detention status under the Mental Health Act 1983 on admission, and length of stay from admission to census day. The results revealed that the numbers of Black and minority ethnic patients from different ethnic groups fluctuated over the 6 years; it was difficult to identify any distinct pattern. The number and proportion of Black and minority ethnic patients admitted to, or being supervised by, inpatient facilities increased year on year from 57 (2.7% of all patients) in 2005 to 76 (3.2%) in 2010. The three highest ethnic-group categories were 'Other', 'Black African' and 'Mixed Caribbean.' Racialised minorities in Wales were over-represented in inpatient mental healthcare, including compulsory detention. A consistently higher proportion of Black and minority ethnic people than White people in Wales were referred from the criminal justice system, while a consistently higher proportion of White people than Black and minority ethnic people were referred by GPs. Although the results cannot reveal the care pathways followed by particular groups or indicate emerging trends for the Black and minority ethnic inpatient population, there are differences between the majority and minority ethnic population groups. Action is required to address this imbalance, and future data collection is necessary to determine whether this action has any impact. In-depth exploration of care pathways remains another clear priority for research and policy. (Edited publisher abstract)
Another planet
- Authors:
- GOLDBERG David, GRIFFITHS Anna, VIERA-MARIA M.MAGDALENA
- Journal article citation:
- Young Minds Magazine, 64, May 2003, pp.20-22.
- Publisher:
- YoungMinds
Describes how Jupiter Ward for adults set out to become adolescent friendly.
Welfare benefits in hospital
- Author:
- HYAMS Lynn
- Journal article citation:
- Mental Health and Learning Disabilities Care, 3(7), March 2000, p.243.
- Publisher:
- Pavilion
This article describes how the current benefits system can be bad for the health of people admitted to psychiatric hospital and gives an example of the experience of one woman patient.
Human rights in mental health services: good practice guide
- Author:
- MENTAL WELFARE COMMISSION FOR SCOTLAND
- Publisher:
- Mental Welfare Commission for Scotland
- Publication year:
- 2017
- Pagination:
- 74
- Place of publication:
- Edinburgh
This guide explains how and where human rights impact on the provision of mental health care and how staff can best ensure that the key rights are respected. It is aimed at staff in hospital and community teams in Scotland and has been written in consultation with mental health care practitioners, users of services, and patients’ relatives who have direct experience of adult acute settings. It looks at each of the rights set out in the Rights in Mind pathway to patients’ rights in mental health services. There is a section for each stage, covering patient’s rights in the community, hospital admission, hospital care, and hospital discharge. The guide also sets out overarching rights that apply across all of these stages. Short case studies are included to illustrate different scenarios. The guide can be used both as a reference guide and as an improvement resource to help staff reflect on their policies and practice. (Edited publisher abstract)
Adult acute themed visit report: visit and monitoring report
- Author:
- MENTAL WELFARE COMMISSION FOR SCOTLAND
- Publisher:
- Mental Welfare Commission for Scotland
- Publication year:
- 2017
- Pagination:
- 61
- Place of publication:
- Edinburgh
This report details findings from visits to 47 mental health admission wards providing care to adults across Scotland, which were conducted to find out whether people receiving care felt their rights were being respected, identify any good practice and provide recommendations for practice. The visits reviewed the care of 323 patients and spoke to 41 carers and hospital staff. The report summarises key findings in the areas of: hospital admission, feeling safe, care planning, recovery, peer support, discharge planning, activities, consent to treatment and advance statements. The report found positive and negative findings. It identifies improvements in the physical environment, found wards were taking a more recovery-focused approach, and also found more peer support workers in wards since the last themed visit. However, the report also identifies a number of areas for improvement. These included: level of safety, with almost one in five patients spoken to reporting feeling unsafe; access to activities, with fewer than half of patients spoken to said they had the opportunity to exercise; and delays in accessing social work services affecting discharge planning. A series of recommendations are included. (Edited publisher abstract)
Listening to young people
- Authors:
- STREET Cathy, SVANBERG Jenny
- Journal article citation:
- Mental Health Today, July 2003, pp.28-30.
- Publisher:
- Pavilion
- Place of publication:
- Hove
Reports on an in-depth qualitative study of a sample of child and adolescent inpatient units drawn from across England and Wales to learn how they might better meet the needs of young people seeking their help. The survey included interviews with 107 young people, 35 parents and 169 staff. Highlights the findings of the study which although indicating clear improvements also revealed continuing areas of concern. Areas of concern included staffing levels; access to information; support for young people after discharge; and bed availability.
Assertive community treatment in Amsterdam
- Authors:
- DEKKER J., et al
- Journal article citation:
- Community Mental Health Journal, 38(5), October 2002, pp.425-436.
- Publisher:
- Springer
In Amsterdam in 1993, an intensive case management project was initiated. This article describes this Dutch project as it was tested in a randomised clinical trial using regular outpatient and inpatient care as the control conditions. All the patients in this project are very ill and most of them suffer from schizophrenia. The new form of care has the same effect on everyday problems as regular care. The basis of this data is too narrow for the drawing of conclusions about the risk of suicide. Longer follow-up would be advisable in order to improve understanding of this problem.
Deliberate self-harm: the impact of a specialist DSH team on assessment quality
- Authors:
- WHYTE Sean, BLEWETT Andrew
- Journal article citation:
- Psychiatric Bulletin, 25(3), March 2001, pp.98-101.
- Publisher:
- Royal College of Psychiatrists
This research was a repetition after 5 years of a prospective case note audit, looking at the impact of a recently established deliberate self-harm (DSH) assessment team on the quality of DSH assessments at Kettering general hospital. Results showed that a specialist DSH team achieved improvement in the quality of psychiatric assessments for the majority of patients who harmed themselves. Assessments of mental state by accident and emergency (A&E) and medical staff before referral to the psychiatric team remain problematic. Setting up a specialist team to assess patients who harm themselves can improve the quality of the psychiatric care they receive, but emphasis must still be placed on an adequate assessment of mental state by medical and nursing staff in A & E and on medical wards.