Search results for ‘Subject term:"mental health problems"’ Sort:
Results 1 - 10 of 10
Spiritual advisors and old age psychiatry in the United Kingdom
- Authors:
- LAWRENCE Robert M., et al
- Journal article citation:
- Mental Health Religion and Culture, 11(3), April 2008, pp.273-286.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This survey investigates the role and views of NHS spiritual advisors across the United Kingdom on the provision of pastoral care for elderly people with mental health needs. The College of Health Care Chaplains provided a database, and questionnaires were sent to 405 registered NHS chaplains/spiritual advisors. The response rate was 59%. Quantitative and qualitative analyses were carried out. Spiritual advisors describe their working patterns and understanding of their roles within the modern NHS, and their observations of the level of NHS staff awareness of the importance of spiritual issues in the mental health care of older adults. They provide insights into possible negative and positive perceptions of their roles at a service level, and contribute suggestions of topics relevant to shared education between pastoral care and clinical services. This survey further highlights ethical and operational dimensions at the point of integration of the work of spiritual advisors and multidisciplinary teams.
With safety in mind: mental health services and patient safety
- Authors:
- SCOBIE Sarah, et al
- Publisher:
- National Health Service. National Patient Safety Agency
- Publication year:
- 2006
- Pagination:
- 65p.
- Place of publication:
- London
The report contains analysis which covers almost 45,000 mental health incidents reported to the agency’s National Reporting and Learning System (NRLS) by mental health staff between November 2003 and the end of September 2005. It includes data from 75% of specialist mental health service providers in England and 80% of combined trusts in Wales. It also includes analysis of clinical negligence claims, data from death registrations, hospital activity and national surveys.
Moving on: key learning from Rowan Ward: working to improve in patient services for older people with mental health problems
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2005
- Pagination:
- 8p.
- Place of publication:
- London
The Care Services Improvement Partnership has produced this leaflet to share learning, provide information and useful contacts to colleagues in development centres, strategic health authorities, primary care trusts, local authorities and all organisations working to improve in patient services for older people with mental health problems.
National Confidential Inquiry into Suicide and Homicide by People with Mental Illness. Annual report: England, Northern Ireland, Scotland and Wales. October 2017
- Author:
- NATIONAL CONFIDENTIAL INQUIRY INTO SUICIDE AND HOMICIDE BY PEOPLE WITH MENTAL ILLNESS
- Publisher:
- University of Manchester
- Publication year:
- 2017
- Pagination:
- 132
- Place of publication:
- Manchester
Presents data and analysis on suicide, homicides and sudden unexplained deaths in the UK between 2005 and 2015, focusing on mental health. As well as providing data for the individual countries of the UK, it also provides UK-wide data for suicide in people with eating disorders, autism spectrum disorders, people living with dementia, carers and members of the armed forces. The report also makes recommendations for clinical practice to improve safety in mental health care. Key findings show that there were 1,538 patient suicides in the UK in 2015. Northern Ireland has the highest general population suicide rate, while the rates in the other countries have fallen. There have also been downward trends in the number of suicides by patients recently discharged from hospital in England and Scotland; and suicide by mental health in-patients. Messages to improve mental health care include a renewed emphasis on suicide prevention on in-patient wards; for services to build on the recent fall in suicide following discharge from in-patient care; and for a greater focus on alcohol and drug misuse as a key component of risk management in mental health care. (Edited publisher abstract)
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)
Interventions to improve therapeutic communications between black and minority ethnic patients and professionals in psychiatric services: systematic review
- Authors:
- BHUI Kamaldeep S., et al
- Journal article citation:
- British Journal of Psychiatry, 207(2), 2015, pp.95-103.
- Publisher:
- Cambridge University Press
Background: Communication may be an influential determinant of inequality of access to, engagement with and benefit from psychiatric services. Aims: To review the evidence on interventions designed to improve therapeutic communications between Black and minority ethnic patients and clinicians who provide care in psychiatric services. Method: Systematic review and evidence synthesis (PROSPERO registration: CRD42011001661). Data sources included the published and the ‘grey’ literature. A survey of experts and a consultation with patients and carers all contributed to the evidence synthesis, interpretation and recommendations. Results: Twenty-one studies were included in the analysis. The trials showed benefits mainly for depressive symptoms, experiences of care, knowledge, stigma, adherence to prescribed medication, insight and alliance. The effect sizes were smaller for better-quality trials than for moderate- or lower-quality studies. The review found only two studies offering weak economic evidence. Conclusions: Culturally adapted psychotherapies, and ethnographic and motivational assessment leading to psychotherapies were effective and favoured by patients and carers. Further trials are needed from outside of the UK and USA, as are economic evaluations and studies of routine psychiatric care practices. (Edited publisher abstract)
Patient experience of MDT care and decision-making
- Authors:
- O'DRISCOLL William, et al
- Journal article citation:
- Mental Health Review Journal, 19(4), 2014, pp.265-278.
- Publisher:
- Emerald
Purpose: This paper explores physical and mental health patients’ experience of multidisciplinary team (MDT) care and decision making in order to highlight factors underlying effective care and to identify areas in which patient experience could be improved. Design/methodology/approach: Totally, 12 MDTs within the North Thames area participated; the authors recruited 13 patients from physical health MDTs and seven patients from mental health MDTs. The authors conducted semi-structured interviews with each participant and thematically analysed the transcripts. Findings: The study found a marked contrast in patient experience: physical health patients emphasised their faith in the judgement of MDT clinicians, described experiencing high quality care and expressed a strong preference not to attend MDT meetings; mental health patients highlighted a range of negative experiences, were frequently sceptical about their diagnosis, and expressed a desire to have greater involvement in the decisions directing their care. Research limitations/implications: It was necessary to revise the initial target of interviewing six patients per MDT due to recruitment difficulties. Practical implications: In order to improve care, mental health MDTs should focus on promoting a shared understanding of illness by increasing the transparency of the diagnostic process. Key factors underlying effective MDT care in physical health services include enabling patients to determine their level of involvement in decision making and ensuring patients have a clear understanding of their care plan. Originality/value: The paper highlights the importance of mental health MDTs focusing on developing a shared understanding of illness with their patients. (Publisher abstract)
Service user experience in adult mental health services
- Author:
- NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE
- Publisher:
- National Institute for Health and Care Excellence
- Publication year:
- 2013
- Place of publication:
- Manchester
The NICE care pathway, which aims to ensure that users of adult mental health services have the best possible experience of care from the NHS. This pathway recommends how health and social care professionals and providers can achieve this within the NHS. Areas covered include access to care, assessment, community care, hospital care and discharge, transfer of care, and care and support of service users across all points on the care pathway. (Edited publisher abstract)
Deprivation of liberty: Mental Capacity Act safeguards versus the Mental Health Act
- Authors:
- CAIRNS Ruth, RICHARDSON Genevra, HOTOPF Matthew
- Journal article citation:
- Psychiatrist (The), 34(6), June 2010, pp.246-247.
- Publisher:
- Royal College of Psychiatrists
The European Court of Human Rights concluded that common law, which had been widely used to hold and treat patients lacking mental capacity, was inadequate to satisfy the European Convention of Human Rights. This means that if a patient lacks mental capacity and a deprivation of liberty is felt necessary to provide the care required, common law can longer be used and a choice between deprivation of liberty safeguards and the Mental Health Act must be made. However, in this short article the authors examine how the Mental Capacity Act deprivation of liberty safeguards have been criticised for their complexity and unclear interface with existing mental health law. The authors suggest that, the new legislation, which was implemented in April 2009, is likely to pose a challenge to clinical teams.