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Services to support carers of people with mental health problems: overview report
- Authors:
- ARSKEY Hilary, et al
- Publisher:
- University of York. Social Policy Research Unit
- Publication year:
- 2002
- Pagination:
- 47p.
- Place of publication:
- York
The overall aim of the scoping study was to advise the NHS Service Delivery and Organisation (SDO) Research and Development Programme as to what further research should be commissioned in the area of services to support carers, including young carers, of working-age adults and older people with mental health problems. The five key objectives were: to define what was meant by ‘effectiveness’ and ‘cost-effectiveness’ in relation to services to support the target group, recognising that the major stakeholders will have different perspectives on, and interpretations of, these terms; to examine and summarise the evidence from published and grey literature (both UK and international) about effective and cost effective services to support the target group; to ensure that the views of key stakeholders were central to the scoping study and informed its findings and recommendations ; to draw on the evidence from the literature, and the consultation with relevant stakeholders, to identify the key gaps in existing knowledge and, where possible, to describe how these gaps are affecting development of services; and to advise SDO on which areas should be a priority for further research, taking particular note of the requirements of the two NSFs, and the concerns and issues raised by different groups of carers or their representatives.
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.
Services to support carers of people with mental health problems: literature review report
- Authors:
- ARKSEY Hilary, et al
- Publisher:
- National Co-ordinating Centre for NHS Service Delivery and Organisation
- Publication year:
- 2002
- Pagination:
- 180p.
- Place of publication:
- London
This report provides a scoping review of evaluation studies of interventions and services to support carers of people with mental health problems. It discusses issues relating to the effectiveness and costeffectiveness of interventions and highlights where there are gaps in knowledge. The 204 studies included in the review were diverse and complex. Interventions were classified into 11 different groups: educational interventions of different types (36 per cent); breaks from caring (18 per cent); family interventions (10 per cent); mutual support and social activity groups (9 per cent); telephone and computer-based services (8 per cent); multidimensional approaches to caring interventions (7 per cent); counselling (4 per cent); domiciliary care services (2 per cent); physic al environment (1 per cent); services to support Carers of People with mental health problems; supporting carers through memory clinics (1 per cent); and miscellaneous (4 per cent).
Partners in care: service user employment in the NHS: a user’s perspective
- Author:
- HARDING Emma
- Journal article citation:
- Psychiatric Bulletin, 29(7), July 2005, pp.268-269.
- Publisher:
- Royal College of Psychiatrists
The user employment programme at Southwest London and St George’s Mental Health NHS Trust is implemented by a small team of employment specialists working to support people with personal experience of mental ill health to attain and retain jobs within the NHS. There is a triad of support available in terms of enabling people to get jobs by providing weekly details of vacancies and assistance with application forms and interview skills. NHS user employment is particularly important as it enables people to consolidate and make use of what is to the rest of society misconstrued as a dirty secret or even a menace. For the individual themselves, the experience of distress is often a series of life-changing events; being able to make use of the revelations these bring is a natural panacea.
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)
Under threat: patient confidentiality and NHS computing
- Author:
- ANDERSON Ross
- Journal article citation:
- Drugs and Alcohol Today, 6(4), December 2006, pp.13-17.
- Publisher:
- Emerald
The author argues that Government moves to centralise patient records are putting the security of medical records at risk, which in turn is jeopardising patient confidentiality. This is being felt most among those with sensitive medical records such as substance users, young people and those with mental health problems.
Care needs of elderly people with schizophrenia: assessment of an epidemiologically defined cohort in Scotland
- Authors:
- McNULTY Seamus V., et al
- Journal article citation:
- British Journal of Psychiatry, 182(3), March 2003, pp.241-247.
- Publisher:
- Cambridge University Press
Little is known of the needs of elderly patients with psychotic illnesses. The aim of this artilce was to measure the care needs of an epidemiologically based group of patients over the age of 65 years suffering from psychotic illness, using a standardised assessment. All patients aged 65 years and over with a diagnosis of schizophrenia and related disorders from a defined catchment area were identified. Their health and social care needs were investigated using the Cardinal Needs Schedule. The 1-year prevalence of schizophrenia and related disorders was 4.44 per 1000 of the population at risk. There were high levels of unmet need for many patients, including those in National Health Service (NHS) continuing-care beds. Many needs were identified, all of which could be addressed using the existing skills of local health and social care professionals. The investigation raises serious concerns about standards of hospital and community care for elderly patients with schizophrenia. The findings may be unique, reflecting long-standing problems within a particularly hard-pressed part of the NHS. However, it is not known whether a similar situation exists in other parts of the UK.
The drugs don't work
- Author:
- WADDELL Helen
- Journal article citation:
- Community Care, 19.09.02, 2002, p.26.
- Publisher:
- Reed Business Information
Psychiatric service users and mental health professionals have long debated the merits of therapy as opposed to medication, or at the very least therapy in addition to psychiatric drugs. And with the safety of so-called "clean" SSRI (selective serotonin re-uptake inhibitor) antidepressant drugs being brought into question by users and professionals, the need for effective, client-focused rather than "clock-focused" therapies seems ever more important.
Survey of patients from an inner-London health authority in medium secure psychiatry care
- Authors:
- LELLIOTT Paul, AUDINI Bernard, DUFFETT Richard
- Journal article citation:
- British Journal of Psychiatry, 179, January 2001, pp.62-66.
- Publisher:
- Cambridge University Press
Under-provision by the National Health Service (NHS) has led to an increase in medium secure psychiatric beds managed by the independent sector. Black people are over-represented in medium secure care. This study describes those people from an inner-London health authority occupying all forms of medium secure provision, and compares those in NHS provision with those in the independent sector, and Black patients with White patients. The researchers concluded that the NHS meets only part of the need for medium secure care of the population of this London health authority. This comparison of the characteristics of Black and White patients does not help to explain why Black people are over-represented in medium secure settings.
Substance use and misuse in psychiatric wards: a model task for clinical governance?
- Authors:
- WILLIAMS Richard, COHEN Jeff
- Journal article citation:
- Psychiatric Bulletin, 24(2), February 2000, pp.43-46.
- Publisher:
- Royal College of Psychiatrists
Substance use has reached endemic proportions. Inevitably, the world of psychiatric wards must reflect issues arising in our society. Recognition of its impact on the psychiatric ward is a key issue for staff and patients alike. This paper discusses the problems of substance use in this setting and suggests some procedures and approaches for dealing with its impact.