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Regional reviews of tier 4 child and adolescent mental health services: summary and comment
- Author:
- KURTZ Zarrina
- Publisher:
- Care Services Improvement Partnership. Children, Young People and Families Programme
- Publication year:
- 2007
- Pagination:
- 93p.
- Place of publication:
- London
In-patient care, provided at Tier 4 level, is a specialised field aimed at provision of high-quality care for young people with serious mental health problems. This report summarises analyses and comments upon the findings from Reviews of Tier 4 Child and Adolescent Mental Health Services (CAMHS),undertaken during the past year or two, in the nine regions of England.
Attitudes to mental illness 2007
- Author:
- CARE SERVICES IMPROVEMENT PARTNERSHIP. Shift
- Publisher:
- Great Britain. National Statistics
- Publication year:
- 2007
- Pagination:
- 46p., tables
- Place of publication:
- London
Since March 1993, the Department of Health has placed a set of questions on TNS’ Face-to-Face Consumer Omnibus. From 1993 to 1997 the questions were asked on an annual basis, thereafter they have been asked every third year up until 2003. The current 2007 survey follows four years after the previous survey. These surveys serve as a tracking mechanism, and in this report, the most recent results are compared with those from previous years. The respondents in the surveys were presented with a number of statements about mental illness. They covered a wide range of issues from attitudes towards, and perceptions of people with mental illness, to opinions on services provided for people with mental health problems.
Barriers to mental healthcare for psychiatrists
- Authors:
- WHITE Alfred, et al
- Journal article citation:
- Psychiatric Bulletin, 30(10), October 2006, pp.382-384.
- Publisher:
- Royal College of Psychiatrists
The aim was to determine the opinions of psychiatrists on mental illness among themselves and their colleagues a postal survey was conducted across the West Midlands. Most psychiatrists (319/370, 86.2%) would be reluctant to disclose mental illness to colleagues or professional organisations (323/370, 87.3%). Their choices regarding disclosure and treatment would be influenced by issues of confidentiality (n=245, 66%), stigma (n=83, 22%) and career implications (n=128, 35%) rather than quality of care (n=60, 16%). The stigma associated with mental illness remains prevalent among the psychiatric profession and may prevent those affected from seeking adequate treatment and support. Appropriate, confidential specialist psychiatric services should be provided for this vulnerable group, and for doctors as a whole, to ensure that their needs, and by extension those of their patients, are met.
Impact of functionalised community mental health teams on in-patient care
- Authors:
- COMMANDER Martin, DISANYAKE Lallana
- Journal article citation:
- Psychiatric Bulletin, 30(6), June 2006, pp.213-215.
- Publisher:
- Royal College of Psychiatrists
A before-and-after design was used to evaluate whether the routine implementation of functionalised community mental health teams (CMHTs) would reduce demand for in-patient care. Residents of west Birmingham, aged 16-64 years, who were in hospital between 23 March 1992 and 22 September 1992 were identified. The same period was studied in 2003 by which time the newly introduced teams were well established. The number of people in hospital fell by one-third between 1992 and 2003. There was no change in the number of admissions by each patient or the length of stay. The percentage identified as Black, single, living with other adults, resident in hostels and unemployed increased, as did the proportion with schizophrenia or manic depression and those detained compulsorily. Functionalised CMHTs can decrease the use of in-patient care in inner-city areas. They may also attenuate, but by no means halt, the rise in compulsory admissions seen across the UK in the past decade.
Obesity and its complications: a survey of inpatients at a secure psychiatric hospital
- Authors:
- HAW Camilla, ROWELL Arleen
- Journal article citation:
- British Journal of Forensic Practice, 13(4), 2011, pp.270-277.
- Publisher:
- Emerald
Obesity is a major challenge in secure psychiatric settings, and requires active management to try and prevent complications. This study investigated the proportion of inpatients that were overweight and obese at a secure psychiatric hospital – St Andrew’s Healthcare, Northampton, England. It aimed to identify variables associated with obesity and the proportion of patients being treated for diabetes mellitus, hypertension, and hyperlipidaemia. A cross-sectional survey of 234 adult male and female forensic and rehabilitation patients was carried out. Findings revealed that 33% were overweight and 47% were obese. More patients had gained weight in the last three months than had lost it, and being overweight or obese was associated with the prescription of antipsychotic medication and valproate. The authors concluded that patients continuing education about healthy eating and encouragement to take exercise. Implications for practice are discussed.
National Confidential inquiry into Suicide and Homicide by People with Mental Illness: annual report: England and Wales
- Author:
- UNIVERSITY OF MANCHESTER. Centre for Suicide Prevention. National Confidential Inquiry
- Publisher:
- University of Manchester. Centre for Suicide Prevention. National Confidential Inquiry
- Publication year:
- 2009
- Pagination:
- 46p.
- Place of publication:
- Manchester
This report covers current issues, suicide, homicide, sudden unexplained death in psychiatric patients, an update on inquiry research projects, and recent reports and papers from the inquiry.
Are we meeting the psychological needs of heterosexual men with HIV disease?: a retrospective case controlled study of referrals to a psychological medicine unit in London, UK
- Authors:
- ORR G., CATALAN J., LONGSTAFF C.
- Journal article citation:
- AIDS Care, 16(5), July 2004, pp.586-593.
- Publisher:
- Taylor and Francis
This study set out to ascertain what proportion of HIV-positive heterosexual men cared for at a central London teaching hospital HIV medical unit, were referred to the Psychological Medicine Unit, and to compare those HIV-positive male heterosexual patients with age and sex matched HIV-positive gay male controls. Hospital and Psychological Medicine Unit databases were interrogated to identify relevant patients seen during the period between February 1992 and December 2002. Furthermore, 50 heterosexual patients, who had been referred to the Psychological Medicine Unit, were matched for age and date of referral, with one gay male HIV-positive control patient. Demographic and illness data was gathered for the subjects and controls. Data was collected on 50 subjects in each group. The main findings of the study were: (1) that heterosexual men with HIV are almost three times less likely to be referred for specialist mental health care than HIV-positive gay men; (2) that heterosexual men with HIV disease, who were referred to the Psychological Medicine Unit, were less likely to be from a white ethnic background compared to gay men; (3) were less likely to be given a diagnosis of a depressive illness; but (4) were more likely to have a substance misuse diagnosis. Gay male patients who are HIV-positive are more likely to experience difficulties with sexual dysfunction, and receive a formal psychiatric diagnosis. The implications of the findings are discussed.
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)
A reading group in acute mental health care
- Author:
- McLAUGHLIN Sue
- Journal article citation:
- Nursing Times, 30.10.12, 2012, pp.14-15.
- Publisher:
- Nursing Times
Training provided by The Reader Organisation enabled Berkshire Healthcare Foundation Trust to run reading groups for people in acute inpatient mental health wards. A five-week pilot project provided an opportunity for patients to spend some time of the wards to enjoy reading together. The group offered a therapeutic space and a valuable opportunity for engagement and self-expression. The programme also provides a model that builds partnership between library services, the health sector and the voluntary sector.
In-patient psychiatric rehabilitation services: survey of users in three metropolitan boroughs
- Authors:
- COWAN Colin, et al
- Journal article citation:
- Psychiatrist (The), 36(3), March 2012, pp.85-89.
- Publisher:
- Royal College of Psychiatrists
A study examined a range of in-patient rehabilitation services provided by 2 NHS mental health trusts in Birmingham, Solihull and Sandwell in the West Midlands. It collected and analysed data about 98 service users from 10 services (5 community rehabilitation units, 3 longer-term complex care services, and 2 high-dependency rehabilitation units). The study found significant differences for service users in the different units with respect to duration of stay, length of history, number of admissions, community team, physical health, social functioning, history of aggression, and perceived risk if discharged. Overall, the units managed high levels of risk and disability. The authors concluded that the findings support the principle that different types of rehabilitation services are required, also commenting that community service provision may not adequately meet the needs of the most disabled and access to appropriate move-on facilities for rehabilitation in-patients is insufficient.