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Partnerships for older people projects: an outline of innovation and service elements
- Author:
- CARE SERVICES IMPROVEMENT PARTNERSHIP. Health and Social Care Change Agent Team
- Publisher:
- Care Services Improvement Partnership. Health and Social Care Change Agent Team
- Publication year:
- 2007
- Pagination:
- 10p.
- Place of publication:
- London
The strategic aim of POPP (Partnerships for older people projects) is to test and evaluate (through pilots established during 2006/07 and 2007/08) innovative approaches that sustain prevention work in order to improve outcomes for older people. Four of the project sites focus specifically on Older People's Mental Health, you can read the project profiles.
Mental health promotion and prevention: the economic case
- Authors:
- KNAPP Martin, MCDAID David, PARSONAGE Michael, (eds.)
- Publisher:
- Personal Social Services Research Unit
- Publication year:
- 2011
- Pagination:
- 43p.
- Place of publication:
- London
Health care systems are designed to improve health and health-related well-being, but are always constrained by the resources available to them. They also need to be aware of the resources available in adjacent systems which can have such an impact on health, such as housing, employment and education. Careful choices therefore have to be made about how to utilise what is available. One immediate consequence is to ask whether investment in the prevention of mental health needs and the promotion of mental wellbeing might represent a good use of available resources. This report identifies and analyses the costs and economic pay-offs of a range of interventions in the area of mental health promotion, prevention and early intervention, and to present this information in a way that would most helpfully support NHS and other commissioners in assessing the case for investment.
Real world analysis the partner of prevention in mental health
- Author:
- JOHNSON Norma
- Journal article citation:
- Ethnicity and Inequalities in Health and Social Care, 2(1), March 2009, pp.30-35.
- Publisher:
- Emerald
This paper provides a critical review of prevention methods in mental health. Information from existing literature, ideologies, theories and clinical practice will be utilised to gain further insight into the kind of prevention strategies that aid and assist black and ethnic minority communities (BME) in understanding the effects of mental illness in their communities. It is hoped that a real world analysis approach can collectively demystify and change the communities' perception of mental illness. For the purpose of this article, the term black and ethnic minority communities (BME) refers to all classification of people as described in the national census categorisation; expect white (Anglo-Saxon) - British. This classification of BME refers to a tangible quality, or a sense of being, derived from a position of a shared racial or cultural affiliation. The term, service user, refers to those who have had assessment and treatment by mental health services.
A systematic scoping review of community-based interventions for the prevention of mental ill-health and the promotion of mental health in older adults in the UK
- Authors:
- LEE Caroline, et al
- Journal article citation:
- Health and Social Care in the Community, early cite May 2021,
- Publisher:
- Wiley
Background: Mental health concerns in older adults are common, with increasing age-related risks to physical health, mobility and social isolation. Community-based approaches are a key focus of public health strategy in the UK, and may reduce the impact of these risks, protecting mental health and promoting wellbeing. This study conducted a review of UK community-based interventions to understand the types of intervention studied and mental health/wellbeing impacts reported. Method: This study conducted a scoping review of the literature, systematically searching six electronic databases (2000–2020) to identify academic studies of any non-clinical community intervention to improve mental health or wellbeing outcomes for older adults. Data were extracted, grouped by population targeted, intervention type, and outcomes reported, and synthesised according to a framework categorising community actions targeting older adults. Results: In total, 1,131 full-text articles were assessed for eligibility and 54 included in the final synthesis. Example interventions included: link workers; telephone helplines; befriending; digital support services; group social activities. These were grouped into: connector services, gateway services/approaches, direct interventions and systems approaches. These interventions aimed to address key risk factors: loneliness, social isolation, being a caregiver and living with long-term health conditions. Outcome measurement varied greatly, confounding strong evidence in favour of particular intervention types. Conclusion: The literature is wide-ranging in focus and methodology. Greater specificity and consistency in outcome measurement are required to evidence effectiveness – no single category of intervention yet stands out as ‘promising’. More robust evidence on the active components of interventions to promote older adult's mental health is required. (Edited publisher abstract)
Adolescent mental health evidence brief 2: the relationship between emotional and behavioural problems in adolescence and adult outcomes
- Authors:
- CLARKE Aleisha, LOVEWELL Katie
- Publisher:
- Early Intervention Foundation
- Publication year:
- 2021
- Pagination:
- 12
- Place of publication:
- London
This brief sets out the evidence for the association between emotional and behavioural problems experienced during adolescence and later life outcomes. Adolescents who experience persistent emotional problems such as anxiety and depression are at greater risk of a range of negative outcomes, for example – there is strong evidence that persistent depression during adolescence is associated with a significant increased risk of depression during adulthood; studies consistently show that young people with persistent emotional problems are at an increased risk of poorer employment and educational outcomes including school drop-out and NEET (not in education, employment or training) status; there is some evidence from individual studies to suggest an association between adolescent mental health disorders and poorer general health in adulthood, social withdrawal, increased risk of intimate partner victimisation and unplanned pregnancy. Adolescents who exhibit behavioural problems such as conduct problems are also at increased risk of poor adult outcomes, including: poor mental health, such as depression and anxiety, education outcomes — school drop-out, NEET, and at work without basic education level — and a range of physical and social outcomes; importantly, behaviour problems do not seem to occur in isolation and often coexist with mental health problems. Being a perpetrator and/or victim of bullying is strongly associated with a range of mental health problems in young adulthood, including increased risk of anxiety disorders and depression and suicidal behaviour. These findings illustrate that issues during adolescence cast a long shadow over individuals’ life chances. The findings highlight the need to invest not just in the treatment of disorders but also in prevention and early intervention support, and the promotion of positive mental health and prosocial behaviour, in order to reduce vulnerabilities and enhance protective factors. (Edited publisher abstract)
Mental health promoting Interventions for the unemployed: a systematic review of applied techniques and effectiveness
- Authors:
- KOOPMAN Moniek Y., et al
- Journal article citation:
- International Journal of Mental Health Promotion, 19(4), 2017, pp.202-223.
- Publisher:
- Taylor and Francis
Unemployment is associated with a diminished mental health. Interventions to improve mental health for the unemployed exist. However, there is no clear overview with respect to the content and effectiveness of these interventions. A systematic search was conducted and, included studies that targeted unemployed adults, described an intervention and reported mental health as an outcome measure. After screening, 24 studies remained, which contained 21 different interventions. These interventions could be classified into three categories: occupational skills training interventions, psychological interventions and combined interventions. The majority of the studies reported significant short-term effects on mental health, but in most cases evidence of sustained effects was lacking or not assessed. There is promising evidence that interventions combining occupational skills and resilience training are effective in promoting mental health. However, there is a need for high-quality research on the intervention effects on the mental health of the (long-term) unemployed. (Publisher abstract)
Prevention Concordat for Better Mental Health: prevention planning resource for local areas
- Author:
- PUBLIC HEALTH ENGLAND
- Publisher:
- Public Health England
- Publication year:
- 2017
- Pagination:
- 66
- Place of publication:
- London
This practice resource aims to support local areas in England put in place effective arrangements to promote good mental health and prevent mental health problems. It provides a 5-part framework to help effective planning for better mental health, covering: effective use of data and intelligence of needs and assets assessment; partnership working between local organisations; translating needs and assets into joint commitments; defining success outcomes; and leadership and accountability. Each section highlights actions and interventions that local areas can take to improve mental health. It also includes practice examples and links to further supporting resources. It is part of a suite of resources being produced as part of the Prevention Concordat for Better Mental Health programme. (Edited publisher abstract)
Learning disabilities: identifying and managing mental health problems: QS142
- Author:
- NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE
- Publisher:
- National Institute for Health and Care Excellence
- Publication year:
- 2017
- Place of publication:
- London
NICE quality standard covering the prevention, assessment and management of mental health problems in people with learning disabilities in all settings, including health, social care, education, and forensic and criminal justice. The standard describes what high-quality care looks like in five priority areas. The five quality statements for people with learning disabilities and mental health problems are: for annual health checks to include a review of mental health problems; that mental health assessments are carried out by a professional with expertise in mental health problems; that people with learning disabilities and a serious mental illness have a key worker to coordinate their care; that any psychological interventions are tailored to the preferences of people with learning disabilities and mental health problems; and annually documenting the reasons for continuing antipsychotic drugs. Each quality statement includes the rationale for the statement and suggestions for quality measures that can be used to monitor performance to the standard. (Edited publisher abstract)
Exploring primary care activities in ACT teams
- Authors:
- VANDERLIP Erik R., et al
- Journal article citation:
- Community Mental Health Journal, 50(4), 2014, pp.466-473.
- Publisher:
- Springer
People with serious mental illness often receive inadequate primary and preventive care services. Federal healthcare reform endorses team-based care that provides high quality primary and preventive care to at risk populations. Assertive community treatment (ACT) teams offer a proven, standardised treatment approach effective in improving mental health outcomes for the seriously mentally ill. Much is known about the effectiveness of ACT teams in improving mental health outcomes, but the degree to which medical care needs are addressed is not established. The purpose of this study was to explore the extent to which ACT teams address the physical health of the population they serve. ACT team leaders were invited to complete an anonymous, web-based survey to explore attitudes and activities involving the primary care needs of their clients. Information was collected regarding the use of health screening tools, physical health assessments, provision of medical care and collaboration with primary care systems. Data was analysed from 127 team leaders across the country, of which 55 completed the entire survey. Nearly every ACT team leader believed ACT teams have a role in identifying and managing the medical co-morbidities of their clientele. ACT teams report participation in many primary care activities. ACT teams are providing a substantial amount of primary and preventive services to their population. The survey suggests standardisation of physical health identification, management or referral processes within ACT teams may result in improved quality of medical care. ACT teams are in a unique position to improve physical health care by virtue of having medically trained staff and frequent, close contact with their clients. (Edited publisher abstract)
No health without mental health: a cross-government mental health outcomes strategy for people of all ages: supporting document: the economic case for improving efficiency and quality in mental health
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2011
- Pagination:
- 26p.
- Place of publication:
- London
This document outlines the opportunities to make value for money savings in delivering mental health services using the Quality, Innovation, Productivity and Prevention (QIPP) approach. It also highlights the importance of promoting early intervention and prevention and how this can reduce costs by improving outcomes and increasing quality and productivity. Main sections cover: early identification and intervention of mental health problems; the promotion of positive mental health and prevention of mental disorder in childhood and adolescence; the promotion of positive mental health and prevention of mental disorder in adults; addressing the social determinants and consequences of mental health problems; and improving the quality and efficiency of current services. It supports the Government strategy 'No health without mental health: a cross-Government mental health outcomes strategy for people of all ages'.