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Adult mental health services in primary healthcare settings in Wales: policy implementation guidance
- Author:
- WALES. Welsh Assembly Government
- Publisher:
- Wales. Welsh Assembly Government
- Publication year:
- 2006
- Pagination:
- 28p.
- Place of publication:
- Cardiff
This policy implementation guide has been written with 2 main objectives: a) To provide a framework in which the quality of primary care offered to patients with mental health problems can be improved and, b) To define the necessary support required to primary care from Local Health Boards and specialist mental health services in achieving this.
The Mental Health (Wales) Measure
- Author:
- WALES. Welsh Assembly Government
- Publisher:
- Wales. Welsh Assembly Government
- Publication year:
- 2010
- Pagination:
- 5p.
- Place of publication:
- Cardiff
The Mental Health (Wales) Measure has been laid before the National Assembly for Wales, and if enacted will make a number of important changes to the legislative arrangements in respect of the assessment and treatment of people with mental health problems. The purpose of this briefing sheet is to provide general information about those changes, explain how interested parties can become involved in shaping the legislation, and explain how the Welsh Assembly Government intends that the legislation will be implemented. The Measure has five broad policy intentions. The first is to provide assessment of a person’s mental health and, where appropriate, provide treatment for their mental ill-health within primary care. The second is to create statutory requirements around care and treatment planning and care coordination for all persons receiving care and treatment with secondary mental health services. The third is to require secondary mental health services to have in place arrangements to ensure the provision of timely access to assessment for previous service users. The fourth is to extend the group of qualifying patients under the Mental Health Act 1983 entitled to receive support from an Independent Mental Health Advocate (IMHA), and the final intention is to enable all patients receiving care and treatment for mental health problems in hospital to have access to independent and specialist mental health advocacy.
Mental health diagnosis by nurses using the Global Mental Health Assessment Tool: a validity and feasibility study
- Authors:
- SHARMA Vimal K., et al
- Journal article citation:
- British Journal of General Practice, 58(551), June 2008, pp.411-416.
- Publisher:
- Royal College of General Practitioners
The Global Mental Health Assessment Tool - Primary Care Version (GMHAT/PC) has been developed to assist health professionals to make a quick and comprehensive standardised mental health assessment. This study aimed to assess the feasibility of using a computer-assisted diagnostic interview by nurses and to examine the level of agreement between the GMHAT/PC diagnosis and psychiatrists' clinical diagnosis. A total of 215 patients between the ages of 16 and 75 years were assessed by nurses and psychiatrists in various settings in England and Wales: 54 in a primary care centre, 98 in a cardiac rehabilitation centre, and 63 in a community mental health clinic. The time taken for the interview, and feedback from patients and interviewers were indicators of feasibility, and the kappa coefficient, sensitivity, and specificity of the GMHAT/PC diagnosis were measures of validity. Mean duration of interview was under 15 minutes. The agreement between nurses' GMHAT/PC interview-based diagnosis and psychiatrists' International Classification of Diseases (ICD)-10 criteria-based clinical diagnosis was 80% It is concluded that the GMHAT/PC can assist nurses to make accurate mental health assessment and diagnosis in various healthcare settings and it is acceptable to patients.
Improving access to primary care
- Authors:
- SEYMOUR Linda, MORRIS Brigid
- Journal article citation:
- Mental Health Today, September 2007, pp.33-35.
- Publisher:
- Pavilion
- Place of publication:
- Hove
In 2006 the Disability Rights Commission completed a formal enquiry into the inequalities in physical health and care experienced by people with mental health problems and learning disabilities. As part of this inquiry the Sainsbury Centre for Mental Health interviewed mental health service users, people with learning disabilities, carers and health and social care professionals, managers, GP reception staff and advocates in three primary care trust areas in England and one local health board in Wales. This article reports findings from this research, highlighting both problems areas and examples of good practice. The article also suggests solutions that may help to address the inequalities in physical health and care experienced by people with mental health problem and learning disabilities.
Learning from PPO investigations: prisoner mental health
- Author:
- PRISONS AND PROBATION OMBUDSMAN
- Publisher:
- Prisons and Probation Ombudsman
- Publication year:
- 2016
- Pagination:
- 46
- Place of publication:
- London
This report examines deaths in prison custody that occurred between 2012 and 2014, which were investigated by the Prisons and Probation Ombudsman (PPO), and where mental health needs were a factor. The report begins by outlining the context of mental health care in prisons and provides a brief overview of developments over the last two decades. It goes on to explore the relationship between mental health issues and both self-inflicted and natural cause deaths. The findings are discussed in two main sections covering the importance of identifying mental health issues and the provision of mental health care. A number of concerns are discussed about factors which have caused prisoner’s mental health issues to be overlooked. These include poor information sharing, failure to make referrals, inappropriate mental health assessments, and inadequate staff training. The report also reviews the standard of care received by prisoners whose mental health needs had been identified. Issues identified included a lack of coordinated care. At times there was little evidence of prison staff and healthcare staff working together, or there was a lack of joined up work between primary healthcare, mental health in-reach, and substance misuse services. Issues such as length of sentence and IT literacy were also found to be barriers to treatment. Case studies are included throughout to provide examples of particular issues. The reports concludes by stressing the importance of information sharing, a more coordinated approach to care, staff training and supervision. (Edited publisher abstract)
Research to support the Duty to Review the Implementation of the Mental Health (Wales) Measure 2010: qualitative evidence on the views of service users, carers and practitioners: scoping study report
- Author:
- OPINION RESEARCH SERVICES
- Publisher:
- Welsh Government Social Research
- Publication year:
- 2014
- Pagination:
- 60
- Place of publication:
- Cardiff
Research reporting on the qualitative findings from two early focus groups and 25 scoping interviews with mental health professionals to support the Duty to Review the Mental Health (Wales) Measure 2010. Aims of the Measure include the provision of mental health services at an earlier stage and the extension of mental health advocacy provision. Key messages from the interviews are summarised for primary care services and pathways to primary care and secondary care. The findings also report on the service users, carers and practitioners experiences of the new Independent Mental Health Advocacy (IMHA) services introduced under the Measure. The interviews highlight both examples of good practice and issues of concern. Whilst mental health practitioners supported the principles and aims of the Measure, many were concerned with the scale of change required; the increasing expectations of service users; and the cultural shift in approach and practice which the Measure demands. (Edited publisher abstract)