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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.
Closing the gap: important recommendations for primary care practitioners
- Authors:
- DISABILITY RIGHTS COMMISSION, (Producer)
- Publisher:
- Disability Rights Commission
- Publication year:
- 2006
- Pagination:
- DVD
- Place of publication:
- London
From December 2006, the NHS – including Primary Care Trusts in England and Local Health Boards in Wales - will come under the Disability Equality Duty which places them under an obligation to ensure that their policies and practices do not discriminate, and do promote equal opportunities for disabled people. But a wide range of current practices, identified by the investigation, could clearly breach this duty. This DVD is for GPs and primary care staff on the investigation which highlights current experiences and gives practical advice on improving service provision.
The social work contribution to mental health services: the future direction: report of responses to the discussion paper
- Author:
- NATIONAL INSTITUTE FOR MENTAL HEALTH IN ENGLAND
- Publisher:
- National Institute for Mental Health in England
- Publication year:
- 2006
- Pagination:
- 60p.
- Place of publication:
- Leeds
This discussion paper, produced by the National Institute for Mental Health in England, is intended as a catalyst for an exchange of information, experience and ideas about the contribution of social work to mental health services. The paper aims to inform the development of action plans to support the social work contribution to mental health services both now and in the future. The discussion paper generated a debate with commissioners, employers and social workers in primary, secondary and tertiary mental health and social care services on the contribution that social workers can make to the support and recovery of people of all ages in mental distress.
Factors that influence the detection of psychological problems in adolescents attending general practices
- Authors:
- MARTINEZ Rebecca, REYNOLDS Shirley, HOWE Amanda
- Journal article citation:
- British Journal of General Practice, 56(529), August 2006, pp.594-599.
- Publisher:
- Royal College of General Practitioners
The aim of this study was to investigate factors influencing the detection of psychological problems in adolescents visiting general practices, using GP recognition of disorders with a reliable and valid measure: the Strengths and Difficulties Questionnaire (SDQ). An adolescent and parental version of the questionnaire were used. Ninety-eight adolescents were recruited by 13 GPs in Norfolk. The study identified psychological difficulties in almost one-third of adolescents. Three factors significant to the detection of psychological disorders were: adolescents' perceptions of difficulties according to the self-report SDQ, the severity of their problems as indicated by the self-report SDQ, and whether psychological issues were discussed in the consultation. GPs did not always explore psychological problems with adolescents, even if the GPs perceived these to be present. It is concluded that GPs are in a good position to identify psychological issues in adolescents, but GPs and adolescents seem reluctant to explore these openly. Open discussion of psychological issues in GP consultations was found to be the most important factor in determining whether psychological difficulties in adolescents are detected by GPs.
How can health services effectively meet the health needs of homeless people?
- Authors:
- WRIGHT Nat M.J., TOMPKINS Charlotte N.E.
- Journal article citation:
- British Journal of General Practice, 56(525), April 2006, pp.286-293.
- Publisher:
- Royal College of General Practitioners
This systematic review aims to critically evaluate the international literature relating to the health care of homeless people and discusses the effectiveness of treatment interventions. Medline, EMBASE, CINAHL, Web of Science and the Cochrane Library databases were reviewed using key terms relating to homelessness, intervention studies, drug misuse, alcohol misuse and mental health. The review was not limited to publications in English. It included searching the Internet using key terms, and grey literature was also accessed through discussion with experts.
Patients with minor mental disorders leading to sickness absence: a feasibility study for social workers’ participation in a treatment programme
- Authors:
- BROUWERS Evelien P. M., et al
- Journal article citation:
- British Journal of Social Work, 36(1), January 2006, pp.127-138.
- Publisher:
- Oxford University Press
Minor mental disorders are common among patients who visit their general practitioner. In the Netherlands, they are associated with high costs due to absenteeism, disability benefits and medical consumption (consumption of drugs as well as expenditure of medical staff’s time). In the Netherlands, a protocol was developed for the treatment of minor mental disorders, based on the principles of brief cognitive behaviour therapy. The cost-effectiveness of this protocol was tested in a group of patients whose minor mental disorders had lead to sickness absence. The protocol was completed by Dutch social workers, one of whose core tasks normally is to provide psychosocial care. The main aims of the protocol are for the patient to regain functionality and to prevent long-term disability. The protocol emphasizes patients’ own responsibility and active role in the recovery process, includes homework assignments and stresses the importance of early work resumption. This article focuses on a discussion of the feasibility of this treatment for minor mental disorders. The evidence for or against the protocol’s cost-effectiveness will be discussed in future papers. The results show that patients, social workers and general practitioners were motivated to participate and that the protocol was well received by all three groups. If the treatment also proves to be cost-effective, it would appear to be a promising intervention for a frequently encountered problem in primary care.
Tomorrow's world
- Author:
- MAIN Liz
- Journal article citation:
- Mental Health Today, February 2006, pp.16-18.
- Publisher:
- Pavilion
- Place of publication:
- Hove
This article draws on a new policy paper, 'The future of mental health: a vision for 2015', put forward by the Local Government Association, the NHS Confederation, the Sainsbury Centre for Mental Health (SCMH) and the Association of Directors of Social Services (ADSS). The article takes as its focus the changes to service design, access and delivery that will produce better outcomes for users and carers. The vision is concerned only with working age adults.