Search results for ‘Subject term:"mental health problems"’ Sort:
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Developing mental health occupational therapy practice to meet the needs of people with mental health problems and physical disability
- Authors:
- MILES Helen, MORLEY Mary
- Journal article citation:
- British Journal of Occupational Therapy, 76(12), 2013, pp.556-559.
- Publisher:
- Sage
It is well documented and evidenced that individuals with serious mental illness have an increased risk of developing a range of physical illnesses and conditions. This practice analysis describes how an initial audit of mental health occupational therapists identified a lack of clarity and protocols around working with individuals with associated physical conditions. Local joint care pathways and a skills development programme were introduced, and a follow-up audit completed to assess progress to date. The advancement in practice and production of a clear physical care pathway has made a positive difference to service users. (Publisher abstract)
Attitudes to mental illness 2012 research report: prepared for time to change: September 2013
- Author:
- TNS-BMRB
- Publishers:
- Rethink Mental Illness, MIND
- Publication year:
- 2013
- Pagination:
- 49
- Place of publication:
- London
This report presents the findings of a survey of attitudes towards mental illness among adults in England conducted in December 2012. A total of 1727 adults (aged 16+) were interviewed. The survey questionnaire included a number of statements about mental illness. Respondents were asked to indicate how much they agreed or disagreed with each statement. Other questions covered a range of topics such as descriptions of people with mental illness, relationships with people with mental health problems, personal experience of mental illness, and perceptions of mental health-related stigma and discrimination. The survey - which has been carried out since 1994 and is funded by the Department of Health - aims to monitor changes in public attitudes towards mental illness over time. (Edited publisher abstract)
At risk, yet dismissed: the criminal victimisation of people with mental health problems
- Authors:
- PETTITT Bridget, et al
- Publisher:
- Victim Support
- Publication year:
- 2013
- Pagination:
- 84
- Place of publication:
- London
Contrary to popular perceptions, people with mental health problems are more likely to be the victims of crime than perpetrators. In this three year study, a random sample of 361 people with severe mental illness was interviewed. In-depth interviews were conducted with a further 81 people with mental health problems who had been victims of crime in the last three years. This report presents findings from the quantitative survey on victimisation in the last year; domestic and sexual violence; the impact of victimisation, also its disclosure; help received and wanted: unmet needs; risk factors for victimisation among people with severe mental illness (SMI); and fear of crime and feelings of safety. Findings from the qualitative research consider types of crime; perperatiors; impact of crime; participants’ perceptions of why they were victimised; their experiences of the police and court; how victims sought help from non-criminal justice agencies; and professional perspectives. The research found that people with mental health problems are up to 10 times more likely to be a victim of crime than the general population, that they are more likely to be victims of repeat victimisation and that they are more affected by crime than those without mental health problems. In interviews, many people with mental health problems report not being believed; or they are even blamed when they attempted to report a crime to the police, or seek help from other services. Many were reluctant to report crimes to police or other professionals, saying they feared their illness would be used to discredit them. 'At risk, yet dismissed' has specific recommendations for police and the criminal justice system, the health service, housing and other agencies and charities. The researchers call for an urgent national debate across Government on how to respond to the needs of victims of crime with mental health problems. The research was carried out by a partnership of Victim Support, the Institute of Psychiatry at King’s College London, Mind, St George’s, University of London, and Kingston University in collaboration with UCL (University College London). The study was funded by The Big Lottery Fund. (Edited publisher abstract)
At risk, yet dismissed: the criminal victimisation of people with mental health problems: summary
- Publication year:
- 2013
- Pagination:
- 20
- Place of publication:
- London
Contrary to popular perceptions, people with mental health problems are more likely to be the victims of crime than perpetrators. This is a summary of a full report of research carried out by a partnership of Victim Support, the Institute of Psychiatry at King’s College London, Mind, St George’s, University of London, and Kingston University in collaboration with UCL (University College London). The study was funded by The Big Lottery Fund and the Medical Research Council. (MRC). The study was designed to understand experiences of victimisation and engagement with the criminal justice system among people with mental health problems. It was conducted in two main parts, a quantitative survey and qualitative interviews and focus groups. The survey used a modified version of the Crime Survey for England and Wales (CSEW) with a random sample of 361 people with severe mental illness (SMI) using community mental health services in London. The findings from this sample were compared with those from the general population who took part in the Crime Survey for England and Wales (CSEW) over the same time period in London. This summary report presents findings on participants' fear of crime, reporting to the police, experiences of court, seeking help, and professionals' perspectives. The researchers call for an urgent national debate across Government on how to respond to the needs of victims of crime with mental health problems. (Edited publisher abstract)
Transfers and transitions between child and adult mental health services
- Authors:
- MOLI Paul, et al
- Journal article citation:
- British Journal of Psychiatry, 202(s54), January 2013, pp.s36-s40.
- Publisher:
- Cambridge University Press
In a retrospective case-note survey of young people reaching the upper age boundary at six English child and adolescent mental health services (CAMHS), optimal transition to dult mental health services (AMHS) was evaluated using four criteria: continuity of care, parallel care, a transition planning meeting and information transfer. Of 154 cases, 76 transferred to AMHS. Failure to transfer resulted mainly from non-referral by CAMHS (n = 12) and refusal by service users (n = 12) rather than refusal by AMHS (n = 7). Four cases met all criteria for optimal transition, 13 met none; continuity of care (n = 63) was met most often. The survey results found that transfer was common but good transition rare. Reasons for failure to transfer differ from barriers to transition. Transfer should be investigated alongside transition in research and service development. (Edited publisher abstract)
Obstacles to continuity of care in young mental health service users' pathways: an explorative study
- Authors:
- ADNANES Marian, STEIHAUG Sissel
- Journal article citation:
- International Journal of Integrated Care, 13(3), 2013, Online only
- Publisher:
- International Foundation for Integrated Care
Background: Users of mental health services often move between different primary and specialised health and care services, depending on their current condition, and this often leads to fragmentation of care. The aim of this study was to map care pathways in the case of young adult mental health service users and to identify key obstacles to continuity of care. Method: Quarterly semi-structured interviews were performed with nine young adults with mental health difficulties aged beween 18 and 30 years of age , following their pathways in and out of different services in the course of a year. Results: Key obstacles to continuity of care included the mental health system's lack of access to treatment, lack of integration between different specialist services, lack of progress in care and inadequate coordination tools such as ‘Individual Plan’ and case conferences that did not prevent fragmented care pathways. Conclusions: Continuity of care should be more explicitly linked to aspirations for development and progress in the users' care pathways, and how service providers can cooperate with users to actually develop and make progress. Coordination tools such as case conferences and ‘individual plans’ should be upgraded to this end and utilised to the utmost. This may be the most effective way to counteract the system obstacles. (Publisher abstract)
Lethal discrimination: why people with mental illness are dying needlessly and what needs to change
- Author:
- RETHINK MENTAL ILLNESS
- Publisher:
- Rethink Mental Illness
- Publication year:
- 2013
- Pagination:
- 15
- Place of publication:
- London
The evidence shows that people with serious mental illness are at risk of dying on average 20 years prematurely. Many of the premature deaths of people with serious mental illness are the result of poor medical care that fails to monitor risk factors such as smoking and obesity, of delays in addressing physical health needs and of a ‘diagnostic overshadowing’ that tends to ignore physical health needs or see them as a manifestation of a patient's mental health condition rather than a separate issue. The report makes a number of recommendations, including offering tailored support to quit smoking, raising awareness with patients about the side-effects of antipsychotic medication, including basic physical health skill development as part of the mandatory training for mental health professionals, ensuring greater clarity about the respective responsibilities of commissioners and service providers for monitoring and managing the physical health of people with mental health problems. (Edited publisher abstract)
Welfare advice for people who use mental health services: developing the business case
- Author:
- PARSONAGE Michael
- Publisher:
- Centre for Mental Health
- Publication year:
- 2013
- Pagination:
- 36
- Place of publication:
- London
Poor mental health is frequently linked with the experience of welfare problems such as unmanageable debt and difficulties with housing and benefits. This link is especially strong for those with a severe mental illness, and the cost of these problems can be very high, including to the NHS and to social care. This small exploratory study, funded by the Baring Foundation, looks at the business case for the provision of expert welfare advice to people in using specialist mental health services. It focuses on the argument that advice on social security benefits, debt and housing problems, may result in costs savings for the NHS. The study draws on a review of relevant literature and an analysis one such service, the Sheffield Mental Health Citizens Advice Bureau and how such specialist welfare advice can cut the cost of mental health care by: reductions in inpatient lengths of stay; prevention of homelessness; and prevention of relapse. Short case studies show the benefits of welfare advice and its potential for preventing hospital admission. (Edited publisher abstract)
Welfare advice for people who used mental health services: developing the business case: executive summary
- Author:
- CENTRE FOR MENTAL HEALTH
- Publisher:
- Centre for Mental Health
- Publication year:
- 2013
- Pagination:
- 4
- Place of publication:
- London
There is a link between poor mental health and a frequent experience of welfare problems such as unmanageable debt and difficulties with housing and benefits. This is a summary of a report funded by the Baring Foundation, which finds that specialist welfare advice for people using secondary mental health services can be very good value for money. Drawing on an analysis of one such service, the Sheffield Mental Health Citizens Advice Bureau, and a review of relevant literature, the report concludes that specialist welfare advice can cut the cost of health care in three main ways: reductions in inpatient lengths of stay; prevention of homelessness; and prevention of relapse. (Edited publisher abstract)