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Improving services and support for older people with mental health problems: executive summary
- Author:
- AGE CONCERN
- Publisher:
- Age Concern
- Publication year:
- 2007
- Pagination:
- 12p.
- Place of publication:
- London
This is the second and final report of the UK Inquiry into Mental Health and Well-Being in Later Life. The Inquiry was launched in late 2003 as a result of concern that mental health in later life is a much neglected area. The range of mental health problems experienced in later life is very wide, including depression, anxiety, delirium (acute confusion), dementia, schizophrenia and other severe mental health problems, and alcohol and drug misuse. This report presents a comprehensive review of key facts and figures relating to each of these, as well as facts and figures on services and sources of support. It aims to illustrate how services and support for older people with mental health problems can be improved. This report draws on evidence from older people, carers, organisations and professionals. Five main areas are identified for action: ending discrimination; prioritising prevention; enabling older people; improving current services; and facilitating change. The report concludes that the levels of unmet mental health needs amongst older people are extremely high, and that age discrimination remains the fundamental problem. The report makes 35 recommendations which are listed along with the recommendations from the Inquiry’s first report.
Developing a capable dual diagnosis strategy: a good practice guide
- Authors:
- HUGHES Liz, GORRY Ann, DODD Tom
- Publisher:
- National Mental Health Development Unit
- Publication year:
- 2009
- Pagination:
- 11p., bibliog.
- Place of publication:
- London
This document, for commissioners and lead providers of services involved in the care and treatment of people with a dual diagnosis, describes how a Dual Diagnosis Strategy will set out the vision and values for local service provision and be the focal point for collaboration between all key stakeholders at a local level. People with a dual diagnosis of mental health and substance use often have multiple and complex long term needs, which require a comprehensive, coordinated, seamless, multi-agency response. However, due to a variety of factors (such as resources, lack of clarity around local service responses, and a lack of workforce skills), this group often fail to receive good quality and consistent care. A robust local Dual Diagnosis Strategy will set out the vision and values for local service provision, and be the focal point for collaboration between all key stakeholders at a local level. A successful strategy will be able to account for the varying needs of all groups and will be comprehensive and flexible in its approach. This document is designed to support the development of a capable dual diagnosis strategy built on recommendations from national policy guidance and best practice.
Promotion drive
- Author:
- FRIEDLI Lynne
- Journal article citation:
- Community Care, 3.5.01, 2001, pp.26-27.
- Publisher:
- Reed Business Information
After years of neglect, mental health promotion has achieved new status as a strategic priority. Looks forward to a greater commitment from local agencies to making people happy.
Prevention of suicide: guidelines for the formulation and implementation of national strategies
- Author:
- UNITED NATIONS. Department for Policy Coordination and Sustainable Development
- Publisher:
- United Nations
- Publication year:
- 1996
- Pagination:
- 34p.
- Place of publication:
- New York
Contains guidelines and an example of a strategy in action from Finland.
Thoughts of suicide
- Author:
- STRONG Susannah
- Journal article citation:
- Community Care, 26.10.95, 1995, pp.16-17.
- Publisher:
- Reed Business Information
Suicide among young people is on the increase. Looks at this alarming trend and what is being done to combat it.
Social care and the mental health forward view: ending out of area placements
- Author:
- TREWIN Mark
- Publisher:
- Centre for Mental Health
- Publication year:
- 2017
- Pagination:
- 8
- Place of publication:
- London
The first in a series of briefings on mental health and social care, which explores how social care and local authorities can contribute to reducing out of area placements and lengths of hospital stay for people with a mental health problem. It looks at how local authorities can provide better support and prevention for people in mental health crisis to help them remain in the community; discusses how mental health trusts can develop effective partnerships with social care agencies to use bed space more effectively, reduce out of area placements, and improve strength and rights-based services for people in mental health crisis. It also highlights the experience of Bradford Metropolitan District Council, which shows how they have been successful in reducing out of area placements and use of local private sector hospitals. (Edited publisher abstract)
Battered, broken, bereft: why people still end up sleeping rough
- Author:
- ST. MUNGO'S
- Publisher:
- St. Mungo's
- Publication year:
- 2011
- Pagination:
- 14p.
- Place of publication:
- London
This short report examines how and why rough sleeping is increasing in England today. Taking evidence from the largest ever national survey of street outreach workers and the largest annual survey of rough sleepers, as well as personal testimonies from St Mungo’s clients, it paints a picture of people who are ill, alone and failed by public services. Outreach workers across England report increasing numbers of rough sleepers and most believed that there is not enough emergency accommodation available. The report looks at the changes in the rough sleeping population in terms of mental health problems, relationship breakdown, and domestic violence. Illustrative case studies are included. The opportunities to help each of these groups before they are forced onto the streets are discussed. The authors conclude that the Government must focus on those opportunities so that no one is left without help in their darkest hour. They suggest that service reform need not be costly; particularly if the right interventions reach people in time to prevent rough sleeping, from which the journey to recovery is much longer.
Mental health in later life: better outcomes through wise commissioning
- Author:
- MANTHORPE Jill
- Journal article citation:
- Journal of Integrated Care, 17(5), October 2009, pp.15-22.
- Publisher:
- Emerald
This article is the last in a series on older people’s mental health, and sets the key messages in the context of current and future service commissioning. It considers 3 recent changes in England that impact upon the work of commissioners. First, the National Dementia Strategy 2009 has been supported by a joint commissioning framework for dementia which emphases the importance of commissioning and provides examples of what newly designed services might look like. Second is covered the impact of personalisation and how this affects resource allocation, in particular the greater flexibility offered by individual budgets. Finally, the impact of the recession on the demand for services and also on staff turnover is considered. The article also suggests that commissioners should be taking a role in tackling the prevention of mental health problems in later life. The article concludes by considering the challenges for commissioners and planners in approaching the problems of mental ill-health in later life.
Preventing tomorrow's rough sleepers: a good practice handbook
- Author:
- CASEY Louise
- Publisher:
- Great Britain. Department of Transport, Local Government and the Regions
- Publication year:
- 2001
- Pagination:
- 61p.,list of orgs.
- Place of publication:
- Wetherby
This handbook, based on the work of the Rough Sleepers Unit, gives practical and realistic ways for local authorities and other key partners to prevent homelessness. It contains sections on: identifying people at risk of homelessness; clear pathways for people entering and leaving institutions; preventing rough sleeping; and effective homeless prevention strategies. Also included are tables of service provisions to prevent rough sleeping and homelessness, listed by accommodation type and by user group. There is an appendix listing contact details for further information on projects that the manual identifies as being examples of good practice.
Drug use, mental health and social exclusion: cause effect and what we can do about it
- Authors:
- HUNT Neil, ASHENHURST Andy
- Journal article citation:
- Mental Health and Learning Disabilities Care, 4(1), September 2000, pp.18-21.
- Publisher:
- Pavilion
Dual diagnosis, mental illness and drug misuse combined, has become the focus of major concern at government policy level and among mental health and drug services providers. Summarises the evidence on the links between mental health and drug use, and reports some welcome recent advances in treatment. Argues that the double exposure of people with dual diagnosis to social exclusion demands greater attention to the questions of cause and effect if this rapidly escalating problem is to be checked, not simply pathologised and contained.