Search results for ‘Subject term:"mental health problems"’ Sort:
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PIEs five years on
- Author:
- COCKERSELL Peter
- Journal article citation:
- Mental Health and Social Inclusion, 20(4), 2016, pp.221-230.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to consider evidence for the effectiveness of the psychologically informed environments (PIEs) approach to working with homeless people in the five years since the national guidance was published. Design/methodology/approach: The author reviewed the intended outcomes of the original guidance and then looked at a range of data from evaluations of current PIE services in UK and Ireland. Findings: The findings were that the PIE approach is effective in meeting the outcomes suggested by the original guidance; in reducing social exclusion and improving the mental health of homeless people; and in improving staff morale and interactions. Research limitations/implications: This is a practice-based evidence. There needs to be more practice-based evidence gathered, and it would be useful if there were some standardised measures, as long as these did not limit the richness of the data which suggests that PIEs have a wide, not narrow, impact. Practical implications: The implications are that homelessness services should use the PIE approach, and that they should be supported by clinically trained psychotherapists or psychologists; and that wider mental health services should look at the PIE approach in terms of working effectively with socially excluded people with complex needs/mental health problems. Originality/value: This is the first review of evidence, much of it so far unpublished, for the effectiveness of PIEs, despite the fact that this approach has been increasingly adopted by both providers and commissioners in the homelessness sector. (Publisher abstract)
Turning the Tide: a Vision Paper for multiple needs and exclusions
- Author:
- PAGE Anna
- Journal article citation:
- Advances in Dual Diagnosis, 4(4), 2011, pp.173-179.
- Publisher:
- Emerald
This article summarises the 2011 publication, “Turning the Tide: A Vision Paper for multiple needs and exclusions” by Revolving Doors and Making Every Adult Matter, and addresses the financial and social costs of society's failure to support adults facing multiple needs and exclusions in England. The report showed that people with multiple needs and exclusions experience several problems simultaneously and have ineffective contact with services. The article sets out the vision that in every local area people facing multiple needs are supported by effective coordinated services. It argues that to achieve this, a new approach is needed, and five key areas to achieving this are examined. The article shows how politicians, local leaders, and commissioners can act to make coordinated services for people facing multiple needs and exclusions the norm, and is of relevance to service providers to tackle multiple needs by building partnerships, taking proposals to commissioners, and supporting members to develop new approaches to care.
Turning the tide: a vision paper for multiple needs and exclusions
- Authors:
- PAGE Anna, HILBERY Oliver
- Publisher:
- Making Every Adult Matter
- Publication year:
- 2011
- Pagination:
- 23p.
- Place of publication:
- London
This publication calls for a vision, that, in every local area, people experiencing multiple needs are supported by effective, coordinated services and empowered to tackle their problems, reach their full potential and contribute to their communities. The publication suggests that, despite some good progress, it is clear that local services cannot achieve this vision alone. Too often offering coordinated services means going against policy and battling for political and strategic engagement. A new approach is needed from national government to create an environment in which it becomes the norm for leaders in local areas to put in place the coordinated services that have been shown to work for this group. The Vision Paper is aimed at government ministers, Members of Parliament and key local decision makers. It sets out five building blocks for the new approach with recommended actions for each. Each of these is covered by a two-page spread setting out the problem thoughts on the solutions. Areas addressed include: communicating a clear message that tackling multiple needs and exclusions is a government priority; defining and identifying people experiencing multiple needs and exclusions; creating accountability, leadership and transparency; making outcomes and commissioning work for this group; and getting the finances right in local areas.
Supporting people with multiple needs and exclusions: strategic briefing
- Author:
- TERRY Lucy
- Publisher:
- Research in Practice for Adults
- Publication year:
- 2015
- Pagination:
- 44
- Place of publication:
- Dartington
People with multiple needs and exclusions face a combination of problems at once, including mental ill health, substance misuse, repeat offending, homelessness and poverty. This briefing explains how by working with key partners and contributing to a ‘whole area approach’, strategic leaders in adult social care can help to coordinate the kind of personalised, assertive and persistent support that has been shown to work for people facing multiple needs and exclusions. This has potential to improve health and well-being outcomes, and to save public money through more effective coordination of services and reduced demand in the long-run. This Strategic Briefing summarises the benefits of a whole area approach and provides guidance on how it can be achieved. It covers the themes of strategic leadership and collaboration; services working together; personalised support; assertive and persistent support; and non-punitive, positive approaches. For each theme the document provides a list of key points outlining what it means in practice, why it is important, and how it can be achieved. (Edited publisher abstract)
Hand to mouth: the impact of poverty and financial exclusion on adults with multiple needs
- Authors:
- PRATT Ellen, JONES Sarah
- Publisher:
- Revolving Doors Agency
- Publication year:
- 2009
- Pagination:
- 96p., bibliog.
- Place of publication:
- London
People who have a range of needs including homelessness and mental health and substance use problems, and are involved with the criminal justice system, often live at the margins of our society. This research aimed to examine this group’s abilities to access financial services, their financial management skills and the interplay between key life events, mental health and offending. The bulk of research was conducted through in-depth, semi-structured interviews with service users recruited through two partner organisations: St Mungos and P3. The report provides a policy and literature review. The research methodology is then described, the research findings discussed, and an analysis of their implications for adults with multiple needs provided. The report makes recommendations to improve financial inclusion of this group. Illustrative case studies are included throughout the report.
Making funding work for people facing multiple disadvantage
- Author:
- MAKING EVERY ADULT MATTER
- Publisher:
- Making Every Adult Matter
- Publication year:
- 2022
- Pagination:
- 22
- Place of publication:
- London
This report explores the way in which national funding streams are made available to local areas to tackle homelessness and rough sleeping, substance misuse, mental health and criminal justice. Such funding streams are important and welcome. They are delivered by committed teams of civil servants and create positive impact for many people. However, the way in which government funding streams are traditionally designed, offered, coordinated and monitored can limit the collective impact they have for people facing multiple disadvantage. In many cases, funding streams are not helping local areas to create long-term changes to the way that services and systems work for people facing multiple disadvantage, or to address the underlying problems that cause people to experience the issues that the funding streams seek to address. This report considers the views of local areas across the MEAM Approach and Fulfilling Lives networks, with a focus on the national funding streams that have been made available over the last 18 months. Civil servants recognise and understand the issues raised in this report and many are seeking to address them. The report suggests that for many areas the level of funding is not the only issue, and there are a number of practical issues with the way funding is made available to local areas which directly impacts on their ability to plan, fund and mobilise services for people experiencing multiple disadvantage. The issues identified in this briefing have shown how the structures, processes, mechanisms and cultures associated with national funding streams can hamper as well as help local areas' ambitions for systems change, despite many of the funding streams recognising the need for such change. (Edited publisher abstract)
Blackpool Fulfilling Lives: report on the year five evaluation 2020
- Authors:
- HARRIS Jane, et al
- Publisher:
- Fulfilling Lives
- Publication year:
- 2020
- Pagination:
- 152
This report sets out the findings of the fifth evaluation of Blackpool Fulfilling Lives (BFL), a project to improve the lives of people with multiple and complex needs who are defined as people experiencing at least two of the following issues: homelessness, reoffending, problematic substance misuse, or mental ill health. It was originally intended that the report should cover the period from 1st October 2018 to 30th September 2019, but the scope of the evaluation was extended to explore the immediate response to the Covid-19 pandemic and its impact on people experiencing multiple disadvantage in Blackpool. The BFL navigator model contains many of the characteristics which are common to navigator models more generally, focusing particularly on: proactive outreach and engagement; flexible working in terms of location, time and format; support without time limits or conditions; and small caseloads. This evaluation has reinforced many of the conclusions set out in the year four evaluation report; in summary, these are: the need for additional support to enable people with complex needs to access and engage with services is not likely to disappear in the near future; the navigator model is effective in helping people to make progress in their lives; multi-agency working has improved and become embedded as a default way of working over the life of the project. Stakeholders who participated in the year five evaluation were almost unanimous in highlighting the positive impact BFL has had on beneficiaries and the need to sustain some kind of legacy beyond the lifetime of the project. Many expressed concern that the closure of BFL will leave a significant gap in service provision. (Edited publisher abstract)
Supporting midwives to address the needs of women experiencing severe and multiple disadvantage
- Author:
- ROYAL COLLEGE OF MIDWIVES
- Publisher:
- Royal College of Midwives
- Publication year:
- 2020
- Pagination:
- 9
- Place of publication:
- London
This position statement sets out the actions that should be taken to ensure midwives are equipped and supported to provide assistance to women who experience sever and multiple disadvantage (SMD) during pregnancy. A broad list of serious social problems that falls within SMD include: adverse childhood experiences, poverty, inadequate housing or homelessness, mental health problems, substance misuse, irregular immigration status, history of domestic abuse and/or sexual violence, and involvement with the criminal justice or social care systems. The RCM is calling on all UK NHS bodies to adopt its five-point plan: midwives are afforded autonomy and flexibility when caring for women experiencing severe and multiple disadvantage; midwives are given additional support to navigate services for women experiencing severe and multiple disadvantage; midwives are appropriately trained to support women experiencing severe and multiple disadvantage; midwives are supported and empowered to work in partnership and with the same women where possible; the health, safety, and wellbeing of midwives is protected when caring for women experiencing severe and multiple disadvantage; the RCM believes that, if these changes are achieved across health care systems, women will have substantially better outcomes. (Edited publisher abstract)
Comprehensive services for complex needs: a summary of the evidence
- Authors:
- REVOLVING DOORS AGENCY, CENTRE FOR MENTAL HEALTH
- Publisher:
- Revolving Doors Agency
- Publication year:
- 2015
- Pagination:
- 11
- Place of publication:
- London
Summarises evidence for three ways of working with people with multiple and complex needs: Multisystemic Therapy; wraparound; and the link worker model. The needs of this group often includes mental health problems, offending, homelessness and substance misuse. These models seek to address repeated failures to help people facing multiple needs and address interrelated outcomes such as reducing reoffending, improving mental health and preventing further exclusion. Section one introduces the models and highlights common features developed for work with people with multiple and complex needs. Section two summarises the evidence for all three models, focusing on outcomes relevant to commissioners' responsibilities. Section three outlines the financial case for the models, which focus on preventing costly outcomes such as offending and homelessness. Section four raises some key considerations and recommendations for commissioners and for further research. (Edited publisher abstract)
Meeting complex needs in social care
- Authors:
- RANKIN Jennifer, REGAN Sue
- Journal article citation:
- Housing Care and Support, 7(3), September 2004, pp.4-8.
- Publisher:
- Emerald
States that too many health and social care services are failing to meet complex needs, presented as a framework to help understand multiple interlocking needs spanning health and social issues, encompassing mental health problems combined with substance misuse and/or disability, including learning disability, and social exclusion. Outlines a strategy for promoting the well-being and inclusion of people with complex needs. Describes how new responses from existing services can promote better support for such people, such as connected care centres, a reformed commissioning process and a new 'navigational' role for the social care worker.