Search results for ‘Subject term:"mental health problems"’ Sort:
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Social exclusion experienced by older adults: factors for designing healthcare settings in Taipei, Taiwan
- Authors:
- HSIEH Mei-O, LEUNG Patrick
- Journal article citation:
- Social Work in Health Care, 58(4), 2019, pp.368-381.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Research has demonstrated that social exclusion can lead to negative implications on an individual’s health status. In response to the need to examine health disparities among the older adult populations, this study explores social exclusion issues faced by older Taiwanese adults as a predictive factor to healthcare. The 80-item Social Inclusion/Exclusion Scale was developed and validated with input from 327 older adults recruited from 40 social service agencies in Taiwan. Findings suggest that to improve the overall health status among older Taiwanese adults, healthcare reforms must aim to increase social inclusion levels through a better understanding of five factors at both the service provider and individual levels: 1) knowledge of service provisions, 2) depression, 3) individual autonomy, 4) types of care home, and 5) gender-sensitive practice. (Publisher abstract)
Simple but effective: local solutions for adults facing multiple deprivation: adults facing chronic exclusion evaluation: final report
- Authors:
- CATTELL Jack, et al
- Publisher:
- Great Britain. Department for Communities and Local Government
- Publication year:
- 2011
- Pagination:
- 45p.
- Place of publication:
- London
The Adults facing Chronic Exclusion programme (ACE) tests new ways of working with excluded people who do not access services in the community because their lives are chaotic and their needs are too complex. The programme comprised 12 pilots across England which began in 2007. The pilots differed in terms of the characteristics of their clients, the intervention, the cost of the service, and their outcomes. They were tasked with helping clients access local services and benefits, supporting them with transition points in their lives, and changing the way in which local agencies responded to their needs. In all cases the interventions offered support from a consistent, trusted adult who could advocate between local services and service users. This report presents the findings of a 3-year evaluation of the ACE pilots. The evaluation looked at the following outcome measures: accommodation status; employment status; use of health services; receipt of benefits; offending and victimisation; and subjective health and well-being. The report concludes that the work of the pilots was effective and inexpensive. They were effective in bringing about better outcomes for the individuals, particularly in terms of health, and persuading local services to engage with the client group. Some of the pilots were highly replicable and half have received continuation funding locally. The lessons for public sector reform, particularly how to make services more flexible and collaborative, are discussed.
Adults facing chronic exclusion programme: evaluation findings: summary
- Authors:
- CATTELL Jack, et al
- Publisher:
- Great Britain. Department for Communities and Local Government
- Publication year:
- 2011
- Pagination:
- 8p.
- Place of publication:
- London
The Adults facing Chronic Exclusion programme (ACE) tests new ways of working with excluded people who do not access services in the community because their lives are chaotic and their needs are too complex. The programme comprised 12 pilots across England which began in 2007. The pilots differed in terms of the characteristics of their clients, the intervention, the cost of the service, and their outcomes. They were tasked with helping clients access local services and benefits, supporting them with transition points in their lives, and changing the way in which local agencies responded to their needs. In all cases the interventions offered support from a consistent, trusted adult who could advocate between local services and service users. This report summary outlines the findings of a 3-year evaluation of the ACE pilots. The evaluation looked at different outcomes measures including: accommodation status; employment status; use of health services; receipt of benefits; and offending and victimisation. The report summary concludes that the pilots were effective in achieving positive housing, health and well-being outcomes with the clients. The pilots reduced the cost of healthcare, but the positive outcome of securing accommodation and benefits for homeless people resulted in an overall net cost. The pilots demonstrate that long term, positive, outcomes can be secured for this client group, and that these interventions are likely to be cost effective.
Down and out?: the final report of St Mungo's Call 4 evidence: mental health and street homelessness
- Author:
- ST. MUNGO'S
- Publisher:
- St. Mungo's
- Publication year:
- 2009
- Pagination:
- 63p.
- Place of publication:
- London
More than 90 submissions were received following the Call for Evidence. These came from a range of sectors: mental health organisations, homeless agencies, individual service users and healthcare professionals, local authorities, campaigning groups, Primary Care Trusts, community groups, government departments and other organisations. Oral hearings were also held. This report analyses and reports on the material gathered. It summarises the nature of the mental health and homelessness problem, covering politics and policy, definition of mental illness, gaps in services, and social exclusion. It looks at health care and social care for homeless people, and discusses the recovery journey and the way forward. It includes recommendations, and brief illustrations of good working. The Chief Executive of St Mungo's notes that the report sets out a case for reform, using a range of evidence gathered to "highlight the inadequacy of the current system of treatment, care and support" to meet the mental health needs of homeless people.
Local implementation of the Social Exclusion Unit report
- Author:
- GREAT BRITAIN. Office of the Deputy Prime Minister. Social Exclusion Unit
- Publisher:
- Great Britain. Office of the Deputy Prime Minister. Social Exclusion Unit
- Publication year:
- 2004
- Pagination:
- 8p.
- Place of publication:
- London
The report sets out a new model for partnership working across sectors and an action plan to achieve change. The over-arching objective of this plan is to ensure that experiencing mental health problems does not present a barrier to achieving individual goals and participating in society. Health and social care services have a critical role to play in helping people recover – or hold on to – what they value in life, by facilitating access to advice, support and mainstream opportunities. At the same time, it is essential that other service providers, including those in the fields of housing, arts and leisure and supported employment, actively address the issues faced by this client group and engage with the health sector to deliver change. Local strategies to meet these objectives will need to take into account differing local characteristics, eg rural or geographically dispersed populations or services, the age/ethnicity profile, transport links and areas of deprivation.
Is partnership possible
- Author:
- BASSET Thurstine
- Journal article citation:
- Openmind, 104, July 2000, pp.12-13.
- Publisher:
- MIND
The author wonders if past experience can help mental health services really engage in partnership. Looks at the realities of partnership in mental health, some of the barriers, and what the future holds.
Health and social outcomes and health service experiences of UK military veterans: a summary of the evidence
- Authors:
- FEAR Nicola, WOOD Dan, WESSELY Simon
- Publisher:
- King's College London. King's Centre for Military Health Research
- Publication year:
- 2009
- Pagination:
- 82p., bibliog.
- Place of publication:
- London
Each year approximately 24,000 men and women leave the British Armed Forces and return to civilian life. There is increasing international recognition, both within the military and in civilian society, of the health and social needs of ex-Service personnel, in particular mental health problems, such as post-traumatic stress disorder (PTSD), and social exclusion. This report reviewed the available evidence on the health and social outcomes, and the health experiences, of former members of the Armed Forces. Key findings included that, whilst in general the health of the veteran community is comparable with that of the general population, rates of heavy drinking are more prevalent among both serving and ex-serving personnel. The most common mental health problems for ex-Service personnel, along with alcohol problems, were depression and anxiety disorders. While the overall rate of suicide is no higher in UK ex-Service personnel than it is in the UK general population, men aged 24 or younger are, however, at an increased risk relative to their general population counterparts. This study also identified barriers to accessing healthcare for both groups, especially the stigma of admitting a need for help, with veterans reporting an additional problem of not knowing where to go for help. The authors also made several recommendations for further research, such as studies should be planned in which data collection starts before either in-Service or post-Service adverse outcomes have occurred, and that evidence on health related outcomes and experiences among ex-Service personnel is reviewed periodically.
The health of looked after and accommodated children and young people in Scotland
- Authors:
- SCOTT Jane, HILL Malcolm
- Publisher:
- Social Work Inspection Agency
- Publication year:
- 2006
- Pagination:
- 43p.
- Place of publication:
- Edinburgh
This report considers what research tells us about the health of children and young people in general living in Scotland, and the looked after and accommodated population in particular. Research from across the UK has been included, as many children and young people who are looked after and accommodated in Scotland share similar characteristics and experiences with their peers elsewhere in the UK. In Scotland, many children are born into families from lower socio-economic groups with the characteristics that may impact adversely on their health. Many unhealthy lifestyles are more common in those who are economically deprived or socially excluded.
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.
Women-only and women-sensitive mental health services: an expert paper
- Authors:
- BARNES Marain, et al
- Publisher:
- University of Birmingham
- Publication year:
- 2002
- Pagination:
- 94p.,bibliog.
- Place of publication:
- Birmingham
There has been little progress in the development of women sensitive services over the last ten years and it remains difficult to ensure that this issue achieves priority at a time of substantial change within the health and social care system. The importance of the voluntary sector in providing sensitive and flexible alternative to mainstream services is still evident, as is the insecurity of services within this sector and the consequent danger of looking to voluntary sector provision as an adequate answer to the problem. In spite of an absence of evaluative research there is considerable agreement about what women sensitive services would look like. There are also committed and enthusiastic workers who are looking to the publication of the national strategy for mental health care for women to provide the national lead that can support local developments. Such developments will only be achieved if they are given the level and stability of resources required to deliver sustainable change.