Search results for ‘Subject term:"mental health problems"’ Sort:
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The impact of day hospital closure on social networks, clinical status, and service use: a naturalistic experiment
- Authors:
- GODDARD Kim, BURNS Tom, CATTY Jocelyn
- Journal article citation:
- Community Mental Health Journal, 40(3), June 2004, pp.223-234.
- Publisher:
- Springer
Little research is conducted on service closures. We examined the social, clinical and service use impact of the closure of a partial hospitalisation service (day hospital) on its users. Patients attending the closing day hospital were studied at closure and one year after, and compared to patients at an unchanged day hospital. : The closure did not increase use of inpatient beds, primary care or emergency room. Overall clinical improvements were similar for both groups as were costs. Social networks of the discharged patients decreased. Closures of services need to be as carefully evaluated as new developments.
Social support and social adjustment: implications for mental health professionals
- Authors:
- FROLAND Charles, et al
- Journal article citation:
- Community Mental Health Journal, 36(1), February 2000, pp.61-71.
- Publisher:
- Springer
The general importance of an individual's support network has been recognised in the field of community mental health; yet a more detailed understanding of how a client's available social ties may contribute to his or her adjustment is presently lacking. This study used network analysis to examine differences in the social networks of mental health clients in the USA to identify factors associated with positive social adjustment. The results have implications both for understanding the nature of the support available to a client and mobilizing the support resources of the existing network of relationships to aid adjustment to community living.
Treating mental health in the community: a policy review
- Authors:
- HUDSON Gen Maitland, TOUROUNTIS Dimitrios, HARGRAVE Russell
- Publisher:
- Power to Change
- Publication year:
- 2017
- Pagination:
- 50
- Place of publication:
- London
A review of evidence on the effectiveness of different community approaches to mental health. The final synthesis looks at 48 studies, published between 2004 and 2017, drawn from the UK and comparable high-income countries. It focuses mainly on the highest-quality evidence, including systematic reviews, evaluations drawing on randomised control trials (RCTs), and comparative longitudinal data. The synthesis identified 29 interventions methods. The studies included public health interventions aiming to promote wellbeing using volunteers / peers or ‘green care’; community development interventions; and intervention focused on exercise or physical activity. The review identified a lack of high-quality evidence to guide community work on mental health. There was some evidence to suggest that community-centred projects which draw on the support networks and skills already available in a community, have a positive impact on mental health. However, it found no high-quality evidence that ‘community-based’ projects, which simply deliver services in a local area, have a positive impact on mental health. It highlights the need for new 'community-centred' projects in local places, with rigorous evaluations to assess the evidence that these projects are effective in helping people with mental health problems. (Edited publisher abstract)
Mental Health Act assessments: professional narratives on alternatives to hospital admission
- Author:
- HALL Peter
- Journal article citation:
- Journal of Social Work Practice, 31(4), 2017, pp.445-459.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This article draws on themes derived from research conducted as part of a doctoral study, using Framework Analysis, in which fifteen mental health professionals were involved in nine Mental Health Act assessments in the UK. In this work, risk is explored in terms of the social context, using a social constructionist perspective, in which concepts of ‘social crisis/mental illness’, professional negotiations and social capital are explored. The key findings highlighted: the social constructions of service users’ worlds, as presented by the Approved Social Workers (ASWs) and Home Treatment Professionals (HTPs), were notably different; the negotiations between the ASWs and HTPs provided the ASWs with a number of roles including negotiator, deal-maker and decision-maker; and the service user’s social network and the provision of home treatment showed that the ‘treatments’ provided can be seen as a shared role. Finally, the implications for contemporary mental health social work practice are presented. (Publisher abstract)
Making connections: severe mental illness and closeness with other people
- Authors:
- PRINCE Jonathan D., et al
- Journal article citation:
- Social Work in Mental Health, 15(1), 2017, pp.1-13.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Much has been written about social lives of people with severe mental illness (SMI). Before social lives can flourish, however, people with SMI must first get close to other people. The authors studied this closeness by holding three hour-long focus groups at Fountain House, a community mental health agency in New York City. It was found that closeness between two people with SMI is challenging because someone with depression, for example, may have trouble understanding someone with a different disorder (e.g., schizophrenia). Romantically, closeness is also challenging—SMI is hard to explain to partners. In the workplace, closeness is difficult because SMI can alienate co-workers. It could push them away. In mental health programmes, the authors found that closeness has more of a chance to develop (1) during evening and weekend activities; (2) when activities are planned often enough to prevent isolation; and (3) when staff reach out to people before extended absence causes distance. (Edited publisher abstract)
The European WHO mental health programme and the World Health Report 2001: input and implications
- Author:
- RUTZ Wolfgang
- Journal article citation:
- British Journal of Psychiatry, 183(7), July 2003, pp.73-74.
- Publisher:
- Cambridge University Press
The World Health Report 2001, subtitled Mental Health: New Understanding, New Hope, has so far been presented in many member states at meetings with governmental participation and it continues to play a crucial role. It focuses on decentralisation and the need to establish community-based mental health services, giving the mentally vulnerable access to treatment at home, and utilising their social networks, existential identity and psychological environment. It focuses on the need for individual and societal empowerment, and public education about mental health, as well as the education of mental health professionals, family doctors, families and the social sector. It underlines the extreme and still increasing burden of depression and suicide and the need for inter-disciplinary teamwork. It advocates national mental health development, evidence-oriented research and awareness-raising activities.
Community care: evaluation of the provision of mental health services
- Editors:
- CROSBY Charles, BARRY Margaret M.
- Publisher:
- Avebury
- Publication year:
- 1995
- Pagination:
- 283p.,tables,diags.,bibliogs.
- Place of publication:
- Aldershot
Includes papers on: evaluation of the North Wales Resettlement Programme; care environments, care management and staff attitudes; psychiatric and behavioural outcomes for users 12 months after discharge from hospital; social networks and lives of people with long-term mental health problems; assessing the impact of community placement on quality of life; costing hospital and community care for long-stay psychiatric patients; the development of community mental health services in North Wales; involving users in mental health services in an era of new technology; and user views of community mental health care.