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The consumer-employee as a member of a Mental Health Assertive Outreach Team: clinical and social outcomes
- Authors:
- CRAIG Tom, et al
- Journal article citation:
- Journal of Mental Health, 13(1), February 2004, pp.59-69.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
The Health Service is among the largest employers in Britain and has the potential to provide supported work for significant numbers of people who have been long-term unemployed as a result of mental health problems. This investigates the feasibility and impact of employing mental health service users as health care assistants within an assertive outreach team. Forty-five clients of the assertive outreach team were randomly assigned to receive either standard case management (n =21) or to case management plus additional input from a consumeremployee (n =24) working as a health care assistant (HCA) to the team. Clients alllocated to the HCAs were more engaged with treatment as re ected in lower rates of non-attendance at appointments, higher levels of participation in structured social care activities and significantly fewer unmet needs in the domains of daytime activity, company, finances, transport and access to benefits. There were no differences between groups in terms of social networks (size or subjective quality) or in satisfaction with the service received. Employing service consumers in front-line caring roles is feasible and may contribute to improved client engagement with services.
A natural locally-based networking approach for singleton disabled elderly: implementation and case illustration
- Authors:
- KAM-SHING Yip, SUNG-ON Law
- Journal article citation:
- British Journal of Social Work, 32(8), December 2002, pp.1037-1049.
- Publisher:
- Oxford University Press
The Good Neighbour Centre of the United Christian Nethersole Community Health Service in Hong Kong has implemented a natural locality-based supportive networking approach for disabled singleton elderly in a public estate (1991-2000). As part of this approach, various psycho-social interventions were developed over nine years to strengthen mutual support among neighbours, able-bodied elderly, outpatients suffering from mental illness and volunteers who were matched and integrated with the disabled singleton elderly person to form a locality-based naturally supporting community. Different stages of developing a natural, supportive community by networking were identified in this project: network assessment, network matching, network formation and network strengthening. The concepts of stable and constant mutual support, mutual development and mutual concern were stressed. Feedback from stakeholders was encouraging and the demonstrated improvement in the functional and psycho-social well-being of disabled singleton elderly and mental health outpatients was impressive and clear.
The role and impact of social relationships upon well-being reported by mental health service users: a qualitative study
- Authors:
- GREEN Gill, et al
- Journal article citation:
- Journal of Mental Health, 11(5), October 2002, pp.565-579.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
A number of quantitative studies of people with severe mental illness show that, as with the general population, supportive social relationships are associated with well-being but the nature and causation of this association are unclear. To enhance services' contribution to the social support needs of their clients, this study explores the association qualitatively from the perspective of the lived experience of 27 mental health service users. Social contacts were reported to be both protective and damaging to mental health and it was common for close social relationships in particular to be both supportive and harmful. Loneliness was reported to be a problem, and almost all social contact was valued and perceived as better than none at all. Mental health problems led to changes in network composition and lack of balance in relationships, and this was sometimes difficult to reverse.
Managed clinical networks: their relevance to mental health services
- Authors:
- HOLMES Jeremy, LANGMAACK Claus
- Journal article citation:
- Psychiatric Bulletin, 26(5), May 2002, pp.161-163.
- Publisher:
- Royal College of Psychiatrists
This article describes managed clinical networks, their strengths and limitations and possible applications to managing psychiatric services.
The consumer-employee as a member of a Mental Health Assertive Outreach Team: impressions of consumer-employees and other team members
- Authors:
- DOHERTY Ingrid, et al
- Journal article citation:
- Journal of Mental Health, 13(1), February 2004, pp.71-81.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Reports of the benefits of employing consumers of mental health services as mental health workers tend to focus on the views of other professionals. The aim was to provide a first hand account of the experience of being a consumer-employee healthcare assistant (HCA) within an assertive outreach team and to examine the effect on other team members. Semi-structured interview schedules were administered to the HCAs (n = 2) and a range of measures given to other team members (n =10). Perceived benefits to clients include a positive role model and having a worker with personal understanding of pertinent issues. Bene ts to the team included effects on attitudes to, and practices with, clients. Concern was expressed about sickness level and its impact on the service. The employment of consumer-employees has much to offer mental health services but issues for consideration include appropriate support.
What is the knowledge base and where does it come from?: thoughts from the Social Perspectives Networks for Modern Mental Health (SPN) study day
- Author:
- DUGGAN Maria
- Publisher:
- TOPSS England. Social Perspectives Network
- Publication year:
- 2002
- Pagination:
- 12p.
- Place of publication:
- Leeds
This booklet summarises the first Social Perspectives Networks for Modern Mental Health seminar held in February 2002. The SPN emphasises the modern social model based on shared knowledge and shared territory with a range of disciplines and service users and the general public. Topics covered include: the evidence base; the importance of trust; power and hierarchy; what works for people in mental distress.
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.