Search results for ‘Subject term:"mental health problems"’ Sort:
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Individual standards for intermediate care for older people with mental health difficulties
- Author:
- HEALTH AND SOCIAL CARE ADVISORY SERVICE
- Publisher:
- Health and Social Care Advisory Service
- Publication year:
- 2006
- Pagination:
- 17p.
- Place of publication:
- London
This paper presents the standards and the early findings from the Department of Health funded national project on Intermediate Care for Older People with Mental Health difficulties. The project benchmarked the intermediate care service provision in seven sites across England during March and April 2006 against best practice standards developed by HASCAS. An overarching view is that is that there is often poor integration and understanding between mainstream older peoples intermediate care services and older peoples mental health services and that this results in sub optimal care.
Mental health outreach to persons who are homeless: implications for practice from a Statewide study
- Authors:
- ROWE Michael, STYRON Thomas, DAVID Daryn H.
- Journal article citation:
- Community Mental Health Journal, 52(1), 2016, pp.56-65.
- Publisher:
- Springer
In order to help states establish best practice standards for mental health outreach and engagement teams for persons who are homeless, this study aimed to identify key functional elements needed to effectively address the multiple needs of these persons. A statewide survey across six representative outreach programmes was initiated in Connecticut, USA. Focus groups with staff and clients, interviews with programme administrators, shadowing of outreach workers on their rounds, and review of relevant written materials were conducted. Four main functional themes regarding optimal outreach work - constructive outreach team characteristics; availability of a wide range of services and resources for clients; navigation of multiple service systems; and favourable work demands and training opportunities - were identified through thematic analysis. The article concludes with recommendations for incorporating these four essential functional elements into mental health outreach and engagement practice to effectively meet the varied needs of the target group. (Edited publisher abstract)
Maintaining the momentum: towards excellent services for children and young people's mental health
- Author:
- NHS CONFEDERATION. Mental Health Network
- Publisher:
- NHS Confederation
- Publication year:
- 2007
- Pagination:
- 33p.
- Place of publication:
- London
This report aims to: raise awareness amongst the board members of both commissioning and providing organisations about the challenges facing child and adolescent mental health services (CAMHS), and to highlight the present window of opportunity for leaders to respond to these challenge; illustrate the long-term benefits of comprehensively meeting the mental health needs of children and young people, both to the individuals and families concerned, and to public services and the economy as a whole over that individual’s lifetime; show both commissioners and providers what they can actively do, under existing governance arrangements, to ensure that the recent momentum of progress in CAMHS is not lost, and that their area builds upon these foundations.
Benchmarking a liaison psychiatry service: a prospective 6-month study of quality indicators
- Authors:
- O'KEFFE Nikki, et al
- Journal article citation:
- Psychiatric Bulletin, 31(9), September 2007, pp.345-347.
- Publisher:
- Royal College of Psychiatrists
There are no national standards to evaluate the quality of delivery of inpatient liaison psychiatry services in general hospitals in the UK. In order to benchmark the service against best international practice, we adapted quality indicators from two peer-reviewed studies from Australia and Switzerland and monitored our performance standards over a period of 6 months. There were 145 patients assessed over the study period. We set a priori target of 90% achievement on indicators in the areas of timeliness of response to all referrals, timeliness of response to referrals following self-harm and quality of supervision of junior medical staff attaining 93.8, 87.5 and 89.6% respectively. National bodies should develop benchmarks in this area so that services can demonstrate the quality of their service and learn from others’ good practice.
The Irish Mental Health Act 2001
- Author:
- KELLY Brendan D.
- Journal article citation:
- Psychiatric Bulletin, 31(1), January 2007, pp.21-24.
- Publisher:
- Royal College of Psychiatrists
The Mental Health Act 2001 is chiefly concerned with two aspects of psychiatric services in Ireland: (a) involuntary detention of persons with mental disorder in approved psychiatric centres; (b) mechanisms for assuring standards of mental healthcare. The Act is divided into six parts: preliminary and general; involuntary admission of persons to approved centres; independent review of detention; consent to treatment; approved centres; miscellaneous.
The relevance of guidelines for treatment mania in old age
- Author:
- SNOWDON John
- Journal article citation:
- International Journal of Geriatric Psychiatry, 15(9), September 2000, pp.779-783.
- Publisher:
- Wiley
Reviews three sets of guidelines for the treatment of patients with bipolar disorder, in order to assess their adequacy in relation to treatment of older persons with mania. One of the three referred to differences encountered when treating elderly people, but none gave adequate attention to age-related changes in pharmacokinetics and whether it is appropriate to prescribe lithium as a first-line mood stabiliser for older persons. Concludes that the guidelines do not give clear guidance on initial management of acutely manic patients who refuse medication. Nor do they give consideration to secondary mania. Recommended that evidence be gathered in order to develop guidelines specifically for management of mental disorders presenting in old age.
Beyond mere existence: the auditing of care plans
- Authors:
- PERKINS Rachel E., FISHER Nigel R.
- Journal article citation:
- Journal of Mental Health, 5(3), July 1996, pp.275-286.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Discusses the importance of auditing and improving the quality of care plans for people who experience serious ongoing mental health problems. Describes the development of measures to assess the quality of care planning in a routine clinical setting, together with an audit procedure incorporating these assessments in a process of improving the quality of care planning. The assessments performed included the extent to which care plans addressed strengths and problems defined by staff and by the client him/herself in all areas of functioning, and the extent to which the targets set in care plans were based on the results assessments performed and achieved in practice. Goes on to describe the way in which these results were used to enhance the quality of care planning.
Quality of life as an evaluative measure in assessing the impact of community care on people with long term psychiatric disorders
- Authors:
- BARRY Margaret M., CROSBY Charles
- Journal article citation:
- British Journal of Psychiatry, 168, February 1996, pp.210-216.
- Publisher:
- Cambridge University Press
The impact of community resettlement on the quality of life of people with long term psychiatric disorders, is evaluated in a longitudinal study. A repeated measures design was used to examine the sensitivity of an adapted version of Lehman's Quality of Life Interview in evaluating change. Completed interviews were carried out with 29 of the original cohort at one year post-discharge. The relationship between quality of life and ratings of client functioning is explored.
The journey from first inspection to quality standards (1857-2016): are we there yet?
- Author:
- CAMPBELL Martin
- Journal article citation:
- Journal of Adult Protection, 19(3), 2017, pp.117-129.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to qualitatively analyse the inspection and regulation of care for people with learning disabilities and mental health problems in Scotland, in two time periods. Design/methodology/approach: The paper uses comparative historical research drawing on primary sources from 1857 to 1862 in the form of Annual Reports of the General Board of Commissioners in Lunacy for Scotland and associated papers, to compare inspection methods, quality standards and to identify persistent challenges to effective inspection. Findings: Political, clinical and public awareness led initially to criticisms of existing care and eventually to the development of the “The Lunacy Act” of 1857. This Act resulted in the first attempts to set minimum standards of care for individuals at risk, with enforceable regulation. Some factors recur as challenges to effective practice in the inspection and regulation of care today. Practical implications: There are problems of definition, reliable monitoring of quality standards and adequate, independent inspection of services that respond to unacceptable standards of care. There is a growing evidence base about best methods of inspection of services for people in care who are most at risk. These methods attempt to strike a balance between evidence- and value-based judgments. Perspectives from history may help focus resources. Originality/value: This paper compares common and common challenges in two time periods to investigate what can be learned about the development of policy and practice in inspection and regulation of care. (Publisher abstract)
Assessment and treatment of physical health problems among people with schizophrenia: national cross-sectional study
- Journal article citation:
- British Journal of Psychiatry, 205(6), 2014, pp.473-477.
- Publisher:
- Cambridge University Press
Background: In the UK and other high-income countries, life expectancy in people with schizophrenia is 20% lower than in the general population. Aims: To examine the quality of assessment and treatment of physical health problems in people with schizophrenia. Method: Retrospective audit of records of people with schizophrenia or schizoaffective disorder aged ≥18. We collected data on nine key aspects of physical health for 5091 patients and combined these with a cross-sectional patient survey. Results: Body mass index was recorded in 2599 (51.1%) patients during the previous 12 months and 1102 (21.6%) had evidence of assessment of all nine key measures. Among those with high blood sugar, there was recorded evidence of 53.5% receiving an appropriate intervention. Among those with dyslipidaemia, this was 19.9%. Despite this, most patients reported that they were satisfied with the physical healthcare they received. Conclusions: Assessment and treatment of common physical health problems in people with schizophrenia falls well below acceptable standards. Cooperation and communication between primary and secondary care services needs to improve if premature mortality in this group is to be reduced. (Publisher abstract)