Search results for ‘Subject term:"mental health problems"’ Sort:
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Capability framework: working effectively with people with co-occurring mental health and alcohol/drug use conditions
- Authors:
- REVOLVING DOORS AGENCY, CLINKS
- Publishers:
- Revolving Doors Agency, Clinks
- Publication year:
- 2019
- Pagination:
- 30
- Place of publication:
- London
This framework describes the values, knowledge and skills required for effective care of people with co-occurring mental health and alcohol or drug use conditions s (COMHAD). It is designed as an individual development tool and can also be used by service providers for workforce development. The framework is organised into the following themes: values; effective management; right care right time; working effectively and collaboratively with multiple agencies; working with families, carers and friends; and physical health and health promotion. It will be relevant to staff in mental and physical health settings, alcohol/drug misuse services, social services and the criminal justice system. The framework updates and builds on 'Closing the gap' and the 'Leeds capability framework.' It supports the implementation of Public Health England’s 'Better care for people with co-occurring mental health and alcohol/drug use conditions: a guide for commissioners and service providers on the ground.' (Edited publisher abstract)
Towards a shared future: a commissioning guide
- Author:
- REVOLVING DOORS AGENCY
- Publisher:
- Revolving Doors Agency
- Publication year:
- 2010
- Pagination:
- 48p., bibliog.
- Place of publication:
- London
Defining young adults with multiple needs as 16-24 year olds who experience a number of vulnerabilities such as mental health problems, drug and/or alcohol misuse, homelessness, lack of legitimate income, contact with the criminal justice system and legal problems, this document is intended as a guide for commissioners, service providers and others working in the health, criminal justice, local government and voluntary sector. It outlines the challenges faced by young adults with multiple needs, including case examples, and explores 3 approaches to improving commissioning services for them: commissioning across age transitions, where services continue to engage with young adults through the transition years of 16-24, commissioning across a range of needs, where resources are pooled across a range of service areas to facilitate support, and commissioning across criminal justice settings to provide continuity of support. It concludes that young adults with multiple needs are a distinct group facing particular challenges, and that commissioners working together to commission across service boundaries has the potential to transform the lives of young people, improve communities and deliver savings.
Vaccine uptake amongst people with personal experience of multiple disadvantage in Birmingham: research findings
- Author:
- REVOLVING DOORS AGENCY
- Publisher:
- Revolving Doors Agency
- Publication year:
- 2021
- Pagination:
- 35
- Place of publication:
- London
This report presents findings from a piece of research about vaccine uptake amongst people with experience of multiple disadvantage in Birmingham. It is based on two focus groups with staff working at organisations in contact with people with personal experience of multiple disadvantage; and one-to-one interviews with 27 people about their views of the Covid-19 vaccine. The research aimed to explore whether there is a problem with the uptake of the vaccine amongst people with lived experience of a combination of homelessness, substance use, contact with the criminal justice system, mental ill health and domestic violence; understand how widespread this problem is, and the reasons behind it; think about possible ways in which people with such lived experience can be supported to make informed decisions about the vaccine. Key findings include: just under half of the people we spoke to do not want to take the vaccine and there were many reasons for this; many of those who did not want the vaccine did not think anything would change their mind, and a few were open to learning more about this from trusted sources; where people had chosen to have the vaccine, this was often linked to concerns about them or their loved ones becoming seriously ill from Covid-19; there were commonalities in who people trusted to tell them more information about Covid-19 and the vaccine and who they did not; some respondents, particularly older people, were critical about the conspiracy theories circulating online, whereas others found this to be an easy and quick way to access information; several factors helped people to have the vaccine if they wanted it – this included having vaccines available in a location that was considered ‘safe’, nearby and easy to get to; wider barriers making it more difficult for people to have the vaccine included the reliance on access to technology. (Edited publisher abstract)
Highlights from the evaluation of Birmingham Changing Futures Together
- Author:
- REVOLVING DOORS AGENCY
- Publishers:
- Revolving Doors Agency, Birmingham Changing Futures Together
- Publication year:
- 2019
- Pagination:
- 20
- Place of publication:
- London
This report brings together key findings from the three individual evaluations the Birmingham Changing Futures Together programme, which aims to improve the lives of people experiencing multiple and complex needs across Birmingham. The report also highlights key learning from the overall programme. The evaluation focuses on three elements: understanding the current experiences of people facing multiple and complex needs across Birmingham; the impact of Psychologically Informed Environment (PIE) training on staff and their ways of working, and; the impact of the Every Step of the Way 'Expert by Experience' programme on the wider system. In total the evaluation interviewed 26 service users, 18 practitioners, 8 Experts by Experience and 10 stakeholders. Three peer researchers from the Experts by Experience were also trained to conduct the service user interviews and co-analyse the findings. The findings include that the work of Lead Workers and Peer Mentors in supporting those with more complex needs to navigate the system was highly valued and appeared to a positive difference to outcomes. (Edited publisher abstract)
Evaluation of every step of the way experts by experience and systems impact
- Author:
- REVOLVING DOORS AGENCY
- Publishers:
- Revolving Doors Agency, Birmingham Changing Futures Together
- Publication year:
- 2019
- Pagination:
- 31
- Place of publication:
- London
An evaluation of the Every Step of the Way, the Birmingham Changing Futures Together (BCFT) user involvement and engagement programme, which aimed to support the experts by experience in their development while impacting on wider service change across Birmingham. The overall aim of BCFT is to improve the lives of people experiencing multiple and complex needs across Birmingham. These are people experiencing two or more of the following: homelessness, problematic substance use, risk of offending and mental ill health. This evaluation conducted 10 interviews with stakeholders who had worked with the Experts by Experience programme and 8 experts by experience participated in focus groups. This report describes the findings from the analysis of the interviews and the focus group. (Edited publisher abstract)
Birmingham Changing Futures Together: service user perspective peer support research
- Author:
- REVOLVING DOORS AGENCY
- Publishers:
- Revolving Doors Agency, Birmingham Changing Futures Together
- Publication year:
- 2019
- Pagination:
- 24
- Place of publication:
- London
An evaluation of Birmingham Changing Futures Together (BCFT), a programme funded by the National Lottery Community Fund, which aims to improve the lives of people experiencing multiple and complex needs across Birmingham. BCFT defines multiple and complex needs as people experiencing two or more of the following: homelessness, problematic substance use, risk of offending and mental ill health. The evaluation interviewed 26 service users to understanding the current experiences of people facing multiple and complex needs across Birmingham. Specifically, it explores their perspectives of how access to services in Birmingham has changed since BCFT and on the implementation and impact of specific No Wrong Door (NWD) services. The NWD network aims to ensure clients are not turned away from their service and Lead Worker/Peer Mentor service supports those with more complex needs to navigate the system. The evaluation found that overall, initial access to certain services for people facing multiple and complex needs was improving; service users noticed an increased level of staff skill and compassion across most services, in particular homelessness services; and the work of Lead Workers and Peer Mentors was highly valued and appeared to make a positive difference to 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)
Aiming higher: a good practice guide
- Author:
- REVOLVING DOORS AGENCY
- Publisher:
- Revolving Doors Agency
- Publication year:
- 2010
- Pagination:
- 36p.
- Place of publication:
- London
This document, produced by the Revolving Door Agency, an independent voluntary sector organisation, is aimed at practitioners across all sectors working with young adults with multiple needs. It sets out a series of good practice principles for the delivery of services to these young people to aid their transition to adulthood. Young adults with multiple needs are defined as 16 to 24 year olds who experience a number of the following: mental health problems, drug and/or alcohol use, homelessness, lack of legitimate income, family breakdown, contact with the criminal justice system and legal problems. The principles were derived from the observations of practitioners and 43 young adults from three regions in England and were gathered during visits to 15 projects offering a range of services to those aged 16 to 24 years. Clear themes which emerged from discussions during and after these visits were quality of relationships; continuity; personalised support; meeting basic needs; information, misinformation and challenging stigma; getting involved; aiming higher. Each of these themes is outlined with reference to the services visited. Each theme is supported by sections on lessons from research and relevant policy messages.