Search results for ‘Subject term:"mental health problems"’ Sort:
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LGBT in Britain: health report
- Authors:
- BACHMANN Chaka L., GOOCH Becca
- Publisher:
- Stonewall
- Publication year:
- 2018
- Pagination:
- 20
- Place of publication:
- London
This report looks at mental health and well-being of LGBT people and investigates the specific experiences of LGBT people when accessing healthcare services. It is based on the findings of a YouGov survey of over 5,000 lesbian, gay, bi and trans (LGBT) people across England, Scotland and Wales, which asked about their life in Britain today. It looks at the rates of depression, anxiety and other mental health conditions among LGBT people and levels of substance misuse. It also looks at the accessibility of healthcare services and discrimination LGBT people face when seeking medical support. The study identifies high levels of poor mental health among LGBT people compared to the general population and high level of hostility and unfair treatment faced by many LGBT people when accessing healthcare services. In addition, a quarter of LGBT people surveyed also faced a lack of understanding of their specific health needs; a figure that rises to 62 per cent for trans patients. It makes recommendations for better training for all health and social care staff, with specific guidance on how to meet the needs of LGBT patients. It also recommends that NHS England should make mental health a key priority for the new National LGBT Health Adviser. (Edited publisher abstract)
COCOA: care for offenders continuity of access
- Authors:
- BYNG Richard, et al
- Publisher:
- National Institute for Health Research
- Publication year:
- 2012
- Pagination:
- 265p.
- Place of publication:
- London
Adult offenders have a high incidence and prevalence of many illnesses, particularly poor mental health and substance misuse. Passage through the various elements of the criminal justice system (CJS) provides both the potential for initial access to healthcare and also the disruption of existing care. The aim of this project was to inform policy on improving health and reducing recidivism for offenders by examining access to, and continuity of, healthcare. A multi-method investigation of continuity of healthcare for offenders included: interviews and health records study of 200 offenders; 5 focus groups; and 8 case studies. A quantitative analysis of the offender interviews demonstrates the extent of the deficit in access. A qualitative analysis of interviews and focus groups data provides insights into how offenders view healthcare and the potential impact on achieving access and continuity. The case studies provide information about the barriers and facilitators from an institutional viewpoint. These findings are used in the development of theory related to offender continuity of care. The study demonstrates that continuity of access to healthcare, particularly for mental health problems, is far from perfect. However, pockets of good practice and innovative projects demonstrate the potential for improving continuity and the quality of care provided.
Self-harm: treating people differently, intervening early
- Author:
- JOHN Ann
- Journal article citation:
- Mental Health Today, March 2012, pp.18-19.
- Publisher:
- Pavilion
- Place of publication:
- Hove
Self-harm, usually defined as intentional self-poisoning or self-injury, is an important public health problem. The method, nature of motivation, or degree of suicidal intent is complex and may change for any individual over time. Long-term outcome studies in adults consistently highlight the association between self-harm and completed suicide. Those who repeat self-harm are at significantly greater risk of committing suicide than those how have a single episode. There are many factors associated with self-harm: mental health problems, particularly depression; alcohol and substance misuse; personality disorders; and a range of social, economic and cultural issues. All people who self-harm who present at hospital should have a psychosocial assessment and any associated disorders should be managed according to NICE guidelines. All frontline staff should receive suicide and self-harm awareness training and be enabled to manage people in a caring, compassionate manner.
A service framework to meet the needs of people with a co-occurring substance misuse and mental health problem
- Publisher:
- Wales. Welsh Assembly Government
- Publication year:
- 2007
- Pagination:
- 21p.
- Place of publication:
- Cardiff
The importance of developing seamless services for clients requiring both services cannot be stressed too strongly. Evidence indicates that drug and/or alcohol misuse among people with mental health problems is now commonplace but despite the availability of effective treatments, these services are not as co-ordinated as they might be Joining these services together is important because research shows that treatment for substance misuse problems often reduces psychiatric and mental health problems. Furthermore, substance misuse treatment is associated with decreasing substance use, decreased injecting behaviour and hence a reduction in the risk of HIV and hepatitis transmission, and improvements in other related forensic, psychological and physical problems.
Children looked after in Wales: factors contributing to variation in local authority rates
- Author:
- HODGES Helen
- Publisher:
- Wales Centre for Public Policy
- Publication year:
- 2020
- Pagination:
- 34
- Place of publication:
- Cardiff
This report updates and develops previous analysis of the factors affecting variation in rates of children looked after in Wales. With three years of data, it is possible to use more sophisticated techniques to explore the explanatory value of different potential influences (both singularly and in combination); namely: safeguarding practice, levels of deprivation, and parental factors. The main findings from this modelling work are as follows: almost half of the variation in local authority rates can be explained by the extent of deprivation within that authority; using an established proxy for safeguarding practice, 13% of the variation in local authority rates can be explained by differences in practice; no clear relationship was found between safeguarding, deprivation, and the rates of children looked after; in combination, the ‘trigger trio’ of parental factors – substance misuse, parental mental ill health and domestic abuse – together account for around 35% of the variation in rates; when deprivation is modelled with the trigger trio, and with the inclusion of parental learning disabilities, these factors together account for 72% of the variation in rates across Wales – however, safeguarding and the proportion experiencing parental substance misuse are not significant predictors in this model. The explanatory value of deprivation in combination with parental factors is striking, and is indicative of differences in practice and perceptions of risk associated with the presence of the respective factors. However, there remains a significant proportion of the variation which remains unexplained by the factors considered here. (Edited publisher abstract)
Rough sleeping follow up: mental health and substance misuse services
- Author:
- NATIONAL ASSEMBLY FOR WALES. Equality, Local Government and Communities Committe
- Publisher:
- National Assembly for Wales
- Publication year:
- 2019
- Pagination:
- 14
- Place of publication:
- Cardiff
A report from National Assembly for Wales Equality, Local Government and Communities Committee to investigate the difficulty for rough sleepers of accessing integrated substance misuse and mental health services. The Committee consulted with people with expertise across housing, substance misuse, and health to better understand the gaps in services and potential solutions. It found that cultural issues within organisations, attitudes between different professional groups and lack of leadership were significant barriers to delivering effective services for people with housing, mental health issues and substance misuse. The report makes recommendations covering the areas: the identification and dissemination of good practice; organisational culture and leadership; joint commissioning and funding; and the design and delivery of integrated services. The recommendations include better access to good quality training for staff working with rough sleepers. (Edited publisher abstract)
Mental health in substance misuse patients in Wales
- Author:
- SIMS John Barry
- Journal article citation:
- Journal of Public Mental Health, 18(4), 2019, pp.269-278.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to identify and report on the mental health needs of those attending substance misuse services (SMS) adhering to the diagnostic criteria as defined in DSM 5 with reference to common mental health disorders. It also examines differences in the numbers of appropriately trained cognitive behaviour therapy (CBT) therapists and highlights the lack of provision of CBT reflected in the much smaller number of accredited therapists in Wales compared to other parts of the UK. Design/methodology/approach: This population was identified by way of an audit of data collected via the out-patient clinics conducted by the author. Findings: The paper identifies a high proportion of patients who attended SMSs as having complex psychological need as a consequence of co-morbidity. Research limitations/implications: The results of the audit may have limitations but the implications from the findings suggest potential value in looking more at clinical outcomes following evidence-based psychological interventions. Practical implications: A conclusion from the findings is suggested value in a more structured approach to looking at clinical outcomes. Originality/value: This audit was undertaken in North Wales. There is no IAPT or matrix-structured Level II CBT training programmes available in Wales. The audit identifies the need for more evidence-based psychological interventions such as CBT linked to the development of such services. The apparent lack of political will to change the status quo is also highlighted as a problem. (Edited publisher abstract)
The cost of late intervention: EIF analysis 2016
- Authors:
- CHOWDRY Haroon, FITZSIMONS Peter
- Publisher:
- Early Intervention Foundation
- Publication year:
- 2016
- Pagination:
- 21
- Place of publication:
- London
Updates the 2015 report from the Early Intervention Foundation on the financial cost of late intervention for children and young people in England and Wales. 'Late intervention' covers the cost of acute, statutory and essential services that are required when children and young people experience significant difficulties in life, many of which might have been prevented. The report analyses how the estimated cost of late intervention has changed since the 2015 report, looks at how the costs are spread across different public agencies and looks at how spending varies across England and Wales. The cost analysis included: crime and anti-social behaviour, school absence and exclusion, children’s social care, child injuries and mental health problems, substance misuse, and youth economic inactivity. It estimates that nearly £17 billion per year, equivalent to £287 per person, is spent by the state late intervention. Whilst the estimated cost of late intervention has not changed since the 2015 report, the analysis shows that its profile has changed. Costs due to domestic violence and abuse has risen to £5.2 billion, while the cost of criminal justice for children and young people is lower, driven by reductions in the youth justice system caseload and the number of recorded incidents of anti-social behaviour. The analysis also found the amount spent on late intervention varied significantly across England and Wales. Using spend per person in each local authority as a basis for comparison, an average cost £298 ranged from a low of £164 to a high of £531, with higher levels of late intervention spending more likely to found in areas with higher levels of deprivation. It concludes that in order to tackling injustice and increasing social mobility for children and families, investment in effective early intervention should be targeted in particular on service areas where spending on late intervention is high. The accompanying technical report sets out in detail the data sources and methods used. (Edited publisher abstract)
Adverse childhood experiences and their association with chronic disease and health service use in the Welsh adult population
- Author:
- PUBLIC HEALTH WALES
- Publisher:
- Public Health Wales
- Publication year:
- 2016
- Pagination:
- 24
- Place of publication:
- Cardiff
This is the third in a series of reports examining the prevalence of Adverse Childhood Experiences (ACEs) in the Welsh adult population and their impact on health and well-being across the life course. Over 2,000 adults aged 18-69 years participated in the study, providing anonymous information on their exposure to ACEs before the age of 18 years and their health and lifestyles as adults. Overall, 14.6% of respondents to the Welsh ACE survey reported that they had been told by a doctor or nurse they had one or more of the chronic diseases studied in this survey (cancer; Type 2 diabetes; coronary heart disease or heart attack; stroke; respiratory disease; liver disease; and digestive disease). The findings support other international studies, and are consistent with ACEs having a significant association with both the development of chronic disease throughout the life course and increased health service use in Wales. Over a 12-month period, those with four or more ACEs were three times more likely to have attended Accident and Emergency units, three times more likely to have stayed overnight in hospital, and twice as likely to have visited their GP, compared to individuals with no ACEs. This reflects an increase in health needs within this population.The report concludes that increasing the understanding of the consequence of ACEs on an individual’s mental and physical health supports the case for investment in ACE prevention, early identification and health and social systems capable of reducing their consequences. (Edited publisher abstract)
Psychosis with substance misuse in over 14s: assessment and management
- Author:
- NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE
- Publisher:
- National Institute for Health and Clinical Excellence
- Publication year:
- 2011
- Pagination:
- 43
- Place of publication:
- London
Approximately 40% of people with psychosis misuse substances at some point in their lifetime, at least double the rate seen in the general population. This guideline covers the assessment and management of adults and young people aged 14 years and older who have a clinical diagnosis of psychosis (a term used to describe a group of severe mental health disorders) with coexisting substance misuse. It aims to help healthcare professionals guide people with psychosis who use drugs and/or alcohol, to stabilise, reduce or stop their substance misuse and to improve treatment adherence and outcomes. It offers best practice advice on assessment and management and person centred care. It sets out key priorities for implementation, covering principles of care, recognition of psychosis with coexisting substance misuse, primary care, secondary care mental health services, substance misuse services, inpatient mental health services, staffed accommodation, and specific issues for young people with psychosis and coexisting substance misuse. Accompanying publications include the full guideline 'Psychosis with coexisting substance misuse: assessment and management in adults and young people' (with all the recommendations, details of how they were developed and reviews of the evidence they were based on) and Understanding NICE Guidance (a summary for patients and carers). Includes changes after publication (latest changes: February 2013).