Search results for ‘Subject term:"mental health problems"’ Sort:
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Measuring community preferences for public mental health services: pilot test of a mail survey method
- Authors:
- SHUMWAY Martha, et al
- Journal article citation:
- Community Mental Health Journal, 40(4), August 2004, pp.281-295.
- Publisher:
- Springer
This study tested the feasibility of a simple mail survey approach to measuring community preferences for mental health services. A 38 item survey detected statistically significant differences in preferences for four central goals, finding that community members most value Focus on the Severely Mentally III, followed by Community Safety and Environment, Service Quality and Original Community Mental Health Goals. Some procedural problems were encountered that reduced the response rates, however, the study yielded information that suggests improved procedures for future surveys. Simple mail surveys appear to offer a potentially affordable, efficient way to assess community service priorities.
A survey of consultant psychiatrists in intellectual disability based in England
- Authors:
- GUINN Ashley, et al
- Journal article citation:
- Advances in Mental Health and Intellectual Disabilities, 10(4), 2016, pp.258-270.
- Publisher:
- Emerald
Purpose: Community mental health services are of increasing importance for people with an intellectual disability (ID), as the government aims to reduce the number of people treated within inpatient services. However, due to limited evidence base, it is unclear which service models are most effective for treating people with both ID and a mental health condition. Therefore, the purpose of this paper is to carry out a survey in order to gain a better understanding of the current state of ID community services. Design/methodology/approach The survey was e-mailed to 310 consultant psychiatrists based in England and whose main specialism was in ID. In total, 65 consultants responded to the survey with 53 complete data sets. Findings: In total, 84 per cent of consultants identified themselves as working in a generic community ID team. The majority of services were not integrated with social care (71 per cent). Regional differences were found. In contrast to the rest of England, the majority of services in London were integrated with social care. The Health of the Nation Outcome Scale for people with Learning Disabilities (HoNOS-LD) was found to be the most common outcome measure used by services. A range of interventions are widely available across services including psychological therapies and specialist memory assessments. The survey also provides evidence for increased decommissioning of specialist inpatient units and a need for more robust community services. Research limitations/implications: Findings limited by low return rate (21 per cent) and because responses could not be matched to specific services. The implications of this survey are that there is still a variable level of integration with social care and that lack of integration could affect the quality of service. While HoNOS-LD is used consistently across services, there may be a need to supplement it with other outcome measures. There is a need for larger scale and higher quality studies in this area to strengthen the evidence base and therefore demonstrate the benefits of integration and specialisation more convincingly to health professionals and commissioners. Originality/value: This survey presents an overview of the current state of community services for adults with ID in England. This information can be harnessed to add to revised approaches to mental health service models for people with ID. (Publisher abstract)
On our own terms: users and survivors of mental health services working together for support and change
- Authors:
- WALLCRAFT Jan, READ Jim, SWEENEY Angela
- Publisher:
- Sainsbury Centre for Mental Health
- Publication year:
- 2003
- Pagination:
- 100p.
- Place of publication:
- London
This report published on behalf of the User Survey Steering Group details a survey carried out in 2001-2002 of the mental health service user movement in England which looked at 318 user groups, representing some 9,000 service users. It describes the development of the movement and the activities that local groups undertake. It also reports on the effectiveness of user involvement, asks how representative the movement is and looks at shared issues and differences.
Predicting the recidivism of mentally disordered firesetters
- Authors:
- RICE Marnie E., HARRIS Grant T.
- Journal article citation:
- Journal of Interpersonal Violence, 11(3), September 1996, pp.364-375.
- Publisher:
- Sage
The psychiatric literature has asserted that arsonists are a particularly dangerous group of mentally disordered offenders with a high likelihood of setting further fires, yet the scant empirical data do not support that contention. Examines the postrelease firesetting, violent and nonviolent recidivism of male firesetters who had been admitted to a maximum security psychiatric hospital. In general, personal characteristics that predicted firesetting recidivism were quite different from those that predicted nonviolent outcome and very different from those that predicted violent recidivism.
Satisfaction research and the uncrowned king: challenges and future directions
- Authors:
- POWELL Richard A., et al
- Journal article citation:
- Journal of Mental Health, 13(1), February 2004, pp.11-20.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
After decades of paternalistic health service provision, National Health Service users in the United Kingdom are encouraged to express preferences for services; ‘‘the patient is king’’. Whilst the mental health service user voice is encouraged in multiple forums, it is in satisfaction research (especially using the survey method) as a commentary on services provided that it is primarily heard. However, methodological concerns exist regarding the use of satisfaction surveys as a measure of healthcare quality. The aim was to discuss the arguments against and for using satisfaction surveys in mental health research. There are a number of significant criticisms of satisfaction surveys and their continued use in mental health research. Despite these criticisms, the limitations of satisfaction surveys do not merit their abandonment. The authors indicate possible future directions for the satisfaction research agenda.
Consultant psychiatrists' experiences of using supervised discharge: results of a national survey
- Authors:
- FRANKLIN Donna, et al
- Journal article citation:
- Psychiatric Bulletin, 24(11), November 2000, pp.412-415.
- Publisher:
- Royal College of Psychiatrists
Supervised discharge orders (SDOs) enable a degree of compulsion to be exerted over patients in the community. This research aimed to establish the level of, and reasons for, their use and consultants' perceptions of their effectiveness. All mental health provider NHS trusts in England were surveyed, and a random sample cohort of cases was identified. Community responsible medical officers (CRMOs) were surveyed using a semi-structured questionnaire.
Psychological impact of childhood sexual abuse on male inmates: the importance of perception
- Authors:
- FONDACARO Karen M., et al
- Journal article citation:
- Child Abuse and Neglect, 23(4), April 1999, pp.361-369.
- Publisher:
- Elsevier
Examines the association between childhood sexual victimisation and adult psychiatric disorders among male inmates. It further assesses the association between the perception of an event (as sexual abuse or not) and psychiatric diagnoses. This study emphasises the importance of perception or "cognitive appraisal" of the sexual experience and the need for further study regarding the potential mediating role of cognitive appraisal. Other implications of these findings include the need for primary prevention programmes designed to reduce childhood sexual abuse, and inmate rehabilitation programmes with an emphasis of the connection between victimisation and criminality.
Continental rift
- Authors:
- BRANDON David, et al
- Journal article citation:
- Mental Health Care, 2(2), October 1998, pp.48-50.
- Publisher:
- Pavilion
Reports on the results of a survey conducted by the UK based Breakthrough journal on what the words 'mental illness' mean to the public in Europe.
WARRN – a formulation-based risk assessment process: its implementation and impact across a whole country
- Authors:
- SNOWDEN Robert J., et al
- Journal article citation:
- Journal of Mental Health Training Education and Practice, 14(6), 2019, pp.399-410.
- Publisher:
- Emerald
Purpose: Wales Applied Risk Research Network (WARRN) is a formulation-based technique for the assessment and management of serious risk (e.g. violence to others, suicide, etc.) for users of mental health services. It has been gradually adopted as the risk evaluation and safety-planning technique for all seven health boards in Wales. The purpose of this paper is to examine the opinions of WARRN as used within these health boards. Design/methodology/approach: An online survey was disseminated to NHS clinicians in secondary mental health services to evaluate their perceptions of the use and effectiveness of WARRN. Data from 486 clinicians were analysed with both quantitative and qualitative methods. Findings: Results indicated that the overall impact of WARRN on secondary mental health care was very positive, with clinicians reporting increased skills in the domains of clinical risk formulation, safety-planning and communication, as well as increased confidence in their skills and abilities in these areas. Clinicians also reported that the “common-language” created by having all NHS health boards in Wales using the same risk assessment process facilitated the communication of safety-planning. Crucially, NHS staff believed that the safety of service users and of the general public had increased due to the adoption of WARRN in their health board and many believed that lives had been saved as a result. Originality/value: WARRN is perceived to have improved clinical skills in risk assessment and safety-planning across Wales and saved lives. (Publisher abstract)
Assessing the impact and effectiveness of Hearing Voices Network self-help groups
- Authors:
- LONGDEN Eleanor, READ John, DILLON Jacqui
- Journal article citation:
- Community Mental Health Journal, 54(2), 2018, pp.184-188.
- Publisher:
- Springer
The Hearing Voices Network (HVN) is an influential service-user led organisation that promotes self-help as an important aspect of recovery. This study presents the first systematic assessment of the impact and effectiveness of HVN self-help groups. A customized 45-item questionnaire, the Hearing Voices Groups Survey, was sent to 62 groups affiliated with the English HVN. 101 responses were received. Group attendance was credited with a range of positive emotional, social and clinical outcomes. Aspects that were particularly valued included: opportunities to meet other voice hearers, provision of support that was unavailable elsewhere, and the group being a safe and confidential place to discuss difficult issues. Participants perceived HVN groups to facilitate recovery processes and to be an important resource for helping them cope with their experiences. Mental health professionals can use their expertise to support the successful running of these groups. (Publisher abstract)