Search results for ‘Subject term:"mental health problems"’ Sort:
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Mental health services: addressing the care deficit
- Author:
- NHS PROVIDERS
- Publisher:
- NHS Providers
- Publication year:
- 2019
- Pagination:
- 40
- Place of publication:
- London
This report looks at the levels of demand reported by leaders of mental health trusts across the range of services they provide and examines what lies behind the growing pressures. It highlights increasing demand for mental health services resulting from the impact of growing social and economic hardship, in particular concerns about benefits cuts and the impact of universal credit. It also suggests that loneliness, homelessness and financial hardship are adding to pressures on NHS mental health services. Increasing demand for services come at a time of financial and capacity pressures such as: workforce shortages; constrained mental health funding which does not always reach the frontline services; and the impact of cuts to wider public services, in particular those commissioned by local authorities such as drug and alcohol services. (Edited publisher abstract)
Assessing health care needs among street homeless and transitionally housed adults
- Authors:
- BARRETT Blake, et al
- Journal article citation:
- Journal of Social Service Research, 37(3), May 2011, pp.338-350.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
In 2009, there was an estimated 9,566 homeless people in Hillsborough County, FL. This article reports on the results of a survey conducted by the lead agency responsible for coordinating homeless services in Hillsborough. The survey aimed to examine the health care needs and receipt of health services of street and transitionally housed homeless persons in the county. In March-May 2008, a total of 823 homeless individuals were interviewed in street-based locations, shelters, drop-in centres, and meal sites using a comprehensive survey. The participants reported extensive lifetime and current needs for physical and behavioural health care services. More than a third (37.2%) reported having a physical or mental disability that impaired everyday activities. The majority reported a need for dental (60.2%) and eye (54.2%) care. More than a quarter (27.0%) reported an HIV diagnosis. In addition, nearly a half of the sample (49.1%) reported having being diagnosed with a mental or emotional problem, and a third (33.4%) reported currently having a substance abuse problem. The study provides evidence of the wide prevalence of health service needs, the lack of health services received, the accordant gap in unmet medical treatment, and the primary utilisation of costly and acute sources of care among homeless persons.
Perceived mental health needs and adequacy of service provision to older people in care homes in the UK: a national survey
- Authors:
- PURANDARE Nitin, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 19(6), June 2004, pp.549-553.
- Publisher:
- Wiley
A postal survey of managers of a stratified random sample of 2638 (14% of 18,698) care homes in the UK caring for older residents. Reminders were sent to those not returning the questionnaires. The response rate was 64% (n = 1689). Forty-one percent of care home managers felt that at least 50% of their residents needed psychiatric evaluation. Cognitive impairment, depressive symptoms and challenging behaviour was thought to be present in at least a quarter of residents by 78%, 29% and 17% respectively. Thirty-eight percent of managers reported that their homes never received any visits from OAPs and only a half described the current frequency of visits as adequate. Pharmacological advice was perceived to be adequate by about three-quarters but less than a half perceived non-pharmacological advice as adequate. Eighty percent wanted more input for staff education and training. Perceived need ( p < 0.001), frequency of visits by OAPs ( p = 0.001), availability of geriatrician ( p = 0.001), amount of non-pharmacological advice ( p = 0.014) and direct referral access to OAPs for known patients ( p = 0.036) were found to be independent predictors of perceived inadequacy of service provision by OAPs. The survey highlights the perception of unmet need and inadequacy of service provision by OAPs amongst managers of care homes in the UK. The study findings, if confirmed by direct observational studies, may have a considerable impact on already sparse resources with a need to explore efficacy of different models of care in meeting this need.
Homing in on need
- Authors:
- WARNER Lesley, et al
- Journal article citation:
- Community Care, 30.7.98, 1998, pp.20-21.
- Publisher:
- Reed Business Information
Describes a report from a survey of housing and support for people with mental health problems that reveals that good service provision is sometimes not enough.
Inequalities in health and service use among people with borderline intellectual impairment
- Authors:
- McMANUS Sally, et al
- Publisher:
- NatCen Social Research
- Publication year:
- 2018
- Pagination:
- 63
- Place of publication:
- London
This report, commissioned by the Department of Health and Social Care, sets out the extent to which people with borderline intellectual impairment face inequalities in health, wellbeing and service use compared with the rest of the population, and aims to improve awareness of these inequalities. Using secondary analysis of data from the Adult Psychiatric Morbidity Survey (APMS) the report profiles the circumstances of people with borderline intellectual impairment living in private households. Chapters examine the prevalence of intellectual impairment in the population and its demographic profile; rates of comorbidity with mental health, physical health, sensory impairment, and disability, suicidal thoughts and self-harm among people with intellectual impairment; and use of mental health treatment and services in England and levels of unmet need. The findings show that that borderline intellectual impairment affects at least one adult in ten in England and that they face high levels of poor mental health, poorer general health, and many limitations in their daily lives. The analysis suggests that level of use of mental health services does not appear to be commensurate with their higher level of need, which may be due to a lack of professional awareness of their needs, to services not adapting enough to meet those needs, or to difficulties the individual faces in seeking treatment and support. The report concludes that improving awareness of the needs of people with borderline intellectual impairment should form part of wider plans to reduce inequalities in health and service use in England. (Edited publisher abstract)
A prevalence study of suicide ideation among older adults in Hong Kong SAR
- Authors:
- YIP Paul S. F., et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 18(11), November 2003, pp.1056-1062.
- Publisher:
- Wiley
The objective of this paper is to ascertain estimates of the prevalence, and associated risk factors for, suicidal ideation among community-dwelling older adults in Hong Kong. The study was conducted as part of the General Household Survey (GHS), using face to face interviews of ethnic Chinese people aged 60 or above living in the community. Elders living in institutions or elderly homes were excluded from the study. Six percent of the sample was found to have ever had suicide ideation. The results showed that poor physical health, including poor vision, hearing problems, and a greater number of diseases; and poor mental health, especially in the form of depression, are predictors of suicidal ideation in the elderly population. Also, statistical analysis by linking individual factors to depression showed that financial and relationship problems are significant risk factors as well. Older adults who engaged in active coping, that is, those who actively seek to manage or control the negative events in their lives, fare better with lower levels of suicidal ideation than those who use passive coping styles. The prevalence of suicidal ideation is similar among elders in Hong Kong and western countries. Factors that contribute to risk for suicidal ideation span physical and mental health, social, and psychological domains. Although the association of suicidal ideation to self-destructive acts remains to be determined, these findings indicate a variety of potential foci for late life suicide prevention efforts.
Service responses to women with mental health needs
- Author:
- WILLIAMS Jennie
- Journal article citation:
- Mental Health Review, 7(1), March 2002, pp.6-14.
- Publisher:
- Pier Professional
The authors suggest that we have reached a turning point in Britain in relation to mental health service provision for women. The article draws on a range of sources, including information gathered as part of a national programme to develop and pilot training for staff in secure services who work with women with mental health needs. It also looks at findings from a recent survey on attitudes to mental health services for women.
A comparison of elderly day care and day hospital attenders in Leicestershire: client profile carer stress and unmet need
- Authors:
- FURNESS L., et al
- Journal article citation:
- Aging and Mental Health, 4(4), November 2000, pp.324-329.
- Publisher:
- Taylor and Francis
Traditionally, day care for elderly persons has been provided by health or social services; however, recently facilities have been developed by voluntary organizations. This study was conducted to examine the characteristics of elderly clients with mental health problems attending these various settings, and to identify any areas of unmet need. There were both similarities and important differences between clients attending day hospitals, social services and Age Concern day centres. Day centres had a higher proportion of cognitively impaired clients than day hospitals. Although there were similar rates of depression across all settings, the severity of depression was greater in those attending Age Concern day centres. Patients at day hospitals suffering from dementia were more likely to be psychotic or behaviourally disturbed. The reasons for these differences are discussed in detail. Carers and clients were generally satisfied with services, though professionals were less satisfied. There is a need for joint planning and commissioning of day care to provide maximum flexibility and co-ordination of services.