Part of a series of booklets describing a range of mental health problems, aiming to make people more understanding of what these are and of the people who suffer from them. This pamphlet looks at Schizophrenia.
Part of a series of booklets describing a range of mental health problems, aiming to make people more understanding of what these are and of the people who suffer from them. This pamphlet looks at Schizophrenia.
Subject terms:
mental health problems, psychiatry, schizophrenia, severe mental health problems;
One of a series of reports containing the recommendations of working groups set up to develop ideal indicators of the health outcomes of specific conditions. This report focuses on severe mental illness and includes sections on: health outcome model for severe mental illness; choice of candidate indicators; candidate indicator specifications; and recommendations. Also includes appendices on: background to the work; the Severe Mental Illness Working Group; definitions of severe mental illness; Health of the National Outcome Scales; work commissioned from the NHS Centre for Reviews and Dissemination; methods for choosing indicators; guidance notes for candidate indicator specifications; work commissioned from UK Clearing House on Health Outcomes; and overview of mental health minimum data set.
One of a series of reports containing the recommendations of working groups set up to develop ideal indicators of the health outcomes of specific conditions. This report focuses on severe mental illness and includes sections on: health outcome model for severe mental illness; choice of candidate indicators; candidate indicator specifications; and recommendations. Also includes appendices on: background to the work; the Severe Mental Illness Working Group; definitions of severe mental illness; Health of the National Outcome Scales; work commissioned from the NHS Centre for Reviews and Dissemination; methods for choosing indicators; guidance notes for candidate indicator specifications; work commissioned from UK Clearing House on Health Outcomes; and overview of mental health minimum data set.
Mental health professionals in England and Wales make only limited use of the guardianship provisions of the Mental Health Act 1983. The authors consider whether the use of these powers in the United States holds any lessons for this country.
Mental health professionals in England and Wales make only limited use of the guardianship provisions of the Mental Health Act 1983. The authors consider whether the use of these powers in the United States holds any lessons for this country.
Subject terms:
mental health problems, severe mental health problems, approved social workers, community care, guardianship;
At the heart of mental health care practice is the question of what constitutes a severe and enduring mental health problem. In this article, the author maintains that there is confusion about the best use of resources and appropriate targeting of patients. He questions the wisdom of generic services trying to meet the complex and often long-term needs of people with a personality disorder.
At the heart of mental health care practice is the question of what constitutes a severe and enduring mental health problem. In this article, the author maintains that there is confusion about the best use of resources and appropriate targeting of patients. He questions the wisdom of generic services trying to meet the complex and often long-term needs of people with a personality disorder.
Subject terms:
mental health problems, needs, personality disorders, severe mental health problems, social care provision;
Report of a research review aiming to undertake a systematic search and evaluation of all data pertaining to the Mental Health Act 1983 as a whole, and its different parts, identifying specific aspects of the Act which appear to work effectively and highlighting aspects which appear problematic or ineffective. Includes sections on: Part II and Part III of the Act.
Report of a research review aiming to undertake a systematic search and evaluation of all data pertaining to the Mental Health Act 1983 as a whole, and its different parts, identifying specific aspects of the Act which appear to work effectively and highlighting aspects which appear problematic or ineffective. Includes sections on: Part II and Part III of the Act.
Extended abstract:
Author
WALL Sharon; et al.;
Title
A systematic review of research relating to the Mental Health Act 1983.
Publication details
Great Britain. Department of Health, 1999.
Summary
The aim of this review was to undertake a systematic search and evaluation of all data pertaining to The Mental Health Act. The review was intended to provide an objective summary of the data pertaining to the Act as a whole and it's different parts, identifying specific aspects of the Act which appear to work effectively and highlighting aspects which appeared problematic or ineffective.
Context
The Mental Health Act (1983) (MHA) is an important legislative process intended to ensure a consistent and comprehensive approach to psychiatric care in England and Wales. In the 15 years since the MHA was introduced, mental health service provision has radically changed involving widespread hospital closures and the introduction of care in the community. There have been calls for changes in the legislation to reflect these changes in service provision. The use of, and procedures associated with the act have been much debated although there ahs been no systematic or objective review of the act since its introduction. The Department of Health commissioned King's College of Medicine and Dentistry to synthesise the data pertaining to the act.
Method
Part one and part two of the report have separate methodologies. The methodology utilised in part one included the obtaining of denominator data of psychiatric hospital admissions from the Department of Health Mental Health Division in order to determine the proportion of detained patients admitted to hospital. Data are presented as the total number of sections applied in each year for each section, and the proportion of admissions for which patients were sectioned. The methodology utilised for the systematic review involved conducting a thorough and comprehensive search involving Department of Health databases, routinely collected hospital and Trust data and general audit where available. Electronic databases such as Medline, PsycLit and Embase were also used to identify published articles and books and specialist journals were hand searched. Strict inclusion criteria and search strategies were utilised.
Contents
This review begins with an Executive Summary of each part of the report and then is divided into two parts. Part One of the report analyses the secular trends in the use of the Mental Health Act (1983) in England from 1984 to 1996. This section of the report is an attempt to describe and explore broad changes in the use of the act, the changes are explored in more detail by breaking down the use of the act into sections. Part one of the report is accompanied by seven figures which help to illustrate the findings. Part Two of the report is The Systematic Review and this section consists of five chapters. The fist chapter introduces the Systematic review and describes its aims and methodology. Chapter Two explores the use of the MHA as a whole and looks at how often the MHA is used and examines the characteristics of patients detained under the MHA. Chapter three examines Part II of the Mental Health Act (1983) which allows a person to be compulsory admitted or detained where this is necessary in the interests of his/her own health or safety and/or for the protection of other people. Chapter four examines Part III of the MHA (1983) which caters for mentally disordered people in the criminal justice system of England and Wales. Chapter five assesses the use of Part X of the MHA which gives police the power to remove a person to a place of safety pending an assessment by a doctor and approved social worker. Chapter six describes some papers that are not easily placed elsewhere in the review such as the use of electro-convulsive therapy under the MHA, aftercare and the training of staff in the use of the act, amongst others.
Conclusion
"Many different forces may act to change the way in which the MHA is used. It is therefore difficult to know what is responsible for the rise in the use of the MHA between 1984 and 1996. it is possible that the steady increase in the use of the MHA is an indicator of some of the opposing pressures impacting on modern psychiatry; the drive towards less hospital, more community based services versus public concerns about the 'threat' posed by the mentally ill. The practice of psychiatry is increasingly influenced by a reluctance to accept risk-taking and uncertainty and a recognition of the need for risk management (Holloway, 1996). The overall result may be a steady increase in the use of coercion, but increasingly fewer resourcesfor this purpose."
Part I 18 references Part 2 149 references
Subject terms:
law, literature reviews, mental health law, mental health problems, severe mental health problems;
Report of the expert committee commissioned to advise on how mental health legislation should be shaped to reflect contemporary patterns of care within a framework which balances the need to protect the rights of individual patients and the need to ensure public safety. The committee has primarily been concerned with providing a framework for compulsion in respect of certain people with severe mental health problems.
Report of the expert committee commissioned to advise on how mental health legislation should be shaped to reflect contemporary patterns of care within a framework which balances the need to protect the rights of individual patients and the need to ensure public safety. The committee has primarily been concerned with providing a framework for compulsion in respect of certain people with severe mental health problems.
Subject terms:
law, mental health law, mental health problems, severe mental health problems, compulsory detention;
This study examines 84 professionally trained workers in the USA in order to better understand the supervision of staff working with people with people with serious mental health problems and their relation to job satisfaction. The results demonstrated that workers satisfied with the quality and style of supervision evidenced greater overall job satisfaction. Variables that influenced choice of supervisory style included increased time in practice and the supervision of others. Discusses the implications for practice including to what extent the style, quality and effectiveness of supervision affects supervisee job satisfaction and to what extent this may impinge upon the effectiveness of clinical services.
This study examines 84 professionally trained workers in the USA in order to better understand the supervision of staff working with people with people with serious mental health problems and their relation to job satisfaction. The results demonstrated that workers satisfied with the quality and style of supervision evidenced greater overall job satisfaction. Variables that influenced choice of supervisory style included increased time in practice and the supervision of others. Discusses the implications for practice including to what extent the style, quality and effectiveness of supervision affects supervisee job satisfaction and to what extent this may impinge upon the effectiveness of clinical services.
Subject terms:
job satisfaction, severe mental health problems, social workers, staff, staff supervision;
The Camberwell Assessment of Need (CAN) is a tried and tested approach to assessing the needs of the severely mentally ill which is suitable both for research studies and routine clinical use. This text includes three versions of CAN, all photocopiable, and material for CAN training workshops.
The Camberwell Assessment of Need (CAN) is a tried and tested approach to assessing the needs of the severely mentally ill which is suitable both for research studies and routine clinical use. This text includes three versions of CAN, all photocopiable, and material for CAN training workshops.
Subject terms:
loneliness, needs, psychiatry, severe mental health problems, unmet need, assessment;
Community Mental Health Journal, 35(6), December 1999, pp.505-514.
Publisher:
Springer
Negative attitudes toward people who have serious mental illnesses held by mental health professionals threaten the effectiveness of psychiatric treatment. In this American study, attitudes held by case managers working within the public sector were investigated. The results showed a complex interplay among client level of functioning, type of case, management approach, case management philosophy, and attitudes. Among other findings, intensive case managers held more authoritarian attitudes that did their supportive case manager counterparts.
Negative attitudes toward people who have serious mental illnesses held by mental health professionals threaten the effectiveness of psychiatric treatment. In this American study, attitudes held by case managers working within the public sector were investigated. The results showed a complex interplay among client level of functioning, type of case, management approach, case management philosophy, and attitudes. Among other findings, intensive case managers held more authoritarian attitudes that did their supportive case manager counterparts.
Subject terms:
managers, mental health problems, severe mental health problems, stereotyped attitudes, attitudes, case management;