Search results for ‘Subject term:"severe mental health problems"’ Sort:
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Close to home: review and recommendations for reducing out of area placements for adults with mental health conditions
- Author:
- MINGHELLA Edana
- Publisher:
- National Development Team for Inclusion
- Publication year:
- 2020
- Pagination:
- 37
- Place of publication:
- Bath
This paper provides an overview of policy, key issues and costs associated with out of area placements for adults with mental health conditions. Drawing on the results of a rapid literature review it highlights the concerns associated with out-of-area placement, which include: the individual's experience and outcomes, service issues including quality and continuity of care, and value for money. It also offers a framework to enable providers and commissioners to reduce the use of out of area placements and ensure that they are used to best effect. The framework focuses on four areas: working in a personalised way with people who are currently placed out of area to bring them back to their home locality; review existing pathways; make better use current resources by strengthening local services; co-produce your solutions. (Edited publisher abstract)
Arden Transforming Care Partnership and HOLD (Home Ownership for people with Longterm Disabilities) in the Midlands
- Author:
- ABBEY David
- Publisher:
- Housing Learning and Improvement Network
- Publication year:
- 2017
- Pagination:
- 4
- Place of publication:
- London
A case study of E, a young woman with a complex combination of disabilities and conditions, who has been able to move from an Assessment and Treatment Unit (ATU) to a home of her own through HOLD (Home Ownership for people with Long-term Disabilities). HOLD is a Government approved housing model enabling people (the majority of whom are unable to work due to their disabilities and rely on benefits for their income) to buy a home of their own. The change has enabled E. to live as independently as possible and remaining close to her family and friends, the case study highlights the cost savings that HOLD can deliver. In this example, c.£16,000 per annum, a sum which is predicted to increase as E. becomes more settled in her new home. (Edited publisher abstract)
Mental health and housing: housing on the pathway to recovery
- Authors:
- HACT, NATIONAL HOUSING FEDERATION, COMMON CAUSE CONSULTING
- Publisher:
- National Housing Federation
- Publication year:
- 2016
- Pagination:
- 36
- Place of publication:
- London
Outlines the evidence to support the inclusion of housing in the mental health recovery pathway, including examples of the types of intervention that can contribute to improvements in quality and cost savings in mental health. It is designed to support both the continued development of a more outcome-based approach to commissioning and a more integrated approach to service provision. It also looks at the potential economic benefits of reduced admissions to hospital, reducing delays in discharge, reducing readmissions, and reducing out of area placement. The document also includes four case examples to show how housing and housing related services have been able to improve cost effectiveness while also delivering higher quality services. The report argues for a whole system approach to ensure that every intervention that can contribute to someone’s recovery are considered. It highlights the importance of focusing early in the pathway on someone’s housing circumstances to ensure that they only stay in institutional forms of care out of choice or real necessity. (Edited publisher abstract)
Severe mental illness & employment: cost-benefit analysis and dynamics of decision making
- Authors:
- BOOTH David, et al
- Journal article citation:
- Mental Health and Social Inclusion, 18(4), 2014, pp.215-223.
- Publisher:
- Emerald
Purpose: This paper explores the economic benefits of Individual Placement with Support programmes commissioned by NHS North in the North West and Yorkshire and Humber regions. Design/methodology/approach: A literature review was conducted and data collected from supported employment programmes in four localities. An econometric analysis was performed to evaluate likely savings for local commissioners and return on investment for the Treasury. Findings: Integration of employment support within mental health services is central to success. Econometric analysis showed that local commissioners could save £1,400 per additional job outcome by commissioning evidence-based interventions and there is a positive return on investment to the Treasury for every £1 spent there is a return to the Treasury of £1.04. Originality/value: This paper demonstrates the economic and social value of evidence-based supported employment for people with severe mental illness. The economic data generated could be helpful in encouraging investment in effective employment support in other areas. The work, views and perspectives contained in this paper are those of the authors. It does not necessarily reflect the views of the organisations for whom the authors work. (Edited publisher abstract)
Crisis teams: systematic review of their effectiveness in practice
- Authors:
- CARPENTER Rebecca A., et al
- Journal article citation:
- Psychiatrist (The), 37(7), 2013, pp.232-237.
- Publisher:
- Royal College of Psychiatrists
Crisis resolution and home treatment teams (variously abbreviated to CRTs, CRHTTs, HTTs) were introduced to reduce the number and duration of in-patient admissions and better manage individuals in crisis. This systematic review explored whether CRTs: (a) affected voluntary and compulsory admissions; (b) treat particular patient groups; (c) are cost-effective; and (d) provide care patients value. Searches were carried out on the databases PubMed and PsycINFO (1998-present) as well as through searches of studies in recent reviews and scanning reference lists of articles found. The initial search of electronic databases produced 2169 abstracts. Four additional articles were also retrieved. Ultimately 37 articles met the final selection criteria and were reviewed. The results found crisis resolution teams appear effective in reducing admissions, although data are mixed and other factors have also influenced this. Compulsory admissions may have increased, but evidence that CRTs are causally related is inconclusive. There are few clinical differences between ‘gate-kept’ patients admitted and those not. Crisis resolution teams are cheaper than in-patient care and, overall, patients are satisfied with CRT care. The review concludes that high-quality evidence for CRTs is scarce, although they appear to contribute to reducing admissions. Patient-relevant psychosocial and longitudinal outcomes are under-explored. (Edited publisher abstract)
Early intervention in psychosis services
- Author:
- NHS CONFEDERATION. Mental Health Network
- Publisher:
- NHS Confederation
- Publication year:
- 2011
- Pagination:
- 8p.
- Place of publication:
- London
This Briefing presents research evidence base and key considerations to help inform commissioners and providers in the planning and delivery of community mental health and early intervention in psychosis (EIP) services. It looks at the challenges faced to maintain the effectiveness of EIP teams while making community services more cost effective, streamlined and easier to navigate by service users and other health and social care professionals. Two short case studies are included.
One foot in the door
- Authors:
- MORGAN Steve, HUNTE Kirt
- Journal article citation:
- Mental Health Today, March 2008, pp.32-35.
- Publisher:
- Pavilion
- Place of publication:
- Hove
In 2007 the National Audit office (NAO) conducted a value for money study into the clinical and economic effectiveness of crisis resolution and home treatment teams (CRHT). Part of the study involved interviews with 25 CRHT team managers and 25 ward managers at 25 sites across England. The study investigated the impact these teams were having on assessment for hospital admissions, and how well the teams were understood by other parts of the local mental health services. This article reports on key findings from the review.
Reversing the export of people with learning disabilities and complex health needs
- Authors:
- PRITCHARD Andrew, ROY Ashok
- Journal article citation:
- British Journal of Learning Disabilities, 34(2), June 2006, pp.88-93.
- Publisher:
- Wiley
There is an increase in people with learning disabilities with offending and other disturbed behaviour who are placed in the local community and out of their area of origin. This study aims to compare clients placed locally and out of area. All authorities in an English region were surveyed and interviewed about their clients placed locally and out of area. External placements were common place and expensive especially for clients with complex needs. Information regarding these clients was variable as was the joint commissioning process. The population was predominantly young and male requiring high levels of long term funding. To reduce flows of high cost clients out of area, there is a need to develop joined up commissioning, and monitoring of services and partnerships with local providers to increase capacity and improve quality. Better information would enable commissioning to become less reactive.
Cost-effectiveness of an HIV risk reduction intervention for adults with severe mental illness
- Authors:
- JOHNSON-MASOTTI A.P., et al
- Journal article citation:
- AIDS Care, 12(3), June 2000, pp.321-332.
- Publisher:
- Taylor and Francis
Using cost-utility analysis, this study assesses the cost-effectiveness of three related cognitive-behavioural HIV risk reduction interventions for adults with severe mental health problems: a single-session, one-on-one intervention; a multi-session small group intervention; and a multi-session small-group intervention that taught participants to act as safer sex advocates to their peers. For men, all three interventions were cost effective, but advocacy was the most cost-effective of the three. For women, only the single session intervention was cost effective. Highlights the importance of focusing on gender issues when delivering HIV prevention interventions to men and women who have severe mental health problems.
North Staffordshire community beds study: longitudinal evaluation of psychiatric in-patient units attached to community mental health centres
- Authors:
- HAYCOX Alan, et al
- Journal article citation:
- British Journal of Psychiatry, 175, July 1999, pp.79-86.
- Publisher:
- Cambridge University Press
The first paper in this series (Boardman et al, this issue) concluded that the addition of community-based in-patient units to traditional acute in-patient care can lead to better clinical outcomes and higher user satisfaction. This evaluation aims to identify how much additional benefit is generated and at what additional cost. The results of the study found that the experimental group was more likely to remain in contact with services over a 12-month period, had fewer acute admissions and spent less time in acute in-patient units. Concludes it is likely, but not inevitable, that such units will increase the overall costs of care provision; and that this largely depends on the effectiveness with which such units are integrated into existing care provision.