Search results for ‘Subject term:"severe mental health problems"’ Sort:
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Creating a culture of employability in mental health
- Authors:
- BOYCOTT Naomi, SCHNEIDER Justine, OSBORNE Michael
- Journal article citation:
- Mental Health and Social Inclusion, 18(1), 2014, pp.29-34.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to draw out the lessons learned from the implementation of the Individual Placement and Support (IPS) approach to supported employment in two contrasting adult mental health teams; one “standard” CMHT, and one early intervention in psychosis (EIP) team. Design/methodology/approach: These inferences are based on the evidence from a four-year study of IPS in one mental health care provider in the UK, which began by setting up a new service, and went on to run a RCT looking at the impact of psychological input as an adjunct to IPS alone. Findings: In attempting to introduce IPS to mental health teams in Nottingham the authors came across numerous barriers, including service reorganisation, funding cuts and the wider context of recession. Differences were observed between mental health teams in the willingness to embrace IPS. The authors argue that this variability is due to differences in caseload size, recovery priorities and client profiles. The authors have learnt that perseverance, strenuous efforts to engage clinical staff and the use of IPS fidelity reviews can make a positive difference to the implementation process. Practical implications: The experience suggests that setting up an IPS service is possible even in the most challenging of times, and that EIP services may be a particularly fertile ground for this approach. The authors also discuss potential barriers to implementing new services in mental health teams. Originality/value: This paper will be of value to service development and the science of implementation in mental health. (Publisher abstract)
Left behind: report on our visits to people with severe and enduring mental illness in 2011
- Author:
- MENTAL WELFARE COMMISSION FOR SCOTLAND
- Publisher:
- Mental Welfare Commission for Scotland
- Publication year:
- 2012
- Pagination:
- 33p.
- Place of publication:
- Edinburgh
The Mental Welfare Commission carries out at least 3 national themed visits each year in order to assess and compare care and treatment for particular groups of individuals across Scotland. This report describes findings from a programme of visits that took place across Scotland between April and July 2011 to individuals with severe and enduring mental illness in psychiatric hospitals. During the visits, 144 individuals receiving care in 36 rehabilitation and continuing care wards across 21 sites were either met or their case notes were examined. In addition, staff on the wards and visiting relatives and carers were also consulted. The following areas were focused on during these visits: privacy, dignity and identity; administration of medication; safety; participation, care planning and consent; quality of the environment; activities and management of funds; and physical healthcare, smoking, diet and exercise, and consent to treatment. The findings reveal issues of serious concern about the care of these patients. The report reveals that, due to the shift of mental health care towards community services, individuals who remain in hospital on a long-term basis are being left behind in poor accommodation. A number of key messages and recommendations are provided.
The challenges in providing services to clients with mental illness: managed care, burnout and somatic symptoms among social workers
- Author:
- ACKER Gila M.
- Journal article citation:
- Community Mental Health Journal, 46(6), December 2010, pp.591-600.
- Publisher:
- Springer
This study examined the relationship between social workers’ experiences when interfacing with managed care organizations and burnout. A total of 591 social workers completed questionnaires that included the measures of: self-perceived competence in the context of managed care, professional involvement with clients with severe mental illness, and burnout. Results showed that self-perceived competence in the context of managed care had statistically significant correlations with burnout dimensions. The author discusses the role of social work schools in preparing students for the realistic aspects of mental health work, and recommends a partnership between managed care organizations and professionals for best care giving.
Access to public mental health services among older adults with severe mental illness
- Authors:
- GILMER Todd P., et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 24(3), March 2009, pp.313-318.
- Publisher:
- Wiley
Data from San Diego County, 2002-2006, were used to examine how older adults initially accessed the public mental health system, and their utilization over the subsequent 90 days. Multivariate regression models were used to control for demographic and clinical characteristics. Older adults (age 60 +) were more likely to access the public mental health system through the Psychiatric Emergency Response Team (PERT), a combined law-enforcement and psychiatric service that responds to psychiatric related 911 calls. Older adults were also less likely to receive follow-up care. This lower rate of follow-up was due to both the initial site of service - and an associated lower rate of follow-up among PERT clients - as well as a lower rate of follow-up among older adult clients initiating services in other sectors. This paper suggests two areas for intervention that would improve access to care for older adults: improving linkages and referrals between PERT and outpatient providers; and additional efforts to retain older adults at outpatient programs.
How can mental health services promote recovery from severe mental illness?
- Author:
- RESEARCH IN PRACTICE FOR ADULTS
- Publisher:
- Research in Practice for Adults
- Publication year:
- 2007
- Pagination:
- 6p.
- Place of publication:
- Dartington
This Outline reviews recent research which explores the meaning and process of recovery as described by people with a severe mental illness, and identifies a number of factors which promote and undermine this. It then summarises what is known about each factor, the implications for health and social care practice, and how these insights can be applied to service organisation and delivery.
Mental health needs of clients of rehabilitation services: a survey in one trust
- Authors:
- KILLASPY Helen, RAMBARRAN Dolly, BLEDIN Ken
- Journal article citation:
- Journal of Mental Health, 17(2), April 2008, pp.207-218.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Little is known about the profile of current rehabilitation service users and how it might differ from the clients for whom these services were originally set up. To carry out a cross-sectional survey of rehabilitation service clients within two inner London boroughs and compare mental health needs with previous data from 1998. All 141 clients of the four different types of rehabilitation services in Camden and Islington were included. Observer rated assessments of social function, substance misuse, mental health needs and challenging behaviours were made. Most clients had a diagnosis of schizophrenia or schizoaffective disorder. Around 7% had a co-morbid substance misuse problem. Over half had at least one challenging behaviour that was difficult to manage or occurred frequently. Clients in longer term hospital-based settings had the poorest social function and greatest number of needs. Compared to rehabilitation service users in 1998, clients had more unmet accommodation and money needs, but fewer unmet needs in the areas of psychological distress, psychotic symptoms and social relationships. Few differences in client characteristics were found with the exception of those in longer term, hospital-based facilities. Improvements in symptom management and social function may have created a need for more independent accommodation.
No-one win in homicide blame game
- Author:
- VIZE Christine
- Journal article citation:
- Health Service Journal, 29.11.07, 2007, pp.18-19.
- Publisher:
- Emap Healthcare
It is argued that, often inspired by media hysteria, inquiries into homicides by mentally ill people cost the NHS millions each year and produce little real change. The author discusses why lessons are not put into practice.
Psychiatric Services
- Publisher:
- American Psychiatric Association
Psychiatric Services, established in 1950, is published monthly by the American Psychiatric Association for mental health professionals and others concerned with treatment and services for persons with mental health problems. It aims to improve care and treatment, to promote research and professional education in psychiatric and related fields, and to advance the standards of all psychiatric services and facilities. Coverage on Social Care Online from this journal is limited to relevant systematic reviews only. (Edited publisher abstract)
Clinging to the wreckage
- Author:
- SMITH Paul
- Journal article citation:
- Health Service Journal, 15.11.01, 2001, pp.14-15.
- Publisher:
- Emap Healthcare
When the mental health service failed Gilbert Kopernik-Steckel, it cost both him and his mother their lives. The author talks to Gilbert's sister about the lessons to be learned.
Outcome indicators: severe mental illness
- Authors:
- CHARLWOOD Pamela, et al
- Publisher:
- National Centre for Health Outcomes Development
- Publication year:
- 2000
- Pagination:
- 155p.,bibliog.
- Place of publication:
- London
Report of a working group set up to develop indicators of health outcomes, which may be attributable to interventions or the lack of them, for people with severe mental health problems. A menu of indicators, which can be used by different groups of people for a variety of purposes, has been developed.