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The evidence base to guide development of tier 4 CAMHS

Author:
KURTZ Zarrina
Publisher:
Great Britain. Department of Health
Publication year:
2009
Pagination:
24p., bibliog.
Place of publication:
London

Previously synonymous with psychiatric inpatient provision, Tier 4 Child and Adolescent Mental Health Services (CAMHS) has more recently come to be understood as multi-faceted with multi-agency services that can include in reach, outreach, intensive and crisis community initiatives, day provision, therapeutic fostering and other services that may be described as 'wrap around'. This paper present the latest information on these new developments provides a summary of the evidence available that should be taken into account for the effective development of Tier 4 services. The paper summarises evidence on different models of care such as inpatient and day patient care, and out of hospital approaches. Evidence from the CAMHS Innovation Grants Projects and the Children's National Service Framework Development Initiatives and other studies are also briefly discussed.

Book Full text available online for free

A well being and mental health service fit for Wales

Author:
WILLIAMS Michael A.H.
Publisher:
Wales. Welsh Assembly Government
Publication year:
2008
Pagination:
25p.
Place of publication:
Cardiff

This paper was requested by Edwina Hart MBE AM, the Minister for Health and Social Services. Its principal recommendation is that a statutory body responsible for mental health and well being in Wales is established.

Journal article

Taking over the asylum

Author:
GOULD Mark
Journal article citation:
Health Service Journal, 8.5.08, 2008, pp.22-24.
Publisher:
Emap Healthcare

The author charts the journey of mental health care from Victorian asylums to the national service framework to the recent emphasis on protection of the public, which some critics argue is a step backwards.

Digital Media Full text available online for free

An introduction to the mental health of older people: an introduction to mental health and older people

Authors:
SOCIAL CARE INSTITUTE FOR EXCELLENCE, MILNE Alisoun, GEARING Brian, WARNER Joanne
Publisher:
Social Care Institute for Excellence
Publication year:
2007
Place of publication:
London

In this learning object you will have the chance to explore the nature and characteristics of the ageing population in the UK, what being 'old' means, and some of the complexity surrounding the concept of 'mental health'. As this learning object presents basic facts and concepts surrounding mental health and older people, it is recommend that you use this object to introduce yourself to this area. This learning object also contains a self-assessment section where you can test how far you have assimilated the key messages.

Book Full text available online for free

A framework for mental health research

Author:
GREAT BRITAIN. Department of Health
Publisher:
Great Britain. Department of Health
Publication year:
2017
Pagination:
53
Place of publication:
London

This Framework provides a collective view of how mental health research should develop in the UK over the next decade and has been developed in response to a recommendation in the Five Year Forward View for Mental Health.It has been developed in collaboration with people who have mental health problems, academics in mental health research and research funders and sets out a structure to improve co-ordination and strengthen the focus on areas where mental health research is likely to translate into significant health benefit. The framework describes the impact mental health problems can have on individuals, its wider societal and economic consequences. It also explains the importance of mental health research in driving innovation in mental health care and provides case studies to illustrate the UK’s strengths in mental health research and the difference UK-based research has already made. In identifying the current barriers to mental health research in the UK and future research opportunities, the Framework highlights the importance of taking a life-course approach to mental health research; the value of involving of people with mental health problems; the need for securing closer integration of mental and physical health research to maximise research capacity. It provides ten recommendations to address the barriers and opportunities for UK mental health research. (Edited publisher abstract)

Book Full text available online for free

Mental health and community providers: lessons for integrated care

Author:
NHS CONFEDERATION. Mental Health Network
Publisher:
NHS Confederation
Publication year:
2017
Pagination:
7
Place of publication:
London

This briefing explores how mental health and community provider organisations are approaching the challenge of delivering integrated mental and physical healthcare and distils the key points and lessons learned from the wide-ranging discussion. The paper sets out the policy context, examining the transformation of community services and the increased focus on the potential for community-based services to reduce pressure on the acute sector. The paper includes case study examples where services are delivering mental and physical health services in a more integrated way and identifies some of the barriers and enablers. These include workforce, culture, stability and ensuring mental health services retain their ‘edge and distinctiveness’ while integrating with other services, and investment and payment mechanisms. (Edited publisher abstract)

Book Full text available online for free

Mind's FoI data: Freedom of Information data on follow-up after hospital

Author:
MIND
Publisher:
MIND
Publication year:
2017
Pagination:
5
Place of publication:
London

Mind sent a Freedom of Information (FoI) request to all mental health trusts in England and Welsh Health Boards, to find out the number of people followed up from care within 7 days following their discharge from adult mental health inpatient services. The FoI was prompted by the high suicide rate among people recently discharged from hospital. NICE guidelines currently recommend follow-up should be within seven days, or 48 hours where a suicide risk is identified. The analysis of the results concludes that at least one in ten people are not being followed up within seven days, which the analysis estimates amounts to at least 11,000 people in England and Wales. (Edited publisher abstract)

Book Full text available online for free

The Government's response to the Five Year Forward View for Mental Health

Author:
GREAT BRITAIN. Her Majesty's Government
Publisher:
Great Britain. Her Majesty's Government
Publication year:
2017
Pagination:
27
Place of publication:
London

This report sets out the Government’s response to the Five Year Forward View for Mental Health report by the Mental Health Taskforce. While accepting the taskforce report’s recommendations in full, this document sets out a far-reaching programme of work to improve mental health services and their links to other public services, and builds mental health prevention and response into the work of Government departments to improve the nation’s mental health and reduce the impacts of mental illness. Key areas covered include: local offer to children and young people; multi-agency suicide prevention plans; tackling alcoholism and drug addiction; access to psychological therapies; improving mental health and employment outcomes; specialist housing support for vulnerable people with mental health problems; behaviour change interventions; developing a complete health and justice pathway to deliver integrated health and justice interventions in the least restrictive setting; developing a 10-year strategy for mental health research; ensuring future updates to the Better Care Fund include mental health and social work services; ensuring GPs receive core mental health training and that the social care workforce is ready to provide high quality social work services in mental health; and ensuring accurate data collation and data sharing. (Edited publisher abstract)

Book Full text available online for free

Admission of patients to mental health facilities in Wales, 2015-16

Author:
WALES. Welsh Government
Publisher:
Wales. Welsh Government
Publication year:
2016
Pagination:
16
Place of publication:
Cardiff

An annual report which includes information on admissions to mental health facilities, formal admissions under the Mental Health Act 1983 and other legislation and supervised community treatment. In 2015-16, there were 9,570 admissions (excluding place of safety detentions), a decrease of 192 (2 per cent) from 2014-15. 97 per cent of admissions (excluding place of safety detentions) in 2015-16 were to NHS facilities in Wales, with the remainder admitted to independent hospitals. 2,001 were admitted under the Mental Health Act 1983 (excluding place of safety detentions) and other legislation, an increase of 80 (4 per cent) from 2014-15. In 2015-16, there were 216 patients subject to supervised community treatment (SCT), including 28 for whom an independent hospital was responsible. Of this total, 123 were male and 93 were female. Of those patients subject to SCT, there were 102 recalls to hospital, 86 revocations and 116 discharges in 2015-16. (Edited publisher abstract)

Book Full text available online for free

Introducing peer workers into mental health services: an organisational toolkit

Author:
ST GEORGE'S UNIVERSITY OF LONDON
Publisher:
St George's University of London
Publication year:
2015
Pagination:
22
Place of publication:
London

This toolkit is comprised of three 'organisational learning tools' that can be used in various ways to aid mental health provider and commissioning organisations in making decisions about developing, introducing and supporting new peer worker roles in mental health services. The toolkit also includes a set of general principles that should underpin the development, implementation and support for any peer worker role in mental health services. Peer workers have personal, lived experience of mental health problems, or of using mental health services, and are employed (either on a paid or voluntary basis) explicitly to use those experiences in supporting others using mental health services. The learning tools presented in this documents are: the peer worker mapping and decision-support tool; the peer worker role star, setting out the main characteristics of the role, or aspects of the role where there is a lack of clarity; and the peer worker role inventory, a set of questions for peer workers and stakeholders around recruitment, role expectations, diversity, training, team working and organisation, to help develop an implementation strategy or audit an existing peer worker role. (Edited publisher abstract)

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