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11 – 20 of 383
Article
Publication date: 1 June 2007

Jed Boardman and Michael Parsonage

It is nearly eight years since the National Service Framework for Mental Health was published, setting ambitious 10‐year targets. This article draws on findings presented in a…

Abstract

It is nearly eight years since the National Service Framework for Mental Health was published, setting ambitious 10‐year targets. This article draws on findings presented in a recent Sainsbury Centre for Mental Health report on progress to date. It concludes that although the framework confirmed the status of mental health as a health priority for the government, a likely shortfall in funding means that goals will not be met in full. The authors stress that this is not a criticism of policy; rather it reflects the ambitious nature of the government's mental health agenda.

Details

Mental Health Review Journal, vol. 12 no. 2
Type: Research Article
ISSN: 1361-9322

Keywords

Article
Publication date: 31 December 2008

Jed Boardman and Michael Parsonage

The National Service Framework for Mental Health was published in late 1999, setting ambitious 10‐year targets. This article draws on findings presented in a recent Sainsbury…

Abstract

The National Service Framework for Mental Health was published in late 1999, setting ambitious 10‐year targets. This article draws on findings presented in a recent Sainsbury Centre for Mental Health report on progress to date. It concludes that although the framework confirmed the status of mental health as a health priority for the government, a likely shortfall in funding means that goals will not be met in full. The authors stress that this is not a criticism of policy; rather it reflects the ambitious nature of the government's mental health agenda.

Details

Journal of Public Mental Health, vol. 7 no. 3
Type: Research Article
ISSN: 1746-5729

Keywords

Article
Publication date: 16 August 2013

Jon Fieldhouse and Anne‐Laure Donskoy

This paper reports on action research which explored assertive outreach service users’ experiences of community participation and then fed this learning into a multi‐agency forum…

Abstract

Purpose

This paper reports on action research which explored assertive outreach service users’ experiences of community participation and then fed this learning into a multi‐agency forum – where it was used in joint‐planning between mental health services and community partners, aiming to maximise social inclusion locally.

Design/methodology/approach

Action research methodology was chosen to examine the forum's work because it brings together different perspectives to reveal an issue in its entirety and effect change in practice. Service users’ experiences were explored using semi‐structured qualitative interviews.

Findings

Engagement in mainstream community‐based activities re‐connected service users with cherished life roles and developed feelings of self‐efficacy, belonging, and wellbeing. Effective inter‐sectoral working in the forum was based on a shared agenda and collective action planning.

Research limitations/implications

Whilst every effort was made to ensure an authentic service user voice informed service development, it is unfortunate – in action research terms – that no service user interviewees were able to participate directly in the work of the forum. Community development work can build on micro‐level, person‐centred mental health care and extend outwards to collective community activity, aiming to harness social capital.

Practical implications

Assertive outreach – harnessing mainstream occupations through care‐planning – achieved outcomes that institutional rehab could not, and did so with a minimum of stigmatisation.

Social implications

This inquiry highlights that social inclusion is the responsibility of the community as a whole.

Originality/value

This inquiry appreciated service users as evaluators of the services they used and aimed to bring that knowledge to bear on service development.

Details

Mental Health and Social Inclusion, vol. 17 no. 3
Type: Research Article
ISSN: 2042-8308

Keywords

Article
Publication date: 1 October 2002

Mike Stephens

Government plans for the mentally ill include elements of compulsion such as indefinite detention for those with severe personality disorders. In contrast, in Madison, Wisconsin…

Abstract

Government plans for the mentally ill include elements of compulsion such as indefinite detention for those with severe personality disorders. In contrast, in Madison, Wisconsin, USA community safety is assured through an integrated network of services dedicated to supporting the mentally ill in the community.

Details

Safer Communities, vol. 1 no. 2
Type: Research Article
ISSN: 1757-8043

Keywords

Open Access
Article
Publication date: 30 January 2012

Nilamadhab Kar, Surendra P. Singh, Tongeji E. Tungaraza, Susmit Roy, Maxine O'Brien, Debbie Cooper and Shishir Regmi

In many UK mental health services, in-patient psychiatric care is being separated from community care by having dedicated in-patient medical team. We evaluated staff satisfaction…

Abstract

In many UK mental health services, in-patient psychiatric care is being separated from community care by having dedicated in-patient medical team. We evaluated staff satisfaction in this functionalised in-patient care. A survey was conducted amongst multidiscipli-nary staff from various teams using a questionnaire survey. On an average 14.3% of staff returned a satisfactory response for function-alisation, 57.3% had unsatisfactory response and others were undecided or perceived no change. There was no difference in responses amongst age, gender and professional groups. Mean scores of all groups were within unsatisfactory domain; however community staff compared to in-patient staff and staff with more than 5 years of experience compared to those with 1-5 years of experience returned significantly more unsatisfactory responses regarding functionalisation. Many positive and negative aspects of functionalisation were raised. The results of this evaluation suggest the need for further studies on the effectiveness of in-patient functionalisation. Short and long term clinical outcomes and the satisfaction of the patients should also be studied.

Details

Mental Illness, vol. 4 no. 1
Type: Research Article
ISSN: 2036-7465

Keywords

Article
Publication date: 1 June 1999

Ingrid Barker

Despite Policy Statements and abundant evidence of the particular needs and problems of those with a dual diagnosis of mental health problems and substance misuse, very little…

Abstract

Despite Policy Statements and abundant evidence of the particular needs and problems of those with a dual diagnosis of mental health problems and substance misuse, very little that is effective is being done for this group. The paper reviews the evidence and considers some of the solutions proposed.

Details

Journal of Integrated Care, vol. 7 no. 3
Type: Research Article
ISSN: 1476-9018

Article
Publication date: 4 July 2016

Ashley Guinn, Sujeet Jaydeokar, Jane McCarthy, Ashok Roy and Angela Hassiotis

Community mental health services are of increasing importance for people with an intellectual disability (ID), as the government aims to reduce the number of people treated within…

Abstract

Purpose

Community mental health services are of increasing importance for people with an intellectual disability (ID), as the government aims to reduce the number of people treated within inpatient services. However, due to limited evidence base, it is unclear which service models are most effective for treating people with both ID and a mental health condition. Therefore, the purpose of this paper is to carry out a survey in order to gain a better understanding of the current state of ID community services.

Design/methodology/approach

The survey was e-mailed to 310 consultant psychiatrists based in England and whose main specialism was in ID. In total, 65 consultants responded to the survey with 53 complete data sets.

Findings

In total, 84 per cent of consultants identified themselves as working in a generic community ID team. The majority of services were not integrated with social care (71 per cent). Regional differences were found. In contrast to the rest of England, the majority of services in London were integrated with social care. The Health of the Nation Outcome Scale for people with Learning Disabilities (HoNOS-LD) was found to be the most common outcome measure used by services. A range of interventions are widely available across services including psychological therapies and specialist memory assessments. The survey also provides evidence for increased decommissioning of specialist inpatient units and a need for more robust community services.

Research limitations/implications

Findings limited by low return rate (21 per cent) and because responses could not be matched to specific services. The implications of this survey are that there is still a variable level of integration with social care and that lack of integration could affect the quality of service. While HoNOS-LD is used consistently across services, there may be a need to supplement it with other outcome measures. There is a need for larger scale and higher quality studies in this area to strengthen the evidence base and therefore demonstrate the benefits of integration and specialisation more convincingly to health professionals and commissioners.

Originality/value

This survey presents an overview of the current state of community services for adults with ID in England. This information can be harnessed to add to revised approaches to mental health service models for people with ID.

Details

Advances in Mental Health and Intellectual Disabilities, vol. 10 no. 4
Type: Research Article
ISSN: 2044-1282

Keywords

Article
Publication date: 29 October 2009

Hazel Bryce and Lorraine

This article explores some of the images and words that service users choose to capture and represent their unique spirituality. It was written using material that service users…

Abstract

This article explores some of the images and words that service users choose to capture and represent their unique spirituality. It was written using material that service users produced as part of two projects focusing on spirituality and hope. The first project involved a group where service users were given a camera to capture something that represented their spirituality. The second project involved producing material for an art exhibition entitled Growing Hope, that was showcased in Sheffield as part of World Mental Health Day 2009.The article is written by Hazel Bryce, an occupational therapist working in an assertive outreach team (SORT) in Sheffield, and Lorraine, a service user who worked on the two projects and who has an interest in spirituality. They reflect together on the process of being involved in the projects and the meaning of this piece of work. The article was written together to try to capture a range of perspectives.

Details

A Life in the Day, vol. 13 no. 4
Type: Research Article
ISSN: 1366-6282

Keywords

Article
Publication date: 1 August 2008

Liz Hughes and Cheryl Kipping

This paper aims to provide an overview of the policy guidance and will begin with an introduction and overview of policy development during this period; then focus on the more…

279

Abstract

This paper aims to provide an overview of the policy guidance and will begin with an introduction and overview of policy development during this period; then focus on the more specific guidance in four broad areas: dual diagnosis specific guidance, risk, training, and service specific ‐ guidance. Assessment and treatment are cross‐cutting themes and key messages in relation to these areas will also be highlighted. Having outlined the policy guidance, consideration will be given to how effective it has been in changing service delivery and suggestions made as to what might be required to ensure more consistent implementation.

Details

Advances in Dual Diagnosis, vol. 1 no. 1
Type: Research Article
ISSN: 1757-0972

Keywords

Abstract

Details

Mental Health Review Journal, vol. 10 no. 4
Type: Research Article
ISSN: 1361-9322

11 – 20 of 383