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Article
Publication date: 1 June 2007

David Rushforth, Jit Patel, Alison James and Siobhan Chadwick

The scale of current demand on primary care services from people seeking help with common mental health problems places enormous pressure on the existing front line workers in…

Abstract

The scale of current demand on primary care services from people seeking help with common mental health problems places enormous pressure on the existing front line workers in general practice. The paucity of training opportunities and competing pressures to deliver improved services across a range of general practice targets remains a major challenge for primary care professionals. The impact of government policy, to improve both access to and choice of treatments, has raised public expectations.The commissioning of the graduate workforce, the graduate worker in primary care mental health (GWPCMH), commenced in 2002, in response to the publication of target numbers detailed in the Priorities and Planning Framework, (DoH, 2002). It signalled a determination to expand the workforce provision and improve the quality of care for service users with common mental health problems.This paper examines the scale of common mental health problems, the policy response and the commissioning process. Particular attention is given to examining the barriers that have been shown to affect implementation, identifying the key influencers and the resources required to train these workers.

Details

The Journal of Mental Health Training, Education and Practice, vol. 2 no. 1
Type: Research Article
ISSN: 1755-6228

Keywords

Article
Publication date: 1 September 2008

Ruth Edwards, Richard Williams, Nisha Dogra, Michelle O'Reilly and Panos Vostanis

Specialist CAMHS provide skilled assessment and interventions for children, young people and their families who have mental health disorders. The training needs of the staff who…

Abstract

Specialist CAMHS provide skilled assessment and interventions for children, young people and their families who have mental health disorders. The training needs of the staff who work in specialist CAMHS are not always clear or prioritised, due to the complexities and differing contexts in which specialist CAMHS are provided. The aim of this paper was to establish stakeholders' experiences of service complexities and challenges that affect training within specialist CAMHS. The project employed interviews to gain wide‐ranging consultation with key stakeholder groups. The sample consisted of 45 participants recruited from policy departments, professional bodies, higher education providers, commissioners, service managers, and practitioners. The participants identified a number of themes that limit training, and put forward solutions on how these could be facilitated in the future. Emerging themes related to leadership and the role of service managers, strategic management of training, commissioning, levels of staff training, resources, impact of training on service users, and availability of training programmes. The findings emphasise the need for the strategic workforce planning of training to meet service delivery goals. Policy, commissioning, workforce training strategies, service needs, and delivery of training should be integrated and closely linked.

Details

The Journal of Mental Health Training, Education and Practice, vol. 3 no. 3
Type: Research Article
ISSN: 1755-6228

Keywords

Article
Publication date: 11 November 2014

Richard Bell

The purpose of this paper is to demonstrate the learning from the multi-agency evaluation of the Leeds Dual Diagnosis Care co-ordination protocol undertaken by the Leeds Dual…

Abstract

Purpose

The purpose of this paper is to demonstrate the learning from the multi-agency evaluation of the Leeds Dual Diagnosis Care co-ordination protocol undertaken by the Leeds Dual Diagnosis (DD) Project in 2013. The evaluation aimed to identify the prevalence of people with DD accessing network member services, and to identify the standard of care network members provided for people with DD in relation to the Leeds Care Co-ordination Protocol.

Design/methodology/approach

The evaluation adopted a service evaluation methodology and included features of real world research. Two standardised self-completion questionnaires were administered using Survey Monkey™ software.

Findings

The majority of service could provide prevalence data however the quality of data provided was significantly impacted by the limitations of client management systems. Completion of specific DD training beyond basic awareness was generally low and many participants were confused about the different levels of training available. Standards of care varied, a substantial amount of joint working was taking place via informal pathways which relied on established relationships and trust between practitioners and services. Jointing working was often informal when people were not under the Care Programme Approach.

Research limitations/implications

Due of the methodological choices the evaluation cannot be considered impartial. The prevalence data gathered lacks robustness and does not reflect the number of people who meet clinical threshold for DD as valid screening tools were not used by all services. The standards of care identified only reflect practitioner's personal views and do not provide a definitive answer to the standard of care being delivered. The response rate in relation to standards of care was low with large amounts of missing data negatively impacting the external validity of data gathered.

Practical implications

The completion of this evaluation demonstrates that it is extremely challenging to undertake a multi-agency evaluation with limited resources. It has highlighted key challenges and areas for future development locally in relation to DD. The themes explored are likely to be of interest to commissioners, service managers, DD consultant nurses and anyone involved in the strategic development of DD.

Originality/value

The evaluation has generated information which is of practical significance to local commissioners and Leeds DD Network Members. The knowledge and learning from this evaluation has subsequently been used by the Leeds DD Strategy Group to inform the new action plan for the DD Project, the re-commissioning of substance misuse services and the new mental health framework being developed for Leeds.

Details

Advances in Dual Diagnosis, vol. 7 no. 4
Type: Research Article
ISSN: 1757-0972

Keywords

Abstract

Details

Mental Health Review Journal, vol. 8 no. 4
Type: Research Article
ISSN: 1361-9322

Article
Publication date: 1 October 2006

Graham Turpin, Roslyn Hope, Ruth Duffy, Matt Fossey and James Seward

Despite the emergence of NICE guidelines regarding the effectiveness and appropriateness of psychological therapies for the majority of common mental health problems, access to…

Abstract

Despite the emergence of NICE guidelines regarding the effectiveness and appropriateness of psychological therapies for the majority of common mental health problems, access to these services is still dramatically underdeveloped and uneven. Estimates of untreated problems such as depression and anxiety in primary care signal the extent of these problems and the scale of investment in new services, if these needs are to be adequately met in the future.The Department of Health's and the Care Services Improvement Partnership's (CSIP) Improving Access to Psychological Therapies (IAPT) programme sets out a framework and a series of co‐ordinated actions, including two national demonstration sites, to begin to address these issues in England.This paper examines the origins and policy drivers that have given rise to the IAPT programme, outlines the progress to date and specifically assesses the implications for the mental health workforce of this programme. Issues addressed include the workforce profiles of existing services, career frameworks for psychological therapists, the capacity of training providers to train new and existing staff in psychological therapies and the challenges implicit in devising a workforce delivery plan to support the IAPT programme.

Details

The Journal of Mental Health Training, Education and Practice, vol. 1 no. 2
Type: Research Article
ISSN: 1755-6228

Keywords

Article
Publication date: 1 August 2001

Rob Greig and Richard Poxton

In the second of two articles, the authors consider whether the evidence of joint commissioning's limited success has influenced the new partnership flexibilities. They conclude…

Abstract

In the second of two articles, the authors consider whether the evidence of joint commissioning's limited success has influenced the new partnership flexibilities. They conclude that, while they offer significant opportunity, their positive elements may be undermined by lack of recognition of the unavoidable complexity of the organisational environment in the health and social care field.

Details

Journal of Integrated Care, vol. 9 no. 4
Type: Research Article
ISSN: 1476-9018

Article
Publication date: 15 March 2011

Jed Boardman and Geoff Shepherd

The purpose of this paper is to present the outline of a methodological approach to help address ten key challenges for the implementation of Recovery‐orientated services.

604

Abstract

Purpose

The purpose of this paper is to present the outline of a methodological approach to help address ten key challenges for the implementation of Recovery‐orientated services.

Design/methodology/approach

At the onset of the project the authors produced a policy paper, Making Recovery a Reality. This formed the basis of a series of workshops on implementing Recovery in organisations that were held in five mental health trusts in 2008 and 2009.

Findings

A key element driving the transformation of Recovery‐orientated mental health services will be the joint work of local systems, setting priorities, agreeing goals and contracts and then monitoring progress and reviewing.

Originality/value

The impetus for the project arose out of the increasing attention being given to the principles of recovery in government policy and in local mental health services, combined with an increasing frustration that there was little to guide how these principles could be put into practice.

Details

The Journal of Mental Health Training, Education and Practice, vol. 6 no. 1
Type: Research Article
ISSN: 1755-6228

Keywords

Article
Publication date: 2 September 2014

Robin Miller and James Rees

– The purpose of this paper is to explore change within the commissioning of third sector mental health services in England.

Abstract

Purpose

The purpose of this paper is to explore change within the commissioning of third sector mental health services in England.

Design/methodology/approach

A case study methodology based on survey and interview data of a sample of third sector organisations and commissioners within an English conurbation.

Findings

Normative commissioning models based on sequential cycles were not fully implemented with the main focus being on the procurement and contracting elements. There were examples of commissioning being an enabler of service improvement but overall it seems to have been limited in its ability to bring about whole system change. Barriers included commissioners’ capacity and competence, ineffectual systems within their organisations, and fragmentation in commissioning processes between user groups, organisations and sectors.

Research limitations/implications

The case study conurbation may not represent practice in all urban areas of England and there may be particular issues of difference within rural localities. The view of private and public sector providers and those working in Commissioning Support Units were not sought.

Practical implications

To lead whole system change the commissioning function needs to be adequately resourced and skilled with better integration across public sector functions and organisations. Greater emphasis needs to be placed on implementing the full commissioning cycle, including the engagement of relevant stakeholders throughout the process and the practical application of outcomes.

Originality/value

This research adds to the limited body of empirical work regarding commissioning in mental health.

Details

Mental Health Review Journal, vol. 19 no. 3
Type: Research Article
ISSN: 1361-9322

Keywords

Article
Publication date: 1 June 1999

Lyn Harrison

The Author Reviews fourteen papers from localities throughout England outlining developments in collaborative approaches to mental health services. She considers how effective…

Abstract

The Author Reviews fourteen papers from localities throughout England outlining developments in collaborative approaches to mental health services. She considers how effective they are likely to be, in the light of evaluation and research.

Details

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

Article
Publication date: 1 February 2007

Helen Taylor, Maria Stuttaford and Panos Vostanis

The voluntary sector has an important role to play in the provision of services for people with mental health needs of lesser severity, thus complementing statutory services, as…

Abstract

The voluntary sector has an important role to play in the provision of services for people with mental health needs of lesser severity, thus complementing statutory services, as suggested by recent national policy. This article describes such a service for young homeless people, and discusses the perceptions of key stakeholders of the benefits and challenges of such a service. The service largely met the mental health needs of young people who would not have easily accessed statutory mental health services, and who fulfilled the criteria (low/moderate need) of the service. Challenges for the future included the different organisational cultures, the professional isolation of the mental health practitioners and the lack of operational and commissioning links with statutory mental health services.

Details

Journal of Integrated Care, vol. 15 no. 1
Type: Research Article
ISSN: 1476-9018

Keywords

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