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The modernisation of mental health day services has been shaped by concerns about the social exclusion of people with enduring mental health problems. Initiatives have…
The modernisation of mental health day services has been shaped by concerns about the social exclusion of people with enduring mental health problems. Initiatives have emphasised the use of mainstream facilities and an individualised approach. In contrast, service users have sought to safeguard opportunities for peer support in safe places. This participatory action research brought together service users, staff and others involved, to explore how these different views could be transformed into modernised services. The research took place in an outer London borough from 2003‐2007, using varied methods to explore social networking, including a visual method, action research groups and individual interviews. The research was designed and adapted to enable the involvement of people with different capacities and interests. Each stage generated findings for local modernisation, pointing to the importance of a safe space, service user knowledge of social and recreational activities and how self‐help groups develop and thrive. The final reconfiguration of local services reflected these research outcomes. Credible and useful outcomes can be achieved from collaborative research, allowing time and creating opportunities to shape interpretations of policy. Emerging initiatives are more likely to reflect service user perspectives and receive their support.
A postal survey and semi‐structured interviews were under taken with mental health day centre staff in two regions of England, investigating whether criticisms levelled at…
A postal survey and semi‐structured interviews were under taken with mental health day centre staff in two regions of England, investigating whether criticisms levelled at buildings‐based day services are justifiable. The majority of respondents agreed with recommendations outlined in From Segregation to Inclusion (National Institute for Mental Health in England/Care Services Improvement Par tnership, 2006), believing that mental health services should ideally be based in community locations. Respondents believed that this would help to challenge stigma, facilitate community integration, and provide service users with more oppor tunities. However, concerns were expressed as to the availability of mainstream facilities and whether this approach would be suitable for all service users. Suggestions on how day services could be improved included having access to reliable sources of funding, relaxing access criteria, and having greater service user involvement.
The concept of social inclusion features prominently in current policy and practice developments in mental health services. The Social Exclusion Unit (2006) highlighted…
The concept of social inclusion features prominently in current policy and practice developments in mental health services. The Social Exclusion Unit (2006) highlighted the need for mental health day services to promote inclusion and participation, by integrating with the wider community, and by supporting and encouraging users to access opportunities in the local community. The Leeds i3 (inspire, improve, include) project aimed to modernise local mental health day services accordingly. The aim of our study was to develop and validate a measure of social inclusion to be used in mental health day services in Leeds. The underlying assumption was that recent changes in mental health day service provision would substantially improve social inclusion of the service users.The social inclusion questionnaire was developed through extensive iterative consultation with mental health service users and staff, and its reliability was proven using test‐retest statistics. It was shown to be a simple, inexpensive, user‐friendly and repeatable measure that could be used routinely by mental health day services. Factor analysis of the questionnaire showed that social inclusion had seven important components. We suggest that these components form a useful basis for discussion with service users, as well as for planning and evaluating services.
This article describes the approach to modernisation of adult mental health day services taken in Sandwell, which retains a building‐based element to provide for…
This article describes the approach to modernisation of adult mental health day services taken in Sandwell, which retains a building‐based element to provide for attachment and belonging, while developing community‐based models that promote social integration and recovery.
Modernisation and restructuring of mental health day services presents a huge challenge to trusts and commissioners. Ben Taylor outlines the common barriers and suggests some fundamental principles to guide those venturing on this task ‐ not least of which is the involvement of current and potential service users.
This article describes the results of a survey of adult mental health day service staff that explored their views and experiences of day service modernisation. While…
This article describes the results of a survey of adult mental health day service staff that explored their views and experiences of day service modernisation. While respondents acknowledged the positive aspects of service modernisation, they also believed that some people might find these changes harder to accept than others. Even though it can be a daunting prospect for some, based on the testimonies of the staff interviewed, the rewards associated with service modernisation outweigh the initial discomfort.
This article profiles CornerHouse, an organisation that has played a key role in facilitating the emergence and development of a large number of mental health services and…
This article profiles CornerHouse, an organisation that has played a key role in facilitating the emergence and development of a large number of mental health services and self‐help groups in West Surrey. CornerHouse takes a community development approach, facilitating and empowering small local mental health groups, and building an active and sustainable local mental health community.
The purpose of this paper is to describe the development and use of a modified SERVQUAL research instrument for measuring the service quality of a leading mental health…
The purpose of this paper is to describe the development and use of a modified SERVQUAL research instrument for measuring the service quality of a leading mental health service provider from the perspective of their “customers”. The evaluation focused on the day‐care services provided by the voluntary organisation. In order to identify the appropriate dimensions of service quality, a series of focus group meetings were run with providers of the mental health day‐care service and also with users of the service. These were structured group meetings led by the research team addressing set questions. The meetings enabled the identification of six different dimensions of service quality neatly mapping onto the new P‐C‐P attributes model, which was developed after extensive research of existing models such as SERVQUAL. A questionnaire was then developed to assess the service quality of the service. The main outcome from the research was the development of a research instrument suitable for measuring the service quality of a mental health day‐care service. This instrument can also be adapted to assess the quality of any other service. Implications and limitations of the study are also discussed.
The National Day Services Modernisation Network was launched in January 2009 and is a collaboration between the Inclusion Institute (taking on the role previously held by the National Social Inclusion Programme), Mind, Rethink and Richmond Fellowship. The Network came about in recognition that many of those involved in modernising mental health day services were struggling with the same issues, often in isolation, and that there was a need for a forum to discuss and develop approaches to these issues.
The restrictive nature of low secure mental health settings and the issues associated with risk management and safe practice raise numerous challenges which need to be…
The restrictive nature of low secure mental health settings and the issues associated with risk management and safe practice raise numerous challenges which need to be overcome for individuals to engage in community-based programmes. The paper aims to discuss these issues.
Two community-based schemes are described. The first uses the natural environment as a medium in which to deliver opportunities to develop vocational skills. The second provides exercise-based activity to promote healthier living. This paper aims to explore the acceptability, feasibility and sustainability of the projects along with the views and achievements of participants.
Both schemes were well-attended with positive views from participants and others. Planned positive risk taking enabled individuals to participate in a safe and structured way. Initial evaluation of the projects suggest that they were viewed as acceptable by the service and valued by participants. Participation led to some individuals engaging in new opportunities for vocational and leisure activities.
Fostering access to community-based occupational opportunities for those in low secure mental health services can be achieved safely and with numerous apparent benefits. Research is now needed to determine further the nature and extent of the gains made through such activity.
This is the first known study of its kind utilising inter-agency collaboration to address the needs of those residing in a low secure mental health facility. Within the forensic mental health population, the standards of care recommend a comprehensive, recovery-focused approach aimed at building resilience and preventing relapse, with the need for thorough intervention for physical health needs. This study supports these recommendations by providing opportunities for planned positive risk taking, opportunities for social inclusion, skills development, increased access to physical exercise to address overall wellbeing.