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Mental health services

Choice literature review: a review of the literature and consultation on choice and decision-making for users and carers of mental health and social care services

This literature review on choice in mental health was commissioned by the Department of Health in July 2005 and submitted to the Department in January 2006. The main part of the review looked at the English language literature on choice in mental health over the past five years. It aimed to identify in particular what tools there are to help people make meaningful choices; what media are effective in facilitating decision-making; and to what extent methods such as advance directives might be used.

Thu, 07/20/2017 - 15:11

Mental health care co-ordinators' perspectives on carers' assessments

In the UK, there are around 1.5 million carers of people with mental health problems providing substantial amounts of free care. Despite having a legal right to a ‘carer's assessment’, only a minority of mental health carers have had such an assessment.

Thu, 07/20/2017 - 15:11

Working with families in mental health: some pointers from research

This article looks at one model of how mental health professionals relate to carers and families.  It then goes on to consider some research on aspects of the family environment, and the impact that mental illness has on how clients and families relate to one another.  Finally it offers suggestions as to how this material might be relevant to our approach to social work in mental health.

Thu, 07/20/2017 - 15:11

Helping carers care: an education programme for rural carers of people with a mental illness

OBJECTIVE: To provide descriptive information about a short-term educational programme for rural carers of people with a mental illness, living in the Loddon Campaspe Southern Mallee region.

METHOD: The Carers Education Exchange Programme is a flexible, needs-based model that can be modified to cater for individual groups. It consists of a number of sessions on topics relevant to caring for someone with a mental illness, held over a period of several weeks. The programme is offered at locations throughout the region, making it accessible to carers in isolated, rural areas.

Thu, 07/20/2017 - 15:11

Separating the personal from the professional

The author had a shock when she visited her mother in India and discovered the realities of caring for a person with mental health problems. Here she describes the difficulties that many carers cope with on a daily basis.

Thu, 07/20/2017 - 15:10

Developing a joint mental health strategy for elders

Reports on the development of a joint mental health strategy for older people in a central London Borough. The project brought together clinicians and practitioners from a variety of settings, the voluntary sector, and users and carers. The aim of the project was to develop a shared philosophy of care based on promoting independence and from this to identify the components of a spectrum of care that would meet the wide range of needs of elders with mental ill health. The borough had high levels of deprivation, unemployment and poor housing.

Thu, 07/20/2017 - 15:10

Developing partnerships with carers through good practice in information-sharing

This article highlights the importance of information‐sharing in mental health care and in particular the difficulties that can follow when practitioners do not perceive lay carers as ‘partners in care’. The findings of a survey, in which views were sought on poor information‐sharing as a barrier to engagement in mental health services, are reported. The authors conclude with a number of recommendations on improving the way information is shared.

Thu, 07/20/2017 - 15:10

Is NHS Direct meeting the needs of mental health callers?

Background: NHS Direct is a new service that offers 24-hour advice from trained nurses. The National Service Framework for Mental Health and the National Strategy for Carers both mention NHS Direct as an important source of support for people with mental health problems. Aims: This paper reports findings from an evaluation of the Department of Health's NHS Direct mental health initiative.

Thu, 07/20/2017 - 15:10

The economic and social cost of dementia in Ireland

The economic and social burden of dementia on society is the value of all the resources used to prevent, diagnose, treat, and generally cope with the illness. This article assess the overall resource implications of dementia in Ireland. Six main areas are covered in the cost analysis as follows: mortality and life years lost, in-patient acute care, in-patient psychiatric care, residential long-stay care, family care, and primary and social care in the community.

Thu, 07/20/2017 - 15:10

Care of older people: mental health problems

Specialist mental health services for older people have grown rapidly and successfully over the past two decades, aiming to offer services that are comprehensive, accessible, responsive, individualised, multidisciplinary, accountable, and systematic. As with all mental health problems, the burden falls on primary care (where minor morbidity often goes undetected) and specialist services tend to be reserved for those conditions and patients where diagnosis and management is problematic.

Thu, 07/20/2017 - 15:10