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Mental health services

Mental health services for older people towards an integrated approach

This article describes how Thurrock Council Social Services Department and South Essex Mental Health and Community Care NHS Trust launched a joint initiative to develop an integrated service strategy and implementation plan for older people's mental health services in Thurrock. The main principles of the approach were: service user and carer involvement, the active participation of mental health professionals working directly with service users and carers, representatives from all key agencies involved in the planning process.

Thu, 07/20/2017 - 15:10

Service-user and carer perspectives on compliance and compulsory treatment in community mental health services

This paper reports on a qualitative study analyzing service-user (SU) and carer perspectives on medication compliance and their experience of compulsory treatment. Eleven SUs and eight carers were interviewed. The research is set against the background of changes to mental health legislation in England, in the form of Supervised Community Treatment. This signals a change in community mental health practice and urges a reconsideration of concepts such as compliance, concordance and coercion.

Thu, 07/20/2017 - 15:10

What's in a name

Argues why the nearest relative role has important lessons for the roles of the nominated person and carer which will replace it in the next Mental Health Act.

Thu, 07/20/2017 - 15:09

Service use and cost associated with caring for people with serious mental illness

Background: Patients with severe and enduring mental health problems are increasingly being cared for in the community. Whilst community services continue to develop it is recognized that family members and friends play an important role in the care process.

Aims: (i) to assess the level of service use and associated costs of carers, (ii) to compare service use to that pertaining in the general population, and (iii) to identify carer characteristics that are predictive of cost variations.

Thu, 07/20/2017 - 15:09

User and carer involvement in mental health services: from rhetoric to science

User or carer involvement is often seen as intrinsically worth while; but if such involvement is a good thing in itself, it would not matter whether changes resulted from it. However, most people argue for user or carer involvement because they think some useful change will follow as a consequence. Being involved can benefit users or carers both personally (for example, by empowering them or increasing their social contacts) and practically (for example, by enabling them to earn money or learn new skills).

Thu, 07/20/2017 - 15:09

The unmet support needs of family members caring for a suicidal person

Background: The prevention of suicide is a key aim for health care authorities and society in general and family members have a principal role in caring for suicidal people. However, the support needs of these essential family carers are relatively unknown. Aim: To explore the support needs of family members of suicidal people. Method: Eighteen participants were interviewed using a short topic guide. Transcripts were analysed using thematic analysis and confirmed by discussion. Findings: Family members of suicidal people have unmet needs (this was the main theme).

Thu, 07/20/2017 - 15:09

Mental health teams should assess support needs of carers of people with schizophrenia, say NICE

NHS teams should also make carers aware of statutory right to social services assessment and explain process. [Journal abstract]

Thu, 07/20/2017 - 15:09

Improving user/carer involvement in commissioning and reviewing mental health services

Increasingly there is greater emphasis on user/carer involvement in the delivery of mental health care. There are five levels of participation from none at all to partnership and optimal involvement. A two-year pilot steering group was established by a health authority in December 2000 and criteria for independent evaluation agreed. These included the context, data collection, analysis and report, and recommendations based on the findings to increase user/carer involvement in all aspects of mental health service delivery.

Thu, 07/20/2017 - 15:09

The value of carers in mental health research

Purpose: The purpose of this paper is to assess the impact of a mental health carers’ research reference group on mental health research in the Heart of England region. Design/methodology/approach: The methodology was a co-produced participatory evaluation, and the research was co-produced by the group. The design involved a literature review of carers’ involvement in UK mental health research, and collection of secondary data (group records) and primary data from researchers, group members, and facilitators. Analysis was initially thematic, then synthesised.

Thu, 07/20/2017 - 15:09

Carers and confidentiality in mental health: issues involved in information sharing

‘This leaflet is about confidentiality issues which arise between mental health professionals and carers of adults with mental health problems, in particular those who provide on-going help and support, without payment, to a relative, partner or friend.

The issues of confidentiality and information-sharing between mental health professionals and carers are difficult and complex to resolve. Some of these problems are described, together with examples of good practice which may help address them.’

Thu, 07/20/2017 - 15:08

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