scholarly journals Researchable questions to support evidence-based mental health policy concerning adult mental illness

2002 ◽  
Vol 26 (10) ◽  
pp. 364-367 ◽  
Author(s):  
Graham Thornicroft ◽  
Jonathan Bindman ◽  
David Goldberg ◽  
Kevin Gournay ◽  
Peter Huxley
Keyword(s):  
Mental Health ◽  
Mental Health Policy ◽  
Health Department ◽  
Mental Health Research ◽  
Future Research ◽  
Policy Makers ◽  
Future Research Agenda ◽  
Department Of Health ◽  
National Service Framework ◽  
Mental Health Department

Policy makers find much mental health research irrelevant to their concerns. What types of research would directly assist those who formulate policy? The two purposes of this paper are (i) to identify important gaps in completed research, particularly in relation to the National Service Framework (NSF) for Mental Health (Department of Health, 1999a) and the NHS Plan (NHS Confederation, 2001); and (ii) to translate these gaps into researchable questions that can contribute to a debate about the future research agenda for general adult mental health in England.

scholarly journals Training implications of community-oriented psychiatry

2001 ◽  
Vol 7 (3) ◽  
pp. 208-215 ◽  
Author(s):  
K. Linsley ◽  
R. Slinn ◽  
R. Nathan ◽  
L. Guest ◽  
H. Griffiths
Keyword(s):  
Mental Health ◽  
Community Psychiatry ◽  
Health Department ◽  
Mental Health Needs ◽  
Community Based ◽  
Department Of Health ◽  
National Service Framework ◽  
Mental Health Department ◽  
Separate Discipline ◽  
Service Framework

Over the past 20–30 years psychiatry has gradually moved from predominantly hospital-based care to care in the community. Community psychiatry embraces a variety of definitions: it may describe the practice setting, the population served or the philosophy of illness and treatment (Johnston et al, 1995). In discussing the training implications of this shift towards community models of psychiatric care, we will not consider a separate discipline of ‘adult community psychiatry’. We believe that nearly all psychiatric specialities now involve substantial elements of work outside the hospital, and we therefore contend that the new skills, knowledge and attitudes required to meet the challenge of providing both hospital- and community-based care are pertinent to all trainees. Furthermore, the development of these are essential if the consultant of the future is to provide the safe, effective and sustainable service to those with complex mental health needs detailed in the recent National Service Framework (NSF) for Mental Health (Department of Health, 1999). We will also not attempt specifically to assess the merits of the move to community psychiatry, which may be subject to a separate debate.

scholarly journals Creating the infrastructure for mental health research

2002 ◽  
Vol 26 (11) ◽  
pp. 403-406 ◽  
Author(s):  
Graham Thornicroft ◽  
Jonathan Bindman ◽  
David Goldberg ◽  
Kevin Gournay ◽  
Peter Huxley
Keyword(s):  
Mental Health ◽  
Health Research ◽  
Research Agenda ◽  
Mental Health Research ◽  
National Service ◽  
Department Of Health ◽  
National Service Framework ◽  
Service Framework

The purpose of this paper is to identify the important gaps in research coverage, particularly in areas key to the National Service Framework for Mental Health (NSF-MH) (Department of Health, 1999) and the NHS Plan (Department of Health, 2000), and to translate these gaps into researchable questions, with a view to developing a potential research agenda for consideration by research funders.

Recovery Colleges – safe, stimulating and empowering

2017 ◽  
Vol 21 (5) ◽  
pp. 280-288 ◽  
Author(s):  
Laurie Windsor ◽  
Glenn Roberts ◽  
Paul Dieppe
Keyword(s):  
Mental Health ◽  
Search Strategy ◽  
Positive Impact ◽  
Health Department ◽  
Content Type ◽  
Department Of Health ◽  
Production Safety ◽  
Educational Programmes ◽  
Mental Health Department ◽  
Use Of Health Services

Purpose Recovery Colleges could deliver many of the defined key outcomes within the Cross Governmental Mental Health Outcomes Framework “no health without mental health” (Department of Health, 2011). The purpose of this paper is to critically appraise the existing evidence of recovery educational programmes in mental health and gain a deeper understanding of the processes and outcomes involved. Design/methodology/approach A broad search strategy looking at recovery educational programmes in mental health was used. The data were gathered from two focus groups each containing five people, one with facilitators and one with students. Thematic analysis was used, following the six stages, recursive process recommended by Braun and Clarke (2006). Findings The main processes described in recovery programmes were co-production and education. The main outcomes were that recovery programmes led to a reduction in the use of health services, increased opportunities for future employment and a positive impact on staff. The process themes that appeared to emerge were the College ethos and principles, co-production, safety, empowerment and stimulation. The outcome themes that appeared to emerge included increased confidence, motivation and social interaction. Originality/value Recovery Colleges appear to benefit both facilitators and students by co-production of a safe, stimulating environment which empowers them: participating in the college benefits facilitators as well as students. This paper is of value to those interested in recovery and education within mental health.

Peer support – the what, why, who, how and now

2015 ◽  
Vol 10 (5) ◽  
pp. 314-324 ◽  
Author(s):  
Anne Beales ◽  
Johanna Wilson
Keyword(s):  
Mental Health ◽  
Peer Support ◽  
Service User ◽  
User Involvement ◽  
Health Department ◽  
Content Type ◽  
Department Of Health ◽  
Health Strategy ◽  
Mental Health Department ◽  
The Uk

Purpose – The purpose of this paper is to outline what peer support is, covering its history, variations and benefits, then goes on to discuss what the challenges have been to authenticity and what the future holds for peer support. Design/methodology/approach – The authors argue for the necessity of service user leadership in peer support based on both the Service User Involvement Directorate’s (SUID’s) experience and UK-wide learning. Findings – Peer support brings wellbeing and confidence benefits both to the supporter and the supported. However, the lack of understanding of what peer support is, the current climate of austerity and over-professionalisation can threaten the transformational power of genuine peer support. Research limitations/implications – Peer support is always evolving, and there are areas like the criminal justice service and secure services where more work needs to be done. Practical implications – Commissioners/funders of mental health services should recognise the value of peer support and its potential for better wellbeing outcomes, while understanding the necessity of service user leadership to maximise its beneficial potential. Originality/value – The paper looks at peer support at the point in time a decade after the formation of the SUID at Together and four years since the UK mental health strategy No Health Without Mental Health (Department of Health, 2011) and explores the challenges faced at a time when the value of peer support is generally accepted in legislation.

scholarly journals Service innovation: assertive outreach teams for adults with learning disability

2007 ◽  
Vol 31 (4) ◽  
pp. 138-141 ◽  
Author(s):  
Jamuna Prakash ◽  
Tim Andrews ◽  
Ian Porter
Keyword(s):  
Adult Population ◽  
Cochrane Review ◽  
Health Department ◽  
Community Treatment ◽  
Assertive Outreach ◽  
Department Of Health ◽  
National Service Framework ◽  
General Adult Population ◽  
Mental Health Department ◽  
Service Framework

Assertive community treatment (ACT) was developed in the early 1970s as a means of coordinating the care of people with severe mental illness in the community. A Cochrane review of the effectiveness of ACT for the general adult population found that people receiving ACT were more likely to engage with services, and were less likely to be admitted to hospital (Marshall & Lockwood, 2000). The National Service Framework for Mental Health (Department of Health, 1999) and the NHS Plan (Department of Health, 2000) called for a total of 220 assertive outreach teams by April 2003.

scholarly journals Transition in Adolescents: a Study on Changes in Social Cohesion

2018 ◽  
Vol 7 (3.27) ◽  
pp. 348
Author(s):  
M C. Jaison ◽  
N Prathiba ◽  
L Ranjit
Keyword(s):  
Mental Health ◽  
Human Growth ◽  
Health Department ◽  
Adolescent Mental Health ◽  
Social Dimension ◽  
Four Dimensions ◽  
Department Of Health ◽  
The Social ◽  
Mental Health Department ◽  
Adolescent Period

Human growth begins with conception and developed through different unique stages and ends with death. Each stage has its own characteristics. Adolescent period is also one of such unique period in Human Growth. Even though there are development in physical health of adolescent during these decades mental health of adolescent is not marked such evidential growth in overall mental health. Since Adolescent period is the important and crucial period of moulding mental health. Department of Health, Republic of South Africa in 2001 mentioned four dimensions of adolescent mental health. They are mental, emotional, social and spiritual. The study primarily focuses on the social dimension of adolescent mental health.  

scholarly journals Acute wards: problems and solutions: Alternatives to acute wards: users' perspectives

2002 ◽  
Vol 26 (9) ◽  
pp. 346-347 ◽  
Author(s):  
Peter Relton ◽  
Phil Thomas
Keyword(s):  
Mental Health ◽  
Civil Rights ◽  
Mental Health Professionals ◽  
Government Policy ◽  
Evidence Base ◽  
Department Of Health ◽  
National Service Framework ◽  
Problems And Solutions ◽  
Restrictive Environment ◽  
Acute Wards

The move from institutional to community care in the second half of the twentieth century arose in a climate in which civil rights became increasingly prominent, and out of which the modern survivor movement grew (Campbell, 1996). Government policy for mental health services, as set out in Standard Five of the National Service Framework (NSF; Department of Health, 1999), requires that care should be provided in hospital, or an alternative in the least restrictive environment, and as close to home as possible. At the same time, Government policy also attaches increasing importance to the involvement of service users and carers in the planning, delivery and evaluation of services. This paper examines alternatives to hospital care from a user perspective. The problem is that the evidence base for the NSF largely consists of quantitative studies designed to answer questions of concern to mental health professionals. This tells us little about the perspectives of the service user, which is the strength and value of user-led research (Faulkner & Thomas, 2002). Much of what follows is taken from this area, but in addition we describe briefly our own experience of home treatment, which the NSF sets out as one of the main alternatives to in-patient care.

scholarly journals Least restrictive alternative – advance statements and the new mental health legislation

2002 ◽  
Vol 26 (7) ◽  
pp. 246-247 ◽  
Author(s):  
J. M. Atkinson ◽  
H. C. Garner
Keyword(s):  
Mental Health ◽  
Home Office ◽  
Policy Makers ◽  
Department Of Health ◽  
Mental Health Legislation ◽  
Advance Statements ◽  
Restrictive Environment ◽  
The Patient’S View ◽  
Health Legislation ◽  
Least Restrictive Alternative

Proposals for new mental health legislation make the case for using the ‘least restrictive alternative’ (Scottish Executive, 2001) and the ‘least restrictive environment’ (Department of Health & Home Office, 2000) as guiding principles in deciding the management and treatment of the patient. This appears to be the case made for introducing compulsory treatment in the community. The patient living in the community, while maintained on medication, rather than the hospital would appear to be defined as on the ‘least restrictive alternative’. This, however, takes only a limited approach to what is ‘restrictive’, which should be interpreted more widely, including the patient's view as well as that of clinicians and policy makers. Thus, a patient may see it as less restrictive during an acute phase to be in hospital and not on medication, than in the community but on medication. It is likely, given our knowledge of patients' attitudes to medication (Eastwood & Pugh, 1997), that many patients will prefer to be on oral medication rather than depot, which they see as less restrictive.

scholarly journals National Service Framework for Mental Health

2000 ◽  
Vol 24 (6) ◽  
pp. 203-206 ◽  
Author(s):  
Graham Thornicroft
Keyword(s):  
Mental Health ◽  
National Service ◽  
Department Of Health ◽  
National Service Framework ◽  
Local Flexibility ◽  
Working Age ◽  
And Performance ◽  
The Given ◽  
Clear Statement ◽  
Service Framework

The National Service Framework for Mental Health (NSF–MH) is a strategic blueprint for services for adults of working age for the next 10 years. It is both mandatory, in being a clear statement of what services must seek to achieve in relation to the given standards and performance indicators, and permissive, in that it allows considerable local flexibility to customise the services which need to be provided to fit the framework. This paper summarises the process by which the NSF was created, and its content, which became clear when it was published on 30 September 1999 (Department of Health, 1999).

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