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Showing results for tags 'Mental health'.
Found 1,158 results
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Content ArticlePeople with mental health difficulties bring a unique and vital perspective to shaping services. While steps have been taken to embed ‘lived experience’ within mental health services, these opportunities can often feel tokenistic, and maintain the unequal power dynamics between clinicians and ‘patients’. In this paper, David Gilbert uses his insights as a mental health service user and his experience in Patient Leadership to consider the limitations of current practice, and the possibilities of a new approach which could transform mental health services.
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Content ArticlePeople with poor mental health tend to experience poorer physical health and are more likely to die younger. This perspective article by consultant psychiatrist Peter Byrne aims to apply public health principles to improving the physical health of selected groups with mental health issues. It presents evidence of the lifetime effects of adverse childhood experiences and inequalities: the ‘causes of the causes’, outlines seven drivers of physical disorders that cause preventable deaths, and describes how psychiatrists must work with mental health teams to reverse rising mortality.
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Content ArticleIn this podcast, host Thea Joshi is joined by Emma Bailey and Hannah Moore from the Equally Well campaign, which the Centre for Mental Health runs in partnership with Rethink Mental Illness. They share how Equally Well UK is working to improve the physical health of people with severe mental illness, with the critical aim of reducing the unacceptable mortality gap that affects people with severe mental illness. Emma and Hannah discuss how physical health is often neglected in mental health inpatient services, and give examples of good work that is being done to change this.
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Content ArticleLast week, one of the country’s largest child and adolescent mental health services, Forward Thinking Birmingham, run by Birmingham Women’s and Children’s Foundation Trust, was rated “inadequate” by the Care Quality Commission. The inspection report makes for concerning reading — not least because it speaks to a range of issues being experienced by other providers of CAMHS services across the country. CQC inspectors warned there were not enough nursing and support staff to keep people using community services from avoidable harm. Nurses told the CQC that vacancies in the service impacted on people being allocated a care coordinator — and staff were leaving largely due to handling caseloads they felt were unsafe. Part of HSJ’s Mental Health Matters fortnightly briefing, covering safety, quality, performance and finances in the mental health sector.
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Content ArticleThis Mental State of the World report from Sapien Labs provides insight into the mental wellbeing of populations around the globe in 2022 across 64 countries in the Core Anglosphere, continental Europe, Latin America, the Arab world, South and South East Asia and Africa based on responses to the Mental Health Quotient (MHQ) assessment in English, Spanish, French, Arabic, Portuguese (European and Brazilian), German, Swahili and Hindi. The assessment provides an aggregate metric of mental wellbeing (the MHQ) as well as multiple dimensional views.
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Content ArticleThe word 'controversy' almost always accompanies any reference to electroconvulsive therapy (ECT). It has a dark history and remains a deeply contentious practice. For many, ECT is seen as outdated, forever linked with frightening images of medical abuse, cruelty and even punishment. In this programme for BBC Radio 4, Professor Sally Marlow met her friend Dr Tania Gergel at King’s College London, which forced her to reassess everything she thought she knew about ECT. Tania told Sally that ECT had saved her life on numerous occasions and that ECT is the only treatment that can bring her back to health after episodes of severe depression, psychosis and mania. Tania is Director of Research at Bipolar UK. She’s a philosopher and an internationally respected medical ethicist. She also lives with a serious mental illness; an unusual mixed type of bipolar disorder. During her last period of illness a year ago, Tania kept an audio diary., which she shares extracts from throughout the programme in order to break down stigma around both mental illness and ECT.
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Content ArticleSelf-binding directives instruct clinicians to overrule treatment refusal during future severe episodes of illness. These directives are promoted as having the potential to increase autonomy for individuals with severe episodic mental illness. Although lived experience is central to their creation, the views of service users on self-binding directives have not been seriously investigated. This study in The Lancet Psychiatry aimed to explore whether reasons for endorsement, ambivalence or rejection given by service users with bipolar disorder can address concerns regarding self-binding directives, decision-making capacity and human rights.
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Content ArticleElectroconvulsive therapy, or ECT, is still given to about 2,100 -2,700 people a year in England, about half of whom have not consented to it. This blog reports on a campaign for an independent review of this highly controversial procedure, and provides links to relevant articles.
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Content ArticleIn 2020, 82 million people worldwide were forcibly displaced. In the same year, the UK received applications for asylum for over 37,500 people. Over 40% of those were women and children, and 8% were children who had arrived in the UK alone without a parent or guardian. This information produced by the Royal College of Psychiatry aims to support health and social care professionals in the UK coming into contact with displaced people. It provides information, guidance and support to ensure timely, high-quality care.
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Content ArticleThese online resources are designed to help healthcare professionals improve conversations with their patients about suicidal ideation, self-harm and other common mental health problems. The resources are based on a field of research known as Conversation Analysis, which micro-analyses verbal and non-verbal communication to study the consequences of different ways of communicating. Resources include research findings and real examples from video-recorded psychosocial assessments with mental health nurses, social workers and other healthcare professionals. To access the resources, you need to be a healthcare professional and will need to create an account.
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Content ArticleThis chapter from the 'Textbook of Patient Safety and Clinical Risk Management' reviews the most common adverse events that happen in a psychiatric unit and the safety measures that are needed to decrease the risk of errors and adverse events. It also highlights the role of staff members and patients in preventing or causing the error.
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Content ArticleThis study in the International Journal of Mental Health Nursing presents a qualitative evaluation of staff perspectives of the impact and value of the REsTRAIN Yourself initiative. REsTRAIN Yourself aimed to reduce the use of physical restraint in mental health inpatient wards through training and practice development with whole teams within ward settings. Thirty-six staff participated in semi-structured interviews for this study.
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Content ArticleThis training from the World Health Organization (WHO) is part of WHO's QualityRights Initiative, which aims to change mindsets and practices in a sustainable way to improve the lives of people with psychosocial, intellectual or cognitive disabilities globally. It seeks to empower all stakeholders to promote rights and recovery. These materials can be used to build capacity among mental health practitioners, people with psychosocial, intellectual and cognitive disabilities, people using mental health services, families, care partners and nongovernmental organisations. They offer guidance on how to implement a human rights and recovery approach to mental health in line with the UN Convention on the Rights of Persons with Disabilities, and other international human rights standards.
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Content ArticleThis document by the Restraint Reduction Network offers a framework to support care providers in reducing the use of restrictive practices. Restrictive practices are often a response to behaviours seen by care providers and wider society as ‘behaviours of concern’ or ‘challenging behaviour’. These behaviours can occasionally include wilful acts that have the potential to cause harm, but more often than not, these behaviours are symptoms of distress or frustration and a response to the environment or situation that a person finds themselves in. This document outlines the National Minimum Standards for the content of Restrictive Interventions Reduction Plans in mental health and learning disability settings.
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Content Article
WHO: Mental Health ATLAS 2020 (8 October 2021)
Patient Safety Learning posted an article in Mental health
The World Health Organization (WHO) Mental Health Atlas, released every three years, is a compilation of data provided by countries around the world on mental health policies, legislation, financing, human resources, availability and utilisation of services and data collection systems. It serves as a guide for countries for the development and planning of mental health services. The Mental Health Atlas 2020 includes information and data on the progress made towards achieving mental health targets for 2020 set by the global health community and included in WHO’s Comprehensive Mental Health Action Plan. It includes data on newly-added indicators on service coverage, mental health integration into primary health care, preparedness for the provision of mental health and psychosocial support in emergencies and research on mental health. It also includes new targets for 2030. -
Content ArticleSerenity Integrated Mentoring (SIM) is a new program being introduced in London aimed at improving coping mechanisms and reducing emergency service use in High Intensity Service Users (HISUs). In this feasibility study, Anokhina et al. an evaluation of SIM effectiveness was assessed using demographic data. Three SIM boroughs (Greenwich, Camden and Islington) were compared with a non-SIM borough (Enfield) on emergency service use and costs in the 12 months prior to SIM and 9 months after. Qualitative interviews were conducted with SIM practitioners and service users. They found hat service users did attend A&E less, and were being arrested less, but this was true for both SIM and non-SIM participants. The economic analysis also showed that, at this stage, we cannot see any cost savings to service use yet. These results are something we expected because of the small scale of the study. However, we found that the quality of the data that is recorded by emergency services would allow us to carry out a full-scale study which would give us clearer answers
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Content Article
StopSIM: Mental health is not a crime (21 April 2021)
Patient Safety Learning posted an article in Mental health
StopSIM is a coalition of mental health service users and allies who have grave concerns about the rapid, widespread rollout of the High Intensity Network’s ‘Serenity Integrated Mentoring’ (SIM) intervention across NHS England. The intervention is designed for people who have not committed a crime, but are in contact with mental health services, are frequently at high risk of suicide and self harm and are deemed “high intensity users” of emergency services. Key intervention components include a co-ordinated withholding of potentially life saving treatment by multiple agencies (A&E, mental health, ambulance and police services) and, using SIM’s own words, the “coercive” approach of a police officer as an interventionist.- Posted
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Content ArticleThe Serenity Integrated Mentoring (SIM) model is described as "an innovative mental health workforce transformation model that brings together the police and community mental health services, in order to better support 'high intensity users' of Section 136 of the Mental Health Act (MHA) and public services." The SIM model is part of a 'High Intensity Network' (HIN) approach, which is now live in all south London boroughs. In this hub post, Steve Turner highlights the benefits and risks of this approach and seek your views on it.
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Content ArticleFor some time now I've been looking to find out more about mental health services in Trieste, Italy. Then I met Vincenzo Passante Spaccapietra, co-host of the Place of Safety? podcast series. This has enabled me to learn more about the closure of the mental institutions in Trieste, Italy, and the work of Franco Basaglia. I was keen to find out what really took place, what this really means in practice and how we can adopt this model in the UK. We were delighted to have become involved and to have recorded a couple of podcasts. I recommend this resource to everyone interested in safe, compassionate, patient led mental health care.
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Content ArticleGovernment plan to prevent, mitigate and respond to the mental health impacts of the pandemic during 2021 to 2022.
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Content ArticleThis study from Stevenson and Farmer concludes that underneath the stigma that surrounds mental health and prevents open discussion on the subject, the UK faces a significant mental health challenge at work. They start from the position that the correct way to view mental health is that we all have it and we fluctuate between thriving, struggling and being ill and possibly off work. People with poor mental health, including common mental health problems and severe mental illness, can be in any of these groups. An individual can have a serious mental health problem but – with the right support – can still be thriving at work.
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Content ArticleThis report, from the The Mental Health Policy Group, considers the steps that must be taken if the ambition of ‘parity of esteem’ for mental health is to be achieved in England. Its starting point is the belief that improving the nation’s mental health cannot be achieved through a focus on health services alone, vital though these are. A much more ambitious, cross-government approach to mental health is also required.
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Content ArticleThis survey, published by the Parliamentary and Health Service Ombudsman, found that one in five people did not feel safe while in the care of the NHS mental health service that treated them.
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Content ArticleIn this blog, Debbie Ivanova, Deputy Chief Inspector — People with a learning disability and autistic people, and Jemima Burnage, Deputy Chief Inspector and Mental Health Lead, update on progress since the Care Quality Commission’s (CQC) 'Out of Sight' report published in October 2020. Their blog discusses the findings of the authors' 'Restraint, segregation and seclusion review: Progress report' published in December 2021.
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Content ArticleIn this report, the Care Quality Commission (CQC) comments on progress following publication of its 'Out of sight – who cares?' report in October 2020, and highlights the main areas where further work is still needed.
