Mental Health and Community Safety

2004 ◽  
pp. 349-353
Author(s):  
Denis A. Hart ◽  
Stephan D. Kirby
2019 ◽  
Vol 42 (3) ◽  
pp. e231-e238 ◽  
Author(s):  
Eleanor Holding ◽  
Lindsay Blank ◽  
Mary Crowder ◽  
Edward Ferrari ◽  
Elizabeth Goyder

Abstract Background The rising prevalence of mental health problems is a growing public health issue. Poor mental health is not equally distributed across social groups and is associated with poverty and insecure housing. An evaluation of a social housing intervention provided an opportunity to explore the connections between housing and wider determinants of health and wellbeing. Methods We undertook 44 interviews with social housing tenants over a two-year period to explore their views on housing, health and wellbeing. Results Poor mental health was common. The results suggest that perceptions of housing quality, service responsiveness, community safety, benefit changes and low income all have a detrimental effect on tenants’ mental health. Conclusions Social housing providers who wish to have a positive impact on the mental health of their tenants need to consider how to best support or mitigate the impact of these stresses. Addressing traditional housing officer functions such as reporting or monitoring home repairs alongside holistic support remains an important area where social housing departments can have substantial health impact. Tackling the complex nature of mental health requires a joined up approach between housing and a number of services.


2005 ◽  
Vol 23 (2) ◽  
pp. 227-243 ◽  
Author(s):  
Annette Christy ◽  
Norman G. Poythress ◽  
Roger A. Boothroyd ◽  
John Petrila ◽  
Shabnam Mehra

2021 ◽  
Vol 9 ◽  
Author(s):  
V. Nelly Salgado de Snyder ◽  
Alice P. Villatoro ◽  
Marisol D. McDaniel ◽  
Ana Sofia Ocegueda ◽  
Deliana Garcia ◽  
...  

The purpose of this study was to analyze occupational and personal stressors, mental health indicators, perceived discrimination and help-seeking behaviors among healthcare workers and providers (HCWPs) serving socially vulnerable groups such as immigrants, refugees, farmworkers, homeless individuals, people living in poverty, and other disadvantaged populations in the United States (U.S.) during the COVID-19 pandemic. Using a cross-sectional descriptive approach, we gathered information between July and September 2020, from a sample of 407 affiliates of two national organizations of clinic-based HCWPs who worked at federally funded and community safety-net clinics. Informed consent was obtained from all participants who completed a self-administered online survey available in English and Spanish. Our results indicated that the HCWPs serving vulnerable groups in the midst of the pandemic experienced high levels of occupational and personal stressors as well as anxiety and depressive symptomology. Major occupational stressors were excessive workload, long working-hours, and institutional barriers to refer and follow-up on their clients' access to needed social services. High-rated personal stressors included sleep disorders, lack of and child-care, partner's loosing job, and other family related situations. Our findings suggest that HCWPs working with vulnerable populations need specialized interventions that bolster their mental health and well-being as the pandemic continues to unfold. We recommend implementing initiatives that encourage HCWPs' to be actively involved in clinic decisions regarding employee safety and protection as well as in management decisions to improve work place infrastructure and capacity to respond to the social needs of their clients. Lessons learned from the pandemic are useful tools in designing protocols for addressing the mental-health needs of HCWPs in health-care organizations that attend to socially underprivileged populations.


2020 ◽  
Vol 9 (3) ◽  
pp. e000803 ◽  
Author(s):  
Owen P O'Sullivan ◽  
Nynn Hui Chang ◽  
Day Njovana ◽  
Philip Baker ◽  
Amar Shah

Ward-based violence is the most significant cause of reported safety incidents at East London NHS Foundation Trust (ELFT). It impacts on patient and staff safety, well-being, clinical care and the broader hospital community in various direct and indirect ways. The contributing factors are varied and complex. Several factors differentiate the forensic setting, which has been identified as a particularly stressful work environment. Staff must constantly balance addressing therapeutic needs with robust risk management in a complex patient cohort. ELFT identified reducing inpatient physical violence on mental health wards as a major quality improvement (QI) priority. The aim was to use a QI methodology to reduce incidents of inpatient violence and aggression across two secure hospital sites by at least 30% between July 2016 and March 2018. Collaborative learning was central to this project. It sought to foster a culture of openness within the organisation around violence and to support service users and staff to work together to understand and address it. A QI methodology was applied in medium and low secure inpatient settings. A change bundle was tested for effectiveness, which included: safety huddles, safety crosses and weekly community safety discussions. Operational definitions for non-physical violence, physical violence and sexual harassment were developed and used. Reductions of 8% and 16.6% in rates of physical and non-physical violent incidents, respectively, were achieved and sustained. Compared with baseline, this equated to one less incident of physical and 17 less of non-physical violence per week averaged across seven wards. Three wards achieved at least a 30% reduction in incidents of physical violence per week. Five wards achieved at least a 30% reduction in incidents of non-physical violence per week. This collaborative brought significant improvements and a cultural shift towards openness around inpatient violence.


2018 ◽  
Vol 55 (2) ◽  
pp. 237-257 ◽  
Author(s):  
Annette Coburn ◽  
Sinéad Gormally

Abstract The concept of well-being is part of an inter-disciplinary agenda for health improvement and human flourishing, critiqued as a superficial ‘solution’ to structural inequality (Friedli, L. (2003) Mental Health Improvement ‘concepts and definitions’: briefing Paper for the National Advisory Group, Scottish Executive, Edinburgh; White, S. C. (2010) Analysing wellbeing: a framework for development practice, Development in Practice, 20 (2), 158–172). This article discusses an evaluation of three health promoting community projects, over a two-year period. The study identifies important features for understanding well-being at grassroots, community and practice levels. Local people had viable and holistic perceptions of well-being that helped them reflect on their current contexts. Practitioners tended to have a more limited conceptualization by associating wellbeing with mental health or community safety. Consideration of findings identified five conditions of wellbeing for community development practice: creating a sense of community; strong volunteering ethos; networking and partnership working; positive language; enhanced relationships. Applying these findings in practice helped to create a new reflective grid, incorporating seven elements of well-being. Participants found this grid easy to use and affirming in facilitating reflection on their personal well-being. This was also beneficial for community practitioners, who were not clinically qualified, to facilitate reflective learning at grassroots level. Analysis of this research enables a conclusion to be drawn to suggest that well-being is a valuable construct in unifying community development.


2013 ◽  
Vol 4 (1) ◽  
pp. 136
Author(s):  
Crystal Hincks ◽  
Anne Miller ◽  
Monica Pauls

This article discusses and demonstrates the discrepancies between ideal, theoretical program evaluation processes and real world evaluation practice, which is constrained by numerous and varying factors. The article describes the real world experience of Mount Royal University’s Centre for Criminology and Justice Research researchers in conducting an evaluation of the Police and Crisis Team (PACT) in Grande Prairie, Alberta, including a Social Return on Investment (SROI) analysis. PACT, which partners an Royal Canadian Mounted Police (RCMP) officer with a mental health professional, represents a blend of secondary and tertiary crime prevention and attempts to diminish crime in the community by addressing the risk factors of individuals with mental health concerns (creating trust with individuals, increasing awareness of resources, and decreasing stigmatization in the community). PACT also specifically targets those individuals with mental health issues who are in contact with the law to try to decrease recidivism and increase community safety. Challenges were present in the evaluation due to the time frame, staff turnover, program start-up issues, and confidentiality and sensitivity of the program focus. Despite the challenges, the CCJR team completed an evaluation including a forecast SROI, identifying several successes, challenges, and recommendations for change.


2021 ◽  
Author(s):  
Amrita Bandyopadhyay ◽  
Tony Whiffen ◽  
Richard Fry ◽  
Sinead Brophy

Background Children growing up in poverty are less likely to achieve in school and more likely to experience mental health problems. This study examined factors in the local area that can help a child overcome the negative impact of poverty. Method This retrospective cohort study included 159,131 children who lived in Wales and completed their age 16 exams (Key Stage 4 (KS4)) between 2009 and 2016. Free School Meal (FSM) provision was used an indicator of household level deprivation. Area level deprivation was measured by the Welsh Index of Multiple Deprivation 2011. An encrypted unique Anonymous Linking Field was used to link the children with their health and educational records. The outcome variable of 'Overall doing well' was comprised of achieved at KS4, no mental health condition, no substance, and alcohol abuse records. Bidirectional logistic regression models were used to investigate the association between local areas deprivation and child's outcome. Results 22% of children on FSM were 'overall doing well' compared to 54.9% of non-FSM children. FSM Children who lived in the least deprived areas are significantly more likely to do well (adjusted odds ratio (aOR) - 2.20 (1.93-2.51)) than children lived in the most deprived areas. FSM children, living in areas with higher community safety, higher relative income, higher access to services, are more likely to do well than their peers. Conclusion This study highlights that investing in community development (e.g., safety, back to work schemes, connectivity) helps in child's education attainment, mental health and reduce risk-taking behaviours.


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