Evaluating the impact of social reforms on mental health: the Finnish basic income experiment as a model of good practice

Purpose The purpose of this paper is to consider the impact of mental capacity legislation when applied to parents with learning difficulties who lack capacity within childcare and family law proceedings in England and Wales. Design/methodology/approach The paper relies on a range of material including reports published by independent mental health foundations, official inquiries and other public bodies. It also refers to academic and practitioner material in journals and government guidance. Findings The paper critically reviews the application of the guidance when assessing mental capacity legislation as applied in England and Wales and offers by way of illustration several case examples where psychological assessments, and the enhancement of capacity, have assisted parents who were involved in childcare and family law proceedings. Research limitations/implications There has been little published research or governmental reports on the number of cases when parents involved in childcare and family law proceedings have been found to lack capacity. No published prevalence data are available on the times when enhancing capacity has resulted in a change of outcome in childcare and family law proceedings. Practical implications The duty is on the mental health practitioners assessing mental capacity that they do so in a structured and supportive role adhering to good practice guidance and follow the guiding principles of mental capacity legislation assuming that the individual has capacity unless it is established that they lack capacity. Guidance and training is needed to ensure that the interpretation of the Mental Capacity Act (MCA) and its application is applied consistently. Social implications For those who are considered to lack mental capacity to make specific decisions, particularly within childcare and family law proceedings, safeguards are in place to better support such individuals and enhance their capacity in order that they can participate more fully in proceedings. Originality/value While the MCA legislation has now been enacted for over ten years, there is very little analysis of the implications of capacity assessments on parents involved in childcare and family law proceedings. This paper presents an overview and, in places, a critical analysis of the new safeguarding duties of mental health practitioners when assessing for, and enhancing capacity in parents.

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Children of Parents with a Mental Illness — The COPMI Project

Australian Journal of Guidance and Counselling ◽

10.1017/s1037291100004775 ◽

2003 ◽

Vol 13 (1) ◽

pp. 99-105

Author(s):

Elizabeth Fudge

Keyword(s):

Mental Health ◽

Mental Illness ◽

Health Outcomes ◽

Mental Health Problems ◽

Service Providers ◽

Good Practice ◽

Health Problems ◽

Mental Health Outcomes ◽

Outcomes For Children ◽

The Impact

When adults experience mental health problems, the effect on their family members can be immense. The impact on the person's children, both of the parent's behaviour and of their treatment, can be profound but is frequently overlooked by service providers for a range of reasons. The current national COPMI project has been initiated to promote better mental health outcomes for children of parents with a mental illness, especially by providing information and good practice guidance for services and people in the community who work with these families and their children.

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The United Nations Convention on the Rights of Persons with Disabilities: A New Approach to Decision-Making in Mental Health Law

European Journal of Health Law ◽

10.1163/15718093-12341237 ◽

2012 ◽

Vol 19 (5) ◽

pp. 423-440 ◽

Cited By ~ 21

Author(s):

Fiona Morrissey

Keyword(s):

Mental Health ◽

Decision Making ◽

Good Practice ◽

Equal Treatment ◽

Legal Capacity ◽

Health Law ◽

Persons With Disabilities ◽

Mental Health Law ◽

Health Rights ◽

The Impact

Abstract The UN Convention on the Rights of Persons with Disabilities (CRPD) requires us to engage in new approaches to decision-making in mental health law. The reclassification of mental health rights to the realm of disability rights is an important step towards equal treatment for persons with psychosocial disabilities. Law reformers worldwide are beginning to consider the implications of the provisions. Legislators will be required to understand the underlying philosophy of the CRPD to realise the rights set out in it. The CRPD possesses a number of innovative provisions which can transform decision-making in the mental health context. Article 12 provides a new conceptualisation of persons with disabilities and their capacity to participate by requiring support to exercise legal capacity. While good practice exists, the provision has yet to be fully implemented by many State Parties. This article discusses the impact of the CRPD on mental health law, legal capacity law and describes examples of supported decision-making models for mental health care.

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The impact of a good practice manual on professional practice associated with psychotropic PRN in acute mental health wards: An exploratory study

International Journal of Nursing Studies ◽

10.1016/j.ijnurstu.2008.01.004 ◽

2008 ◽

Vol 45 (10) ◽

pp. 1403-1410 ◽

Cited By ~ 22

Author(s):

J.A. Baker ◽

K. Lovell ◽

N. Harris

Keyword(s):

Mental Health ◽

Professional Practice ◽

Exploratory Study ◽

Good Practice ◽

The Impact

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Embedding interagency working between schools and mental health specialists: A service evaluation of theMental Health Services and Schools and Colleges Link Programmeworkshops

Clinical Child Psychology and Psychiatry ◽

10.1177/1359104519849640 ◽

2019 ◽

Vol 24 (4) ◽

pp. 906-920 ◽

Cited By ~ 2

Author(s):

Melissa A. Cortina ◽

Judith Shipman ◽

Felicity Saunders ◽

Laurie Day ◽

Rachel Blades ◽

...

Keyword(s):

Mental Health ◽

Health Services ◽

Mental Health Professionals ◽

Good Practice ◽

Service Evaluation ◽

Mental Health Providers ◽

Health Providers ◽

Building Relationships ◽

Continuous Contact ◽

The Impact

There is increasing focus on the need for schools to work more effectively with specialist mental health providers, but there have been historic challenges in embedding closer interagency working. This article reports the results of a service evaluation of a 2-day workshop designed to facilitate improved working between schools and children and young people’s mental health services (CYPMHS). Mental health leads from 255 schools, mental health professionals and other key stakeholders all took part in one of 26 two-day workshops across the United Kingdom. The impact on interagency working was examined using changes in pre- and post-survey results, changes in self-reported aspects of interagency working and 10 local reviews of practice. The pre–post questionnaires showed improvements in interagency working (e.g. 55% of school leads reported being in ‘monthly’ or ‘continuous’ contact with the National Health Service (NHS) CYPMHS1at follow-up, compared with 24% at baseline). The group-completed CASCADE framework showed an overall increase in collaborative working, although some areas continued to report significant challenges such as in relation to common outcome measures. The local reviews found positive changes in interagency working, in terms of building relationships, improved communication and sharing good practice. This service evaluation of the workshops found some evidence of improved interagency working between schools and CYPMHS, but more controlled research is needed to consider generalisability and scalability.

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Medicinos informacijos paslaugų poveikio analizė

Informacijos mokslai ◽

10.15388/im.2007.0.3464 ◽

2007 ◽

Vol 40 ◽

pp. 95-104

Author(s):

Lyn Robinson ◽

David Bawden

Keyword(s):

Mental Health ◽

Primary Care ◽

Healthcare Professionals ◽

Health Workers ◽

Good Practice ◽

Information Services ◽

Mental Health Workers ◽

Factors Affecting ◽

Outreach Services ◽

The Impact

Darbo tikslas – analizuoti problemas, susijusias su bibliotekø ir informaciniø paslaugø poveikiu medicinos darbuotojams, ir pateikti rekomendacijas, leidþianèias plëtoti ðio tipo informaciniø paslaugø teikimà. Nagrinëjamas nestacionaraus pirminës sveikatos prieþiûros ir psichikos sveikatos srièiø medicinos darbuotojø aptarnavimo Londono mieste atvejis, remiantis 2006 m. kovà atliktu Londono medicinos bibliotekø veiklos tyrimu. Straipsnyje iðskiriami nevienodai lengvai iðmatuojami informacinio aptarnavimo aspektai, kartu ávertinant ir juos veikianèius faktorius. Tyrimu buvo siekta parodyti kokybinius tiek tiesioginio, tiek netiesioginio Londono medicinos bibliotekø informaciniø paslaugø poveikio rodiklius. Tirta trimis etapais: • Darbo apraðymø, ataskaitø, darbo ávertinimo apklausø bei kitos dokumentacijos analizë; • Bibliotekininkø interviu metodo taikymas; • Vartotojø apklausos anketø studijavimas. Buvo nustatytos ðios informacinio aptarnavimo poveikio sritys (svarbos maþëjimo seka): • Didesnë aptarnaujamø medikø informaciniø iðtekliø kompetencija ir panauda; • Kokybiðkai geresni apmokytø medicinos darbuotojø informacinio raðtingumo ágûdþiai; • Operatyvus vartotojø informavimas apie prieinamus iðteklius; • Medicinos darbuotojai jautë informacinæ paramà, didesná pasitikëjimà savo profesiniais gebëjimais; • Bibliotekinis aptarnavimas skatino racionalesnës ir árodymais grástos medicinos praktikos taikymà; • Visø lygiø medicinos darbuotojø sprendimai skiriant gydymà tapo geresni. Pagrindiniais nestacionaraus medikø informacinio aptarnavimo veiksniais laikytini: • Informacinio aptarnavimo charakterisitikos; • Bibliotekininkø asmeninës ir profesinës savybës; • Informacinio aptarnavimo organizacijos dalykai; • Informacinio aptarnavimo problemos. Tyrëjai pateikia ðias esmines rekomendacijas ir iðvadas: • Nestacionarus medicinos darbuotojø aptarnavimas daro netiesioginá poveiká ligoniø gydymui, todël turëtø bûti toliau plëtojamas ir remiamas finansiðkai; • Siekiant nustatyti tiesioginæ sàsajà tarp bibliotekinio aptarnavimo ir sëkmingo medikø darbo, reikia detaliau iðtirti vartotojus, bet tai gali bûti neámanoma bendruomeninëse sveikatos prieþiûros ástaigose. Measuring the impact of healthcare information services*Lyn Robinson, David Bawden SummaryThis paper looks at the issues inherent in assessing the impact of library and information services (LIS) to healthcare professionals. Using the example of an evaluation of outreach services to primary care and mental health workers within London, we identify service features which are readily measurable and those which are not, together with the factors affecting them. Recommendations for good practice are drawn from the findings**.

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The Mental Health and Social Exclusion European Network

European Psychologist ◽

10.1027//1016-9040.5.3.245 ◽

2000 ◽

Vol 5 (3) ◽

pp. 245-251 ◽

Cited By ~ 9

Author(s):

Luigi Leonori ◽

Manuel Muñoz ◽

Carmelo Vázquez ◽

José J. Vázquez ◽

Mary Fe Bravo ◽

...

Keyword(s):

Mental Health ◽

European Union ◽

Social Exclusion ◽

Mentally Ill ◽

Outcome Evaluation ◽

World Federation ◽

The European Union ◽

Capital Cities ◽

Homeless Mentally Ill ◽

The Impact

This report concerns the activities developed by the Mental Health and Social Exclusion (MHSE) Network, an initiative supported by the Mental Health Europe (World Federation of Mental Health). We report some data from the preliminary survey done in five capital cities of the European Union (Madrid, Copenhagen, Brussels, Lisbon, and Rome). The main aim of this survey was to investigate, from a mostly qualitative point of view, the causal and supportive factors implicated in the situation of the homeless mentally ill in Europe. The results point out the familial and childhood roots of homelessness, the perceived causes of the situation, the relationships with the support services, and the expectations of future of the homeless mentally ill. The analysis of results has helped to identify the different variables implicated in the social rupture process that influences homelessness in major European cities. The results were used as the basis for the design of a more ambitious current research project about the impact of the medical and psychosocial interventions in the homeless. This project is being developed in 10 capital cities of the European Union with a focus on the program and outcome evaluation of the health and psychosocial services for the disadvantaged.

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