The Challenge of Psychiatric Treatments in the Deaf Population

2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1
Author(s):  
M. DuFeu
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
National Policy ◽  
Treatment Programs ◽  
List Type ◽  
Deaf People ◽  
Treatment Needs ◽  
Client Group ◽  
Health Services Need

Delivering appropriate psychiatric treatments to a Deaf population faces many challenges:•The geographical spread of this client group, who comprise about one in a thousand of the general population.•The complexity of the treatment needs of Deaf people, who may have neurological, psychiatric, social, emotional and psychological difficulties, in addition to a deprived history, which can include significant language delay or deprivation.•The challenge of delivering multi disciplinary treatment programs in conjunction with locally based mainstream resources. Most specialist Mental Health services for Deaf people do cannot provide out of hours or crisis services, and some do not have sufficient community based staff, or any day or in patient provision.The specialist Deaf mental health services need to undertake major awareness, teaching and liaison programs:•With any agency in contact with Deaf people, including Health, Mental Health and Social work and voluntary organistions.•With the Deaf Community to raise awareness of mental health issues, to give information and remove stigma.All these initiatives need to take place locally as well as at national policy making level.

scholarly journals Funding approaches for mental health services: is there still a role for clustering?

2018 ◽  
Vol 24 (6) ◽  
pp. 412-421 ◽  
Author(s):  
Rowena Jacobs ◽  
Martin Chalkley ◽  
María José Aragón ◽  
Jan R. Böhnke ◽  
Michael Clark ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Mental Healthcare ◽  
List Type ◽  
Robust Model ◽  
Starting Point ◽  
Mental Health Activity ◽  
Health Services Need ◽  
Rapid Pace

SUMMARYFunding for mental health services in England faces many challenges, including operating under financial constraints where it is not easy to demonstrate the link between activity and funding. Mental health services need to operate alongside and collaborate with acute physical hospital services, where there is a well-established system for paying for activity. The funding landscape is shifting at a rapid pace and we outline the distinctions between the three main options – block contracts, episodic payment and capitation. Classification of treatment episodes via clustering presents an opportunity to demonstrate activity and reward it within these payment approaches. We discuss the results of our research into how well the clustering system is performing against a number of fundamental criteria. We find that, according to these criteria, clusters are falling short of providing a sound basis for measuring and financing services. Nevertheless, we argue that clustering is the best available option and is essential for a more transparent funding approach for mental healthcare to demonstrate its claim on resources, and that clusters should therefore be a starting point for evolving a better funding system.LEARNING OBJECTIVES•Understand the different payment models currently being used and proposed in mental health services in England•Understand the role of clustering in measuring mental health activity and providing a basis for funding•Understand how a robust model of clustering can benefit the provision of mental health servicesDECLARATION OF INTERESTNone.

Implementing a national case-management training program in Portugal

2011 ◽  
Vol 26 (S2) ◽  
pp. 555-555
Author(s):  
P. Mateus ◽  
M. Xavier ◽  
J. Caldas-Almeida
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Case Management ◽  
Training Program ◽  
National Level ◽  
Management Training ◽  
Role Playing ◽  
List Type ◽  
Program Content

IntroductionIn Portugal, a new National Mental Health Plan has been launched with the following objectives: equal access to care, decentralisation of mental health services and integration of mental health services in the general health services. In order to change the operational model for mental health teams, a case-management training program has been launched by the Ministry of Health.ObjectivesThis study aims to evaluate: a)the feasibility of implementing the program on a national level,b)the quality of the training program andc)the satisfaction of the trainees.MethodsThe study was carried out at 36 public mental health services in mainland Portugal. The professionals attended a case management course (SAMHSA procedures), in which they were trained by means of guidelines, demonstrative audios, scenarios and role-playing. The assessment was conducted with a questionnaire addressing logistics, program content, acquisition of skills, usefulness and overall satisfaction.Results135 professionals from the whole country have been involved. The trainees’ acquisition of competences was found rather satisfactory. Results of the training were impressive regarding satisfaction and motivation of the trainees (69% were highly satisfied). Dimensions such as organization (35% highly satisfied, 52% satisfied), program content (41% highly satisfied, 43% satisfied), practical skills gaining (35% highly satisfied, 58% satisfied) and usefulness (58% highly satisfied, 31% satisfied) were also very well rated.ConclusionsOf upmost relevance, it was possible to implement a case management training program at a national level, with no particular difficulties. The impact of courses on trainees was overall impressive.

scholarly journals Choice in mental health: myths and possibilities

2007 ◽  
Vol 13 (1) ◽  
pp. 60-67 ◽  
Author(s):  
Koravangattu Menon Valsraj ◽  
Nichola Gardner
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Social Inclusion ◽  
Mental Health Problems ◽  
National Policy ◽  
Mental Healthcare ◽  
Policy Makers ◽  
Healthcare Model ◽  
The Government

The government in England and Wales is promoting policies and initiatives to offer patients choice across all healthcare specialties. This has raised concerns in mental healthcare, particularly if the physical healthcare model of implementation is imposed. However, the ‘choice agenda’ is an opportunity for mental health services to be innovative and act as beacons to other disciplines in healthcare. The south-east London programme introducing choice in mental health services is offered as an example here. There already exists an ‘ethos of choice’ within mental health services, but current practices may require a focused approach and structuring to fit in with national policy. This also might be necessary to influence policy makers to take a different perspective on choice in mental health. The principle of choice goes hand in hand with the drive towards greater social inclusion for people with mental health problems.

Mental health care in London

2005 ◽  
Vol 20 (S2) ◽  
pp. s274-s278 ◽  
Author(s):  
P. De Ponte ◽  
G. Hughes
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Services ◽  
Health Services ◽  
Mental Health Care ◽  
National Policy ◽  
Health Staff ◽  
Mental Health Staff ◽  
The Uk ◽  
Occupancy Rates

AbstractAimTo describe principles and characteristics of mental health care in London.MethodBased on existing data, service provision, number of professionals working in services, funding arrangements, pathways intocare, user/carer involvement and specific issues are reported.ResultsLondon experiences high levels of need and use of mental health services compared to England as a whole. Inpatient andcompulsory admissions are considerably higher than the national average. Despite having more psychiatric beds and mental health staff, London has higher bed occupancy rates and staffing shortages. At the same time there is a trend away from institutionalised care to care in the community.ConclusionMental health services in the UK are undergoing considerable reform. These changes will not remove the greater need formental health services in the capital, but national policy and funding lends support to cross-agency and pan-London work to tackle some of the problems characteristic of mental health in London. Whilst various issues of mental health care in London overlap with those in other European capitals, there also are some specific problems and features.

scholarly journals Sustainable psychiatry in the UK

2014 ◽  
Vol 38 (6) ◽  
pp. 285-290 ◽  
Author(s):  
Sucharita Yarlagadda ◽  
Daniel Maughan ◽  
Susie Lingwood ◽  
Phil Davison
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Patient Empowerment ◽  
Service Design ◽  
Maximum Benefit ◽  
Health Services Need ◽  
Sustainable System ◽  
The Uk ◽  
Clinical Transformation

SummaryDemands on our mental health services are growing as financial pressures increase. In addition, there are regular changes to service design and commissioning. The current political mantra is ‘more and more, of better quality, for less and less, please’. We suggest that mental health services need to actively respond to these constraints and that clinical transformation is needed to move towards a more sustainable system of healthcare. Emphasis on prevention, patient empowerment and leaner, greener services is required alongside more extensive use of technologies. Focusing on these areas will make mental health services more responsive to the challenges we face and serve to future-proof psychiatry in the UK. Services need to be delivered to provide maximum benefit to the health of our patients, but also to our society and the environment.

scholarly journals Evaluating mental health services. A world perspective

1997 ◽  
Vol 6 (S1) ◽  
pp. 239-245
Author(s):  
Norman Sartorius
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Services ◽  
Health Services ◽  
World Wide ◽  
List Type ◽  
Type Number ◽  
Evaluative Research ◽  
World Perspective

Evaluations of mental health services are much in demand. Their results are supposed to help in improving the quality of mental health care and in making them economically better viable.Yet, world-wide there is: 1)little agreement about the content of terms such as evaluation, mental health service, outcome of an activity although these and other terms are widely used;2)uncertainty about the best use of results of evaluative research;3)lack of consensus about who should evaluate what and by what method.

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