scholarly journals Effect of managed transition on mental health outcomes for young people at the child–adult mental health service boundary: a randomised clinical trial

2021 ◽  
pp. 1-12
Author(s):  
S. P. Singh ◽  
H. Tuomainen ◽  
G. Bouliotis ◽  
A. Canaway ◽  
G. De Girolamo ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Young People ◽  
Health Service ◽  
Health Outcomes ◽  
Transitional Care ◽  
Randomised Trial ◽  
Mental Health Outcomes ◽  
Adult Mental Health ◽  
Adult Mental Health Service

Abstract Background Poor transition planning contributes to discontinuity of care at the child–adult mental health service boundary (SB), adversely affecting mental health outcomes in young people (YP). The aim of the study was to determine whether managed transition (MT) improves mental health outcomes of YP reaching the child/adolescent mental health service (CAMHS) boundary compared with usual care (UC). Methods A two-arm cluster-randomised trial (ISRCTN83240263 and NCT03013595) with clusters allocated 1:2 between MT and UC. Recruitment took place in 40 CAMHS (eight European countries) between October 2015 and December 2016. Eligible participants were CAMHS service users who were receiving treatment or had a diagnosed mental disorder, had an IQ ⩾ 70 and were within 1 year of reaching the SB. MT was a multi-component intervention that included CAMHS training, systematic identification of YP approaching SB, a structured assessment (Transition Readiness and Appropriateness Measure) and sharing of information between CAMHS and adult mental health services. The primary outcome was HoNOSCA (Health of the Nation Outcome Scale for Children and Adolescents) score 15-months post-entry to the trial. Results The mean difference in HoNOSCA scores between the MT and UC arms at 15 months was −1.11 points (95% confidence interval −2.07 to −0.14, p = 0.03). The cost of delivering the intervention was relatively modest (€17–€65 per service user). Conclusions MT led to improved mental health of YP after the SB but the magnitude of the effect was small. The intervention can be implemented at low cost and form part of planned and purposeful transitional care.

scholarly journals Art, nature and mental health: assessing the biopsychosocial effects of a ‘creative green prescription’ museum programme involving horticulture, artmaking and collections

2020 ◽  
Vol 140 (5) ◽  
pp. 277-285
Author(s):  
LJ Thomson ◽  
N Morse ◽  
E Elsden ◽  
HJ Chatterjee
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Health Service ◽  
Phase 1 ◽  
Psychological Wellbeing ◽  
Service Users ◽  
Phase 2 ◽  
Adult Mental Health ◽  
Adult Mental Health Service ◽  
Two Phases

Aims: To assess the biopsychosocial effects of participation in a unique, combined arts- and nature-based museum intervention, involving engagement with horticulture, artmaking and museum collections, on adult mental health service users. Methods: Adult mental health service users (total n = 46 across two phases) with an average age of 53 were referred through social prescribing by community partners (mental health nurse and via a day centre for disadvantaged and vulnerable adults) to a 10-week ‘creative green prescription’ programme held in Whitworth Park and the Whitworth Art Gallery. The study used an exploratory sequential mixed methods design comprising two phases – Phase 1 (September to December 2016): qualitative research investigating the views of participants ( n = 26) through semi-structured interviews and diaries and Phase 2 (February to April 2018): quantitative research informed by Phase 1 analysing psychological wellbeing data from participants ( n = 20) who completed the UCL Museum Wellbeing Measure pre–post programme. Results: Inductive thematic analysis of Phase 1 interview data revealed increased feelings of wellbeing brought about by improved self-esteem, decreased social isolation and the formation of communities of practice. Statistical analysis of pre–post quantitative measures in Phase 2 found a highly significant increase in psychological wellbeing. Conclusion: Creative green prescription programmes, using a combination of arts- and nature-based activities, present distinct synergistic benefits that have the potential to make a significant impact on the psychosocial wellbeing of adult mental health service users. Museums with parks and gardens should consider integrating programmes of outdoor and indoor collections-inspired creative activities permitting combined engagement with nature, art and wellbeing.

scholarly journals Validation of 28 and 15 item versions of the SCORE family assessment questionnaire with adult mental health service users

2016 ◽  
Vol 39 (1) ◽  
pp. 4-20 ◽  
Author(s):  
Kevin O'Hanrahan ◽  
Megan Daly White ◽  
Alan Carr ◽  
Paul Cahill ◽  
Mairi Keenleyside ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Health Service ◽  
Service Users ◽  
Family Assessment ◽  
Adult Mental Health ◽  
Adult Mental Health Service ◽  
Assessment Questionnaire

Exploration of the dynamic barriers to adults with intellectual disabilities accessing mainstream mental health services

2015 ◽  
Vol 9 (6) ◽  
pp. 352-362 ◽  
Author(s):  
Paddy McNally ◽  
Kimberly McMurray
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Mental Health Services ◽  
Health Service ◽  
Health Services ◽  
Intellectual Disabilities ◽  
Learning Disability ◽  
Content Type ◽  
Adult Mental Health ◽  
Adult Mental Health Service

Purpose – The purpose of this paper is to investigate the experiences of psychologists in considering the barriers to people with intellectual disabilities being able to access mainstream mental health services. Design/methodology/approach – The information relating to participant experiences was gathered by conducting two focus groups: one with psychologists working in the adult mental health service and the second with psychologists working in the learning disability service. A thematic analysis was used to determine the main themes from each of the focus groups. Findings – The overarching themes for the psychologists in the adult mental health service related to: service restrictions; confidence in their ability/skills; and resistance to change. The overarching themes for the psychologists in the learning disability service reflected: future thinking; protection; pessimism; and clarification around mental health and learning disability. Originality/value – The discussion includes consideration of the dynamic positions of the two services and recommendations for an integrated system of working.

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