scholarly journals Trauma-informed mental healthcare in the UK: what is it and how can we further its development?

2016 ◽  
Vol 21 (3) ◽  
pp. 174-192 ◽  
Author(s):  
Angela Sweeney ◽  
Sarah Clement ◽  
Beth Filson ◽  
Angela Kennedy
Keyword(s):  
Mental Health ◽  
Mental Healthcare ◽  
Trauma Survivors ◽  
Health Service Provision ◽  
Content Type ◽  
The Usa ◽  
Trauma Informed ◽  
Barriers To Implementation ◽  
The Uk ◽  
Mental Health Service Provision

Purpose The purpose of this paper is to describe and explain trauma-informed approaches (TIAs) to mental health. It outlines evidence on the link between trauma and mental health, explains the principles of TIAs and their application in mental health and explores the extent to which TIAs are impacting in the UK. Design/methodology/approach The approach is a conceptual account of TIAs including a consideration of why they are important, what they are and how they can become more prevalent in the UK. This is supported by a narrative overview of literature on effectiveness and a scoping of the spread of TIAs in the UK. Findings There is strong and growing evidence of a link between trauma and mental health, as well as evidence that the current mental health system can retraumatise trauma survivors. There is also emerging evidence that trauma-informed systems are effective and can benefit staff and trauma survivors. Whilst TIAs are spreading beyond the USA where they developed, they have made little impact in the UK. The reasons for this are explored and ways of overcoming barriers to implementation discussed. Originality/value This paper – authored by trauma survivors and staff – describes an innovative approach to mental health service provision that, it is argued, could have immense benefits for staff and service users alike.

Francis, Berwick and culture change – an opportunity to engage patients and increase transparency in mental health

2014 ◽  
Vol 18 (1) ◽  
pp. 13-16 ◽  
Author(s):  
Sophie Corlett
Keyword(s):  
Mental Health ◽  
Health Policy ◽  
Mental Health Services ◽  
Health Services ◽  
Mental Health Policy ◽  
Health Service Provision ◽  
Content Type ◽  
Recent Developments ◽  
The Uk ◽  
Mental Health Service Provision

Purpose – The Policy Watch series reflects on recent and forthcoming developments in mental health policy across the UK. The purpose of this paper is to review recent developments in mental health policy, specifically the implications and learning for mental health services of recent scandals such as Mid Staffordshire and Winterbourne View and the various responses to them. Design/methodology/approach – This paper reviews and summarises recent developments in national mental health policy in England and their implications for mental health service provision. Findings – The paper outlines how learning from recent scandals such as Mid Staffordshire and Winterbourne View can be applied in mental health services. Originality/value – The paper updates and discusses recent policy developments in the NHS and their implications for mental health services.

Incarcerated youth mental and physical health: parity of esteem

2017 ◽  
Vol 10 (3) ◽  
pp. 203-212 ◽  
Author(s):  
Yolisha Singh ◽  
John Kasinathan ◽  
Andrew Kennedy
Keyword(s):  
Mental Health ◽  
Health Service ◽  
Service Provision ◽  
Relevant Literature ◽  
Mental Healthcare ◽  
Incarcerated Youth ◽  
Physical And Mental Health ◽  
Global Improvement ◽  
Health Service Provision ◽  
Content Type

Purpose The purpose of this paper is to describe physical and mental health characteristics of incarcerated youth both internationally and in New South Wales (NSW) Australia. To outline current practices in the provision of mental and physical healthcare for incarcerated youth internationally and in NSW. Design/methodology/approach Population relevant literature will be outlined as applicable. Health service delivery will be discussed, with an emphasis on the experiences of NSW physical and mental health service provision for incarcerated youth. Findings This paper illustrates that in NSW there was a parity of provision between physical and mental healthcare, though there were deficits in what should ideally be provided. Internationally there was clear evidence that current minimum standards of healthcare in both physical and mental healthcare domains remain unmet. Practical implications Provision of physical and mental healthcare for incarcerated youth warrants global improvement. Further research into current provisions, across jurisdictions and subsequent standardisation of practice, will improve health outcomes for this vulnerable group. Originality/value This is the first paper to describe mental and physical healthcare provision in NSW for incarcerated youth framed within the broader context of international health service provision for similar populations.

scholarly journals Using Fraser’s model of ‘progressive neoliberalism’ to analyse deinstitutionalisation and community care

2020 ◽  
Vol 8 (1) ◽  
pp. 77-93
Author(s):  
Ian Cummins
Keyword(s):  
Mental Health ◽  
Community Care ◽  
Free Market ◽  
Mental Health Policy ◽  
Health Policies ◽  
Economic Policies ◽  
Health Service Provision ◽  
The Uk ◽  
Mental Health Service Provision ◽  
Mental Health Policies

This article will argue that Nancy Fraser’s (2017, 2019) notion of ‘progressive neoliberalism’ provides a conceptual lens that can be effective in the development of a critical analysis of mental health policy in England and Wales during the period of deinstitutionalisation and community care. Mental health policies that came steeped in an originally progressive discourse of choice, empowerment and wider service user rights were introduced by governments largely committed to the free market. In the UK and US, this produced a contradictory position where moves towards a community-oriented vision of mental health service provision were overseen by administrations that were committed to a small state and fiscal conservatism. There were similar developments in other areas. Fraser (2017, 2019) terms this mixture of socially progressive rhetoric and market economics ‘progressive neoliberalism’. Fraser’s model of progressive neoliberalism argues that neoliberalism has colonised progressive discourses. The article outlines this theoretical model and then applies it to the development of community care. It argues that policy responses to the perceived failings of community care focused on increased powers of surveillance, including the introduction of legislation that allows for compulsory treatment in the community. This focus on legislation was at the expense of social investment. The article concludes that the introduction of austerity in the UK has strengthened these trends. For example, The Coalition government (2010‐15) introduced new mental health policies such as ‘No decision about me without me’, which emphasised inclusive approaches to service organisation and delivery. At the same time, it followed social and economic policies that increased inequality, reduced welfare payments and entitlements, and cut services. These are all factors that contribute to higher levels of mental distress across society.

Communication – a culture of open dialogue

2015 ◽  
Vol 36 (1) ◽  
pp. 29-35 ◽  
Author(s):  
Val Jackson ◽  
Alex Perry
Keyword(s):  
Mental Health ◽  
Social Network ◽  
Design Methodology ◽  
Close Collaboration ◽  
Content Type ◽  
The World ◽  
Recent Developments ◽  
The Usa ◽  
Open Dialogue ◽  
The Uk

Purpose – Open dialogue (OD) is an innovative approach to mental health crises based on close collaboration between services and an individual’s family and social network. The approach was originally designed by Jaakko Seikkula and his colleagues in Tornio, Finland and is now being developed in many countries around the world, in particular Denmark, Germany, Norway and the USA. OD describes both a way of being with families and also a way of organising services aimed at maximising communication and connection. The purpose of this paper is to describe the principles of OD, it’s development in Finland and here in the UK. Design/methodology/approach – This paper is a description of the principles and outcomes of OD as practised in Western Finland. It also describes the recent developments in the UK using the approach. Findings – This paper is descriptive of the model and is not of a research project. Originality/value – Whilst care must be taken in assuming that these remarkable results are transferable to the UK, other countries and several Mental Health trusts in England are actively engaged with developing an OD approach.

Research watch: people of Black African and African Caribbean heritage in the UK and USA – psychosis, racism and inclusion

2020 ◽  
Vol 24 (2) ◽  
pp. 67-74
Author(s):  
Sue Holttum
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Social Inclusion ◽  
Spiritual Beliefs ◽  
Content Type ◽  
Black African ◽  
African Caribbean ◽  
The Usa ◽  
The Uk

Purpose This paper aims to examine three recent papers on psychosis and social inclusion in relation to people of Black African and African Caribbean heritage in the UK and the USA. Design/methodology/approach A search was carried out for recent papers on psychosis and social inclusion in relation to people of Black African and African Caribbean heritage in the UK and the USA. I selected three papers addressing this theme from different angles. Findings The first paper extends previous findings (that psychosis can follow traumatic events) to Black Americans and includes the contribution of societal inequalities and racism. The second paper illustrates Black men’s experiences of mental health services for psychosis in the UK. It finds, not surprisingly, that a lack of listening combined with coercive use of medication reduces trust in services. The third paper offers hope in reporting collaborative work with people of Black African Caribbean heritage in the UK to culturally adapt family intervention for psychosis. The first and third papers both place importance on valuing people’s spiritual beliefs. Originality/value All three papers highlight the on-going need for increased equity and social inclusion in mental health services for people of Black African and African Caribbean heritage, in terms of recognising the role of childhood trauma and later stresses, addressing the potential harm of over-reliance on medication, offering therapy that is collaborative and culturally adapted and respecting valued spiritual beliefs.

Effective partnerships with community groups

2010 ◽  
pp. 529-536
Author(s):  
Kevin Khayat
Keyword(s):  
Mental Health ◽  
Local Community ◽  
Natural Extension ◽  
Voluntary Organizations ◽  
Community Groups ◽  
Health Service Provision ◽  
Knowledge And Skills ◽  
Track Record ◽  
The Uk ◽  
Mental Health Service Provision

"Chapter 57 considers how and why local community and voluntary groups can contribute to providing LI CBT. Many large regional or national voluntary organizations have a strong track record in mental health service provision (e.g. Rethink, Mind, and Cruse in the UK), but such groups are not the focus here, since LI CBT is a natural extension to their current range of services. Rather, this chapter considers how and why larger providers—whether public, private or voluntary sector—ought to consider incorporating the knowledge and skills of small, local groups."

Mental health nursing: is Rome burning?

2020 ◽  
Vol 9 (2) ◽  
pp. 1-11
Author(s):  
Edward White ◽  
Charles Brooker
Keyword(s):  
Mental Health ◽  
Service Provision ◽  
Evidence Base ◽  
Research Activity ◽  
Mental Health Nursing ◽  
Mental Health Nurses ◽  
Health Service Provision ◽  
Health Nursing ◽  
The Uk ◽  
Mental Health Service Provision

Background/Aims The recent period of financial austerity, between 2010 and 2020, adversely impacted mental health service provision and raised fundamental questions for mental health nurses. This article aims to identify and discuss present areas of professional concern to mental health nurses in the UK. Methods The authors invited submissions from 12 experienced mental health nurses regarding the contemporary circumstances and likely future direction of mental health nursing. Each manuscript was reviewed, and recurrent themes emerged around which an editorial discussion was framed. Findings Many issues around service provision have persisted and/or deteriorated over time. The impacts on mental health nursing continue to be largely related to the type of educational preparation required, the size of the workforce and the research activity deemed necessary to strengthen the evidence base of clinical practice. Conclusions Mental health nursing faces several challenging issues to address if it is to survive and then to establish the unique professional identity it seeks.

scholarly journals The need for measurable standards in mental health interpreting: a neglected area

2012 ◽  
Vol 36 (4) ◽  
pp. 121-124 ◽  
Author(s):  
Jan Cambridge ◽  
Swaran P. Singh ◽  
Mark Johnson
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Health Service ◽  
Service Provision ◽  
Limited English Proficiency ◽  
Healthcare Providers ◽  
Health Service Provision ◽  
Language Difficulties ◽  
The Uk ◽  
Mental Health Service Provision

SummaryThis editorial offers an overview of mental health service provision across different languages and cultures in the UK. It is increasingly recognised that mental health service users with limited English proficiency are rendered doubly vulnerable by the combination of their illness and their language difficulties. Only recently has the importance of safe, coherent, nationally available interpreting, translation and language support (ITALS) been recognised by healthcare providers. We review the challenges within the interpreted interaction, some reasons for the scarcity of qualified and accredited ITALS suppliers, and some solutions to the ITALS problem.

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