Creating a culture of employability in mental health

2014 ◽  
Vol 18 (1) ◽  
pp. 29-34 ◽  
Author(s):  
Naomi Boycott ◽  
Justine Schneider ◽  
Michael Osborne
Keyword(s):  
Mental Health ◽  
Supported Employment ◽  
Implementation Process ◽  
Lessons Learned ◽  
Service Development ◽  
Content Type ◽  
The Individual ◽  
The Uk ◽  
Early Intervention In Psychosis ◽  
The Impact

Purpose – The purpose of this paper is to draw out the lessons learned from the implementation of the Individual Placement and Support (IPS) approach to supported employment in two contrasting adult mental health teams; one “standard” CMHT, and one early intervention in psychosis (EIP) team. Design/methodology/approach – These inferences are based on the evidence from a four-year study of IPS in one mental health care provider in the UK, which began by setting up a new service, and went on to run a RCT looking at the impact of psychological input as an adjunct to IPS alone. Findings – In attempting to introduce IPS to mental health teams in Nottingham the authors came across numerous barriers, including service reorganisation, funding cuts and the wider context of recession. Differences were observed between mental health teams in the willingness to embrace IPS. The authors argue that this variability is due to differences in caseload size, recovery priorities and client profiles. The authors have learnt that perseverance, strenuous efforts to engage clinical staff and the use of IPS fidelity reviews can make a positive difference to the implementation process. Practical implications – The experience suggests that setting up an IPS service is possible even in the most challenging of times, and that EIP services may be a particularly fertile ground for this approach. The authors also discuss potential barriers to implementing new services in mental health teams. Originality/value – This paper will be of value to service development and the science of implementation in mental health.

scholarly journals Service user and carers perspectives of joint and integrated working between health and social care

2014 ◽  
Vol 22 (2) ◽  
pp. 62-70 ◽  
Author(s):  
Ailsa Cameron ◽  
Lisa Bostock ◽  
Rachel Lart
Keyword(s):  
Mental Health ◽  
Design Methodology ◽  
Social Care ◽  
Mental Health Problems ◽  
Integrated Services ◽  
Content Type ◽  
Policy Debates ◽  
Health And Social Care ◽  
The Uk ◽  
The Impact

Purpose – The purpose of this paper is to provide an update to a review of the joint working literature in the field of health and social care for adults, with particular emphasis given to the experiences of users and carers. Design/methodology/approach – The aims of the literature review remained largely the same as those of the original, they were to identify: models of joint working, evidence of effectiveness and cost-effectiveness and the factors promoting or hindering the models. However, to reflect the growing interest in the experiences of users and carers a fourth aim was added to map these experiences. Given their prominence in terms of policy debates about integration, the review focused on jointly organised services for older people and people with mental health problems in the UK only. Findings – The review demonstrates tentative signs that some initiatives designed to join-up or integrate services can deliver outcomes desired by government. Importantly some studies that report the experiences of users of services and carers suggest that they perceive benefits from efforts to join-up or integrate services. However it is our contention that the evidence is less than compelling and does not justify the faith invested in the strategy by current or previous governments. Originality/value – The study updates our knowledge of the impact of joint working in the field of health and social care for adults. Importantly the paper highlights what is known about the experiences of users and carers of joint/integrated services.

scholarly journals Mental health occupational therapy and supported employment

2017 ◽  
Vol 45 (1) ◽  
pp. 52-57 ◽  
Author(s):  
Tawanda Machingura ◽  
Chris Lloyd
Keyword(s):  
Mental Health ◽  
Occupational Therapy ◽  
Supported Employment ◽  
Occupational Therapists ◽  
Active Role ◽  
Current Evidence ◽  
Content Type ◽  
The Individual ◽  
Disability Employment ◽  
Ips Model

Purpose The individual placement and support (IPS) model is an evidence-based approach to employment support for people with severe mental illness that functions by co-locating an employment consultant from the local disability employment service within a community mental health team to assist service users to find work. This paper aims to examine the unintended impacts of implementing IPS on occupational therapy practice and offer some suggestions. Design/methodology/approach The authors performed a narrative literature review on the IPS model, employment and occupational therapy. Authors then analysed and discussed impact on occupational therapy practice and concluded by making suggestions based on current evidence and practice. Findings The authors concluded that implementation of IPS has resulted in some unintended changes of practice in mental health with occupational therapists taking a less active role in enabling employment outcomes than previously. This paper concludes by calling upon occupational therapists to re-establish their role of enabling employment. Originality/value This paper offers an original viewpoint on employment and occupational therapy based on current evidence and authors’ expertise.

The impact of employees’ well-being on performance in the workplace

2018 ◽  
Vol 17 (2) ◽  
pp. 72-75 ◽  
Author(s):  
Janice Haddon
Keyword(s):  
Mental Health ◽  
Personal Experience ◽  
Well Being ◽  
Content Type ◽  
Different Types ◽  
The Individual ◽  
Hr Managers ◽  
The Impact ◽  
Mental Well Being ◽  
Made In

Purpose The purpose of this paper is to look at the link between employee well-being in the workplace and its effect on productivity. Specifically, it looks at the different types of well-being (physical, nutritional and mental) and how organisations should be putting the welfare of staff at the heart of their workplace culture, to ensure their well-being and productivity. Design/methodology/approach Written as a viewpoint, the paper outlines the ways in which organisations traditionally offer employees incentives to look after their physical and nutritional well-being, such as gym memberships and healthy food options. It goes on to look at the impact of mental health on productivity and the symptoms employees may display if they are suffering with mental illness. Findings Mental health is one of the key contributors to productivity, and employers should do more to ensure the mental well-being of their staff. In addition, it outlines the impact a person’s mental well-being can have not only on themselves, but also on those around them, affecting, therefore, the productivity of a team/organisation as a whole, not just the individual. Originality/value The findings in the paper are based on personal experience, as well as recent statistics which are used to highlight the importance of the arguments made in the paper about the effect of mental health on and individual’s well-being and productivity. It is designed to advise HR managers and employers of the steps they can take to ensure the well-being of their employees and the benefits to themselves in doing so.

Appreciative enquiry peer review improving quality of services

2019 ◽  
Vol 32 (5) ◽  
pp. 857-866
Author(s):  
Frank R. Burbach ◽  
Sarah K. Amani
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Health Service ◽  
Peer Review ◽  
Large Scale ◽  
Service Development ◽  
Service Improvement ◽  
Content Type ◽  
Early Intervention In Psychosis ◽  
Health Service Improvement

Purpose Mental health service improvement initiatives often involve the setting of targets and monitoring of performance. The purpose of this paper is to describe the application of appreciative enquiry (AE), a radically different but complementary approach to quality assurance and improvement, to specialist mental health services across a health region. Design/methodology/approach This case study describes a regional quality improvement (QI) project involving 12 early intervention in psychosis (EIP) services in South West England. In total, 40 people were trained in AE interviewing skills and in non-reciprocal peer review visits 59 interviews were conducted involving 103 interviewees including service users, carers, clinicians, managers and commissioners. Immediate verbal feedback was provided and main themes summarised in individual reports to host teams using the following headings: team values, strengths, dreams and development plans. A thematic analysis was conducted on team reports and a project report produced which summarised the stages and results of this regional initiative. Findings All participants rated the experience as positive; it enhanced staff motivation and led to service development and improvement. Research limitations/implications The experiences of these 12 EIP teams may not necessarily be generalisable to other services/regions but this positive approach to service improvement could be widely applied. Practical implications AE is applicable in large-scale QI initiatives. Originality/value To the authors knowledge this is the first time that AE has been applied to large-scale mental health service improvement and innovation.

scholarly journals Welcoming peer workers in NHS settings: facilitating readiness with an Early Intervention in Psychosis team

2019 ◽  
Vol 23 (1) ◽  
pp. 30-35
Author(s):  
Kyt Proctor ◽  
Rachael Wood ◽  
Katherine Newman-Taylor
Keyword(s):  
Mental Health ◽  
Early Intervention ◽  
Peer Support ◽  
Pilot Project ◽  
Lessons Learned ◽  
Content Type ◽  
Mental Health Settings ◽  
Business As Usual ◽  
Early Intervention In Psychosis ◽  
Practical Implications

Purpose A pilot project commissioned to assess feasibility and impact of peer support in an Early Intervention in Psychosis (EIP) service highlighted the importance of team readiness. The purpose of this paper is to reflect on the lessons learned in recognising and facilitating team readiness in an NHS setting. Design/methodology/approach The literature suggests that mental health teams need to be ready to implement peer support, if this is to be done successfully. The authors describe the process of preparing for peer support, obstacles that arose and ways that the team found to address these. Findings The team had actively sought to develop peer support for some time, and negotiated with Trust managers to agree these roles in principle. However, initially unspoken concerns about duty of care emerged as a key obstacle. An arguably paternalistic desire to protect potential peer worker colleagues from stress and distress could have resulted in unnecessary risk aversion and a narrowing of the role. Willingness and opportunity to reflect on the change in relationship from service user/professionals to colleagues enabled these concerns to be aired, and practical solutions agreed. Practical implications Team enthusiasm is not the same as team readiness. The team’s willingness to identify and reflect on implicit concerns facilitated an acceptance of the change in relationship with peer workers, which in turn enabled the development of standard operating procedures to ensure safe and effective peer support as “business as usual.” Originality/value This paper considers the process of welcoming peer workers in an EIP team and offers practical suggestions that may be of value to other teams seeking to implement peer support in similar adult mental health settings.

scholarly journals Accelerated two-year degrees in the UK: potential impact on student mental health

2019 ◽  
Vol 19 (1) ◽  
pp. 27-34
Author(s):  
Dieu Hack-Polay ◽  
Magdalena Read
Keyword(s):  
Mental Health ◽  
International Students ◽  
Widening Participation ◽  
Student Mental Health ◽  
Content Type ◽  
Theoretical Perspectives ◽  
Potential Impact ◽  
The Uk ◽  
The Impact

Purpose The purpose of this paper is to examine the ramifications of accelerated two-year degrees for student mental health. Since it was legislated in early 2019 in the UK, there has been limited debate in academia and among policymakers about the potential viability and risks of the compressed degree programmes. Design/methodology/approach The paper is based on an analysis of various academic and practitioner viewpoints as well as theoretical perspectives. Findings The paper found a mixed reception of the compressed degree programme among the academic and practitioner communities. In addition to apprehensions about the quality of education, there are concerns raised about the impact of the pressure deriving from the workload of the accelerated degree. The authors’ assessment considers a potential increase in stress and other more acute state of mental health degradation among students, especially international students, as well as students with families. Originality/value This policy analysis paper makes a significant contribution to the debate on the issue of two-year degrees that has not attracted academic scrutiny commensurate with its importance. The authors conclude that two-year degrees will have far-reaching ramifications, locally and internationally as the UK continues to push for its widening participation agenda as well as maintain its position as one of the top three destinations for international students. The authors suggest that wider discussions with stakeholder and some impact studies are needed before the accelerated degrees are further popularised in universities.

Does training change practice? A survey of clinicians and managers one year after training in trauma-informed care

2017 ◽  
Vol 12 (3) ◽  
pp. 188-198 ◽  
Author(s):  
Theresa Maureen Williams ◽  
Geoffrey Paul Smith
Keyword(s):  
Mental Health ◽  
Behaviour Change ◽  
System Level ◽  
Content Type ◽  
Trauma Informed Care ◽  
Trauma Informed ◽  
One Year ◽  
The Individual ◽  
The Impact ◽  
Drug And Alcohol

Purpose The purpose of this paper is to describe the impact of a trauma-informed care (TIC) training programme on practice at the individual and workplace level in mental health and drug and alcohol services and to examine the implications of using training alone as a strategy for achieving system-level practice change. Design/methodology/approach A total of 271 clinicians and managers from public mental health and drug and alcohol services in Western Australia who had undertaken TIC training were invited to complete an on-line survey 12 months after training. Individual survey items were based on a five-point Likert scale with opportunity being provided for additional comments from respondents. Findings One year post-training, both clinicians and managers reported that training had increased their awareness and knowledge and had a positive impact on their attitudes towards TIC. Clinicians reported a moderate impact on their individual practice and both groups reported very limited success in bringing about change in their workplaces. Workforce development and organisational factors were identified by both clinicians and managers as being barriers to implementation. Research limitations/implications Only 30 per cent of the training participants responded to the survey and it is not possible to determine whether they differed from non-respondents. Findings were based on a self-report survey with no objective measure of behaviour change. Originality/value This “naturalistic” study examines the longer-term impact of training, from the perspective of clinicians and managers, on changing practice at the individual clinician and workplace level. It highlights the critical importance of understanding and addressing contextual factors where collective, coordinated behaviour change is needed in order to effect organisational change.

Re-uniting families in the chaos of the refugee crisis: medico-legal assessment of unaccompanied refugee minors in the Calais Jungle (mental health and legal perspectives)

2017 ◽  
Vol 10 (3) ◽  
pp. 187-194
Author(s):  
Jacob Ellis ◽  
Susannah Fairweather ◽  
Mark Scott ◽  
Laura Griffiths
Keyword(s):  
Mental Health ◽  
Young People ◽  
Mental Health Professionals ◽  
Refugee Crisis ◽  
Unaccompanied Refugee Minors ◽  
Content Type ◽  
Legal Assessment ◽  
The Uk ◽  
The Impact ◽  
Refugee Minors

Purpose In total, 90,000 of the 1.26 million people applying for asylum in the EU in 2015 were unaccompanied children. The Dublin III Regulations provided a unique legal situation where unaccompanied young people in the Calais Jungle potentially had the right to be reunited with family in the UK. The purpose of this paper is to explore the substantial challenges presented by carrying out medico-legal assessment of this group in the Calais Jungle. Design/methodology/approach The authors consider the refugee crisis from a mental health and legal perspective. The authors provide two case examples to contextualise and describe the work. The authors draw from the observations and the literature to discuss the impact of living in the Calais Jungle on young people, the challenges the authors overcame to carry out the assessments and the needs of refugees following settling in the UK. Findings The authors conclude that the Calais Jungle was a toxic environment not suitable for young refugees’ continued emotional development or recovery from trauma. The current legal process to relocate a young person to the UK is time consuming and labour intensive. The authors note that these concerns are not unique to the Jungle, nor have they ended with its demolition. The difficulties young refugees face with mental illness continues following their arrival to the UK. Originality/value This was the first successful attempt since the Dublin III Regulations to seek a legal route to bring unaccompanied refugee minors from France to the UK. This paper was co-written by both the legal and mental health professionals involved in the cases providing a broad opinion across both disciplines.

As learning systems go digital and social, can we keep up?

2014 ◽  
Vol 28 (6) ◽  
pp. 18-20
Author(s):  
Helena Moore
Keyword(s):  
Social Media ◽  
Leadership Development ◽  
Lessons Learned ◽  
Learning And Development ◽  
Content Type ◽  
Award Winning ◽  
The Uk ◽  
The Impact ◽  
Internal Relationships

Purpose – This case study aims to show how one award winning organization, Bromford in the UK, has engaged with and implemented multiple social media strategies that have positively impacted the very fabric and culture of the organization. Design/methodology/approach – The author shares the lessons learned in Bromford’s social media journey so far – a journey that has resulted in numerous social media awards. Findings – The article describes the impact that social media has had on the organization in five areas: internal relationships; working with suppliers; leadership development; what the organization now measures; and organizational culture. Originality/value – This paper will be of value to all directors, leaders, managers and learning and development (L&D) professionals who are grappling with the rapid changes brought about by the ever-moving social media landscape. The experiences and advice of the author are shared in an accessible and practical way.

scholarly journals Containing COVID: the establishment and management of a COVID-19 ward in an adult psychiatric hospital

BJPsych Open ◽  
2020 ◽  
Vol 6 (6) ◽  
Author(s):  
Melanie Knowles ◽  
Golnar Aref-Adib ◽  
Sarah Moslehi ◽  
Dominic Aubrey-Jones ◽  
Janet Obeney-Williams ◽  
...  
Keyword(s):  
Mental Health ◽  
Lessons Learned ◽  
Working Environment ◽  
Primary Role ◽  
The Uk ◽  
Isolation Ward ◽  
The Impact ◽  
Mental Health Hospital ◽  
Isolation Facility

Background As the coronavirus disease 2019 (COVID-19) epidemic in the UK emerged and escalated, clinicians working in mental health in-patient facilities faced unique medical, psychiatric and staffing challenges in managing and containing the impact of the virus and, in the context of legislation, enforcing social distancing. Aims To describe (a) the steps taken by one mental health hospital to establish a COVID-19 isolation ward for adult psychiatric in-patients and (b) how staff addressed the challenges that emerged over the period March to June 2020. Method A descriptive study detailing the processes involved in changing the role of the ward and the measures taken to address the various challenges that arose. Brief clinical cases of two patients are included for illustrative purposes. Results We describe the achievements, lessons learned and outcomes of the process of repurposing a mental health triage ward into a COVID-19 isolation facility, including the impact on staff. Flexibility, rapid problem-solving and close teamwork were essential. Some of the changes made will be sustained on the ward in our primary role as a triage ward. Conclusions Although the challenges faced were difficult, the legacy they have left is that of a range of improvements in patient care and the working environment.

Sign in / Sign up

Export Citation Format

Share Document