scholarly journals How short should short-term risk assessment be? Determining the optimum interval for START reassessment in a secure mental health service

2015 ◽  
Vol 22 (6) ◽  
pp. 397-406 ◽  
Author(s):  
G. L. Dickens ◽  
L. E. O'Shea
Keyword(s):  
Mental Health ◽  
Risk Assessment ◽  
Mental Health Service ◽  
Health Service ◽  
Short Term ◽  
Optimum Interval

Learning together about the needs of parents with a mental illness and their children: The implementation of the Mums' and Dads' Practice Research Project

2004 ◽  
Vol 29 (2) ◽  
pp. 35-40 ◽  
Author(s):  
Carmel Alakus
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Mental Health Service ◽  
Health Service ◽  
Parent Education ◽  
Consumer Satisfaction ◽  
Practice Research ◽  
Short Term ◽  
Adult Mental Health ◽  
Difficult Issue

The busy clinical practitioner, while being encouraged to innovate and formally evaluate his or her work, has less time than ever before to do either.The Mums' and Dads' Project represented a modest attempt to implement a short-term parent education project in adult mental health and review it in the style of practice-research. A number of qualitative methods were employed to research the Project conducted in the Mid West Area Mental Health Service exploring consumer satisfaction and parents' perspectives of their children's needs.Consumers attended the sessions readily, demonstrating knowledge of child development and a willingness to confront the difficult issue of informing children about mental illness. They reiterated how much they appreciated meeting other parents with a mental illness.Service delivery to parents with a mental illness and their children deserves dedicated funding if their needs are to be addressed and programs carefully evaluated.

Clinical risk assessment rating and all-cause mortality in secondary mental healthcare: the South London and Maudsley NHS Foundation Trust Biomedical Research Centre (SLAM BRC) Case Register

2011 ◽  
Vol 42 (8) ◽  
pp. 1581-1590 ◽  
Author(s):  
C.-Y. Wu ◽  
C.-K. Chang ◽  
R. D. Hayes ◽  
M. Broadbent ◽  
M. Hotopf ◽  
...  
Keyword(s):  
Mental Health ◽  
Risk Assessment ◽  
Mental Health Service ◽  
Health Service ◽  
Mental Healthcare ◽  
Research Centre ◽  
Case Register ◽  
All Cause Mortality ◽  
Unit Increase ◽  
Clinical Risk Assessment

BackgroundMental disorders are widely recognized to be associated with increased risk of all-cause mortality. However, the extent to which highest-risk groups for mortality overlap with those viewed with highest concern by mental health services is less clear. The aim of the study was to investigate clinical risk assessment ratings for suicide, violence and self-neglect in relation to all-cause mortality among people receiving secondary mental healthcare.MethodA total of 9234 subjects over the age of 15 years were identified from the South London and Maudsley Biomedical Research Centre Case Register who had received a second tier structured risk assessment in the course of their clinical care. A cohort analysis was carried out. Total scores for three risk assessment clusters (suicide, violence and self-neglect) were calculated and Cox regression models used to assess survival from first assessment.ResultsA total of 234 deaths had occurred over an average 9.4-month follow-up period. Mortality was relatively high for the cohort overall in relation to national norms [standardized mortality ratio 3.23, 95% confidence interval (CI) 2.83–3.67] but not in relation to other mental health service users with similar diagnoses. Only the score for the self-neglect cluster predicted mortality [hazard ratio (HR) per unit increase 1.14, 95% CI 1.04–1.24] with null findings for assessed risk of suicide or violence (HRs per unit increase 1.00 and 1.06 respectively).ConclusionsLevel of clinician-appraised risk of self-neglect, but not of suicide or violence, predicted all-cause mortality among people receiving specific assessment of risk in a secondary mental health service.

Barriers and Solutions to Implementing Metabolic Risk Assessment in a Secondary Mental Health Service

2010 ◽  
Vol 18 (4) ◽  
pp. 322-325 ◽  
Author(s):  
Lucy Dunbar ◽  
Theo Brandt ◽  
Amanda Wheeler ◽  
Jeff Harrison
Keyword(s):  
Mental Health ◽  
Risk Assessment ◽  
Mental Health Service ◽  
Health Service ◽  
Metabolic Risk

Assessing the Risks Presented by Parents

2001 ◽  
Vol 6 (3) ◽  
pp. 110-112
Author(s):  
Ian Partridge ◽  
Geraldine Casswell ◽  
Greg Richardson
Keyword(s):  
Mental Health ◽  
Risk Assessment ◽  
Mental Health Service ◽  
Health Service ◽  
Social Services ◽  
Theoretical Basis ◽  
Developmental Context ◽  
Adolescent Mental Health Service ◽  
Tier 3 ◽  
Multi Disciplinary Team

The establishment, operation and theoretical basis of a multi-disciplinary, Tier 3, risk assessment team based in a Child and Adolescent Mental Health Service (CAMHS) is described. The work is based on the premise that a multi-disciplinary team, with a degree of statutory independence, assessing forensic issues within a systemic and developmental context, offers a useful contribution to the comprehensive assessment of risk and provides a valuable and valued service to statutory agencies and the courts. The team is used by Social Services Departments and the courts as an independent assessor of the risk parents and potential carers pose to children. An evaluation of 39 referrals, carried out over the last 3 years of operation of the parenting risk assessment team, is given.

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