scholarly journals OP09 Understanding the mental health of children known to social services in Northern Ireland: an administrative data linkage study

2020 ◽  
Author(s):  
S McKenna ◽  
A Maguire ◽  
D O’Reilly
Keyword(s):  
Mental Health ◽  
Northern Ireland ◽  
Social Services ◽  
Administrative Data ◽  
Data Linkage ◽  
Linkage Study

scholarly journals Rates and predictors of anti-depressant prescribing in Northern Ireland 2011–2015: a data linkage study using the Administrative Data Research Centre (NI)

2019 ◽  
Vol 37 (1) ◽  
pp. 32-38 ◽  
Author(s):  
Mark Shevlin ◽  
Michael Rosato ◽  
Stephanie Boyle ◽  
Daniel Boduszek ◽  
Jamie Murphy
Keyword(s):  
Northern Ireland ◽  
Administrative Data ◽  
Religious Beliefs ◽  
Depressive Disorders ◽  
Data Linkage ◽  
Mental Health Problems ◽  
Population Based ◽  
Linkage Study ◽  
Research Centre ◽  
Logistic Analysis

Objectives:Research indicates that anti-depressant prescribing is higher in Northern Ireland (NI) than in the rest of the UK, and that socio-economic and area-level factors may contribute to this. The current study provides comprehensive population-based estimates of the prevalence of anti-depressant prescription prescribing in NI from 2011 to 2015, and examined the associations between socio-demographic, socio-economic, self-reported health and area-level factors and anti-depressant prescription.Methods:Data were derived from the 2011 NI Census (N = 1 588 355) and the Enhanced Prescribing Database. Data linkage techniques were utilised through the Administrative Data Research Centre in NI. Prevalence rates were calculated and binary logistic analysis assessed the associations between contextual factors and anti-depressant prescription.Results:From 2011 to 2015, the percentages of the population in NI aged 16 or more receiving anti-depressant prescriptions were 12.3%, 12.9%, 13.4%, 13.9% and 14.3%, respectively, and over the 5-year period was 24.3%. The strongest predictors of anti-depressant prescription in the multivariate model specified were ‘very bad’ (OR = 4.02) or ‘Bad’ general health (OR = 3.98), and self-reported mental health problems (OR = 3.57). Other significant predictors included social renting (OR = 1.67) and unemployment (OR = 1.25). Protective factors included Catholic religious beliefs, other faith/philosophic beliefs and no faith/philosophic beliefs in comparison to reporting Protestant/other Christian religious beliefs (ORs = 0.78–0.91).Conclusion:The prevalence of anti-depressant prescription in NI appears to be higher than the prevalence of depressive disorders, although this may not necessarily be attributable to over-prescribing as anti-depressants are also prescribed for conditions other than depression. Anti-depressant prescription was linked to several factors that represent socio-economic disadvantage.

scholarly journals Social services Interventions and the Mental Health and Mortality of care leavers: a population based data linkage study in Northern Ireland and Finland

2019 ◽  
Vol 4 (3) ◽  
Author(s):  
Aideen Maguire ◽  
Anne Kouvonen ◽  
Dermot O'Reilly ◽  
Hanna Remes ◽  
Joonas Pitkänen ◽  
...  
Keyword(s):  
Mental Health ◽  
Northern Ireland ◽  
Health Outcomes ◽  
Social Services ◽  
Psychiatric Hospital ◽  
Poor Mental Health ◽  
Mental Health Outcomes ◽  
Care Intervention ◽  
Increased Risk ◽  
Self Harm

BackgroundResearch has highlighted the poor mental health of looked after children compared to those never in care. However, little is known on what becomes of these children and their mental health trajectories after they leave the care of social services. In addition, previous studies are limited in their ability to differentiate between type of social care intervention received; kinship care, foster care or residential care. AimTo utilise nationwide social services data from two countries (Northern Ireland (NI) and Finland), with similar populations but different intervention policies, linked to a range of demographic and health datasets to examine the mental health outcomes of young adults in the years following leaving care. MethodsData from both countries on children born 1991-2000 were linked to social services data, hospital admissions, prescribed medication data and death records. Mental health outcomes were defined after the age of 18years (when statutory care provision ends) examined by care intervention and included admissions to psychiatric hospital, for self-harm and death by suicide. ResultsThe gender split in care in Finland is reflective of the population but more males are in care in NI. Initial results from Finnish data suggest those exposed to care in childhood have an increased risk of self-harm, psychiatric hospital admission and suicide after the age of 18years compared to those never in care. After adjusting for gender, age of entry to care and deprivation at birth those exposed to any care intervention had 3 times the risk of suicide (HR=3.06, 95% CI 1.18,7.98). Risk increased with duration in care but was equivalent across care intervention types. Analysis on the NI data is underway. ConclusionFull results will be available December 2019 and will explore which care pathways are most associated with poor mental health outcomes informing discussion around intervention opportunities and policy.

Introduction

2017 ◽  
Author(s):  
David Bolton
Keyword(s):  
Mental Health ◽  
Northern Ireland ◽  
Social Services ◽  
Social Worker ◽  
Well Being ◽  
Conflict Processes ◽  
Post Conflict ◽  
Personal Experiences ◽  
The Impact ◽  
Health And Well Being

In the Introduction, the author describes the background to the book and his personal experiences of violence in Northern Ireland - as a social worker and health and social services manager in Enniskillen and Omagh. He addresses the impact of loss and trauma linked to conflict and the implications for mental health and well-being. The structure of the book is outlined and the author sets the rest of the book in the argument that the mental health of conflict affected communities should be an early and key consideration in peace talks, politics and post-conflict processes.

The Office of Management and Budget: The Quarterback of Evidence-Based Policy in the Federal Government

2018 ◽  
Vol 678 (1) ◽  
pp. 112-123
Author(s):  
Kathy Stack
Keyword(s):  
Federal Government ◽  
Social Services ◽  
Administrative Data ◽  
Data Linkage ◽  
Executive Branch ◽  
Federal Agencies ◽  
Evidence Based ◽  
Obama Administration ◽  
Evaluation Capacity ◽  
White House

During the Obama administration, the White House Office of Management and Budget’s (OMB) leadership helped to initiate and cement evidence-based policymaking reforms across the federal government, particularly in social services programs. Notable accomplishments were in the design of outcome-focused programs that use and build evidence, the strengthening of agency evaluation capacity, and interagency data-linkage projects to harness administrative data. Here, I review those accomplishments and catalog the key assets and tactics that OMB used to help federal agencies increase their use of evidence and innovation. I also assess the shortcomings and limitations of the Obama-era OMB approach and draw conclusions about what could be done in the current or a future administration to further advance evidence-based policymaking in the executive branch. Specifically, I propose that Congress and the administration should work to improve agency evaluation capacity, assess and report on agencies’ progress in using and building evidence, and establish an Intergovernmental Evidence and Innovation Council.

Mental Health Policy in Northern Ireland: The Nature and of Extent of User Involvement

2009 ◽  
Vol 8 (4) ◽  
pp. 451-462 ◽  
Author(s):  
Deirdre Heenan
Keyword(s):  
Mental Health ◽  
Health Policy ◽  
Northern Ireland ◽  
Social Services ◽  
Service User ◽  
Policy Design ◽  
Mental Health Policy ◽  
User Involvement ◽  
World Health ◽  
Service User Involvement

In a recent review of the mental health policies of its 42 member states in the European Region, the World Health Organization highlighted the need for further analysis of service user involvement in the policy making process. In the UK, a plethora of recent government policies and initiatives have stressed the importance of service user involvement in the design and delivery of health and social services. Their input is described as a fundamental requirement of a modern, flexible, responsive healthcare system. This paper reviews mental health policy in Northern Ireland, which has undergone a period of unprecedented activity and explores the extent to which service users have influenced the process of policy design and development. It raises questions about the extent to which a genuine commitment to and investment in user involvement has been achieved and comments on the prospects for the future.

scholarly journals Assessing Preventable Hospitalisation InDicators (APHID): protocol for a data-linkage study using cohort study and administrative data

BMJ Open ◽  
2012 ◽  
Vol 2 (6) ◽  
pp. e002344 ◽  
Author(s):  
Louisa R Jorm ◽  
Alastair H Leyland ◽  
Fiona M Blyth ◽  
Robert F Elliott ◽  
Kirsty M A Douglas ◽  
...  
Keyword(s):  
Cohort Study ◽  
Administrative Data ◽  
Data Linkage ◽  
Linkage Study ◽  
Preventable Hospitalisation
Sign in / Sign up

Export Citation Format

Share Document