scholarly journals Community treatment orders and the experiences of ethnic minority individuals diagnosed with serious mental illness in the Canadian mental health system

2014 ◽  
Vol 13 (1) ◽  
Author(s):  
Magnus Mfoafo-M’Carthy
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Health System ◽  
Ethnic Minority ◽  
Serious Mental Illness ◽  
Mental Health System ◽  
Community Treatment ◽  
Community Treatment Orders

scholarly journals How shortcomings in the mental health system affect the use of involuntary community treatment orders

2017 ◽  
Vol 41 (3) ◽  
pp. 351 ◽  
Author(s):  
Edwina M. Light ◽  
Michael D. Robertson ◽  
Philip Boyce ◽  
Terry Carney ◽  
Alan Rosen ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Health System ◽  
Mental Health System ◽  
Mental Illnesses ◽  
Community Treatment ◽  
Involuntary Treatment ◽  
Community Settings ◽  
Community Treatment Orders

Objective The aim of the present study was to examine stakeholder perspectives on how the operation of the mental health system affects the use of involuntary community treatment orders (CTOs). Methods A qualitative study was performed, consisting of semi-structured interviews about CTO experiences with 38 purposively selected participants in New South Wales (NSW), Australia. Participants included mental health consumers (n = 5), carers (n = 6), clinicians (n = 15) and members of the Mental Health Review Tribunal of NSW (n = 12). Data were analysed using established qualitative methodologies. Results Analysis of participant accounts about CTOs and their role within the mental health system identified two key themes, namely that: (1) CTOs are used to increase access to services; and (2) CTOs cannot remedy non-existent or inadequate services. Conclusion The findings of the present study indicate that deficiencies in health service structures and resourcing are a significant factor in CTO use. This raises questions about policy accountability for mental health services (both voluntary and involuntary), as well as about the usefulness of CTOs, justifications for CTO use and the legal criteria regulating CTO implementation. What is known about this topic? Following the deinstitutionalisation of psychiatric services over recent decades, community settings are increasingly the focus for the delivery of mental health services to people living with severe and persistent mental illnesses. The rates of use of involuntary treatment in Australian community settings (under CTOs) vary between state and territory jurisdictions and are high by world standards; however, the reasons for variation in rates of CTO use are not well understood. What does this paper add? This paper provides an empirical basis for a link between the politics of mental health and the uptake and usefulness of CTOs. What are the implications for practitioners? This paper makes explicit the real-world demands on the mental health system and how service deficiencies are a significant determinant in the use of CTOs. Practitioners and policy makers need to be candid about system limitations and how they factor in clinical and legal justifications for using involuntary treatment. The results of the present study provide data to support advocacy to improve policy accountability and resourcing of community mental health services.

Ethnographic Research and Programmatic Outcomes: Empowering Families of Individuals with Serious Mental Illness

1999 ◽  
Vol 21 (1) ◽  
pp. 13-17
Author(s):  
Kiran Cunningham ◽  
Michael Gieszer ◽  
Melissa Bullard ◽  
Cynthia Castlen ◽  
Dana Dumont ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Health System ◽  
Serious Mental Illness ◽  
Education Program ◽  
Mental Health System ◽  
Research Process ◽  
Ethnographic Research ◽  
Ongoing Effort ◽  
The Family

This paper stems from an ongoing effort to work toward a mental health system that truly empowers those it serves. Central to this effort is using anthropological methods to understand the experiences of people with serious mental illness (SMI), and of the individuals directly involved in their lives. The latter includes the family members, who struggle to meet society's expectations of them as parents and siblings while simultaneously dealing with the stigma that suggests that because a member of their family has an SMI, they must be doing something wrong. The research process itself, however, led to an exciting programmatic outcome in which the families, initially validated through the interview process, then came together and developed an education program run by families for families that has now been disseminated statewide.

Homelessness Among Persons With Serious Mental Illness in an Enhanced Community-Based Mental Health System

2000 ◽  
Vol 51 (8) ◽  
pp. 1012-1016 ◽  
Author(s):  
Eri Kuno ◽  
Aileen B. Rothbard ◽  
June Averyt ◽  
Dennis Culhane
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Health System ◽  
Serious Mental Illness ◽  
Mental Health System ◽  
Community Based

scholarly journals Guardianship under the Mental Health Act 1983

2000 ◽  
Vol 24 (2) ◽  
pp. 51-52 ◽  
Author(s):  
Jenny Shaw ◽  
Barbara Hatfield ◽  
Sherrill Evans
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Social Services ◽  
Serious Mental Illness ◽  
Community Treatment ◽  
Clinical Implications ◽  
Community Treatment Orders ◽  
Mental Health Act ◽  
Illness Category ◽  
One Year

Aims and MethodTo describe the extent and variation in the use of Guardianship nationally. The Directors of Social Services were asked to provide details about Guardianship cases on two separate occasions one year apart.ResultsThere were 428 new Guardianship cases in 12 months. At the second enumeration, 73% of cases were within the mental illness category and 47% of these had serious mental illness.Clinical ImplicationsThere is much variation in the use of Guardianship. Further developments of this study will explore the reasons for this variation and will ascertain clinicians' views on Guardianship, supervised discharge and other community treatment orders.

scholarly journals Veterans Affairs Health System and Mental Health Treatment Retention among Patients with Serious Mental Illness: Evaluating Accessibility and Availability Barriers

2007 ◽  
Vol 42 (3p1) ◽  
pp. 1042-1060 ◽  
Author(s):  
John F. McCarthy ◽  
Frederic C. Blow ◽  
Marcia Valenstein ◽  
Ellen P. Fischer ◽  
Richard R. Owen ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Health System ◽  
Serious Mental Illness ◽  
Mental Health Treatment ◽  
Veterans Affairs ◽  
Treatment Retention ◽  
Health Treatment
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