scholarly journals Training implications of community-oriented psychiatry

2001 ◽  
Vol 7 (3) ◽  
pp. 208-215 ◽  
Author(s):  
K. Linsley ◽  
R. Slinn ◽  
R. Nathan ◽  
L. Guest ◽  
H. Griffiths
Keyword(s):  
Mental Health ◽  
Community Psychiatry ◽  
Health Department ◽  
Mental Health Needs ◽  
Community Based ◽  
Department Of Health ◽  
National Service Framework ◽  
Mental Health Department ◽  
Separate Discipline ◽  
Service Framework

Over the past 20–30 years psychiatry has gradually moved from predominantly hospital-based care to care in the community. Community psychiatry embraces a variety of definitions: it may describe the practice setting, the population served or the philosophy of illness and treatment (Johnston et al, 1995). In discussing the training implications of this shift towards community models of psychiatric care, we will not consider a separate discipline of ‘adult community psychiatry’. We believe that nearly all psychiatric specialities now involve substantial elements of work outside the hospital, and we therefore contend that the new skills, knowledge and attitudes required to meet the challenge of providing both hospital- and community-based care are pertinent to all trainees. Furthermore, the development of these are essential if the consultant of the future is to provide the safe, effective and sustainable service to those with complex mental health needs detailed in the recent National Service Framework (NSF) for Mental Health (Department of Health, 1999). We will also not attempt specifically to assess the merits of the move to community psychiatry, which may be subject to a separate debate.

scholarly journals Researchable questions to support evidence-based mental health policy concerning adult mental illness

2002 ◽  
Vol 26 (10) ◽  
pp. 364-367 ◽  
Author(s):  
Graham Thornicroft ◽  
Jonathan Bindman ◽  
David Goldberg ◽  
Kevin Gournay ◽  
Peter Huxley
Keyword(s):  
Mental Health ◽  
Mental Health Policy ◽  
Health Department ◽  
Mental Health Research ◽  
Future Research ◽  
Policy Makers ◽  
Future Research Agenda ◽  
Department Of Health ◽  
National Service Framework ◽  
Mental Health Department

Policy makers find much mental health research irrelevant to their concerns. What types of research would directly assist those who formulate policy? The two purposes of this paper are (i) to identify important gaps in completed research, particularly in relation to the National Service Framework (NSF) for Mental Health (Department of Health, 1999a) and the NHS Plan (NHS Confederation, 2001); and (ii) to translate these gaps into researchable questions that can contribute to a debate about the future research agenda for general adult mental health in England.

scholarly journals Service innovation: assertive outreach teams for adults with learning disability

2007 ◽  
Vol 31 (4) ◽  
pp. 138-141 ◽  
Author(s):  
Jamuna Prakash ◽  
Tim Andrews ◽  
Ian Porter
Keyword(s):  
Adult Population ◽  
Cochrane Review ◽  
Health Department ◽  
Community Treatment ◽  
Assertive Outreach ◽  
Department Of Health ◽  
National Service Framework ◽  
General Adult Population ◽  
Mental Health Department ◽  
Service Framework

Assertive community treatment (ACT) was developed in the early 1970s as a means of coordinating the care of people with severe mental illness in the community. A Cochrane review of the effectiveness of ACT for the general adult population found that people receiving ACT were more likely to engage with services, and were less likely to be admitted to hospital (Marshall & Lockwood, 2000). The National Service Framework for Mental Health (Department of Health, 1999) and the NHS Plan (Department of Health, 2000) called for a total of 220 assertive outreach teams by April 2003.

scholarly journals National Service Framework for Mental Health

2000 ◽  
Vol 24 (6) ◽  
pp. 203-206 ◽  
Author(s):  
Graham Thornicroft
Keyword(s):  
Mental Health ◽  
National Service ◽  
Department Of Health ◽  
National Service Framework ◽  
Local Flexibility ◽  
Working Age ◽  
And Performance ◽  
The Given ◽  
Clear Statement ◽  
Service Framework

The National Service Framework for Mental Health (NSF–MH) is a strategic blueprint for services for adults of working age for the next 10 years. It is both mandatory, in being a clear statement of what services must seek to achieve in relation to the given standards and performance indicators, and permissive, in that it allows considerable local flexibility to customise the services which need to be provided to fit the framework. This paper summarises the process by which the NSF was created, and its content, which became clear when it was published on 30 September 1999 (Department of Health, 1999).

scholarly journals Creating the infrastructure for mental health research

2002 ◽  
Vol 26 (11) ◽  
pp. 403-406 ◽  
Author(s):  
Graham Thornicroft ◽  
Jonathan Bindman ◽  
David Goldberg ◽  
Kevin Gournay ◽  
Peter Huxley
Keyword(s):  
Mental Health ◽  
Health Research ◽  
Research Agenda ◽  
Mental Health Research ◽  
National Service ◽  
Department Of Health ◽  
National Service Framework ◽  
Service Framework

The purpose of this paper is to identify the important gaps in research coverage, particularly in areas key to the National Service Framework for Mental Health (NSF-MH) (Department of Health, 1999) and the NHS Plan (Department of Health, 2000), and to translate these gaps into researchable questions, with a view to developing a potential research agenda for consideration by research funders.

Developing mental health services in response to research evidence

2008 ◽  
Vol 17 (1) ◽  
pp. 47-56 ◽  
Author(s):  
Helen Killaspy ◽  
Sonia Johnson ◽  
Michael King ◽  
Paul Bebbington
Keyword(s):  
Mental Health ◽  
Community Treatment ◽  
Local Context ◽  
Department Of Health ◽  
Home Based ◽  
Crisis Resolution Teams ◽  
National Service Framework ◽  
The Us ◽  
Satisfaction With Services ◽  
Service Framework

AbstractOver the last thirty to forty years, psychiatric care in England has relocated from hospital-based settings to community mental health teams (CMHTs) and supported accommodation. Since the 1980s, two forms of intensive home based treatment have evolved in addition to CMHTS, assertive community treatment (ACT) and crisis resolution teams (CRTs). On the basis of evidence for their efficacy in the US and other countries, they have been implemented across England through the Government's National Service Framework for Mental Health. This paper describes this evidence and the first UK studies that were carried out to evaluate these newly implemented services.Methods– Descriptions of the evaluations of ACT and CRTs in the inner London boroughs of Camden and Islington.Results– The implementation of CRTs in North London were associated with reduced use of inpatient services, but the ACT teams were not. Both types of team were associated with greater patient satisfaction with services and the ACTs were better able to engage patients than CMHTs.Conclusions– The authors comment on the implications of the findings for service planners in terms of the difficulties in implementing innovative approaches based on the best available evidence when it originates outside the local context.Declaration of Interest:These studies were funded by Camden and Islington Health Authority, the King's Fund and the Department of Health.

Recovery Colleges – safe, stimulating and empowering

2017 ◽  
Vol 21 (5) ◽  
pp. 280-288 ◽  
Author(s):  
Laurie Windsor ◽  
Glenn Roberts ◽  
Paul Dieppe
Keyword(s):  
Mental Health ◽  
Search Strategy ◽  
Positive Impact ◽  
Health Department ◽  
Content Type ◽  
Department Of Health ◽  
Production Safety ◽  
Educational Programmes ◽  
Mental Health Department ◽  
Use Of Health Services

Purpose Recovery Colleges could deliver many of the defined key outcomes within the Cross Governmental Mental Health Outcomes Framework “no health without mental health” (Department of Health, 2011). The purpose of this paper is to critically appraise the existing evidence of recovery educational programmes in mental health and gain a deeper understanding of the processes and outcomes involved. Design/methodology/approach A broad search strategy looking at recovery educational programmes in mental health was used. The data were gathered from two focus groups each containing five people, one with facilitators and one with students. Thematic analysis was used, following the six stages, recursive process recommended by Braun and Clarke (2006). Findings The main processes described in recovery programmes were co-production and education. The main outcomes were that recovery programmes led to a reduction in the use of health services, increased opportunities for future employment and a positive impact on staff. The process themes that appeared to emerge were the College ethos and principles, co-production, safety, empowerment and stimulation. The outcome themes that appeared to emerge included increased confidence, motivation and social interaction. Originality/value Recovery Colleges appear to benefit both facilitators and students by co-production of a safe, stimulating environment which empowers them: participating in the college benefits facilitators as well as students. This paper is of value to those interested in recovery and education within mental health.

The Recovery House in Trieste: rational, participants, intervention as the “work”

2018 ◽  
Vol 39 (4) ◽  
pp. 149-161
Author(s):  
Roberta Casadio ◽  
Izabel Cristina Marin ◽  
Thais Thomé ◽  
Roberto Mezzina ◽  
Paul Baker ◽  
...  
Keyword(s):  
Mental Health ◽  
Independent Living ◽  
Pilot Project ◽  
Health Department ◽  
Health Needs ◽  
Power Relationships ◽  
Assembly Model ◽  
Mental Health Needs ◽  
Content Type ◽  
Mental Health Department

PurposeToo often people with complex mental health needs do not find their way out of the mental health system or find satisfactory solutions that enable them to live a full life. In 2015 the Mental Health Department (MHD) of Trieste established the Recovery House pilot project to address this concern. The paper aims to Investigate the project.Design/methodology/approachThe Recovery House was co-created with and for people between 18 and 35 years old with diagnoses of psychosis and other complex mental health conditions. An integral part of the pilot was the organization of the “Recovery Community,” inspired by the Assembly model embraced by Franco Basaglia. The Recovery Community met regularly to both support and learn from the Recovery House and aimed to create a democratic and reflective space where power relationships, self-determination, responsibility and ownership by all the stakeholders, including family members, could be explored together.FindingsOver a period of 31 months, four groups of people have successfully completed their residency at the Recovery House. In total, 89 percent of people who stayed at the Recovery House did so up to six months. After the period of staying at the Recovery House most of them moved to independent living or shared supported accommodation.Originality/valueThis initiative sheds light on the fact that democratic values, approaches and structures can improve both service functioning and the recovery outcomes for people with complex health needs. Further, the Recovery House has had a significant effect on the culture and practice of the MHD in adopting a comprehensive approach to emotional distress.

scholarly journals Government policy and the National Service Framework for Mental Health: modelling and costing services in England

2009 ◽  
Vol 15 (3) ◽  
pp. 230-240 ◽  
Author(s):  
Jed Boardman ◽  
Michael Parsonage
Keyword(s):  
Mental Health ◽  
Mental Healthcare ◽  
National Service ◽  
Department Of Health ◽  
National Service Framework ◽  
Working Age ◽  
Policy Objectives ◽  
Detailed Assessment ◽  
The Government ◽  
Service Framework

SummaryThe National Service Framework for Mental Health (NSF–MH), published by the Department of Health in 1999, set an ambitious 10-year agenda for improving mental healthcare for working-age adults in England, based on seven quality standards covering all major services. The NSF–MH was supported by a series of other policy documents published by the government. This article illustrates a means of modelling the government's policy for adult mental health services to produce figures for the necessary services, staffing and financial resources required to meet the policy objectives. The findings of a report recently published by the Sainsbury Centre for Mental Health, which undertook a detailed assessment of what needs to be done to deliver these standards in terms of service provision, staffing and funding, is summarised and its implications examined.

Peer support – the what, why, who, how and now

2015 ◽  
Vol 10 (5) ◽  
pp. 314-324 ◽  
Author(s):  
Anne Beales ◽  
Johanna Wilson
Keyword(s):  
Mental Health ◽  
Peer Support ◽  
Service User ◽  
User Involvement ◽  
Health Department ◽  
Content Type ◽  
Department Of Health ◽  
Health Strategy ◽  
Mental Health Department ◽  
The Uk

Purpose – The purpose of this paper is to outline what peer support is, covering its history, variations and benefits, then goes on to discuss what the challenges have been to authenticity and what the future holds for peer support. Design/methodology/approach – The authors argue for the necessity of service user leadership in peer support based on both the Service User Involvement Directorate’s (SUID’s) experience and UK-wide learning. Findings – Peer support brings wellbeing and confidence benefits both to the supporter and the supported. However, the lack of understanding of what peer support is, the current climate of austerity and over-professionalisation can threaten the transformational power of genuine peer support. Research limitations/implications – Peer support is always evolving, and there are areas like the criminal justice service and secure services where more work needs to be done. Practical implications – Commissioners/funders of mental health services should recognise the value of peer support and its potential for better wellbeing outcomes, while understanding the necessity of service user leadership to maximise its beneficial potential. Originality/value – The paper looks at peer support at the point in time a decade after the formation of the SUID at Together and four years since the UK mental health strategy No Health Without Mental Health (Department of Health, 2011) and explores the challenges faced at a time when the value of peer support is generally accepted in legislation.

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