scholarly journals Attitudes towards community mental health care of residents in North London

1995 ◽  
Vol 19 (12) ◽  
pp. 731-733 ◽  
Author(s):  
Sawsan Reda
Keyword(s):  
Mental Health ◽  
Psychiatric Hospitals ◽  
Regional Health ◽  
Community Based ◽  
The Public ◽  
North East ◽  
The North ◽  
People With Mental Illness ◽  
Mental Health Facilities ◽  
Hospital Closure

The closure of large psychiatric hospitals and the opening of community-based mental health facilities is a central part of British health policy for the care of people with mental illness. The North East Thames Regional Health Authority's (NETRHA) psychiatric hospitals closure plan started in 1985. As part of this a programme was established to assess the closure process (Leff, 1993). This study was carried out between 1988 and 1992 and was designed to study the reactions of the public to the hospital closure decision (Reda, 1993).

Evaluating the Transfer of Care from Psychiatric Hospitals to District-Based Services

1993 ◽  
Vol 162 (S19) ◽  
pp. 6-6 ◽  
Author(s):  
Julian Leff
Keyword(s):  
Inner City ◽  
Large Scale ◽  
Medical Officer ◽  
Psychiatric Hospitals ◽  
The United States ◽  
Regional Health ◽  
North East ◽  
The North ◽  
Steady Rate ◽  
Regional Medical

In July 1983 the Regional Medical Officer of the North East Thames Regional Health Authority (NETRHA) appeared on television to announce the closure of Claybury Hospital and much of Friern Hospital over a ten-year period.When NETRHA announced its decision, the policy to be pursued was innovative because it involved psychiatric hospitals serving inner-city populations, and because there was apparently no intention to achieve its aim by decanting patients into other psychiatric hospitals, as had been done with the closures of St Wulstan's and Banstead Hospitals. Although the run-down of psychiatric hospitals had been occurring at a steady rate in the United States and in England and Wales since the early 1950s, there had been few attempts to evaluate the policy, and none had been in any sense comprehensive (this supplement, paper 7). Clinicians and research workers in the field of social psychiatry were well aware of the need for large-scale evaluative studies, since protagonists and opponents of the policy of deinstitutionalisation were locked in a polemical argument which was pursued with increasing stridency through lack of reliable information.

Living Arrangements of Individuals with Schizophrenia in Japan: Impact of Community-Based Mental Health Services

2006 ◽  
Vol 52 (1) ◽  
pp. 55-64 ◽  
Author(s):  
Iwao Oshima ◽  
Eri Kuno
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Living Arrangements ◽  
Psychiatric Service ◽  
Community Mental Health Services ◽  
Psychiatric Hospitals ◽  
Community Based ◽  
Age Cohorts ◽  
The Difference

Aims: In Japan psychiatric hospitals and family play the predominant roles in caring for people with serious mental illness. This study explored how the introduction of community-based care has changed this situation by examining living arrangements of individuals with schizophrenia who were treated in one of the most progressive systems in Japan (Kawasaki) compared with national norms. Methods: The proportion of clients with schizophrenia in the community versus hospital and living arrangements for those in the community were compared between the Kawasaki and national treated population, using data from the Kawasaki psychiatric service users survey in 1993 and two national surveys in 1993 and 1983. The variation in living arrangements was examined across five different age cohorts. Results: The estimated national population was 36.7, which was similar to 32.7 clients per 10,000 population in Kawasaki. Some 71% of the Kawasaki clients were treated in the community compared with 55% nationally. The difference between the Kawasaki and national populations was the largest among clients aged 40 to 59. The Kawasaki community clients had a higher proportion of clients living alone. Conclusions: The community mental health services available in Kawasaki appeared to reduce hospitalisation and help clients to live alone in the community.

Hangings attended by ambulance clinicians in the North East of England

2021 ◽  
Vol 6 (3) ◽  
pp. 49-57
Author(s):  
Gary Shaw ◽  
Lee Thompson ◽  
Graham McClelland
Keyword(s):  
Mental Health ◽  
Cardiac Arrest ◽  
Suicide Attempts ◽  
Service Evaluation ◽  
Health Issues ◽  
Hospital Data ◽  
North East ◽  
The North ◽  
Acute Hospitals ◽  
Future Work

Introduction: Suicide rates have risen in England over the last decade and hanging, a highly lethal method of suicide, has been the most common method. Previous work in this area identified a lack of literature discussing emergency medical services (EMS) attendance at hangings. This article aims to describe hangings attended by EMS in the North East of England in order to inform future work in this area.Methods: A retrospective service evaluation was conducted using existing data from a comprehensive pre-hospital trauma audit database to describe patients with hanging documented in their records who were attended by ambulance clinicians between 1 December 2018 and 31 November 2020.Results: Hanging was recorded in 604 incidents. Most cases (n = 579/604) involved adults (aged 18 years or older) with a median age of 35 years (IQR 27‐45 years), who were male (n = 410/579, 71%). Just over half (n = 341/579, 59%) of adult hangings resulted in cardiac arrest and of these, 10% (n = 33/341) were resuscitated and survived to hospital admission. Threatened and non-fatal hangings appear to have increased dramatically in the latter half of 2020. Previous suicide attempts and mental health issues were frequently reported across this population.Conclusion: Hangings are a method of suicide which frequently result in a cardiac arrest. In the North East of England the ambulance service attends approximately one hanging per day and one fatal hanging every two days. When fatal hangings were resuscitated, pre-hospital outcomes were similar to other causes of cardiac arrest, highlighting that despite the traumatic nature of these cases resuscitation is not futile. In order to better understand this patient group and improve care, pre-hospital data need to be linked to data from other services such as mental health services and acute hospitals.

Psychological Science Into Practice During the COVID-19 Pandemic

2021 ◽  
Vol 26 (4) ◽  
pp. 387-396
Author(s):  
Eleni Karayianni ◽  
Tom Van Daele ◽  
Jasminka Despot-Lučanin ◽  
Josip Lopižić ◽  
Nicholas Carr
Keyword(s):  
Public Health ◽  
Mental Health ◽  
Professional Growth ◽  
European Federation ◽  
Evidence Based ◽  
Community Based Interventions ◽  
Community Based ◽  
The Public ◽  
The Third ◽  
Psychological Science

Abstract. The public health outbreak of the COVID-19 virus has hit all aspects of life as we know it. We found ourselves trying to solve several concurrent crises that have afflicted us. The European Federation of Psychologists’ Associations (EFPA) launched the Psychologists’ Support Hub to share resources among its members and beyond and promote the continuing adoption of psychological science to battle the pandemic. In the greater context of evidence-based practice (EBP), the best available evidence is what we turn to for help in our decision-making on how best to address different challenges. However, there are challenges in implementing EBP when the science is limited, and we are still expected to be effective and efficient as professionals. The article outlines the need for EBP during the pandemic. Three vignettes display how that can be done while identifying obstacles and recommending ways forward in the future. The first one relates to the development of e-mental health services in Belgium following the March 2020 lockdown. The second describes addressing the needs of older adults in Croatia when it was hit by two crises simultaneously – the March 2020 lockdown and a destructive earthquake. The third looks at how targeted community-based interventions in Norway directed at social change can positively impact times of crisis. Overall, the pandemic presents a unique opportunity for professional growth for researchers, trainers, practitioners, and policymakers alike. EFPA can play a pivotal role in EBP adoption.

A Causal Model of Attitudes toward Mental Health Facilities

1983 ◽  
Vol 15 (4) ◽  
pp. 525-542 ◽  
Author(s):  
G B Hall ◽  
S M Taylor
Keyword(s):  
Mental Health ◽  
Community Mental Health ◽  
Mentally Ill ◽  
Causal Model ◽  
Health Facilities ◽  
Community Mental Health Care ◽  
Community Based ◽  
Mental Health Facilities ◽  
Perceived Impacts ◽  
Community Facilities

Nonuser responses to community facilities are recognised as among the most important factors determining the success or failure of community-based systems of service delivery. A causal model of individual attitudes to community mental health care is defined and tested with survey data collected in Toronto, Ontario. The results from a path analysis show the strong antecedent influence of attitudes toward facility users and of perceived impacts of facilities on facility desirability. The importance of personal nonattitudinal characteristics on reactions to facilities is also revealed. The implications of familiarity with mental illness and of attitudes toward the mentally ill for the acceptance of community mental health facilities are considered.

The School in the Park. A purpose for our future: 0 km water.

2020 ◽  
Author(s):  
Paola Paolessi
Keyword(s):  
Tap Water ◽  
Educational Institution ◽  
Hotel Management ◽  
The Public ◽  
School Year ◽  
North East ◽  
The North ◽  
Direct Observations ◽  
Regional Interest ◽  
Hotel Managers

<p>IPSSEOA “via De Gasperi” is a hotel management high school specialized in reception and “enogastronomy” (food and wine). Over 750 students are divided into different sections according to specialization and study for five years. The school is located in Palombara Sabina, in the north east province of Rome, on the edge of a protected area of ​​regional interest, Parco Naturale Regionale dei Monti Lucretili. For several years the school has been carrying out environmental education programs oriented towards sustainability and the acquisition of good environmental habits by students and their families through targeted projects, workshops and excursions.</p><p>We believe that an educational institution that trains potential kitchen and hotel managers should have as one of its main purpose the care of people and environment. Therefore, the school year 2019-2020 project focuses on reducing plastic consumption by encouraging the use of public water, which comes from some springs, “Sorgenti Le Capore” in the territory of the Monti Lucretili Park. Students will personally test the goodness of tap water through excursions, workshops, direct observations and analysis of samples. Even the emotional side and the sense of belonging will be solicited, also thanks to the support of associations and entities present in the area. In particular, the "Terraemani" association and the APS (Acqua Pubblica Sabina) organization that manages the public aqueduct will be involved in the project. Then, students will have the opportunity to rationally choose which water to consume, public or bottled water. The challenge will therefore be to promote 0 km water.</p><p>Presentation type preference: Poster</p><p> </p><p> </p>

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