scholarly journals An Irish perspective on patients who lack the capacity to consent to treatment

1999 ◽  
Vol 23 (9) ◽  
pp. 522-524 ◽  
Author(s):  
John Hillery ◽  
David Tomkin ◽  
Adam McAuley
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Illness ◽  
Learning Disability ◽  
Dual Diagnosis ◽  
Legal System ◽  
Health Care Professionals ◽  
Service Provision ◽  
Consent To Treatment ◽  
Health Trust

Health care professionals in Ireland are concerned about the effect of L v. Bournewood Community and Mental Health Trust ex parte L (1998). Despite Ireland's distinct legal system and different service provision, this case has highlighted existing concerns about the treatment of patients with a dual diagnosis of learning disability and mental illness.

scholarly journals Psychiatric assertive outreach and learning disability services

2003 ◽  
Vol 9 (5) ◽  
pp. 368-373 ◽  
Author(s):  
Angela Hassiotis ◽  
Peter Tyrer ◽  
Patricia Oliver
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Illness ◽  
Learning Disabilities ◽  
Learning Disability ◽  
Service Provision ◽  
Disability Services ◽  
Established Method ◽  
Assertive Outreach ◽  
Limited Application

Assertive outreach is a well-established method of managing patients with severe mental illness in the community. However, there is limited application and evidence of its efficacy in services for people with learning disabilities who also have mental illness. This paper elucidates current service provision for this group of patients and illustrates the pathways to mental health care available to them.

Multiple Contacts with Diversion at the Point of Arrest

2003 ◽  
Vol 43 (2) ◽  
pp. 105-110
Author(s):  
Sharon Riordan ◽  
Stuart Wix ◽  
M Sayeed Haque ◽  
Martin Humphreys
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Police Officers ◽  
Health Care Professionals ◽  
Service Provision ◽  
Contact Group ◽  
Multiple Contacts ◽  
Set Up ◽  
Single Contact

A diversion at the point of arrest (DAPA) scheme was set up in five police stations in South Birmingham in 1992. In a study of all referrals made over a four-year period a sub group of multiple contact individuals was identified. During that time four hundred and ninety-two contacts were recorded in total, of which 130 were made by 58 individuals. The latter group was generally no different from the single contact group but did have a tendency to be younger. This research highlights the need for a re-evaluation of service provision and associated education of police officers and relevant mental health care professionals.

scholarly journals Peer Support in Mental Health: Literature Review (Preprint)

2019 ◽  
Author(s):  
Reham A Hameed Shalaby ◽  
Vincent I O Agyapong
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Illness ◽  
Lived Experience ◽  
Peer Support ◽  
Health Care System ◽  
Health Care Professionals ◽  
Health Care Systems ◽  
Age Groups ◽  
Care System

BACKGROUND A growing gap has emerged between people with mental illness and health care professionals, which in recent years has been successfully closed through the adoption of peer support services (PSSs). Peer support in mental health has been variously defined in the literature and is simply known as the help and support that people with lived experience of mental illness or a learning disability can give to one another. Although PSSs date back to several centuries, it is only in the last few decades that these services have formally evolved, grown, and become an integral part of the health care system. Debates around peer support in mental health have been raised frequently in the literature. Although many authors have emphasized the utmost importance of incorporating peer support into the health care system to instill hope; to improve engagement, quality of life, self-confidence, and integrity; and to reduce the burden on the health care system, other studies suggest that there are neutral effects from integrating PSSs into health care systems, with a probable waste of resources. OBJECTIVE In this general review, we aimed to examine the literature, exploring the evolution, growth, types, function, generating tools, evaluation, challenges, and the effect of PSSs in the field of mental health and addiction. In addition, we aimed to describe PSSs in different, nonexhaustive contexts, as shown in the literature, that aims to draw attention to the proposed values of PSSs in such fields. METHODS The review was conducted through a general search of the literature on MEDLINE, Google Scholar, EMBASE, Scopus, Chemical Abstracts, and PsycINFO. Search terms included peer support, peer support in mental health, social support, peer, family support, and integrated care. RESULTS There is abundant literature defining and describing PSSs in different contexts as well as tracking their origins. Two main transformational concepts have been described, namely, intentional peer support and transformation from patients to peer support providers. The effects of PSSs are extensive and integrated into different fields, such as forensic PSSs, addiction, and mental health, and in different age groups and mental health condition severity. Satisfaction of and challenges to PSS integration have been clearly dependent on a number of factors and consequently impact the future prospect of this workforce. CONCLUSIONS There is an internationally growing trend to adopt PSSs within addiction and mental health services, and despite the ongoing challenges, large sections of the current literature support the inclusion of peer support workers in the mental health care workforce. The feasibility and maintenance of a robust PSS in health care would only be possible through collaborative efforts and ongoing support and engagement from all health care practitioners, managers, and other stakeholders.

scholarly journals Peer Support in Mental Health: Literature Review

10.2196/15572 ◽  
2020 ◽  
Vol 7 (6) ◽  
pp. e15572 ◽  
Author(s):  
Reham A Hameed Shalaby ◽  
Vincent I O Agyapong
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Illness ◽  
Lived Experience ◽  
Peer Support ◽  
Health Care System ◽  
Health Care Professionals ◽  
Health Care Systems ◽  
Age Groups ◽  
Care System

Background A growing gap has emerged between people with mental illness and health care professionals, which in recent years has been successfully closed through the adoption of peer support services (PSSs). Peer support in mental health has been variously defined in the literature and is simply known as the help and support that people with lived experience of mental illness or a learning disability can give to one another. Although PSSs date back to several centuries, it is only in the last few decades that these services have formally evolved, grown, and become an integral part of the health care system. Debates around peer support in mental health have been raised frequently in the literature. Although many authors have emphasized the utmost importance of incorporating peer support into the health care system to instill hope; to improve engagement, quality of life, self-confidence, and integrity; and to reduce the burden on the health care system, other studies suggest that there are neutral effects from integrating PSSs into health care systems, with a probable waste of resources. Objective In this general review, we aimed to examine the literature, exploring the evolution, growth, types, function, generating tools, evaluation, challenges, and the effect of PSSs in the field of mental health and addiction. In addition, we aimed to describe PSSs in different, nonexhaustive contexts, as shown in the literature, that aims to draw attention to the proposed values of PSSs in such fields. Methods The review was conducted through a general search of the literature on MEDLINE, Google Scholar, EMBASE, Scopus, Chemical Abstracts, and PsycINFO. Search terms included peer support, peer support in mental health, social support, peer, family support, and integrated care. Results There is abundant literature defining and describing PSSs in different contexts as well as tracking their origins. Two main transformational concepts have been described, namely, intentional peer support and transformation from patients to peer support providers. The effects of PSSs are extensive and integrated into different fields, such as forensic PSSs, addiction, and mental health, and in different age groups and mental health condition severity. Satisfaction of and challenges to PSS integration have been clearly dependent on a number of factors and consequently impact the future prospect of this workforce. Conclusions There is an internationally growing trend to adopt PSSs within addiction and mental health services, and despite the ongoing challenges, large sections of the current literature support the inclusion of peer support workers in the mental health care workforce. The feasibility and maintenance of a robust PSS in health care would only be possible through collaborative efforts and ongoing support and engagement from all health care practitioners, managers, and other stakeholders.

Learning disability, autism and the Criminal Procedure (Scotland) Act

2020 ◽  
Vol 14 (5) ◽  
pp. 149-167
Author(s):  
Fionnuala Williams ◽  
Mike Warwick ◽  
Colin McKay ◽  
Callum Macleod ◽  
Moira Connolly
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Illness ◽  
Personality Disorder ◽  
Learning Disability ◽  
Design Methodology ◽  
Medication Use ◽  
Criminal Procedure ◽  
Content Type ◽  
Scottish Government

Purpose This paper aims to investigate the use of Part VI of the Criminal Procedure (Scotland) Act 1995 (CPSA) for people with Learning Disability (LD) and/or Autism. This is in the context of a recent review commissioned by the Scottish Government into whether the provisions in the Mental Health (Care and Treatment) (Scotland) Act 2003 (MHA) meet the needs of these groups which would also affect associated legislation such as CPSA. Design/methodology/approach All CPSA orders active on the 3 January 2018 were identified and analysed for a number of variables including diagnoses, detention length, level of hospital security and medication use. Findings Of the 580 people on CPSA orders, 69 (11.9%) had LD and 27 (4.7%) had possible/definite Autism. Most people with LD (56.5%) did not have a mental illness or personality disorder. Most (81.2%) had mild LD. There were two patients whose only diagnosis was Autism. Mean duration of detention was longer for those with LD than for those without. Most patients with LD alone were prescribed medication (61.5%) and, if in hospital, were managed in low secure units (59%). Originality/value The results indicate that people with LD or Autism are differently affected by the application of the CPSA from other people with mental disorders, and that this is potentially discriminatory, if it is not objectively justified . It supports the stance from the recent review that to reduce the potential for discrimination, substantial changes to MHA and CPSA should be considered in the wider review of the MHA in Scotland.

scholarly journals Mental Health Recovery: Evaluation of a Recovery-Oriented Training Program

2012 ◽  
Vol 2012 ◽  
pp. 1-8 ◽  
Author(s):  
G. K. M. L. Wilrycx ◽  
M. A. Croon ◽  
A. H. S. van den Broek ◽  
Ch. van Nieuwenhuizen
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Illness ◽  
Mental Health Care ◽  
Training Program ◽  
Serious Mental Illness ◽  
Health Care Professionals ◽  
Interrupted Time Series ◽  
Knowledge And Attitudes ◽  
Using Data

Aim. This study investigates the effectiveness of a recovery-oriented training program on knowledge and attitudes of mental health care professionals towards recovery of people with serious mental illness.Methods. Using data from a longitudinal study of recovery, changes in knowledge and attitudes of 210 mental health care professionals towards recovery were explored using the Recovery Attitude Questionnaire and the Recovery Knowledge Inventory. The study uses a two-group multiple intervention interrupted time-series design which is a variant of the stepped-wedge trial design. A total of six measurements occasions took place.Results. This study shows that professionals' attitudes towards recovery from mental illness can improve with training. After two intensive recovery-oriented training sessions, mental health care professionals have a more positive attitude towards recovery in clinical practice.Conclusion. A recovery-oriented training program can change attitudes of mental health care professionals towards recovery of serious mental illness.

scholarly journals Paramedics’ clinical judgment and mental health assessments in emergency contexts: Research, practice, and tools of the trade

2015 ◽  
Vol 4 (2) ◽  
Author(s):  
Ramon Shaban
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Illness ◽  
Mentally Ill ◽  
Health Care Professionals ◽  
Assessment Tools ◽  
Health Priorities ◽  
Community Interest ◽  
Wide Range ◽  
Health Assessments

Mental health and illness are global health priorities. International reforms of mental health care systems repeatedly call for increased participation of a wide range of health, welfare, and disability professionals and organisations in providing services to people with mental disorders. There are increasing needs to improve mental health skills of all health-care professionals, improve coordination of services provided to consumers of mental health services and their and carers, and foster greater community interest and involvement in mental health issues. Despite this, the roles of paramedics and contributions they can make to the care of the mentally ill in the wider continuum of health care have not been fully recognised. Traditionally, the work of paramedics has been limited to managing specific conditions such as suicide. The reasons for this are many and varied, but one consequence of it is that research into paramedic judgment and decision-making of mental illness is rare. This paper will present a review of key research examining mental health assessments in the emergency care context, with a specific focus on paramedics. It will examine the use of mental assessment tools or instruments by ambulance and emergency medical personnel and highlight the needs for future research into this important area of health-care. Central to global mental health reforms is the preparedness of health care professionals, including paramedics, to recognise, assess, and manage mental illness in everyday practice and the sufficiency of education and training programs, clinical standards, policy, and legislation to ensure quality and accountability in the care of the mentally ill.

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