scholarly journals The sustainability of knowledge brokerage of the mental health improvement outcomes framework in Scotland: a follow-up analysis

2020 ◽  
Vol 16 (1) ◽  
pp. 177-195
Author(s):  
John Connolly ◽  
Garth Reid ◽  
Monja Knoll ◽  
Wendy Halliday ◽  
Shirley Windsor
Keyword(s):  
Mental Health ◽  
National Level ◽  
Qualitative Evaluation ◽  
Network Governance ◽  
Health Improvement ◽  
Health Strategy ◽  
Knowledge Brokerage ◽  
Challenges And Opportunities ◽  
Strategy Planning

This is a follow-up study to Reid et al (2017) which considered the barriers and facilitators of getting knowledge into policy when using a knowledge brokering approach. The previous study analysed the use of strategies to reduce barriers to the use of evidence in mental health strategy planning in Scotland using outcome frameworks. The main facilitators highlighted were the importance of local champions, cooperation within partnership networks, and national-level support. The barriers were local implementation cultures, local time pressures, perceived complexities of the framework, and timeliness of the framework. The present article details the results of a follow-up qualitative evaluation of the sustainability of the mental health improvement outcomes framework with local planners. There is a dearth of literature which focuses on the sustainability of outcome frameworks and the findings of this study suggest that the barriers highlighted by Reid et al (2017) remain acute issues. However, there are further aspects for learning for knowledge brokers themselves in terms of national and local relations and the wider challenges and opportunities relating to network governance and policy reform agendas.

scholarly journals Survey of long-stay patients on acute psychiatric wards

2008 ◽  
Vol 32 (10) ◽  
pp. 380-383 ◽  
Author(s):  
Martin Commander ◽  
Dharjinder Rooprai
Keyword(s):  
Mental Health ◽  
Acute Hospital ◽  
Clinical Implications ◽  
Clinical Expertise ◽  
Health Strategy ◽  
Hospital Patients ◽  
Acute Psychiatric Wards ◽  
Community Facilities ◽  
Acute Wards

Aims and MethodTo describe the profile of patients staying on acute wards for longer than 6 months and to compare staff appraisals of accommodation needs with patients' placements at 2 years.ResultsLong-stay patients consistently occupied around a fifth of all acute beds. the nursing and medical staff recommendations and patients' placements at 2 years showed only moderate agreement. Aside from remaining in hospital, patients were most likely to be living in a residential or nursing home at follow-up.Clinical ImplicationsThere is a need to sharpen the focus of mental health strategy on non-acute hospital provision and 24-h-staffed community facilities. In particular, it is important to recognise the contribution of clinical expertise to the assessment and placement of long-stay in-patients.

The Coronary Health Improvement Project (CHIP) for Lowering Weight and Improving Psychosocial Health

2011 ◽  
Vol 109 (1) ◽  
pp. 338-352 ◽  
Author(s):  
Carmen L. Thieszen ◽  
Steven G. Aldana ◽  
Marita L. Mahoney ◽  
David A. Vermeersch ◽  
Ray M. Merrill ◽  
...  
Keyword(s):  
Mental Health ◽  
Social Functioning ◽  
Psychological Health ◽  
Intervention Group ◽  
Psychosocial Health ◽  
Health Improvement ◽  
Control Group ◽  
Improvement Project ◽  
Role Emotional

This study extends previous research evaluating the association between the CHIP intervention, change in body weight, and change in psychological health. A randomized controlled health intervention study lasting 4 wk. was used with 348 participants from metropolitan Rockford, Illinois; ages ranged from 24 to 81 yr. Participants were assessed at baseline, 6 wk., and 6 mo. The Beck Depression Inventory (BDI) and three selected psychosocial measures from the SF–36 Health Survey were used. Significantly greater decreases in Body Mass Index (BMI) occurred after 6 wk. and 6 mo. follow-up for the intervention group compared with the control group, with greater decreases for participants in the overweight and obese categories. Significantly greater improvements were observed in BDI scores, role-emotional and social functioning, and mental health throughout follow-up for the intervention group. The greater the decrease in BMI through 6 wk., the better the chance of improved BDI score, role-emotional score, social functioning score, and mental health score, with odds ratios of 1.3 to 1.9. Similar results occurred through 6 mo., except the mental health variable became nonsignificant. These results indicate that the CHIP intervention significantly improved psychological health for at least six months afterwards, in part through its influence on lowering BMI.

scholarly journals Can a community-led intervention offering social support and health education improve maternal health?: a repeated measures evaluation of the PACT project run in a socially deprived London borough at 6 month follow-up

2019 ◽  
Author(s):  
June S.L. Brown ◽  
Ana Lucia Luderowski ◽  
Josephine Namusisi-Riley ◽  
Imogen Moore-Shelley ◽  
Matthew David Bolton ◽  
...  
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Social Capital ◽  
Health Literacy ◽  
Maternal Health ◽  
Health Education ◽  
Health Improvement ◽  
Depression And Anxiety ◽  
London Borough

Abstract Background Social adversity can significantly influence the wellbeing of mothers and their children. Maternal health may be improved through strengthened support networks and better health literacy. Population level health improvement requires the optimizing of the collaboration between statutory services (e.g. midwifery and health visiting services), civic organisations (e.g. churches, schools) as well as community groups and parents themselves. Key elements in improving community engagement are co-production and community control. This study evaluates a co-produced and community-led intervention developed for ante-natal and post-natal mothers, offering social support and health education. The intervention was based in a deprived south London borough. Methods A pre-post design was used to assess changes in the maternal health of mothers before and 6 months after attending a weekly intervention offering two key elements: social support for mothers and children (called Mumspace), and health education for mothers (called Parent University). Measures used included depression (PHQ-9), anxiety (GAD-7), health literacy (New Vital Signs), social capital (ASSIS) and a satisfaction measure. Results Sixty-one mothers were recruited at baseline and 58 mothers (95.1%) followed up after 6 months. The PACT intervention attracted some “difficult to engage” mothers, specifically Nigerian (26.2%) and Latin American (9.8%) mothers, the proportion of which was 5.8% and 3.6% above that in census records. Significant improvements were found on depression and anxiety for all the mothers, but particularly significant changes were found for those with more severe problems at baseline. There were also improvements in health literacy for those with poor literacy at baseline, overall social capital as well as 4 out of the 8 specific aspects. Satisfaction with the service was high. Conclusions This community-led social support and health education intervention has engaged “difficult to engage” mothers, as well as found very positive outcomes from a 6 month follow-up of mothers. Improvements were found on mental health, with particularly marked changes in depression and anxiety of mothers with more severe problems. Improvements in health literacy and social capital were also found. This is a promising intervention for the maternal mental health of mothers. A more rigorous controlled trial is recommended to further examine its effectiveness.

Therapy and prevention for mental health: What if mental diseases are mostly not brain disorders?

2019 ◽  
Vol 42 ◽  
Author(s):  
John P. A. Ioannidis
Keyword(s):  
Mental Health ◽  
Mental Disease ◽  
Brain Disorders ◽  
Social Stressors ◽  
Labor Education ◽  
Mental Diseases ◽  
Long Term Follow Up ◽  
Political Decisions

AbstractNeurobiology-based interventions for mental diseases and searches for useful biomarkers of treatment response have largely failed. Clinical trials should assess interventions related to environmental and social stressors, with long-term follow-up; social rather than biological endpoints; personalized outcomes; and suitable cluster, adaptive, and n-of-1 designs. Labor, education, financial, and other social/political decisions should be evaluated for their impacts on mental disease.

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