Postscript

Author(s):  
Ian Cummins

This postscript examines the Wessely review of the MHA that was completed in December 2018. It outlines the background to the review highlighting the increase in detentions under the MHA. The chapter then examines the principles of choice and autonomy, least restriction, therapeutic benefit and the person as an individual that underpin the proposed reforms. The chapter recognises the importance of these principles but argues that they cannot be properly enacted without structural changes to mental health services

2020 ◽  
Vol 19 (1) ◽  
pp. 63-81
Author(s):  
Tamara Nadine Sancho ◽  
Michael Larkin

Purpose Undergraduates are highly susceptible to the development of mental health difficulties. Afro-Caribbean students are particularly vulnerable to the pressures of university yet are less likely than other ethnic groups to receive early intervention. This paper aims to understand the barriers and facilitators that Afro-Caribbean undergraduates perceive towards accessing mental health services in the UK. Design/methodology/approach Critical Incident Technique was used as the qualitative method because it explores the critical factors that contribute to or detract from a specific experience. Seventeen Afro-Caribbean undergraduates participated in five focus groups. This involved engaging in a novel psychosocial activity that incorporated vignettes to encourage the identification of barriers and facilitators to service access. The data were analysed thematically to generate categories of critical incidents and wish-list items. Findings Analysis revealed rich data from a sub-group rarely researched within UK literature. Fifteen barriers, eleven facilitators and five wish-list items were identified. The importance of mental health literacy, social networks, cultural sensitivity and concerns surrounding services underpinned many categories. Originality/value Findings provide a new perspective on barriers reported in previous literature. Novel facilitators were highlighted where, although psychological and sociocultural factors were deemed valuable, structural changes were most desired. Recommended changes illustrate innovative interventions that could make services accessible for young adult Afro-Caribbean populations. Future research should explore the barriers and facilitators identified by Afro-Caribbean undergraduates across various universities who have successfully accessed and engaged with services. This could provide a holistic perspective on viable facilitators enabling access despite the presence of barriers.


2019 ◽  
Vol 43 ◽  
pp. 177-178 ◽  
Author(s):  
Min Fang ◽  
Brian J. Hall ◽  
Yongqiang Lin ◽  
Sydney Xiao Hu

Crisis ◽  
1998 ◽  
Vol 19 (1) ◽  
pp. 4-5
Author(s):  
Mary Frances Seeley

1989 ◽  
Vol 44 (8) ◽  
pp. 1133-1137 ◽  
Author(s):  
Leonard Bickman ◽  
Paul R. Dokecki

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