scholarly journals The impact of involvement in mental health research on views about mental health services and service use: Findings from a UK survey

2016 ◽  
Vol 1 (3) ◽  
Author(s):  
Sue Patterson ◽  
Jenny Trite ◽  
Tim Weaver
1998 ◽  
Vol 4 (1) ◽  
pp. 87-97 ◽  
Author(s):  
Joseph L. Mosca

This curriculum module is designed for use in an undergraduate social policy course. It focuses on mental health policy and its impact on services to the chronic mentally ill in the community. Relevant mental health research is integrated in order to provide a basis for comparing traditional service interventions with alternative approaches. Learning outcomes that are critical to social policy analysis are addressed to include: problem identification and analysis; policy reform proposals; implementation concerns; and assessment. These components of social policy are applied to mental health services by specifically comparing family-aided assertive community treatment to longstanding approaches associated with deinstitutionalization.


2010 ◽  
Vol 197 (S53) ◽  
pp. s20-s25 ◽  
Author(s):  
Sarah Byford ◽  
Jessica Sharac ◽  
Brynmor Lloyd-Evans ◽  
Helen Gilburt ◽  
David P. J. Osborn ◽  
...  

BackgroundResidential alternatives to standard psychiatric admissions are associated with shorter lengths of stay, but little is known about the impact on readmissions.AimsTo explore readmissions, use of community mental health services and costs after discharge from alternative and standard services.MethodData on use of hospital and community mental health services were collected from clinical records for participants in six alternative and six standard services for 12 months from the date of index admission.ResultsAfter discharge, the mean number and length of readmissions, use of community mental health services and costs did not differ significantly between standard and alternative services. Cost of index admission and total 12-month cost per participant were significantly higher for standard services.ConclusionsShorter lengths of stay in residential alternatives are not associated with greater frequency or length of readmissions or greater use of community mental health services after discharge.


2015 ◽  
Vol 101 (1) ◽  
pp. e1.2-e1
Author(s):  
Laura Reale ◽  
Antonio Clavenna ◽  
Rita Campi ◽  
Massimo Cartabia ◽  
Maurizio Bonati

The aim of this study was to monitor the pattern of service attendance and antipsychotic use in youth with psychiatric disorders crossing age boundaries for paediatric mental health services. Regional administrative health databases were used to identify subjects born in the 1989–1992 period, who were hospitalised for psychiatric disorders and had both outpatient visits and antipsychotic prescriptions between the age of 16 and 17 years. Information about service use, antipsychotic medication, and hospitalizations during the transition period covering the age of 18–20 years was collected. A total of 144 patients were identified. Risperidone was the most commonly prescribed drug (28% of youths), followed by haloperidol (22%) and olanzapine (19%). In early adulthood, 117 of 144 (81%) subjects were still attending a mental health service: 43% of whom were receiving parallel care, and 47 (40%) of whom were being seen by adult, and 20 (17%) by child, psychiatrists. In all, 99 of 144 (69%) continued antipsychotic treatment into adulthood, 65 of whom (66%) switched to another drug, with an increase in aripiprazole, and a reduction of haloperidol and chlorpromazine, prescriptions. Less than half (45%) were re-admitted for psychiatric disorders, mainly for schizophrenia. In conclusion, only 4 out of 10 adolescents completed the transition to adult services by the age of 20 years, while 30% discontinued drug therapy and only a third maintained the treatment received during adolescence. Monitoring therapeutic pathways in this challenging life period is essential, and further analyses on the impact of service transition on pharmacological treatment are ongoing.


2019 ◽  
Vol 23 (1) ◽  
pp. 53-57 ◽  
Author(s):  
Janet Laura Stewart

Purpose The purpose of this paper is to outline the reflections of a person with lived experience of a severe mental illness (SMI) and former peer support worker in Montreal, Quebec, Canada, who has also worked for seven years in mental health research. It describes a tendency of resources and services to create ghettos of people with SMIs by failing to support the integration of people with SMIs into the community at large or in exploring options for meaningful, fulfilling occupation, reinforcing social exclusion and ghettoization. Design/methodology/approach This paper shows a reflective and narrative account of personal experiences and observations of the ghettoizing tendency in mental health services. Findings Mental healthcare professionals tend to support people with SMIs in engaging activities within resources for the mentally ill, and not in carrying out activities in the community at large. The range of activities offered is limited, an obstacle to finding meaningful, fulfilling occupation. Harmful psychological effects include self-stigma, low self-esteem and a sense of marginalization, generating a ghettoized mentality. The difficulties encountered in an effort to leave the mental health ghetto are touched on with examples of how to overcome them. Practical implications The need for professional support for social integration of people with SMIs is identified, which could ultimately favor social inclusion of people with SMIs. Originality/value It is written from the perspective of a user and provider of mental health services, who also has seven years’ experience in mental health research.


Author(s):  
Shaun M. Eack

Mental health research is the study of the causes and correlates of mental health and illness, approaches to improve mental well-being, and the delivery of effective mental health services to those in need. Social workers have been leading researchers in each of these areas of inquiry, and this article provides an overview of the broad field of mental health research, with particular emphasis on the contributions of social work. A biopsychosocial review of research on the correlates of mental health and illness is provided, followed by a synthesis of studies examining pharmacological and psychosocial approaches to improving mental health. Research on mental health services is then presented, with a focus on studies seeking to improve access to quality care and reduce service disparities. Key directions for future mental health research include identifying specific causal predictors of mental illness, improving existing treatments, and disseminating advances to the community.


Author(s):  
Riddhi Prajapati ◽  
Helen Liebling

Abstract Background Despite calls to address ethnic inequalities to accessing mental health services in the UK, governmental initiatives have had limited impact. Studies indicate that South Asian communities underutilise mental health services. Previous reviews have identified cultural and institutional factors that may influence service use, but these are mostly narrative and limited in their scope. Method A systematic literature search resulted in fifteen studies exploring the experiences of seeking help and barriers to accessing and using services from the perspective of British South Asian service users. Findings Qualitative data was synthesised through meta-ethnography, and three themes emerged: Distanced from Services, Dilemma of Trust and Threat to Cultural Identity. South Asian service users were positioned at a distance from being able to access services and stuck in a dilemma of mistrusting White and Asian professionals. They constructed their cultural identity through a set of important values which were neglected by mental health services. Service users, therefore, appeared to engage in an ongoing evaluation of the potential benefits of accessing services against the risks of threat to their personal and cultural identities. The findings are discussed in relation to Eurocentric models of care and community engagement approaches. Conclusion The review argues that institutional racism and cultural dissonance marginalise South Asian service users from access to quality and effective mental healthcare. It is recommended that services acknowledge the impact of alienation and powerlessness and advance their practices to establish trust and cultural safety for South Asian service users in the UK.


2016 ◽  
Vol 25 (1) ◽  
pp. 60-65
Author(s):  
Brett Emmerson ◽  
Anna Praskova ◽  
Lisa Fawcett ◽  
David Crompton ◽  
Edward Heffernan

Objective: The objective of this study was to inform planning for similar events, our aim was to describe planning undertaken by Brisbane Mental Health Services for the 2014 G20 Summit and the impact of the Summit on service use. Methods: We analysed routinely collected service data comparing presentations and discharges for the same time period in two consecutive years. Results: While presentations to mental health services increased from the previous year across a five-month period (including the month of G20), the week of the G20 Summit showed little change. Conclusions: Our findings will be useful to other services that prepare for major events, such as G20. Our experience shows that, with detailed planning and extra resources, the G20 Summit passed without any major mental health incidents or major increase for mental health presentations.


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