scholarly journals The management of individuals with enduring moderate to severe mental health needs: a participatory evaluation of client journeys and the interface of mental health services with the criminal justice system in Cornwall

2015 ◽  
Vol 3 (15) ◽  
pp. 1-232 ◽  
Author(s):  
Susan Lea ◽  
Lynne Callaghan ◽  
Susan Eick ◽  
Margaret Heslin ◽  
John Morgan ◽  
...  

BackgroundExisting research identified substantial gaps between NHS mental health services and the criminal justice system for individuals with enduring moderate to severe mental health needs (EMHN). A pilot study in Cornwall echoed these findings, identifying deficiencies in provision at the interface of police and mental health services.AimTo explore the interagency management of individuals with EMHN as they come into contact with the police.DesignA mixed-methods approach within a community psychology framework to enhance the implementation of findings. Stage 1: policy review and clinical audit to identify a sample of mental health service users who were in contact with the police. Stage 2: case-linkage study of 80 service user journeys through services at the time of three types of police contact (Section 136 detention; arrest for criminal offence and contact that did not result in detention); and a health economics component including analysis of the actual cost of 55 service user journeys and enhanced service scenarios. Stage 3: local stakeholder consultation to validate and contextualise case-linkage findings, including a national event.SettingThe research site was the county of Cornwall within the organisational contexts of Cornwall Partnership NHS Foundation Trust and Devon & Cornwall Police.SampleProportionate stratified random sampling identified a sample of 80 cases examined in the case-linkage study from the 538 linked cases identified by the clinical audit.Data sourcesCase-linkage and health economics data involved individuals’ police and mental health records; stakeholder consultation data involved focus groups and interviews.ResultsOf the sample of 80 cases examined, 23 individuals had been detained under Section 136 of the Mental Health Act (1983: Great Britain.Mental Health Act 1983.Chapter 20. London: The Stationery Office; 1983) (accounting for 32 detentions), 52 had been detained in custody on suspicion of an offence (accounting for 126 arrests) and 15 had non-detention contact with the police. Findings showed that where police were aware of mental health needs and individuals were on caseload of a Mental Health Team, there was increased interaction and enhanced outcomes for service users and organisations. The health economics scenario modelling suggests that enhancing services has minimal effects on individual level costs compared with current practice.ConclusionsThe research revealed discrepancy in police and mental health professionals’ assessment of risk and interpretation of protocol and highlighted the need for joint interagency protocols and training to improve information sharing between agencies to enhance the management of individuals with enduring moderate to severe mental health needs.FundingThe National Institute for Health Research Health Services and Delivery Research programme.

2005 ◽  
Vol 13 (4) ◽  
pp. 393-398 ◽  
Author(s):  
Elspeth Macdonald ◽  
Heather Mohay ◽  
Debra Sorensen ◽  
Neil Alcorn ◽  
Brett McDermott ◽  
...  

1980 ◽  
Vol 46 (2) ◽  
pp. 383-386 ◽  
Author(s):  
Marvin P. Dawkins ◽  
James A. Terry ◽  
Marva P. Dawkins

This study examined differences between users and nonusers of mental health services in an inner city community in terms of measures of personality and life style. Subjects were 30 users randomly selected from a list of self-referred outpatients at a neighborhood clinic and 30 nonusers from the same community. Measures of personality and life style were based on the Bipolar Psychological Inventory and the Attitudes, Interests and Opinions Life Style Inventory. Significant differences were found for 4 of the 15 personality measures and 2 of the 3 life style dimensions. Users were more dependent, unmotivated and socially withdrawn, while nonusers showed more tendency toward social deviancy and racial pride. Both groups scored relatively high on neurotic and psychopathic measures including defensiveness, psychic pain, impulsiveness and problem index (potential for psychotic reactions). It was concluded that both differences and similarities between users and nonusers should be given greater attention in planning to meet mental health needs of inner city residents.


2017 ◽  
Vol 47 (3) ◽  
pp. 136-151 ◽  
Author(s):  
Dimitris Giamos ◽  
Alex Young Soo Lee ◽  
Amanda Suleiman ◽  
Heather Stuart ◽  
Shu-Ping Chen

This study aimed to better understand campus mental health culture and student mental health coping strategies, and to identify the mental health needs of students as well as gaps in mental health services within postsecondary education. A videovoice method was used to identify and document health-related issues and advocate for change. Forty-one interviews were conducted with campus stakeholders at five universities. Five themes involving mental health emerged from the campus interviews: the stigma of mental illness; campus culture related to mental health; mental health services available and barriers to mental health services on campus; accommodations for students’ mental health needs; and student mental health coping strategies. A documentary was developed to advocate for better mental health. We conclude that although Canadian campuses are raising awareness about mental health issues, there is not enough mental health infrastructure support on campuses; in particular, accessibility to campus mental health resources needs improvement.


1997 ◽  
Vol 21 (4) ◽  
pp. 197-199 ◽  
Author(s):  
Shaun Gravestock ◽  
Nick Bouras

Questionnaire data are presented from a national multi-professional survey. Only 12% of respondents had local quantitative data on adults with learning disabilties (LD) and mental health needs (MHN). More described local provision as part of specialist LD services than integrated with generic mental health services. LD services were rated as more accessible and more available than generic mental health services. Clinicians agreed about the important elements of psychiatric assessment, treatment and their preference for using the ICD–9 and ICD–10 diagnostic classifications. The planning, delivery and evaluation implications for psychiatric services for adults with LD are outlined.


2015 ◽  
Vol 28 (5) ◽  
pp. 415-436 ◽  
Author(s):  
Jillian J. Turanovic ◽  
Nancy Rodriguez

This study identifies the factors related to mental health service use among children of incarcerated mothers. Data on 700 children collected from a diverse sample of mothers in Arizona are used, and a two-stage probit model with sample selection is estimated to assess the various child, mother, and caregiver characteristics associated with children’s use of mental health services. Results indicate that children involved in child protective services (CPS) and children cared for by grandparents are more likely to receive mental health services, whereas children of Native American mothers and children who have been exposed to violence are less likely to receive services for their mental health needs. These findings have important implications for correctional policy regarding the intake screening of female inmates and suggest that criminal justice agencies communicate more closely with CPS and community-based services to ensure children’s mental health needs are addressed while their mothers are in prison.


Author(s):  
Lee Kern ◽  
Beth Custer ◽  
Imad Zaheer

The chapter “Classroom-Based Services for Adolescents With Mental Health Needs,” in School Mental Health Services for Adolescents, describes a classroom-based three-tiered framework of prevention and intervention that is efficient and cost-effective. A rationale is provided for why the three-tiered framework, typically applied at the school-wide level, is also a good fit for individual classrooms. Following the rationale, the chapter provides details of specific interventions across the three tiers that have solid or emerging evidence for effectiveness in secondary settings. For each intervention, a rationale is provided, followed by specific procedures and strategies for implementation, as well as research to support the effectiveness of the intervention. The chapter ends by discussing broader implementation issues in the form of individual barriers teachers face and larger systemic barriers in secondary school settings.


1993 ◽  
Vol 17 (11) ◽  
pp. 649-651 ◽  
Author(s):  
J. Ferran ◽  
B. O'Shea ◽  
I. A. Davidson

It is well known that there is a high prevalence of psychiatric disorder among residents in hostels for the homeless (Timms & Fry, 1989), and staff in these hostels are looking after the mental health needs of these people sometimes with little help from the institutional services. Recent studies have emphasised the plight of schizophrenia sufferers (Marshall, 1993) while other subgroups of mentally disordered homeless people have received less attention.


2008 ◽  
Vol 5 (2) ◽  
pp. 38-40 ◽  
Author(s):  
Valsamma Eapen ◽  
Omer El-Rufaie

This paper will focus on the current state of mental health services in the United Arab Emirates (UAE) and reflect on the various public health, socio-economic and psychosocial factors that have a major impact on the mental health needs of the population. It is to be borne in mind that the services described in this paper are in a state of rapid change, as the country is witnessing one of the fastest rates of development in the world.


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