scholarly journals Individual Health Budgets in Mental Health: Results of Its Implementation in the Friuli Venezia Giulia Region, Italy

2020 ◽  
Vol 17 (14) ◽  
pp. 5017 ◽  
Author(s):  
Elisa Fontecedro ◽  
Morena Furlan ◽  
Davide Tossut ◽  
Elisabetta Pascolo-Fabrici ◽  
Matteo Balestrieri ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Department ◽  
Age Group ◽  
Multivariate Logistic Regression ◽  
Delivery Methods ◽  
Personalized Care ◽  
Complex Needs ◽  
Individual Health ◽  
Mental Health Department ◽  
Everyday Life Activities

Background: Individual Health Budget (IHB) is an intervention for recovery in mental health services, providing personalized care for subjects with severe disorders and complex needs. Little is known on its effectiveness and on the criteria for its delivery. Methods: A total of 67 IHB beneficiaries and 61 comparators were recruited among service users of the Mental Health Department of the Trieste Healthcare Agency, Italy. Data included sociodemographic and clinical variables, type of IHB, and Health of the Nation Outcome Scale (HoNOS) scores. Results: A comparison between groups showed significant differences in several socioeconomic and clinical characteristics. Multivariate logistic regression showed that IHB was positively associated to the 20–49 age group, single status, unemployment, low family support, cohabitation with relatives or friends, diagnosis of personality disorder, and a higher number of hospitalizations. The IHB group was at a higher risk of severe problems related to aggressive or agitated behaviors (OR = 1.4), hallucinations and delusions (OR = 1.5), and impairment in everyday life activities (OR = 2.1). Conclusions: IHB was used in patients with severe clinical and social problems. More resources, however, may be aimed at the working and social axes. More research is needed to better assess clinical and social outcomes of IHB and to adjust their intensity in a longitudinal perspective in order to enhance cost-effectiveness.

scholarly journals Researchable questions to support evidence-based mental health policy concerning adult mental illness

2002 ◽  
Vol 26 (10) ◽  
pp. 364-367 ◽  
Author(s):  
Graham Thornicroft ◽  
Jonathan Bindman ◽  
David Goldberg ◽  
Kevin Gournay ◽  
Peter Huxley
Keyword(s):  
Mental Health ◽  
Mental Health Policy ◽  
Health Department ◽  
Mental Health Research ◽  
Future Research ◽  
Policy Makers ◽  
Future Research Agenda ◽  
Department Of Health ◽  
National Service Framework ◽  
Mental Health Department

Policy makers find much mental health research irrelevant to their concerns. What types of research would directly assist those who formulate policy? The two purposes of this paper are (i) to identify important gaps in completed research, particularly in relation to the National Service Framework (NSF) for Mental Health (Department of Health, 1999a) and the NHS Plan (NHS Confederation, 2001); and (ii) to translate these gaps into researchable questions that can contribute to a debate about the future research agenda for general adult mental health in England.

How the psychiatrists of a mental health department managed their patients before an attempted suicide

2009 ◽  
Vol 63 (6) ◽  
pp. 706-714 ◽  
Author(s):  
Paolo Scocco ◽  
Elena Toffol ◽  
Elisa Pilotto ◽  
Pertile Riccardo ◽  
Luigi Pavan
Keyword(s):  
Mental Health ◽  
Attempted Suicide ◽  
Health Department ◽  
Mental Health Department

Recovery Colleges – safe, stimulating and empowering

2017 ◽  
Vol 21 (5) ◽  
pp. 280-288 ◽  
Author(s):  
Laurie Windsor ◽  
Glenn Roberts ◽  
Paul Dieppe
Keyword(s):  
Mental Health ◽  
Search Strategy ◽  
Positive Impact ◽  
Health Department ◽  
Content Type ◽  
Department Of Health ◽  
Production Safety ◽  
Educational Programmes ◽  
Mental Health Department ◽  
Use Of Health Services

Purpose Recovery Colleges could deliver many of the defined key outcomes within the Cross Governmental Mental Health Outcomes Framework “no health without mental health” (Department of Health, 2011). The purpose of this paper is to critically appraise the existing evidence of recovery educational programmes in mental health and gain a deeper understanding of the processes and outcomes involved. Design/methodology/approach A broad search strategy looking at recovery educational programmes in mental health was used. The data were gathered from two focus groups each containing five people, one with facilitators and one with students. Thematic analysis was used, following the six stages, recursive process recommended by Braun and Clarke (2006). Findings The main processes described in recovery programmes were co-production and education. The main outcomes were that recovery programmes led to a reduction in the use of health services, increased opportunities for future employment and a positive impact on staff. The process themes that appeared to emerge were the College ethos and principles, co-production, safety, empowerment and stimulation. The outcome themes that appeared to emerge included increased confidence, motivation and social interaction. Originality/value Recovery Colleges appear to benefit both facilitators and students by co-production of a safe, stimulating environment which empowers them: participating in the college benefits facilitators as well as students. This paper is of value to those interested in recovery and education within mental health.

scholarly journals Evaluation of health resources expenditure in two groups of psychotic patients treated with olanzapine and typical neuroleptics in a Italian Mental Health Department in Calabria Region

2008 ◽  
Vol 9 (1) ◽  
pp. 41-47
Author(s):  
Anna Caputo ◽  
Luca Guidi ◽  
Giovanni Biricolti ◽  
Sergio Torchia
Keyword(s):  
Mental Health ◽  
Health Resources ◽  
Health Department ◽  
Rehabilitation Services ◽  
Assessment Scores ◽  
Calabria Region ◽  
Emergency Interventions ◽  
Costs Of Treatment ◽  
Mental Health Department ◽  
Typical Neuroleptics

Numerous Italian and international trials have studied the global costs of treatment with olanzapine and typical neuroleptics. Our analysis confirms those results. In our study, treatment with olanzapine, as compared to typical neuroleptics, was associated with a greater reduction in emergency interventions (hospitalisations), with an increased use of rehabilitation services and with a small increase in the number of working days. The differences between the two groups for this variable were not great, while the differences in the assessment scores appeared important and statistically significant. The results of present study are relative to the practice of one Italian Mental Health Department and, for this reason, cannot be generalized. Anyway, they are another indication of increased efficiency of atypicals treatment over older neuroleptics in schizophrenia.

scholarly journals Role of Psychological and Educational Guidance Center in Reducing the University Violence from Educational Science College’s Students’ Perspective in Counseling and Mental Health Department at World Islamic Sciences and Education University

2019 ◽  
Vol 12 (11) ◽  
pp. 59
Author(s):  
Saleh Hassan Al-Daheri
Keyword(s):  
Mental Health ◽  
Health Department ◽  
Educational Science ◽  
Science College ◽  
Educational Guidance ◽  
Causes Of Violence ◽  
Mental Health Department ◽  
The University

The study aimed to identify the roles of Psychological and Educational Guidance Center in Reducing the phenomenon of the university violence from the perspective of the Educational Science College’s students in Counseling and Mental Health Department at World Islamic Sciences and Education University. And to achieve the study’s goal, a sample consisted of 10 students of the Educational Science College was selected. A questionnaire was developed to collect data. Results showed that the level of students’ degree in practicing violence was moderate and media is one of the major causes of violence at university. The researcher came up with some recommendations.

The Recovery House in Trieste: rational, participants, intervention as the “work”

2018 ◽  
Vol 39 (4) ◽  
pp. 149-161
Author(s):  
Roberta Casadio ◽  
Izabel Cristina Marin ◽  
Thais Thomé ◽  
Roberto Mezzina ◽  
Paul Baker ◽  
...  
Keyword(s):  
Mental Health ◽  
Independent Living ◽  
Pilot Project ◽  
Health Department ◽  
Health Needs ◽  
Power Relationships ◽  
Assembly Model ◽  
Mental Health Needs ◽  
Content Type ◽  
Mental Health Department

PurposeToo often people with complex mental health needs do not find their way out of the mental health system or find satisfactory solutions that enable them to live a full life. In 2015 the Mental Health Department (MHD) of Trieste established the Recovery House pilot project to address this concern. The paper aims to Investigate the project.Design/methodology/approachThe Recovery House was co-created with and for people between 18 and 35 years old with diagnoses of psychosis and other complex mental health conditions. An integral part of the pilot was the organization of the “Recovery Community,” inspired by the Assembly model embraced by Franco Basaglia. The Recovery Community met regularly to both support and learn from the Recovery House and aimed to create a democratic and reflective space where power relationships, self-determination, responsibility and ownership by all the stakeholders, including family members, could be explored together.FindingsOver a period of 31 months, four groups of people have successfully completed their residency at the Recovery House. In total, 89 percent of people who stayed at the Recovery House did so up to six months. After the period of staying at the Recovery House most of them moved to independent living or shared supported accommodation.Originality/valueThis initiative sheds light on the fact that democratic values, approaches and structures can improve both service functioning and the recovery outcomes for people with complex health needs. Further, the Recovery House has had a significant effect on the culture and practice of the MHD in adopting a comprehensive approach to emotional distress.

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