scholarly journals Asumispalvelujen hankinnan kehykset

Kuntoutus ◽  
2021 ◽  
Vol 39 (4) ◽  
pp. 17-28
Author(s):  
Markku Salo
Keyword(s):  
Mental Health ◽  
Service Providers ◽  
Field Work ◽  
Residential Facilities ◽  
Common Denominator ◽  
Service Users ◽  
New Model ◽  
Ground Floor ◽  
Adequate Understanding ◽  
Housing Services

Artikkelissa tarkastellaan, millaisia tavoitteita kunnalliset tilaajat asettavat asumispalveluille. Millaisia tilaamisen viitekehyksiä on tunnistettavissa asumispalvelujen tilaajien teemahaastattelujen perusteella? Analyysin tuloksena tunnistetaan kolme kehystä: julkishallinnollinen vahvan ohjauksen, tuotteistukseen ohjaava ja markkinaehtoinen vahvan ohjauksen kehys. Kehyksiä yhdistää se, ettei hankintaosaamiseen sisälly riittävää ymmärrystä tilattavista palveluista ja tuotteista. Tilaajien tavoitteiden saavuttaminen edellyttäisi asiantuntemuksen uutta jäsentämistä. Palvelun käyttäjien itsenäisen asumisen ja elämän sekä henkilöstön asumisen tuen asiantuntemusta tarvitaan palvelujen tilaamisessa ja näin ollen myös sosiaali- ja terveydenhuollon uudistuksessa – esimerkiksi artikkelissa luonnostellun neljännen, yhteistoiminnallisen kehyksen mukaisesti. Kilpailutus ei ole toimiva väline asumispalvelujen tilaamisessa. Sen merkitystä palvelujen laadun, kustannustehokkuuden ja tuloksellisuuden saavuttamisessa on yliarvioitu. Kilpailutus ei ole suoraan vaikuttanut palvelujen laadun eikä palvelujen käyttäjien aseman kohentumiseen, mihin yhteistoiminnallinen kehys antaa uusia mahdollisuuksia. Avainasemassa on tilaajien aloitteellisuus. Julkisen ohjauksen tehtävänä on velvoittaa kaikkia asianosaisryhmiä tyydyttävään yhteistoimintaan. Abstract Frameworks of Commissioning Residential Facilities for Mental Health and Drug Service Users. In Search of a Collaborative Framework This article analyzes the goals that commissioners of residential facilities for mental health and drug service users try to achieve. Are there specific frameworks of commissioning which can be recognized from analysis of interviews with commissioners? The research material used in this analysis is based on field work in three different parts of Finland. The article recognizes three frameworks of public steering: a strong traditional commissioning; a new model for commodification of services and a strong market based commissioning. The critical common denominator of these frameworks is that the commissioners do not have adequate understanding of the services and the contexts of service provision which they are obliged to commission and purchase. To achieve the goals set by the commissioners, a new model of collaborative framework is duly required – this framework puts stronger emphasis on the expertises of users and ground floor staff. The commissioners play a key role in forming new alliances between private and other service providers, the ground floor staff, the service users and other stakeholders. Keywords: commissioning, housing services for mental health and drug service users, collaborative framework

Monitoring the physical health of individuals with serious mental illness

2008 ◽  
Vol 25 (3) ◽  
pp. 108-115
Author(s):  
Majella Cahill ◽  
Anne Jackson
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Mental Health Service ◽  
Physical Health ◽  
Serious Mental Illness ◽  
Health Monitoring ◽  
Service Providers ◽  
Psychiatric Service ◽  
Service Users ◽  
Effective Models

AbstractDeveloping effective models of identifying and managing physical ill health amongst mental health service users has become an increasing concern for psychiatric service providers. This article sets out the general professional and Irish statutory obligations to provide physical health monitoring services for individuals with serious mental illness. Review and summary statements are provided in relation to the currently available guidelines on physical health monitoring.

Psykologer i kommunen: En kartlegging av tjenester for barn og unge med psykiske vansker

2021 ◽  
Vol 58 (6) ◽  
Keyword(s):  
Mental Health ◽  
Health Services ◽  
Children And Adolescents ◽  
Service Providers ◽  
Population Level ◽  
Clinical Psychologist ◽  
Service Users ◽  
Individual Level ◽  
Specialist Services ◽  
Common Problems

Background: Frontline mental health services for children and adolescents are receiving increased attention, and all Norwegian municipalities were required to hire a clinical psychologist by 2020. However, we know little about what role clinical psychologists have taken in frontline services in terms of the content of their service or how they differ from other frontline practitioners. Objective: The objective was to investigate what types of problems children and adolescents who receive help from frontline psychologists have, what type of help is being offered, what improvements are needed, and how the services provided by psychologists differ from those of other frontline service providers. Method: The current study is based on reports from 139 psychologists and 587 other professionals working with children and adolescents in frontline services. Results: The psychologists report emotional struggles and challenging life situations to be the most common problems among their service users. Most of the interventions delivered by psychologists are provided at individual level rather than at group or population level. Compared with other frontline practitioners, psychologists more often include parents in sessions with children and adolescents. Both psychologists and other professionals report a need for increased collaboration across services. Implications: The results suggest that improvements could involve strengthening collaboration between frontline and specialist services.

Barriers and Supports Experienced by Pacific Peoples in Aotearoa New Zealand’s Mental Health Services

2021 ◽  
pp. 002202212110398
Author(s):  
Christina Fa’alogo-Lilo ◽  
Claire Cartwright
Keyword(s):  
Mental Health ◽  
New Zealand ◽  
Mental Health Services ◽  
Health Services ◽  
Cultural Values ◽  
Mental Health Problems ◽  
Service Providers ◽  
Health Problems ◽  
Service Users ◽  
The Family

As with minority groups internationally, Pacific peoples in New Zealand (Pasifika) experience higher rates of mental health problems than the general population, and are less likely to access mental health services. This study investigated the barriers and supports for Pasifika accessing and using mental health services with participation of 25 Pasifika (10 service-providers, 11 ex-service-users, and 4 ex-service-users/providers) in order to gain their key informant perspectives. A Pasifika-appropriate Talanoa approach was used to guide the data-collection process and the qualitative data were analyzed using thematic analysis. Barriers included stigma among Pasifika regarding mental health problems, commitment to finding solutions within the family, and both mistrust and lack of knowledge of services. Within the services, non-Pasifika providers often lacked understanding of the collectivist cultural values and practices of Pasifika, including spiritual beliefs. They were more likely to use services if the providers were respectful of Pasifika practices and paid attention to developing relationships in a culturally appropriate way. This included involvement of the Pasifika family, when possible. Service-users often benefited from contact with Pasifika providers within mainstream services. These results support previous cross-cultural research that indicates the importance of offering evaluation and intervention services grounded in an understanding and respect for the cultural significance and meaning of mental health problems for the person, the family, and their community. While efforts are made to address these issues in New Zealand, change is slow and ongoing cultural training for service-providers along with psychoeducation for Pasifika about mental health services is strongly desirable.

scholarly journals A paradigm shift: relationships in trauma-informed mental health services

2018 ◽  
Vol 24 (5) ◽  
pp. 319-333 ◽  
Author(s):  
Angela Sweeney ◽  
Beth Filson ◽  
Angela Kennedy ◽  
Lucie Collinson ◽  
Steve Gillard
Keyword(s):  
Mental Health ◽  
Service Providers ◽  
Mental Healthcare ◽  
Organisational Change ◽  
Public Health Issue ◽  
List Type ◽  
Service Users ◽  
Department Of Health ◽  
Trauma Informed ◽  
Highly Correlated

SUMMARYTrauma-informed approaches emerged partly in response to research demonstrating that trauma is widespread across society, that it is highly correlated with mental health and that this is a costly public health issue. The fundamental shift in providing support using a trauma-informed approach is to move from thinking ‘What is wrong with you?’ to considering ‘What happened to you?’. This article, authored by trauma survivors and service providers, describes trauma-informed approaches to mental healthcare, why they are needed and how barriers can be overcome so that they can be implemented as an organisational change process. It also describes how past trauma can be understood as the cause of mental distress for many service users, how service users can be retraumatised by ‘trauma-uninformed’ staff and how staff can experience vicariously the service user's trauma and can themselves be traumatised by practices such as restraint and seclusion. Trauma-informed mental healthcare offers opportunities to improve service users' experiences, improve working environments for staff, increase job satisfaction and reduce stress levels by improving the relationships between staff and patients through greater understanding, respect and trust.LEARNING OBJECTIVES•Appreciate broad-based definitions of trauma•Gain an understanding of what trauma-informed approaches are and why they have emerged, including the potential for (re)traumatisation in the mental health system•Consider how to practise trauma-informed approaches, including in ‘trauma-uninformed’ organisations, and the potential barriers to and opportunities from doing soDECLARATION OF INTERESTA. S. is funded by a National Institute for Health Research (NIHR) Post-Doctoral Fellowship. This article presents independent research partially funded by the NIHR. The views expressed are those of the authors and not necessarily those of the National Health Service, the NIHR or the Department of Health.

User/consumer involvement in mental health service delivery

2005 ◽  
Vol 14 (1) ◽  
pp. 10-14 ◽  
Author(s):  
Judi Chamberlin
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Health Service ◽  
Service Delivery ◽  
Professional Training ◽  
Service Providers ◽  
User Involvement ◽  
Health Service Delivery ◽  
Consumer Involvement ◽  
Service Users

SummaryThe involvement of mental health service users in service delivery is a new and growing phenomenon. Such involvement is complex, given the history of paternalism in the mental health system, the power differential between service providers and service users, and the very differing views each group holds on multiple issues. Unless such differences are addressed, there can be no meaningful involvement. Service user involvement needs to apply to all aspects of the service delivery system, including professional training, service design, delivery, evaluation, and research. User/survivors, and their organizations, have developed a body of experience and knowledge that needs to be recognized and respected. Unless there are multiple opportunities for ongoing and open dialogue on these many difficult issues, real user involvement will not occur.Declaration of Interest: the author has received no financial support that presents a conflict of interest.

Psychoeducation: priorities of service users and service providers

2011 ◽  
Vol 28 (2) ◽  
pp. 84-86
Author(s):  
Mohamed Ahmed ◽  
Michael Reilly ◽  
Carol Cassidy ◽  
Laura Mannion
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Information Needs ◽  
Service Providers ◽  
Hospital Setting ◽  
Service Users ◽  
Day Hospital ◽  
Study Questionnaire

AbstractObjectives: The objective of this study was to ascertain the topics patients and mental health professionals thought should be covered in a psychoeducation programme at a day hospital.Methods: Patients at the psychiatric day hospital and mental health professionals were invited to complete the study questionnaire. Replies from 101 participants were analysed.Results: The patients and mental health professionals generally agreed regarding the topics to be covered in the eight-week psychoeducation programme. Patients tended to score ‘suicide’ as more important than did the mental health professionals.Conclusions: Patients in a day hospital setting and mental health professionals share similar concerns about what information needs to be imparted about the patients' illnesses. However, suicide is seen by patients as a more important topic in such a setting.

scholarly journals Quality of Life and Unmet Need in People with Psychosis in the London Borough of Haringey, UK

2012 ◽  
Vol 2012 ◽  
pp. 1-10 ◽  
Author(s):  
Maria Lambri ◽  
Apu Chakraborty ◽  
Gerard Leavey ◽  
Michael King
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Service Providers ◽  
Unmet Need ◽  
Supported Housing ◽  
Social Needs ◽  
Service Users ◽  
London Borough ◽  
Care Workers

Objectives. Deinstitutionalization of long-term psychiatric patients produced various community-based residential care facilities. However, inner-city areas have many patients with severe mental illness (SMI) as well as deprivation, unemployment, and crime. This makes meeting their community needs complex. We undertook a needs assessment of service provision and consonance between service users’ evaluation of need and by care workers.Design. Cross-sectional study with random sample of SMI service users in four housing settings: rehabilitation units; high-supported; medium-supported; low-supported housing.Setting. London Borough of Haringey.Outcome Measures. 110 SMI service users and 110 keyworkers were interviewed, using Camberwell Assessment of Need; SF-36; Lancashire Quality-of-Life profile; demographic and clinical information.Results. People in “low-support” and “high-support” housing had similar symptom scores, though low support had significantly lower quality of life. Quality of life was positively predicted by self-reported mental-health score and negatively predicted by unmet-need score in whole sample and in medium-support residents. Residents’ and care-workers’ assessments of need differed considerably.Conclusions. Although patients’ housing needs were broadly met, those in low-supported housing fared least well. Attendance to self-reported mental health and unmet social needs to quality of life underpins planning of residential services for those with SMI. Social and personal needs of people in supported housing may be underestimated and overlooked; service providers need to prioritise these if concept of “recovery” is to advance.

scholarly journals Recovery from schizophrenia: developing context utilising the literature

2016 ◽  
Vol 20 (3) ◽  
pp. 187-196 ◽  
Author(s):  
Keith Ford
Keyword(s):  
Mental Health ◽  
Design Methodology ◽  
Service Providers ◽  
Mental Health Practitioners ◽  
Service Users ◽  
Content Type ◽  
Stakeholder Groups ◽  
Health Practitioners ◽  
Definition Of ◽  
Traditional Approaches

Purpose – Recovery has been debated in mental health for some time. Attempts to clarify and make recovery operational have served to add confusion and uncertainty. This has failed to unite service users and service providers due to differing approaches, despite the rhetoric. The purpose of this paper is to offer an overview and to position the context from a humanistic and salutogenic perspective appreciating new approaches and influences for people in their journey of recovery having been given a diagnosis of schizophrenia. Design/methodology/approach – All literature available could not be included and therefore the author did not select papers purely demonstrating outcome statistics. The preference was to address papers looking at the connections people have and the important factors they feel contribute towards recovery. Findings – An agreed definition of recovery cannot be established, but differing perspectives need to be appreciated and considered if recovery is to be successfully achieved. Some mental health practitioners may feel they have an understanding of recovery, yet evidence continues to point to the uncertainty in practice and delivery of services. Newer incentives and recovery networks are establishing themselves to meet areas missed by traditional approaches. Originality/value – The value of this literature review is to highlight some of the areas already observed and to provoke the potential for fresh thinking in relation to a salutogenic approach taking into account the perceptions of the stakeholder groups. This would enable people to re-evaluate their thoughts and practice and contextualise where we are in relation to recovery for people diagnosed with schizophrenia.

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