In Our Experience: User-focused Monitoring of Mental Health Services in Kensington and Chelsea and Westminster Health Authority ROSE, D., FORD, R., LINDLEY, P., GAWITH, L., and THE KCW MENTAL HEALTH MONITORING USERS' GROUP (1998) The Sainsbury Centre for

2002 ◽  
Vol 12 (5) ◽  
pp. 375-375
Author(s):  
Steve McKenna
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Health Monitoring ◽  
Health Authority

scholarly journals Development of Mental Health Services

1986 ◽  
Vol 10 (7) ◽  
pp. 180-181
Author(s):  
Ian B. Cookson
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Mental Health Services ◽  
Health Service ◽  
Health Services ◽  
Social Services ◽  
Health Authority ◽  
Regional Health Authority ◽  
Regional Health ◽  
Voluntary Organisations

In the Mersey Regional Health Authority it has been decided that closure of at least one large mental illness hospital will take place within some 10 years and may be complete by 1992. To facilitate this the region has provided funding for every long-stay patient who might be discharged to the care of voluntary organisations or Social Services Departments and joint assessments of patients have been undertaken by the Health Service and Social Services staff.

scholarly journals Homicide inquiries

2000 ◽  
Vol 24 (1) ◽  
pp. 6-10 ◽  
Author(s):  
George Szmukler
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Health Authority ◽  
Trust Management ◽  
Poor Performance ◽  
Medical Director ◽  
Political Influences ◽  
Deprived Areas

We recently had a homicide inquiry in our trust. The events around the release of the report made for a demoralising experience. The visible pain in the families of the victim and the perpetrator caused by the tragedy was heart-rending. As Medical Director, I also saw at first hand the powerful impact on the members of the team involved, my colleagues in general, the trust management and the health authority, all of whom strive to provide effective mental health services in one of the most deprived areas in the country. There were also political influences, especially the need to be seen not to tolerate poor performance. Allusions to disciplinary issues were not infrequent. We all found it very disturbing. I was forced to think a lot about homicide inquiries and became increasingly struck by a growing number of internal contradictions. I started making notes to help order my thoughts. I offer for discussion some conclusions using this inquiry (Scotland et al, 1998) as an example.

scholarly journals Resources available to develop mental health services

1992 ◽  
Vol 16 (8) ◽  
pp. 490-492
Author(s):  
John Mahoney
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Health Authority ◽  
Working Group ◽  
Psychiatric Services ◽  
Good Practices ◽  
Health Authorities ◽  
Audit Commission ◽  
Local Services

The Audit Commission has drawn attention to local champions of change in mental health services. Good Practices in Mental Health (GPMH) (1985) has highlighted a district which has overcome some of the myths about the impossibility of transforming the service, and recently the Institute of Health Services Management (IHSM) Working Group (1991) has entered the debate with “good psychiatric services can be developed in areas where managers are determined to introduce improved services”. The Audit Commission singled out Torbay Health Authority, GPMH highlighted Exeter Health Authority, and the IHSM Working Group have listed 12 exemplary health authorities (including Torbay and Exeter) where good local services have been developed.

EPA Guidance on Quality of Mental Health Services

2011 ◽  
Vol 26 (S2) ◽  
pp. 2198-2198
Author(s):  
W. Gaebel
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Mental Health Services ◽  
Health Service ◽  
Health Services ◽  
Health Monitoring ◽  
Future Research ◽  
Outpatient Services ◽  
Structural Aspects

IntroductionCentral to improving quality of mental health services is an optimization of the structures and processes provided to people with mental disorders in Europe.ObjectivesTo improve the quality of mental health services in Europe by developing a European guidance focusing on the quality of mental health service structures in Europe.AimsThe main aim of this guidance is to provide recommendations based on the best available evidence for optimal structures of mental health services by identifying and evaluating the available evidence including a comparison between the efficacy of different service structures wherever possible.MethodsSystematic literature review and expert consensus survey about questions of the structural and process quality in European mental health services.ResultsSixteen recommendations were developed for mental health service structures, five for mental health service processes, and four for both mental health services and structures. The recommendations span a large number of mental health services factors including - among others - structural aspects of mental health services, psychiatric workforce numbers, kinds of inpatient and outpatient services and their integration, mental health monitoring and mental health education, admission procedures and safety aspects.ConclusionsEvidence regarding the quality of mental health services is mainly limited due to the small number of studies and the national or regional peculiarities of mental health service structures which make generalizations difficult. Nevertheless, twenty-five recommendations could be arrived at and future research should aim at investigating whether the implementation of these guidelines is effective in improving European mental health service structures.

scholarly journals Physical health monitoring after rapid tranquillisation: clinical practice in UK mental health services

2019 ◽  
Vol 9 ◽  
pp. 204512531989583 ◽  
Author(s):  
Carol Paton ◽  
Clive E. Adams ◽  
Stephen Dye ◽  
Oriana Delgado ◽  
Chike Okocha ◽  
...  
Keyword(s):  
Mental Health ◽  
Clinical Practice ◽  
Mental Health Services ◽  
Health Services ◽  
Physical Health ◽  
Health Monitoring ◽  
High Dose ◽  
Behavioural Disturbance ◽  
Falling Asleep ◽  
Recommended Level

Background: We aimed to assess the quality of physical health monitoring following rapid tranquillisation (RT) for acute behavioural disturbance in UK mental health services. Methods: The Prescribing Observatory for Mental Health (POMH-UK) initiated an audit-based quality improvement programme addressing the pharmacological treatment of acute behavioural disturbance in mental health services in the UK. Results: Data relating to a total of 2454 episodes of RT were submitted by 66 mental health services. Post-RT physical health monitoring did not reach the minimum recommended level in 1933 (79%) episodes. Patients were more likely to be monitored (OR 1.78, 95% CI 1.39–2.29, p < 0.001) if there was actual or threatened self-harm, and less likely to be monitored if the episode occurred in the evening (OR 0.79, 95% CI 0.62–1.0, p < 0.001) or overnight (OR 0.57, 95% CI 0.44–0.75, p < 0.001). Risk factors such as recent substance use, RT resulting in the patient falling asleep, or receiving high-dose antipsychotic medication on the day of the episode, did not predict whether or not the minimum recommended level of post-RT monitoring was documented. Conclusions: The minimum recommended level of physical health monitoring was reported for only one in five RT episodes. The findings also suggest a lack of targeting of at-risk patients for post-RT monitoring. Possible explanations are that clinicians consider such monitoring too demanding to implement in routine clinical practice or not appropriate in every clinical situation. For example, physical health measures requiring direct contact with a patient may be difficult to undertake, or counter-productive, if RT has failed. These findings prompt speculation that post-RT monitoring practice would be improved by the implementation of guidance that integrated and refined the currently separate systems for undertaking and recording physical health observations post-RT, determining nursing observation schedules and detecting acute deterioration in physical health. The effectiveness and clinical utility of such an approach would be worth testing.

Hotlines and Mental Health Services

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