scholarly journals What employment programs should health services invest in for people with a psychiatric disability?

2005 ◽  
Vol 29 (2) ◽  
pp. 185 ◽  
Keyword(s):  
Mental Health ◽  
Health Services ◽  
Supported Employment ◽  
Psychiatric Disability ◽  
Exploratory Research ◽  
Health And Wellbeing ◽  
South West ◽  
Employment Programs ◽  
Prevocational Training ◽  
Significant Health

Employment has significant health benefits for people with a psychiatric disability, including improved mental health and wellbeing and a reduction in symptoms and rates of relapse. Systematic reviews show that supported employment is more effective than prevocational training in achieving open employment for this group. Health services should invest in developing partnerships and structures to ensure access to evidence-based supported employment programs for people with a psychiatric disability. We draw on exploratory research in south-west Sydney to discuss some of the challenges that a focus on employment presents for mental health services.

Enhancing Successful Employment Outcomes for People with a Psychiatric Disability

1997 ◽  
Vol 3 (2) ◽  
pp. 57-64
Author(s):  
Maxie Ashton ◽  
Josephine Dowsett
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Focus Groups ◽  
Service Providers ◽  
Psychiatric Disability ◽  
Rehabilitation Services ◽  
Important Goal ◽  
Rehabilitation Process ◽  
Successful Employment

Work, for most people with psychiatric disability, is their most important goal and yet they often have more difficulty getting work and maintaining work than other disability groups. Six focus groups were held with consumers of mental health services to explore the reason for this and identify what rehabilitation services should do about this problem. The groups recommended many strategies which have been divided by the authors into three rehabilitation phases. Three check lists have been developed to assist service providers address the range of needs with consumers during the rehabilitation process and to identify service gaps.

scholarly journals Activity in a district psychotherapy service

1994 ◽  
Vol 18 (9) ◽  
pp. 544-547 ◽  
Author(s):  
Richard Tillett
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Mental Health Professionals ◽  
Royal College ◽  
Health Professionals ◽  
Ad Hoc ◽  
Local Mental Health ◽  
South West ◽  
Major Teaching

The Royal College of Psychiatrists (1991) has recommended that all local mental health services should include specialist psychotherapy departments. At present these are uncommon outside major teaching centres, although a considerable amount of simple psychotherapy is provided on an ad hoc basis by mental health professionals of various disciplines. This paper describes the structure, functioning and costs of a specialist department in a non-teaching district in the south west of England.

scholarly journals Mentally disordered young offenders in transition from child and adolescent to adult mental health services across England and Wales

2017 ◽  
Vol 19 (4) ◽  
pp. 301-308 ◽  
Author(s):  
Maria I. Livanou ◽  
Vivek Furtado ◽  
Swaran P. Singh
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Adolescent Mental Health ◽  
Child And Adolescent ◽  
Young Offenders ◽  
England And Wales ◽  
Content Type ◽  
Health And Wellbeing ◽  
The Impact

Purpose This paper provides an overview of transitions across forensic child and adolescent mental health services in England and Wales. The purpose of this paper is to delineate the national secure services system for young people in contact with the youth justice system. Design/methodology/approach This paper reviews findings from the existing literature of transitions across forensic child and adolescent mental health services, drawing attention to present facilitators and barriers to optimal transition. The authors examine the infrastructure of current services and highlight gaps between child and adult service continuity and evaluate the impact of poor transitions on young offenders’ mental health and wellbeing. Findings Young offenders experience a broad range of difficulties, from the multiple interfaces with the legal system, untreated mental health problems, and poor transition to adult services. Barriers such as long waiting lists, lack of coordination between services and lack of transition preparation impede significantly smooth transitions. Research limitations/implications The authors need to develop, test and evaluate models of transitional care that improve mental health and wellbeing of this group. Practical implications Mapping young offenders’ care pathway will help to understand their needs and also to impact current policy and practice. Key workers in forensic services should facilitate the transition process by developing sustainable relationships with the young person and creating a safe clinical environment. Originality/value Transition of care from forensic child and adolescent mental health services is a neglected area. This paper attempts to highlight the nature and magnitude of the problems at the transition interface in a forensic context.

Enhancing Community Mental Health Services Through Formal Partnerships With Supported Employment Providers

2012 ◽  
Vol 15 (2) ◽  
pp. 157-180 ◽  
Author(s):  
Geoff Waghorn ◽  
Sarah Childs ◽  
Elise Hampton ◽  
Beverley Gladman ◽  
Amanda Greaves ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Community Mental Health ◽  
Health Services ◽  
Supported Employment ◽  
Community Mental Health Services

Consumer Participation in Mental Health in Australia: What Progress is Being Made?

2008 ◽  
Vol 16 (6) ◽  
pp. 446-449 ◽  
Author(s):  
Graeme Browne ◽  
Martin Hemsley
Keyword(s):  
Mental Health ◽  
Public Policy ◽  
Mental Illness ◽  
Mental Health Services ◽  
Health Services ◽  
Consumer Participation ◽  
Negative Consequences ◽  
Health And Wellbeing ◽  
Meaningful Participation ◽  
The Social

Objective: Historically, people living with mental illness have had limited chance to participate in mental health services other than as patients. This has led to serious negative consequences for their health and wellbeing. Recent public policy has aimed at redressing this situation. This paper sets out to investigate the ‘state of play’ regarding consumer participation in mental health services. Conclusions: Consumer participation is not a common topic in the recent literature, despite the significant public policy push to promote it. Although the vision of public policy is for consumers to be at the centre of decision making, the changes are understandably slow in coming. The implications for the practice of psychiatry, and therefore mental health services, of the demands for meaningful participation are profound. They challenge some of the social covenants under which mental health services have historically been delivered. Traditionally, people living with a mental illness have not had their rights respected. In recent times, the College has developed policies that aim to ensure that the rights of people living with a mental disorder are respected. These policies also acknowledge that effective health care requires collaboration with consumers.

Promoting recovery of schizophrenic patients: discrepancy between routine practice and evidence. The SIEP-DIRECT's Project

2008 ◽  
Vol 17 (4) ◽  
pp. 331-348 ◽  
Author(s):  
Domenico Semisa ◽  
Massimo Casacchia ◽  
Walter Di Munzio ◽  
Giovanni Neri ◽  
Giacinto Buscaglia ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Supported Employment ◽  
Ad Hoc ◽  
Educational Interventions ◽  
Integrated Treatment ◽  
Routine Practice ◽  
Evidence Based ◽  
Clinical Records

SUMMARYAims– The aim of this work is to present the main discrepancies, as evidenced by the SIEP-DIRECT's Project, between the evidence-based NICE guidelines for schizophrenia and the usual practices of the Italian mental health services in order to promote the recovery of patients with schizophrenia.Methods– Starting from the main NICE recommendations on recovery promotion, 41 indicators were developed. These were experimented in 19 participating Italian Mental Health Departments (MHD) or Psychiatric Services through self-evaluation of the activities carried out to promote patient recovery with the aim of assessing the level of adherence to the recommendations. The data required by most of the indicators were obtained from the psychiatric informative system or from the Direction of the MHD. Moreover, specific research was carried out on the clinical records and on representative patient samples. Furthermore, for 14 indicators, there was requested an assessment by the part of “multidisciplinary” or “specialistic” focus groups who then attributed a score according to a defined “ad hoc” scale.Results– According to the data obtained, although the mental health services seem to care about the physical condition of their patients, they do not routinely examine principle parameters such as blood pressure, glycaemia etc., and collaboration with general practitioners is often complex or not uniformly practiced. Most psychiatrists and psychologists possess the basic communication skills but not enough competences in cognitive-behavioural treatments; such treatments, and every other form of structured individual psychotherapy, are seldom carried out and seem to have become marginal activities within the Services. Also family psycho-educational interventions are under-used. The Services are very active in the care of multi-problem schizophrenia patients, who make up a large percentage (almost a quarter, on average) of the patients in their care. These patients are offered specific and integrated treatment plans with the involvement of other health services and social agencies operating in the territory. The strategies adopted by the services for the pharmacological treatment in the prevention of relapses and for patients with frequent crises or with treatment-resistant schizophrenia are all in line with the NICE recommendations. Finally, the Services promote activities of vocational training and supported employment, but the outcomes of these are often unsatisfactory.Conclusions– The results of the study show a picture of the Italian mental health services with bright yet also dark areas as regards recovery promotion activities. The Services seem to guarantee adequate pharmacological evidence-based treatments, an integrated assistance and good management of multi-problem patients. They have difficulty, however, with respect to the monitoring of the physical health of the patients, psychotherapeutic activities, including those for families, and the promotion of supported employment. Moreover, they still show problems regarding the structuring and formalizing of care processes. To improve this situation, they should make greater use of professional guidelines, protocols and written procedures.Declaration of Interest:None.

scholarly journals “Bagels and doughnuts … round food for every mood” food advertising discourses

2016 ◽  
Vol 118 (2) ◽  
pp. 327-342 ◽  
Author(s):  
Sarah Maddock ◽  
Beverley Hill
Keyword(s):  
Mental Health ◽  
Scientific Evidence ◽  
Consumer Information ◽  
Food Advertising ◽  
Mental Wellbeing ◽  
Exploratory Research ◽  
Content Type ◽  
Health And Wellbeing ◽  
Typical Food ◽  
The Relationship

Purpose – The relationship between food and mood has been discussed for many years. The purpose of this paper is to extend that debate by exploring how food advertising, a key source of consumer information about food, utilises and implies varied associations between food and mood. Design/methodology/approach – The research combines a textually oriented analysis with an analysis of the visual images in a sample of typical food advertisements drawn from women’s magazines. Findings – Although healthy foods have the potential to enhance mood this is not often used as a key advertising message. Conversely, advertisements for foods that can depress mood frequently adopt messages of happiness and wellbeing. Research limitations/implications – This exploratory research provides an initial investigation of advertising discourses of food and mood at a snapshot in time. Based on the findings derived from this limited sample, further research is suggested which would provide a more comprehensive survey of food advertising. Practical implications – The research is of value to food promoters in suggesting that they review food messages and the use of emotional appeals in the light of developing scientific research on the link between food and mental wellbeing. Social implications – The growing interest in promoting mental health and wellbeing means that consumers and governments are keen to understand the relationship between food and mood and its potential influence on consumer food choices. Originality/value – This research indicates that some food advertising diverges from the scientific evidence on food and mental health and wellbeing. The research is therefore of value to food promoters and advertising regulators.

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