scholarly journals The role of social technologies in community care – A realist evaluation of a Danish web‐based citizen‐to‐citizen platform adopted in community care to promote belonging and mental health

2020 ◽  
Author(s):  
Lærke Mai Bonde Andersen ◽  
Nicola J. Reavley ◽  
Henrik Bøggild ◽  
Charlotte Overgaard
Keyword(s):  
Mental Health ◽  
Community Care ◽  
Realist Evaluation ◽  
Web Based ◽  
Social Technologies

The Role of Social Housing in the ‘Care’ and ‘Control’ of Tenants with Mental Health Problems

2009 ◽  
Vol 9 (1) ◽  
pp. 111-122 ◽  
Author(s):  
Sadie Parr
Keyword(s):  
Mental Health ◽  
Social Housing ◽  
Community Care ◽  
Mental Health Problems ◽  
Health It ◽  
Housing Officers ◽  
Housing Professionals ◽  
Policy Agendas ◽  
And Control

Social housing is at the intersection of two policy agendas, namely anti-social behaviour and community care. This means that tenants with mental ill-health might at once be defined as vulnerable and in need of support to enable them to live independently, but simultaneously their behaviour may be viewed as a threat to the safety of others serving to legitimatise disciplinary and punitive forms of intervention on the grounds of ‘difference’. This paper focuses on the role of housing professionals in the management of cases of ASB involving people with mental ill-health. It argues that housing practitioners are not adequately equipped to make judgements on the culpability of ‘perpetrators’ who have mental ill-health and ensure their response is appropriate. This raises questions about the training housing officers recieve, and more broadly, whether the competing policy aims of community care and ASB can be reconciled.

Towards a General Explanation for the Survival of the Private Asylum

10.1068/c15r ◽  
2005 ◽  
Vol 23 (2) ◽  
pp. 159-172 ◽  
Author(s):  
Graham Moon ◽  
Alun E Joseph ◽  
Robin Kearns
Keyword(s):  
Mental Health ◽  
New Zealand ◽  
Community Care ◽  
Mental Health Problems ◽  
Dominant Role ◽  
Analytical Framework ◽  
The Public ◽  
Role Of The State ◽  
General Explanation

Taken together, the ascendancy of community care and the dominant role of the state as a funder of services have meant that private sector residential care for people with mental health problems is now a rarity in most countries. Yet private asylums have persisted in some places. The authors propose an analytical framework for understanding such ‘institutional survivals’. This framework problematises the public—private and community—asylum boundaries that have hitherto been taken for granted. The framework is applied to case studies in Canada and New Zealand. Survival of these institutions is found to be centrally associated with accommodations with legislative environments, proactive innovation, and the availability of markets.

scholarly journals Community care law for psychiatrists

2009 ◽  
Vol 33 (1) ◽  
pp. 34-36
Author(s):  
Danny Allen
Keyword(s):  
Mental Health ◽  
National Health Service ◽  
Health Service ◽  
Community Care ◽  
Level Of Service ◽  
Housing Provision ◽  
Care Services ◽  
Direct Payments ◽  
Fair Access

SummaryAlthough psychiatrists are well-acquainted with the Mental Health Act 1983, most are unlikely to know much about community care law, despite the fact that its provisions have the potential to significantly improve the level of service for the users. This paper explains the meaning of community care law, looks at how it applies to National Health Service trusts and what are the psychiatrists' responsibilities. It examines how community care law works and discusses the significance of ‘fair access to care services’ policy, the meaning of ‘need’, the benefits of direct payments, the significance of housing provision and the role of carers.

scholarly journals Enhancing Engagement of Fathers in Web-Based Preventive Parenting Programs for Adolescent Mental Health: A Discrete Choice Experiment

2021 ◽  
Vol 18 (23) ◽  
pp. 12340
Author(s):  
Ashlyn Hansen ◽  
Scott D. Brown ◽  
Marie B. H. Yap
Keyword(s):  
Mental Health ◽  
Discrete Choice Experiment ◽  
Discrete Choice ◽  
Choice Experiment ◽  
Adolescent Mental Health ◽  
Parenting Programs ◽  
Web Based ◽  
Program Content ◽  
Program Benefits

Few fathers enrol in web-based preventive parenting programs for adolescent mental health, despite the evidence of the benefits associated with their participation. To inform the development of father-inclusive programs, this study used a discrete choice experiment (DCE) design to determine (a) the relative influence of number of sessions, program benefits, program participants, and user control over program content on fathers’ preferences for web-based preventive parenting programs; and (b) whether selected father characteristics were associated with their preferences. One hundred and seventy-one fathers completed the DCE survey, which comprised 25 choices between hypothetical programs. Programs that included the participant’s adolescent child (z = 10.06, p < 0.0001), or parenting partner (z = 7.30, p < 0.001) were preferred over those designed for fathers only. Participants also preferred program content that was recommended for them by experts (z = −4.31, p < 0.0001) and programs with fewer sessions (z = −2.94, p < 0.01). Program benefits did not predict fathers’ choice of program. Prior use of a parenting program, level of education, perceived role of parenting for adolescent mental health, and being part of a dual-working family were associated with preferences. Application of these findings may improve paternal enrolment in web-based preventive parenting programs.

scholarly journals Web-based Therapy Plus Support by a Coach in Depressed Patients Referred to Secondary Mental Health Care: Randomized Controlled Trial

2018 ◽  
Vol 5 (1) ◽  
pp. e5 ◽  
Author(s):  
Simon Hatcher ◽  
Robyn Whittaker ◽  
Murray Patton ◽  
Wayne Sylvester Miles ◽  
Nicola Ralph ◽  
...  
Keyword(s):  
Mental Health ◽  
Randomized Controlled Trial ◽  
Usual Care ◽  
Controlled Trial ◽  
Qualitative Interviews ◽  
Intervention Group ◽  
Control Group ◽  
Web Based ◽  
Randomized Controlled

Background The evidence for the effectiveness of Web-based therapies comes mainly from nonclinical populations, with a few studies in primary care. There is little evidence from patients referred to secondary mental health care with depression. Adherence to Web-based therapies is often poor. One way to increase this is to create a new health service role of a coach to guide people through the therapy. Objective This study aimed to test in people referred to secondary care with depression if a Web-based therapy (The Journal) supported by a coach plus usual care would be more effective in reducing depression compared with usual care plus an information leaflet about Web-based resources after 12 weeks. Methods We conducted a randomized controlled trial with two parallel arms and a process evaluation that included structured qualitative interviews analyzed using thematic analysis. The coach had a background in occupational therapy. Participants were recruited face-to-face at community mental health centers. Results We recruited 63 people into the trial (intervention 35, control 28). There were no statistically significant differences in the change from baseline in Patient Health Questionnaire-9 (PHQ-9) scores at 12 weeks comparing The Journal with usual care (mean change in PHQ-9 score 9.4 in the intervention group and 7.1 in the control group, t41=1.05, P=.30; mean difference=2.3, 95% CI −2.1 to 6.7). People who were offered The Journal attended on average about one less outpatient appointment compared with usual care, although this difference was not statistically significant (intervention mean number of visits 2.8 (SD 5.5) compared with 4.1 (SD 6.7) in the control group, t45=−0.80, P=.43; mean difference=1.3, 95% CI −4.5 to 2.0). The process evaluation found that the mean number of lessons completed in the intervention group was 2.5 (SD=1.9; range=0-6) and the number of contacts with the coach was a mean of 8.1 (SD=4.4; range=0-17). The qualitative interviews highlighted the problem of engaging clinicians in research and their resistance to recruitment: technical difficulties with The Journal, which prevented people logging in easily; difficulty accessing The Journal as it was not available on mobile devices; participants finding some lessons difficult; and participants saying they were too busy to complete the sessions. Conclusions The study demonstrated that it is feasible to use a coach in this setting, that people found it helpful, and that it did not conflict with other care that participants were receiving. Future trials need to engage clinicians at an early stage to articulate where Web-based therapies fit into existing clinical pathways; Web-based therapies should be available on mobile devices, and logging in should be easy. The role of the coach should be explored in larger trials. Trial Registration Australian New Zealand Clinical Trials Registry (ACTRN): 12613000015741; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=363351&isReview=true (Archived by WebCite at http://www.webcitation.org/6wEyCc6Ss).

The crisis team as part of comprehensive local services

1995 ◽  
Vol 19 (10) ◽  
pp. 616-619
Author(s):  
Dominic Beer ◽  
Susan Cope ◽  
Janet Smith ◽  
Roger Smith
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Inner City ◽  
Crisis Intervention ◽  
Community Care ◽  
Community Mental Health Service ◽  
Intervention Service ◽  
Work Done

An attempt to categorise the nature of the work done by an inner city crisis intervention service (CIS) which is part of a comprehensive community mental health service is described. The work of the CIS as it relates to models of crisis intervention recognised in the literature is outlined. The role of this CIS in providing additional intermittent support to individuals receiving long-term community care is commended.

scholarly journals Web-based Therapy Plus Support by a Coach in Depressed Patients Referred to Secondary Mental Health Care: Randomized Controlled Trial (Preprint)

2017 ◽  
Author(s):  
Simon Hatcher ◽  
Robyn Whittaker ◽  
Murray Patton ◽  
Wayne Sylvester Miles ◽  
Nicola Ralph ◽  
...  
Keyword(s):  
Mental Health ◽  
Randomized Controlled Trial ◽  
Usual Care ◽  
Controlled Trial ◽  
Qualitative Interviews ◽  
Intervention Group ◽  
Control Group ◽  
Web Based ◽  
Randomized Controlled

BACKGROUND The evidence for the effectiveness of Web-based therapies comes mainly from nonclinical populations, with a few studies in primary care. There is little evidence from patients referred to secondary mental health care with depression. Adherence to Web-based therapies is often poor. One way to increase this is to create a new health service role of a coach to guide people through the therapy. OBJECTIVE This study aimed to test in people referred to secondary care with depression if a Web-based therapy (The Journal) supported by a coach plus usual care would be more effective in reducing depression compared with usual care plus an information leaflet about Web-based resources after 12 weeks. METHODS We conducted a randomized controlled trial with two parallel arms and a process evaluation that included structured qualitative interviews analyzed using thematic analysis. The coach had a background in occupational therapy. Participants were recruited face-to-face at community mental health centers. RESULTS We recruited 63 people into the trial (intervention 35, control 28). There were no statistically significant differences in the change from baseline in Patient Health Questionnaire-9 (PHQ-9) scores at 12 weeks comparing The Journal with usual care (mean change in PHQ-9 score 9.4 in the intervention group and 7.1 in the control group, t41=1.05, P=.30; mean difference=2.3, 95% CI −2.1 to 6.7). People who were offered The Journal attended on average about one less outpatient appointment compared with usual care, although this difference was not statistically significant (intervention mean number of visits 2.8 (SD 5.5) compared with 4.1 (SD 6.7) in the control group, t45=−0.80, P=.43; mean difference=1.3, 95% CI −4.5 to 2.0). The process evaluation found that the mean number of lessons completed in the intervention group was 2.5 (SD=1.9; range=0-6) and the number of contacts with the coach was a mean of 8.1 (SD=4.4; range=0-17). The qualitative interviews highlighted the problem of engaging clinicians in research and their resistance to recruitment: technical difficulties with The Journal, which prevented people logging in easily; difficulty accessing The Journal as it was not available on mobile devices; participants finding some lessons difficult; and participants saying they were too busy to complete the sessions. CONCLUSIONS The study demonstrated that it is feasible to use a coach in this setting, that people found it helpful, and that it did not conflict with other care that participants were receiving. Future trials need to engage clinicians at an early stage to articulate where Web-based therapies fit into existing clinical pathways; Web-based therapies should be available on mobile devices, and logging in should be easy. The role of the coach should be explored in larger trials. CLINICALTRIAL Australian New Zealand Clinical Trials Registry (ACTRN): 12613000015741; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=363351&isReview=true (Archived by WebCite at http://www.webcitation.org/6wEyCc6Ss).

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