scholarly journals The Care Programme Approach in learning disability psychiatry

2000 ◽  
Vol 6 (5) ◽  
pp. 380-387 ◽  
Author(s):  
Ashok Roy
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Learning Disability ◽  
Mental Health Problems ◽  
White Paper ◽  
Health Needs ◽  
Mental Health Needs ◽  
Care Programme ◽  
Department Of Health ◽  
Safe Care

For nearly three decades, closure of large psychiatric and learning disability hospitals has continued and more people with mental health needs remain in the community. With this continuing decrease in hospital provision, there has been an increased focus on the development of systems of safe care and effective treatment for people with significant mental health problems living in the community. Attempts to make this a central plank of mental health care have been reflected in legislation and guidance produced by the Department of Health. The Care Programme Approach (CPA) was introduced in 1991 after the publication of HC (90) 23/LASSL (90) 11 and subsequent guidance from the White Paper Caring for People (Department of Health, 1990).

scholarly journals The Mental Health needs of the UK's Chinese children

2010 ◽  
Vol 7 (1) ◽  
pp. 23-24 ◽  
Author(s):  
W. Cheng ◽  
P. A. Tiffin
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Action Plan ◽  
Health Needs ◽  
Ethnic Communities ◽  
Mental Health Needs ◽  
Department Of Health ◽  
Adults And Children ◽  
Minority Ethnic

Sir: In 2005, the Department of Health for England set a five-year action plan, Delivering Race Equality in Mental Health Care. The aim was to encourage the development of services that were more appropriate and responsive to the needs of both adults and children in Black and minority ethnic communities.

scholarly journals Supporting the emotional needs of young people in care: a qualitative study of foster carer perspectives

BMJ Open ◽  
2020 ◽  
Vol 10 (3) ◽  
pp. e033317
Author(s):  
Rachel M Hiller ◽  
Sarah L Halligan ◽  
Richard Meiser-Stedman ◽  
Elizabeth Elliott ◽  
Emily Rutter-Eley
Keyword(s):  
Mental Health ◽  
Young People ◽  
Mental Health Problems ◽  
Well Being ◽  
Health Needs ◽  
Depth Information ◽  
Emotional Needs ◽  
Mental Health Systems ◽  
Mental Health Needs ◽  
Qualitative Focus Groups

ObjectivesYoung people who have been removed from their family home and placed in care have often experienced maltreatment and there is well-developed evidence of poor psychological outcomes. Once in care, foster carers often become the adult who provides day-to-day support, yet we know little about how they provide this support or the challenges to and facilitators of promoting better quality carer–child relationships. The aim of this study was to understand how carers support the emotional needs of the young people in their care and their views on barriers and opportunities for support.Design and participantsParticipants were 21 UK foster carers, recruited from a local authority in England. They were predominantly female (86%), aged 42–65 years old and ranged from those who were relatively new to the profession (<12 months’ experience) to those with over 30 years of experience as a carer. We ran three qualitative focus groups to gather in-depth information about their views on supporting their foster children’s emotional well-being. Participants also completed short questionnaires about their training experiences and sense of competence.ResultsOnly half of the sample strongly endorsed feeling competent in managing the emotional needs of their foster children. While all had completed extensive training, especially on attachment, diagnosis-specific training for mental health problems (eg, trauma-related distress, depression) was less common. Thematic analysis showed consistent themes around the significant barriers carers faced navigating social care and mental health systems, and mixed views around the best way to support young people, particularly those with complex mental health needs and in relation to reminders of their early experiences.ConclusionsFindings have important implications for practice and policy around carer training and support, as well as for how services support the mental health needs of young people in care.

'Place2Be: advancing mental health care in schools' Catherine Roche

2021 ◽  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Young People ◽  
Public Mental Health ◽  
Chief Executive ◽  
Health Needs ◽  
Memorial Lecture ◽  
Mental Health Needs ◽  
Children And Young People ◽  
Recorded Lecture

Catherine Roche, Chief Executive, Place2Be, recorded on 16 June 2017 at 'The Jack Tizard Memorial Lecture and Conference; Public mental health for children and young people: addressing mental health needs in schools and communities'. ACAMH members can now receive a CPD certificate for watching this recorded lecture.

scholarly journals Unmet mental health needs in the general population: perspectives of Belgian health and social care professionals

2020 ◽  
Vol 19 (1) ◽  
Author(s):  
Eva Rens ◽  
Geert Dom ◽  
Roy Remmen ◽  
Joris Michielsen ◽  
Kris Van den Broeck
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Health Care ◽  
General Population ◽  
Mental Health Care ◽  
Unmet Needs ◽  
Health Needs ◽  
Mental Health Needs ◽  
Epidemiological Research ◽  
Unmet Mental Health

Abstract Background An unmet mental health need exists when someone has a mental health problem but doesn’t receive formal care, or when the care received is insufficient or inadequate. Epidemiological research has identified both structural and attitudinal barriers to care which lead to unmet mental health needs, but reviewed literature has shown gaps in qualitative research on unmet mental health needs. This study aimed to explore unmet mental health needs in the general population from the perspective of professionals working with vulnerable groups. Methods Four focus group discussions and two interviews with 34 participants were conducted from October 2019 to January 2020. Participants’ professional backgrounds encompassed social work, mental health care and primary care in one rural and one urban primary care zone in Antwerp, Belgium. A topic guide was used to prompt discussions about which groups have high unmet mental health needs and why. Transcripts were coded using thematic analysis. Results Five themes emerged, which are subdivided in several subthemes: (1) socio-demographic determinants and disorder characteristics associated with unmet mental health needs; (2) demand-side barriers; (3) supply-side barriers; (4) consequences of unmet mental health needs; and (5) suggested improvements for meeting unmet mental health needs. Conclusions Findings of epidemiological research were largely corroborated. Some additional groups with high unmet needs were identified. Professionals argued that they are often confronted with cases which are too complex for regular psychiatric care and highlighted the problem of care avoidance. Important system-level factors include waiting times of subsidized services and cost of non-subsidized services. Feelings of burden and powerlessness are common among professionals who are often confronted with unmet needs. Professionals discussed future directions for an equitable mental health care provision, which should be accessible and targeted at those in the greatest need. Further research is needed to include the patients’ perspective of unmet mental health needs.

The mental health needs of older people with learning disability

2005 ◽  
Vol 15 (3-4) ◽  
pp. 245-253 ◽  
Author(s):  
Patrick SG Chance
Keyword(s):  
Mental Health ◽  
Learning Disabilities ◽  
Older People ◽  
Learning Disability ◽  
Learning Disabled ◽  
Health Needs ◽  
Differential Mortality ◽  
Functional Impairments ◽  
Mental Health Needs ◽  
Care Needs

The term ‘older people with learning disability’ refers to a highly heterogeneous group of people. By definition, they all have delayed or abnormal early development, together with significant intellectual and functional impairments, but they differ considerably in terms of cause, developmental profile, nature and degree of impairments and their social and personal backgrounds. Overall, people with learning disabilities make up only a small minority of the population, however it is well recognized that they have increased overall health care needs, including mental health needs. It has been estimated there are 210 000 people living in England and Wales who have a severe or profound learning disability: only 25 000 (12%) of these are older people aged over 60 years. Of the 1.2 million people with mild or moderate learning disability, 265 000 (21%) of these are older people over the age of 60. Life expectancy seems to be influenced by severity of learning disability, the age profile of the mild to moderate learning-disabled population being much more closely matched to that of the general population. As a result of this differential mortality, across the spectrum of disability there is a reduced level of learning disability with advancing age, and older people with learning disabilities, when considered as a group, have higher levels of functional ability (and reduced levels of challenging behaviour) than the younger group.

scholarly journals Evaluation of Tu Meke PHO’s Wairua Tangata Programme: a primary mental health initiative for underserved communities

2012 ◽  
Vol 4 (3) ◽  
pp. 242 ◽  
Author(s):  
Sally Abel ◽  
Bob Marshall ◽  
Donny Riki ◽  
Tania Luscombe
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Primary Health Care ◽  
Health Assessment ◽  
Target Population ◽  
Primary Care Providers ◽  
Health Needs ◽  
Care Providers ◽  
Mental Health Needs ◽  
Primary Health

BACKGROUND AND CONTEXT: New Zealand’s primary mental health initiatives (PMHIs) have successfully filled a health service gap and shown good outcomes for many presenting with mild to moderate anxiety/depression in primary health care settings. Maori have higher rates of mental health disorders and complexity of social and mental health needs not matched by access to PMHIs. ASSESSMENT OF PROBLEM: The Wairua Tangata Programme (WTP), a Hawkes Bay PMHI, aimed to provide an integrated, flexible, holistic, tikanga Maori–based therapeutic service targeting underserved Maori, Pacific and Quintile 5 populations. External evaluation of the programme provided formative and outcome feedback. RESULTS: The WTP reported high engagement of Maori (particularly women), low non-attendance rates, good improvements in mental health assessment exit scores, strong stakeholder support and service user gratitude. GPs reported willingness to explore mental health issues in this high needs population. Challenges included engaging Pacific peoples and males and recruiting from scarce Maori, Pacific and male therapist workforces. STRATEGIES FOR IMPROVEMENT: Effectively meeting the target population’s complex social and therapeutic needs required considerable programme flexibility, referral back into the programme and assistance with transitioning to other therapeutic or social support services. Referral criteria required adaptation to accommodate some sectors, especially youth. A group programme was developed specifically for males. LESSONS: A holistic PMHI programme delivered with considerable flexibility and a skilled, culturally fluent team working closely with primary care providers can successfully engage and benefit underserved Maori communities with complex social and mental health needs. Successful targeted programmes are integral to reducing mental health disparities. KEYWORDS: Primary health care; mental health; Maori; medically underserved areas; evaluation

scholarly journals Academic health services and health needs of college students around the era of the Covid-19 pandemic

2021 ◽  
Vol 8 (4) ◽  
pp. 193-197
Author(s):  
Eirini Kotsalou ◽  
Evanthia Sakellari ◽  
Areti Lagiou ◽  
Evaggelia Kotsalou
Keyword(s):  
Public Health ◽  
Mental Health ◽  
College Students ◽  
Health Care ◽  
Health Services ◽  
Help Seeking ◽  
Mental Health Problems ◽  
Health Problems ◽  
Health Needs ◽  
Public Health Care

Objective: The university medical services vary around the world (even within each university), but there are only a few publications on the utilization of these services by the students. The available on-campus services of public health care might include general health care, women’s centers, mental health care, disability services, wellness resource centers, career counseling, and alcohol and other drug education programs. Evidence Acquisition: This paper reviews the current literature on the overtime and current (due to Covid-19 pandemic) public health needs of college students based on studies that report the commonest specific diagnostic reasons for using the on-campus health care services. Results: Special reference is done on mental health problems among students generally and the students of health professions fields (a specific category themselves). Besides, other issues of interest are the substance-related problems among students and their perceptions about mental health problems and on- campus help- seeking services. Conclusions: It is unanimous that we need further educational and promotional campaigns to enhance the students; help-seeking behaviors, reduce stigmatizing behaviors and create more preventive public health services on campus, but also out-campus due to the Covid-19 pandemic. 

scholarly journals Are the needs of people with mental health problems met?

2018 ◽  
Vol 3 (2) ◽  
Author(s):  
Foteini Tseliou ◽  
Michael Rosato ◽  
Dermot O'Reilly
Keyword(s):  
Mental Health ◽  
Northern Ireland ◽  
Mental Health Treatment ◽  
Mental Health Problems ◽  
Unmet Need ◽  
Population Level ◽  
Health Condition ◽  
Health Needs ◽  
Mental Health Needs ◽  
The Impact

BackgroundHigh levels of mental ill-health have resulted in increasing delays in the receipt of appropriate care. However, the size of the gap between mental health needs and the likelihood of receiving treatment has not been thoroughly investigated on a population-level within Northern Ireland. ObjectivesTo that end we investigated the link between self-reported mental ill-health and likelihood of being in receipt of treatment in a population cohort. MethodsThe 2011 Northern Ireland Census was linked to a population-wide prescribing database. The presence of a chronic mental health condition, as assessed through the Census self-reported mental health question, was compared to regular psychotropic medication use in the six and twelve months following the Census. Of the 23,803 individuals (aged 25 to 74) who reported chronic mental ill-health at the Census, 22% were not in receipt of medication over the following six months, with this being reduced down to 18.5% by the twelve month mark. FindingsAfter adjusting logistic regression models for socio-demographic factors, men (OR=0.56: 95%CI=0.52-0.60), those of non-white ethnicity (OR=0.38: 95%CI=0.26-0.54), never married (OR=0.67: 95%CI=0.61-0.82), unemployed (OR=0.65: 95%CI=0.53-0.81) and living in a rural area (OR=0.88: 95%CI=0.79-0.98) were less likely to receive regular medication, indicating mental health unmet need. ConclusionsA level of discord was observed between mental-ill health and medication receipt on a population level. Further focus on mental health needs and the impact of low prescribing rates on mental health patients could help ameliorate the current inequalities and reduce potential gaps in mental health treatment.

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