scholarly journals Modelling out-of-area admissions

2018 ◽  
Vol 213 (4) ◽  
pp. 615-616 ◽  
Author(s):  
Lewis W. Paton ◽  
Paul A. Tiffin
Keyword(s):  
Mental Health ◽  
Community Services ◽  
Referral Rate ◽  
Referral Rates ◽  
Admission Rates ◽  
Department Of Health ◽  
Potential Impact ◽  
Using Data ◽  
Out Of Area ◽  
Health Trust

SummaryOut-of-area (OOA) placements occur when patients cannot be admitted to local facilities, which can be extremely stressful for patients and families. Thus, the Department of Health aims to eliminate the need for OOA admissions. Using data from a UK mental health trust we developed a ‘virtual mental health ward’ to evaluate the potential impact of referral rates and length of stay (LOS) on OOA rates. The results indicated OOA rates were equally sensitive to LOS and referral rate. This suggests that investment in community services that reduce both LOS and referral rates are required to meaningfully reduce OOA admission rates.Declaration of interestP.A.T. holds an honorary consultant contract with the Tees, Esk and Wear Valleys NHS Foundation Trust.

scholarly journals The impact of the UK’s first COVID-19 lockdown on rates of violence and aggression on psychiatric inpatient wards

2021 ◽  
Author(s):  
James Payne-Gill ◽  
Corin Whitfield ◽  
Alison Beck
Keyword(s):  
Mental Health ◽  
Time Trend ◽  
Psychiatric Inpatient ◽  
Additive Model ◽  
Interrupted Time Series ◽  
Interrupted Time Series Analysis ◽  
General Additive Model ◽  
Using Data ◽  
The Impact ◽  
Health Trust

AbstractAimsInpatient life in UK mental health hospitals was profoundly altered during the first wave of the COVID-19 pandemic. We analysed whether these changes impacted the rate of violent and aggressive incidents across acute adult wards and psychiatric intensive care units in a South London NHS Mental Health Trust during the first UK lockdown.MethodsWe used an interrupted time series analysis to assess whether the rate of violent and aggressive incidents changed during the lockdown period from 23rd March 2020 to 15th June 2020. We used a quasi-poisson general additive model to model the weekly rate of violent incidents as a function of a seasonal trend, time trend, and impact of lockdown, using data from 1st January 2017 to 27th September 2020.ResultsThere was a 35% increase in the rate of incidents of violence and aggression [IR = 1.35, 95% CI: 1.15 – 1.58, p < 0.001] between March 23rd 2020 and June 15th 2020. In addition, there was strong evidence of temporal (p < 0.001) and seasonal trends (p < 0.001).ConclusionsOur results suggest that restrictions to life increased the rate of violent incidents on the mental health wards studied here.

Ethnic Density is Unrelated to Incidence of Schizophrenia

1988 ◽  
Vol 153 (3) ◽  
pp. 363-366 ◽  
Author(s):  
Raymond Cochrane ◽  
Sukhwant S. Bal
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Ethnic Groups ◽  
Inverse Relationship ◽  
Positive Relationship ◽  
Foreign Born ◽  
Ethnic Density ◽  
Significant Positive Relationship ◽  
Admission Rates ◽  
Department Of Health

Data deriving from the Mental Health Enquiry were obtained from the Department of Health and Social Security (DHSS) for all 186 000 admissions in England in 1981 to test the ‘ethnic density hypothesis'. This hypothesis has been used to explain variations in rates of mental illness between ethnic groups in other countries, and suggests that there is an inverse relationship between the size of ethnic groups and their admission rates. The data analysed in the present paper for the main foreign-born immigrant groups to England not only failed to support the ethnic-density hypothesis, but in some cases, showed a significant positive relationship between group size and admission rates. Some possible reasons for these findings are explored.

scholarly journals Psychosocial Healthcare Centres (CAPS) in Brazilian Mental Health Policy, 2008-2017

2020 ◽  
Author(s):  
Rafael da Silva Barbosa ◽  
Maria Lucia Teixeira Garcia ◽  
Gary C Spolander ◽  
Edineia Figueira dos Anjos Oliveira
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Health Policy ◽  
Mental Health Care ◽  
Mental Health Policy ◽  
Secondary Data ◽  
Community Services ◽  
Health Coverage ◽  
Ministry Of Health ◽  
Using Data

Abstract Psychosocial Healthcare Centres have been promoted by Brazilian mental health policy along with a guaranteed financing from the Ministry of Health. This paper used Strata 2014 data to analyse the extent of Psychosocial Healthcare Centres care capacity available for user as the central driver of mental health care in Brazil. Retrospective, descriptive study with secondary data analysis of services was undertaken using data from Brazilian federal government databases. Brazil does not have 100% mental health care coverage and our analysis, using the Brazilian Health Ministry criteria, identified only 36% (842) municipalities have been adequately resourced. Our analysis identified that while the number of CAPS units increased around 100%, due to increased extra-hospital and community services in the period, effective cover reduced due to budget cuts and increases as a result of rights to access. The Ministry of Health identified coverage in the ratio of 1 CAPS / 100 thousand inhabitants, although CAPS availability is not the only parameter for assessing mental health coverage. Within municipalities, the mental health network is not synonymous with CAPS nor its quality. We believe that the priority given to investing in CAPS, without guaranteeing resources for other mental health intervention, may negate the efforts of building of a network of new de-institutionalising services which replaced traditional models.

scholarly journals Outreach and Support in South London (OASIS). Outcomes of non-attenders to a service for people at high risk of psychosis: the case for a more assertive approach to assessment

2010 ◽  
Vol 41 (2) ◽  
pp. 243-250 ◽  
Author(s):  
C. E. L. Green ◽  
P. K. McGuire ◽  
M. Ashworth ◽  
L. R. Valmaggia
Keyword(s):  
Mental Health ◽  
At Risk ◽  
High Risk ◽  
Help Seeking ◽  
Service Use ◽  
International Agreement ◽  
Clinical Protocol ◽  
Demographic Differences ◽  
Using Data ◽  
Health Trust

BackgroundInternational agreement dictates that clients must be help-seeking before any assessment or intervention can be implemented by an ‘at-risk service’. Little is known about individuals who decline input. This study aimed to define the size of the unengaged population of an ‘at-risk service’, to compare this group to those who did engage in terms of sociodemographic and clinical features and to assess the clinical outcomes of those who did not engage with the service.MethodGroups were compared using data collected routinely as part of the service's clinical protocol. Data on service use and psychopathology since referral to Outreach and Support in South London (OASIS) were collected indirectly from clients' general practitioners (GPs) and by screening electronic patient notes held by the local Mental Health Trust.ResultsOver one-fifth (n=91, 21.2%) of those referred did not attend or engage with the service. Approximately half of this group subsequently received a diagnosis of mental illness. A diagnosis of psychosis was given to 22.6%. Nearly 70% presented to other mental health services. There were no demographic differences, except that those who engaged with the service were more likely to be employed.ConclusionsOver one-fifth of those referred to services for people at high risk of psychosis do not attend or engage. However, many of this group require mental health care, and a substantial proportion has, or will later develop, psychosis. A more assertive approach to assessing individuals who are at high risk of psychosis but fail to engage may be indicated.

Preventing Suicide in Prisons, Part II

Crisis ◽  
2007 ◽  
Vol 28 (3) ◽  
pp. 122-130 ◽  
Author(s):  
Marc S. Daigle ◽  
Anasseril E. Daniel ◽  
Greg E. Dear ◽  
Patrick Frottier ◽  
Lindsay M. Hayes ◽  
...  
Keyword(s):  
Mental Health ◽  
Suicide Prevention ◽  
Mental Health Professionals ◽  
Task Force ◽  
International Association ◽  
Correctional Officers ◽  
Community Services ◽  
Correctional Systems ◽  
Prevention Activities ◽  
Prison Systems

Abstract. The International Association for Suicide Prevention created a Task Force on Suicide in Prisons to better disseminate the information in this domain. One of its objectives was to summarize suicide-prevention activities in the prison systems. This study of the Task Force uncovered many differences between countries, although mental health professionals remain central in all suicide prevention activities. Inmate peer-support and correctional officers also play critical roles in suicide prevention but there is great variation in the involvement of outside community workers. These differences could be explained by the availability of resources, by the structure of the correctional and community services, but mainly by the different paradigms about suicide prevention. While there is a common and traditional paradigm that suicide prevention services are mainly offered to individuals by mental health services, correctional systems differ in the way they include (or not) other partners of suicide prevention: correctional officers, other employees, peer inmates, chaplains/priests, and community workers. Circumstances, history, and national cultures may explain such diversity but they might also depend on the basic way we think about suicide prevention at both individual and environmental levels.

Childhood adversity studies as an antidote to the predominance of neo-liberal thinking in the field of mental health

2020 ◽  
Vol 29 (4) ◽  
pp. 556-563
Author(s):  
Adam Burley
Keyword(s):  
Mental Health ◽  
Childhood Adversity ◽  
Sole Source ◽  
Point Of View ◽  
Early Adversity ◽  
Potential Impact ◽  
The Individual

This is a personal and reflective piece written from a clinician's point of view on the influence that the developing awareness around the consequences of childhood adversity has had upon the discussions, thinking and practice across the areas in which they are working. It seeks to argue that the increased understanding and recognition of the potential impact of early adversity can not only enhance and deepen the understanding of an individual's difficulties, but can serve to inform how services respond in a way that takes account of this. It suggests that the research and literature on childhood adversity can offer a route map away from a model of mental health that focuses predominantly on the individual as the sole source of interest.

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