scholarly journals Mental health services: results of a survey of English district plans

1989 ◽  
Vol 13 (2) ◽  
pp. 77-78 ◽  
Author(s):  
D. Kingdon
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Strategic Plan ◽  
Substantial Proportion ◽  
Short Term ◽  
Health Authorities ◽  
Comprehensive Service ◽  
Initial Reading

In November 1987, I wrote to the ‘Planning Officer (Mental Health)’ of the 192 English Health Authorities requesting a copy of the section of their 1984 Strategic Plan dealing with mental health and any recent update. A checklist of information to be analysed was drawn up on the basis of an initial reading of the plans. This contained a substantial proportion of the elements for a comprehensive service listed by Hirsch (1988) and by MIND (1983). Replies were received from 137 (71%) of the health authorities. Of these, 127 (67%) sent planning documents, ten wrote saying that their plans were under review and therefore unavailable, or “meaningless”. Strategies were sent dated 1983 (2), 1984/5 (63), 1986 (11) and 1987/8 (45). Planning reports and Short Term Programmes were also sent which meant that four (3%) provided information updated to 1988, 74 (58%) to 1987, 16 (13%) to 1986, 17 (13%) to 1985, 15 (12%) to 1984, with one giving details relating to 1983 only.

Mental Health Services for Syrian Refugees in Lebanon: Perceptions and Experiences of Professionals and Refugees

2020 ◽  
Vol 30 (6) ◽  
pp. 849-864
Author(s):  
Hala Kerbage ◽  
Filippo Marranconi ◽  
Yara Chamoun ◽  
Alain Brunet ◽  
Sami Richa ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Health Conditions ◽  
Adaptive Mechanism ◽  
Syrian Refugees ◽  
Health Practice ◽  
Short Term ◽  
Mental Health Practice ◽  
Depth Interviews

We applied semi-structured and in-depth interviews to explore the perceptions and experiences of 60 practitioners/policymakers and 25 Syrian participants involved in mental health services for refugees in Lebanon. Refugees were found to view their distress as a normal shared reaction to adversity while professionals perceived it as symptomatic of mental illness. Practitioners viewed Syrian culture as an obstacle to providing care and prioritized educating refugees about mental health conditions. Policymakers invoked the state of crisis to justify short-term interventions, while Syrian refugees requested community interventions and considered resettlement in a third country the only solution to their adverse living conditions. The therapeutic relationship seems threatened by mistrust, since refugees change their narratives as an adaptive mechanism in response to the humanitarian system, which professionals consider manipulative. We discuss the implications of our findings for mental health practice in humanitarian settings.

scholarly journals Alternatives to standard acute in-patient care in England: short-term clinical outcomes and cost-effectiveness

2010 ◽  
Vol 197 (S53) ◽  
pp. s14-s19 ◽  
Author(s):  
M. Slade ◽  
S. Byford ◽  
B. Barrett ◽  
B. Lloyd-Evans ◽  
H. Gilburt ◽  
...  
Keyword(s):  
Mental Health ◽  
Cost Effectiveness ◽  
Mental Health Services ◽  
Health Services ◽  
Global Assessment ◽  
Subjective Experience ◽  
Global Assessment Of Functioning ◽  
Short Term ◽  
Clear Cut ◽  
Threshold Assessment

BackgroundOutcomes following admission to residential alternatives to standard in-patient mental health services are underresearched.AimsTo explore short-term outcomes and costs of admission to alternative and standard services.MethodHealth of the Nation Outcome Scales (HoNOS), Threshold Assessment Grid (TAG), Global Assessment of Functioning (GAF) and admission cost data were collected for six alternative services and six standard services.ResultsAll outcomes improved during admission for both types of service (n = 433). Adjusted improvement was greater for standard services in scores on HoNOS (difference 1.99, 95% CI 1.12–2.86), TAG (difference 1.40, 95% CI 0.39–2.51) and GAF functioning (difference 4.15, 95% CI 1.08–7.22) but not GAF symptoms. Admissions to alternatives were 20.6 days shorter, and hence cheaper (UK£3832v. £9850). Standard services cost an additional £2939 per unit HoNOS improvement.ConclusionsThe absence of clear-cut advantage for either type of service highlights the importance of the subjective experience and longer-term costs.

scholarly journals Are specialist psychiatric services losing the PbR race?: commentary on… clustering in mental health payment by results

2014 ◽  
Vol 20 (4) ◽  
pp. 235-236
Author(s):  
Vishwa Radhakrishnan
Keyword(s):  
Mental Health ◽  
Intellectual Disability ◽  
Mental Health Services ◽  
Health Services ◽  
Healthcare Services ◽  
Psychiatric Services ◽  
Short Term ◽  
Specialist Services ◽  
Health Payment

SummaryPayment by results (PbR) is a payment platform for healthcare services. Introduced to acute physical healthcare services in England in 2003–2004, the system has continued to expand and is currently being implemented in acute mental health services. Owing to the variations and complexities of the patients who access specialist psychiatric services, existing clusters do not always accurately capture their needs. The development of PbR tools specific to psychiatric subspecialties is ongoing, but might not be available in the short term. The funding of acute mental health services through PbR might have funding implications for specialist services such as psychiatry of intellectual disability.

scholarly journals Expenditure on mental health care by English health authorities: A potential cause of inequity

2000 ◽  
Vol 177 (3) ◽  
pp. 267-274 ◽  
Author(s):  
Jonathan Bindman ◽  
Gyles Glover ◽  
David Goldberg ◽  
Daniel Chisholm
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Health Expenditure ◽  
Local Level ◽  
Regression Modelling ◽  
Health Authorities ◽  
London Health ◽  
Mental Health Expenditure ◽  
Deprived Areas

BackgroundThe York resource allocation formula includes a calculation of the amount needed to purchase mental health services equitably in each health authority in England. However, the amount which is actually spent on services is at the discretion of the authority.AimsTo compare expenditure on mental health services with allocation, and test the hypothesis that differences between them are to the disadvantage of services in deprived areas.MethodA comparison of routine expenditure and allocation data, and linear regression modelling of the ratio of expenditure to allocation.ResultsThe ratio of expenditure to allocation varies widely. Relative underspending occurs more frequently in deprived areas, although not in the four inner-London health authorities.ConclusionsThe intentions of the York formula are not achieved in practice. The implications of the formula for mental health should be made explicit to health authorities, and shortfalls in mental health expenditure relative to allocation should be justified at a local level.

Exploration of Aggression/Violence Among Adult Patients Admitted for Short-term, Acute-care Mental Health Services

2018 ◽  
Vol 32 (2) ◽  
pp. 215-223 ◽  
Author(s):  
Ellen Giarelli ◽  
Romy Nocera ◽  
Michael Jobes ◽  
Carol Boylan ◽  
Jen Lopez ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Acute Care ◽  
Adult Patients ◽  
Short Term

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.

scholarly journals Η αξιολόγηση της πρωτοβάθμιας φροντίδας υγείας ως δομικού συστατικού του υγειονομικού συστήματος της Κύπρου

2002 ◽  
Author(s):  
Πέτρος Μάτσας
Keyword(s):  
Mental Health ◽  
Job Satisfaction ◽  
Health Care ◽  
Primary Health Care ◽  
Mental Health Services ◽  
Health Services ◽  
Health System ◽  
Special Reference ◽  
Primary Health ◽  
Health Authorities

The main aim of the present study is the evaluation of the Primary Health Care in Cyprus provided by the Health Authorities in the island. More particularly the specific objectives of the said research project are as follows: a) evaluation of primary healthcare in general practice; special reference as made to the job satisfaction of the General Practitioner as well as the satisfaction felt by the patients served by the health system (patients’ satisfaction). b) evaluation of primary health care within the mental health services in Cyprus; Special reference again is made to the job satisfaction of the psychiatric staff as well as the satisfaction felt or experience by the patients visitors served by the Mental Health Services. c) evaluation of the services provided by the School Health Services of the Ministry of Health. The present research was basically based on a qualitative approach employing questionnaires as the methodological instrument. The research findings have revealed the essential weaknesses inherent in the current primary Health Care System of Cyprus and pertinent suggestions and proposals have been made in a way that a productive utilization of the said findings can be made by the Health Authorities of Ministry of Health with a new to the amelioration of the existing health System.

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