scholarly journals Home treatment in Bradford

1999 ◽  
Vol 23 (6) ◽  
pp. 349-352 ◽  
Author(s):  
Patrick Bracken ◽  
Bruce Cohen
Keyword(s):  
Mental Illness ◽  
Serious Mental Illness ◽  
Home Treatment ◽  
Clinical Implications ◽  
Treatment Service ◽  
Unstable Housing ◽  
Medical Environment ◽  
The City ◽  
At Home

Aims and methodWe describe a new home treatment service established In one sector of the city of Bradford.ResultsThere was a tendency for the patients hospitalised from this sector to have more unstable housing backgrounds. It was found that a higher percentage of patients with diagnoses of serious mental Illness were cared for at home.Clinical implicationsWe argue that even in the presence of home treatment, there Is a continuing need for asylum. However, we make the case that this does not always have to be provided In a medical environment.

scholarly journals Home or away: which patients are suitable for a psychiatric home treatment service?

2001 ◽  
Vol 25 (8) ◽  
pp. 310-313 ◽  
Author(s):  
Judy Harrison ◽  
Nooreen Alam ◽  
John Marshall
Keyword(s):  
Patient Care ◽  
Information Sources ◽  
Bipolar Affective Disorder ◽  
Home Treatment ◽  
Clinical Implications ◽  
Junior Doctors ◽  
Treatment Service ◽  
Out Of Hours ◽  
Staffing Levels ◽  
Treatment Services

Aims and MethodHome treatment offers an alternative to in-patient care, but little has been written about the practicalities of running such a service. Using routine information sources, details of referral and outcome are presented for patients assessed by a home treatment service over 6 months.ResultsForty-eight per cent of referrals were not accepted, mainly because of lack of cooperation, risk to self or others or the illness not being acute enough. Referrals from junior doctors and accident & emergency were least likely to be accepted. Seventy-two per cent of patients accepted suffered from schizophrenia, bipolar affective disorder or depression with psychosis, similar to the diagnoses for in-patients. Twenty per cent of patients accepted had to be transferred to in-patient care later.Clinical ImplicationsStaffing levels need to take account of time spent assessing patients. Junior doctors need training in how to use home treatment services appropriately and a wider range of options are needed to manage patients in crisis out of hours. It is possible to target patients with severe mental illness in a home treatment setting, but a significant number will need transfer to inpatient care.

scholarly journals Longitudinal Examination of COVID-19 Public Health Measures on Mental Health for Rural Patients With Serious Mental Illness

2020 ◽  
Author(s):  
Natalie B Riblet ◽  
Susan P Stevens ◽  
Brian Shiner ◽  
Sarah Cornelius ◽  
Jenna Forehand ◽  
...  
Keyword(s):  
Public Health ◽  
Mental Health ◽  
Mental Illness ◽  
Serious Mental Illness ◽  
Well Being ◽  
Rural Populations ◽  
Health Measures ◽  
The Impact ◽  
Rural Patients ◽  
At Home

ABSTRACT Introduction There is emerging evidence to support that the COVID-19 pandemic and related public health measures may be associated with negative mental health sequelae. Rural populations in particular may fair worse because they share many unique characteristics that may put them at higher risk for adverse outcomes with the pandemic. Yet, rural populations may also be more resilient due to increased sense of community. Little is known about the impact of the pandemic on the mental health and well-being of a rural population pre- and post-pandemic, especially those with serious mental illness. Material and Methods We conducted a longitudinal, mixed-methods study with assessments preceding the pandemic (between October 2019 and March 2020) and during the stay-at-home orders (between April 23, 2020, and May 4, 2020). Changes in hopelessness, suicidal ideation, connectedness, and treatment engagement were assessed using a repeated-measures ANOVA or Friedman test. Results Among 17 eligible participants, 11 people were interviewed. Overall, there were no notable changes in any symptom scale in the first 3-5 months before the pandemic or during the stay-at-home orders. The few patients who reported worse symptoms were significantly older (mean age: 71.7 years, SD: 4.0). Most patients denied disruptions to treatment, and some perceived telepsychiatry as beneficial. Conclusions Rural patients with serious mental illness may be fairly resilient in the face of the COVID-19 pandemic when they have access to treatment and supports. Longer-term outcomes are needed in rural patients with serious mental illness to better understand the impact of the pandemic on this population.

scholarly journals At home or in hospital: Home treatment and mental health stigma

2021 ◽  
pp. 002076402110095
Author(s):  
Allerdiena A Hubbeling ◽  
Jared G Smith
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Social Distance ◽  
Health Knowledge ◽  
Social Contact ◽  
Home Treatment ◽  
Mental Health Stigma ◽  
People With Mental Illness ◽  
The Uk ◽  
At Home

Background: Stigmatized attitudes towards people with mental illness may influence treatment choice for oneself and others. Aim: To gauge the attitudes of the UK general public towards treatment at home for mental illness and to assess the extent to which non-acceptability was related to stigmatized attitudes. Methods: Two hundred and two (101 female) people living in the UK completed an online (vignette) questionnaire in which we asked demographic details and personal experience of mental illness. To measure stigma, we used an adapted version of the Attitudes to Mental Illness Questionnaire (AMIQ) with vignettes asking about treatment at home and using scales for social distance and poor expectations; participants also filled in the Mental Health Knowledge Schedule (MAKS). Results: Participants did not evidence overall agreement with treatment at home for mental illness (i.e. >0; range = −16-to-+16, Mean ( M) = 0.86, 95% confidence interval (CI) = −0.08, 1.80, p = .073), although they showed significant agreement with treatment at home should they experience mental illness themselves (range = −8-to-+8, M = 1.36, CI = 0.82, 1.89, p < .001). Acceptability for treatment at home differed according to specific mental illness considered (range = −4-to-+4); depression ( M = 0.47, CI = 0.13, 0.81, p = .006) and alcohol abuse ( M = 1.46, CI = 1.14,1.77, p < .001) were considered suitable for being treated at home but schizophrenia was not ( M = −0.78, CI = −1.13,−0.43, p < .001). Multivariate analyses revealed that older age and attitudes indicating comfort with less social distance from people with mental illness were independently associated with treatment at home agreeability. Conclusions: Public acceptability of home treatment for mental illness remains ambivalent in the UK, most obviously when considering treatment approaches for individuals other than themselves and for people with schizophrenia. Disagreement with home treatment is particularly evident in younger people and those who prefer less social contact with people with mental illness.

scholarly journals Hope, happiness and home treatment: a study into patient satisfaction with being treated at home

2014 ◽  
Vol 38 (6) ◽  
pp. 265-269 ◽  
Author(s):  
Dieneke Hubbeling ◽  
Robert Bertram
Keyword(s):  
Logistic Regression ◽  
Patient Satisfaction ◽  
Response Rate ◽  
Service Evaluation ◽  
Home Treatment ◽  
Clinical Implications ◽  
Treatment Team ◽  
At Home

Aims and methodThis study investigates patient satisfaction and levels of hope after receiving treatment from a home treatment team. It studies whether distributing questionnaires during the last visit increases the response rate, and explores whether patient satisfaction and levels of hope are associated with particular elements of the care received.ResultsPatients who answered the questionnaire tended to be satisfied. When forms were distributed during the last visit, the response rate increased to at least 64%. People with negative views were more likely to return the form by post. Patient satisfaction and levels of hope were associated with most elements of received care, and the resolution of problems was predictive of both satisfaction and increased hope in logistic regression.Clinical implicationsThe distribution of service evaluation questionnaires during the last visit increased the response rate considerably. This study suggests that in order to improve services, it is important to focus on whether patients think their problems have been resolved.

scholarly journals Role of the duty psychiatrist

1992 ◽  
Vol 16 (4) ◽  
pp. 218-219 ◽  
Author(s):  
Judith E. Nicholls
Keyword(s):  
Hospital Admission ◽  
Patient Care ◽  
Psychiatric Illness ◽  
Home Treatment ◽  
Psychiatric Services ◽  
Living Alone ◽  
Treatment Service ◽  
Physical Problems ◽  
At Home

Recent changes in psychiatric services have produced a movement away from large hospitals to management within the community. A successful home treatment service with 24-hour cover has been described for severe acute psychiatric illness, though hospital admission was not entirely avoided (Dean et al, 1990). It is difficult to manage violent patients or those who will not comply with medication at home. If relatives are not supportive hospital admission will be required. Although living alone is not a contraindication to treatment at home, those who require constant supervision because they are, for example, suicidal need to be admitted. Concurrent physical problems may also necessitate hospital admission. Any future services must therefore include some in-patient care.

scholarly journals Guardianship under the Mental Health Act 1983

2000 ◽  
Vol 24 (2) ◽  
pp. 51-52 ◽  
Author(s):  
Jenny Shaw ◽  
Barbara Hatfield ◽  
Sherrill Evans
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Social Services ◽  
Serious Mental Illness ◽  
Community Treatment ◽  
Clinical Implications ◽  
Community Treatment Orders ◽  
Mental Health Act ◽  
Illness Category ◽  
One Year

Aims and MethodTo describe the extent and variation in the use of Guardianship nationally. The Directors of Social Services were asked to provide details about Guardianship cases on two separate occasions one year apart.ResultsThere were 428 new Guardianship cases in 12 months. At the second enumeration, 73% of cases were within the mental illness category and 47% of these had serious mental illness.Clinical ImplicationsThere is much variation in the use of Guardianship. Further developments of this study will explore the reasons for this variation and will ascertain clinicians' views on Guardianship, supervised discharge and other community treatment orders.

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