Results for 'mental health problems'
Evaluation of the Wigan Community Link Worker (CLW) service, which was set up as a pilot in 2015 to improve the health and wellbeing of local people by helping them to access community based support and activities. It also helps those referred to use their skills and experience through volunteering. The evaluation, commissioned by Wigan Borough CCG and Wigan Council, aims to gain a better understanding of how the service is working, who is using it and what difference it is making to clients and referring services. The evaluation draws on an analysis of referral data, case studies and qualitative interviews with commissioners, people running services, patients, community link workers and representatives of voluntary and community organisations. Findings report high levels of commitment to the service from stakeholders, with health and care professionals valuing the service and promoting it to colleagues and clients. A total of 784 clients were supported between January 2015 and March 2016. Over half of these clients were over 55, with social isolation and mental health issues the most recurrent presenting issues, along with benefits and financial advice. The service is also used by number of carers. Client stories suggest that CLWs help them to feel supported and able to contribute in their community. The evaluation also found anecdotal evidence of reduced pressure on mainstream services. Recommendations include that the service retains it wide referral and low threshold for access; development of the skills of CLWs as relational workers through peer support and reflective practice; and enlists CLWs, clients and health professionals in co-designing and co-producing the service in the future.
PARKINSON Andy, BUTTRICK Jamie
Evidence review, undertaken through a joint project between the Low Commission and the Advice Services Alliance, to examine the impact of social welfare advice services on health outcomes. The review outlines key findings from 140 research studies and also provides an overview of 58 integrated health and welfare advice services. Advice services covered in the review included those providing advice on debts, welfare benefits, housing, employment and discrimination advice. The results of the evidence review are discussed across the following areas: health inequalities; debt and mental health; primary care; secondary and tertiary care, including mental health services. The analysis finds that welfare advice provided in health context results in better individual health and well-being and lower demand for health services. Positive effects on health and welbeing include: lower stress and anxiety, better sleeping patterns, more effective use of medication, smoking cessation, and improved diet and physical activity. It shows how the right welfare advice in the right place produces real benefits for patient health especially where advice services work directly with the NHS and care providers, and presents evidence to show that early and effective advice provision reduces demand on the NHS. It provides recommendations for NHS, Local Authority Commissioners, Health and Wellbeing Boards, and the advice sector for the use welfare advice services to improve health outcomes, address health inequalities and reduce demand on the NHS.
MENTAL HEALTH FOUNDATION
Examines how investing in building and maintaining good relationships and tackling the barriers to forming them positively impact on mental health and wellbeing. The evidence shows that people who are more socially connected to family, friends, or their community are happier, physically healthier and live longer, with fewer mental health problems than people who are less well connected. The paper looks at relationships across the life course and why they matter, focusing on children and young people, adults and later life. Higher rates of mental health problems such as depression and anxiety have been associated with loneliness, isolation and social rejection during adolescence and similarly having few close relationships has been linked to higher rates of depression and stress in older adults. The report calls on national governments, public bodies and employers to promote good relationships and tackle barriers, including mounting pressures on work–life balance and the impact of bullying and unhealthy relationships.
FACULTY OF PUBLIC HEALTH, MENTAL HEALTH FOUNDATION
This report looks at what can be done individually and collectively to improve the mental health of individuals, families and communities and prevent mental health problems using a public health approach. The report aims to encourage proportionate use of universal services with a focus on the promotion of mental wellbeing and on high level support for those at risk of poor mental health and mental health problems, complementing recovery and prevention approaches. Section one maps out why mental health is an important, highlights its economic and social costs and examines why it is often overlooked. Section two outlines the risk and protective factors through the life course from the early years, to adulthood and later-life. It also looks at the risk and protective factors across communities, for example in the home, education and work settings, and the effects of the built environment and neighbourhoods. Section three addresses approaches and interventions to improve mental health at different stages of the life course and in different settings. Section four offers a practical guide to enable practitioners to support their own mental wellbeing. Case studies of innovative public mental health programmes and projects being run across the UK are included throughout. Annex A includes a list of initiatives received as entries for the Faculty of Public Health public mental health award, 10 of which are included in the report as case examples.
This report looks at evidence about the provision of supported housing for people with mental health problems in England, including those with multiple needs and substance misuse, and presents key themes for its future development. It highlights the significant links between housing and mental wellbeing, indicating that factors such as overcrowding, insufficient daylight and fear of crime all contribute to poorer mental health. The review identifies a wide range of types of housing support, including help for people to remain their own tenancies to specialist supported accommodation, hostels, crisis houses and the Housing First approach. Although the review identified limited evidence about what kinds of housing support are most effective and cost-effective, small-scale studies suggest that housing support can reduce the costs of hospital stays. When looking at the type of support people want, the literature found most people prefer help in their own homes to being in sheltered or transitional accommodation. The report calls for better provision of housing support and also argues that housing support should be funded jointly by local authorities and the NHS to ensure that services are delivered in partnership between health, housing and social care providers.
SHARED LIVES PLUS
This report draws on a survey of Shared Lives Plus members across the country to provide an analysis of services across England, covering the period 2014/15. The report includes figures on numbers of people using Shared Lives services, the number of carers, staff turnover and motivation, types of arrangement (live in, short breaks and day support) and numbers of users by region. The results show that the number of people using Shared Lives support is continuing to rise. In 2014/15 11,570 people were getting help from Shared Lives compared to 10,440 in 2013/14. People with learning disabilities remain the primary users of Shared Lives support, accounting for 76% of all users. The next largest group getting help via Shared Lives were people with mental health problems who made up 7% of users. The survey also reports a rise in both the number of older people and people with dementia using Shared Lives. There has also been an increase of over 50% in use of Shared Lives as day support. Projected cost savings are provided to show the total savings that could be made if Shared Lives reached its full potential. Short case studies are also included to illustrate the benefits of Shared Lives schemes.
This study examines how different types of supported accommodation meet the needs of people with mental health problems. Supported accommodation covers a wide range of different types of housing, including intensive 24 hour support, hostel accommodation, and accommodation with only occasional social support or assistance provided. The document focuses on five approaches to providing supported accommodation, including: Care Support Plus; integrated support; housing support for people who have experienced homeless; complex needs; low-level step down accommodation; and later life. The report draws on the expertise of people living and working in these services across England, and presents their views of both building and service related issues. It sets out a number of recommendations, focusing on: quality; co-production; staff recruitment and training; policy informed practice; and resourced, appropriate accommodation.
A brief review of the literature on social prescribing. Social prescribing is a way of linking primary care patients with psycho-social issues, with sources of appropriate, non-medical support in the community. Suitable referrals to social prescribing initiatives are vulnerable and at risk groups such as: people with mild to moderate depression and anxiety; low income single parents; recently bereaved older people; people with long term conditions and frequent attendees in primary and secondary care. The review highlights that prescribed activities have typically included arts and creative activities, physical activity, learning and volunteering opportunities and courses, self-care and support with practical issues such as benefits, housing, debt and employment. The evidence on the impact of social prescribing is currently limited and inconsistent. While some initiatives have shown improved outcomes for patients and potential for cost-savings (in the longer term), few have been subject to economic analysis or the kind of rigorous evaluation which would inform commissioners. The report recommends that any new, local social prescribing initiatives should aim to add to the current evidence base and conduct transparent and thorough.
NHS ENGLAND, LOCAL GOVERNMENT ASSOCIATION, ASSOCIATION OF DIRECTORS OF ADULT SOCIAL SERVICES
Sets out a national plan to enable people with learning disabilities who display behaviour that challenges to be supported to live more independently in their local community and reduce reliance on institutional care and long stay hospitals. The plan looks at the learning from the six 'fast track' areas; describes the new services that will be needed to better support people with learning disabilities to live in the community; and outlines how transforming care partnerships (commissioning collaborations of local authorities, CCGs and NHS England partners) in health and care will need to work together to deliver these changes. Areas discussed include: the need for appropriate local housing, such as schemes where people have their own home but ready access to on-site support staff; an expansion of the use of personal budgets, enabling people and their families to plan their own care, beyond those who already have a legal right to them; for people to have access to a local care and support navigator or key worker; and investment in advocacy and advice services run by local charities and voluntary organisations. To achieve the shift from inpatient to community-based services the plan identifies three key changes: that local councils and NHS bodies will join together to deliver better and more coordinated services; pooled budgets between the NHS and local councils to ensure the right care is provided in the right place; and adoption of a new service model.
Accession Social Enterprise
Accession is a social enterprise which supports adults with a range of learning and physical disabilities and long term mental health problems to find a route into employment. It runs 7 businesses across 5 sites in the borough of Ealing and offers training, voluntary positions and paid work, reinvesting income into creating more of these opportunities.