Results for 'mental health services'
JOINT COMMISSIONING PANEL FOR MENTAL HEALTH
This guide describes what ‘good’ mental health services for people from Black and Minority Ethnic (BME) communities look like. While all of the Joint Commissioning Panel for Mental Health commissioning guides apply to all communities, there are good reasons why additional guidance is required on commissioning mental health services for people from BME communities. The document sets out the key priorities that should guide the commissioning of mental health services for BME groups. These include: supporting equitable access to effective interventions, and equitable experiences and outcomes; identifying and implementing specific measures to reduce ethnic inequalities in mental health; developing local strategies and plans for improving mental health and wellbeing amongst BME communities; making targeted investments in public mental health interventions for BME communities; involving service users, carers as well as members of local BME communities in the commissioning process; collecting, analysing, reporting, and acting upon data about ethnicity, service use, and outcomes; creating more accessible, broader, and flexible care pathways, and integrating services across the voluntary, community, social care and health sectors; ensuring every mental health service are culturally capable and able to address the diverse needs of a multi-cultural population through effective and appropriate forms of assessment and interventions; developing a number of strategies to reduce coercive care, which is experienced disproportionately by some BME groups. This guide focuses on services for working age adults. However, it could also be interpreted for commissioning specialist mental health services, such as CAMHS, secure psychiatric care, and services for older adults. It includes case-examples derived from an online survey of various BME stakeholder groups on the issue of quality in BME service provision
PERLE Jonathan G., NIERENBERG Barry
The authors believe that with the current and growing prevalence of mental illness a major shift and expansion of clinical practice must occur to overcome the mental health burden and facilitate positive change. This article offers an outline of, and case for, incorporating telehealth in mental health practice. For the purposes of this review, telehealth specifically refers to synchronous web camera-based interventions. Novel options, including mHealth (mobile) and the use of computer tablets, are discussed. The implications for practice including training are considered, as well as potential future directions for the field. It is concluded that the available data supports telehealth as an effective mode for the treatment of clients who are unable to pursue mental health services as they are available. It appears that with careful planning, telehealth systems can significantly impact the quality, timeliness, and availability of services in almost any mental health care system. The authors emphasise that the goal is not to substitute for a “real” person but to integrate telehealth into overall provision. In some cases a consistent face-to-face interaction may be the best care but this may not always be possible. The authors conclude by emphasising the importance of appropriate training for the mental health professionals if telehealth is to be effectively.
Purpose: This paper aims to describe a partnership visual arts project between Richmond Fellowship (a national mental health charity) and the Bluecoat arts centre in Liverpool involving participants with mental health problems.
Design/methodology/approach: The paper details the development of the project since September 2010 and, most importantly, the artistic development of the individuals who are still taking part and the improvements in their mental health and wellbeing. It also describes the development of the group in becoming an independent organisation.
Findings: Evaluation was undertaken at regular intervals through wellbeing questionnaires, one-to-one interviews and observation, which led to the following findings: with support, individuals with mental health problems experience significant benefit in engaging with the arts, to their mental health, their personal development and development as artists. Given time, they require less support and are willing to take on responsibilities, which has enabled them to become an independent organisation.
Social implications: This paper makes the case for the effectiveness of partnership working between mental health and arts organisations to improve mental health and social inclusion.
Originality/value: The paper adds to the body of evidence concerning the use of arts in recovery and of use to mental health organisations who are interested in using the arts in the process of support.
WALKER Liz, PERKINS Rachel, REPPER Julie
Purpose: The purpose of this paper is to argue that if mental health services are to genuinely support the recovery of those who they serve then recovery principles must permeate all facets of the organisation, in particular human resources and workforce development.
Design/methodology/approach: This paper draws on the principles of recovery-focused approaches to people who use services and explores how these might guide a recovery-focused approaches to human resources and workforce issues.
Findings: The recovery principles like recognising and utilising the expertise of lived experience, co-production and shared decision making, peer support, focusing on strengths and becoming an expert in your own self-care all have as much relevance for creating a recovery-focused workforce as they do in the recovery journeys of those who use services. Everyone who uses services is “more than a mental patient” and everyone who provides services is “more than a mental health practitioner” – we need to use all the assets that everyone brings.
Originality/value: Although there has been a great deal of discussion about the features of recovery-focused services, there has been little, if any, consideration of extending the principles of recovery to human resources. The aim of this paper is not to offer a blue print but to begin an exploration of what a recovery-focused approach to workforce issues might look like.
Purpose: The purpose of this paper is to summarise two 2014 research papers that highlight the role of social interactions and the social world in recovery in the context of mental distress.
Design/methodology/approach: The author summarise two papers: one is about two theories from social psychology that help us understand social identity – our sense of who we are. The other brings together and looks at the similarities and differences between ten different therapies that can be called resource-oriented – that is, they focus on people's strengths and resources rather than what is wrong with them.
Findings: The paper on social identity gives a convincing case for incorporating teaching about social identity – and the social groups to which people belong – into the training of mental health professionals. The paper on resource-oriented therapies suggests that social relationships are a main component of all ten therapies examined. This second paper suggested a need for more research and theory relating to resource-oriented therapies. Social identity theory could help address this issue. Mental health services may be able to help people more by focusing on their established and desired social identities and group-belonging, and their strengths, than is usual.
Originality/value: These two papers seem timely given the growing recognition of the role of social factors in the development and maintenance of mental distress. More attention to social factors in recovery could help make it more self-sustaining.
CRAWFORD Paul, et al
This article reviews the literature review to examine the value of approaches to mental health based on creative practice in the humanities and arts, and explore these in relation to the potential contribution to mutual recovery. It found recovery can embrace carers and practitioners as well as sufferers from mental health problems. Divisions tend to exist between those with mental health needs, informal carers and health, social care and education personnel. Mutual recovery is therefore a very useful term because it instigates a more fully social understanding of mental health recovery processes, encompassing diverse actors in the field of mental health. Research demonstrates the importance of arts for “recovery orientated mental health services”, how they provide ways of breaking down social barriers, of expressing and understanding experiences and emotions, and of helping to rebuild identities and communities. Similarly, the humanities can advance the recovery of health and well-being. The notion of mutual recovery through creative practice is more than just a set of creative activities which are believed to have benefit. The idea is also a heuristic that can be useful to professionals and family members, as well as individuals with mental health problems themselves. Mutual recovery is perhaps best seen as a relational construct, offering new opportunities to build egalitarian, appreciative and substantively connected communities – resilient communities of mutual hope, compassion and solidarity.
FIELDHOUSE Jon, PARMENTER Vanessa, HORTOP Alice
Purpose: The purpose of this paper is to report on an action inquiry (AI) evaluation of the Natureways project, a time-limited collaboration between an NHS Trust Vocational Service and a voluntary sector horticulture-based community interest company (CIC).
Design/methodology/approach: Natureways produced positive employment outcomes and an AI process – based on co-operative inquiry with trainees, staff, and managers – explored how these had been achieved.
Findings: Natureways’ efficacy was based on features of the setting (its supportiveness, rural location, and workplace authenticity), on its embeddedness (within local care-planning pathways, the horticultural industry, and the local community), and on effective intersectoral working. The inquiry also generated actionable learning about creative leadership and adaptability in the changing landscape of service provision, about the benefits of the CIC's small scale and business ethos, about the links between trainees’ employability, social inclusion and recovery, about horticulture as a training medium, and about the role of AI in service development.
Practical implications: The inquiry highlights how an intersectoral CIC can be an effective model for vocational rehabilitation.
Social implications: Community-embeddeness is an asset for mental health-orientated CICs, facilitating social inclusion and recovery. Social and therapeutic horticulture settings are seen to be conducive to this.
Originality/value: This case study suggests that AI methodology is not only well-suited to many practitioners’ skill sets, but its participatory ethos and focus on experiential knowledge makes it suitable for bringing a service user voice to bear on service development.