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All research records related prevention examples and research

Results 71 - 80 of 421

Joining the dots: integrating practical support in mental healthcare settings in England

ISAKSEN Mette, WILLIAMS Richard
2017

This report provides an analysis of the advice needs of Citizens Advice clients in England who report having a mental health problem. It shows how recognising the links between people’s mental health and their wider practical problems is crucial both for preventing mental health problems from escalating and improving recovery rates. The report draws on the results of an analysis of client data, a survey of Citizens Advice advisors and a survey of 2,000 people across England. The analysis shows that a growing number of people who turn to Citizens Advice for advice report having mental health problems. In addition, clients with mental health problems tend to have more complex, urgent and multiple advice needs. The report uses Citizen Advice data to explore the advice needs of people with mental health problems across the areas of: finance, essential services, housing, employment, and benefits. It also provides evidence to show that the provision of practical advice and support alongside mental health services can improve patient wellbeing and outcomes and reduce demand on public services. Despite this, the research found that less than a third of people (32 per cent) nationally who access NHS services are referred to advice services, while twice as many (64 per cent) said this would be helpful. The report recommends that service providers should take action to ensure they are responding effectively to the needs of people with mental health problems and calls for government to fund a pilot for integrated practical support in primary mental healthcare settings.

Effectiveness of befriending interventions: a systematic review and meta-analysis

SIETTE Joyce, CASSIDY Megan, PRIEBE Stefan
2017

Objective: Befriending is an emotional supportive relationship in which one-to-one companionship is provided on a regular basis by a volunteer. It is commonly and increasingly offered by the voluntary sector for individuals with distressing physical and mental conditions. However, the effectiveness of this intervention on health outcomes is largely unknown. This systematic review examines the benefits of befriending. Design: Systematic review Methods: A systematic search of electronic databases was conducted to identify randomised controlled trials and quasi-experimental trials of befriending for a range of physical and mental health indications including depression, anxiety, mental illness, cancer, physical illness and dementia. Main outcomes included patient-relevant and disease-specific outcomes, such as depression, loneliness, quality of life, self-esteem, social support and well-being. Results: A total of 14 trials (2411 participants) were included; 7 were judged at low risk of bias. Most trials showed improvement in symptoms associated with befriending but these associations did not reach statistical significance in all trials. Befriending was significantly associated with better patient-reported outcomes across primary measures. However, there was no significant benefit on single outcomes, including depression, quality of life, loneliness ratings, self-esteem measures, social support structures and well-being. Conclusions: There was moderate quality evidence to support the use of befriending for the treatment of individuals with different physical and mental health conditions. This evidence refers to an overall improvement benefit in patient-reported primary outcomes, although with a rather small effect size. The current evidence base does not allow for firm conclusions on more specific outcomes. Future trials should hypothesise a model for the precise effects of befriending and use specified inclusion and outcome criteria.

Connect for a kinder tomorrow: new approaches to loneliness

KENNEDY Seema, REEVES Rachel
2017

This report, from the Jo Cox Commission on Loneliness, argues that loneliness is everybody’s business and calls for every individual to make better connections in order to tackle the problem. It provides suggestions for individuals, voluntary and community groups, employers, local and central government on what they can do to tackle loneliness on a day to day basis. It also makes reference to examples of good practice throughout. In order to build a less lonely nation, it recommends people to adopt a ‘five a day’ rule and have a minimum of five conversations each day and take a ‘Connect 4’ approach, where individuals have four meaningful relationships they can count on.

Combatting loneliness one conversation at a time: a call to action

JO COX COMMISSION ON LONELINESS
2017

This final report of the Jo Cox Loneliness Commission shares the ideas that the Commission have worked on over the past year and makes recommendations for national government. The report highlights the consequences of loneliness for individuals' wellbeing and health, and for the economic stability of wider society. It also provides individual case studies and examples of good practice initiatives to show the benefits of tackling loneliness. It identifies three key areas for government action in order to tackle loneliness: leadership - including the development of a UK wide strategy for loneliness; measuring progress - with the creation of a national indicator and development of evidence around 'what works'; and funding for communities in order to spread promising approaches and best practice.

Community development in health: a literature review


2016

This literature review offers a brief background to the current state of play in the NHS and statutory services, and ideas that services more flexible, place-based services are likely to offer more effective and efficient outcomes. It then provides an overview of the nature of community development, its relationship to community health and to enhancing the responsiveness of commissioning of services. It brings together evidence which shows how communities can be supported to develop their own strengths and their own trajectories of development. It also examines the health benefits of community engagement, and identifies the limitations of some studies and where evidence that suggests poor outcomes or risks. It looks developing a business case, and what is already known of costs and benefits of community development. It finds that although it is difficult to express costs and benefits of community development in monetary terms, some effective techniques do exist. The evidence shows that community development helps to strengthen and increase social networks and therefore build up social capital. Evidence shows that they to contribute significantly to individual and to community health and resilience. Existing data also suggests that community development in health is cost-effective and provides good value for money. The review includes definitions of community development and key related concepts, including as asset-based approaches, co-production, social networks, social capital, and community capital.

Promoting asset based approaches for health and wellbeing: exploring a theory of change and challenges in evaluation

RIPPON Simon, SOUTH Jane
2017

This project explores two key areas that are critical for moving to a more systematised approach to asset based action for health. It builds on the report ‘Head, hand and heart’, from the Health Foundation, to explore further the develop a Theory of Change for asset based approaches aligned to an asset model for health and also looks at ways of evaluating and measuring the benefits and impact of asset based approaches. Drawing on the findings from site visits, interviews and a think piece event, this report presents a new Theory of Change for asset-based working. A rapid review of published and grey literature was also conducted to map and categorise evaluate approaches and measures used in asset-based programmes. The map of literature showed that a variety of methodologies and evaluation strategies are used in asset-based practice. The report summarises the approaches across the seven broad clusters of: Asset Based Community Development; Asset Mapping; Community-based evaluation; Conceptual frameworks for measurement; Resilience; Salutogenesis; and Other. The report suggests that a high level Theory of Change that incorporates an orientation phase provides an opportunity to set out the purpose and rationale of asset based activity. This can also enable measurement and evaluation to be better defined and managed, and help local actors in articulating the benefits (or not) of asset based approaches for health.

What works in community led support? Findings and lessons from local approaches and solutions for transforming adult social care (and health) services...

BROWN Helen, et al
2017

The first evaluation report of the Community Led Support (CLS) programme, which supported nine authorities across England, Wales and Scotland to develop and implement a new model of delivering community based care and support. The findings show what can be achieved when applying core principles associated with asset based approaches. CLS involves local authorities working collaboratively with their communities, partner organisations and staff to design a health and social care service that works for everyone. Its core principles include co-production; a focus on communities; preventing crises by enabling people to get support and advice when they need it; a culture based on trust and empowerment; and treating people as equals, and building on their strengths. The evaluation found evidence that CLS resulted in better experiences and outcomes for local people, improved access to services; greater efficiencies in services; reduced waiting times and lists; increased signposting and resolution through community services; improvement in staff morale; and a potential for cost savings. Sites achieved these changes by adopting a variety of approaches to implementing CLS - from implementing CLS across an entire authority area at the same time, to implementing in one innovation site and encouraging others to adopt aspects of the service. The report identifies six priority areas for action to further develop and embed community led support over the next 12-18 months.

Comprehensive care: older people living with frailty in hospitals

NIHR DISSEMINATION CENTRE
2017

This review looks at the concept of 'frailty' in older people and what can be done to raise awareness amongst hospital staff, so that they can better identify and manage the needs of this ‘frail’ older people. It features 53 completed and ongoing studies funded by the National Institute of Health Research. The review covers four key aspects of caring for older people living with frailty in hospital: assessment; identifying and managing symptoms associated with frailty in hospital; discharge planning; and caring environments which consider the context in which inpatient diagnosis and treatment is delivered. The review highlights promising evaluations of workplace training and interventions. It also identifies a number of tools, such as the Frailty Index, that can help hospital staff to identify the severity of needs and help to provide targeted support. It also finds good evidence that the Comprehensive Geriatric Assessment (CGA) is a reliable way of diagnosing and meeting the needs of older people with input from multi-disciplinary teams. It also identifies areas where more research is needed, which include: maintaining activities of daily living for people admitted to hospital; and the effectiveness and cost-effectiveness of different models of delivering care. The review also includes a series of questions that hospital boards, staff and families can ask about the care of older people with frailty in hospitals. Summaries of the 53 studies are also included.

Community services: what do we know about quality? Briefing

O'DOWD Nora Cooke, DORNING Holly
2017

This briefing looks at trends in national measures in English community trusts to try to gain a view of quality in community services more generally. The analysis examines trends in routinely collected national quality measures in 18 community trusts in England, which account for a quarter of all community health services delivered in the NHS. Some of the key findings are: care in community trusts was predominantly delivered by professionally qualified clinical staff such as community health nurses, allied health professionals and community health visitors – staff numbers in the 18 trusts stayed roughly stable between late 2013 and 2016, although demand has almost certainly increased; these staff were roughly as satisfied with their jobs as staff in all NHS trusts, although they were less likely to recommend their trust as a place to work; the median waiting time for an outpatient appointment was three days longer in the community than across all trusts in England; patients using services offered by community trusts would generally recommend them to a friend and were less likely to experience harm compared to those using services provided by non-community trusts. The briefing concludes that the difficulties experienced in gathering useful information on community services indicate that the national lack of community data needs to be resolved before questions of quality can be meaningfully answered.

Room to improve: the role of home adaptations in improving later life

CENTRE FOR AGEING BETTER
2017

This report summarises the findings from an evidence review on how home adaptations can improve later lives and provides recommendations to improve access to, and delivery of, home adaptation and repair services. It shows that both minor and major home adaptations are an effective intervention to improve outcomes for people in later life, including improved performance of everyday activities, improved mental health and preventing falls and injuries. It also identifies good evidence that greatest outcomes are achieved when individuals and families are involved in the decision-making process, and when adaptations focus on individual goals. Based on the findings, the report makes recommendations for commissioners and service provides. These include for Local Sustainability and Transformation partnerships to put in place preventative strategies to support people at risk in their home environment; for local authorities to make use of the Disabled Facilities Grant to fund both major and minor adaptations; and for local authorities to ensure people have access to information and advice on how home adaptations could benefit them, in line with the Care Act 2014.

Results 71 - 80 of 421

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My Guide: new case example

My Guide: new case example My Guide is a sighted guiding service, started by The Guide Dogs for the Blind Association (Guide Dogs), in which trained volunteers assist blind and partially sighted adults to get out and about, thus helping to prevent social isolation.
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