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Results for 'intervention'

Results 81 - 90 of 145

Home from hospital: how housing services are relieving pressures on the NHS

COPEMAN Ian, EDWARDS Margaret, PORTEUS Jeremy, HOUSING LEARNING AND IMPROVEMENT NETWORK
2017

This report shows how housing services are helping to relieve pressure on the NHS by reducing delays in discharging people from hospital and preventing unnecessary hospital admissions. It features 12 case studies to show the positive impact these services have on people’s lives and the cost benefit to the NHS. The case studies highlight services that will benefit people most at risk of delayed discharge, such as older people, people with mental health problems and people experiencing homelessness. The case studies also demonstrate a diversity of housing and health services including: 'step down' bed services for people coming out of hospital who cannot return to their own home immediately; hospital discharge support and housing adaptation services to enable timely and appropriate transfers out of hospital and back to patients' existing homes; providing a new home for people whose existing home or lack of housing mean that they have nowhere suitable to be discharged to; and Home from Hospital services to keeping people well at home who would otherwise be at risk of being admitted or readmitted to hospital. The report also considers the impact and additional savings that could be made by housing providers if this work were to be scaled up.

Introduction to the research on: the impact and effectiveness of meaningful activity for people with mental health problems

HARFLETT Naomi, JENNINGS Yasmin, LINSKY Kate
2017

This short scoping review identifies research on the impact and effectiveness of meaningful activity for people with mental health problems. Due to the lack of consensus on what is meant by the terms ‘meaningful activity’ or ‘meaning activity’, the review focused on different activities, such as unpaid work and volunteering, horticulture, woodwork, arts and music, physical exercise and leisure. Searches were on a range of databases, including Social Care Online, and organisational websites for UK based research published from 2000. The review provides an overview of the quantity and quality of the research and a table summarising the 33 studies reviewed and their key findings. It also provides a summary of areas identified for future research. The review found that in the vast majority of the studies found people experience positive outcomes from participating in meaningful activity or occupation. These included: a sense of purpose or meaning to life, a structure or routine to the day, acquisition of skills, a sense of identity, social interaction and increased social networks, improved wellbeing, access to employment or education, improved confidence and improved self-esteem. However it notes that due to the high proportion of small-scale qualitative research studies, positive outcomes may be overstated. It also found no conclusive evidence to show that volunteering resulted in positive outcomes for people with mental health problems.

Introduction to the research on: what works to improve social networks and prevent social isolation for people with mental health problems

HARFLETT Naomi, JENNINGS Yasmin, LINSKY Kate
2017

This short scoping review identifies research into what works to improve the social networks and prevent social isolation for people with mental health problems. Searches for the review were conducted on organisational websites and a range of databases, including Social Care Online, for UK based research published from 2000. The review provides an overview of the quantity and quality of the research and a table summarising the 24 studies reviewed and their key findings. It also provides a summary of areas identified for future research. The review found that the evidence around effectiveness of interventions to prevent loneliness and social isolation is patchy and findings are inconsistent. However, there is evidence to show that staff can play a key role in facilitating social networks and that activity-based interventions - such as horticulture, sport and learning - can increase social networks and reduce social isolation. The review also found that befriending may be beneficial to peoples’ mental health, but that there is inconclusive evidence on the impact of peer support.

Dance to Health: evaluation of the pilot programme

AESOP
2017

Outlines the results of Aesop's falls prevention dance programme for older people, Dance to Health. This arts based intervention address older people's falls and problems with some current falls prevention exercise programmes, by incorporating evidence-based exercise programmes into creative, social and engaging dance activity. The programme was developed using the Aesop 7-item checklist, which lists the features an arts programme should have for it to be taken up by the health system and made available to every patient who could benefit. The report outlines the rationale for creating the programme, the outcomes achieved - in addition to reduced falls, cost effectiveness, and the wider impact of the programme. It reports that the pilot successfully brought people from the worlds of dance and older people's exercise together, was able to train dance artists in the evidence-based falls programme, and also developed six evidence-based falls prevention programmes with 196 participants. A total of 73 per cent of participants achieved the target of 50 hours’ attendance over the six months, compared with a national average for completing standard falls prevention exercise programmes of 31 per cent for primary prevention and 46 per cent for secondary prevention. Additional outcomes identified included increases in group identification, relationships and reduced loneliness, functional health and wellbeing, and mental health and wellbeing.

Social isolation and loneliness in the UK: with a focus on the use of technology to tackle these conditions

IOTUK
2017

This report provides an overview of social isolation and loneliness in the UK and highlights innovative uses of technology in addressing the issue. It considers the factors that contribute to the development of social isolation and loneliness, the people most at risk, the impact on an individual's health and wellbeing, and the impact on public services. It outlines three main approaches and interventions used to address social isolation and loneliness: enabling people to maintain existing relationships, facilitating the creation of new connections, and psychological approaches to change the perceptions of individuals that are suffering from loneliness. In particular, it highlights innovative uses of technology to show their potential to increase access to initiatives and deliver interventions in new ways. Local and international best practice case-studies are included. The final section looks at the challenges that exist when trying to finance interventions aiming to combat social isolation and loneliness, and introduces an outcome-based financing model, Social Impact Bonds, which has the potential to allow commissioners and delivery partners to deliver more innovative solutions.

Evaluation of the Shared Lives Mental Health Project

HARFLETT Naomi, JENNINGS Yasmin
2017

An evaluation of a project to support the development of Shared Lives as an option for people with mental ill health. The project has supported seven local Shared Lives schemes to develop, demonstrate and market a financially viable and commission ready approach to Shared Lives mental health support, and to generate learning about what works. Drawing on data collected through a mixed methods evaluation approach, this report describes the impact and learning from the project. The evaluation has found evidence of the positive impact that having support through a Shared Lives arrangement – whether it is day support, short breaks or long-term arrangements – can have on the lives of people with mental ill health. There are examples of improvements in general wellbeing and increased participation in community life, as well as specific examples where people’s mental health has stabilised and hospital stays have been prevented. The impact goes beyond those in Shared Lives arrangements to family members of those being supported, Shared Lives carers and their families and communities that people are supported in. Although some of the seven project schemes experienced challenges and frustrations and in some cases growth was slow, all saw increases in the number of new arrangements for people with mental ill health and all saw increases in the number of Shared Lives carers offering mental health support.

Working with faith groups to promote health and wellbeing

LOCAL GOVERNMENT ASSOCIATION
2017

This report, published in association with FaithAction, looks at how local authorities and faith groups can work together to improve the health and wellbeing outcomes of communities. It also highlights examples of good practice from across the country, and from different faiths, to demonstrate the wide range of activity taking place. The report covers how faith groups can improve health outcomes and tackle health inequalities; the benefits of joint working for councils, health organisations and faith groups; barriers to collaboration and what local authorities can do to make sure the widest range of groups are involved; and looks at ways of establishing effective partnerships and activities, including through adopting the national Faith Covenant. The report includes questions for councils and faith groups to assess whether there is more that can be done to work well together. It also signposts to useful resources for further learning and action.

Evaluation of the Rotherham Carers Resilience Service: final report

DAYSON Chris, BENNETT Ellen
2016

An independent evaluation of the Rotherham Carers Resilience Service, which is delivered in partnership by Crossroads Care Rotherham, Rotherham and Doncaster Alzheimer's Society and Age UK Rotherham on behalf of NHS Rotherham Clinical Commissioning Group. The service provides information, advice and practical support to help carers of people living with dementia to care for the person with dementia at home for as long as possible. The evaluation looked at the impact of the service on carer health and well-being, the effect on patient and carer use of NHS care and resources, and views on the effectiveness of the service. It included interviews with stakeholders including five service staff, one GP, and one representative of the CCG; and questionnaires and interviews with carers using the service; and three in-depth client case studies. The evaluation reports that the service reached more than 330 carers during its first year, from February 2015 to March 2016. Successes of the service included linking carers in to other services from the statutory, voluntary and community sector; providing carers information about benefits entitlements; and access to home based support services. The service was highly valued by beneficiaries and there was evidence for improvement in key outcome measures. These included small numbers of carers reporting better general well-being, better health and improvements in their carer quality of life. There was insufficient evidence to confirm whether the service had reduced the demand for emergency care.

Reducing delayed transfer of care through housing interventions: evidence of impact. Case study

ADAMS Sue
2016

A case study and independent evaluation of a housing intervention designed to help older patients to return home from hospital more rapidly and safety. The initiative is delivered by West of England Care & Repair (WE C&R), who organise clutter clearance/deep cleaning; urgent home repairs, emergency heating repairs and essential housing adaptations for older people in hospital. The evaluation examined all case records, interviewed 15 hospital staff and undertook an in depth analysis of a sample of 4 cases. Analysis of the case records estimated a saving in hospital bed days of £13,526. The cost of housing interventions was £948, resulting in a cost benefit ratio of 14:1. Additional savings in hospital staff time amounted to a further £897. A short case study illustrates how the service was able to help one woman return home from hospital. It concludes that the small scale evaluation is indicative of the potential savings that a practical and effective home from hospital housing intervention service can generate for the health service.

Policy briefing: music, singing and wellbeing in adults with diagnosed conditions or dementia

WHAT WORKS WELLBEING
2016

Drawing on the available evidence, this briefing examines what music and singing interventions work to improve wellbeing of adults living with diagnosed conditions or dementia. While there is ample evidence looking at the impact of music and singing on clinical outcomes such as pain management, coping with hospitalisation, coping with symptoms and managing symptoms of dementia, this new evidence focuses on wellbeing for those living with diagnosed conditions or dementia. Specifically, it focuses on self-reported measures of quality of life; life satisfaction; and anxiety or depression. The paper suggests that there is strong evidence that brief music therapy is an effective intervention to support wellbeing of palliative care patients in hospital settings and initial evidence that music therapy can contribute to improved spiritual wellbeing in hospice patients. There is strong evidence targeted, culturally relevant music interventions can decrease depression in nursing students in a college environment and initial evidence that music therapy can alleviate anxiety in undergraduate students. There is promising evidence that targeted, culturally relevant music and singing interventions can enhance mental wellbeing and decrease depression in older people with chronic conditions in residential and community settings and initial evidence that participation in individual personalised music listening sessions can reduce anxiety and/or depression in nursing home residents with dementia and that listening to music may enhance overall wellbeing for adults with dementia. There is initial evidence that participation in extended community singing programmes can improve quality of life and social and emotional wellbeing in adults living with chronic conditions.

Results 81 - 90 of 145

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News

Moving Memory

Moving Memory Practice example about how the Moving Memory Dance Theatre Company is challenging perceived notions of age and ageing.

Chatty Cafe Scheme

Chatty Cafe Scheme Practice example about how the Chatty Cafe Scheme is helping to tackle loneliness by bringing people of all ages together

Oomph! Wellness

Oomph! Wellness Practice example about how Oomph! Wellness is supporting staff to get older adults active and combat growing levels of social isolation

KOMP

KOMP Practice example about how KOMP, designed by No Isolation is helping older people stay connected with their families

LAUGH research project

LAUGH research project Practice example about a research project to develop highly personalised, playful objects for people with advanced dementia
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