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Results for 'mental health problems'

Results 21 - 30 of 41

The state of Shared Lives in England: report 2017

SHARED LIVES PLUS
2017

This report draws a survey of Shared Lives schemes in England to provide an analysis of services across England for the period 2015/16. The report provides figures on the numbers of people who use Shared Lives services, the type of arrangements they live in (live-in, short break and day support), the regional breakdown of services, the number and characteristics of carers, and staffing levels. The report finds that the Shared Lives sector has grown by 5 per cent over the past year, with approximately 11880 people being supported in Shared Lives arrangements. People with learning disabilities remained the primary users of the service, making up 71 percent of all users. This is despite a small reduction in the number of people with learning disabilities accessing the service in the previous year. The next largest group getting help from Shared Lives were people with mental health problems, who made up 8 per cent of users. Short case studies are included to illustrate the benefits of Shared Lives schemes. It ends with key learning from the past year and identifies some of the key factors and barriers to the successful expansion of Shared Lives.

Good practice in social prescribing for mental health: the role of nature-based interventions

BRAGG R., LECK C.
2017

Building on early findings from Natural England, this research the value of nature-based or green care interventions within social prescribing services for people with mental health problems and highlights good practice in social prescribing services for commissioners. It draws on the results of an evidence review and an event for health and social care professionals involved with social prescribing in Leeds. The report looks at definitions of green care, models of social prescribing, examples of good practice, suggestions for scaling up nature-based interventions with social prescribing, and evidence of effectiveness and cost effectiveness. The review identified a number of different social prescribing models currently operating in England. The case studies included in the report suggest that good practice in social prescribing depends on good partnerships, high levels of cooperation and joint ownership between a wide range of individuals, groups and organisations with very different organisational cultures. Barriers to the sustainability and scaling up of social prescribing included the lack of a consistent referral mechanism and lack of direct funding for the social prescription element delivered by third sector providers. The report identifies key areas for future action

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.

Peer support in accommodation based support services: a social return on investment

NEWTON Angela, WOMER Jessica, WHATMOUGH Suzy
2017

This evaluation assessed the peer support delivered across three accommodation services in Hampshire to understand the ways in which it impacted people’s lives and what they valued most about it. The services provided support for people experiencing mental distress, many of who had multiple complex needs. A total of 12 volunteers delivered peer support both on-to-one support and group peer support. A total of 22 people completed questionnaires for the evaluation, which included 12 services users (71 per cent of all service users who had used peer support), and 10 Peer Supporters (83 per cent of all Peer Supporters). Costs of providing peer support and the number of hours of direct support provided by peer supporters were also collected. From this, the return on investment in peer support was calculated using a methodology for measuring the equivalent worth of activity in social terms. The results found that the majority of peer supporters and service users who took part in the study had improved levels of confidence, felt more able to manage their mental health; had an improved social life and support network; felt more accepted; and felt more hopeful about the future. It also calculated that every pound spent on peer support provided a social return worth £4.94. The findings demonstrate that peer support is valued by those involved and helps support people to achieve their outcomes and lead more independent and fulfilling lives. The results of the study will also help communicate the value of peer support in financial terms to with commissioners and funders.

Conceptualizing spirituality and religion for mental health practice: perspectives of consumers with serious mental illness

STARNINO Vincent R.
2016

Studies show that a high percentage of people with serious mental illness (SMI) draw upon spirituality and religion, resulting in a call for practitioners to incorporate these as part of recovery-related services. A challenge is that there are differing definitions of spirituality and religion presented in the literature which could lead to confusion in practice settings. A qualitative study was conducted with 18 participants with SMI. Findings reveal that there are important nuances, and much overlap, related to how people with psychiatric disabilities define and conceptualize spirituality and religion. Three major conceptualisations of spirituality and religion are presented. Insights from this study are relevant to practitioners interested in incorporating spirituality as part of recovery-oriented practice.

Wigan community link worker service evaluation

INNOVATION UNIT
2016

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.

The role of advice services in health outcomes: evidence review and mapping study

PARKINSON Andy, BUTTRICK Jamie
2015

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.

Relationships in the 21st century: the forgotten foundation of mental health and wellbeing

MENTAL HEALTH FOUNDATION
2016

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.

Better mental health for all: a public health approach to mental health improvement

FACULTY OF PUBLIC HEALTH, MENTAL HEALTH FOUNDATION
2016

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.

More than shelter: supported accommodation and mental health

BOARDMAN Jed
2016

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.

Results 21 - 30 of 41

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