Results for 'self-directed support'
Results 1 - 4 of 4
BROOKS Helen Louise, et al
Background: There is increasing recognition of the therapeutic function pets can play in relation to mental health. However, there has been no systematic review of the evidence related to the comprehensive role of companion animals and how pets might contribute to the work associated with managing a long-term mental health condition. The aim of this study was to explore the extent, nature and quality of the evidence implicating the role and utility of pet ownership for people living with a mental health condition. Methods: A systematic search for studies exploring the role of companion animals in the management of mental health conditions was undertaken by searching 9 databases and undertaking a scoping review of grey literature from the earliest record until March 2017. To be eligible for inclusion, studies had to be published in English and report on primary data related to the relationship between domestic animal ownership and the management of diagnosable mental health conditions. Synthesis of qualitative and quantitative data was undertaken in parallel using a narrative synthesis informed by an illness work theoretical framework. Results: A total of 17 studies were included in the review. Quantitative evidence relating to the benefits of pet ownership was mixed with included studies demonstrating positive, negative and neutral impacts of pet ownership. Qualitative studies illuminated the intensiveness of connectivity people with companion animals reported, and the multi-faceted ways in which pets contributed to the work associated with managing a mental health condition, particularly in times of crisis. The negative aspects of pet ownership were also highlighted, including the practical and emotional burden of pet ownership and the psychological impact that losing a pet has. Conclusion: This review suggests that pets provide benefits to those with mental health conditions. Further research is required to test the nature and extent of this relationship, incorporating outcomes that cover the range of roles and types of support pets confer in relation to mental health and the means by which these can be incorporated into the mainstay of support for people experiencing a mental health problem.
A short guide providing new approaches and practice examples of how Clinical Commissioning Groups and Health Wellbeing Boards can commission and support interventions which embody the principles of collaborative care, individual choice and control and patient and public participation. The six approaches presented are: Experts by experience and self-advocacy; Self-directed support and personal health budgets; Capabilities and asset-based approaches to health and care; Co-production and citizen led commissioning; Community development and building social capital; and Networked models of care. Each includes accompanying practice examples. The guide has been produced by the Inclusive Change partnership of Shared Lives Plus, Community Catalysts, In Control, Inclusion North and Inclusive Neighbourhoods.
This booklet sets out research findings of the benefits of supporting people to self-manage. It also sets out the evidence for the impact of self-management education for patients, proactive telephone and psychosocial support, home-based self-monitoring and simplified dosing strategies and information. Self-management includes all the actions taken by people to recognise, treat and manage their own healthcare independently of or in partnership with the healthcare system. People feel more confident and engaged when they are encouraged to self-manage by professionals, therefore supporting self-management is key to prioritising person-centred care. Drawing on the findings from 228 systematic reviews, the paper concludes that the top three things that might most usefully be invested in are disease specific, generic and on-line self-management courses, proactive telephone support and self monitoring of symptoms and vital signs.
MITCHELL Wendy, et al
Summarises the findings of a study on approaches to supporting physically disabled young adults to achieve their preferred levels of control over care and support arrangements. The study took place between July 2012 and January 2014 and involved semi-structured interviews with young adults, parents and social care professionals. It examined physically disabled young adults experiences of managing their care and support arrangements and explored how they can be better supported. Key findings and practice implications are included. While welcoming the opportunities afforded by personalised approaches within adult social care, almost all the young adults described feeling daunted by the associated responsibilities, with managing personal assistants/carers consistently identified as the most difficult aspect of having a Direct Payment. Young adults found information from statutory services was typically targeted at other audiences, for example, older people and only a minority believed transition planning/support services had played a significant role in preparing them for taking on a Personal Budget. Social workers with more experience of working with young adults identified specific issues that need to be accommodated including: young adults’ relative lack of life skills and experience; young adults’ preferences regarding parental involvement; and addressing parents’ support needs.
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