Bradford District Care NHS Foundation Trust, working in partnership with West Yorkshire Police, is supporting six of its staff to be trained as special police officers and go out on patrol with regular officers to improve the care of individuals in mental health crisis.
An integrated MH model with same day SW assessments of children with positive MH screens shows promise for improving MH assessments. A referral algorithm directing stepped care assignments facilitated this process. Assess to community-based therapy was rate limiting. To read the full article, log in using your NHS OpenAthens details.
Our Trust has worked with public sector services to make sure there are trained professionals available to deliver timely assessments as well as providing trained mental health workers in the police call centre to help prevent unnecessary police deployments.
An on-street assessment by a specialist team has been shown to more than half the number of police detentions under the Mental Health Act and potentially save large health trusts £1 million a year.
Street Triage is a service that comprises a mental health nurse working alongside a dedicated police officer in mobile community units.
The initiative enables the police and the NHS to work collaboratively to make sure an individual gets the best care possible when concerns about their mental state are reported to officers.
Experts at Newcastle University, publishing in BMJ Open, found the annual rate of detentions under Section 136 of the Mental Health Act reduced by 56% in the first year Street Triage was introduced.
The L&D service offers support to people of all ages who are attending a police investigation centre, magistrates or crown court and have vulnerabilities such as mental health difficulties, substance misuse issues or learning disabilities.
Staff will quickly identify people who could benefit from support and refer them as appropriate. The service operates seven days a week, and provides help in a wide variety of areas, including education, employment and mental health, with the aim of reducing the chance of re-offending in the future.
The deputy chief inspector of hospitals and the quality regulator’s lead for mental health, Dr Paul Lelliott will be writing to a number of NHS and community mental health providers demanding action following their performance in this year’s survey of community mental healthcare, published today (Tuesday 15 November).
Randomised studies consistently show that Community Treatment Orders (CTOs) do not have the intended effect of preventing relapse and readmissions of patients with severe and enduring mental illness. Critics suggest this in part can be explained by RCTs studying newly introduced CTO regimes and that patients therefore were not brought back to hospital for short-term observations (‘recall’) as frequently as intended. Our purpose was (i) to test the hypothesis that CTO practice as regards recall of patients to hospital in England and Wales was as rigorous under the OCTET trial period as in current routine use and (ii) to investigate the reasons for and outcomes of recalls and whether this changed over time.
Case management is the established model for care provision in mental health and is delivered within current care philosophies of person-centred and recovery-oriented care. The fact that people with a mental illness may be forced to receive care and treatment in the community poses challenges for clinicians aiming to engage in approaches that promote shared decision-making and self-determination. This review sought to gain an in-depth understanding of stakeholders’ perspectives and experiences of care planning for consumers’ on CTOs.
The innovations selected to join the programme include:
EpSMon: an epilepsy self-management tool which enables patients to monitor their well-being and know when to seek medical support
Serenity Integrated Mentoring (SIM): A collaborative model of care that sees a specialist, trained police officer working within community mental health teams to better mentor, encourage and support some of the most challenging, complex and high risk service users.
A pioneering shop in Doncaster town centre which provides drop-in advice and support for people experiencing issues with their mental health has been praised as best practice within the NHS.
The Talking Shop at 63 Hall Gate, which is run by Rotherham Doncaster and South Humber NHS Foundation Trust (RDaSH), provides access to psychological therapies for common problems such as depression, panic and phobias, as well as free information and advice. It was recently named as the best practice example of how regions are helping to provide high street access to therapy without stigma by NHS England.
Nottinghamshire Healthcare officially opened Beacon Lodge, a new 12 bedded step down unit for people recovering from an acute phase of mental illness, delivered in partnership with Turning Point, at a special event on 5 October.
ver £300,000 of community funding has now been earmarked for a variety of organisations and groups that help people manage their mental health problems across Lincolnshire.
The beneficiaries all belong to the county’s innovative Managed Care Network, a collection of community groups which offer support through various activities to help people recovering from mental ill health.
Funding comes direct from the Mental Health Promotion Fund, which was established by Lincolnshire County Council and is managed by Lincolnshire Partnership NHS Foundation Trust.
In total, 46 projects have benefitted from a share of funding this time around and themes include everything from local social and friendship groups, sports coaching and physical activities through to creative therapy and support for carers.
More than 1,000 older patients were diverted from emergency care during the past year, thanks to a nurse-led service on the Isle Wight. To read the full article, log in using your NHS OpenAthens details
In 2013 the Mental Health Partnership Board (MHPB) was formed to develop best practice and partnership between the Met Police and Mental Health Services in London. One of only two stated priorities was to reduce the number of times people in crisis are taken into police custody when in need of a safe space – the figures now average less than one person a month.
“Our ambition was to work with the police to stop the practice of taking people in mental distress to police cells and instead ensure they are taken to an appropriate environment to assess their needs and give them access to the right support quickly.” says Maria Kane, a member of the Cavendish Square Group and the lead liaison between the NHS in the capital and the Metropolitan Police.
Bradford District Care NHS Foundation Trust has been working in partnership with Creative Support and Bradford Metropolitan District Council to open the new project in the local community. The safer space, accessed through the Trust’s mental health crisis support service - First Response, will play a vital role in identifying crisis triggers early to emotional distress and crisis and preventing future crisis from escalating. Young people in the local area, when they reach out for support, will receive the right help, with kind and compassionate staff to avoid attendance to services like A&E.
Journal of Consulting and Clinical Psychology84.11 (Nov 2016): 993-1007.
Objective: To examine the effects of Motivational Interviewing (MI) conducted by primary care providers on rates of improvement over time for depressive symptoms and remission among low-income patients with newly diagnosed Major Depressive Disorder. To read the full article, log in using your NHS OpenAthens details.
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