The NHS Benchmarking Network have made their mental health data available to the Centre to provide an independent commentary on what the data suggests about mental health provision in England and Wales between 2012 and 2016. This briefing is the result of our analysis, and highlights some key findings
A pioneering mental health crisis service run by Cambridgeshire and Peterborough NHS Foundation Trust has received more than 14,500 calls in its first year.
The First Response Service – which can be contacted via the NHS 111 helpline and selecting option 2 - operates 24 hours a day, seven days a week, and gives people in crisis direct access to mental health advice and help them to avoid unnecessary visits to hospital.
In the first 12 months the number of people visiting local accident and emergency departments has fallen by 21 per cent.
Lancashire Care NHS Foundation Trust’s inpatient mental health unit in Ormskirk officially opened ‘The Green Room’ which will provide a space for patients to relax, wind down, have a chat or use as a religious or spiritual environment. The Green Room was officially opened on Tuesday 26 September and will be accessed by the unit’s patients as part of their recovery as well as members of staff.
Lancashire Care NHS Foundation Trust has opened a new facility which will provide a place of safety at Royal Preston Hospital in Central Lancashire. The facility will support young people under the age of 19 who come in to contact with the police and are experiencing mental ill health.
The Rigby Suite is a 24 hour facility that provides place of safety and de-escalation for young people for a period up to 72 hours. The unit will allow staff to conduct a full assessment of any mental health needs and will support signposting on to appropriate services following the assessment including an inpatient admission or community mental health services where required. The Trust has worked in collaboration with service users to choose the name and influence the colour schemes and furniture.
Families, Systems, & Health35.3 (Sep 2017): 271-282.
Purpose: The integration of mental health specialists into primary care has been widely advocated to deliver evidence-based mental health care to a defined population while improving access, clinical outcomes, and cost efficiency. Integrated care has been infrequently and inconsistently translated into real-world settings; as a result, the key individual components of effective integrated care remain unclear. To read the full article, log in using your NHS OpenAthens details.
Open access. Ambulatory deep brain stimulation (DBS) became possible in the late 1980s and was initially used to treat people with movement disorders. Trials of DBS in people with treatment-resistant psychiatric disorder began in the late 1990s, initially focusing on obsessive–compulsive disorder, major depressive disorder and Tourette syndrome. Despite methodological issues, including small participant numbers and lack of consensus over brain targets, DBS is now being trialled in a wide range of psychiatric conditions. There has also been more modest increase in ablative procedures. This paper reviews these developments in the light of contemporary brain science, considers future directions and discusses why the approach has not been adopted more widely within psychiatry.
Open access. Clinical psychiatry, for all its emphasis on scientific rigour, is mediated mainly by words rather than by numbers. As with other professional areas, it has developed its own set of jargon words and phrases. Many of these are not the technical terms traditionally seen as jargon, but standard English words and phrases used in an idiosyncratic way. They therefore go unnoticed as jargon, while enfeebling our communications. I have used the template of Ambrose Bierce's The Devil's Dictionary to highlight some examples, with the aim of helping us all to talk, write and, perhaps, think more clearly.
Open access. Quality and safety in healthcare, as an academic discipline, has made significant progress over recent decades, and there is now an active and established community of researchers and practitioners. However, work has predominantly focused on physical health, despite broader controversy regarding the attention paid to, and significance attributed to, mental health. Work from both communities is required in order to ensure that quality and safety is actively embedded within mental health research and practice and that the academic discipline of quality and safety accurately represents the scientific knowledge that has been accumulated within the mental health community.
NHS England’s Sustainable Improvement team and the Horizons team have refreshed and updated a 2011 publication, Leading Large Scale Change: A Practical Guide, to reflect today’s unique health and care landscape and challenges.
The Acute Therapy Service supports people in mental health crisis through a psychologically led, skills based programme based on the principles of Dialectical Behaviour Therapy (DBT).The service offers a safe, containing and therapeutic environment for people who present with low mood, emotional and behavioural dysregulation and who are deemed a risk of suicide or self-harm. The service is accessible to anyone aged 16 years and above and will support between six and eight people at a time. The duration or involvement with the service is individually assessed however is often around six consecutive days although extensions may be offered depending upon the clinical need of the person.
This independent report by the ACMD investigates the impact of commissioning on drug treatment.
It looks at:
contracting arrangements and the financial environment;
the impact on recovery outcomes for individuals and communities
Jenny, a Clinical Psychologist from our Child and Adolescent Mental Health Service in Bristol, attended multiple groups during her travels including learning about Attachment and BioBehavioural Catchup (a 10-session intervention delivered in the home using video to help parents behave in more nurturing ways towards their child), The Peek a Boo Club, (a group intervention in Melbourne for mothers and young children who have experienced domestic violence) and Child-Parent Psychotherapy training in San Francisco (a 50-session in-depth intervention informed by trauma theory).
People with intellectual disability experience high rates of mental ill health but multiple barriers to access to quality mental health care. One significant barrier to access is a generalist mental health workforce that lacks capacity, and consensus on what constitutes core workforce competencies in this area. As such, the first step in developing a comprehensive strategy that addresses these barriers is to define the core mental health workforce attributes. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
Perinatal mental health difficulties are prevalent among women and can adversely affect their partners too. There is also increasing recognition that a woman's partner can play a vital role in relation to her perinatal mental health and should be supported and involved in decisions about her care. Yet it is unclear how services are experienced by the partners of women with perinatal mental health difficulties. This study aimed to synthesize qualitative evidence of partners' views of perinatal mental health care. To read the full article, log in using your SSSFT NHS OpenAthens details.
[Mersey Care] Trust joined a group of UK and USA healthcare organisations taking part in a unique programme with researchers from The Risk Authority Stanford to reduce clinical risk in selected areas.
A mixture of technology and talking, it uses leading edge software (to analyse data and identify the risks) and a new approach known as Design Thinking – gaining an understanding of the issue by talking at the design stage to people who may use the service.
The approach is then tailored to what the software and patients tell.
The plan is to monitor impact over six to twelve months, compare and contrast and roll out the most effective interventions.