Search

Based on an extended period of qualitative research with mental health service-users in north-east England, this article considers the various forms of 'magical work' and 'recovery work' that emerge in the lives of people living with severe mental health problems. Given the now sizeable body of literature which seeks to problematize traditional conceptual boundaries of work, the article asks to what extent these hidden and unusual work-forms might also be considered legitimate members of the category. Rather than argue for the expansion of the construct to accommodate these activities, the paper attempts simply to problematize the extent to which so-called 'mad' forms of work are irresolvably different to more conventional forms of occupation. In challenging notions of the psychiatric patient as inevitably inactive, new vocabularies for service-user work are explored. Concluding remarks are also directed to recent policy debates concerning 'back-to-work' welfare reform for long-term out of work service-users. [ABSTRACT FROM AUTHOR]

The police have underdeveloped links with mental health and social care services despite daily contact with mentally ill individuals. They struggle with identifying and managing the mentally ill in custody, and consistently express a lack of support from partner agencies. In 2010, our research team developed a mental health screening tool and pathway for use by police custody officers, The Police Mental Health Screening Questionnaire (PolQuest). However, due to the large number of agencies with different organisational goals and responsibilities that deal with mentally disordered offenders, the introduction of a screening tool alone was considered insufficient. Thus, an action learning group comprising key professionals from relevant services in one geographical area was tasked with developing a manual and training materials to support the implementation of PolQuest by frontline staff. This paper reflects upon the key themes that emerged from the experience of action learning as a method for engaging multi-agency staff, operating under different occupational goals and cultures, to develop shared practice-oriented outcomes. Data analysed include the facilitator’s reflective notes, meeting minutes and emails. The action learning process was considered a useful method for engaging multi-agency stakeholders in developing materials to support PolQuest’s implementation in vivo. [ABSTRACT FROM AUTHOR]

Until around 1979, ‘confused’ or mentally unwell people over 65 years of age tended to be labelled as having ‘senile dementia’. Senile dementia was usually regarded as a single, inevitably hopeless condition, despite gradually accumulating clinical and pathological evidence to the contrary. Specific psychiatric services for mental illness in older people began to emerge in the 1950s, but by 1969 there were fewer than 10 dedicated services nationally. During the 1970s, ‘old age psychiatrists’ established local services and campaigned nationally for them. By 1979, about 100 old age psychiatrists were leading multi-disciplinary teams in half the health districts in England. This paper explores the tortuous development of these new services, focusing on provision for people with dementia. [ABSTRACT FROM PUBLISHER]

This study undertook a replication of the work conducted by Sumsion in 2004 in the United Kingdom regarding the application of a definition of client-centred practice. Twelve occupational therapists employed by a local mental health facility and working with adult outpatients participated in semi-structured interviews. Template analysis and open coding were used to analyse the data. The resulting concept map indicated that collaboration and meaningful goals were at the centre of client-centred practice and formed the two main categories of data. The therapist and the client were the protagonists in these categories, but the family, team and system also played major roles. A table within this paper outlines all the categories and themes that arose from the data. However, space limitations required a focus on only the category of collaboration and the therapist and client facilitators and challenges within this category. The therapists used both attitudes and actions to facilitate the client-centred process and the clients brought strengths to this relationship. Nevertheless, both groups faced many challenges that had to be overcome to enable the successful implementation of client-centred practice. [ABSTRACT FROM AUTHOR]

A political attempt in the United Kingdom to address health inequalities in the past decade has been the government’s initiative to employ local health trainers (HTs) or health trainer champions (HTCs) to support disadvantaged individuals with aspects of their health-related behaviors. HT/HTCs provide health-related information and support to individuals with healthy eating, physical activity, and smoking cessation. They undertake community engagement and direct individuals to relevant health services. They differ in that HTs are trained to provide health interventions to individuals or groups and to make referrals to specialist health care services when necessary. This article provides an evaluation of HT/HTCs interventions across three sites, including one prison, one probation service (three teams), and one mental health center. An evaluation framework combining process and outcome measures was employed that used mixed methods to capture data relating to the implementation of the service, including the context of the HT/HTCs interventions, the reactions of their clients, and the outcomes reported. It was found that HT/HTCs interventions were more effective in the prison and mental health center compared with the probation site largely as a result of contextual factors. [ABSTRACT FROM AUTHOR]

The article presents the opinion of the author on the better treatment of psychiatric patients in the community and the need of good mental health service in Great Britain. According to the author about one-fifth of the work of general practice in the country is involved directly or indirectly with psychiatric problems. He says that most of these psychiatric problems are managed by general practitioners, without any referral to specialist psychiatric services.

As a group of occupational therapists working in mental health practice, education and research, we have concerns about the development and honing of occupational therapists' knowledge and skills for modern mental health practice. There are always competing priorities in occupational therapy curricula, but recent mental health policy and legislative developments prompted us to question whether the profession should radically reorganise the delivery of occupational therapy education in the United Kingdom. We recommend a wide debate about occupational therapy education and an exploration of different models of curriculum design. This opinion piece is a contribution to this debate. [ABSTRACT FROM AUTHOR]

Summary: This article considers the nature and basis of risk assessments in mental health services, based on empirical research on the tools used within NHS Mental Health Trusts in England which found a wide variety of such tools in use within them. Findings: The article examines the problems and potential benefits in the use of such tools, and argues for an inclusive and holistic approach to risk assessments which incorporate our knowledge of the risks of risk assessments. The article pays particular attention to risk assessment procedures as relevant to social workers who have to uphold the requirements of the General Social Care Council Code of Practice, which provides particular emphasis on issues of risk, and service user and carer involvement in assessments. Potential biases and limitations of risk assessment approaches, it is proposed, need to be taken into account in order to have a balanced view of the value of such approaches. Applications: The article provides a critique of the validity and effectiveness of current risk assessment tools, focusing in upon one key area in mental health work, the assessment and management of potential violence. [ABSTRACT FROM AUTHOR]

This article contextualizes some of the more specifically focused articles in this Special Issue of 'Women and Mental Health' by reviewing general historical and political currents structuring contemporary discussions around questions of models, treatment and provision for women within British mental health services. Wehighlight some particularities of the current British context (in relation to other national scenes) in terms of the forms and expressions of feminist activity around mental or emotional distress. While not absolute mirrors of each other, resonances between general trends in feminist debates and organizational forms within feminist mental health work give rise to a wide spectrum of sites of intervention. We discuss some of the conditions that gave rise to these forms of (visible) feminist intervention within mental health service provision, focusing particularly on women's counselling and therapy services, and we offer an analysis of the range and conceptual tensions within which such interventions may be situated, including contested perspectives on power and empowerment. We also consider ways in which women's political activity around mental health issues is likely not to be noticed as such, given women's prototypical positions as patients and practitioners. We end by identifying what we see as current challenges for feminist activism around distress and its links with the conditions of women's lives and oppression more generally, not only as instances of more general tensions and challenges within contemporary feminisms, but also as offering an arena of opportunity for broader alliance and coalition-building. [ABSTRACT FROM AUTHOR]

This article focuses on service provision for women who are involuntarily referred under the UK Mental Health Act (1983) into medium and high security care in England and Wales. We explore how physical and procedural security in such settings is prioritized over relational care (see also Fallon Report, Department of Health, 1999a and NHS Executive, 2000 - Tilt Report). Weare not arguing against the importance of protecting the public from the acts of dangerous members of our society. However, we are arguing that many of the women in our secure services are inappropriately placed and receive inappropriate forms of treatment and care. Rather than physical security, it is high relational care, which the women require. Further, we argue that current service provision often re-produces forms of violence and violation which have marked many of women's lives prior to their entry into the secure system. [ABSTRACT FROM AUTHOR]

The article focuses on the Mental Health Act of 1983 and its amendments in Great Britain. In a meeting held by the Section of Psychiatry to debate the law and its future implications, Dr. Graham Robertson reviewed the pattern of hospital care for the mentally ill during the life of the 1959 Act. In response to increasing pressure regarding the difficulties of getting mentally abnormal offenders into hospital, have led to the setting up of the Butler Committee.