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Starting-Today.Pdf
Starting today The future of mental health services Final Inquiry report September 2013 Acknowledgements We wish to thank all those who took part in our Inquiry for their support and contributions, and especially the members of our Advisory Panel. We record their names in the Annex to this report. We thank Sam Blausten, Hannah Bullmore, Joanna Carson, Caroline Davis, Alice Inch and Simon Lawton-Smith at the Mental Health Foundation for their help in delivering this report. We acknowledge with thanks the financial contribution to this Inquiry received from the Institute of Psychiatry, King’s College, London and Lilly UK. Contents Forward 1 Summary 2 Background and Terms of Reference 7 Methodology 10 Visions of the future 11 The world in 1983 14 Assumptions about the future, and past and present trends 15 The Call for Evidence: what we were told 19 The six key themes 23 Theme 1 – Personalising services 23 Co-production 24 Self-management 26 Theme 2 – Integrated care 27 Models of integrated care 29 Specialist mental health care in primary care settings 29 Crisis support in the community 31 ‘One stop shops’ and community support 32 Taking integrated care forward 33 Changing the mindset, and the importance of relationships 33 Structural factors that facilitate good integrated care 35 Information-sharing systems 35 Shared protocols 35 Joint funding and commissioning 35 Co-located services 36 Multidiscinplinary teams 36 Liaison services 36 Theme 3 – Lifespan issues 37 Early life 37 Later life 38 Theme 4 – Workforce development 40 The balance -
The Mental Health Act 1983 (The Act)
Acknowledgement ‘The artwork on the front cover is ‘Missed’ by Chris Ridge, the overall winner of our competition for artwork for the Code of Practice. ‘Missed’ illustrates the benefits of art therapy for people with mental health problems.’ 1 Introduction i. The Code of Practice and this Reference Guide should be used together to provide statutory guidance (the Code of Practice) and an explanation of the provisions of the Mental Health Act 1983 (the Act). ii. There are a small number of clarifications to the Code of Practice and these are listed in Figure 1 at the end of this Introduction. Presentation and content iii. The Reference Guide is divided into 38 chapters with five annexes. Chapters have been grouped into eight clusters relating to common themes and topics. Colour coding has been used so these groups can be recognised. Comprehensive cross-referencing and annexes have been included to ensure that users can readily find related material. The eight clusters reflect the sections of the Code of Practice. The groupings are summarised below. Using the Act: chapter 1 The chapter in this section describes the structure of the Act and provides basic definitions for the terms used in the Act. Protecting patients’ rights and autonomy: chapters 2-6 This group of chapters addresses the issues of particular importance for empowering patients, carers, nearest relatives and others with a legitimate interest in matters relating to care and treatment under the Act. It provides guidance on the nearest relatives including the identification and appointment of an acting nearest relative by the court. -
Is Britain Fairer? Contents
— The state of equality and human rights 2018 — The state of equality and human rights 2018 Presented to Parliament pursuant to Section 12 of the Equality Act 2006 as amended by the Enterprise and Regulatory Reform Act 2013 June 2019 Equality and Human Rights Commission 2019 The text of this document (this excludes, where present, the Royal Arms and all departmental or agency logos) may be reproduced free of charge in any format or medium provided that it is reproduced accurately and not in a misleading context. The material must be acknowledged as Equality and Human Rights Commission copyright and the document title specified. Where third party material has been identified, permission from the respective copyright holder must be sought. Any enquiries related to this publication should be sent to us at [email protected] This publication is available at www.gov.uk/official-documents ISBN 978-1-5286-1280-7 CCS0419112082 06/19 Printed on paper containing 75% recycled fibre content minimum Printed in the UK by APS Group on behalf of the Controller of Her Majesty's Stationery Office Is Britain Fairer? Contents Contents Foreword 4 4 Living standards 59 4.1 Introduction 61 Executive summary 6 4.2 Key policy and legal developments 61 1 Introduction 12 4.3 Housing 69 1.1 How we reviewed the evidence 13 4.4 Poverty 74 1.2 Context 14 4.5 Social care 80 1.3 Next steps 15 4.6 Conclusion 87 2 Education 16 5 Health 88 2.1 Introduction 18 5.1 Introduction 91 2.2 Key policy and legal developments 18 5.2 Key policy and legal developments -
The Future of Adult Social Care
Research, Policy and Planning (2016/17) 32(3), 169-182 Role theory and family values – a conceptual framework for family and social work reciprocation Joan Rapaport1 and Geraldine Poirier Baiani2 1 Visiting Research Fellow, Social Care Workforce Research Unit, King’s College London 2 Former Assistant Deputy Minister in New Brunswick, Canada __________________________________________________________________________ Abstract Normalization and Social Role Valorization have been extensively associated with the closures of long-stay hospitals for people with mental health problems and with learning disabilities. The related theory of Reciprocal Role Valorization emerged from within a study of the nearest relative, a patient safeguard under the Mental Health Act 1983 in England and Wales. It illustrated the potential for reciprocation provided by the nearest relative powers and related Approved Social Worker duties, to achieve mutually agreed objectives for patient welfare. The theory is conceivably transferable to other case scenarios. The Family Group Conference helps families to find solutions to their respective problems and promotes family and social work collaboration. This framework of interaction suggests Reciprocal Role Valorization may be implicitly at work at the heart of the conference process. The theory’s relevance to the Family Group Conference, in particular the model developed by the Canadian Province of New Brunswick, is here examined. The importance of specialist post- qualifying professional development and professional maturity to enable social workers to unlock family potential is also argued in the context of increasing interest in strengths based social work. Keywords: Reciprocal Role Valorization, nearest relative, Family Group Conference, social worker, strengths based approaches Terms used In this article the term ‘service user’ is preferred to that of patient and used to describe an individual who receives mental health services. -
Socioeconomic Differences in Cancer Survival
J7ournal of Epidemiology and Community Health 1991; 45: 216-219 J Epidemiol Community Health: first published as 10.1136/jech.45.3.216 on 1 September 1991. Downloaded from Socioeconomic differences in cancer survival M Kogevinas, M G Marmot, A J Fox, P 0 Goldblatt Abstract Two decades later, interest in survival patterns Study objective-The aim was to was renewed when large differences among ethnic investigate the relationship between groups in the USA became evident, possibly due socioeconomic status and cancer survival. to differences in the timing of cancer detection.2 Design-This was a prospective study, To obtain nationally representative figures, we linking census and vital registration records examined cancer survival for the period 1971- for an approximate 1% representative 1983 in England and Wales, in the OPCS sample ofthose enumerated in England and Longitudinal Study, a 1%/' sample of people Wales in the 1971 census. identified in the 1971 census. Setting-The study population is nationwide. Participants-The study sample consists Methods of 250 588 men and 262 484 women. During The OPCS Longitudinal Study is a cohort study 1971-81, 17 844 cases of cancer were of an approximately 1 % representative sample of registered, and of those registered, 13 532 those enumerated in England and Wales in the died during 1971-1983. 1971 census and it links census and vital Measurements and main results- registration records.>5 The present analysis is Socioeconomic status was assessed in terms based on death records incorporated from the of housing tenure. Council tenants, the low National Health Service central register, socioeconomic group, had poorer survival population characteristics from the 1971 census, than owner occupiers, the high socio- and cancer incidence from the National Cancer economic group, for the combined group of Registration Scheme.