Homelessness and mental health in a northern English Steel City (Sheffield)
|
|
|
- Justin Miller
- 8 years ago
- Views:
Transcription
1 Homelessness and mental health in a northern English Steel City (Sheffield) Integrated Services and Housing: OECD Conference Centre, Paris 8 th and 9 th November, 2012 Professor Tim Kendall Director of National Collaborating Centre for Mental Health, Royal College of Psychiatrists and Visiting Professor UCL Medical Director and Consultant Psychiatrist for homeless people, Sheffield Health and Social Care Trust
2 Thanks: To the late Sean Spence, who undertook much of the audit work presented here, and published in the psychiatric bulletin Roofless in a steel city: learning from the homeless mentally ill. Psychiatric Bulletin (2009), 33, 64-69
3 What I do Consultant psychiatrist for homeless people in Sheffield Executive Medical Director, Sheffield mental health and social care (medical and pharmacy, strategy, research, governance/effectiveness) Director National Collaborating Centre for Mental Health National guideline development (for NICE) International guideline development (Turkey, Georgia, Holland)
4 NCCMH: mental health NICE guidelines Schizophrenia* Dec 2002 ADHD* Sept 2008 Eating disorders Jan 2004 Antisocial personality disorder Jan 2009 Self-harm* July 2004 Borderline personality disorder* Jan 2009 Depression* Dec 2004 Schizophrenia (update)* March 2009 Post-traumatic stress disorder July 2005 Depression with Chronic Health Problems Oct 2009 Depression in children* Sept 2005 Depression in Adults Oct 2009 Obsessive-compulsive disorder* Oct 2005 Anxiety (partial update)* Jan 2011 Bipolar disorder July 2006 Alcohol dependence Feb 2011 Dementia* Nov 2006 Psychosis with Substance Misuse* March 2011 Ante- and postnatal mental health Feb 2007 Common Mental Health Disorders May 2011 Drug misuse psychosocial July 2007 Self-harm: Longer Term Management* Nov 2011 Drug misuse detoxification July 2007 Improving Service User Experience in adult mental health* Jan 2012
5 Guidelines under development Autism in Adults (with Netherlands) June 2012 Psychosis & Schizophrenia in Children & Young People* March 2013 Conduct Disorders (with SCIE) February 2013 Social Anxiety Disorder July 2013 Autism in Children & Young People (with SCIE)* November 2013 Schizophrenia in Adults (Update)* March 2014 Bipolar (Update) (with Netherlands)* July 2014
6 Homelessness and mental health In London: 20% chronic/severe, 80% have significant mental illness??? In Sheffield: 10% chronic/severe, 50% significant mental illness??? Schizophrenia Bipolar disorder Personality disorder Substance misuse (alcohol and drugs) Depression PTSD
7 Guidelines relevant to homelessness Psychosis and Schizophrenia in adults Psychosis and schizophrenia in children and young people Bipolar disorder Psychosis and coexisting substance misuse Borderline personality disorder Antisocial personality disorder Alcohol and substance misuse Depression and other common mental health problems PTSD...
8 Integrated services for homeless people Mental health and social care in one, integrated community team Operate on assertive outreach principles and... Intensive case management (<20 patients per worker) i.e. ACT/Intensive case management BUT: UK data suggest no reduction in hospital use for ACT/ICM but still keeps people in touch with services
9 Sheffield Steel city 550,000 population North of England Ethnicity similar to other UK cities
10 Employment Two large universities with 60,000 students and large employers Council large employer Three hospital trusts Physical health ( 850 Million) Children s health ( 130 Million) Mental health and social care ( 120 million) No coal Steel automated Service industries
11 Homes and homelessness in Sheffield 238,400 homes in Sheffield 75% of homes are privately owned 19% (37,392) experience fuel poverty (13% England) East of Sheffield is one of most deprived areas in England Estimated 3,000 per year become homeless (2008) [ie 0.5% of population] 100 become roofless each year
12 Mental health services in Sheffield Old Asylum closed in the 1980 s everyone found a home Now: one large Mental Health and Social Care trust 190 psychiatric beds (total for acute, PICU, psychiatric rehab, drug rehab and dementia) Range of specialist services, including substance misuse, dementia, APMH CMHTs, EIS, CRHTs, Crisis house, community respite ACT team for most unwell (200) with rehab ward (20) Homeless Assessment and Support Team
13 Homeless Assessment and Support Team Part time consultant psychiatrist (1 day per week) Full time community psychiatric Nurse 1.5 Full time social workers Part time secretary/admin Managed as part of ACT team, but operates separately Based in primary care setting
14 Referrals 300 homeless/roofless referred each year (10% of homeless population) 100 caseload at any one time
15 Referred from I Local authority housing officer Hostels and housing associations Interim accommodation Bed and Breakfast hotels Drop-in centres
16 Referred from II GPs (family doctors) Health visitors Local substance misuse services Probation Relatives of the missing Rough sleepers ( trawl by homeless team)
17 Diagnosis 50% psychosis with/without substance misuse 35% alcohol with/without mental health problem (depression or PD) 10% Learning disability or autism/aspergers 5% Organic Korsakoffs Huntingtons Chorea Dementia
18 Gender and age Over 80% male Median age 35 years
19 History Grew up in state care - common Went to special schools - common Childhood sexual abuse very common Domestic violence very common very common Unhappiness in childhood all! No father at home (only 5% grew up with a father) Paternal abandonment Imprisonment Divorce Death
20 Psychiatric history 70-90% seen psychiatric services before being homeless 40-70% psychiatric hospital in the past 20-30% been detained under mental health act 25-30% history of being violent 25-30% self harmed 25-30% prison
21 Our performance Most are seen for 6 weeks to 6 months DNA rate 20% Lost to follow up 25% (mainly out of city)
22 Where do we see people? Primary care Hostels Women s refuge Public houses Cathedral/churches Graveyards Parks Alleyways, stairwells, railway sidings, wrecked cars
23 Why do we see people? Because they attract attention: Disturbed behaviour Suicidal acts/plans Stopped eating Gross neglect Binge drinking Confused speech/memory problems Asking for help! What about the quietly mentally ill? In London, maybe 80% of homeless mentally ill? Less than 50% in Sheffield?
24 Key steps in management Engagement is key, especially for roofless i.e. Assertive outreach If roofless, find a home/hostel Maintain contact/engagement: case management and a warm, engaging approach Then prioritise carefully to create care plan
25 Care plan Physical health often poor (refer to GP/primary care) Alcohol and substance misuse Find a stable home/supported accommodation Safeguarding/exploitation Treatment: drugs, psychological treatment Benefits and money Exercise, diet, Offending behaviour Work, education, occupation Family contact? When to transfer to standard community services
26 Important factors to consider Hope and optimism Respect and empathy Take time, listen and understand interested in their inner world Touch (eg shake hands) Explain who you are and what you can do Explain treatments and give time for questions Outreach often necessary Joint clinical decision making wherever possible
27 What do we need for chronic homeless? Good supply of housing suited to individual need Good community treatment (Health, housing & SC) ACT/homeless team to pick up homeless people Community teams for long term health and social care with access to psychosocial interventions and environmental interventions Crisis services based in community (crisis houses, crisis/home treatment, respite) backed up by inpatient treatment
Mental Health Needs Assessment Personality Disorder Prevalence and models of care
Mental Health Needs Assessment Personality Disorder Prevalence and models of care Introduction and definitions Personality disorders are a complex group of conditions identified through how an individual
SOMERSET DUAL DIAGNOSIS PROTOCOL OCTOBER 2011
SOMERSET DUAL DIAGNOSIS PROTOCOL OCTOBER 2011 This document is intended to be used with the Somerset Dual Diagnosis Operational Working guide. This document provides principles governing joint working
Your local specialist mental health services
Your local specialist mental health services Primary Care Liaison Service B&NES Primary Care Mental Health Liaison service is a short-term support service to help people with mental health difficulties
Dual diagnosis: working together
Dual diagnosis: working together Tom Carnwath RCGP conference Birmingham 2007 DSM-IV & cocaine Cocaine intoxication Cocaine withdrawal Cocaine-induced sleep disorder Cocaine-induced sexual dysfunction
Care Programme Approach (CPA)
Care Programme Approach (CPA) The Care Programme Approach (CPA) is the system that is used to organise many people s care from 'secondary mental health services'. This factsheet explains what you should
Specialist mental health service components
Specialist mental health service components The specialist public mental health system consists of clinical services and psychiatric disability rehabilitation and support services (PDRSS). Clinical mental
Assessment of depression in adults in primary care
Assessment of depression in adults in primary care Adapted from: Identification of Common Mental Disorders and Management of Depression in Primary care. New Zealand Guidelines Group 1 The questions and
GENDER SENSITIVE REHABILITATION SERVICES FOR WOMEN A workshop
GENDER SENSITIVE REHABILITATION SERVICES FOR WOMEN A workshop Theresa Tatton Consultant Psychiatrist Women s Medium Secure Service Fromeside Bristol Shawn Mitchell Consultant Psychiatrist Women s Service
Topic Area - Dual Diagnosis
Topic Area - Dual Diagnosis Dual Diagnosis is a challenging problem for both mental health and substance misuse services. People with mental health problems, who also suffer from substance misuse are at
Brighton and Hove Dual Diagnosis Needs Assessment 2012 1
Brighton and Hove Dual Diagnosis Needs Assessment 2012 1 Brighton and Hove Dual Diagnosis Needs Assessment 2012 2 Contents RECOMMENDATIONS 6 EXECUTIVE SUMMARY 10 1. INTRODUCTION 16 1.1 Scope and definition
Homelessness: A silent killer
Homelessness: A silent killer A research briefing on mortality amongst homeless people December 2011 Homelessness: A silent killer 2 Homelessness: A silent killer December 2011 Summary This briefing draws
Tier 3/4 Social Work Services
Children s Services key guidelines 2010 Information from Southampton City Council The threshold criteria for accessing Tier 3/4 Social Work Services Introduction Information sharing is as important as
Dual Diagnosis. Dual Diagnosis Good Practice Guidance, Dept of Health (2002);
Dual Diagnosis Dual Diagnosis is a challenging problem for both mental health and substance misuse services. People with mental health problems, who also suffer from substance misuse are at an increased
Borderline personality disorder
Understanding NICE guidance Information for people who use NHS services Borderline personality disorder NICE clinical guidelines advise the NHS on caring for people with specific conditions or diseases
EARLY INTERVENTION AND PREVENTION STRATEGY 2012-15 Summary
EARLY INTERVENTION AND PREVENTION STRATEGY 2012-15 Summary Plymouth Children, Young People and Families Partnership INTRODUCTION Why do we need early intervention in Plymouth? We know that effective early
Care Programme Approach (CPA)
Care Programme Approach (CPA) The Care Programme Approach (CPA) is used to plan many people s mental health care. This factsheet explains what it is, when you should get and when it might stop. The Care
North Bay Regional Health Centre
Addictions and Mental Health Division Programs Central Intake Referral Form The Central Intake Referral Form is used in the District of Nipissing by the North Bay Regional Health Centre s Addictions and
!!!!!!!!!!!! Liaison Psychiatry Services - Guidance
Liaison Psychiatry Services - Guidance 1st edition, February 2014 Title: Edition: 1st edition Date: February 2014 URL: Liaison Psychiatry Services - Guidance http://mentalhealthpartnerships.com/resource/liaison-psychiatry-servicesguidance/
THERASCRIBE INFORMATION
THERASCRIBE INFORMATION TheraScribe is a professional counseling software program, designed by therapists to assist in the dayto-day recordkeeping and paperwork necessary to operate a private practice,
Below you will find information relevant to CCPS members which has been taken from the Single Outcome Agreement published in June 2009.
East Ayrshire Below you will find information relevant to CCPS members which has been taken from the Single Outcome Agreement published in June 2009. Information is ordered in the following topic groups:
Simon Community Northern Ireland welcomes the opportunity to respond to the Alcohol and Drug Commissioning Framework for Northern Ireland 2013-2016
Simon Community Northern Ireland welcomes the opportunity to respond to the Alcohol and Drug Commissioning Framework for Northern Ireland 2013-2016 About the Simon Community Simon Community Northern Ireland
Mental Health Services Follow-up
Mental Health Services Follow-up REGIONAL SUMMARY Performance Review Unit Department of Health, Social Services and Public Safety CONTENTS page BACKGROUND... 3 STRATEGIC DIRECTION... 6 PROVISION OF SERVICES...
Michael Brennan, MA, LMHC Providence St. Peter Hospital Crisis Services
Michael Brennan, MA, LMHC Providence St. Peter Hospital Crisis Services Welcome to the E.R.: Emergency: noun Webster 1. a sudden, urgent, usually unexpected occurrence or occasion requiring immediate action.
Working with young people who have mental health and substance use issues. Samar Zakaria
Working with young people who have mental health and substance use issues. Samar Zakaria Main points Challenges faced while treating young adults in a dual diagnosis rehab unit Define dual diagnosis in
NHS Swindon and Swindon Borough Council. Executive Summary: Adult Alcohol Needs Assessment
NHS Swindon and Swindon Borough Council Executive Summary: Adult Alcohol Needs Assessment Aim and scope The aim of this needs assessment is to identify, through analysis and the involvement of key stakeholders,
REFERRAL FORM FOR ADMISSION TO HOMEWOOD HEALTH CENTRE
Date of Referral: REFERRAL FORM FOR ADMISSION TO HOMEWOOD HEALTH CENTRE PATIENT INFORMATION Patient Name: Date of Birth (YYYY-MM-DD): E-mail Business/Mobile Phone: Gender: Health Card #: Version Code:
- UNDERSTANDING - Dual Diagnosis
- UNDERSTANDING - Dual Diagnosis TABLE OF CONTENTS Introduction 3 The Link Between Mental Illness and Substance Abuse 4 Characteristics of an Effective Dual Diagnosis Treatment Plan 6 Dual Diagnosis Treatment
Amicus Trust have been providing support to vulnerable people for over 40 years
Training Brochure Introduction Amicus Trust have been providing support to vulnerable people for over 40 years We are now sharing our knowledge and skills to others by offering training The training is
3.5 Guidelines, Monitoring and Surveillance of At Risk Groups
3.5 Guidelines, Monitoring and Surveillance of At Risk Groups 3.5.6 Children of Parents who are Affected by Drug and Alcohol Misuse Background There is overwhelming evidence that the misuse of drugs and
NICE Pathways bring together all NICE guidance, quality standards and other NICE information on a specific topic.
bring together all NICE guidance, quality standards and other NICE information on a specific topic. are interactive and designed to be used online. They are updated regularly as new NICE guidance is published.
Krystel Edmonds-Biglow, Psy.D. Licensed Clinical Psychologist PSY19260 dr_kedmondsbiglow@hotmail.com (323) 369-1292 phone (323)756-5130 fax
Return to www.endabuselb.org Krystel, Psy.D. Licensed Clinical Psychologist PSY19260 dr_kedmondsbiglow@hotmail.com (323) 369-1292 phone (323)756-5130 fax Education Doctorate of Clinical Psychology, Emphasis:
factsheet Key facts and trends in mental health Updated figures and statistics Key trends in morbidity and behaviour
factsheet September 2011 Key facts and trends in mental health Updated figures and statistics In 2009, the Mental Health Network (MHN) published a factsheet on key statistics and trends in mental health.
Antisocial personality disorder
Understanding NICE guidance Information for people who use NHS services Antisocial personality disorder NICE clinical guidelines advise the NHS on caring for people with specific conditions or diseases
Seeing double: meeting the challenge of dual diagnosis. Introduction
briefing september 2009 ISSUE 189 Seeing double: meeting the challenge of dual diagnosis Key points Dual diagnosis affects a third of mental health service users, half of substance misuse service users
Impact of Financial Crisis on Mental Health- June 2013. Carol Moore info@dualdiagnosis.ie
Impact of Financial Crisis on Mental Health- An Irish Dual Diagnosis perspective June 2013 Carol Moore info@dualdiagnosis.ie What is Dual Diagnosis? A person who has both an alcohol or drug problem and
Definition of Terms. nn Mental Illness Facts and Statistics
nn Mental Illness Facts and Statistics This section contains a brief overview of facts and statistics about mental illness in Australia as well as information that may be useful in countering common myths.
This factsheets covers:
Healthcare in Prison Prisoners should have the same access to healthcare services as everyone else. This factsheet looks at what health services you can get if you are in prison and what to do if you are
Replacement. Replaces: C/YEL/cm/18 (Dual Diagnosis Policy 2011) Kenny Laing Deputy Director of Nursing
Clinical Dual Diagnosis Policy Document Control Summary Status: Replacement. Replaces: C/YEL/cm/18 (Dual Diagnosis Policy 2011) Version: v1.0 Date: March 2016 Author/Owner/Title: Kenny Laing Deputy Director
Dual Diagnosis. Dr John Dunn Associate Clinical Director for Substance Misuse & Forensic Services Camden & Islington NHS Foundation Trust
Dual Diagnosis Dr John Dunn Associate Clinical Director for Substance Misuse & Forensic Services Camden & Islington NHS Foundation Trust Past, Present & Future The ghost of dual diagnosis past The ghost
TREATING ASPD IN THE COMMUNITY: FURTHERING THE PD OFFENDER STRATEGY. Jessica Yakeley Portman Clinic Tavistock and Portman NHS Foundation Trust
TREATING ASPD IN THE COMMUNITY: FURTHERING THE PD OFFENDER STRATEGY Jessica Yakeley Portman Clinic Tavistock and Portman NHS Foundation Trust Treating the untreatable? Lack of evidence base for ASPD Only
Dual Diagnosis in Addiction & Mental Health. users, family & friends
Dual Diagnosis in Addiction & Mental Health An introduction for Service users, family & friends You walk down the street and collapse. The hospital diagnoses a broken leg which is treated and fixed Yet
Barnet Safeguarding Children Board SERIOUS CASE REVIEW: EXECUTIVE SUMMARY. Child S. Born 10.04.06 Died 26.10.07
Barnet Safeguarding Children Board SERIOUS CASE REVIEW: EXECUTIVE SUMMARY Child S Born 10.04.06 Died 26.10.07 1. The Serious Case Review (SCR) Process 1.1 Barnet Safeguarding Children Board commenced a
Rekindling House Dual Diagnosis Specialist
Rekindling House Dual Diagnosis Specialist Tel: 01582 456 556 APPLICATION FOR TREATMENT Application Form / Comprehensive Assessment Form Please provide as much detail as you can it will help us process
Public Consultation 2009 Submission to the Second Independent Monitoring Group for A Vision for Change
Public Consultation 2009 Submission to the Second Independent Monitoring Group for A Vision for Change Response of the National Council for the Professional Development of Nursing and Midwifery The National
Austen Riggs Center Patient Demographics
Number of Patients Austen Riggs Center Patient Demographics Patient Gender Patient Age at Admission 80 75 70 66 Male 37% 60 50 56 58 48 41 40 Female 63% 30 20 10 18 to 20 21 to 24 25 to 30 31 to 40 41
Alcohol and Re-offending Who Cares?
January 2004 Alcohol and Re-offending Who Cares? This briefing paper focuses on the high level of alcohol misuse and dependence within the prison population. In recent years a great deal of time and money
Community and Social Services
Developing a path to employment for New Yorkers with disabilities Community and Social Services Mental Health and Substance Abuse Social Workers... 1 Health Educators... 4 Substance Abuse and Behavioral
The National Study of Psychiatric Morbidity in New Zealand Prisons Questions and Answers
The National Study of Psychiatric Morbidity in New Zealand Prisons Questions and Answers How have prisons dealt with mental illness in the past? Regional forensic psychiatric services were established
Sue R. (Chartered Clinical & Forensic Psychologist) B.Sc. (Hons.), M.Sc., D. Clin. Psychol. AFBPSs.
Sue R (Chartered Clinical & Forensic Psychologist) B.Sc. (Hons.), M.Sc., D. Clin. Psychol. AFBPSs. PROFESSIONAL QUALIFICATIONS & EXPERTISE Professional Qualification British Psychological Society Chartered
BEHAVIORAL HEALTH AND DETOXIFICATION - MEETING DEMAND FOR SERVICES UNIVERSITY OF PITTSBURGH MEDICAL CENTER MERCY HOSPITAL Publication Year: 2013
BEHAVIORAL HEALTH AND DETOXIFICATION - MEETING DEMAND FOR SERVICES UNIVERSITY OF PITTSBURGH MEDICAL CENTER MERCY HOSPITAL Publication Year: 2013 Summary: The development of separate intake area for behavioral
[KQ 804] FEBRUARY 2007 Sub. Code: 9105
![[KQ 804] FEBRUARY 2007 Sub. Code: 9105](/thumbs/26/8053833.jpg "[KQ 804] FEBRUARY 2007 Sub. Code: 9105")
[KQ 804] FEBRUARY 2007 Sub. Code: 9105 (Revised Regulations) Theory : Two hours and forty minutes Q.P. Code: 419105 Maximum : 100 marks Theory : 80 marks M.C.Q. : Twenty minutes M.C.Q. : 20 marks 1. A
Personality Disorders (PD) Summary (print version)
Personality Disorders (PD) Summary (print version) 1/ Definition A Personality Disorder is an abnormal, extreme and persistent variation from the normal (statistical) range of one or more personality attributes
What is a personality disorder?
What is a personality disorder? What is a personality disorder? Everyone has personality traits that characterise them. These are the usual ways that a person thinks and behaves, which make each of us
Improving the Rehabilitation and Recovery Service Model in Leeds
Improving the Rehabilitation and Recovery Service Model in Leeds Presenters: Emma Brown (Care Coordinator) James Byrne (Recovery Worker Leeds Mind) Nigel Whelan (Care Coordinator) Introduction Provide
CRITERIA CHECKLIST. Serious Mental Illness (SMI)
Serious Mental Illness (SMI) SMI determination is based on the age of the individual, functional impairment, duration of the disorder and the diagnoses. Adults must meet all of the following five criteria:
Traumatic Stress. and Substance Use Problems
Traumatic Stress and Substance Use Problems The relation between substance use and trauma Research demonstrates a strong link between exposure to traumatic events and substance use problems. Many people
Management Information. Chief Social Work Officer
Management Information Lead Officer Name: Paul Woolrich Designation: Service Improvement Manager Tel: 58462 (0131 553 8462) Lead Service Area Support to Children & Young People Last Review Date December
Milton Keynes Drug and Alcohol Strategy 2014-17
Health and Wellbeing Board Milton Keynes Drug and Alcohol Strategy 2014-17 www.milton-keynes.gov.uk 2 Contents Foreword 4 Introduction 5 National context 6 Local context 7 Values and principles 9 Priorities
Dual Diagnosis Strategy For Mental Health and Substance Misuse Services
Dual Diagnosis Strategy For Mental Health and Substance Misuse Services For further information contact: Andrew Simpson Network Director Substance Misuse Services Lancashire Care Foundation Trust 5 Fulwood
Antisocial personality disorder
Page 1 of 7 Diseases and Conditions Antisocial personality disorder By Mayo Clinic Staff Antisocial personality disorder is a type of chronic mental condition in which a person's ways of thinking, perceiving
CAPE OUTREACH SERVICE REFERRAL FORM
C o m m u n i t y C a r e W o r k i n g c a p e community activities project ealing 239a/b High Street, ACTON, London, W3 9BY Tel: 020 8896 2552 Fax: 020 8896 2662 Email: sarah@capeproject.org.uk CAPE
Alison W. BSc (Hons), PGCE, MSc. C. Psych., D C. Psych., PGDip. Consultative Supervision
Alison W BSc (Hons), PGCE, MSc. C. Psych., D C. Psych., PGDip. Consultative Supervision PROFESSIONAL QUALIFICATIONS & EXPERTISE Professional Qualification(s) Practitioner Psychologist, Chartered Counselling
Dual Diagnosis Strategy For Mental Health and Substance Misuse Services
Dual Diagnosis Strategy For Mental Health and Substance Misuse Services For further information contact: Rimpy Batta Dual Diagnosis Lead Substance Misuse Services Lancashire Care NHS Trust 5 Fulwood Park
Putting the smiles back. When Something s Wr ng o. Ideas for Families
Putting the smiles back When Something s Wr ng o Ideas for Families Borderline Personality Disorder (BPD) Disorder is characterized by an overall pattern of instability in interpersonal relationships and
OnS Survey of Psychiatric Morbidity Among Prisoners
Psychiatric morbidity among prisoners: Summary report Nicola Singleton Howard Meltzer Rebecca Gatward with Jeremy Coid Derek Deasy A survey carried out in 1997 by the Social Survey Division of ONS on behalf
Mental Health Fact Sheet
Mental Health Fact Sheet Substance Abuse and Treatment Branch (SATB), Community Supervision Services Re-Entry and Sanctions Center (RSC), Office of Community Justice Programs Adult Probationers / Parolees
APPENDIX 3 SERVICES LINKED WITH DUAL DIAGNOSIS TEAM
APPENDIX 3 SERVICES LINKED WITH DUAL DIAGNOSIS TEAM Community Mental Health Teams (CMHTs)- five teams operate across RBKC offering assessment and care management services to people with severe and enduring
Improving access to psychological therapies for people with severe and enduring mental health problems: rehabilitation psychiatrists perspectives
Improving access to psychological therapies for people with severe and enduring mental health problems: rehabilitation psychiatrists perspectives Dr Helen Killaspy Reader and honorary consultant in rehabilitation
Wesley Mental Health. Wesley Hospital. Our services. Journey together
Wesley Mental Health Wesley Hospital Our services Journey together Mission Continuing the work of Jesus Christ in Word and deed Wesley Mission is an organisation with a long tradition of doing all it can
Fax # s for CAMH programs and services
INFORMATION AND INSTRUCTIONS STEP 1 BEFORE COMPLETING THE REFERRAL FORM CATS Program / General Psychiatry Memory Clinic, Geriatric Mental Health Program Go to www.camh.net for detailed information on each
. Alcohol Focus Scotland. Response to Tackling poverty, Inequality and deprivation in Scotland
. Alcohol Focus Scotland. Response to Tackling poverty, Inequality and deprivation in Scotland Introduction Problem drinking and social groupings. Alcohol prob.lems affect people from all social groups.
Behavioral Health Best Practice Documentation
Behavioral Health Best Practice Documentation Click on the desired Diagnoses link or press Enter to view all information. Diagnoses: DSM-5 and ICD-10 Codes Major Depressive Disorder Bipolar Disorder Eating
Joint Commissioning Panel for Mental Health
Joint Commissioning Panel for Mental Health Guidance for commissioners of perinatal mental health services 1 www.jcpmh.info Guidance for commissioners of perinatal mental health services Volume Two: Practical
drug treatment in england: the road to recovery
The use of illegal drugs in England is declining; people who need help to overcome drug dependency are getting it quicker; and more are completing their treatment and recovering drug treatment in ENGlaND:
Anti-Social Personality Disorder
Anti-Social Personality Disorder Definition Anti-Social Personality Disorder is a type of chronic mental condition in which a person's ways of thinking, perceiving situations and relating to others are
Detention under the Mental Health Act
Detention under the Mental Health Act This factsheet gives information about detention under the Mental Health Act. This is also known as being sectioned. It explains what the Mental Health Act is, why
Obsessive-Compulsive Disorder and Body Dysmorphic Disorder
South West London and St George s Mental Health NHS Trust A National Service for Obsessive-Compulsive Disorder and Body Dysmorphic Disorder Springfield University Hospital A Referrer s Guide 1 Who we are
PARTNERS IN PEDIATRIC CARE. Intake and History for Mental Health Referral
PARTNERS IN PEDIATRIC CARE Intake and History for Mental Health Referral This form is designed to give you an opportunity to provide us with background information that will help us help you. Please read
Alcoholism and Problem Drinking
Page 1 of 5 Alcoholism and Problem Drinking Alcoholism is a word which many people use to mean 'alcohol dependence' (alcohol addiction). Some people are 'problem drinkers' without being dependent on alcohol.
CRISIS RESOLUTION & HOME TREATMENT TEAM. Adrian Elsworth Clinical Lead
CRISIS RESOLUTION & HOME TREATMENT TEAM Adrian Elsworth Clinical Lead Aims and Objectives What is Crisis Resolution Home Treatment? Explore the term crisis Examine the pathway from referral to assessment
People s views on priority areas for change. Paul Farmer Chair, Mental Health Taskforce
People s views on priority areas for change Paul Farmer Chair, Mental Health Taskforce 20k respondents to Mind and Rethink Mental Illness online survey Five groups: People with lived experience Families
Sunderland Psychological Wellbeing Service
Sunderland Psychological Wellbeing Service Information for Referrers Offering a range of psychological therapies across Sunderland. To make a referral call 0191 566 5454 A partnership between Northumberland,
SPECIFICATION FOR THE LOCAL COMMISSIONED SERVICE FOR THE MANAGEMENT ALCOHOL MISUSE
SPECIFICATION FOR THE LOCAL COMMISSIONED SERVICE FOR THE MANAGEMENT OF ALCOHOL MISUSE Date: March 2015 1 1. Introduction Alcohol misuse is a major public health problem in Camden with high rates of hospital
SCHOOL MENTAL HEALTH RESPONSE GUIDELINES
1 SCHOOL MENTAL HEALTH RESPONSE GUIDELINES The School Mental Health Response Staff may consist of a variety of members of the school s SBSLT (School Based Support Learning Team), including but not limited
Mental Ill Health in the Adult Single Homeless Population
Mental Ill Health in the Adult Single Homeless Population A review of the literature Sian Rees, PHRU Crisis Crisis is the national charity for single homeless people. We are dedicated to ending homelessness
Dual Diagnosis: Models of Care and Local Pathways AGENDA. Part one: Part two:
Slide 1 Dual Diagnosis: Models of Care and Local Pathways St. Anne s Community Services Dual Diagnosis Project Slide 2 AGENDA Part one: Models of Care. Clinical Guidelines & Evidence Base Local Care Pathways
Emergency in the Psychiatric
Emergency in the Psychiatric Care and its Legal Regulation Márta Farkas - Zoltán Hidasii Psychiatric Emergency I. Any disturbance in toughts, feelings or actions for wich immediate therapeutic intervention
Mental Health Services in Durham Region
Mental Health Services in Durham Region Table of Contents Crisis Supports and Services... 3 Mental Health Support and Counselling... 8 General Support and Counselling...13 Information Lines...20 Note:
VISIT AND MONITORING REPORT
VISIT AND MONITORING REPORT An Analysis of emergency detention certificates revoked by approved medical practitioners Report compiled for the Mental Welfare Commission by Mira Thomas and Karthik Bommu,
Florida Medicaid: Mental Health and Substance Abuse Services
Florida Medicaid: Mental Health and Substance Abuse Services Beth Kidder Assistant Deputy Secretary for Medicaid Operations Agency for Health Care Administration House Children, Families, and Seniors Subcommittee
opiates alcohol 27 opiates and alcohol 30 April 2016 drug addiction signs 42 Ranked #1 123 Drug Rehab Centers in New Jersey 100 Top 10 380
opiates alcohol 27 opiates and alcohol 30 April 2016 drug addiction signs 42 ed #1 123 Drug Rehab Centers in New Jersey 100 Top 10 380 effects of alcohol in the brain 100 Top 30 698 heroin addiction 100
Towards Developing a Manual for Residential Treatment Centers to Support Individuals with an FASD and Their Families
Towards Developing a Manual for Residential Treatment Centers to Support Individuals with an FASD and Their Families Presented By Dr. Pamela Gillen University of Colorado Anschutz Medical Campus and Dan
BRISTOL SPECIALIST CHILD and ADOLESCENT MENTAL HEALTH SERVICES (CAMHS) REFERRAL GUIDELINES FOR ACCESS TO THE SPECIALIST NHS-BASED CAMHS TEAMS
BRISTOL SPECIALIST CHILD and ADOLESCENT MENTAL HEALTH SERVICES (CAMHS) REFERRAL GUIDELINES FOR ACCESS TO THE SPECIALIST NHS-BASED CAMHS TEAMS The specialist NHS-based CAMHS teams are part of a wider Bristol
DUAL DIAGNOSIS PARTNERSHIP FRAMEWORK
DUAL DIAGNOSIS PARTNERSHIP FRAMEWORK Authors Debra Bretherton Howard Thistlethwaite Gary Nichols Roy Butterworth Yvonne Guilfoyle Acknowledgements Leeds Dual Diagnosis Network C) 2009 Lancashire Care NHS
Mayor s Round Table on Mental Health and Addictions
Mayor s Round Table on Mental Health and Addictions Addressing serious mental health and addictions and the health of our City October 2, 2013 Media Resource Part 1 Seriously Addicted & Mentally Ill (SAMI)
Rehabilitation and high support services
Rehabilitation and high support services REHABILITATION AND RECOVERY UNIT Introduction Pennine Care NHS Foundation Trust is a leading provider of mental health and community services predominantly for
The Region s Premier Provider of Behavioral Health and. Addiction Recovery Services
Addiction Recovery Services The Region s Premier Provider of Behavioral Health and Addiction Recovery Services How Many People Experience Behavioral Health Issues? You d be surprised at how many. Anyone
NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE SCOPE
NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE 1 Guideline title SCOPE Schizophrenia: core interventions in the treatment and management of schizophrenia in primary and secondary care (update) 1.1
Negativity, medicalization and awareness: a corpus-based discourse analysis of representations of mental illness in the British press (2011-2014)
Negativity, medicalization and awareness: a corpus-based discourse analysis of representations of mental illness in the British press (2011-2014) Gillian Smith Methods Critical Discourse Analysis (Bloor
Beth Merriam, M.A., OATR, ATR-BC, CCC Email: bmerriam@rogers.com
Beth Merriam, M.A., OATR, ATR-BC, CCC Email: bmerriam@rogers.com EDUCATION 1992: M.A in, Art Therapy, Norwich University, Vermont, U.S.A, 1990: B.F.A., with major in art education, Concordia University,