Multidisciplinary activities in a community mental health service: relationship to Health of the Nation Outcome Scale scores and diagnosis

Meagher, David; O’Brien, Sarah; Pullela, Ananth; Oshun, Anthony; Brosnan, Pat

doi:10.1192/pb.bp.107.019190

Cited by 5 publications

(8 citation statements)

References 17 publications

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“…Meagher et al . () survey of 504 case notes and Jespersen et al . () survey of 153 referral forms and 89 assessment records, both concluded that more women than men access community mental health services.…”

Section: Acknowledging a Mental Health Problem And Seeking Helpmentioning

confidence: 99%

Mental health service users' experiences of mental health care: an integrative literature review

Newman

O’Reilly

Lee

et al. 2015

Psychiatric Ment Health Nurs

138

109

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Accessible summary A number of studies have highlighted issues around the relationship between service users and providers. The recovery model is predominant in mental health as is the recognition of the importance of person‐centred practice. The authors completed an in‐depth search of the literature to answer the question: What are service users' experiences of the mental health service? Three key themes emerged: acknowledging a mental health problem and seeking help; building relationships through participation in care; and working towards continuity of care. The review adds to the current body of knowledge by providing greater detail into the importance of relationships between service users and providers and how these may impact on the delivery of care in the mental health service. The overarching theme that emerged was the importance of the relationship between the service user and provider as a basis for interaction and support. This review has specific implications for mental health nursing. Despite the recognition made in policy documents for change, issues with stigma, poor attitudes and communication persist. There is a need for a fundamental shift in the provider–service user relationship to facilitate true service‐user engagement in their care. Abstract The aim of this integrative literature review was to identify mental health service users' experiences of services. The rationale for this review was based on the growing emphasis and requirements for health services to deliver care and support, which recognizes the preferences of individuals. Contemporary models of mental health care strive to promote inclusion and empowerment. This review seeks to add to our current understanding of how service users experience care and support in order to determine to what extent the principles of contemporary models of mental health care are embedded in practice. A robust search of Web of Science, the Cochrane Database, Science Direct, EBSCO host (Academic Search Complete, MEDLINE, CINAHL Plus Full‐Text), PsycINFO, PsycARTICLES, Social Sciences Full Text and the United Kingdom and Ireland Reference Centre for data published between 1 January 2008 and 31 December 2012 was completed. The initial search retrieved 272 609 papers. The authors used a staged approach and the application of predetermined inclusion/exclusion criteria, thus the numbers of papers for inclusion were reduced to 34. Data extraction, quality assessment and thematic analysis were completed for the included studies. Satisfaction with the mental health service was moderately good. However, accessing services could be difficult because of a lack of knowledge and the stigma surrounding mental health. Large surveys document moderate satisfaction ratings; however, feelings of fear regarding how services function and the lack of treatment choice remain. The main finding from this review is while people may express satisfaction with mental health services, there are still issues around three main themes: acknowledging a mental health problem and seekin...

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Section: Acknowledging a Mental Health Problem And Seeking Helpmentioning

confidence: 99%

Mental health service users' experiences of mental health care: an integrative literature review

Newman

O’Reilly

Lee

et al. 2015

Psychiatric Ment Health Nurs

138

109

View full text Add to dashboard Cite

show abstract

“…Expert opinion suggests that a rating of 2 ("mild problem but definitely present") on any of the 12 items is clinically significant and highlights an issue that requires active monitoring or intervention (Burgess, Trauer, Coombs, McKay, & Pirkis, 2009). Because researchers in community mental health have typically reported total HoNOS scores, rather than those for each item (e.g., Kortrijk et al, 2010;Meagher et al, 2009), it is difficult to accurately gauge the severity of the problems that consumers were experiencing.…”

Section: Health and Social Functioningmentioning

confidence: 98%

“…In an Irish study (Meagher et al, 2009), for example, the consumers who received care from community mental health nurses had an average HoNOS score of 8.2 (SD = 5.9) and 58% were classified as having severe mental illnesses. Furthermore, in a Dutch study (Kortrijk et al, 2010), half (49.0%) of the consumers who were part of a study on assertive community treatment had HoNOS scores that equalled or exceeded 15.…”

Section: Health and Social Functioningmentioning

confidence: 99%

“…To gain an indication of the health and social functioning of community mental health consumers, several researchers have used the Health of the Nation Outcome Scales ( HoNOS; Wing et al, 1998 ) in their studies (e.g., Happell & Koehn, 2010;Kortrijk, Mulder, Roosenschoon, & Wiersma, 2010;Meagher, O'Brien, Pullela, Oshun, & Brosnan, 2009;Monzani, Erlicher, Lora, Lovaglio, & Vittadini, 2008;Prowse & Coombs, 2009;Rees, Richards, & Shapiro, 2004;Segal, Daffern, Thomas, & Ferguson, 2010).…”

Section: Health and Social Functioningmentioning

confidence: 99%

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The Characteristics of Consumers Receiving Case Management in the Community: A Review of Literature

Happell

Hoey²,

Gaskin

2012

Issues in Mental Health Nursing

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Mental health nurses increasingly provide care for consumers in the community who once would have received treatment in psychiatric inpatient units. The purpose of this review is to determine the characteristics of these consumers. We searched electronic databases and obtained information on some of the characteristics of community mental health consumers. For some nurses, over half of their caseloads are consumers with schizophrenia. Up to about one-third of consumers may be involuntary, but this proportion varies considerably. Impairments of health and social functioning appear common among consumers of community mental health services. This study identifies the need for greater interrogation of national databases to enhance understanding of community caseloads.

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“…9 The characteristics of the service and population have been described in detail previously. 10 Health and social functioning were assessed with the Health of the Nation Outcome Scales (HoNOS). 11 These assessments were also made by a single clinician (D.M.)…”

Section: Methodsmentioning

confidence: 99%

Off-label prescribing in people with recurrent depressive disorder attending a community mental health service

Uzoechina¹,

Hilvering²,

Rogers³

et al. 2011

Psychiatrist

Self Cite

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Aims and methodWe investigated deliberate and inadvertent off-label prescribing in individuals with recurrent depressive disorder attending a community mental health service.ResultsOff-label prescribing occurred in 87 of 226 people with recurrent depressive disorder (38%) and involved antipsychotic agents (41), maintenance benzodiazepine use (33), antidepressant polypharmacy (28), high-dose antidepressants (19) and use of antidepressants outside of the recommended age range (16). Off-label prescribing was part of a deliberate and documented treatment plan for a half (n = 43) of individuals. Participants receiving off-label prescribing had higher total Health of the Nation Outcome Scale (HoNOS) scores, were attending more frequently and were older and had more chronic illness duration. Inadvertent off-label prescribing was related to higher scores on the behavioural disturbance subscale of the HoNOS.Clinical implicationsOff-label prescribing is a common phenomenon in people with recurrent depressive disorder and relates to greater illness severity and chronicity. Although off-label prescribing is frequently deliberate, in many cases it is undesirable and unplanned.

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Multidisciplinary activities in a community mental health service: relationship to Health of the Nation Outcome Scale scores and diagnosis

Cited by 5 publications

References 17 publications

Mental health service users' experiences of mental health care: an integrative literature review

Mental health service users' experiences of mental health care: an integrative literature review

The Characteristics of Consumers Receiving Case Management in the Community: A Review of Literature

Off-label prescribing in people with recurrent depressive disorder attending a community mental health service

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