Mental health for all

Commission for equality in mental health

Source: King’s Fund- Health Management and Policy Alert

This final report of the Commission finds that mental health inequalities mirror wider economic and social inequalities. Wealth and power inequalities put at risk the mental health of people experiencing poverty, racial injustice and discrimination. This creates sharp social divisions, meaning that many groups of people face two or three times the risk of mental ill health. Yet the same groups of people find it harder to get help for their mental health, and in some cases also get poorer outcomes when they do. This report highlights, however, that effective action is possible. It sets out what a system designed for equality would look like, and how communities, local organisations, public services and national government can work together to generate change at scale.

Key contributors to mental health equality

© Centre for Mental Health, 2020

For more information click here.

Wellbeing

Supporting mental health in the UK

How has Covid-19 and the associated lockdown measures affected mental health and wellbeing in the UK?

This briefing provides insights into how mental health conditions have changed and which risk factors need to be recognised when supporting people’s mental health.

To find out more click here.

Support for mental health social workers

Guidance to develop the role across all mental health settings

This guidance is designed to support all agencies that employ social workers. It has been produced to sit alongside the Local Government Association’s employers’ guidance and give detailed advice and support to develop the social work role across all mental health settings and organisations. It is based on the learning from the ‘social work for better mental health’ programme, working across more than 70 organisations, assessing and developing their integrated arrangements.

For more information click here.

Mental Health

Current Awareness Updates

Advancing mental health equalities strategy.
NHS England; 2020.
[This strategy summarises the core actions that we all need to take to bridge the gaps for communities fairing worse than others in mental health services. It is also an important element of the overall NHS plans to accelerate action to address health inequalities in the next stage of responding to COVID-19.]

Children and young people’s mental health review: findings from a questionnaire to health and wellbeing boards on local actions.
Care Quality Commission (CQC); 2020.
[Follow up of a 2018 review looking at the quality of, and access to, mental health services for children and young people. It sets out the findings of a 2019 independent follow-up self-assessment questionnaire, to find out the extent to which health and wellbeing board areas in England had progressed with implementing the local recommendations made.]

Mental health rehabilitation inpatient services: 2019 update.
Care Quality Commission (CQC); 2020.
[Updated findings from 114 mental health rehabilitation inpatient providers about patients that were occupying a mental health bed at the time of the information request. Questions included number of beds, current number of patients and their distance from home, funding and number of locked wards.]

Assessment of mental health services in acute trusts.
Care Quality Commission (CQC); 2020.
[Findings from over 100 acute hospital inspections, how well the mental health care needs of patients were met and where trusts, and the wider system, need to improve.]

MeeTwo mental health app: case study.
Chelsea and Westminster Hospital NHS Foundation Trust; 2020.
[The app provides safe, fully-moderated peer support to 40,000 young people aged 11 to 25 across the UK. The free app enables users to anonymously share their feelings and help each other in a safe, moderated digital environment. Peer support has been shown to improve quality of life, wellbeing, self-esteem and social functioning, as well as reductions in hospital admission rates and use of hospital emergency services.]

Covid 19

Updated guidance

Source- King’s Fund

COVID-19: guidance on shielding and protecting people defined on medical grounds as extremely vulnerable – GOV.UK

(Information for shielding and protecting people defined on medical grounds as extremely vulnerable from COVID-19.)

COVID-19: guidance for the public on mental health and wellbeing – GOV.UK

(Advice and information on how to look after your mental health and wellbeing during the coronavirus (COVID-19) outbreak.)

Coronavirus (COVID-19): admission and care of people in care homes – GOV.UK

(How to protect care home residents and staff during the coronavirus outbreak.)

Supported living services during coronavirus (COVID-19) – GOV.UK

(Guidance for providers of supported living settings.)

Mental Health

Impact on children and young people in England

Mental Health of Children and Young People in England, 2020: Wave 1 follow up to the 2017 survey.
NHS Digital; 2020.
[This is the first in a series of follow up reports to the Mental Health and Young People Survey (MHCYP) 2017, exploring the mental health of children and young people in July 2020, during the Coronavirus (COVID-19) pandemic and changes since 2017. Experiences of family life, education and services, and worries and anxieties during the COVID-19 pandemic are also examined.]

Peer support models for children and young people with mental health problems.
Centre for Mental Health; 2020.
[Centre for Mental Health was commissioned by Health Education England to explore the implications of expanding mental health peer support for specific groups of people. Peer support offers the potential for children and young people to develop the resilience needed to reduce mental health needs and to recognise their wellbeing needs at an early stage.]

Mental Health

Current Awareness

Children and young people’s mental health review: findings from a questionnaire to health and wellbeing boards on local actions QCQ – October 2020

(This report contains an update on work carried out in 2018 looking at the quality of mental health services for children and young people, as well as the access to these services. It sets out the findings of a 2019 independent follow-up self-assessment questionnaire, to find out the extent to which health and wellbeing board areas in England had progressed with implementing the local recommendations made.)

NHS strengthens mental health support for staff NHS England -October 2020

(NHS staff will get rapid access to expanded mental health services that are being rolled out across the country as part of efforts to deal with the second wave of coronavirus. NHS England and NHS Improvement will invest an extra £15 million to strengthen mental health support for nurses, paramedics, therapists, pharmacists, and support staff.)

NHS encourages children and young people to seek help as new data shows rise in mental health problems NHS England – October 2020

(England’s top children and young people’s mental health doctor is encouraging youngsters to seek help if they need it, as NHS Digital’s new survey shows there has been a rise in mental health problems in children and young people during the pandemic.)

The impact of Covid-19 to date on older people’s mental and physical health Age UK- October 2020

(This research finds that some older people are coping with the pandemic, but a sizeable minority are finding life incredibly tough. Those who are not very well and have long term health conditions were particularly likely to report that this is an extremely challenging time for them.The research was made up of a survey of older people, their friends, families, and loved ones (promoted across the Age UK social media channels for two weeks in August 2020 and completed by 569 people) and representative online polling of 1,364 people over the age of 60, conducted by Kantar Polling in September 2020.)

Pushed from pillar to post: improving the availability and quality of support after self-harm in England.
Samaritans; 2020.

[This report finds that there is no consistently effective support available to people who self-harm. The research identified four key support needs for people who self-harm, which are seen as essential to providing effective care: distraction from immediate self-harm urges; emotional relief in times of stress; developing alternative coping strategies; and addressing the underlying reasons for self-harm.]

Commission for Equality in Mental Health: Briefing 3: Inequalities of experience and outcomes.
Centre for Mental Health; 2020.

[This third briefing from the Commission for Equality in Mental Health explores why communities with higher rates of mental ill health often get the least effective support. This is most dramatically evident for people from Black communities in the UK, who experience higher levels of coercion and poorer long-term outcomes. This briefing explores why these inequalities persist, and looks at what can be done to bring about more equal outcomes and experiences from mental health support.]

Mental health rehabilitation inpatient services – 2019 update.
Care Quality Commission (CQC); 2020.

[Based on the results of a request to providers to review progress, the CQC has made recommendations to improve care for people in mental health rehabilitation inpatient services, in line with the recent NICE guidance for the rehabilitation of adults with complex psychosis.]

Advancing mental health equalities strategy NHS England – September 2020

(This strategy summarises the core actions all mental health services need to take to better address inequalities in access, experience and outcomes across the sector. It is also an important element of the overall NHS plans to accelerate action to address health inequalities in the next stage of responding to Covid-19.)

Out of sight – who cares?

A review of restraint, seclusion and segregation for autistic people, and people with a learning disability and/or mental health condition

Source – Kings Fund Health Management and Policy Alert

This report tells the story of restrictive practices from the perspective of people who have experienced it first-hand and looks at how long-term segregation was used. The review finds that the environment of mental health hospitals was often not therapeutic. It also finds that some people were admitted without proper assessment and did not have an assessment of their needs while in hospital, resulting in the lack of a clear care and treatment plan.