Category: Mental Health

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.

Mental health in later life

Minds that matter

This report looks at the life events and circumstances that can affect people’s mental health in later life, including bereavement, loneliness, ill health and caring responsibilities. Focusing mainly on anxiety and depression, the report also describes people’s mixed experiences of seeking support from GPs, therapists and other services. It highlights the common barriers and makes recommendations for what needs to change to improve support for older people and ensure they can live a mentally healthy later life.

To find out more click here.

Mental health

Current awareness updates

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

Samaritans, October 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. The report makes several recommendations for how the needs of people who self-harm can be met more effectively.)

Adaptation of evidence-based suicide prevention strategies during and after the COVID-19 pandemic.
Wasserman D. World Psychiatry 2020;19(3):294-306.
[While there is evidence indicating that suicide rates decrease during times of crises, they are expected to increase once the immediate crisis has passed. The scientific community, health care professionals, politicians and decision-makers will find in this paper a systematic description of the effects of the pandemic on suicide risk at the society, community, family and individual levels, and an overview of how evidence-based suicide preventive interventions should be adapted.]


The COVID-19 anxiety syndrome scale: Development and psychometric properties.
Nikčević AV. Psychiatry Research 2020;292:113322.
[In Study 1, a community sample of 292 participants completed the newly developed COVID-19 Anxiety Syndrome Scale (C-19ASS) and results were subjected to a Principal Components Analysis. In Study 2, a community sample of 426 participants completed a battery of questionnaires including the C-19ASS. The C-19ASS appears to be a reliable and valid measure of the COVID-19 anxiety syndrome. The implications of these findings are discussed.]

What should be done to support the mental health of healthcare staff treating COVID-19 patients? Tracy DK, Tarn M, Eldridge R, Cooke J, Calder JDF, Greenberg N.Br J Psychiatry. 2020 Oct;217(4):537-539

(There is an urgent need to provide evidence-based well-being and mental health support for front-line clinical staff managing the COVID-19 pandemic who are at risk of moral injury and mental illness. This article describes the evidence base for a tiered model of care, and practical steps on its implementation.)

Covid 19 mental health research

Funding boost

Six new research projects have been awarded a share of £2m funding by NIHR and UKRI to investigate and reduce the impacts of Covid-19 and the pandemic on mental health.

The projects will focus on reducing the negative effects of the pandemic on the mental health of three at-risk groups: healthcare workers, children and younger people, and those with serious mental health problems.

To find out more click here.