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Dan Robotham, Karen James and Eva Cyhlarova
This study evaluated the implementation of the Choice and Partnership Approach (CAPA), a clinical system designed to improve the management of demand and capacity within child and…
Abstract
This study evaluated the implementation of the Choice and Partnership Approach (CAPA), a clinical system designed to improve the management of demand and capacity within child and adolescent mental health services (CAMHS). The study aimed to investigate how CAPA had been implemented within CAMHS in England, to explore the experiences of staff working within teams who had implemented the system, and to determine the benefits and challenges of implementing CAPA in practice.The evaluation was conducted in three phases: an initial screening survey was sent out to all CAMHS teams in England; a follow‐up questionnaire was then sent to all teams implementing CAPA; and interviews and focus groups were then conducted with 62 service managers, clinicians and admin staff within six CAMHS teams who had implemented the system. A total of 213 screening questionnaires were completed, and 97 teams were identified as implementing CAPA; 57 of these teams completed follow‐up questionnaires.The results showed that, if well managed and implemented, demand and capacity models such as CAPA appear to provide teams with structured, formal planning mechanisms. However, if implemented poorly and without adequate management, then these models could contribute to confusion and overworking amongst staff. This investigation found the presence of facilitative management to be absolutely crucial for successful implementation of models of demand and capacity.
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This paper aims to outline the literature that situates sleep as a public health concern. In particular, it discusses the bi‐directional relationship between insomnia and mental…
Abstract
Purpose
This paper aims to outline the literature that situates sleep as a public health concern. In particular, it discusses the bi‐directional relationship between insomnia and mental health.
Design/methodology/approach
This paper reviews and presents the findings of other relevant research, relating the discussion to policy and practice.
Findings
Getting good quality sleep is essential, but insomnia is a huge problem and may be the most commonly reported mental health complaint in the UK. Mental health influences insomnia, and insomnia can lead to mental health problems. Sleep medication is a commonly prescribed treatment for insomnia, but evidence from robust research suggests that cognitive behavioural therapy for insomnia (CBTI) is the most successful treatment for chronic insomnia.
Practical implications
GPs need evidence‐based information on the importance and benefits of sleep and to be able to recognise sleep problems in primary care. CBTI needs to be represented in NICE guidance for insomnia. CBT‐influenced methods could be implemented as low level interventions as part of a stepped care framework.
Originality/value
Reviewing the academic literature on sleep problems related to mental health reinforces the importance of sleep as a health issue, which can be assessed in primary care as appropriate.
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This paper aims to show how the ageing of the baby boomers will affect public mental health.
Abstract
Purpose
This paper aims to show how the ageing of the baby boomers will affect public mental health.
Design/methodology/approach
Mental health in later life can be influenced by wealth, discrimination, relationships, physical health, and participation in meaningful activity. This literature review appraises each aspect in relation to baby boomers' lives; the review is neither systematic nor exhaustive.
Findings
The baby boomers appear wealthier than their parents, but will live for longer in a state of poor physical health, and will have smaller families separated by greater distances. They also have a history of championing marginalized groups, and may challenge age discrimination.
Social implications
Increased longevity has social implications; culturally, economically, politically. In the UK, there are now approximately 17 million baby boomers soon to reach later life, a varied and ethnically diverse generation. Mental health services, especially for dementia, need to adapt to meet their needs. Baby boomers now hold politically influential positions, making decisions affecting their own lives as they enter later life. Increased wealth inequalities mean that the more affluent may enjoy meaningful activity and afford better mental health care, but the less affluent may need to work in unrewarding jobs to pay for it. Recognition of these inequalities should be at the forefront of any decision regarding mental health care in older adults.
Originality/value
This paper reviews a range of contextual literature while focusing specifically on mental health. It would be of interest for anyone wishing to read about protecting the mental health of an ageing population.