Acute hospital wards: caring for people with mental health problems


Kate Chartres summarises a recent qualitative study that provides a greater understanding of the experience of delivering care to people with mental health problems in an acute hospital.

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NHS England’s new framework for community mental health services


Andy Bell reviews NHS England’s recently published Community Mental Health Framework for Adults and Older Adults, which sets out the changes it expects to see in community mental health services over the next five years.

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Higher doses of antidepressants “not optimal”, according to new review


Jonathon Tomlinson considers his options as a GP supporting people with depression and complex needs, after reading a new systematic review and dose-response meta-analysis, which suggests that higher doses of antidepressants bring maximum side effects with only marginal gains.

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From charity to social enterprise: a case study highlights challenges in adopting self-directed support policy

What are the impacts when a third-sector organisation providing social care services moves toward an open and competitive market?

Jenny Fisher considers the perspectives of staff, managers and service users of a Scottish social care charitable organisation for children with complex needs, which faces funding and organisational change, brought about by self-directed support legislation.

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In sight and in mind: improving mental health rehabilitation pathways #RehabPsych


André Tomlin summarises the recent CQC briefing on mental health rehabilitation inpatient services and sets the scene for the live expert webinar taking place at 12.30pm BST on Friday 1st June.

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New NICE Guideline on social care support for older people with multiple long-term conditions


Sarah Carr takes a look at a new NICE Guideline on person-centred, integrated social care support for older people with multiple long-term conditions.

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Staff supporting people with learning disabilities and complex needs repress and displace painful experiences


Staff working with people with complex needs relating to challenging behaviours or mental health needs will be dealing with a range of emotions on a daily basis. The authors of this qualitative study were interested to explore how staff dealt with these and what implications this might have for the organisation employing them. They worked [read the full story…]

Flexible proactive and boundary crossing are all features associated with good social care for people with complex needs


As you know, we here at the Learning Disabilities Elf are committed to bringing you the evidence on what works in supporting people with learning disabilities. Occasionally though, we come across research that is not specifically focused on learning disabilities, but might be of interest. This review by the NIHR School for Social Care Research [read the full story…]

CQC report claims people with learning disabilities often not at the centre of their own care

our voice

Following the allegations of abuse uncovered by the BBC panorama programme, the Care Quality Commission (CQC) has been involved in a targeted programme of 150 unannounced inspections of hospitals and care homes that care for people with learning disabilities. The programme is designed to identify whether people with learning disabilities are getting safe and appropriate [read the full story…]

Short breaks services must adapt to support children with complex needs


Short break services provided to families of children with learning disabilities and severely challenging behaviour are offered as a key element of support. Critical to the success however is the way in which the service can be provided to fit the individual needs of the young person with complex needs. The authors of this study [read the full story…]