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An evaluation of mental health service provision in Northern Ireland.
- Source :
- Health & Social Care in the Community; Jan2019, Vol. 27 Issue 1, p105-114, 10p, 2 Charts
- Publication Year :
- 2019
-
Abstract
- Although Northern Ireland has high levels of mental health problems, there has been a relative lack of systematic research on mental health services that can provide an evidence base for legal, policy, and service developments. This article aims to provide a review of the central issues relating to mental health service provision in Northern Ireland, and to gather the perceptions of different stakeholders of these services. The study utilised in‐depth qualitative interviews, focus groups, and an online survey to collect data from respondents throughout the region. This method involved the completion of semistructured interviews with significant mental health commissioners and senior managers, and with service‐users and their key workers. Focus groups sessions were also completed with mental health professionals, service‐users, and carers. Data collection occurred between December 2014 and June 2015. Thematic analysis was used to identify key issues. The findings identified that considerable progress had been made not only in the development of mental health services in the last decade, but also highlighted the significant limitations in current services. Most notably, strengths in provision included the transition from long‐stay hospital care to community‐based services and person‐centred approaches. The researchers identified the need to improve funding, address problems with fragmentation, and gaps in service provision. Based on these findings, the authors consider the implications for practice and policy relating to the human and organisational aspects of service development. In particular, services should be developed focusing on a recovery ethos and on person‐centred and relationship‐based approaches. The needs of carers should additionally be considered and programmes developed to tackle stigma. [ABSTRACT FROM AUTHOR]
- Subjects :
- MENTAL health services
MENTAL health services evaluation
ATTITUDE (Psychology)
EXECUTIVES
FOCUS groups
HEALTH care rationing
INTERVIEWING
RESEARCH methodology
MEDICAL needs assessment
MEDICAL personnel
HEALTH policy
MENTAL health personnel
NEEDS assessment
QUALITY assurance
QUESTIONNAIRES
SURVEYS
QUALITATIVE research
JUDGMENT sampling
THEMATIC analysis
CAREGIVER attitudes
PATIENTS' attitudes
EVALUATION
ECONOMICS
Subjects
Details
- Language :
- English
- ISSN :
- 09660410
- Volume :
- 27
- Issue :
- 1
- Database :
- Complementary Index
- Journal :
- Health & Social Care in the Community
- Publication Type :
- Academic Journal
- Accession number :
- 133318677
- Full Text :
- https://doi.org/10.1111/hsc.12627