Themes emerging from engagement on mental health

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Summary of report content

This report was created by Healthwatch Southwark to collate the information it has gathered in its engagement activities with public and stakeholder consultation with respect to mental health.

The evidence on this topic is collated from the engagement activities where people have given their experiences, between the 1st April 2013, and 25th February 2016. It is arranged thematically, roughly following a pathway through services from access to discharge.

Some comments and issues from feedback include:

- People are worried that preventative and community support for those with mental health problems is inadequate and threatened.

- Concerns have often been raised about people with mental health problems having to ‘jump through a lot of hoops’ and wait a long time to get support.

- People are particularly concerned with being offered the right type of support, including talking therapies. Even when talking therapy is offered, it is not always the right kind.

The themes the feedback is divided into are as follows:

Timely access to appropriate services

Education, preventative and community support

Waiting times

Access to the right kind of talking therapies

Language barriers

Pressure on care coordinators

Attitudes in primary care

Being listened to and taken seriously

Tension between mental and physical health needs

Medications

Crisis care

Quality of inpatient care

Appropriateness and safety of inpatient and supported accommodation environments

The Mental Health Act, Deprivation of Liberty, and restraint

Discharge and ongoing support

Discharge from hospital

Discharge from the Community Mental Health Team (CMHT)

Support after discharge from hospital or the CMHT

Integration and coordination across services

Transitions from children’s to adults’ services

Privacy and confidentiality

Cultural understandings of mental illness

Stigma around mental illness

Impact of culture on mental health treatment outcomes

Consultation and complaints

Social causes and exacerbators of poor mental health

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General details

Local Healthwatch
Healthwatch Southwark
Publication date
Date evidence capture began
Date evidence capture finished
Type of report
Report
Key themes
Access to services
Administration (records, letters, results)
Booking appointments
Building, Decor and Facilities, including health and safety
Communication with patients; treatment explanation; verbal advice
Complaints
Consent, choice, user involvement and being listened to
Diagnosis
Written information, guidance and publicity
Accessibility and reasonable adjustments
Lifestyle and wellbeing; wider determinants of health
Medication, prescriptions and dispensing
Caring, kindness, respect and dignity
Referrals
Service organisation, delivery, change and closure
Staffing - levels and training
Waiting for appointments or treatment; waiting lists for treatment

Methodology and approach

Was the work undertaken in partnership with another organisation?
No
Primary research method used
General feedback
If an Enter and View methodology was applied, was the visit announced or unannounced?
N/A

Details of health and care services included in the report

Details of health and care services included in the report
Child and Adolescent Mental Health Services (CAMHS) and Targeted Mental Health in Schools Services (TaMHS)
Counselling/Psychotherapy/ Improving Access to Psychological Therapies (IAPT)
Hospital-based psychiatric care
Community Mental Health Team (CMHT) and specialist MH services
Mental health crisis service
Other
Adult social care, including care packages and social workers

Details of people who shared their views

Number of people who shared their views
0
Age group
All
Gender
Not known
Is the gender identity of people in the report the same as the sex they were assigned at birth?
Not known
Sexual orientation
Not known
Types of disabilities
Mental health condition
Does this report feature carers?
Yes
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