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

Report title 
Themes emerging from engagement on mental health
Local Healthwatch 
Healthwatch Southwark
Date of publication 
Friday, 1 January, 2016
Date evidence capture began 
Monday, 1 April, 2013
Date evidence capture finished 
Wednesday, 25 February, 2015
Type of report 
Report
Key themes 
Access
Administration
Booking appointments
Building and facilities
Communication between staff and patients
Complaints procedure
Consent to care and treatment
Diagnosis
Information providing
Interpreters
Lifestyle and wellbeing
Medication
Prescription
Quality of appointment
Quality of care
Referrals
Service delivery organisation and staffing
Staff attitudes
Staff training
Support
Waiting times and lists for treatment
Healthwatch reference number 
Rep-5776

Methodology and approach

Was the work undertaken at the request of another organisation? 
No
What type of organisation requested the work 
N/A
Primary research method used 
User stories
How was the information collected? 
Research
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

Secondary care services 
Child and adolescent mental health services (CAMHS)
Counselling/improving access to psychological therapies (IAPT)
Psychiatry/mental health (hospital services)
Mental health services 
Child and adolescent mental health services (CAMHS)
Community mental health team (CMHT)
Mental health crisis service
Mental health recovery service
Older peoples mental health community service
Psychiatry / mental health (other services)
Social care services 
Adult social care
Community services 
Community based services for people with mental health needs

Details about conditions and diseases

Types of disabilities 
Mental health
Types of long term conditions 
Mental health condition

Details of people who shared their views

Number of people who shared their views 
Unknown
Age group 
All
Gender 
Not known
Ethnicity 
Not known
Sexual orientation 
Not known
Does the information include public's views? 
Yes
Does the information include carer's, friend's or relative's views? 
Yes
Does the information include staff's views? 
Yes
Types of health and care professionals engaged 
All care professionals
Does the information include other people's views? 
Not known
What was the main sentiment of the people who shared their views? 
Negative

Outcomes and impact

Were recommendations made by local Healthwatch in the report? 
No
Does the information contain a response from a provider? 
No
Is there evidence of impact in the report? 
No
Is there evidence of impact external to the report? 
Not known

Network Impact
Relationships that exist locally, regionally, nationally have benefited from the work undertaken in the report
 
Implied Impact
Where it is implied that change may occur in the future as a result of Healthwatch work. This can be implied in a provider  response, press release or other source. Implied impact can become tangible impact once change has occurred.
 
Tangible Impact
There is evidence of change that can be directly attributed to Healthwatch work undertaken in the report.