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Mental Health in Newham

Mental health is a serious issue not only in East London, but also inthe whole of London. It is estimated that, every year one in everyfour people in London experience a diagnosable mental health problem.One out of three of these people experience two or more mental issuesat a go. The effects of mental health are devastating as it affectsall the aspects of a person’s life including physical wellness,emotional wellness, relationships, and workplace or schoolperformance as well as denying a person a chance to live a life theyhave chosen to live. Apart from affecting the individual, mentalhealth issue in London affects the general population as it affectseconomy. As such, mental health issue in East London and particularlyin Newham is not a health or social problem, but an issue affectingeveryone (Batterham, Christensen &amp Mackinnon, 2012).

To address this problem several organizations both public and privatehave shown their interest in tackling mental health problem in EastLondon. One such organization is Newham Community Mental Health Team(CMHT). The organization provides comprehensive (mental and socialservices) care offered by a variety of specialists such as nurses,psychiatrists, social workers, occupational therapists, clinicalpsychologists, and support workers (Perissinotto &amp Covinsky,2013). This team partners with mental in patient services for thementally sick, the Dementia Care Team, Mental Health IntermediateCare Services, Local Authority Care Services, Service Users andCarers, Social Services as well as other partners such as thevoluntary agencies.

The aim of Community Mental Health Services is to partner withagencies to support and promote people with mental health problems torecover and build on their individual goals and aspirations.

Newham Overview

Newham is a city at the heart of East London. It was one of the sixhost constituencies for the Summer Olympics of 2012 and has most ofthe parks for Olympics including Olympic Stadium. In 2010, Newham wasclassified as having one of the largest ethnic minority populationsof all the districts in the United Kingdom, with no specific ethnicgroup dominating.

History

Newham or the borough of Newham was formed through the merger of thecounty borough of West Ham of the currently formed Greater London andthe past region of the Essex county borough of East Ham on 1stApril 1965 (Thomas, 2002). The name Newham was devised as an entirelynew name for the borough.

Demography

Newham has the youngest general population and one of the lowestWhite British populace in the UK. It also has the highest number ofMuslims in the whole of Britain, at 32 percent. It is the mostethnically diverse constituent in Wales and England (Greater LondonAuthority, no date). From 2011 census, the population of WhiteBritish in Newham was 29.0 percent, 4.6 percent mixed race, 43percent Asian, 1.1 percent Arab, 19.6 percent Black, and 2.3 percentother ethnicities. In addition to being ethnically diverse, Newhamhas the highest fertility rate in the UK at 2.87 children per womanas compared to the countrywide average of 1.95 children born perwoman (Stoddard, 2010). The county also has the lowest proportion ofWhite British population as compared to other boroughs in London. Theproportion of White British fell from 54.2 percent as per 2001 censusto 16.7 percent during 2011 census, which is the largest fallwitnessed by any of the London boroughs (Cherry et al., 2005). Thesecond ward with the lowest White British population being GreenStreet West and Green Street East which both has 4.8 percent and thethird lowest being South Green and Southall Broadway in Ealing. Theyare closely followed by East Ham North at 4.9 percent. Despite theBritish proportion being the lowest at 16.7 percent, it is thelargest in the Newham.

Mental health is a major health issue in Newham, just like in most ofthe counties in London. According to Greater London Authority (nodate), one out of four people in London experience mental problem, athird of who are affected by two or more mental conditions at a time.Mental health is an issue of interest as it not only affects theindividual’s personal life, but also the community at large.Studying the issue of mental health in Newham is important as it willprovide insight into the extent of the problem and the prevalence ofthe problem across the diversified ethnicities in the County. It willhelp in formulating and advising CMHT on the best approach to handlethe issue of mental health in Newham.

Method of Study

Community Mental Health Team for Older People was established througha search in the Google search engine. A search of the mental healthissues in Newham. The search led tohttp://www.eastlondon.nhs.uk/Services/Adult-Mental-Health/Newham/CMHT—North-West.aspxwhere CMHT was for was established. Through this site, the variousmental health services offered by CHMT were discovered. Narrowingdown through the various subsidiary links, i was able to reach to thefinal CMHT for Older people.

In addition, I searched for Newham mental health for the old, whichopened up to the CMHT-Older People athttp://www.eastlondon.nhs.uk/Services/Older-Peoples-Mental-Health/Community-Mental-Health-Teams/CMHT-for-Older-People—Newham.aspx.This provided the necessary information regarding the organizationand its approach to the problem of mental health among the elderly inNewham.

Community Mental Health Team for Older People

Newham Community Mental Health Team for Older People offersintegrated care given by various professionals including occupationaltherapists, social workers, nurses, clinical psychologists, andsupport workers. This team collaborates with mental health inpatientsservices for the elderly and other key partners in the UK to offermental health help to individuals with mental health problem inNewham.

The Aim of Community Mental Health Services is to jointly work withstakeholders to support and empower individuals experiencing mentalhealth issues to recover and build on their individual hopes andaspirations. The organization aims at ensuring effective assessmentand management for service users and support for families and caregivers promoting good mental health. Mainly, the organization seeksto ensure that people with mental health issues remain at their homesas they undergo therapy (Ndegwa &amp Olajide, 2003). Theorganization employs four models of care in provision of services tothe elderly with mental health problems including recovery model,person centred approach, rehabilitative model and finally thepsychosocial approach.

The Principle of the Service

Newham Community Mental Health for the Old is aimed at maintainingdignity and self respect of their patients whilst providing highquality assessment, therapy and support allowing independent livingfor as long as possible in the patient’s own home (Tew, 2005).

Services Provided

The Community Mental Health Team (CMHT) offers community-orientedcare to individuals over the age of 65 and above with mild or severemental health condition. The organization provides the following:

  • A personal-oriented mental health and social needs assessment and personal care plan.

  • Suitable interventions

  • Education and training to care givers, service users and families regarding managing mental health issues

  • Medication management

  • Support to develop incumbent activities of routine living

  • Regular reviews

  • Care coordination

  • Support with physical health support

  • Coordination with other organization offering similar services

Inclusion Criteria

The organization is focused on the elderly people particularly thoseaged 65n years and above, those with mental illness of issues intheir mental health. The beneficiaries should also be registered witha general practitioner with Newham. In addition, one must bevulnerable to mental health deterioration and must be receiving careand referred by a psychiatrist or any other community mental healthagency. The client may also involve those discharged from hospitalcare for various reasons including traumatic events such as accidentswhich may need the services of CMHT.

Considering the extent of mental health among the population inLondon and Newham in particular, the issue of mental health isimportant as majority of people in London are vulnerable to mentalhealth problem. Considering the extent of mental health in London,studying mental health in Newham is of paramount importance.

The world health organization (WHO) projects that the worldpopulation of the aged (individuals above 60) will triple by 22ndcentury. This is more so in the developed world such us the UnitedKingdom and the United States. Mental health and emotional health arevery important for the elderly just as in any other time of life anindividual’s life. The problem of mental health among the elderlyis extensive and accounts for 6.6 percent of the general disabilityfor this group. Globally, people above 60 years suffering from mentaldistress amount to 15 percent of the entire global population (Bhui,2002). This effect is profound in the developed world including theUnited Kingdom.

The issue is very important for the community because, older adultsmake a significant contribution to the society as members of thefamily, active workforce as well as volunteers. While most of theseindividuals have good mental health, majority of them are at a highrisk of developing mental health issues, neurological disorders, orsubstance abuse related psychological problems, not to mentionphysical illness or disability (Busenberg, 2012). Among the issuesfacing the elderly include dementia, depression, delirium, andpsychosis (Kinsella &amp Kinsella, 2006). The elderly are moresensitive to medication and their influence, which makes the effortsof Community Mental Health team for Older Adults very important.Particularly, women are more affected to effects of medication ofmental health than men. This makes this study an important tool inaccessing the mental health issue in Newham and the possible solutionfor the problem. The information obtained from this study will becritical in shedding light to the general populace in Newhamregarding mental health problems facing the old and the possible waysto prevent the problem and ultimately treat the issue (Norman &ampRyrie, 2013). Understanding mental health issues is the first step indealing with the issue in any community. Newham community in EastLondon has the opportunity through this study to understand and dealwith this issue in a comprehensive manner. As such the study wasuseful in ensuring that everyone in the Newham community isknowledgeable about the problem, how it affects the people in regardto the individuals, the community as well as the general economicperformance of the region (Ryan &amp Pritchard, 2004).

Consequently, Community Mental Health team involves the community inits fight against the problem of mental health. Being focused onensuring that individuals get mental health support from the comfortof their homes, the organization or the group trains care givers andfamily members in the appropriate way to deal with the elderly peoplewith mental health problems (Hannigan &amp Coffey, 2003). Theorganization ensure that the relevant people dealing with the elderlyincluding family members are knowledgeable about mental health issuesaffecting the elderly and the care and support that they need toremain mentally healthy.

Conclusion

The Community Mental Health Team for older people is dedicated inproviding mental health care to the elderly. The focus of the groupis to provide care to individuals of 60 years and over with mentalhealth care at the comfort of their homes. Unlike other mental healthprograms or agencies in Newham and the greater London, CommunityMental Health Team is concerned on giving mental health support tothe elderly in at their homes rather than at health care facilities.They integrate the services of different professionals in order tooffer comprehensive care.

One of the major limitations of the program is the fact that it onlyconcentrates with the elderly. It should be noted that mental healthproblem is a general problem affecting the entire population.Although the organization has an agency concerned with the mentalhealth of adults, taking the matters of mental health in the generalpopulation can be useful in addressing the whole issue. Mental healthproblems have also been attributed to genetic factors. Theorganization should as such focus on the larger family, including theelderly and their descendants, rather than focusing on one group(Collins et al., 2011).

The current study recommends that, Community Mental Health for theolder population in Newham should focus not only on the elderly, butalso on their families. Education for care takers for this group maynot be enough and as such should entail inclusion of rehabilitationservices in equipped mental health institutions. At home, there arevarious limitations to provision of care to mentally ill individuals.Most of the elderly for example are lonely and do not have familymembers living with them. Having them in a rehabilitation centre willallow them to interact with other patients and have company that maybe essential for recovery.

References

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