The Mental Health Observatory is no longer funded. NEPHO continues as Lead Observatory for Mental Health, and is undertaking more limited activities as part of its core role.

Mental Health Observatory Briefs

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The Mental Health Minimum Data Set 2006/07 and 2007/08

The Mental Health Minimum Dataset (MHMDS) was introduced in April 2003, to collect detailed data on the mental health care received by individuals in England. Since that time, data have become available for secondary analysis in batches. Two years data, covering the NHS years 2006/7 and 2007/8 were made available to the Public Health Observatories in August 2009. An analysis of the substantive findings in these datasets was published by the NHS Information Centre. This paper provides an overview of a number of data quality issues emerging from the datasets. We reported on an overview of the data quality in the returns for 2004/5, here we review the issues in these more recent data.

100825 OP MHMDS V3
PDF Occasional Paper 39 - The Mental Health Minimum Dataset 2006-07 and 2007-08v1.1.pdf
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Appendices MHMDS100824 V1
XLS MHMDS 2006-07 and 2007-08 Appendix.xls
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Mental Health Observatory Brief 5 - Adult Mental Health Services Workbook

The Adult Mental Health Workbook is a web based reporting tool designed to provide commissioners, providers and users of working-age adult mental health services with an accessible overview of service provision and use. In addition to providing a summary of the provision in each area, it facilitates comparison with other, similar areas. Following the lead of the National Service Framework for mental health, it describes the position for Local Implementation Team (LIT) areas – locally agreed combinations of PCTs and Councils with Social Services Responsibility

Brief 5 - Adult Mental Health Services Workbook
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Mental Health Observatory Brief 4 - Estimating the Prevalence of Common Mental health Problems

Planning for the new Department of Health programme to improve access to psychological therapies requires information about the numbers of people requiring its services. The national psychiatric morbidity survey programme provides information about the prevalence of relevant disorders. This Brief outlines a method to apply these findings locally. It is accompanied by a spreadsheet setting out the results of the analysis for PCTs and local authorities in England. Not all those with these disorders need, would accept psychological therapies. The morbidity survey provides further evidence about how prevalent case numbers relate to treatment requirements.

MHO Brief 4 - Estimating the Prevalence of Common Mental Health Problems
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Estimating the Prevalence of Common Mental Health Problems Additional Data.xls
XLS Estimating the Prevalence of Common Mental Health Problems Additional Data.xls
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Mental Health Observatory Brief 3 - Estimating the Future Numbers of Dementia

People with dementia require substantial amounts of care, particularly social care. Their numbers are predictable from simple calculations applied to population projections The paper describes the detail of the calculation and introduces a set of tables providing projected numbers of sufferers for local authorities and 2006 reorganisation PCTs for the period 2008-2025.

Estimating the Future Numbers of Dementia Additional Tables.xls
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Estimating the Future Numbers of Dementia - Main brief
PDF Estimating the Future Numbers of Dementia - Main brief
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Mental Health Observatory Brief 2 - Ethnic Coding

There is ample evidence of past inequity in mental health care between people of different ethnic origin (Sashidharan/ NIMHE 2003) . Current DH policy is firmly committed to the delivery of race equality (DH 2005) which includes equality of access, equality of experience and equality of outcome .

Ethnic Coding in the Mental
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Ethnic Coding Additional Data
XLS Ethnic Coding Additional Data
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Mental Health Observatory Brief 1 - Psychological Therapy Staff

Psychological therapies in mental health care are effective, popular with service users and, for some types of mental illness, have been shown to have more enduring benefits than drug treatments. Recent work by the Office for National Statistics has shown that between 1993 and 2000, the proportion of people suffering with neurotic disorders receiving any drug treatment doubled from 10% to 20%, and the proportion receiving antidepressants nearly trebled (from 6% to 16%). However the proportions of those receiving psychological therapies remained constant at around 7% (3% receiving psychotherapy, 3% counselling and 1% behavioural and cognitive therapies) (Brugha et al 2004).

Ten years ago, Parry (1996) showed that provision varied considerably around the country. The National Service Framework for Mental Health (DH 1999) drew attention to evidence that members of ethnic minorities had less access. In his update on the NSF – Five Years On, the National Director for Mental Health announced a new programme to address the long waiting lists existing in many places for psychological therapies (Appleby 2004).

This brief presents the most recent data (March 2006) from mental health service mapping about the availability of staff to provide psychological treatments for working-age adults with mental health problems. The aim is to show the extent to which this varies around England. National and new strategic health authority figures are shown here; an accompanying spreadsheet details the pattern in each region.

Psychological Therapy Staff
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Psychological Therapy Staff - Additional Data
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Mental Health Observatory Brief 0 - The Mental Health Minimum Data Set - A first Sight of the Data [Aug 2006]

The mental health minimum data set (MHMDS) was introduced fully in April 2003. It is designed to show the detailed patterns of care received by individuals looked after by specialist mental health care providers in England. Each mental health provider trust makes quarterly and annual returns documenting the care they have provided to individual patients. This occasional paper uses the year end returns for 2004/05 to identify the challenges involved in readying this new data source for full national use and to provide an introduction to the key issues in assessing MHMDS data quality and the challenges involved in improving it.

The Mental Health Minimum Data Set - A first Sight of the Data.pdf
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MHMDS First Sight Appendix.xls
XLS MHMDS First Sight Appendix.xls
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