Mae llawer o agweddau ar anhwylderau parhaus a darpariaeth gwasanaeth wedi bod yn destun ymchwil, megis adferiad, cydlynu gofal a chynllunio gofal, ymyriad cynnar mewn seicosis a gwasanaethau allgymorth pendant, gwasanaethau argyfwng a thriniaeth cartref, adsefydlu a lleoliadau allan o’r ardal.
Fel rheol cymerir bod problemau iechyd meddwl parhaus yn golygu’r canlynol: Seicosis, anhwylder deubegwn, anhwylderau personoliaeth, anhwylderau bwyta a hunan-niweidio. Mae’n werth nodi y gall anhwylderau meddyliol cyffredin fel pryder ac iselder ysbryd fod yn barhaus, ac ni ddylid diystyru ymchwil i’r cyflyrau hyn. Yn achos iselder, er enghraifft, er y deellir ei fod yn anhwylder â therfyn amser sy’n para am sawl mis, mae’n amlwg bellach bod adferiad anghyflawn ac ailwaelu yn gyffredin. Canfu astudiaeth Sefydliad Iechyd y Byd o anhwylderau meddwl mewn 14 canolfan ledled y byd fod 50% yn dal i gael diagnosis o iselder flwyddyn yn ddiweddarach a bod o leiaf 10% o gleifion ag iselder parhaus neu gronig.
Mae Tony Ryan wedi arwain gwaith yn y maes hwn gyda John Carden ac aelodau eraill o CFMHAS e.e.
Poole R, Ryan T, Pearsall A (2002) The NHS, the private sector, and the virtual asylum, British Medical Journal, 325, 349-350.
Ryan T, Pearsall A, Hatfield B, Poole R (2004) Long term care for serious mental illness outside the NHS: a study of out of area placements, Journal of Mental Health, 13, 425-429.
Ryan T, Carden J, Higgo R, Poole R, Robinson CA (2016) An assessment of need for mental health rehabilitation amongst in-patients in a Welsh region. Social Psychiatry & Psychiatric Epidemiology DOI 10.1007/s00127-016-1213-8 http://link.springer.com/article/10.1007%2Fs00127-016-1213-8
Cyfeiriadau
- No health without mental health: A cross Government mental health outcomes strategy for people of all ages Supporting document – The economic case for improving efficiency and quality in mental health (2011)
- Department of Health (2010) The NHS Outcomes Framework 2011/12, available at: www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_122944 2 Department of Health (2010) Healthy Lives, Healthy People: Transparency in outcomes – proposals for a public health outcomes framework, available at: www.dh.gov.uk/en/ Consultations/Liveconsultations/DH_122962 3
- Department of Health (2010) Transparency in Outcomes: A framework for adult social care – a consultation on proposals, available at: http://tinyurl.com/SocialCareOutcomesConsult
- Department of Health (2010) Healthy Lives, Healthy People: Our strategy for public health in England, available at: http://tinyurl.com/HealthyLivesHealthyPeople