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Book

The burden of sympathy: how families cope with mental illness

Author:
KARP David A
Publisher:
Oxford University Press
Publication year:
2001
Pagination:
411p.,bibliog.
Place of publication:
New York

This book examines the experiences of families who care for someone with mental health problems. In seven chapters: illness and obligation; bearing responsibility; managing emotions; family ties; the four Cs (the theories care gives construct as they try to understand mental illness and formulate their own role in helping a loved one); surviving the system; and caring in post modern America.

Journal article

He stopped being my husband and became my carer

Author:
HENDERSON Jeanette
Journal article citation:
Openmind, 109, May 2001, pp.12-13.
Publisher:
MIND

Outlines ongoing research into the way care in mental health is constructed by professionals in law and policy, and the impact of those constructions for people who find themselves identified as 'carer' or 'cared for'. The research also looks at how people construct and experience care within their partnerships.

Journal article

Separating the personal from the professional

Author:
BHADURI Reba
Journal article citation:
Professional Social Work, March 2001, pp.14-15.
Publisher:
British Association of Social Workers

The author had a shock when she visited her mother in India and discovered the realities of caring for a person with mental health problems. Here she describes the difficulties that many carers cope with on a daily basis.

Journal article

The comparison of burden between caregiving spouses of depressive and demented patients

Authors:
LEINONEN Esa, et al
Journal article citation:
International Journal of Geriatric Psychiatry, 16(4), April 2001, pp.387-393.
Publisher:
Wiley-Blackwell

Article compares the burden of the spouses of depressive and demented elderly patients admitted to a Psychogeriatric Clinic in Finland. Found that the spouses of demented patients as a group were psychologically more stressed than the spouses of depressive patients. However, when demented patients were divided into two groups, in those admitted mainly for noncognitive symptoms related to dementia and in those admitted for memory assessment and diagnostic purposes, the burden of the spouses in the former group was higher than that of the group of depressive patients' spouses. No difference was found between the latter group of demented patient spouses and depressive patients' spouses. A correlation was found within both groups between low functional capacity of the patient and the stress of the spouse. In both groups the spouses who felt their own mental health to be poor were more likely to have high levels of burden. Concludes that among the general psychogeriatric patient groups, the caregiving spouses of demented patients with noncognitive psychiatric symptoms are the most burdened group. However, spouses of depressive patients are as much burdened as those of demented patients with mild to moderate memory impairment. More support is needed for every spouse group caring for psychogeriatric patients.

Journal article

Friends in deed

Author:
WRIGHT Sarah
Journal article citation:
Mental Health and Learning Disabilities Care, 4(9), May 2001, pp.288-289.
Publisher:
Pavilion

Looks at the vital and unrecognised role friends play in supporting people with mental health problems.

Journal article

Predictors of institutionalised of cognitively-impaired elderly cared for their relatives

Authors:
SPRUYTTE Nele, AUDENHOVE Chantal Van, LAMMERTYN Frans
Journal article citation:
International Journal of Geriatric Psychiatry, 16(12), December 2001, pp.1119-1128.
Publisher:
Wiley-Blackwell

This study aims to identify risk factors for nursing home placement of cognitively-impaired elderly, with special attention to the role of psychosocial factors such as the caregiver's preference for institutionalization and the quality of the dyadic relationship. Partners, children and children-in-law caring for a relative suffering from dementia were interviewed at home. The hypothesis that a poor quality of the relationship, besides other determinants, will be predictive of institutionalisation received partial support. No relationship is found between the premorbid relationship quality and institutionalisation. However, a good current relationship between the caregiver and the patient reduced the risk of nursing home placement. Institutionalisation was predicted by the caregiver's preference for institutionalisation, the functional level of the patient, the quality of the current relationship and the performance of accommodation changes at home. Research and interventions directed as delaying or preventing institutionalisation should pay more attention to the role of psychosocial aspects in the process of nursing home placement. Specifically the relationship quality in terms of criticism or warmth might be a critical factor in the continuation of home care.

Book

Mental health nursing: the art of compassionate care

Author:
WATKINS Peter
Publisher:
Butterworth-Heinemann
Publication year:
2001
Pagination:
237p.
Place of publication:
Oxford

Analyses mental health nursing, using as a central theme the significance of the relationship between mental health professionals and service users. Discusses the meaning of distress and ways to recovery; the working alliance between professional and user; the therapeutic use of the self by professionals; and personal management and development for professionals.

Journal article Full text available online for free

Pushed to breaking point

Author:
WINCHESTER Ruth
Journal article citation:
Community Care, 7.6.01, 2001, pp.18-20.
Publisher:
Reed Business Information

The assisted suicide of Sarah Lawson brought the plight of people caring for those with mental health problems sharply into focus. The reality of looking after people with such severe problems means they often have to live under unimaginable pressures with very little support.

Journal article Full text available online for free

Care of older people: mental health problems

Authors:
BURNS Alistair, DENING Tom, BLADWIN Robert
Journal article citation:
British Medical Journal, 31.3.01, 2001, pp.789-791.
Publisher:
British Medical Association

Outlines the current evidence of benefit in four areas: services currently available; interventions that have been shown to be effective; rating scales recommended to clinicians for detecting common mental health problem; and the needs of carers.

Journal article

Research into the Mental Health Act: a qualitative study of the views of those using or affected by it

Authors:
MARRIOTT Sarah, et al
Journal article citation:
Journal of Mental Health, 10(1), February 2001, pp.33-39.
Publisher:
Informa Healthcare
Place of publication:
London

The study investigates opinions about the strengths and weaknesses of Parts II and X of the Mental Health Act (1983) and those affected by it. The study covers those directly and commonly involved with the Act (mental health nurses; approved social workers; general psychiatrists; MHA administrators; service users; their carers); those less directly affected (hospital managers; lawyers; general practitioners; policy makers; police surgeons and liaison officers; specialist psychiatrists); and organisations representing Groups 1 and 2. A range of qualitative research methods were used to gather data. The findings provide a valuable insight into views about how existing legislation is applied in practice. They suggest that a review of criteria and procedures for commitment is needed. More effective implementation of legislative policies and the reconfiguration of resources to support them are also needed.

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