Search results for ‘Subject term:"bipolar disorder"’ Sort:
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Is there evidence for the bipolar spectrum and the safety of pharmaceutical interventions?
- Author:
- LITTRELL Jill Leslie
- Journal article citation:
- Social Work in Mental Health, 10(3), 2012, pp.169-182.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Social workers provide as much as 65% of mental health services in the United States. They constitute a high proportion of mental health professionals and a high percentage of social workers provide mental health care. Thus, psychiatric diagnoses and pharmaceutical interventions are relevant for many social workers. This article reviews the rise in the diagnoses of bipolar spectrum disorders for both children and adults. It considers the safety of antipsychotic medications, a mainstay of treatment for children and adults, which, in addition to other well-documented negative side effects, have recently been shown to decrease brain volume by a significant percent. These issues are particularly relevant for children in the foster care system.
Longitudinal patterns of health system retention among veterans with schizophrenia or bipolar disorder
- Authors:
- FISHER Ellen P., et al
- Journal article citation:
- Community Mental Health Journal, 44(5), October 2008, pp.321-330.
- Publisher:
- Springer
Inconsistent service use for schizophrenia and bipolar disorder is associated with poorer outcomes of care. This study analyzed VHA National Psychosis Registry data for 164,150 American veterans with these disorders to identify characteristics associated with 5-year patterns of survival and with retention in VHA care. Most cohort members (63%) survived the period with no break in VHA healthcare lasting over 12 months. Inconsistent utilization was associated with younger age, no service-connected disability, and less physical comorbidity, regardless of diagnosis. The influence of gender and ethnicity on attrition varied by diagnosis and gap-duration. Variation in attrition by gender and ethnicity warrants additional attention.
A utilitarian perspective of social and medical contributions to three illustrative conditions, and recent UK NHS policy initiatives
- Authors:
- MIDDLETON Hugh, SHAW Ian
- Journal article citation:
- Journal of Mental Health, 16(3), June 2007, pp.291-305.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
To date debate concerning the relative merits of social and medical sciences has been largely academic. This study aimed to outline and critically appraise a utilitarian approach to mental health research that reflects a critical realist perspective. Consideration of the relative utility of differing approaches to illustrative "psychiatric" disorders, and recent policy initiatives were the methods used in the study. Socially relevant outcomes of Bipolar Affective Disorder are determined by influences that operate independently of the characteristic instability of mood. There is now a highly specific and effective psychological treatment for Panic Disorder. Its benefits are still not fully exploited because of continuing lay and professional focus upon the condition's social manifestations. Great numbers of people presenting in primary care are unhelpfully caused to adopt the role of "patient" due to practices limiting the professional response to a medical one. Such practices reflect public and professional perceptions of the nature of "mental health difficulties" much more than they do the achievements of medicine. Recent policy-supporting initiatives influencing UK NHS mental health services are much more likely to be supported by social sciences than by medical research. It is concluded that there is considerable scope for a contribution to applied mental health research from frameworks and methodologies that are rooted in a social sciences perspective.
Service innovations: developing a specialised (tertiary) service for the treatment of affective disorders
- Authors:
- KER Suzy, ANDERSON Ian
- Journal article citation:
- Psychiatric Bulletin, 30(3), March 2006, pp.103-105.
- Publisher:
- Royal College of Psychiatrists
This article describes the background, context and experience of setting up a specialised service for affective disorders in Manchester and briefly describes the service. The experience highlights current issues surrounding specialised services generally, and those for affective disorder in particular.
Is there an alternative?
- Authors:
- CAFFREY Steve, et al
- Journal article citation:
- Community Care, 18.08.05, 2005, pp.40-41.
- Publisher:
- Reed Business Information
The article provides responses by a practice panel to the case of a woman diagnosed with bipolar affective disorder who wants a herbal remedy treatment. Her care team believe she needs nedication and section her under the Mental Health Act.
Mood disorder in the perinatal period
- Authors:
- ANONYMOUS, SHA Nisha
- Journal article citation:
- British Medical Journal, 10.3.12, 2012, pp.48-49.
- Publisher:
- British Medical Association
A woman with bipolar disorder who become pregnant during a long period of severe depression describes how the support of a perinatal team was vital to here postnatal recovery. She describes the support she received during pre-birth, during the birth and her postnatal aftercare. A consultant perinatal psychiatrist also provides an account of the services she was able to provide.
Academia and mental health practice evaluation partnerships: focus on the clubhouse model
- Authors:
- FLOYD Melissa, LORENZO-SCHIBLEY Jodi
- Journal article citation:
- Social Work in Mental Health, 8(2), March 2010, pp.134-139.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This article describes an evaluation partnership between an academic from a University Department of Social Work (lead author) and a local mental health agency, looking at the latter’s clubhouse-model program. Clubhouse rehabilitation programs originated in the United States in 1948 and usually serve people with severe mental health problems, (e.g. bipolar disorder, schizophrenia) that have resulted in hospitalisation and require ongoing care. They are characterised by the equality between clubhouse staff and ‘members’, or patients. This latter point does present a challenge to evaluating social care provision within the clubhouse using traditional research methods. Outcome indicator protocols are a necessary part of funding from grantors and the lead author collaborated with the Executive Director of Sanctuary House in North Carolina (second author) and the clubhouse ‘members’ to develop a new model which worked well in this study. The authors give tips in three major areas if this method is to continue in the future. Firstly it is key to maintain a strong ‘member’ focus. The choice of researcher is important, and the clubhouse ‘members’ could be involved in interviewing potential personnel, who must be equally at ease with ‘members’ as well as staff. Thirdly, research strategies must match purpose and goals but should have flexibility ensuring all involved have a positive experience.
Mental health problems: statistics on prevalence and services
- Author:
- BAKER Carl
- Publisher:
- Great Britain. Parliament. House of Commons Library
- Publication year:
- 2017
- Pagination:
- 23
- Place of publication:
- London
This briefing provides information and statistics on the prevalence of mental health problems in England. Using data from the Adult Psychiatric Morbidity Survey, the briefing reports the numbers of people with different types of conditions, including common mental health disorders, post-traumatic stress disorder, bipolar disorder, psychotic disorder, suicidal thought and self-harm. Where possible breakdowns are provided by gender, ethnicity, employment status and region. It also provides figures on referral, waiting times and recovery rates for people accessing talking therapies, by local Clinical Commissioning Group area. The final sections look at levels of contact with mental health services and current funding levels. (Edited publisher abstract)
Recovery for people with severe and complex mental health problems in Northern Ireland: a guide for trusts and commissioners of rehabilitation services
- Author:
- ROYAL COLLEGE OF PSYCHIATRISTS
- Publisher:
- Royal College of Psychiatrists
- Publication year:
- 2014
- Pagination:
- 17
- Place of publication:
- London
Outlines the current provision of rehabilitation services treating serious and complex mental illness in Northern Ireland and considers what an effective mental health rehabilitation service should look like, making specific and detailed reference to the Northern Ireland context. Underpinning the proposed new model is the acknowledgement that the needs of service users with the most severe forms of mental ill health must be considered as part of mental health strategy in Northern Ireland and that the role of rehabilitation must be incorporated into this strategy. (Edited publisher abstract)
Psychiatric disorders in HIV-positive individuals in urban Uganda
- Authors:
- PETRUSHKIN Harry, BOARDMAN Jed, OVUGA Emilio
- Journal article citation:
- Psychiatric Bulletin, 29(12), December 2005, pp.455-458.
- Publisher:
- Royal College of Psychiatrists
The study examined the prevalence of psychiatric disorders in people with HIV/AIDS attending the AIDS Support Organisation (TASO) clinic at Mulago Hospital, Kampala, Uganda and the preparedness of AIDS counsellors to deal with mental disorders. Forty-six patients were interviewed using the Mini International Psychiatric Interview to ascertain DSM-IV diagnoses. All 15 counsellors working at the clinic were interviewed. The total prevalence of psychiatric disorder was 82.6 (38 out of 46 patients). Depressive and anxiety disorders were common. Non-affective psychoses were present in eight patients (17.4%), bipolar affective disorder in eight (17.4%) and major depression with melancholic features in five (10.9%); 8 (13%) had current suicidal thoughts. None of the people with psychiatric disorders were receiving mental health treatment. The prevalence of disorder as estimated by the counsellors ranged from 0 to 33%. Only one counsellor had received any formal training in mental disorders and only two thought that they could deal with these if they arose. The attitudes of counsellors towards people with mental disorders were mixed, but most believed that they should be trained to provide care. There is a need to provide additional mental health services to the TASO clinic through appropriate training of TASO counsellors to improve their awareness of psychiatric disorders, delivery of some psychological therapies and liaison with the psychiatric services at Mulago Hospital, in addition to public mental health education. The psychiatric disorders experienced by those attending the clinic might put them at greater risk of contracting HIV/AIDS.