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Has the medical model a future?
- Authors:
- MCCULLOCH Andrew, et al
- Journal article citation:
- Mental Health Review, 10(1), March 2005, pp.7-15.
- Publisher:
- Pier Professional
Provides an overview of the current and future role of the 'medical model' within mental health care, seeking to locate it within the panoply of models available to explain mental health and illness and assess its merits. It considers its future role and proposes a way forward through synthesis and integration. The implications of this analysis for policy and services are assessed, concluding that we have only just started to think through the process of modernising mental health care using an integrative model.
Promoting help-seeking among adolescents and young adults through consideration of the adaptive functions of low mood: a pilot study
- Authors:
- JOYCE Andrew, et al
- Journal article citation:
- International Journal of Mental Health Promotion, 13(4), November 2011, pp.30-35.
- Publisher:
- Taylor and Francis
Improving young people’s knowledge of depression and other mental illnesses may encourage them to seek help and therefore reduce the risk of suicide behaviour. Typically, the information presented to young people about mental health disorders has been based on a medical model, with depression framed as an illness analogous to a physical illness. This pilot study aimed to examine whether framing depression on the basis of evolutionary explanations for mental illness would influence help-seeking behaviour relative to the standard illness explanation. Specifically, the aim was to test an information sheet that contained these evolutionary concepts against an information sheet that used the medical model approach. The participants were 54 young adults, average age 19 years, 5 months, and 32 school-aged participants with an average age of 15 years, 2 months. After viewing information sheets, the participants rated which one they preferred according to how likely it would be to encourage them or others to seek help if feeling depressed. The majority of young adults preferred the evolutionary explanation, with even support for the 2 approaches from the school-aged participants. The findings provide a basis for further consideration of messages conveyed to young people about mental health problems.
Shifting the paradigm in geriatric care management: moving from the medical model to patient-centered care
- Authors:
- ENGUIDANOS Susan M., DAVIS Carol, KATZ Lynne
- Journal article citation:
- Social Work in Health Care, 41(1), 2005, pp.1-16.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Studies of Geriatric Care Management Programs have had mixed results at best. Little evidence exists to attest to the effectiveness of these programs in improving patient outcomes and decreasing avoidable acute care service use. In response to these data, Kaiser Permanente's Geriatric Care Management program initiated a randomized trial to test an integrated, multifaceted depression treatment model within the care management framework and it's ability to detect and treat moderately and severely depressed older adults. This paper presents case studies of the geriatric care managers' practice changes associated with this intervention as well as case studies of two depressed clients, their experiences and outcomes associated with this study. Implications of this model are discussed.
Users and abusers of psychiatry: a critical look at psychiatric practice
- Author:
- JOHNSTONE Lucy
- Publisher:
- Routledge
- Publication year:
- 2000
- Pagination:
- 317p.,bibliog.
- Place of publication:
- London
- Edition:
- 2nd.
Critique of psychiatric practice, arguing that psychiatric admission and treatment disables patients, that psychiatry neglects gender issues, that the medical model of mental illness and physical treatments are inappropriate, and that psychiatry serves as a form of social control.