Search results for ‘Subject term:"mental health problems"’ Sort:
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Geel's deal
- Author:
- BRANDON David
- Journal article citation:
- Social Work Today, 11.7.91, 1991, pp.22-23.
- Publisher:
- British Association of Social Workers
Reports on a small town in Belgium with a very long history of adult placement of people with mental health problems.
One size fits all? The social construction of dis-employ-abled women
- Authors:
- VANDEKINDEREN Caroline, et al
- Journal article citation:
- Disability and Society, 27(5), August 2012, pp.703-716.
- Publisher:
- Taylor and Francis
In Europe, welfare states attempt to increase efforts to employ economically inactive citizens, such as disabled people, according to the norm of economic productivity. This article is based on an evaluation of a labour-market training programme for 17 women with mental health problem in a social workplace in Belgium. The study explored the retrospective insider perspectives on the work aspirations of the women involved in the programme to identify critical dynamics in their high drop-out from the social workplace. The central findings provide evidence of a prevalent one-size-fits-all discourse in these practices wherein complex and interrelated processes of discrimination take place that are based on both disability and gender. The findings demonstrate that the social workplace functions as a male bastion, in which the oversized overalls that women are forced to wear are symbolically relevant. In conclusion, the authors discuss and challenge the dominance of the neo-liberal norm of economic productivity and employability.
Reinventing the employable citizen: a perspective for social work
- Authors:
- ROETS Griet, et al
- Journal article citation:
- British Journal of Social Work, 42(1), 2012, pp.94-110.
- Publisher:
- Oxford University Press
Modern economies try to employ economically inactive individuals, such as people with chronic mental health problems, through a wide range of strategies. This article, based on a project in Flanders, Belgium, in which social workers are charged with managing labour market training programmes, explores the support elements available for people with mental health problems. It aims to transfer the Belgian experience to the British context in an analysis of the various notions and interpretations of citizenship in social practices. In the analysis, the authors differentiate between notions and experiences of normative and relational citizenship. They argue that a relational approach to citizenship enables social workers in Belgium to make use of their discretionary space to negotiate employment trajectories in a flexible way. In conclusion, social workers are in a critical position to influence social policy makers.
Asylum in the community
- Editors:
- CARRIER John, TOMLINSON Dylan
- Publisher:
- Routledge
- Publication year:
- 1996
- Pagination:
- 238p.,bibliogs.
- Place of publication:
- London
Based on an empirical examination of psychiatric care in the past and present with an international focus. Critically assesses the concept of asylum and shows how it can be operationalised for services outside the hospital. Uses this analysis to establish the key elements of asylum that should be considered in developing contemporary community services for people with mental health problems.
Sheltered employment in five member states of the Council of Europe: Austria, Finland, Norway, Sweden and Switzerland
- Authors:
- SAMOY Erik, WATERPLAS Lina
- Publisher:
- Council of Europe
- Publication year:
- 1997
- Pagination:
- 67p.,bibliogs.
- Place of publication:
- Strasbourg
Comparative study looking at the situation of sheltered employment in the twelve Member States of the European Union. The data for each country is grouped under the following headings: institutional context; target population; access to sheltered employment; characteristics of the people in sheltered employment; and a discussion of the topics currently under debate around sheltered employment in each country.
Key dimensions of collaboration quality in mental health care service networks
- Authors:
- NICAISE Pablo, et al
- Journal article citation:
- Journal of Interprofessional Care, 35(1), 2021, pp.28-36.
- Publisher:
- Taylor and Francis
Appropriate care delivery for patients with severe mental illness (SMI) requires a high level of collaboration quality between primary, mental health, and social care services. Few studies have addressed the interpersonal and inter-organizational components of collaboration within one unique study setting and it is unclear how these components contribute to overall collaboration quality. Using a comprehensive model that includes ten key indicators of collaboration in relation to both components, we evaluated how interpersonal and inter-organizational collaboration quality were associated in 19 networks that included 994 services across Belgium. Interpersonal collaboration was significantly higher than inter-organizational collaboration. Despite the internal consistency of the model, analysis showed that respondents perceived a conflict between client-centered care and leadership in the network. Our results reveal two approaches to collaborative service networks, one relying on interpersonal interactions and driven by client needs and another based on formalization and driven by governance procedures. The results reflect a lack of strategy on the part of network leaders for supporting client-centered care and hence, the persistence of the high level of fragmentation that networks were expected to address. Policy-makers should pay more attention to network formalization and governance mechanisms with a view to achieving effective client-centered outcomes. (Edited publisher abstract)
Psychosocial and psychiatric factors associated with adolescent suicide: a case-control psychological autopsy study
- Authors:
- PORTZKY Gwendolyn, AUDENAERT Kurt, van HEERINGEN Kees
- Journal article citation:
- Journal of Adolescence, 32(4), August 2009, pp.849-862.
- Publisher:
- Academic Press
Relatives and other informants of 19 suicide adolescent victims and 19 matched psychiatric controls were interviewed by means of a semi-structured interview schedule. Results showed that suicide victims had been exposed more frequently to suicidal behaviour by friends and through media and experienced more relational problems in the past year. Suicidal communication was less frequently reported in suicide victims than in controls and when communication did occur, it was less often directed towards parents. Treatment of psychiatric disorders was significantly less found in suicide victims. Psychiatric control patients were more likely to have comorbidity of psychiatric disorder, conduct disorder, delinquency or academic difficulties. This study showed significant differences between young suicide victims and psychiatric controls for life events, exposure, communication and treatment. These results also suggest that more symptoms and more externalizing behaviour can be observed in psychiatric control patients which could indicate more warning signals of possible psychiatric problems for the environment, which could result in more help-seeking behaviour and treatment.
Neuropsychiatric symptoms of dementia: cross-sectional analysis from a prospective, longitudinal Belgian study
- Authors:
- ENGELBORGHS Sebastiaan, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 20(11), November 2005, pp.1028-1037.
- Publisher:
- Wiley
Given the rather limited knowledge on profiles of neuropsychiatric symptoms (behavioural and psychological signs and symptoms of dementia, BPSD) in several degenerative dementias, we designed a prospective study of which we here present the baseline data. Diagnosed according to strictly applied clinical diagnostic criteria, 205 patients with probable Alzheimer's disease (AD) , 29 with frontotemporal dementia (FTD) , 39 with mixed dementia (MXD) and dementia 23 with Lewy bodies (DLB) were included. All patients underwent a neuropsychological examination and behavioural assessment by means of a battery of scales (Middelheim Frontality Score (MFS), Behave-AD, Cohen-Mansfield Agitation Inventory, Cornell Scale for Depression in Dementia). In AD and MXD, activity disturbances and aggressiveness occurred in more than 80% of the patients. With a prevalence of 70%, apathy was very common whereas delusions and hallucinations were rare in FTD patients. Frequently used behavioural assessment scales like the Behave-AD systematically underestimated BPSD in FTD whereas the MFS displayed high sensitivity for frontal lobe symptoms. Hallucinations discriminated DLB patients from other dementias. A high prevalence of disinhibition (65%) in DLB pointed to frontal lobe involvement. Behavioural assessment may help differentiating between different forms of dementia, further stressing the need for the development of new and more sensitive behavioural assessment scales. By means of the MFS, frontal lobe involvement was frequently observed in DLB. As 70% of FTD patients displayed apathy, prevalence was about two times higher compared to the other disease groups, meanwhile indicating that apathy is frequently observed in dementia, irrespective of its etiology.
The legend and lessons of Geel, Belgium: a1500-year-old legend, a 21st-Century model
- Authors:
- GOLDSTEIN Jackie L., GODEMONT Marc M. L.
- Journal article citation:
- Community Mental Health Journal, 39(5), October 2003, pp.441-458.
- Publisher:
- Springer
Geel, Belgium, is the home of a legendary system of foster family care for people with mental illness. The current status of Geel's modern system of integrated community care and the 700-year history of this system (including the 10-year-long, international, multi-disciplinary Geel Research Project) are described. As a case study, Geel offers a microcosmic encapsulation of major issues related to mental illness. Though these issues have been dealt with across time and in all places, here they are contained in a single community. This is a case study can help other communities to identify significant factors that contribute to successful community mental health programmes.
Gaining insight from experience: lessons from a Flemish employment programme
- Authors:
- AUDENHOVE Chantal Van, LISSENS Guido
- Journal article citation:
- A Life in the Day, 5(1), February 2001, pp.14-21.
- Publisher:
- Emerald
The Flemish ECHO project is a joint initiative of some Flemish mental health services in close co-operation with the LUCAS research institute. This article describes the social context of vocational rehabilitation in Flanders, and the way that the project was organised by the partners in the Flemish ECHO network. Also describes the method of working in the project and offers some conclusions based on the scientific evaluation of the project.