Search results for ‘Subject term:"mental health problems"’ Sort:
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Prevalence of mental health problems among children placed in out-of-home care in Denmark
- Authors:
- EGELUND Tine, LAUSTEN Mette
- Journal article citation:
- Child and Family Social Work, 14(2), May 2009, pp.156-165.
- Publisher:
- Wiley
This paper concerns the prevalence of mental health problems among children in family foster and residential care within a Danish context. All children, born in Denmark in 1995, who are or formerly have been placed in out-of-home care (n= 1072), are compared with a group of vulnerable children of the same age, subjected to child protection interventions but living at home (n= 1457, referred to as the 'in home care children'), and to all contemporaries who are not child protection clients (n= 71 321, referred to as the 'non-welfare children'). Prevalence data are established on the basis of national administrative register data, including data on psychiatric diagnoses of the children, and on survey data scoring children in out-of-home care, in home care children, and non-welfare children by means of the Strengths and Difficulties Questionnaire (SDQ). Results show that 20% of children in out-of-home care have at least one psychiatric diagnosis compared to 3% of the non-welfare children. Almost half of the children in care (48%) are, furthermore, scored within the abnormal range of SDQ, compared to 5% of the non-welfare children.
Combined effects of physical illness and comorbid psychiatric disorder on risk of suicide in a national population study
- Authors:
- QIN Ping, et al
- Journal article citation:
- British Journal of Psychiatry, 204(6), 2014, pp.430-435.
- Publisher:
- Cambridge University Press
Background: People with physical illness often have psychiatric disorder and this comorbidity may have a specific influence on their risk of suicide. Aims: To examine how physical illness and psychiatric comorbidity interact to influence risk of suicide, with particular focus on relative timing of onset of the two types of illness. Method: Based on the national population of Denmark, individual-level data were retrieved from five national registers on 27 262 suicide cases and 468 007 gender- and birth-date matched living controls. Data were analysed using conditional logistic regression. Results: Both suicides and controls with physical illness more often had comorbid psychiatric disorder than their physically healthy counterparts. Although both physical and psychiatric illnesses constituted significant risk factors for suicide, their relative timing of onset in individuals with comorbidity significantly differentiated the associated risk of suicide. While suicide risk was highly elevated when onsets of both physical and psychiatric illness occurred close in time to each other, regardless which came first, psychiatric comorbidity developed some time after onset of physical illness exacerbated the risk of suicide substantially. Conclusions: Suicide risk in physically ill people varies substantially by presence of psychiatric comorbidity, particularly the relative timing of onset of the two types of illness. Closer collaboration between general and mental health services should be an essential component of suicide prevention strategies. (Publisher abstract)
Childhood IQ in relation to later psychiatric disorder. Evidence from a Danish birth cohort study
- Authors:
- BATTY G. David, MORTENSEN Erik L., OSLER Merete
- Journal article citation:
- British Journal of Psychiatry, 187(2), August 2005, pp.180-181.
- Publisher:
- Cambridge University Press
Studies examining the relationship between early-life IQ and the risk of subsequent psychiatric disorder in adulthood are scarce. In the present investigation, the childhood IQ scores of 7022 singleton-born Danish males were linked to psychiatric hospital discharge records in adulthood. IQ scores were inversely related to the risk of total psychiatric illness, with the highest levels apparent in the lowest scoring IQ group. Adjusting for paternal occupational social class and birth weight had only a small attenuating effect. Low childhood IQ may have an aetiological role in the development of adult total psychiatric disorder.
The perspectives of people who use mental health services engaging with arts and cultural activities
- Authors:
- JENSEN Anita, STICKLEY Theodore, EDGLEY Alison
- Journal article citation:
- Mental Health and Social Inclusion, 20(3), 2016, pp.180-186.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to present a study of arts engagement for mental health service users in Denmark. Design/methodology/approach: The study was completed at Hans Knudsen Instituttet, Denmark. It involved analysis of emerging themes from semi-structured interviews with six participants who had participated in a structured visit to the National Gallery (Statens Museum for Kunst) in Denmark. Findings: Multiple benefits for people who use mental health services engaging in arts activities are reported. Arts activities are described as a central component of everyday life; a way of life and a significant factor in getting through the day. Barriers are identified in the interdisciplinary working between the museum educator and participants. Social implications: This study identifies that the participants benefited from taking part in the arts/cultural activity. Findings also suggest that if museums are offering activities to people who use mental health services they should equip staff with training designed to support appropriate ways of working with this group. This interdisciplinary activity offers a relatively untapped potential arena of support. (Edited publisher abstract)
Unemployment and psychological distress among young adults in the Nordic countries: a review of the literature
- Authors:
- RENEFLOT Anne, EVENSON Miriam
- Journal article citation:
- International Journal of Social Welfare, 23(1), 2014, pp.3-15.
- Publisher:
- Wiley
This article reviews Nordic research, published from 1995 and onwards, on the relationship between unemployment and mental health among young adults. Cross-sectional, longitudinal and time-series studies are included. Cross-sectional studies show that the unemployed experience more mental health problems than the non-unemployed. Leaving unemployment is associated with increased well-being. Economic problems, feelings of shame and poor social support increase the likelihood of psychological distress. The longitudinal studies show that unemployment increases the risk of psychological distress and attempted suicide, after initial mental health status and confounding factors are accounted for. The relationship remains significant when time-invariant characteristics of the individuals are controlled for. The time-series studies found no relationship between unemployment and suicide, but levels of psychological distress were found to vary with changes in the labour market. This relationship remained significant after excluding the non-employed, indicating that unemployment trends have effects beyond those directly associated with unemployment. (Publisher abstract)
Different approaches to understanding patients in general practice in Denmark: a qualitative study
- Authors:
- DAVIDSEN Annette Sofie, REVENTLOW Susanne
- Journal article citation:
- British Journal of Guidance and Counselling, 39(3), June 2011, pp.209-226.
- Publisher:
- Taylor and Francis
Common mental health problems constitute a significant element of the workload of general practitioners (GPs), with estimates varying from 25% to 50%. The proposed treatment for many of these disorders is some form of psychotherapy, either alone or combined with pharmacotherapy. This qualitative interview and observation study aimed to explore Danish GPs' approaches to emotional problems and mental disorders in 'talking therapy' and in routine consultations. Semi-structured interviews were held with 14 GPs, and observations were made during 3 consecutive days in the practices of 4 of the participants. Different typical approaches were identified and could be described using the concept of mentalisation. Five participants had a mentalising approach in which they offered many sessions of talking therapy and tried to understand patients’ problems as conjoined with their life situations. Six participants had a limited mentalising approach; 3 of these described how they often lost engagement in therapies. The remaining 3 participants were satisfied with the biomedical professional identity and did not engage in patients' emotional problems. The individual participant's approach in talking therapy was mirrored in routine consultations. The article concludes that training a mentalising or reflective stance might promote more uniform therapeutic approaches to patients' emotional problems.
Betting on a different horse: a qualitative analysis of mental health in health promotion policies
- Authors:
- SOLIN Pia, LEHTO Juhani
- Journal article citation:
- Journal of Mental Health Promotion, 3(3), September 2004, pp.8-17.
- Publisher:
- Pavilion
Aims to analyse the position and role of mental health in health promotion policy. Policy documents from Finland, Sweden, Denmark, the Netherlands, England and Portugal indicate that, although mental health is considered a serious issue, it is problematic in policy terms. Arguments make the case for the importance of mental health within the health promotion agenda, including the classification of mental illness as a public health problem, socio-economic and individual costs of mental health problems, and the view that mental wellbeing is a crucial element of overall health. However, problems of definition and measurement, and a traditional focus on treatment and care, continue to make mental health promotion problematic for policy makers.
Attention-deficit hyperactivity disorder and anxiety disorders as precursors of bipolar disorder onset in adulthood
- Authors:
- MEIER Sandra M., et al
- Journal article citation:
- British Journal of Psychiatry, 213(3), 2018, pp.555-560.
- Publisher:
- Cambridge University Press
Background: Attention-deficit hyperactivity disorder (ADHD) and anxiety disorders have been proposed as precursors of bipolar disorder, but their joint and relative roles in the development of bipolar disorder are unknown. Aims: To test the prospective relationship of ADHD and anxiety with onset of bipolar disorder. Method: The relationship between ADHD, anxiety disorders and bipolar disorder in a birth cohort of 2 409 236 individuals born in Denmark between 1955 and 1991 was examined. Individuals were followed from their sixteenth birthday or from January 1995 to their first clinical contact for bipolar disorder or until December 2012. The incidence rates per 10 000 person-years was calculated and tested the effects of prior diagnoses on the risk of bipolar disorder in survival models. Results: Over 37 394 865 person-years follow-up, 9250 onsets of bipolar disorder occurred. The incidence rate of bipolar disorder was 2.17 (95% CI 2.12–2.19) in individuals with no prior diagnosis of ADHD or anxiety, 23.86 (95% CI 19.98–27.75) in individuals with a prior diagnosis of ADHD only, 26.05 (95% CI 24.47–27.62) in individuals with a prior diagnosis of anxiety only and 66.16 (95% CI 44.83–87.47) in those with prior diagnoses of both ADHD and anxiety. The combination of ADHD and anxiety increased the risk of bipolar disorder 30-fold (95% CI 21.66–41.40) compared with those with no prior ADHD or anxiety. Conclusions: Early manifestations of both internalising and externalising psychopathology indicate liability to bipolar disorder. The combination of ADHD and anxiety is associated with a very high risk of bipolar disorder. (Edited publisher abstract)
Mental health recovery and arts engagement
- Author:
- JENSEN Anita
- Journal article citation:
- Journal of Mental Health Training Education and Practice, 13(3), 2018, pp.157 - 166).
- Publisher:
- Emerald
Purpose: Arts and cultural activities have been illustrated to be beneficial for mental health service users. The purpose of this paper is to explore the benefits of museum visits and engage in arts activities for mental health service users. Design/methodology/approach: Semi-structured interviews were conducted with 17 mental health service users in Denmark. A thematic approach was used to analyse the data and theoretical lens of sociological theories of institutional logics was employed to explore the findings. Findings: These benefits are perceived to include empowerment and meaning in life, which are two of the core principles of recovery; arts engagement can, therefore, be a useful tool in recovery. The findings also show that the experience of visiting a museum was not always positive and depended upon the interaction with the museum educators. Originality/value: The service users identified arts engagement as creating meaning in life and empowerment, which are two element in the conceptual framework, CHIME (an acronym for: Connectedness, Hope and optimism, Identity, Meaning in life and Empowerment), that describes the human process of recovery. The findings also highlighted that if museums want to engage positively with people with mental health problems and contribute to their recovery then the training of staff and the improvement of institutional approaches to support working with vulnerable people are essential. (Edited publisher abstract)
Challenges in working with patients with dual diagnosis
- Author:
- PINDERUP Pernille
- Journal article citation:
- Advances in Dual Diagnosis, 11(2), 2018, pp.60-75.
- Publisher:
- Emerald
Purpose: Studies have shown that mental health professionals find working with patients with dual diagnosis challenging, and the purpose of this paper is to examine some of these challenges. Design/methodology/approach: In total, 85 mental health professionals from 8 different mental health centres in Denmark were interviewed. The data analysis was inspired by a grounded theory approach. Findings: Different challenges in the dual diagnosis treatment were identified and they suggested that the focus of treatment was mainly on the mental illness rather than the substance use disorder. The single focus of the treatment made it challenging to treat patients with dual diagnosis sufficiently. While several studies explain the single focus by inadequate competencies among professionals, the present study suggests that the single focus is also explained by the way that the treatment is organised. For instance, standardized treatment packages and insufficient guidelines on substance abuse treatment make it challenging to treat patients with dual diagnosis. Originality/value: This paper suggests that a more flexible, and a longer period of, treatment, together with more sufficient guidelines on dual diagnosis treatment and a more formalized collaboration with the substance abuse treatment centres, will make it a less challenging issue to treat patients with dual diagnosis. (Edited publisher abstract)