Search results for ‘Subject term:"mental health problems"’ Sort:
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What makes supportive relationships supportive? The social climate in supported housing for people with psychiatric disabilities
- Author:
- ANDERSSON Gunnel
- Journal article citation:
- Social Work in Mental Health, 14(5), 2016, pp.509-529.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
The link between social support, well-being, and mental health has been established in numerous studies in a variety of disciplines since the 1970s. A specific type of support is professional social support for people with psychiatric disabilities living in the community. This study emphasizes the relationship between the professional and the person with psychiatric disability in supported housing. The results show that a supportive relationship involves a social climate with the following components: interest in the individuality, care/concern, and respect for the integrity of the individual. The results also indicate that the social climate has a crucial influence on perceived support, as exemplified by supportive and unsupportive types of relationship. (Publisher abstract)
Implementation of choice from participants' perspectives: a study of community mental healthcare reform in Sweden
- Authors:
- FJELLFELDT Maria, et al
- Journal article citation:
- Journal of Social Work in Disability and Rehabilitation, 15(2), 2016, pp.116-133.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
The aim of this study was to explore participants’ experiences and opinions about a free-choice system in relation to policy objectives articulated by the national government and local authorities in Sweden. A case study was conducted. Thirty-five informants participated. Qualitative interviews were undertaken. The following themes were identified in the material: dimensions of choice, aspects of quality from a participant perspective, worries, and a sense of powerlessness. Results are discussed on how to address different dimensions of choice, not only where, but also what, by whom, how much, and when. They also concern how to design systems that in some ways ensure predictability and continuity to avoid unwanted harm caused by the unpredictability embedded in competitive choice systems. Finally, different aspects of quality need to be addressed. (Edited publisher abstract)
Childhood origins and adult destinations: the impact of childhood living conditions on coexisting disadvantages in adulthood
- Author:
- ALMQUIST Ylva B.
- Journal article citation:
- International Journal of Social Welfare, 25(2), 2016, pp.176-186.
- Publisher:
- Wiley
The aim of this study was to analyse linkages between childhood living conditions and coexisting disadvantages in adulthood. Analyses were based on the Stockholm Birth Cohort, consisting of more than 14,000 individuals born in 1953, followed up until 2007. Based on education, labour market outcomes, economic poverty and health, four outcome profiles with varying levels of disadvantage were identified by means of latent class analysis. Coexisting disadvantages were present in approximately one-fifth of the individuals. Low educational attainment, social welfare recipiency and mental health problems simultaneously occurred in two of the profiles, suggesting that these dimensions are highly interconnected. Results from multinomial regression analysis showed that individuals who had experienced disadvantaged childhood conditions had particularly high risks of ending up in these two outcome profiles, with or without the presence of unemployment. (Publisher abstract)
Internet-based cognitive behaviour therapy and physical exercise – effects studied by automated telephone assessments in mental ill-health patients; a randomized controlled trial
- Authors:
- STRID Catharina, et al
- Journal article citation:
- British Journal of Clinical Psychology, 55(4), 2016, p.414–428.
- Publisher:
- Wiley
Objectives: Mental ill-health has become a large health problem and it is important for caregivers to provide effective treatment alternatives. REGASSA is a randomized controlled study performed in primary care to study the effects of 12 weeks of Internet-based cognitive behaviour therapy (ICBT) and physical exercise (PE) compared with treatment as usual (TAU) in patients with mild-to-moderate mental ill-health. The present study aimed to examine the results of these treatment alternatives on psychological functioning, stress, and sleep disturbances. Methods: The study comprised 879 patients with mental ill-health taking part in the REGASSA study. Data were collected by Interactive Voice Response (IVR), a computerised, automated telephone technique. The treatments were compared at baseline, twice during treatment, at the end of treatment and at three follow-ups after treatment. Measures used were the Outcome Questionnaire-45, the short versions of the Perceived Stress Scale, and the Karolinska Sleep Questionnaire. Results: Linear mixed models showed that the patients in ICBT and PE had better results than in TAU on psychological functioning and sleep disturbances, p < .001, with weak-to-moderate effect sizes. On stress there were no differences; all groups made improvements. Women had stronger effects than men. More patients recovered on psychological functioning (OQ-45) in ICBT and PE than in TAU. Conclusions: Internet-based cognitive behaviour therapy and PE proved to be effective treatment alternatives for patients with mild-to-moderate mental ill-health in improving psychological functioning, stress, and sleep disturbances and could be useful alternatives in primary care. Practitioner points: a) Internet-based cognitive behaviour therapy and physical exercise proved to be effective treatment alternatives for mental ill-health patients in primary care. Automated techniques (Interactive Voice Response) could be useful for following treatment course in large groups of patients in the health care; b) It is important to use measures that capture different aspects of patients’ health problems; c) The recruitment of participants was based on patients’ interest and inclusion criteria which may have affect the generalisability. (Edited publisher abstract)
Translating coercion policy into inter-organisational collaboration–the implementation of compulsory community care for people with mental illness
- Authors:
- ZETTERBERG Liv, MARKSTROM Urban, SJOSTROM Stefan
- Journal article citation:
- Journal of Social Policy, 45(4), 2016, pp.655-671.
- Publisher:
- Cambridge University Press
- Place of publication:
- Cambridge
In 2008, compulsory community care (CCC) for people with severe mental illness was introduced in Sweden. CCC requires co-operation between psychiatric and social services, thus further complicating the longstanding difficulties with service coordination in the mental health field. This article investigates what happens when a new policy is introduced that assumes complex co-operation of two organisations bestowed with high degrees of discretion. The process of institutionalisation will be analysed in terms of how an idea is translated and materialised on local levels. This has been investigated by interviewing key informants within psychiatric and social services at three different locations. The implementation was perceived as relatively successful and occurred without major conflict. The main effect of the new legislation was improvement in the coordination of services, where designing a template form for a coordinated care plan was central. The inter-organisational discussions about service coordination that arose had a spill-over effect on services for other patient groups. In essence, respondents describe CCC as a pedagogical reform to promote the coordination of services, rather than a reform to increase coercive powers over patients. This raises concerns about the legitimacy of the reform. (Publisher abstract)
Does poor school performance cause later psychosocial problems among children in foster care? evidence from national longitudinal registry data
- Authors:
- FORSMAN Hilma, et al
- Journal article citation:
- Child Abuse and Neglect, 57, 2016, pp.61-71.
- Publisher:
- Elsevier
Research has shown that children in foster care are a high-risk group for adverse economic, social and health related outcomes in young adulthood. Children's poor school performance has been identified as a major risk factor for these poor later life outcomes. Aiming to support the design of effective intervention strategies, this study examines the hypothesised causal effect of foster children's poor school performance on subsequent psychosocial problems, here conceptualised as economic hardship, illicit drug use, and mental health problems, in young adulthood. Using the potential outcomes approach, longitudinal register data on more than 7500 Swedish foster children born 1973–1978 were analysed by means of doubly robust treatment-effect estimators. The results show that poor school performance has a negative impact on later psychosocial problems net of observed background attributes and potential selection on unobservables, suggesting that the estimated effects allow for causal interpretations. Promotion of school performance may thus be a viable intervention path for policymakers and practitioners interested in improving foster children's overall life chances. (Edited publisher abstract)