Search results for ‘Subject term:"mental health problems"’ Sort:
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The relationship between victimization and mental health functioning in homeless youth and adults
- Authors:
- RATTELADE Stephanie, et al
- Journal article citation:
- Journal of Interpersonal Violence, 29(9), 2014, pp.1606-1622.
- Publisher:
- Sage
This study examined the relationship between victimization and mental health functioning in homeless individuals. Homeless populations experience higher levels of victimisation than the general population, which in turn have a detrimental effect on their mental health. A sample of 304 homeless adults and youth completed one-on-one interviews, answering questions on mental health, past victimisation, and recent victimisation experiences. A hierarchical linear regression showed that experiences of childhood sexual abuse predicted lower mental health functioning after controlling for the sex and age of individuals. The study findings are applicable to current support programmes for victims in the homeless population and are relevant to future research on homelessness and victimisation. (Edited publisher abstract)
Assessing and treating sexual offenders with mental disorders
- Authors:
- LORD Alex, PERKINS Derek
- Journal article citation:
- Journal of Forensic Practice, 16(2), 2014, pp.94-109.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to increase our understanding of the role of mental disorder in sexual offending as well as identifying innovations in assessment and treatment with offenders who present with these typically complex risks and needs. Design/methodology/approach: The converging literatures on “good lives” and other developments in sexual offender treatment are compared with recovery from mental disorder and what is known about the particular needs and characteristics of sexual offenders with mental illness and severe personality disorder (PD). Findings: A key outcome of this review is that many mentally disordered sexual offenders have similar needs to those in prison and the community but there are particular challenges posed by severe PD, paraphilias and the relatively rare individuals whose offending is functionally linked to psychotic symptoms. Practical implications: Practical implications include the need for case formulation of complex needs related to mental disorder using direct and indirect measures of attitudes and interests. Treatment needs to be responsive to very different personality and mental health presentations as well as problems with offending and cognitive schemas. Direct functional links between mental health symptoms such as delusions and hallucinations are very rare in practice and are usually secondary to PD and sexual offending issues. In practice, treatment promoting recovery from mental disorder is highly compatible with the “good lives” approach to sexual offender treatment. Staff development, supervision and support are particularly important for staff treating mentally disordered sexual offenders. Originality/value: It is argued that mentally disordered sexual offenders are an under-researched sub-group within the wider sexual offender population. This paper brings together the relatively limited literature on treatment with examples of recent treatment innovations, multi-modal assessment approaches and reviews of research on the needs of this relatively uncommon but highly risky group. (Publisher abstract)
In the hyphen: perceptions, benefits, and challenges of social workers’ dual identity as clinician-client
- Author:
- PROBST Barbara
- Journal article citation:
- Families in Society, 95(1), 2014, pp.25-33.
- Publisher:
- The Alliance for Children and Families
This study is the first to directly inquire into the experience of clinical social workers who live “in the hyphen,” having received psychiatric diagnoses and/or been in therapy themselves. Rather than inhabiting these roles sequentially as previous studies suggest, many inhabit them simultaneously. Social workers who took part in this qualitative thematic analysis describe the benefits of living in the hyphen, such as greater understanding of client resistance and opportunity to serve as a model of realistic hope, as well as its challenges, including countertransference, retraumatization, and fear of being “outed.” Overall, the experience of “sitting in the other chair” was more important to participants than having a skillful therapist as a role model or sharing a specific diagnostic history with a client, which they cautioned did not offer a shortcut to authentic understanding or formation of a therapeutic alliance (Publisher abstract)
Mental health and psychological support in UK armed forces personnel deployed to Afghanistan in 2010 and 2011
- Authors:
- JONES Norman, et al
- Journal article citation:
- British Journal of Psychiatry, 204(2), 2014, pp.157-162.
- Publisher:
- Cambridge University Press
Data are presented relating to the burden of mental ill health in UK armed forces personnel and the effect of support measures including operational, family, welfare and medical support obtained on two occasions some 18 months apart. A total of 2794 personnel completed a survey while deployed to Afghanistan; 1363 in 2011 and 1431 in 2010. Their responses were compared and contrasted. The prevalence of self-report mental health disorder was low and not significantly different between the surveys; the rates of probable post-traumatic stress disorder (PTSD) were 2.8% in 2010 and 1.8% in 2011; for common mental health disorders the rates were 17.0% and 16.0% respectively. Remembering receiving predeployment psychoeducation, perceptions of good leadership and good family support were all significantly associated with better mental health. Seeking support from non-medical sources and reporting sick for medical reasons were both significantly associated with poorer mental health. Over a period of 18 months, deployment mental health symptoms in UK armed forces personnel were fewer than those obtained from a military population sample despite continuing deployment in a high-threat context and were associated with perceptions of support. (Edited publisher abstract)
‘Listen, empower us and take action now!’: reflexive-collaborative exploration of support needs in bipolar disorder when ‘going up’ and ‘going down’
- Authors:
- BILLSBOROUGH Julie, et al
- Journal article citation:
- Journal of Mental Health, 23(1), 2014, pp.9-14.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Background: People with a diagnosis of bipolar disorder experience mood fluctuation from depression to mania, and their support needs may differ during these fluctuations. Aims: To investigate support needed during periods of mania and depression, and when ‘going up’ or ‘going down’. Method: Five service user researchers were supported in a reflexive-collaborative approach to undertake and analyse semi-structured interviews with 16 people with a diagnosis of bipolar disorder and 11 people providing informal support. Results: Support needs differed when becoming manic or depressed. When manic, people needed a calming approach and encouragement to avoid overly stimulating activities. When depressed, positive activity and engaging in everyday life routines were helpful. Three core themes determined the effectiveness of support: (1) being listened to with active engagement through affirmation and encouragement, (2) empowerment through development of personal coping and self-management strategies, and (3) early action and understanding of early warning signs to respond to developing crises and protect wellbeing. Conclusion: Periods of depression or mania, and lesser ‘ups’ and ‘downs’, all require different support needs. Active listening and engagement, facilitating empowerment and appropriate early action are crucial elements of effective support. (Publisher abstract)
Getting heard
- Author:
- ZUCCHELLI Fabio
- Journal article citation:
- Mental Health Today, January/February 2014, pp.12-13.
- Publisher:
- Pavilion
- Place of publication:
- Hove
The Hearing Voices Movement has become established in the UK and provides an alternative to the traditional psychiatric view to what hearing voices means. This article provides a brief history of the movement and the development of the Network in the UK. It also looks at how the approach works within mental health services and with practitioners. (Original abstract)
A family approach to delirium: a review of the literature
- Author:
- HALLOWAY Shannon
- Journal article citation:
- Aging and Mental Health, 18(2), 2014, pp.129-139.
- Publisher:
- Taylor and Francis
This literature review had the following objectives: (1) evaluate the current state of research into delirium management (prevention, identification, or treatment of delirium) with family approaches or involvement, (2) identify gaps and areas that require investigation, and (3) determine a future course of research. A comprehensive search of original research was conducted in six major databases using seven keywords in 2012. The literature search yielded a total of 2160 articles. Criteria for eligibility were met by a total of 11 articles. The articles were evaluated in regards to purpose, sample, research design, level of evidence, variables, and results. The literature review revealed that this topic is emergent and requires substantial additional research. The aspects of delirium care that researchers investigated were diverse and included bedside interventions (n = 3), screening strategies (n = 4), family education (n = 2), and care that employed multiple components (n = 2). Delirium outcomes improved significantly in two high-quality studies: one multi-component intervention and one bedside intervention program. Other noteworthy findings of lower quality studies warrant further examination. The review of the articles did not determine if the involvement of families in delirium management improves patient outcomes; however, the review revealed potential for program development and future courses of research.
Statistical update on suicide
- Author:
- GREAT BRITAiN. Department of Health. Health Improvement Analytical Team
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2014
- Pagination:
- 11
- Place of publication:
- London
In September 2012, a statistical document presenting key statistics and relevant information was published alongside ‘Preventing suicide in England: a cross-government outcomes strategy to save lives’. This document provides an update with latest available information, in which the term suicide refers to deaths from both intentional self-harm and injury or poisoning of undetermined intent. It includes trend information on deaths in particular circumstances and by age group. (Edited publisher abstract)
Key facts and trends in mental health: 2014 update
- Author:
- NHS CONFEDERATION. Mental Health Network
- Publisher:
- NHS Confederation. Mental Health Network
- Publication year:
- 2014
- Pagination:
- 8
- Place of publication:
- London
In 2011, the Mental Health Network (MHN) published a factsheet on key statistics and trends in mental health. This updated factsheet reflects new figures, statistics and resources, and givees an overview of the major trends and challenges facing mental health services. This factsheet sets out available data relating to: investment in services; trends in morbidity; suicide and homicide rates; service activity; use of mental health legislation; the mental health of children and young people; service user experience; inequalities experienced by people with mental health problems; and workforce and staff satisfaction.. (Edited publisher abstract)
The new alternative DSM-5 Model for Personality Disorders: issues and controversies
- Author:
- PORTER Jeffrey S.
- Journal article citation:
- Research on Social Work Practice, 24(1), 2014, pp.50-56.
- Publisher:
- Sage
Purpose: Assess the new alternative Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-5) model for personality disorders (PDs) as it is seen by its creators and critics. Method: Follow the DSM revision process by monitoring the American Psychiatric Association website and the publication of pertinent journal articles. Results: The DSM-5 PD Work Group’s proposal was not included in the main diagnostic section of the new DSM, but it was published in the section devoted to emerging models. The alternative DSM-5 PD constructs are radically different from those found in DSM, fourth edition, text revision. Discussion: There are some positive conceptual changes in the new model, but reliability and validity are not generally improved. However, social workers may be able to benefit from the use of the personality trait domains/facets of the alternative model. (Publisher abstract)