Search results for ‘Subject term:"mental health problems"’ Sort:
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A safe haven
- Author:
- NEUSTATTER Angela
- Journal article citation:
- Young Minds Magazine, 83, July 2006, pp.22-23.
- Publisher:
- YoungMinds
The author visits Collingham Gardens, the largest children's psychiatric in-patient unit in the country, and looks at the work it does with highly disturbed children.
Examining outcomes of acute psychiatric hospitalization among children
- Authors:
- THARAYIL Priya R., et al
- Journal article citation:
- Social Work in Mental Health, 10(3), 2012, pp.205-232.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
In the United States, mental health care has undergone significant changes over the past several decades. Most notable are reduced reliance on inpatient psychiatric care, and more recently, a greater demand for the delivery of treatments that are evidence-based. However, few studies have examined outcomes of acute psychiatric hospitalisation among children, demonstrating change in emotional and behavioural functioning. A secondary analysis of pre/post-test data collected on 36 children was conducted, using the Target Symptom Rating (TSR). The TSR is a 13-item measure with two subscales – Emotional Problems and Behavioural Problems and was designed for evaluation of outcome among children and adolescents in acute inpatient psychiatric settings. Results of this study, its limitations, and the barriers encountered in the implementation of the TSR scale as part of routine clinical practice are discussed. Implications for research and practice are discussed.
Psychiatric rehospitalization for children and young people: implications for social work and intervention
- Authors:
- CHUNG Walter, et al
- Journal article citation:
- Child and Adolescent Social Work Journal, 25(6), December 2008, pp.483-496.
- Publisher:
- Springer
This study explored factors associated with the psychiatric rehospitalization of children and adolescents. A retrospective archival review was conducted on 403 children and adolescents admitted into an inpatient psychiatric hospital. Results indicated that 16% were readmitted in the same year. Children and adolescents who had a prior history of psychiatric rehospitalization, lived in a residential treatment facility, and had a diagnosis of oppositional/defiant or conduct disorder were more likely to be rehospitalized. Psychosocial factors must be considered in predicting and preventing psychiatric rehospitalization. Clinical social workers should include therapeutic foster care as an option for aftercare placements of youth exhibiting externalizing behaviours and/or with a history of multiple restrictive care placements.
Mental health: impact of the 2007 Act on children
- Author:
- HEWITT David
- Journal article citation:
- Childright, 251, November 2008, pp.16-18.
- Publisher:
- Children's Legal Centre
Each year approximately 3,000 children are admitted to hospital for mental health care. Around 350 of these are detained under the Mental Health Act 1983. This article discusses how recent legal change to the Act will impact on children. Coverage on electro-convulsive therapy; age-appropriate accommodation, and the Zone of Parental Control is included.
Identified problems and service utilization patterns among kinship families accessing mental health services
- Authors:
- SMITHGALL Cheryl, MASON Sally
- Journal article citation:
- Journal of Human Behavior in the Social Environment, 9(3), 2004, pp.41-55.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This study examined the mental health problems and service utilization patterns of kinship families who accessed services in an urban outpatient child psychiatry clinic. A random sample of children who completed the intake process during a calendar year yielded 47 children, or 19% of the sample, whose primary caregiver was a relative, other than a biological parent; approximately half of those families were involved with the child welfare system. Data from an administrative database and from medical records describe the diagnoses, identified problems, and services used by the kinship families. Academic or school-related problems emerged as an identified problem in approximately half of the kinship cases, but school intervention was not a primary target for clinicians. The kinship sample was also compared with a random stratified sample of children who were living with primary caregivers other than kin. Kinship families were more likely to be African-American, but few differences were found between kin and non-kin cases on diagnoses and frequency, duration, or type of services received. The findings suggest that collaboration with schools might increase the engagement and retention of kinship families in mental health services. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580)
Working together to provide age-appropriate environments and services for mental health patients aged under 18: a briefing for commissioners of adult mental health services and child and adolescent mental health services
- Author:
- NATIONAL MENTAL HEALTH DEVELOPMENT UNIT
- Publisher:
- National Mental Health Development Unit
- Publication year:
- 2009
- Pagination:
- 50p.
- Place of publication:
- London
The new section 131A of the Mental Health Act is due to come into force in April 2010. This amendment will ensure that patients aged under 18 are treated in an environment in hospital which is suitable having regard to their age, with the purpose of preventing the inappropriate admission of children and young people to adult psychiatric wards. This briefing highlights how commissioners can work together to meet the new duty on age-appropriate accommodation in a timely manner. Contents include: the change in legislation; commissioning age-appropriate environments and services - where are we now?; what do young people want; getting ready for 2010 - meeting the new duty. The Annexes include fundamental principles in the Code of Practice and the legislation and policy context.
Informing best practices for children in psychiatric crises: perspectives and insights from families
- Authors:
- WALTER Uta M., PETR Christopher G., DAVIS Sharah
- Journal article citation:
- Families in Society, 87(4), October 2006, pp.612-620.
- Publisher:
- The Alliance for Children and Families
Young children in psychiatric crisis present complex challenges to their families and service providers. This article presents a qualitative study of families’ perspectives on the crisis that led to their child’s hospitalization, as well as their experience and satisfaction with prior community based services including crisis services. Participants were recruited from a convenience sample of families with children age 12 years old and under who were admitted to or residing in state mental hospitals in Kansas, United States. Results of the study support the usefulness of an ecological view on child mental health emergencies, and specify the need for the development of a more family-centered, community-based crisis response system that includes secure transportation and access to "warm-line" services. To prevent or curtail hospitalization of children, families require assistance in outpatient medication management, especially timely access to psychiatric medication consults and clear information from professionals about benefits and side effects.
Variations in the costs of child and adolescent psychiatric in-patient units
- Authors:
- BEECHAM Jennifer, et al
- Journal article citation:
- British Journal of Psychiatry, 18(9), September 2003, pp.220-225.
- Publisher:
- Cambridge University Press
Child and adolescent in-patient care is a highly specialised service, ideally requiring planning at a national level, but there are no routine data collections specifically for these services. The aim was to estimate unit costs for child and adolescent psychiatric in-patient units and to analyse the variations in costs between units. Data collection alongside a national survey with cost estimations guided byprinciples drawn from economic theory. Bivariate and multivariate analyses are employed to identify cost influences. Fifty-eight units could provide sufficient data to allow calculation of the cost per in-patient day; mean=£197 (s.d.=71.6; 1999–2000 prices). The management sector, type of provision, number of rooms, capacity and location explained nearly half of the cost variation. Child and adolescent psychiatric in-patient units are an expensive resource, with personnel absorbing two-thirds of the total costs. Costs per in-patient day vary fourfold and the exploration of cost variations can inform commissioning strategies.
In Search of madness: schizophrenia and neuroscience
- Author:
- HEINRICHS R. Walter
- Publisher:
- Oxford University Press
- Publication year:
- 2001
- Pagination:
- 357p.bibliog.
- Place of publication:
- Oxford
Presents an integrated synthesis of twenty years nueroscientific evidence on schizophrenia. The author takes his reader on a journey into the enigma of the illness: the study of symptoms, the search for objective disease markers, the findings on the cognitive functions, structure, physiology, chemistry and development of the brain. What emerges is an illness that reveals itself more strongly in thought processes than in biology. As research moves from mind to molecule evidence actually becomes harder to produce. What at first sight seems to be a dazzling harvest of research techniques turns out to yield modest or even inconsistent results. Contents include: illness and evidence; the nature of symptoms; the mark of madness; executive incompetence; the biology of meaning; neurochemical tempest; the strangeness of children; flights of theory; the end of the beginning.