Search results for ‘Subject term:"mental health problems"’ Sort:
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Factors related to admissions to a psychiatry unit from a medical emergency room: the role of social work
- Authors:
- MASON Susan E., AUERBACH Charles
- Journal article citation:
- Social Work in Mental Health, 7(5), 2009, pp.429-440.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
The aim of this study was to examine the factors associated with psychiatric hospital admissions from accident and emergency, and to discuss the role of social work in relation to psychiatric referrals. The three possible outcomes were: admission to the hospital's medical/surgical ward, admission to a psychiatric unit, or non-admission. Social workers collected data for 3370 patients. Most patients were not admitted (83.8 percent); almost 10 percent were admitted to the hospital's psychiatric unit; and 6.3 percent were admitted to the medical/surgical ward. Age, gender, “Adjustment problems” and “Behaviour problems” had statistically significant coefficients for medical/surgical admission. “Care/activities of daily living (ADL) problems,” “Relationship problems,” and “Environmental problems” had statistically significant coefficients for both medical/surgical and psychiatric admissions. The role of social workers in making referrals is described with suggestions for future research.
Description and evaluation of a novel service for "difficult to manage" psychiatric in-patients
- Authors:
- HAYES Adrian J., PRATT Daniel, SHAW Jenny
- Journal article citation:
- Journal of Forensic Practice, 17(1), 2015, pp.69-78.
- Publisher:
- Emerald
Purpose: A new service was developed to provide transitional care between acute and secure services for people with serious mental illness who are considered "difficult to manage" The purpose of this paper is to evaluate the work of the service by examining referrals made, strategies employed for each referral, and patient outcomes, as well as investigating issues in the service's development and implementation. Design/methodology/approach: A retrospective descriptive study by review of 38 case notes, and qualitative interviews of 47 staff within the service and those referring to the service. Findings: In the first eight months, 38 patients were referred due to violence, aggression and management problems. Most interventions provided by the service involved working with referring staff, rather than direct patient contact. Subsequently, 16 per cent required referral to higher levels of security. Interviews showed the team's aims needed to be more clearly established, but that ward staff found the service to be a useful and productive resource. Research limitations/implications: The study is descriptive and retrospective, but showed that the service provided appropriate interventions for managing patients with serious mental illness and challenging behaviour. Practical implications: A transitional service may have value in keeping patients in the least restrictive setting. Careful planning is needed in designing novel interventions, ensuring clear aims and effective management. Originality/value: The service under study was novel, and may be useful in facilitating successful transfer from, or preventing admission to, secure services. (Publisher abstract)
Audit of transfers under the Mental Health Act from prison: the impact of organisational change
- Authors:
- ISHERWOOD Sarah, PARROTT Janet
- Journal article citation:
- Psychiatric Bulletin, 26(10), October 2002, pp.368-370.
- Publisher:
- Royal College of Psychiatrists
This audit describes the change in the number of referrals of prisoners and the delay in transfer to hospital under the Mental Health Act following a change in the prison health care provision. Results found an increase in the number of prisoners transferred. Both transfers under Section 48 of the Mental Health Act and the proportion of transfers to high security increased. The average delay in transfer remained lengthy with a trend of increasing delay with increasing level of placement security. Despite Government policies to facilitate the transfer of mentally disordered offenders, the study found an increase in the delay to hospital compared with previous audits.
Outcome of psychiatric admission through the courts
- Authors:
- JAMES David, et al
- Publisher:
- GREAT BRITAIN. Home Office. Research, Development and Statistics Directorate
- Publication year:
- 2002
- Pagination:
- 130p.,bibliog.
- Place of publication:
- London
This study examined, in detail, what happened to people admitted to psychiatric hospitals through court diversion schemes. It examined what effect the patients had on the receiving hospitals; what health benefit they achieved from admission; whether they remained in care; and whether admission through the courts appeared to have any effect upon readmission and reconviction rates. In particular, the study examined whether those admitted from the courts fared any better or worse than those admitted from the community. Without such a comparison, there would have been no context in which to set the findings in admissions from court, and no framework within which to reach meaningful conclusions.
An empirical model of therapeutic process for psychiatric emergency room clients with dual disorders
- Authors:
- LONECK Barry, et al
- Journal article citation:
- Social Work Research, 26(3), September 2002, pp.132-144.
- Publisher:
- Oxford University Press
Many individuals with dual disorders of mental illness and substance abuse enter the mental health system through psychiatric emergency rooms (PER's) but may resist treatment and not follow through with referrals to services. This article examines the impact of therapeutic process on referral outcome. Outcome was successful if clients attended all referral appointments. The authors found that therapist warmth and friendliness had a positive association with working alliance, which, in turn, was associated with successful referral. Paradoxically, there was a negative relationship between warmth and friendliness and success. Analysis demonstrated that, for a given level of warmth and friendliness, there must be a correspondingly higher level of working alliance to be associated with success.