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Where next?: new directions in in-patient mental health services for young people; report 1 different models of provision for young people; facts and figures
- Authors:
- STREET Cathy, SVANBERG Jenny
- Publisher:
- YoungMinds
- Publication year:
- 2003
- Pagination:
- 51p.,bibliog.
- Place of publication:
- London
Looks at issues emerging, and views from young people, parents and staff. Different Models of provision for young people: facts and figures, the background context to the study is set out, along with the study design and methodology and the conclusions and recommendations arising from the research. One chapter describes the sample in-patient units, including for each the challenges they identified in providing services and their plans for the future. Another presents a range of different models for providing support to young people with mental health difficulties on a residential basis. These include a service designed to fill the gap between adolescent and adult psychiatry and one set up for young people with early onset psychosis. The report also discusses the learning from the study on how to consult with young people about mental health services and includes an appendix summarising useful literature on this issue.
Care needs of elderly people with schizophrenia: assessment of an epidemiologically defined cohort in Scotland
- Authors:
- McNULTY Seamus V., et al
- Journal article citation:
- British Journal of Psychiatry, 182(3), March 2003, pp.241-247.
- Publisher:
- Cambridge University Press
Little is known of the needs of elderly patients with psychotic illnesses. The aim of this artilce was to measure the care needs of an epidemiologically based group of patients over the age of 65 years suffering from psychotic illness, using a standardised assessment. All patients aged 65 years and over with a diagnosis of schizophrenia and related disorders from a defined catchment area were identified. Their health and social care needs were investigated using the Cardinal Needs Schedule. The 1-year prevalence of schizophrenia and related disorders was 4.44 per 1000 of the population at risk. There were high levels of unmet need for many patients, including those in National Health Service (NHS) continuing-care beds. Many needs were identified, all of which could be addressed using the existing skills of local health and social care professionals. The investigation raises serious concerns about standards of hospital and community care for elderly patients with schizophrenia. The findings may be unique, reflecting long-standing problems within a particularly hard-pressed part of the NHS. However, it is not known whether a similar situation exists in other parts of the UK.
Acute wards: problems and solutions: a rehabilitation approach to in-patient care
- Author:
- DAVENPORT Sarah
- Journal article citation:
- Psychiatric Bulletin, 26(10), October 2002, pp.385-388.
- Publisher:
- Royal College of Psychiatrists
Describes rehabilitation principles and some specialised practice that could usefully inform the provision of acute in-patient care.
The drugs don't work
- Author:
- WADDELL Helen
- Journal article citation:
- Community Care, 19.09.02, 2002, p.26.
- Publisher:
- Reed Business Information
Psychiatric service users and mental health professionals have long debated the merits of therapy as opposed to medication, or at the very least therapy in addition to psychiatric drugs. And with the safety of so-called "clean" SSRI (selective serotonin re-uptake inhibitor) antidepressant drugs being brought into question by users and professionals, the need for effective, client-focused rather than "clock-focused" therapies seems ever more important.
Behind closed doors: acute mental health care in the UK: the current state and future vision of acute mental health care in the UK
- Authors:
- RETHINK, et al
- Publisher:
- Rethink
- Publication year:
- 2004
- Pagination:
- 23p.
- Place of publication:
- London
This report reveals that, despite some 650 national strategies, guidelines, frameworks and protocols issued by the government over the last five years, much still needs to be done to improve the harrowing conditions under which some of society’s most vulnerable people are treated. The report found that there are too many people in our psychiatric units, particularly those – like the psychiatric intensive care units (PICUs), that work with those most severely ill. The report shows, that there is a crisis in psychiatric in-patient care with wards over-crowded, treatment taking place in “bleakness and squalor” and staff left feeling demoralised and unsupported. The report also highlights developments that may improve this situation.
Where next?: new directions in in-patient mental health services for young people; report 2
- Authors:
- SVANBERG Jenny, STREET Cathy
- Publisher:
- YoungMinds
- Publication year:
- 2003
- Pagination:
- 42p.
- Place of publication:
- London
Views from young people, parents and staff as much as possible quotes from those who were interviewed for the study are used to illustrate the issues raised by the research. The issues are clustered into four main phases of contact with in-patient CAMHS: issues before admission; the admission process; issues during stay and discharge and after. Throughout the report, checklists are presented that will be of value to practitioners working with young people who require in-patient care and treatment. These include what young people want to know on admission, the views of older adolescents towards their involvement in their care and what young people identified as helpful aspects of care. One chapter also draws together all the things identified by young people that can help to make the experience of admission to an in-patient unit more positive.
Institutionalisation and schizophrenia in Japan: social environments and negative symptoms
- Authors:
- OSHIMA Iwao, MINO Yoshio, INOMATA Yoshimasa
- Journal article citation:
- British Journal of Psychiatry, 183(7), July 2003, pp.50-56.
- Publisher:
- Cambridge University Press
The number of psychiatric beds per capita in Japan is the highest in the world, and a replication of earlier British research is needed to identify possible means of improving the mental health system. The aim of this article is to describe the current situation of psychiatric hospitals in Japan and to examine the relationship between negative symptoms of schizophrenia and social environments. In-patients with schizophrenia were randomly selected from 139 hospitals. Data were obtained for 2758 participants using several scales, including the Manchester Scale and social environment scales. Negative symptom scales showed a significant correlation with understimulating social environments in hospitals. This study confirms the results from the UK and provides evidence for the importance of community-based care and for providing more-stimulating rehabilitation environments.
Perceptions of problems and needs for service Among Middle-Aged and Elderly Outpatients with schizophrenia and related psychotic disorders
- Authors:
- AUSLANDER Lisa A., JESTE Dilip V.
- Journal article citation:
- Community Mental Health Journal, 38(5), 2002, pp.391-402.
- Publisher:
- Springer
In this article the authors examined the perceived problems and needs for services among 72 middle-aged and elderly outpatients with schizophrenia and related psychotic disorders. The survey questionnaire included 50 Likert scaled items involving everyday functioning skills, health, clinical symptoms, and social skills. Subjects assigned the highest priority to physical health and memory. Other areas of high priority were: social functioning, education about their own mental illness, and improvements in sleep and mood. Reducing frequency of psychiatric hospitalization, and drug or alcohol rehabilitation received low priority. Focused interventions targeting health-related and social issues are needed in older patients with schizophrenia.
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.
Meeting of minds: best practice case studies in mental health services
- Author:
- NATIONAL INSTITUTE FOR MENTAL HEALTH
- Publisher:
- National Institute for Mental Health
- Publication year:
- 2002
- Pagination:
- 46p.
- Place of publication:
- London
Contains examples of best practice of partnership working in the implementation of mental health policy. The establishment of the National Institute for Mental Health presents an opportunity to reshape services and practice in line with the evidence base. The 'Meeting of minds' project represents some of the wide range of joint NHS and industry initiatives that have been developed through the foresight of those working in mental health.