Search results for ‘Subject term:"mental health problems"’ Sort:
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Management of generalised anxiety disorder in adults: summary of NICE guidance
- Authors:
- KENDALL Tim, et al
- Journal article citation:
- British Medical Journal, 29.1.11, 2011, pp.279-281.
- Publisher:
- British Medical Association
Generalised anxiety disorder is characterised by worry and apprehension. The article summarises recent guidance on the management of generalised anxiety disorder. It draws on most recent recommendations for the updated guideline from the National Institute for Health and Clinical Excellence (NICE) on generalised anxiety disorder and panic disorder in adults.
The Brief Adult Assessment Scale: a validation study
- Authors:
- SMITH Michael A., et al
- Journal article citation:
- Research on Social Work Practice, 12(1), January 2002, pp.176-197.
- Publisher:
- Sage
The Brief Adult Assessment Scale (BAAS) is a multidimensional assessment scale designed for use by practitioners and researchers that measures the severity of client problems in 16 areas of adult personal and social functioning. This article describes the BAAS; provides information about its administration, scoring, and interpretation; and reports findings with regard to the psychometric characteristics of the scale. Data from 291 adult participants were collected and used to assess the scale's psychometric properties. Findings suggest that the BAAS has strong internal consistency, good factorial and content validities, and preliminary construct validity. Concludes that although further research must examine the scale's known-groups concurrent validity and clinical cutting scores, the BAAS appears to be appropriate for use by social workers as an aid to diagnosis, treatment planning, and evaluation.
The bounds of liberty: lessons learnt from treating a man with alcohol use disorder, autism and learning disability
- Authors:
- DRAKE Alexander C.L., et al
- Journal article citation:
- Tizard Learning Disability Review, 23(1), 2018, pp.27-34.
- Publisher:
- Emerald
Purpose: A man in his 40s with alcohol use disorder, learning disability and autism was referred to the learning disability team due to anxiety and low mood. He had been abstinent from alcohol for ten years prior to a recent relapse. The purpose of this paper is to describe his case. Design/methodology/approach: Treatment was person centred, followed standard practice for clients with alcohol use disorder and targeted harm minimisation. Initially, alcohol consumption reduced; however, at month three, he relapsed. Thereafter, he was repeatedly admitted to inpatient settings, drank excessively and engaged in risky behaviours. Findings: Conventional approaches to treating alcohol dependence may not be entirely appropriate for this client group. The client’s alcohol consumption was only curtailed with the use of restrictions to his liberty agreed by him and incorporated into his tenancy agreement. Originality/value: To the best of the authors’ knowledge, this is the first paper to discuss issues pertaining to people with co-occurring learning disability, autism and alcohol dependence. The authors discuss the use of restrictions, reasonable adjustments and policy issues relevant to treating this complex client group. (Publisher abstract)
Psychiatry and intellectual disabilities: navigating complexity and context
- Authors:
- JONES Jo, JEENKERI Kiran, CUTAJAR Peter
- Journal article citation:
- Journal of Mental Health Training Education and Practice, 12(4), 2017, pp.224-236.
- Publisher:
- Emerald
Purpose: The paper is a review, for the general adult mental health practitioner, of the issues to consider when managing a mental health presentation of a person with intellectual disability (PWID). The paper aims to discuss these issues. Design/methodology/approach: A neurodevelopmental model is outlined to assist practitioners in unravelling the wide range of potential factors relevant to intellectual disabilities (IDs). This includes an emphasis on complexity and interdisciplinary formulation within an individual’s context, and implications of the current policy changes. Findings: In practice, managing the mental health of PWID can be challenging within usual mainstream services; there is more to consider than is usual for the general population. Originality/value: The paper provides general mental health practitioners with a framework for a greater depth of understanding of the issues involved in the management of people with intellectual disability (ID). This includes discussion of the current policy context in ID, and some of its limitations. (Publisher abstract)
Rates of voluntary and compulsory psychiatric in-patient treatment in England: an ecological study investigating associations with deprivation and demographics
- Authors:
- KEOWN Patrick, et al
- Journal article citation:
- British Journal of Psychiatry, 209(2), 2016, pp.157-161.
- Publisher:
- Cambridge University Press
Background: Individual variables and area-level variables have been identified as explaining much of the variance in rates of compulsory in-patient treatment. Aims: To describe rates of voluntary and compulsory psychiatric in-patient treatment in rural and urban settings in England, and to explore the associations with age, ethnicity and deprivation. Method: Secondary analysis of 2010/11 data from the Mental Health Minimum Dataset. Results: Areas with higher levels of deprivation had increased rates of in-patient treatment. Areas with high proportions of adults aged 20–39 years had the highest rates of compulsory in-patient treatment as well as the lowest rates of voluntary in-patient treatment. Urban settings had higher rates of compulsory in-patient treatment and ethnic density was associated with compulsory treatment in these areas. After adjusting for age, deprivation and urban/rural setting, the association between ethnicity and compulsory treatment was not statistically significant. Conclusions: Age structure of the adult population and ethnic density along with higher levels of deprivation can account for the markedly higher rates of compulsory in-patient treatment in urban areas. (Publisher abstract)
Depression in adults quality standard: QS8
- Author:
- NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE
- Publisher:
- National Institute for Health and Care Excellence
- Publication year:
- 2011
- Place of publication:
- Manchester
This quality standard covers the assessment and clinical management of persistent subthreshold depressive symptoms, or mild, moderate or severe depression in adults (including people with a chronic physical health problem). It describes markers of high-quality, cost-effective care that, when delivered collectively, should contribute to improving the effectiveness, safety and experience of care for people with depression in the following ways: preventing people from dying prematurely; enhancing quality of life for people with long-term conditions; helping people to recover from episodes of ill health or following injury; ensuring that people have a positive experience of care; and treating and caring for people in a safe environment and protecting them from avoidable harm. (Edited publisher abstract)
Whole in one: achieving equality of status, access and resources for people with depression
- Authors:
- PAXMAN Jon, MANNING Julia
- Publisher:
- 2020 Health
- Publication year:
- 2015
- Pagination:
- 50
- Place of publication:
- London
This report focuses on depression in adults, with particular emphasis on access to NHS services and treatment, the funding of services, depression in the workplace, and the role of the National Institute for Health and Care Excellence (NICE). It draws on evidence from interviews and discussions with researchers and people living with depression or in supportive roles. The report questions the lack of diagnosis, treatment options and the apparent discrimination in availability of medicines, as well as the continued separation of mental health from physical health. The report sets out a series of recommendations aimed at: improving access to treatment and services; closing the funding gap; improving mental health in the workplace; and encouraging parity of esteem through NICE. (Edited publisher abstract)
Getting help and support for common mental health problems: understanding NICE guidance
- Author:
- NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE
- Publisher:
- National Institute for Health and Clinical Excellence
- Publication year:
- 2011
- Pagination:
- 15p.
- Place of publication:
- London
This guidance booklet from the National Institute for Health and Clinical Excellence addresses the care and treatment of adults with common mental health problems, including depression, generalised anxiety disorder, panic disorder, obsessive-compulsive disorder, post-traumatic stress disorder and social anxiety disorder, in the NHS in England and Wales. It is written for people experiencing common mental health problems but it may also be useful for their families or carers, or for anyone with an interest in common mental health problems. The booklet is designed to help in the understanding of the care and treatment options that should be available in the NHS. It does not describe common mental health problems, tests or treatments in detail. The booklet should be discussed with a member of the healthcare team. Sections include: common mental health problems; how can I get help for common mental health problems?; what should I expect to happen at an assessment?; what treatments might I be offered?; information for families and carers; explanation of technical words and terms; more information; about NICE.
Depression in adults with a chronic physical health problem: treatment and management
- Author:
- NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE
- Publisher:
- National Institute for Health and Clinical Excellence
- Publication year:
- 2009
- Pagination:
- 397p., bibliog.
- Place of publication:
- London
This draft national clinical practice guideline was commissioned by the National Institute for Health and Clinical Excellence (NICE) and developed within the National Collaborating Centre for Mental Health (NCCMH). The guideline is intended for adults with depression and chronic health problems and covers the care provided by primary, community, secondary, tertiary and other healthcare professionals who have contact with, and make decisions concerning the care of, adults with depression and chronic health problems. It makes recommendations for the treatment and management of people with depression and chronic health problems, starting with an introduction to the topic of depression and chronic physical health problems and an explanation of the methods used to develop the guideline, and then providing the evidence that underpins the recommendations about the treatment and management of people with depression and chronic health problems, including personal accounts from service users and carers offering an insight into their experience, and looking at the identification of depression in people with chronic physical health problems, service-led interventions, psychosocial interventions, and pharmacological interventions.
Psychiatric injustice? The therapeutic presumption of behaviour management in mental health law
- Author:
- KEYWOOD Kirsty
- Journal article citation:
- Journal of Adult Protection, 7(4), December 2005, pp.25-31.
- Publisher:
- Emerald
This article considers the management of difficult behaviours in adults with mental health problems. This article reviews the practical contexts in which behaviour management, which here covers sedation, seclusion and restraint, is used with adults with mental health problems and explores the legal justifications for these interventions. Although the justification for the management of challenging behaviours is frequently asserted (or more likely, presumed) to be therapeutic, a review of the research literature and recent case law casts doubt on the credibility of this therapeutic justification.