Search results for ‘Subject term:"mental health problems"’ Sort:
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Introduction to adult mental health services
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2012
- Pagination:
- 12p.
- Place of publication:
- London
This briefing paper provides an overview of the adult mental health system. and the legislation and guidance that covers the structure and delivery of services. It includes details of key legislation; different ways of working, including care pathways and approaches; commonly used interventions; and general information about mental disorders. It also covers the importance of setting effective protocols for working together. The briefing is aimed at people who have little or no experience in adult mental health services.
Thematic review of family therapy journals 2011
- Author:
- CARR Alan
- Journal article citation:
- Journal of Family Therapy, 34(4), November 2012, pp.431-451.
- Publisher:
- Wiley
In 2011 there was some expansion of the evidence base for systemic practice with child-focused and adult-focused problems, couples problems and family therapy conducted in medical and military contexts. There were important developments in the areas of integrative systemic practice models, competency-based training and real world research on the cost effectiveness and comparative effectiveness of family therapy. In this article the contents of the principal English-language family therapy journals published in 2011 are reviewed under these headings: child-focused problems, adult-focused problems, couples therapy, medical family therapy, military family therapy, theory, research, training, the new Journal of Couple and Family Psychology and Human Systems twenty-first anniversary.
Application of DC-LD to an intellectual disability population
- Authors:
- TULLY John, SCHIRLIU Diana, MORAN Maria
- Journal article citation:
- Advances in Mental Health and Intellectual Disabilities, 6(5), 2012, pp.259-264.
- Publisher:
- Emerald
The Diagnostic Criteria for Psychiatric Disorders for Use with Adults with Learning Disabilities/Mental Retardation (DC-LD), introduced in 2003, was designed to improve accuracy of diagnosis in individuals with intellectual disability. An Irish study aimed to investigate its usefulness in a clinical setting. It involved interviews and review of chart notes with a sample of 50 patients within an intellectual disability service. This article describes the study methodology and results, and discusses the findings. It reports that there was considerable discrepancy between the rates of psychiatric diagnoses after application of DC-LD and rates of previously documented diagnoses within the sample, and that use of DC-LD led to the reclassification of many previously documented diagnoses, mainly as behavioural disorders. It concludes that the study adds to the evidence regarding the usefulness of the criteria, and highlights the shortcomings of non-systematic methods of diagnosis.
Health and social functioning of adults with intellectual disability and autism
- Authors:
- UNDERWOOD Lisa, et al
- Journal article citation:
- Journal of Policy and Practice in Intellectual Disabilities, 9(2), June 2012, pp.147-150.
- Publisher:
- Wiley
This brief report considers the mental health needs of adults with intellectual disability (ID) and autism spectrum disorders (ASDs). The study aimed to compare adults with ID and ASD receiving specialist mental health services with participants without ASD. The participants were 371 service users from a specialist, community-based mental health services for adults in South East London. Data were collected from a review of anonymised case records. A total of 117 of these participants (32%) had a clinical diagnosis of ID and ASD. Participants with ASD were younger, more likely to be male, less likely to live independently and had more severe ID than those without ASD. Furthermore, those with ID and ASD were less likely to be diagnosed with a psychiatric disorder but had significantly lower health and social functioning than those without ASD. The findings show that a significant proportion of adults with ID who are in receipt of specialist mental health services also have a clinical diagnosis of ASD. This group has different mental health needs compared with those without ASD.
Mental health outcomes for adults in family foster care as children: an analysis by ethnicity
- Authors:
- VILLEGAS Susy, PECORA Peter J.
- Journal article citation:
- Children and Youth Services Review, 34(8), August 2012, pp.1448-1458.
- Publisher:
- Elsevier
The adult mental health outcomes of maltreated children placed in foster care have not been fully examined across diverse ethnic groups. While data on transitioning youth and young adults has emerged, the impact of ethnicity on adult mental health outcomes has been studied infrequently. Given the overrepresentation of ethnic minority children in foster care, this study examined the relationship between ethnicity and mental health outcomes for a nationally representative sample of 574 white, 123 African American and 113 Hispanic adults in the United States who experienced family foster care as children. Findings indicated that ethnicity was not a significant predictor of adult mental health. However, gender, age of entrance into child welfare, maternal mental health, maltreatment while in care, number of placements, and degree of preparation for leaving care were associated significantly with the adult's mental health outcomes. Implications for research and social work practice are discussed.
Listening to older adult parents of adult children with mental illness
- Author:
- SMITH Judith R.
- Journal article citation:
- Journal of Family Social Work, 15(2), March 2012, pp.126-140.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Current knowledge about the conflicts of older parents with dependent children is underdeveloped. This qualitative study investigated the experience of women age 55 and older who were parents caring for adult children with mental illness. All participants were from Rockland County, New York. Analysis of the women's stories about parenting in later life suggested that they had two sets of feelings – wanting to be free from the responsibility of caregiving and feeling responsible to continue the support and protection of their adult vulnerable children. The women's conflicts were considerable and were founded in the ideational themes of the narratives, as well as the structure of how the narratives were spoken. A discussion details the relevance of the theory of ambivalence for clinical practice when working with older women who are caregivers for their adult dependent children.
Age differences in symptom expression in patients with major depression
- Authors:
- HYBELS Celia F., LANDERMAN Lawrence R., BLAZER Dan G.
- Journal article citation:
- International Journal of Geriatric Psychiatry, 27(6), June 2012, pp.601-611.
- Publisher:
- Wiley
Symptom expression was compared in middle-aged (below 60) and older (60+) depressed patients to determine whether symptom profiles differed by age. Patients diagnosed with major depression (N=664) were screened using the Center for Epidemiologic Studies Depression scale and sections of the Diagnostic Interview Schedule. They were separated into homogeneous clusters based on symptom endorsement. Older patients were less likely to endorse crying spells, sadness, feeling fearful, being bothered, or feeling life a failure but were more likely to endorse poor appetite and loss of interest in sex. Older patients were also less likely to report enjoying life, feeling as good as others, feeling worthless, wanting to die, and thinking about suicide. Profiles supported heterogeneity in symptom expression. Clusters differed by age when other demographic, clinical, health, and social variables were controlled but did not support age-specific symptom profiles. Overall, older patients had later age of onset, had fewer lifetime spells, were more likely to have received electroconvulsive therapy (ECT), and were less likely to have comorbid anxiety. Older patients also had more cognitive impairment, health conditions, and mobility limitations but had higher levels of subjective social support and had experienced fewer stressful life events. It appears that there are age differences in symptom endorsement; however the data did not support a symptom profile unique to late-life depression.
An examination of the needs of older patients with chronic mental illness in public mental health services
- Authors:
- FUTERAN Shuli, DRAPER Brian M.
- Journal article citation:
- Aging and Mental Health, 16(3), April 2012, pp.327-334.
- Publisher:
- Taylor and Francis
Meeting the needs of patients is likely to influence their experienced quality of life. The aim of this study was to describe the needs of patients aged 50 years and over with chronic mental illness being case managed within a public mental health service, and to determine factors that influence these needs. The participants were 97 patients recruited from community-based Adult Mental Health (AMH) teams and Specialist Mental Health Services for Older People (SMHSOP) teams. Eligibility criteria included a diagnosis of schizophrenia or mood disorder. Patient, carer and key worker interviews were carried out using the Camberwell Assessment of Need for the Elderly (CANE). The findings showed that patients self-rated fewer needs overall on the CANE than their key workers or the researcher, and also rated a higher proportion of their needs being met (83%) than the key worker (77%) or researcher (76%). From each perspective, over 80% of psychiatric and around 95% of identified medical needs were being met. The majority of social needs were unmet, with patients reporting only 42%, and key workers only 33%, met needs. The key unmet social needs were company, daily activities and having a close confidant. The article concludes that the social needs of older patients with chronic mental illness require greater attention by public mental health services.
Interdisciplinary working in mental health
- Author:
- BAILEY Di
- Publisher:
- Palgrave Macmillan
- Publication year:
- 2012
- Pagination:
- 256p.
- Place of publication:
- Basingstoke
This book presents a model for interdisciplinary working, and offers an overview of practice and policy across a range of mental health settings. It explores how to combine skills, theories and expertise from a range of disciplines in response to the diverse needs of service users, from children to older people, and those with complex needs. Chapters include: the evolution of interdisciplinary working: definitions and policy context; models and values for interdisciplinary working in mental health; interdisciplinary working and the mental health legislation; interdisciplinary care planning in mental health; interdisciplinary risk assessment planning and management; involving people who use services in interdisciplinary working in mental health; interdisciplinary working with people with mental health problems in primary care; interdisciplinary working with children and young people with mental health problems; interdisciplinary working with older adults with mental health needs; interdisciplinary working with individuals with complex needs; interdisciplinary education and training; and managing interdisciplinary working and practice in mental health.
Incremental validity of stressful life experiences in predicting psychiatric comorbidity among women in substance abuse treatment
- Authors:
- TAYLOR Rebecca D., BISWAS Bipasha, VAUGHN Michael G.
- Journal article citation:
- Journal of Social Service Research, 38(3), 2012, pp.382-391.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Adolescence and young adulthood has been well recognised as a period of transition where young people are expected to navigate a series of complex developmental tasks. Yet, the dynamic contribution of stressful life experiences in predicting psychiatric comorbidity continues to challenge clinical practice and research. This study tested incremental validity of stressful life experiences related to psychiatric comorbidity among 128 young women in a US Midwestern substance abuse treatment facility. Respondents reported low income, homelessness, and health and mental health issues. Using the Addiction Severity Index (ASI), Diagnostic and Statistical Manual of Mental Disorders-Fourth Edition, Text Revision, and Stressful Life Experience (SLE) Screen as correlates, hierarchical linear regression demonstrated support for incremental validity of SLE uniquely accounting for 6.5% of variance in ASI psychiatric scores. The authors concluded that the findings supported future use of SLE in clinical settings for assessment and intervention purposes.