Search results for ‘Subject term:"mental health problems"’ Sort:
Results 1 - 10 of 33
Brief report: excessive alcohol use negatively affects the course of adolescent depression: one year naturalistic follow-up study
- Authors:
- MERIRINNE Esa, et al
- Journal article citation:
- Journal of Adolescence, 33(1), February 2010, pp.221-226.
- Publisher:
- Academic Press
In this study, the researchers aimed to clarify the impact of the core alcohol use phenomenon of drunkenness-oriented drinking, in terms of weekly drunkenness, on the course of adolescent unipolar depression and psychosocial functioning, in a 1 year follow-up study of depressed adolescent patients referred from schools, health care centres and social and family counselling services to adolescent psychiatric outpatient clinics in Finland. The authors conclude that excessive alcohol use (defined as weekly drunkenness) seems to negatively affect the course of depressive symptoms and, even after a year, psychosocial functioning, and that treatments designed to reduce alcohol use seem to be justified along with depression treatment, but that intervention studies are needed to evaluate the best approach.
Dealing with it
- Author:
- HART Sam
- Journal article citation:
- Druglink, 25(2), March 2010, pp.16-17.
- Publisher:
- Drugscope
- Place of publication:
- London
Although the number of young people accessing specialist drug services has risen to 25,000 a year, only a small minority of under-25s are classified as problem drug users. This article explains that this does not mean that those using the drugs are themselves problem free. A new DrugScope report, Young People’s Drug and Alcohol Treatment at the Crossroads, has highlighted that for most young people accessing services, drug use is just one of a cluster of other issues such as mental health problems, lack of training and education, and involvement with the criminal justice system. Drug use is more a symptom of their chaotic lifestyles than an isolated problem. This article includes viewpoints of the young people who were interviewed for the DrugScope report.
Dual diagnosis and drinking behaviors in an outpatient treatment seeking sample of adolescents with alcohol use disorders
- Authors:
- DEAS Deborah, et al
- Journal article citation:
- Journal of Dual Diagnosis, 2(1), 2005, pp.47-57.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Co-occurring psychiatric disorders are common in adolescents with substance abuse. This American study examined this relationship to investigate whether certain psychiatric disorders impact severity of drinking behaviours in adolescents with alcohol use disorders. Thirty four outpatient adolescents with alcohol use disorders for comorbid psychiatric disorders using the K-SADS were examined. Their drinking behaviour patterns were examined using the Time-Line Follow-Back. The alcohol drinking parameters were (1) drinks per drinking day (DDD), (2) percent heavy drinking days (PHD), (3) percent heavy drinking days when drinking (PHDD), and (4) percent days abstinent (PDA). Results revealed no significant effect of either ODD or any mood/anxiety disorder on drinking indices; MANOVA revealed a significant effect of ADHD diagnosis. Univariate analysis showed that for all four drinking indices, the group with ADHD had more severe alcohol use. The results suggest that adolescents with ADHD who meet diagnostic criteria for alcohol use disorders have greater drinking severity than those without ADHD. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).
Comorbid psychiatric disorders and alcohol-related injury among adolescents and young adults treated in emergency departments
- Authors:
- KELLY Thomas M., et al
- Journal article citation:
- Journal of Dual Diagnosis, 2(1), 2005, pp.27-46.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This study investigates the prevalence and comorbidity of psychiatric disorders among 215 patients aged 12-20 years-old treated in emergency departments in the United States; and to determine whether young people with specific comorbid psychiatric disorders are at greater risk for alcohol-related medical events than their peers. Comprehensive psychiatric interviews were conducted with participants outside the emergency department. Latent class analysis was used to determine participant clusters based on DSM-IV psychiatric diagnoses and emergency treatment for an alcohol-related medical event as indicator variables, while controlling for covariates. A three-cluster model: (1) n = 90, 42%; (2) n = 65, 31%; and (3) n = 57 (27%) provided the best fit to the data. None of the participants in Cluster 1 were treated for alcohol-related events. All members of Cluster 2 were treated for alcohol-related events but only 23% were diagnosed with an alcohol use disorder. Thirty-two members of Cluster 3 (56%) were treated for alcohol-related events and Cluster 3 members were significantly higher than members of Clusters 1 and 2 on rates of: (1) alcohol use disorders, (2) drug use disorders, and 3) disruptive behaviour disorders. One group treated in the ED in this study is at low risk for alcohol-related injury. Conversely, one at risk-group may require brief interventions of low intensity while the other at-risk group displays high rates of comorbid psychiatric disorders and frequently engages in risk-taking behaviours, placing them at highest-risk for experiencing alcohol related injuries. Reduction of alcohol-related injuries in young drinkers depends on differentiating high and low risk drinkers in the emergency department and providing, or referring them to appropriate treatment. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).
Parental physical force and alcohol use in emerging adults: mediation by psychological problems
- Authors:
- POLLARD Mary Ward, MCKINNEY Cliff
- Journal article citation:
- Journal of Interpersonal Violence, 34(10), 2019, p.2087–2109.
- Publisher:
- Sage
Research has indicated that negative parenting practices, such as physical punishment, are associated with negative outcomes in children. These negative outcomes can present during childhood and during emerging adulthood. One negative consequence can be excessive alcohol use, a problematic outcome with its own myriad consequences. The goal of the current study was to examine the effects of parental physical force on emerging adult functioning, specifically alcohol and psychological problems. A sample of 488 young adults completed questionnaires on current perceptions related to alcohol-related problems, physical and psychological aggression by their parents experienced during the previous year, and current emotional and behavioural functioning. Results showed full mediation between paternal physical force and emerging adult alcohol problems by emerging adult psychological problems. Emerging adult psychological problems partially mediated the effect of maternal physical force on emerging adult alcohol problem. Gender did not moderate these effects. The results support existing literature suggesting that the use of parental physical force may lead to a chain reaction of problems, even during emerging adulthood. These results also reveal that emerging adults report currently receiving physical force from their parents, which brings to light a concerning lack of literature on the use of parental physical force on emerging adult children. These results advocate for positive parenting practices and efforts to teach them, even for emerging adult children. The results may also clinically suggest that paying attention to parental force in emerging adult clients could yield a better understanding of their current functioning, especially including excessive alcohol use. (Edited publisher abstract)
Specialist substance misuse treatment for young people in England 2013-14
- Author:
- PUBLIC HEALTH ENGLAND
- Publisher:
- Public Health England
- Publication year:
- 2015
- Pagination:
- 8
- Place of publication:
- London
Contains statistics on specialist substance misuse treatment for young people in England during 2013 to 2014. The data show how the specialist substance misuse services in England continue to respond to the needs of young people who have alcohol and drug problems. These services intervene to help young people overcome their substance misuse problems and prevent them from becoming problematic users in adulthood. Figures from the report reveal that: 19,126 young people received help for alcohol or drug problems; 71 per cent had cannabis as their main problem drug; and 79 per cent of young people left services having successfully completed their treatment. (Edited publisher abstract)
Examination of the role of therapeutic alliance, treatment dose, and treatment completion in the effectiveness of The Seven Challenges
- Authors:
- KORCHMAROS Josephine D., STEVENS Sally J.
- Journal article citation:
- Child and Adolescent Social Work Journal, 31(1), 2014, pp.1-24.
- Publisher:
- Springer
Adolescent alcohol and illicit drug (AOD) use is a major public health concern. This longitudinal study examines the effectiveness of The Seven Challenges in reducing adolescent substance use and mental health problems, as well as the process by which it is effective. Participants were 89 adolescents (72 male, 17 female) enrolled in a 3 month intensive outpatient adolescent substance abuse treatment programme using The Seven Challenges and who provided self-report data at pre- and post-treatment. Results indicated that The Seven Challenges was effective at increasing the number of days refrained from using AOD, reducing use of tetrahydrocannabinol (THC) and other drugs, and reducing substance use problems and internal mental distress. Results also indicated that The Seven Challenges drug counsellors effectively established and maintained therapeutic alliance but this seems to not play a role in the effectiveness of The Seven Challenges. Both treatment dose and completion played a role in the effectiveness of The Seven Challenges; they were both positively related to post-treatment days refrained from AOD use, and negatively related to days of THC use, substance use problems, and internal mental distress. However, the strength of the influence of treatment completion was stronger when treatment dose was low than when it was high. Despite a small sample and other limitations, findings add to existing literature that suggests that The Seven Challenges is an effective substance abuse treatment for adolescents. Furthermore, findings suggest that adolescent substance abuse treatment should focus on clients meeting pre-determined programme goals as well as on dose. (Edited publisher abstract)
The mental health of veterans: executive briefing
- Author:
- MENTAL HEALTH FOUNDATION
- Publisher:
- Mental Health Foundation
- Publication year:
- 2010
- Pagination:
- 8p., bibliog.
- Place of publication:
- London
Many veterans (ex-members of the armed forces) who develop mental health problems experience a common mental disorder such as depression or anxiety, with a smaller number being diagnosed with post traumatic stress disorder. Veterans also experience a high rate of alcohol abuse, which can be linked to mental health problems. Post-deployment reservists appear to be at a greater risk of developing psychiatric problems than regular service personnel, and younger men who have served for a relatively short period are at higher risk of suicide and are more likely to experience problems returning to civilian life. Many veterans do not seek help for their problems, partly because of the stigma attached to mental illness, or because they lack confidence that civilian health professionals will understand the military context. More needs to be done both in terms of understanding the origins and range of mental health problems that veterans may have, and providing accessible and appropriate services.
Prevalence and timing of diagnosable mental health, alcohol, and substance use problems among older adolescents in the child welfare system
- Authors:
- KELLER Thomas E., SALAZAR Amy M., COURTNEY Mark E.
- Journal article citation:
- Children and Youth Services Review, 32(4), April 2010, pp.626-634.
- Publisher:
- Elsevier
This paper examines the frequency of post traumatic stress disorder (PTSD), major depression, and alcohol and drug misuse diagnoses assessed within a structured clinical interview protocol in a population-based, multi-state, age cohort of older adolescents about to transition from the child welfare systems. PTSD, being the most common diagnosis, was observed at rates above those seen in the general population, with rates of specific diagnoses varying according to gender, race, type of child welfare placement, and state of residence. In general, young African American people and those in kinship family foster care were less likely to have mental health and substance use problems. Analysis of the timing of onset relative to entry into care showed that young Caucasians’ were more likely to have diagnoses before entry into state custody, and race differentials were less pronounced for diagnosis after placement in foster care. The authors conclude that the observed state-to-state differences are suggestive that age of entry into care, and the likelihood of pre-existing mental health and substance use, could be attributable to child welfare policies regarding screening and placement.
Exploration of local variations in the use of anti-social behaviour tools and powers
- Authors:
- COOPER Christine, et al
- Publisher:
- Great Britain. Home Office
- Publication year:
- 2009
- Pagination:
- 37p.
- Place of publication:
- London
This study shows that there are variations in the use of tools and powers by different Crime and Disorder Partnerships (CDRPs). This is primarily because there are specific issues that dictate the way anti-social behaviour (ASB) is addressed in different localities, arising from differences in the demography and deprivation levels of the areas and the structures for multi-agency working. There was a clear relationship between levels of intervention use and the perceived levels of ASB in the areas. The practitioners generally felt that these differences were not problematic, but reflected differences in their areas and their local communities. Indeed while there were variations between CDRPs in the extent that interventions were used, most employed a wide range. Nearly all reporting CDRPs used warning letters, Acceptable Behaviour Contracts (ABCs) and Anti-Social Behaviour Orders (ASBOs). The information for the study was collected through an online survey of ASB co-ordinators in CDRPs and a series of focus groups with ASB practitioners in local areas conducted by Ipsos MORI.