Search results for ‘Subject term:"mental health problems"’ Sort:
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Psychiatric evaluation of sexual abuse cases: a clinical representative sample from Turkey
- Authors:
- FIS Nese Perdahli, et al
- Journal article citation:
- Children and Youth Services Review, 32(10), October 2010, pp.1285-1290.
- Publisher:
- Elsevier
This research examined the characteristics of childhood sexual abuse cases referred for psychiatric evaluation in a university hospital in Turkey. Eighty three child sexual abuse cases referred between 2006 and 2010 were included. Findings indicated that two thirds of the victims were girls, and three quarters of the perpetrators were familiar. The most common type, 44%, of sexual abuse encountered was genital contact without penetration. All of the strangers were reported to legal authorities within 3 months whereas 77% were reported when offenders were familiar. Forty percent of the cases involving offending family members needed additional evaluation by social services, as opposed to 11% of cases with offenders who were not family members. Anxiety disorders and adjustment disorder were the most common psychiatric diagnoses. Family counselling for possible risk factors, child protection, and prevention of further abuse was provided for all cases. The authors concluded that the data was similar to western studies. Because of the significant impact on the victim, publishing data and emphasising the topic of child sexual abuse should help facilitate recognition and management of such cases.
Using an assessment tool for mental health team referrals
- Author:
- MOUNTFORD Lawrence
- Journal article citation:
- Nursing Times, 1.6.04, 2004, pp.38-40.
- Publisher:
- Nursing Times
Describes the use and evaluation of the Threshold Assessment Grid (TAG) developed to define severe mental illness and identify a client's suitability to be treated by secondary mental health services. The tool was implemented into an integrated mental health team.
Developing a mental health triage service in primary care
- Author:
- SAWYER Simon
- Journal article citation:
- Nursing Times, 4.12.07, 2007, pp.28-29.
- Publisher:
- Nursing Times
This article describes the development of a mental health triage service that was rolled out across Gloucestershire between June 2004 and January 2007. The service was provided directly to clients with common mental health problems. The article focuses on the first cluster of GP surgeries to be covered in the Cheltenham. It outlines the success in improving access to service users to appropriate and timely assessment as well as reducing referrals from GPs to specialist mental health services.
A survey of referrers' satisfaction with a regional forensic psychiatric service: what do they want?
- Authors:
- PAPANSTASSIOU M., et al
- Journal article citation:
- Psychiatric Bulletin, 27(3), March 2003, pp.96-98.
- Publisher:
- Royal College of Psychiatrists
The perceptions and expectations by referrers of assessments performed by a medium secure unit were examined in order to ascertain areas for possible improvement. All referrals to two teams at the North West Thames Regional Secure Unit were monitored over a 6-month period. A self-report questionnaire was sent to each referrer, in cases where an assessment and forensic report had been completed. Assessments and forensic reports were completed (and questionnaires sent to referrers) in 63% of total referrals (32 out of 51). The response rate to the questionnaire was 81% (26 out of 32). Many referrers wanted the assessments and report to be completed in 2 weeks. Most referrers were satisfied with the quality of the report received and the majority were happy with the risk assessment. Referrers want forensic assessments to be of a high quality and to be performed quickly. Recommendations for service development are suggested.
Mental Health: the role of the approved social worker
- Author:
- SHEPPARD Michael
- Publisher:
- University of Sheffield. Joint Unit for Social Services Research, Community Care
- Publication year:
- 1990
- Pagination:
- 169p., tables, bibliog.
- Place of publication:
- Sheffield
Approved social workers as gatekeepers; assessment for compulsory admission; a schedule for assessing compulsory admission; the role of the ASW in context.
General practitioners’ assessment of, and treatment decisions regarding, common mental disorder in older adults: thematic analysis of interview data
- Authors:
- STRACHAN Jennifer, YELLOWLEES Gill, QUIGLEY April
- Journal article citation:
- Ageing and Society, 35(1), 2015, pp.150-168.
- Publisher:
- Cambridge University Press
Primary and secondary care services are charged with failing to adequately detect and treat mental disorder in older adults due to the ‘understandability phenomenon’; the belief that mental disorder in old age is inevitable and therefore not worthy of intervention. Quantitative data appear to support this hypothesis but lack the explanatory power of detailed accounts. Nine general practitioners (GPs) participated in group interviews about their assessment and treatment of older patients, and their expectations and experience of referral to secondary care. Resulting transcripts were subject to Thematic Analysis. Respondents recognised the unique features of these clients, and their impact on the detailed, recursive processes of assessment, clinical decision-making and intervention. GPs described confidence in managing most cases of mental disorder, describing the role of secondary care as one of consultancy in extreme or unusual cases. GPs did view mental disorder as commonly originating in adverse circumstances, and queried the validity of pharmacological or psychological interventions in these cases. They did not, however, equate understandability with acceptability, and called for social interventions to be integrated with health-care interventions to tackle the cause of mental disorder in older adults. At a wider level, findings highlight the discrepancy between assumptions about GP attitudes and actions, and their own accounts. At a local level, findings will assist in focusing secondary care service development where need is perceived, into consultancy and training. (Publisher abstract)
Programs for children of parents who have a mental illness: referral and assessment practices. “One size fits all”?
- Authors:
- STEER Sharron, REUPERT Andrea, MAYBERY Darryl
- Journal article citation:
- Australian Social Work, 64(4), December 2011, pp.502-514.
- Publisher:
- Taylor and Francis
A range of programmes have been developed to address the needs of children whose parents have a mental illness. However, the risk exposure and developmental outcomes for these children will vary, and it is important to identify the children at greatest risk of adverse outcomes. This study sought to ascertain how children are referred to these support programmes and subsequently assessed, if at all, prior to programme entry. Semi-structured interviews were held with 20 programme coordinators, responsible for 19 intervention programmes across Australia, regarding referral and assessment practices. The findings showed that primarily children were identified for programme intervention from adult mental health agencies and schools. All coordinators cited parental mental illness as the main reason for referral. The coordinators relied on self-constructed questionnaires, referral information, or interviews with children and parents to ascertain children's suitability to programmes, their individual needs, and to build rapport. It was found that coordinators did not totally subscribe to a ‘one size fits all’ model of intervention, as a number of otherwise eligible children were excluded and some process refinements were made to programmes.
Training novices to make expert, occupationally focused, community mental health referral decisions
- Authors:
- HARRIES Priscilla, GILHOOLY Kenneth
- Journal article citation:
- British Journal of Occupational Therapy, 74(2), February 2011, pp.58-65.
- Publisher:
- Sage
An essential decision making skill that has to be learnt by occupational therapy students is the ability to prioritise referrals according to an individual's level of need. This is particularly necessary for community mental health services, where referral demand far exceeds service availability. This study used expert occupational therapists' referral prioritisation policies, derived from judgement analysis, to train novices in the skill of referral prioritisation. The policies chosen were those that supported occupationally focused practice. Thirty-seven final-year occupational therapy students at a large UK university were asked to prioritise a set of referrals, before and after being trained with graphical and descriptive representations of these experts' policies. Prior to training, the students overvalued the client's history of violence and undervalued the reason for referral and the diagnosis compared to the experts. Post-training, the policies were better matched. The effect of training was demonstrated by: more accurate prioritisation scores when matched with expert ratings on the same referrals, improved consistency on repeat referrals and higher group agreement. The authors suggest that decision training may be useful in promoting the type of service that aims to target clients' occupational needs in the field of community mental health.
Capacity assessments on medical in-patients referred to social workers for care home placement
- Authors:
- RIPLEY Sian, JONES Sarah, MACDONALD Alastair
- Journal article citation:
- Psychiatric Bulletin, 32(2), February 2008, pp.56-59.
- Publisher:
- Royal College of Psychiatrists
The aim was to investigate the feasibility of a clinical algorithm to assess capacity and examine the relationship between its results and the assessments of capacity by others involved in the decision of a patient to permanently enter a care home from a medical ward. A total of 23 patients out of 38 (60.5%, 95% CI 44–77) had some mention of capacity in any type of record (medical, social work or nursing). At formal assessment 47% of older patients lacked capacity. The absence of any recorded assessment in at least a third of patients is worrying, given the importance of the decision to the patients’ lives and their financial status. It is to be hoped that the implementation of the Mental Capacity Act (2005) will rectify this situation.
Adolescent units: a need for change?
- Authors:
- CALTON Tim, ARCELUS Jon
- Journal article citation:
- Psychiatric Bulletin, 27(8), August 2003, pp.292-294.
- Publisher:
- Royal College of Psychiatrists
The aim of this article is to describe the characteristics and diagnoses of patients admitted to a general adolescent psychiatric inpatient unit. We describe the age, gender and psychiatric diagnosis of the patient, as well as whether the patient exhibited violent behaviour in the ward, whether he/she needed to be transferred to a different service and whether he/she was admitted under a section of the Mental Health Act 1983. Patients were evenly distributed in terms of gender, with most being 14-16 years old. Diagnoses were varied with adjustment disorder predominating, but could be separated into four main groups. Levels of violence were high, being associated with detention under the Mental Health Act 1983, and often resulted in transfer to another service. The needs of certain adolescents admitted to a general-purpose adolescent unit may not be best met in this environment. Current services must change to meet the needs of their patients. There may be a need for greater specialisation