Search results for ‘Subject term:"mental health problems"’ Sort:
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Tackling mental health crises
- Authors:
- KINGDON David, FINN Marie
- Publisher:
- Routledge
- Publication year:
- 2006
- Pagination:
- 249p.
- Place of publication:
- London
How can medical, psychological and social approaches to tackling crises be integrated? How best to manage clients who present in crisis is a vital but much neglected area of clinical practice. This book aims to provide a practical guide to combining social and psychological responses to mental health problems. The authors look at what constitutes a crisis, be it an individual crisis presentation or a situational crisis for services. They reject current diagnostic approaches to mental health, focusing instead on a symptom-led approach and keeping an awareness of the intervention experience for clients and carers throughout. Subjects covered include: engaging and assessing the client; risk assessment and management; emotional, behavioural, cognitive and physical presentations; and service teams and settings. The emphasis throughout is on taking a holistic look at crisis prevention and management, encompassing both the work that takes place at an individual level and the wider impact of societal and political issues.
Research into practice
- Author:
- LANGAN Joan
- Journal article citation:
- Community Care, 29.4.04, 2004, p.48.
- Publisher:
- Reed Business Information
Briefly reports on a research project into the involvement of mental health service users in risk assessment and risk management. A mental health trust interviewed 17 service users, 16 relatives and 56 professionals to find out how involved they felt in the process of risk management. Discusses the findings.
Risk management in mental health
- Author:
- PRATT David
- Journal article citation:
- Nursing Times, 21.6.01, 2001, pp.37-38.
- Publisher:
- Nursing Times
Risk assessment has been forced to the top of the mental health service agenda. Explores the ethical and clinical dilemmas this recent development poses for nurses.
Will they do it again: risk assessment and management in criminal justice and psychiatry
- Author:
- PRINS Herschel
- Publisher:
- Routledge
- Publication year:
- 1999
- Pagination:
- 171p.,bibliog.
- Place of publication:
- London
Considers issues around public protection from mentally disordered offenders within a broad context of risk in society generally, examining the concerns arising in contemporary society from dealing with uncertainty. Argues that public fear over the danger posed by people with mental health problems is at odds with the evidence and that much of the concern is focused on a small number of high profile cases. Goes on to examine such cases where their management has failed and sets out suggestions for improvements in practice.
Assessing and managing risk: practioner's handbook
- Author:
- MORGAN Steve
- Publisher:
- Pavilion
- Publication year:
- 1998
- Pagination:
- 105p.,bibliog.
- Place of publication:
- Brighton
Practical text aimed at people working in mental health services. Contains sections on: concepts of risk; risk assessment; risk management; service organisation; and accountability and resposbility. Includes appendices on: questionning someone about their risk potential; outline risk assessment format; and outline risk management plan.
Assessing risk of sex offenders with major mental illness: integrating research into best practices
- Authors:
- KELLEY Sharon M., THORNTON David
- Journal article citation:
- Journal of Aggression Conflict and Peace Research, 7(4), 2015, pp.258-274.
- Publisher:
- Emerald
Purpose: Sex Offenders with a Major Mental Illness (SOMMI) are doubly stigmatised, as these individuals are members of two highly marginalised social groups (Guidry and Saleh, 2004). Within each of these groups SOMMI only represent a small minority. For professionals seeking to base their practice in empirical research this has led to a significant problem since the literature related specifically to this group is both limited and hard to locate. Additionally, intensity of psychological risk factors varies as a function of psychiatric decompensation for some SOMMI making it hard to apply certain procedures that work with ordinary sexual offenders. The purpose of this paper is to provide a review of the relevant literature and recommendations for clinical practice that are responsive to the particular challenges posed by this unusual group of sexual offenders. Design/methodology/approach: The current paper provides a review of literature on risk factors for sexual recidivism and validity of current risk tools as it pertains to SOMMI. Recommendations for risk assessment with SOMMI are provided. Findings: The static actuarial tools appear to be useful with SOMMI. However, risk assessments measuring dynamic risk factors have poorer predictive validity. Additional factors that will need to be considered involve a possible higher recidivism rate for SOMMI and a variable relationship between major mental illness and sex offending with it sometimes predisposing, sometimes exacerbating existing risk factors, and sometimes mitigating risk. Originality/value: There is a paucity of research and guidance in assessment and risk management of SOMMI. The current paper is the first to thoroughly explore the efficacy of current sex offender risk assessment tools with SOMMI and provide structured guidance for making decisions about risk and risk management needs for this challenging population. (Edited publisher abstract)
Risk assessments for mental health service users: ethical, valid and reliable?
- Authors:
- LITTLECHILD Brian, HAWLEY Christopher
- Journal article citation:
- Journal of Social Work, 10(2), April 2010, pp.211-229.
- Publisher:
- Sage
The nature and basis of risk assessments in mental health services are considered based on empirical research on the tools used within NHS Mental Health Trusts in England which found a wide variety of such tools in use. The problems and potential benefits of these tools are discussed and the authors argue for an inclusive and holistic approach to risk assessments which incorporates knowledge of the risks of risk assessment. Particular attention is paid to risk assessment procedures as relevant to social workers who have to uphold the requirements of the General Social Care Council Code of Practice, which provides particular emphasis on issues of risk and service user and carer involvement in assessments. It is suggested that potential biases and limitations of risk assessment approaches need to be considered in order to have a balanced view of such approaches. A critique of the validity and effectiveness of current risk assessment tools is given focusing on the assessment and management of potential violence. The authors conclude that it would appear to be necessary to re-examine risk assessment and risk management in mental health work from a recognition of the concerns in this area.
The psychiatrist’s response to imminent violence : have clinical practice guidelines improved practice?
- Author:
- KIDD Brian A.
- Journal article citation:
- Psychiatric Bulletin, 27(8), August 2003, pp.283-284.
- Publisher:
- Royal College of Psychiatrists
Public inquiries have followed the most tragic incidents and all have led to broadly similar conclusions - that these episodes are to some extent preventable and that comprehensive systems of care and risk management might prevent the apparent lapses of care that have often been associated with these tragedies. It was in this context that the Royal College of Psychiatrists produced its first clinical practice guideline, entitled 'Management of Imminent Violence.' It is time to review the impact of this guideline. In the intervening 5 years, psychiatric practice would appear to have come under the spotlight even more with regard to risk assessment. New mental health legislation makes the psychiatrist more responsible than ever before with regard to violent acts.
Clinical risk management: a clinical tool and practitioner manual
- Author:
- MORGAN Steve
- Publisher:
- Sainsbury Centre for Mental Health
- Publication year:
- 2000
- Pagination:
- 76p.
- Place of publication:
- London
Designed as a practical tool for guiding and documenting the integrated assessment and management of clinical risks in mental health services. Critically examines the concept of evidence-based practice in this context. Examines methods of assessment and confidentiality issues, provides a template form for assessment with explication; analyses risk indicators for suicide, violence, neglect and other issues; and provides examples of the template in use. The book is validated by practitioners rather than research and is the product of a series of intensive workshops.
Living dangerously: risk-thinking and risk management in mental health care
- Author:
- ROSE Nikolas
- Journal article citation:
- Mental Health Care, 1(8), April 1998, pp.263-266.
- Publisher:
- Pavilion
The author argues that behind today's fixation on risk assessment and risk management in the care of people with mental health problems in the community lies a more sinister regime. Argues that clinical judgement is now less about care and treatment; much more about the control of those who might pose a threat to the community in which, with the closure of the long-stay hospitals, they now must live.