Search results for ‘Subject term:"mental health problems"’ Sort:
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The psychiatric medication history: context, purpose and method
- Author:
- COHEN David
- Journal article citation:
- Social Work in Mental Health, 1(4), 2003, pp.5-28.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Presents The Psychiatric Medication History: An Interview Schedule, a 30-step semi-structured protocol designed to help practitioners understand how clients manage their psychotropic medications and interpret their effects. Discusses the critical perspective leading to the design of this interview schedule, its purposes for clients and practitioners, its divergence from traditional treatment histories, and its uses and limitations. Argues that, in a safe space, taking a psychiatric medication history according to these suggested guidelines offers clients an opportunity to construct an independent, evidence-tested personal narrative about their medication use. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).
Screening for problem drinking in older people referred to a mental health service: a comparison of CAGE and AUDIT
- Authors:
- PHILIPOT M., et al
- Journal article citation:
- Aging and Mental Health, 7(3), May 2003, pp.171-175.
- Publisher:
- Taylor and Francis
The aim of the study was to evaluate the validity of the Alcohol Use Disorders Identification Test (AUDIT), the five-item version (AUDIT-5) and the CAGE as screening tests for problem drinking in mentally ill older people. The study was of prospective cross-sectional design with Questionnaire survey and interview and included all consecutive referrals to an old age psychiatry service fulfilling inclusion criteria. Sensitivity, specificity and positive predictive values and areas under the receiver operating characteristic curves (AUROC) for the AUDIT, AUDIT-5, and CAGE were the primary outcome measures. Using clinical criteria as the gold standard, the AUDIT, AUDIT-5 and CAGE had AUROCs of 0.961, 0.964, and 0.780 respectively. The AUDIT-5 performed best of the three scales with a sensitivity of 75.0%, specificity of 97.2% and positive predictive value of 83.3% when using a 4/5 cut-point. The AUDIT-5 performed as well as the AUDIT and better than the CAGE in identifying problem drinking in this sample. The AUDIT-5 may be a useful addition to the specialist mental health assessment of older people.
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.
Three paths, one destination
- Author:
- THOMPSON Anne
- Journal article citation:
- Community Care, 10.4.03, 2003, pp.40-41.
- Publisher:
- Reed Business Information
Looks at the three routes that are used by practitioners to compulsorily treat young people with severe mental health problems: the Mental Health Act; Children Act 1989; and parental consent. Looks at the advantages and disadvantages of each.
Suspect transactions
- Author:
- HOPKINS Graham
- Journal article citation:
- Community Care, 3.4.03, 2003, pp.46-47.
- Publisher:
- Reed Business Information
Presents a case study of a women with mental health problems and learning difficulties who depended on her in-laws for support. Looks at the process of risk assessment when her community social worker suspected she was being abused.
Level 2 Certificate in Mental Health Work: training manual
- Authors:
- BASSETT Thurstine, CLARE Alison, CUTHBERT Sharon Lee
- Publisher:
- Pavilion
- Publication year:
- 2003
- Pagination:
- 118p.
- Place of publication:
- Brighton
The Level 2 Certificate provides an introduction to individuals who are new to their role and is designed to complement or provide a framework for an employer’s existing induction programme. The award provides a structure for induction into mental health work with the added value of an externally validated certificate for the candidate. It also provides evidence that managers are providing appropriate induction training. It encourages career development by providing an early opportunity to gain a certificate and enter the progression route into other accredited qualifications in the mental health sector such as S/NVQs and the Level 3 Certificate in Community Mental Health Care. This award is accredited as a Vocationally Related Qualification at level 2 of the national qualifications framework in England, Northern Ireland and Wales which means it’s been accredited by the Qualifications and Curriculum Authority (QCA) and is recognised by employers. In England and Wales the award will enable managers and care-workers to match learning from the award to the relevant induction and foundation requirements of TOPSS England and the Care Council for Wales/Cyngor Gofal Cymru.
Seriously emotionally disturbed youth: a needs assessment
- Authors:
- KERNAN Joan B., GRISWOLD Kim S., WAGNER Christine M.
- Journal article citation:
- Community Mental Health Journal, 39(6), December 2003, pp.475-486.
- Publisher:
- Springer
A desire to improve outcomes for children and families led Erie County, New York to collaborate with the University at Buffalo Department of Family Medicine on a needs assessment of children with emotional disturbance. Demographic and behavioral characteristics, as well as service needs were identified through case-based interviews conducted with key informants who provided services to children with emotional disturbance. Family interviews were conducted whenever possible. Results demonstrate a need for enhanced case management, service coordination, services specific to children and families, and expanded community-based services.
An expanded version of the Multnomah Community Ability Scale: anchors and interview probes for the assessment of adults with Serious mental illness
- Authors:
- DICKERSON Faith B., et al
- Journal article citation:
- Community Mental Health Journal, 39(2), April 2003, pp.131-137.
- Publisher:
- Springer
Objective clinical assessments are important in psychiatric settings to assess patients' functioning and the outcome of rehabilitation interventions. We developed anchors of the Multnomah Community Ability Scale (MCAS) and tested the inter-rater reliability of the expanded instrument. Twenty patients receiving psychiatric rehabilitation services participated in a structured interview and were rated by two raters. Intraclass correlation coefficients were .96 for the total and .87-.99 for the subscale scores. The expanded MCAS can serve as a reliable assessment tool.
Secret practices: interdisciplinary work in child welfare
- Author:
- TAYLOR Alexis A
- Publisher:
- Upfront
- Publication year:
- 2003
- Pagination:
- 202p.,bibliog.
- Place of publication:
- Leicester
This ethnographic study presents a different perspective on Child and Adolescent Mental Health Services: that of the child’s. The author argues that the rights of children encountering this service are as seriously compromised as those of adult mental health service users once were. The evidence challenges the quality of assessments, and shows the powerful influence of technical language and power mongering on constructing realities. Professional work can be self-serving rather than ‘in the best interests of the child’. Some of the fundamental tensions in inter-disciplinary work and ‘joined up thinking’ are exposed. Novel ways of exploring critical decision points and working effectively in groups are presented. There are salutary messages for child welfare practitioners and policy makers, and compelling reasons for radically altering the child welfare system in the UK in order to meet the needs of distressed children. A new ‘architecture of care’ must replace the current monolithic institutions and professional tribes.
Is NHS Direct meeting the needs of mental health callers?
- Authors:
- PAYNE Fiona, et al
- Journal article citation:
- Journal of Mental Health, 12(1), February 2003, pp.19-27.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
NHS Direct is a new service that offers 24-hour advice from trained nurses. The National Service Framework for Mental Health and the National Strategy for Carers both mention NHS Direct as an important source of support for people with mental health problems. This paper reports findings from an evaluation of the Department of Health's NHS Direct mental health initiative. This initiative was established to ensure that NHS Direct can meet the needs of callers with mental health problems by offering additional training to all staff and improving the database of mental health services. The findings reported here are based on routine computer data provided by 12 out of 17 NHS Direct sites, 552 data forms completed by nurse advisers from the 17 sites, and 111 questionnaires administered over the telephone with callers to the 17 sites. Mental health calls accounted for 3% of NHS Direct's workload, although these calls were often longer and more complex than other calls. The majority of callers to the service were in touch with other services for their mental health problems (59%), typically their GP. Most callers had `moderate' mental health problems, as indicated by the Global Assessment of Functioning Scale. Generally callers were satisfied with the service they received, although satisfaction was lower in some areas than previous studies of NHS Direct. Improvements could be made in the mechanisms for referring callers on to other services, and training to increase nurse advisers' knowledge of mental health problems.