Search results for ‘Subject term:"mental health problems"’ Sort:
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Mental health co-production in Bristol seeking to address the challenges
- Authors:
- HICKS Joanna, KEEBLE Justine, FULFORD Bill
- Journal article citation:
- Mental Health Today, January/February 2015, pp.18-19.
- Publisher:
- Pavilion
- Place of publication:
- Hove
This article reports on a project to tackle the barriers to co-production in services using the 3 Keys to a Shared Approach in Mental Health Assessment. The Approach provides a values-based method of conducting an assessment, with service users at the heart of the process. (Edited publisher abstract)
Diagnosing psychiatric disorders in people with intellectual disabilities: issues and achievements
- Authors:
- BERTELLI Marco O., et al
- Journal article citation:
- Advances in Mental Health and Intellectual Disabilities, 9(5), 2015, pp.230-242.
- Publisher:
- Emerald
Purpose: Diagnosing psychiatric disorders (PD) in adults with Intellectual Disability (ID) presents several issues and need specific skills and tools. The purpose of this paper is to provide a detailed description of the current status of art through a systematic mapping of the literature. Design/methodology/approach: The authors reviewed the international literature on the basis of the following questions: what are the issues in the psychiatric diagnostic process for adults with ID? What methods and procedures have been used for psychiatric assessment in ID? To date, is it possible to identify some most effective procedures? Findings: The analysis of the literature indicates that main issues of the psychiatric diagnostic process in adults with ID are the following: identification of psychiatric symptoms, behavioural equivalents, diagnostic criteria, setting, source of information, screening, and diagnostic tools. The evidence base is only emerging and although many relevant achievements have been reached in the last two decades, no definitive guideline has been produced. Most recent acquisition also allowed to identify some assessment procedures that are currently considered the most effective. Individualised assessment remains the best way to meet the needs of this heterogeneous and variable patient group. Originality/value: This paper offers a comprehensive and updated description of current achievements and issues towards the assessment of PD in people with ID. (Publisher abstract)
Evaluating the mental health of recently arrived refugee adults in Western Australia
- Author:
- LILLEE Alyssa
- Journal article citation:
- Journal of Public Mental Health, 14(2), 2015, pp.56-68.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to measure the levels of psychological distress in adults entering Western Australia (WA) as refugees through the Australian Humanitarian Programme. To determine if the introduction of mental health screening instruments impacts on the level of referrals for further psychological/psychiatric assessment and treatment. Design/methodology/approach: Participants were 300 consecutive consenting refugee adults attending the Humanitarian Entrant Health Service in Perth, WA. This service is government funded for the general health screening of refugees. The Kessler-10 (K10) and the World Health Organisation’s post-traumatic stress disorder (PTSD) screener were the principal outcome measures used. Findings: Refugees had a high rate of current probable PTSD (17.2 per cent) as measured with the PTSD screener and mean K10 scores were significantly higher than general population norms. The K10 showed high accuracy for discriminating those with or without probable PTSD. Being married and having more children increased the risk of probable PTSD. In regard to region of origin, refugees from Western and Southern Asia had significantly higher scores on both screeners followed by those from Africa with those from South-Eastern Asia having the lowest scores. Referral rate for psychiatric/psychological treatment was 18 per cent compared to 4.2 per cent in the year prior to the study. Practical implications: This study demonstrates increased psychological distress including a high rate of probable PTSD in a recently arrived multi-ethnic refugee population and also demonstrates significant variations based on region of origin. In addition, it supports the feasibility of using brief screening instruments to improve identification and referral of refugees with significant psychological distress in the context of a comprehensive general medical review. Originality/value: This was an Australian study conducted in a non-psychiatric setting. The outcomes of this study pertain to refugee mental health assessed in a general health setting. The implications of the study findings are of far reaching relevance, inclusive of primary care doctors and general physicians as well as mental health clinicians. In particular the authors note that the findings of this study are to the authors’ knowledge unique in the refugee mental health literature as the participants are recently arrived refugees from diverse ethnic groups. (Publisher abstract)
Fluctuating needs: the Care Act 2014
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2015
- Pagination:
- 6 minutes 56 seconds
- Place of publication:
- London
Under the Care Act 2014, assessments should reflect more accurately a comprehensive picture of people's needs - including how they change over time. In this film two people, one with mental health needs, the other with a physical disability, talk about their conditions, assessment, how their needs can fluctuate and the impact this has on the level of care and support they need. The film illustrates how the new requirement aims to recognise people as individuals by endorsing a much-needed degree of flexibility and responsive care, as well as offering valuable support for people with mental health and physical health conditions which may vary over time. (Edited publisher abstract)
Assessment and diagnosis of psychiatric disorder in adults with autism spectrum disorder
- Authors:
- UNDERWOOD Lisa, et al
- Journal article citation:
- Advances in Mental Health and Intellectual Disabilities, 9(5), 2015, pp.222-229.
- Publisher:
- Emerald
Purpose: Adults with autism spectrum disorder (ASD) present with a range of psychiatric disorders. However, making an accurate diagnosis is challenging. It is important to follow a robust and informed process in the assessment of psychopathology that is centred on the individual and their neurodevelopmental difficulties. The purpose of this paper is to provide clinicians with an evidence-based approach to the assessment process for adults with ASD presenting with a possible co-occurrent psychiatric disorder. Design/methodology/approach: A review of the recent literature was undertaken focusing on key papers that describe the assessment of mental health problems in adults with ASD. Findings: The presentation of psychiatric symptoms is influenced by the underlying developmental disorder and it is often quite different from the one of the general population. Thus, it is essential to undertake a comprehensive psychopathological assessment including a diagnostic assessment of ASD. There is a very small evidence base on the use of diagnostic tools in the assessment of adults with ASD. Originality/value: This is a practice review paper applying recent evidence from the literature. (Publisher abstract)
Mental health and substance use problems among patients in substance use disorder treatment as reported by patients versus treatment personnel
- Authors:
- BERGLY Tone H., HAGEN Roger, GRAWE Rolf W.
- Journal article citation:
- Journal of Substance Use, 20(4), 2015, pp.282-287.
- Publisher:
- Taylor and Francis
Objective: This study examines and compares mental health and substance use problems among patients in substance use disorder treatment as reported by both patients and treatment personnel, and explores the feasibility of the quadrant model in addressing severity of mental health and substance use based on reports by treatment personnel. Methods: Patients receiving inpatient substance use treatment at clinics in Norway were recruited for the study; 85 completed a cross-sectional survey. Treatment personnel completed a separate survey and gathered information from patient charts. Results: While there were minor differences in the patient and personnel reported prevalence of mental disorders in general (34 and 41%, respectively), there were significant differences in reported affective disorders and personality disorders. Based on the quadrant model, 70.2% of the patients had a high severity of substance use and low severity of mental health problems, while 21.4% had high severity of both. Conclusions: The differences in reports of mental disorders are important, and future research should aim to increase the validity and reliability of reported mental health problems among patients with substance use disorders. The quadrant model does seem to be a feasible model in addressing the severity of such co-occurring disorders. (Edited publisher abstract)
Towards an evidence-based clinical forensic diagnostic assessment framework for juvenile fire setting and bomb making: DSM-5 Quadrant
- Author:
- JOHNSON Ronn
- Journal article citation:
- Journal of Forensic Psychology Practice, 15(3), 2015, pp.275-293.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia
Juvenile fire setting and bomb making (JFSB) poses clinical, cross-disciplinary, ethical, and legal challenges. For example, the discipline lacks an available assessment method that is specifically designed to guide the diagnostic work with JFSBs. This article identifies issues associated with assessing mental health symptoms frequently found within the JFSB population. Consistent with the Diagnostic and Statistical Manual of Mental Disorders (5th edition; DSM-5), an expanded dimensional diagnostic framework referred to as the DSM-5 Quadrant is recommended as a valid approach to augment the clinical utility for both case conceptualization and crafting forensically relevant interventions aimed at these young people. The DSM-5 Quadrant consists of symptoms found in ADHD, ASD, posttraumatic stress disorder (PTSD), and conduct disorder (CD). (Edited publisher abstract)
To belong, contribute, and hope: first stage development of a measure of social recovery
- Author:
- MARINO Casadi “Khaki”
- Journal article citation:
- Journal of Mental Health, 24(2), 2015, pp.68-72.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Background: Recovery from mental health challenges is beginning to be explored as an inherently social process. There is a need to measure social recovery. Targeted measures would be utilised in needs assessment, service delivery, and programme evaluation. This paper reports on the first stage of development of a social recovery measure. Aims: Explore the social aspects of recovery as reported by individuals with lived experience. Method: A qualitative study using thematic analysis of data from focus groups with 41 individuals in recovery. Results: Three meta-themes of social recovery emerged: community, self-concept, and capacities. Each theme contained a number of sub-themes concerned with a sense of belonging, inherent acceptability of the self, and ability to cope with mental distress and engage socially. Conclusions: Study participants clearly spoke to common human needs to belong, contribute, and have hope for one's future. Findings converged with results of consumer-led research that emphasise the importance of overcoming the impact of illness on the self and social context. (Edited publisher abstract)
Developing a process for assessment of the emotional and behavioural needs of "looked after" children: the Five Rivers model
- Authors:
- BECKETT Celica, et al
- Journal article citation:
- Journal of Children's Services, 10(4), 2015, pp.324-338.
- Publisher:
- Emerald
This paper describes the development process of building an assessment model to assess the emotional and behavioural needs of “looked after children” using a combination of three existing tools. The paper highlights some of the early benefits and challenges which have been encountered using this model. (Edited publisher abstract)
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)