Search results for ‘Subject term:"mental health problems"’ Sort:
Results 1 - 10 of 16
Health assessment findings for young males with severe emotional and behaviour difficulties in a residential setting over 24 weeks
- Authors:
- CARROLL Denise, DUFFY T., MARTIN C.R.
- Journal article citation:
- Scottish Journal of Residential Child Care, 16(2), 2017, Online only
- Publisher:
- Department of Social Work. University of Strathclyde.
Seventy-four males aged 13-16 years old cared for by local authorities took part in this study when they were cared for in a Scottish residential centre for young people with severe emotional and behavioural difficulties. This group of vulnerable young people are known to have poor health, educational and social outcomes (Residential Care Health Project, 2004, Scottish Government, 2014). Children and young people in local authority care feature on the agenda of all aspects of public care including health, social care, criminal justice and education. It was found that 44% of the young people’s health records were not available at the time of their health assessment despite the fact that young people had on average at least four previous placements prior to being admitted to the Centre. While a range of systems have been put in place to improve the health outcomes of children in care, lack of such key information may compromise the assessment process. Over three observations (at admission, 12 and 24 weeks) the young people had a comprehensive health assessment where some positive differences were found in dental intervention, vision problems, immunisation uptake, reduction in alcohol, substance use and sexual health concerns. Between the first and last assessment there was a decrease in the number of young people who have a healthy Body Mass Index (BMI). (Publisher abstract)
Adverse childhood experiences, coping resources, and mental health problems among court-involved youth
- Authors:
- LOGAN-GREENE Patricia, et al
- Journal article citation:
- Child and Youth Care Forum, 46(6), 2017, pp.923-946.
- Publisher:
- Springer
Background: Mental health problems are gaining attention among court-involved youth with emphasis on the role of childhood adversity, but assessment lags. Objective: The present study uses a commonly delivered assessment tool to examine mental health problems (current mental health problem, mental health interfered with probation goals, and suicide ideation) as a function of an expanded set of adverse childhood experiences (ACEs; childhood maltreatment, family dysfunction, and social disadvantage). Adaptive coping resources–impulse control, aspirations, and social support–were tested as both direct contributors and moderators of the influence of ACEs on mental health. Methods: Using a diverse sample of youth on probation (N = 5378), this study utilized logistic regression models to test contributions of the three domains of childhood adversity–childhood maltreatment, family dysfunction, and social disadvantage. These models also examined the moderating roles of coping resources. Results: Childhood maltreatment emerged as the strongest contributor to mental health problems, with significant moderation from social support. Youth aspirations were inversely related to mental health problems and moderated the relation with ACEs and mental health problems that interfered with probation. Conclusions: Assessment and mitigation of the detrimental effects of childhood maltreatment are important considerations in the intervention programs that target mental health outcomes of court-involved youth. Intervention programs to prevent recidivism and improve mental health should improve impulse control and aspirations. (Publisher abstract)
Replacing DoLS: proposals appraised
- Author:
- JOLLEY David
- Journal article citation:
- Journal of Dementia Care, 25(4), 2017, pp.16-17.
- Publisher:
- Hawker
The author describes why there is a need to replace the Deprivation of Liberty Safeguards (DoLs) and explains how proposals from the Law Commission will be cheaper and more manageable than the system currently in place (Edited publisher abstract)
Parental mental health and child welfare work. Volume 2
- Editor:
- DIGGINS Marie
- Publisher:
- Pavilion Publishing and Media
- Publication year:
- 2017
- Pagination:
- 117
- Place of publication:
- Hove
This publication is the second volume of Pavilion’s Learning from Success series, drawing together contributions from range of experts to explore the mental health of parents and its impact on child welfare. It includes perspectives from young people, parents, professionals and research about what works, and in what contexts. It is concerned with outcomes for parents, children and other family members as well as multi-agency staff and organisations. Section one looks at looks at integrating the family model into education and programmes. Section two look at the impacts and influences of mental health on recovery, parenting and children’s development and wellbeing. Section three describes five different assessment, intervention and service models. These include Inter-Act, which adopts a whole family approach to improving outcomes for children; and C-Change, which assesses parental capacity to change; and the Creative Families Arts Programme. Section four focuses on the effectiveness of two different specialist roles to improve family-focused practice across the service divide; the Northern Ireland Champions Initiative and the creation of the mental health safeguarding children’s manager role. The publication also includes a digest of recent research literature. (Edited publisher abstract)
Mental Health Act assessments: professional narratives on alternatives to hospital admission
- Author:
- HALL Peter
- Journal article citation:
- Journal of Social Work Practice, 31(4), 2017, pp.445-459.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This article draws on themes derived from research conducted as part of a doctoral study, using Framework Analysis, in which fifteen mental health professionals were involved in nine Mental Health Act assessments in the UK. In this work, risk is explored in terms of the social context, using a social constructionist perspective, in which concepts of ‘social crisis/mental illness’, professional negotiations and social capital are explored. The key findings highlighted: the social constructions of service users’ worlds, as presented by the Approved Social Workers (ASWs) and Home Treatment Professionals (HTPs), were notably different; the negotiations between the ASWs and HTPs provided the ASWs with a number of roles including negotiator, deal-maker and decision-maker; and the service user’s social network and the provision of home treatment showed that the ‘treatments’ provided can be seen as a shared role. Finally, the implications for contemporary mental health social work practice are presented. (Publisher abstract)
Using the social determinants of health as a framework to examine and address predictors of depression in later life
- Authors:
- CROSS-DENNY Bronwyn, ROBINSON Michael A.
- Journal article citation:
- Ageing International, 42(4), 2017, pp.393-412.
- Publisher:
- Springer
- Place of publication:
- New York
Depression in later life is an important public health concern. Comprehensive assessments incorporating all key areas of the social determinants of health (SDOH) framework can assist in developing effective interventions to ensure mental health for the increasing older adult population. This study uses the SDOH model for identifying, evaluating, and addressing risk factors that contribute to depression in older adults. Secondary data analysis of the Health and Retirement Study was used to conduct a hierarchical multiple regression analysis to examine predictors of depression in later life. The SDOH key areas were used as a framework for the regression model. The main findings showed predictors of depression were health and social support, emphasising the importance of ageing in place. Implications for practice include the provision of services within the home, neighbourhood, and community to maintain older adults within the least restrictive environments where they can maximise healthy living and continue to maintain connections with their social support networks. (Edited publisher abstract)
Mental health knowledge gaps in the child protection work with parents: a narrative review of the social work literature
- Author:
- KARPETIS George
- Journal article citation:
- Journal of Social Work Practice, 31(3), 2017, pp.353-368.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This is a narrative review of the latest peer-reviewed social work literature on the child protection work with parents. Aiming to identify knowledge gaps, the study researches the mental health aspects of the implicit or explicit theoretical perspectives underpinning the assessment and intervention with parents. An electronic database search extracted 38 peer-reviewed journal articles. It was found that the theoretical perspectives the publications adopted were the managerial, the critical, the humanistic, the psychodynamic and the behavioural. The study identified mental health knowledge gaps in the assessment and intervention work with parents across all theoretical perspectives and stressed the need for process and effectiveness studies on the work with parents, under explicit theoretical perspectives. The study finally highlights the need for the social work profession to increase its mental health literacy through mental health education for students and practitioners alike. (Publisher abstract)
Understanding depression in adolescents: a dynamic psychosocial web of risk and protective factors
- Authors:
- KASSIS Wassilis, ARTZ Sibylle, WHITE Jennifer
- Journal article citation:
- Child and Youth Care Forum, 46(5), 2017, pp.721-743.
- Publisher:
- Springer
Background: Adolescent depression has been recognised as a complex problem that presents a global public health challenge. Left undetected and untreated, depression can significantly reduce quality of life. Objective: The main purpose of this paper is to re-visit risk and protective factors for depression in adolescents with a specific focus on exploring the individual, familial, and social contexts of depression (especially high and very high depression levels) in a multi-country sample of youth in order to see if these factors are mitigated by cultural location. Methods: Questionnaire data from a cross-sectional study of a randomly selected sample of 5149 middle-school students from four EU-countries (Austria, Germany, Slovenia, and Spain) was used. Applying variance analysis, the prediction strength for the observed risk and protective factors were examined. Results: In all participating countries the authors show that in for both male and female adolescents, depression is linked to a broad range of interactive individual, and social protective and risk factors, such that even if the contribution of a single factor is low but still significant and this factor’s prediction strength is low or moderate, taken together, the cumulative prediction strength of these factors yields a remarkably similar coefficient of determination of 42–49% in all samples. Conclusions: The authors have established a significant and relevant combination of the individual and social multifactorial risk and protective factors that characterise depression in adolescents of both genders, no matter their country of location and with that, the authors call for a multifaceted and comprehensive approach to mental health assessment, prevention and intervention. (Edited publisher abstract)
People with intellectual disabilities accessing mainstream mental health services: some facts, features and professional considerations
- Authors:
- STANDEN Penelope Jane, CLIFFORD Adam, JEENKERI Kiran
- Journal article citation:
- Journal of Mental Health Training Education and Practice, 12(4), 2017, pp.215-223.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to provide information for non-specialists on identifying the characteristics, assessment and support needs of people with intellectual disabilities (ID) accessing mainstream services. Design/methodology/approach: A review of relevant policy and research literature is supplemented with observations from the authors’ own experience of working in mental health services for people with ID. Findings: With change in provision of services the likelihood of mainstream staff encountering someone with ID will increase. However, information on whether a person has ID or their level of ID is not always available to professionals in acute mental health services meeting an individual for the first time. Reliance on observational and interview-based assessments can leave people with ID vulnerable to a range of over- and under-diagnosis issues. This is as a result of difficulties with communication and emotional introspection, psychosocial masking, suggestibility, confabulation and acquiescence. For people with poor communication, carers will be the primary source of information and their contribution has to be taken into account. Practical implications: Knowing or suspecting an individual has ID allows staff to take into account the various assessment, diagnosis and formulation issues that complicate a valid and reliable understanding of their mental health needs. Awareness about an individual’s ID also allows professionals to be vigilant to their own biases, where issues of diagnostic overshadowing or cognitive disintegration may be important considerations. However, understanding some of the practical and conceptual issues should ensure a cautious and critical approach to diagnosing, formulating and addressing this population’s mental health needs. Originality/value: This synthesis of a review of the literature and observations from the authors’ experience of working in mental health services for people with ID provides an informed and practical briefing for those encountering people with ID accessing mainstream services. (Publisher abstract)
Psychiatry and intellectual disabilities: navigating complexity and context
- Authors:
- JONES Jo, JEENKERI Kiran, CUTAJAR Peter
- Journal article citation:
- Journal of Mental Health Training Education and Practice, 12(4), 2017, pp.224-236.
- Publisher:
- Emerald
Purpose: The paper is a review, for the general adult mental health practitioner, of the issues to consider when managing a mental health presentation of a person with intellectual disability (PWID). The paper aims to discuss these issues. Design/methodology/approach: A neurodevelopmental model is outlined to assist practitioners in unravelling the wide range of potential factors relevant to intellectual disabilities (IDs). This includes an emphasis on complexity and interdisciplinary formulation within an individual’s context, and implications of the current policy changes. Findings: In practice, managing the mental health of PWID can be challenging within usual mainstream services; there is more to consider than is usual for the general population. Originality/value: The paper provides general mental health practitioners with a framework for a greater depth of understanding of the issues involved in the management of people with intellectual disability (ID). This includes discussion of the current policy context in ID, and some of its limitations. (Publisher abstract)