Search results for ‘Subject term:"mental health problems"’ Sort:
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Can mental health nursing ever give up the option of restraint?
- Author:
- KENNY Craig
- Journal article citation:
- Community Care, 16.12.04, 2004, pp.14-15.
- Publisher:
- Reed Business Information
New guidelines from the National Institute of Clinical Excellence (NICE) are on the way to govern the use of force when dealing with mental health patients who become violent. The guidelines, due to be finalised in February, will emphasis that restraint should be used for the 'minimum possible' period but have rejected calls for a three-minute limit on restraint. Reports on what effect they will have on the controversial technique of last resort. Also looks at the disproportionate use of restraint techniques on black and minority ethnic patients.
Psychosis with good prognosis in Afro-Caribbean people now living in the United Kingdom
- Authors:
- McKENZIE Kwame, et al
- Journal article citation:
- British Medical Journal, 18.11.95, 1995, pp.1325-1327.
- Publisher:
- British Medical Association
To compare the course and outcome of psychotic illness in a group of Afro-Caribbean patients resident in the United Kingdom and a group of white British patients. Afro-Caribbean patients in the United Kingdom have a better outcome after psychiatric illness than to do white people. The combination of high incidence and more benign course of illness of psychotic illness in this group may be due, at least in part, to a greater exposure to precipitants in the social environment.
Burden, interdependence, ethnicity, and mental health in caregivers of patients with schizophrenia
- Authors:
- SURO Giulia, WEISMAN de MAMANI Amy G.
- Journal article citation:
- Family Process, 52(2), 2013, pp.299-311.
- Publisher:
- Wiley
Caring for a patient with schizophrenia often results in high levels of perceived burden and poorer overall mental health. Using a sample of 176 caregivers of patients with schizophrenia, the present study examined how two components of burden (objective and subjective) interacted with interdependence and ethnicity to influence relatives' overall mental health. In line with study hypotheses, and with the stress-appraisal-coping model developed by Lazurus and Folkman (1984), we found that subjective burden mediated the relationship between objective burden and mental health. In other words, subjective appraisals of caregiving appeared to partially underlie the association between the concrete costs of caregiving and psychological outcomes in schizophrenia caregivers. Also as hypothesised, the authors found that interdependence, or the perceived interconnectedness of individuals within a group, moderated the relationship between objective burden and subjective burden. In other words, when levels of interdependence were high, the objective components of burden appeared to have a weaker relationship with subjective burden. When interdependence was low, on the other hand, objective burden was more likely to be associated with subjective burden. This finding suggests that helping caregivers to value harmony and connection with others over individual self-interests may reduce the likelihood that objective stressors (which are often inevitable in schizophrenia) will result in subjective distress. On the basis of prior research, the authors also tested several hypotheses regarding the role of ethnicity and its association with burden, interdependence, and mental health. However, contrary to expectations, no ethnic patterns were observed. (Edited publisher abstract)
Inpatients from black and minority ethnic backgrounds in mental health services in Wales: a secondary analysis of the Count Me In census, 2005–2010
- Authors:
- ROIYAH Saltus, et al
- Journal article citation:
- Diversity and Equality in Health and Care, 10(3), 2013, pp.165-176.
- Publisher:
- Insight Medical Publishing
Count Me In was an annual census of mental health inpatients that was undertaken in England and Wales from 2005 to 2010. This paper presents a secondary analysis of the census data, with a focus on mental health inpatients from Black and minority ethnic backgrounds in Wales. Analyses focused on the number and characteristics of patients (age, gender, ethnicity, language and religion), the distribution of patients across Wales, sources of referral, detention status under the Mental Health Act 1983 on admission, and length of stay from admission to census day. The results revealed that the numbers of Black and minority ethnic patients from different ethnic groups fluctuated over the 6 years; it was difficult to identify any distinct pattern. The number and proportion of Black and minority ethnic patients admitted to, or being supervised by, inpatient facilities increased year on year from 57 (2.7% of all patients) in 2005 to 76 (3.2%) in 2010. The three highest ethnic-group categories were 'Other', 'Black African' and 'Mixed Caribbean.' Racialised minorities in Wales were over-represented in inpatient mental healthcare, including compulsory detention. A consistently higher proportion of Black and minority ethnic people than White people in Wales were referred from the criminal justice system, while a consistently higher proportion of White people than Black and minority ethnic people were referred by GPs. Although the results cannot reveal the care pathways followed by particular groups or indicate emerging trends for the Black and minority ethnic inpatient population, there are differences between the majority and minority ethnic population groups. Action is required to address this imbalance, and future data collection is necessary to determine whether this action has any impact. In-depth exploration of care pathways remains another clear priority for research and policy. (Edited publisher abstract)
Ethnic differences in satisfaction with mental health services among representative people with psychosis in South London: PRiSM study 4
- Authors:
- PARKMAN Sue, et al
- Journal article citation:
- British Journal of Psychiatry, 171, September 1997, pp.260-264.
- Publisher:
- Cambridge University Press
Previous studies show that among Black Caribbeans there is a higher prevalence of schizophrenia and higher levels of both voluntary and compulsory admissions. These suggest that Black Caribbean patients may find psychiatric services less appropriate to their needs. The aim of this study was to establish the satisfaction with mental health services of representative psychosis patients in South London, especially in relation to ethnic group. Concludes that patients' ratings of satisfaction with mental health services are significantly worse for UK-born Black Caribbean than other patients with psychotic disorder in South London.
Interventions to improve therapeutic communications between black and minority ethnic patients and professionals in psychiatric services: systematic review
- Authors:
- BHUI Kamaldeep S., et al
- Journal article citation:
- British Journal of Psychiatry, 207(2), 2015, pp.95-103.
- Publisher:
- Cambridge University Press
Background: Communication may be an influential determinant of inequality of access to, engagement with and benefit from psychiatric services. Aims: To review the evidence on interventions designed to improve therapeutic communications between Black and minority ethnic patients and clinicians who provide care in psychiatric services. Method: Systematic review and evidence synthesis (PROSPERO registration: CRD42011001661). Data sources included the published and the ‘grey’ literature. A survey of experts and a consultation with patients and carers all contributed to the evidence synthesis, interpretation and recommendations. Results: Twenty-one studies were included in the analysis. The trials showed benefits mainly for depressive symptoms, experiences of care, knowledge, stigma, adherence to prescribed medication, insight and alliance. The effect sizes were smaller for better-quality trials than for moderate- or lower-quality studies. The review found only two studies offering weak economic evidence. Conclusions: Culturally adapted psychotherapies, and ethnographic and motivational assessment leading to psychotherapies were effective and favoured by patients and carers. Further trials are needed from outside of the UK and USA, as are economic evaluations and studies of routine psychiatric care practices. (Edited publisher abstract)
Survey of patients from an inner-London health authority in medium secure psychiatry care
- Authors:
- LELLIOTT Paul, AUDINI Bernard, DUFFETT Richard
- Journal article citation:
- British Journal of Psychiatry, 179, January 2001, pp.62-66.
- Publisher:
- Cambridge University Press
Under-provision by the National Health Service (NHS) has led to an increase in medium secure psychiatric beds managed by the independent sector. Black people are over-represented in medium secure care. This study describes those people from an inner-London health authority occupying all forms of medium secure provision, and compares those in NHS provision with those in the independent sector, and Black patients with White patients. The researchers concluded that the NHS meets only part of the need for medium secure care of the population of this London health authority. This comparison of the characteristics of Black and White patients does not help to explain why Black people are over-represented in medium secure settings.
Appropriate or racist?
- Author:
- HENRY David
- Journal article citation:
- Open Mind, 98, July 1999, p.9.
- Publisher:
- MIND
Discusses specific mental health services for black African-Caribbean patients at Rampton Hospital.
Legal support for black patients
- Author:
- INYAMA Chinyere
- Journal article citation:
- Diverse Minds Magazine, 3, May 1999, pp.8-10.
- Publisher:
- MIND
This is the first of a two part review of legal support of patients under the Mental Health Act. This article discusses the solicitor's role in supporting patients detained under the current Mental Health Act 1983.
Prospective study into factors associated with aggressive incidents in psychiatric acute admission wards
- Authors:
- KHO King, et al
- Journal article citation:
- British Journal of Psychiatry, 172, January 1998, pp.38-43.
- Publisher:
- Cambridge University Press
Factors associated with aggression among psychiatric in-patients are still poorly understood. This study examines levels of aggression ascertained weekly by staff report for every patient on five acute admission wards and one locked intensive care ward at two hospitals prospectively over a five-month period. Found that levels of aggression varied considerably among the admission wards. Aggression was more common on the locked away and among younger patients. Factors associated with aggression changed with time since admission. Complex associations were found with gender, ethnic group and diagnosis.