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The comparison of burden between caregiving spouses of depressive and demented patients
- Authors:
- LEINONEN Esa, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 16(4), April 2001, pp.387-393.
- Publisher:
- Wiley
Article compares the burden of the spouses of depressive and demented elderly patients admitted to a Psychogeriatric Clinic in Finland. Found that the spouses of demented patients as a group were psychologically more stressed than the spouses of depressive patients. However, when demented patients were divided into two groups, in those admitted mainly for noncognitive symptoms related to dementia and in those admitted for memory assessment and diagnostic purposes, the burden of the spouses in the former group was higher than that of the group of depressive patients' spouses. No difference was found between the latter group of demented patient spouses and depressive patients' spouses. A correlation was found within both groups between low functional capacity of the patient and the stress of the spouse. In both groups the spouses who felt their own mental health to be poor were more likely to have high levels of burden. Concludes that among the general psychogeriatric patient groups, the caregiving spouses of demented patients with noncognitive psychiatric symptoms are the most burdened group. However, spouses of depressive patients are as much burdened as those of demented patients with mild to moderate memory impairment. More support is needed for every spouse group caring for psychogeriatric patients.
Research into the Mental Health Act: a qualitative study of the views of those using or affected by it
- Authors:
- MARRIOTT Sarah, et al
- Journal article citation:
- Journal of Mental Health, 10(1), February 2001, pp.33-39.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
The study investigates opinions about the strengths and weaknesses of Parts II and X of the Mental Health Act (1983) and those affected by it. The study covers those directly and commonly involved with the Act (mental health nurses; approved social workers; general psychiatrists; MHA administrators; service users; their carers); those less directly affected (hospital managers; lawyers; general practitioners; policy makers; police surgeons and liaison officers; specialist psychiatrists); and organisations representing Groups 1 and 2. A range of qualitative research methods were used to gather data. The findings provide a valuable insight into views about how existing legislation is applied in practice. They suggest that a review of criteria and procedures for commitment is needed. More effective implementation of legislative policies and the reconfiguration of resources to support them are also needed.
'He's' not my carer- he's my husband': personal and policy constructions of care in mental health
- Author:
- HENDERSON Jeanette
- Journal article citation:
- Journal of Social Work Practice, 15(2), November 2001, pp.149-159.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
The construction of 'care' in the professional and UK legislative and policy arenas has been the focus of much interest in recent years. A growing awareness of the needs of 'carers' in their own rights and a recognition of the conflicting needs of 'carers and users of services informs practice in health and social care where discourses of care focus on 'care' as duty, burden and responsibility. This article seeks to locate individual experiences of 'care' in mental health alongside the construction of 'care' in mental health policy and legislation with in the UK. It draws both on preliminary research with couples, and an analysis of the development of 'care' in policy and law. This dual analysis indicates that, while practitioners in health and social care recognise the needs of people who consider themselves to be 'carers', not all people subscribe to the identity of 'carer' or 'cared for' in their relationship.