Search results for ‘Subject term:"mental health problems"’ Sort:
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Narrative inquiry on case studies of crisis in dementia
- Authors:
- BOSCO Alessandro, et al
- Journal article citation:
- Quality in Ageing and Older Adults, 21(3), 2020, pp.181-191.
- Publisher:
- Emerald
Purpose: This study aims to explore the coping styles that can be inferred from the discourse of dyads with dementia, and how these appear to impact on care management. Design/methodology/approach: This was a case study approach. Participants were recruited from two teams managing crisis in dementia in the UK. The authors conducted multiple qualitative interviews with people with dementia and their family carers over the course of one month. The analysis was first performed through thematic analysis. Data were further analysed through narrative inquiry to create a story line, or play in our case, for our findings. Findings: Five dyads were interviewed and a total of 16 interviews were conducted. Three dyads were husband–wife and two were daughter–mother relationships. The mean age was 67.4 years for carers and 79.8 years for people with dementia. In these cases, the carer assumed responsibility for managing the episode and was more likely to seek formal help if a pre-existing plan was in place. Otherwise, when a crisis arose, dyads preferred to avoid involving professionals. Practical implications: Psychosocial interventions should aim to identify and replace unhelpful strategies used by dyads to manage crisis episodes. Originality/value: To the best of the authors’ knowledge, this is the first study using qualitative interviews of dyads to inquire into their experience of mental health crisis. (Edited publisher abstract)
Mental health and policing: improving crisis care
- Authors:
- NHS CONFEDERATION. Mental Health Network, ASSOCIATION OF CHIEF POLICE OFFICERS
- Publisher:
- NHS Confederation. Mental Health Network
- Publication year:
- 2015
- Pagination:
- 12
- Place of publication:
- London
This briefing highlights some of the emerging good practice between the police and mental health providers to deliver improved care for people in mental health crisis. It demonstrates that by focusing on early intervention, partnership working can substantially reduce the number of people being subjected to mental health legislation. Benefits include: less distress for service users; better use of professional skill mix; cost savings for police, healthcare and local authority services; and improved signposting and provision of appropriate interventions for individuals. The briefing makes a number of recommendations, including: more work needs to be done to support multiagency information sharing on the front line; NHS commissioners need to work with providers to ensure there are sufficient health-based places of safety to meet local demand; commissioners need to ensure that sufficient services are in place for 24/7 provision to meet local need; the formal evaluation of the triage pilots should outline the key considerations for implementing different models of triage across different populations and demographics; and the outcome of the Home Office pilot should inform the role the voluntary sector can play in providing alternative places of safety for individuals in crisis. (Edited publisher abstract)
Care plans for families affected by parental mental illness
- Authors:
- REUPERT Andrea E., GREEN Kirsten T., MAYBERY Daryl J.
- Journal article citation:
- Families in Society, 89(1), January 2008, pp.39-43.
- Publisher:
- The Alliance for Children and Families
The process of establishing care plans for families affected by parental mental illness in Australia is outlined in this article. Based on the feedback of families involved, the original objective of developing crisis plans was broadened to incorporate “care” components. Accordingly, family care plans included planning for possible future crises, such as a parent’s hospitalization, as well as long-term goals, for example, education plans for the children. It was found that identifying both crisis and care components enhanced existing social supports within the family and involved pre-negotiating and coordinating agency supports for family members. The general principles and basic components of family care plans are outlined, and the implications for workers’ roles conclude the article.
Adolescent substance abuse and crisis intervention
- Authors:
- ROBERTS Albert R., YEAGER Kenneth R.
- Journal article citation:
- Brief Treatment and Crisis Intervention, 5(1), February 2005, pp.19-33.
- Publisher:
- Oxford University Press
What is an effective approach with substance-dependent adolescents who present in crisis? How can social workers, counsellors, and health professionals engage treatment-resistant youths? What actions can be utilized to develop a plan of care that youths will find challenging and worth participating in? This article seeks to answer the questions posed through application of a Seven-Stage Crisis Intervention Model. Specific attention is given to a case application of the model in conjunction with strengths-based perspective and solution-focused treatment approaches.
Self-injurious skin picking: clinical characteristics, assessment methods, and treatment modalities
- Authors:
- DECKERSBACH Thilo, WILHELM Sabine, KEUTHEN Nancy
- Journal article citation:
- Brief Treatment and Crisis Intervention, 3(2), Summer 2003, pp.249-260.
- Publisher:
- Oxford University Press
Self-injurious skin picking is characterized by repetitive, ritualistic, or impulsive skin manipulation that results in tissue damage. It occurs in the absence of an underlying dermatologic condition and causes significant distress or impairment in daily functioning. The present article reviews the clinical characteristics of self-injurious skin picking, methods for assessing this problem, and modalities of treatment. A clinical vignette describes the implementation and outcome of cognitive-behavioral therapy for a patient with self-injurious skin picking and comorbid body dysmorphic disorder.