Search results for ‘Subject term:"mental health problems"’ Sort:
Results 1 - 10 of 11
Cognitive behavioural therapy and the impact of internalised societal discourses in people with intellectual disabilities: a case example
- Authors:
- GERRY Louise, CRABTREE Jason
- Journal article citation:
- Advances in Mental Health and Intellectual Disabilities, 7(1), 2013, pp.59-65.
- Publisher:
- Emerald
Cognitive behaviour therapies (CBT) are being seen as the treatment of choice for people with intellectual disabilities. And, the authors suggest, as the focus of national services change, more people with learning disabilities are likely to access mainstream health services such as Improving Access to Psychological Therapies in which CBT is often the primary mode of therapy. With this in mind they describe a cautionary case that demonstrates some of the potential dilemmas and challenges that can be experienced when working with clients with intellectual disabilities. The challenges stem from using an approach that locates problems within people rather than as being generated and maintained through social relations and social discourses. The case describes work with Mark, a young man with intellectual disabilities who accessed services for support with his low mood. It appears from this case example that there is the potential for therapeutic techniques used in CBT to promote questions that invite, generate and reinforce feelings of incompetence and inability in people with intellectual disabilities. The authors discuss the use of narrative techniques as a means of avoiding locating the problem as being within clients with intellectual disabilities; the implications that this has for the use of CBT with this client group are considered.
A home-delivered intervention for depressed, cognitively impaired, disabled elders
- Authors:
- KIOSSES Dimitris N., et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 26(3), March 2011, pp.256-262.
- Publisher:
- Wiley
Depression, cognitive impairment and disability often coexist in the elderly but antidepressant treatment is effective in only a minority. Problem Adaptation Therapy (PATH) is a new home-delivered intervention designed to reduce depression and disability in this population. It builds on the therapeutic framework of Problem Solving Therapy (PST) and focuses on the patient's “ecosystem” (the patient, the caregiver, and the home environment) to address their needs. The authors present two case studies demonstrating the use of PATH over a twelve week intervention. The two cases had varying degrees of cognitive impairment and caregiver participation. The first involved an 84 year-old African American man who had become depressed when he was no longer able to care for his wife as her dementia worsened. He received emotional support during the treatment from his son who lived some distance away. The second case was that of a 91 year-old white woman who had suffered a stroke and experienced some impairment of memory and executive functioning. In this case, a care-giving family friend was involved throughout. At the end of treatment depression and disability was significantly reduced in both cases. It is suggested that this intervention may provide a treatment alternative for a population with limited success of antidepressant treatment.
The case for #BlackGirlMagic application of a strengths-based, intersectional practice framework for working with black women with depression
- Authors:
- WALTON Quenette L., OYEWUWO-GASSIKIA Olubunmi Basirat
- Journal article citation:
- Affilia: Journal of Women and Social Work, 32(4), 2017, pp.461-475.
- Publisher:
- Sage
This article puts forth a culturally relevant practice framework that integrates components of intersectionality and strengths-based perspectives. This framework incorporates key factors of Black women’s social identities and builds on their strengths to provide a richer understanding of how depression is experienced in their lives. To arrive at this framework, the authors provide a brief summary of intersectionality; use a case study to examine the influence of race, class, and gender on Black women’s lived experiences with depression; and apply the framework—#BlackGirlMagic—to the case study. Lastly, future directions for practice, research, and policy are explored. (Publisher abstract)
A multi-family group intervention for adolescent depression: the BEST MOOD Program
- Authors:
- POOLE Lucinda A., et al
- Journal article citation:
- Family Process, 56(2), 2017, p.317–330.
- Publisher:
- Wiley
Depression is the most common mental disorder for young people, and it is associated with educational underachievement, self-harm, and suicidality. Current psychological therapies for adolescent depression are usually focused only on individual-level change and often neglect family or contextual influences. The efficacy of interventions may be enhanced with a broader therapeutic focus on family factors such as communication, conflict, support, and cohesion. This article describes a structured multi-family group approach to the treatment of adolescent depression: Behaviour Exchange Systems Therapy for adolescent depression (BEST MOOD). BEST MOOD is a manualised intervention that is designed to address both individual and family factors in the treatment of adolescent depression. BEST MOOD adopts a family systems approach that also incorporates psychoeducation and elements of attachment theories. The programme consists of eight multifamily group therapy sessions delivered over 2 hours per week, where parents attend the first four sessions and young people and siblings join from week 5. The programme design is specifically aimed to engage youth who are initially resistant to treatment and to optimise youth and family mental health outcomes. This article presents an overview of the theoretical model, session content, and evaluations to date, and provides a case study to illustrate the approach. (Edited publisher abstract)
Ethnic minority, young onset, rare dementia type, depression: a case study of a Muslim male accessing UK dementia health and social care services
- Author:
- REGAN Jemma L.
- Journal article citation:
- Dementia: the International Journal of Social Research and Practice, 15(4), 2016, pp.702-720.
- Publisher:
- Sage
A case study comprised of formal interviews, formal observations and informal discussions investigated the motivations and experiences accessing dementia care health and social care services for a Muslim, Pakistani male with dementia. Motivations derived from ‘desperation’ and an inability to access support from family or religious community. Experiences of accessing services were mostly negative. Dementia services were ill-informed about how to support persons with young onset dementia, with pre-existing mental health conditions, from an ethnic minority. Education and training to remove barriers to all dementia care services is required for persons with dementia, their families and within dementia services and religious communities. (Publisher abstract)
Learning disabilities: positive practice guide
- Authors:
- DAGNAN Dave, et al
- Publisher:
- Foundation for People with Learning Disabilities
- Publication year:
- 2015
- Pagination:
- 34
- Place of publication:
- London
This practice guide provides information on how to best support people with learning disabilities to access their local Access to Psychological Therapies (IAPT) service. It is aimed at those who work in, commission, or refer to the Improving Access to Psychological Therapies (IAPT) services. The guide outlines the reasonable adjustments that are recommended to ensure that people with learning disabilities get the maximum benefit from treatment within an IAPT service. Areas discussed include: service models, changes to referral and access pathways; screening; adjustments to mainstream IAPT pathways; assessment; adaptations to treatment and interventions; and making information accessible. Practical examples are included to show how some teams have made reasonable adjustments to support access to IAPT service. The guide also covers the importance of training and developing the workforce and provides key points for commissioners of IAPT services consider to ensure that mainstream services effectively meet the needs of people with learning disabilities. (Edited publisher abstract)
RASMUSSEN Andrew
- Authors:
- MILLER Kenneth E., RASMUSSEN Andrew
- Journal article citation:
- Social Science and Medicine, 70(1), January 2010, pp.7-16.
- Publisher:
- Elsevier
In seeking to bridge the divisive split between advocates of trauma-focused and psychosocial approaches to understanding and addressing mental health needs in conflict and post-conflict settings, this paper emphasises the role that daily stressor play in war exposure and mental health issues. Arguing that trauma focused advocates overemphasise the impact of war exposure on mental health, and underemphasise the contribution of social and material conditions (daily stressors), the authors draw on recent studies to examine the relationship between war and daily stressors with respect to mental health. Based on a proposed model in which daily stressors mediate war exposure, and research that supports it, this paper outlines an integrative, sequenced approach to mental health intervention, in which daily stressors are first addressed, and only then are specialised interventions then provided to individuals whose distress does not abate. After detailing case studies and looking at what constitutes daily stressors, the authors study the implications for an integrated model. Concluding that in many cases, where resources are limited, first dealing with ‘normal’ daily problems can often alleviate conflict based mental health problems.
More than mental health
- Author:
- -
- Journal article citation:
- Community Care, 16.1.03, 2003, pp.42-43.
- Publisher:
- Reed Business Information
Looks at a case study of a teenage mother with a history of self-harming and low self-esteem.
Mucking in to save a life
- Author:
- HOPKINS Graham
- Journal article citation:
- Community Care, 24.01.02, 2002, pp.44-45.
- Publisher:
- Reed Business Information
A farmer is shunned by his local community due to the effects of depression and fails to look after his animals properly. In isolation he attempts suicide. A practitioner explains to the author how joining the farmer in the fields helped him regain his self-respect.
Visual art and mental health: briefing
- Author:
- WHAT WORKS CENTRE FOR WELLBEING
- Publisher:
- What Works Centre for Wellbeing
- Publication year:
- 2018
- Pagination:
- 4
- Place of publication:
- London
Summarises key findings of a systematic review into the effects of visual art interventions on the wellbeing of adults with a mental health condition. Although the review found limited good quality evidence for visual arts impacts, case studies from the UK provided important and consistent findings. The evidence available found that visual arts activities can reduce depression and anxiety and increase confidence and self-esteem. The most effective interventions were those that provided safe spaces where people did not feel stigmatised and were facilitated by empathetic teams of practitioners or researchers. The briefing also includes a case study of the Designs in Mind project, a studio of designer-makers referred through mental health services. (Edited publisher abstract)