Search results for ‘Subject term:"mental health problems"’ Sort:
Results 1 - 10 of 506
Determinants of outcome in the pathways through care for children hearing voices
- Authors:
- ESCHER Sandra, et al
- Journal article citation:
- International Journal of Social Welfare, 13(3), July 2004, pp.208-222.
- Publisher:
- Wiley
Auditory hallucination, or hearing voices, is generally associated with psychopathology. In psychiatry it is interpreted as a symptom of an illness, with no connection to the individual's life history. In this study from the Netherlands, 80 children and youngsters hearing voices were interviewed on four occasions over a period of three years about the content of the voices and their overall experience of voices, focusing on the determinants for a promising outcome in the pathways through care. The results indicate that the need for care in the context of the experience of voices is associated not only with high levels of problem behaviour and associated negative symptoms of psychosis, but also, independently, with an appraisal of the voices in terms of anxiety, depression, dissociation and frequency of occurrence. In 60 per cent of the participants the voices disappeared during the three-year research period. The relationship between the disappearance of voices and the course of mental health treatment is, however, ambiguous.
The effects of the troubles on child psychiatric disorders in Northern Ireland
- Authors:
- GILLILAND David, KELLY Bernadette
- Journal article citation:
- Practice: Social Work in Action, 6(4), 1992, pp.271-276.
- Publisher:
- Taylor and Francis
Examines some of the research undertaken into the effects of the troubles on the children of Northern Ireland. It questions if the studies to date have been too global and not sufficiently geared towards children from more vulnerable situations. It considers some of the issues facing practitioners and service managers in this field.
Mental health and care needs of British children and young people aged 6–17
- Authors:
- FLEDDERJOHANN Jasmine, et al
- Journal article citation:
- Children and Youth Services Review, 126, 2021, p.106033.
- Publisher:
- Elsevier
We conducted a scoping literature review based on a sample of 51 UK-based research articles published since 2004, focusing on children and young people aged 6–17 years. Taking the 2004 Office for National Statistics survey of child and adolescent mental health as a pivotal point in the development of the field, our aims were to identify the mental health difficulties featured in extant literature since the survey; uncover critical gaps; and propose avenues for advancing the field. Articles were critically reviewed, coded, and summarised. We found socioeconomic disadvantage, family instability and parental distress are cited as key contributing factors to mental distress. Following categorizations in the 2004 survey, emotional, conduct, and hyperactivity difficulties were the most commonly researched and reported topics. The needs of migrant, BAME, physically disabled, and LGBTQ children were severely underrepresented in the literature, as were those of looked after children. We also found a strong reliance on clinic-based convenience samples, which obfuscates the needs of children who are not able to access care. Further research using inclusive, population-based samples and diverse methods is needed going forward. (Edited publisher abstract)
Who are they? Where are they? 2020: children in tier 4 mental health units: technical report
- Authors:
- CLARKE Tom, NELSON Emma
- Publisher:
- Children's Commissioner for England
- Publication year:
- 2020
- Pagination:
- 45
- Place of publication:
- London
This analysis examines four data extracts covering children in inpatient mental health wards during 2019/20. The extracts cover: all admissions of children to tier 4 units during 2019/20 2; children in a tier 4 unit on 31st March 2020; all discharges from tier 4 beds during 2019/20; admissions to tier 4 wards during 2019/20 where the child had a previous discharge within the same financial year. Key findings include: at 31st March 2020 there were 944 children in a bed in a tier 4 unit in England; over 1 in 5 children are in units that are more than 50 miles from their last known home postcode; children in secure units are notably more likely to be placed more than 50 miles from their last known home postcode; just over a third of children discharged from a tier 4 unit during 2019/20 had been there for more than 3 months (90 days); even after accounting for other factors, children aged under 15 discharged during 2019/20 were 20% more likely to have been in a tier 4 unit for over 3 months; boys are slightly more likely than girls to be discharged to their permanent (or a temporary) place of residence while girls are slightly more likely to be discharged to a subsequent medical institution, with 1 in 5 being discharged to a hospital or subsequent mental health ward (compared to 15% of boys); girls over-represent amongst readmissions to tier 4 wards during 2019/20, accounting for 80% of readmissions compared to 74% of discharges during the year. (Edited publisher abstract)
Relations between internalizing and externalizing problems in early childhood
- Authors:
- STONE Lisanne L., et al
- Journal article citation:
- Child and Youth Care Forum, 44(5), 2015, pp.635-653.
- Publisher:
- Springer
Background: Childhood internalising and externalising problems are closely related and often co-occur. Directional models have been employed to test how these problems are related, while few studies have tested a third variables model. Objective: This study investigates whether internalising and externalising problems are reciprocally or unidirectionally related, whether these relations can be explained by third variables, and how these relations are associated with onset and stability. Methods: A community sample of 1,434 children aged 5.08 (SD = 1.25) and their mothers participated in two 1-year interval data waves. Internalising and externalising problems were examined with the Strengths and Difficulties Questionnaire. Results: Using latent cross-lagged modelling, externalising problems were found not be related to subsequent internalising problems, or vice versa. These results were also found when controlling for inadequate parenting, parenting stress, maternal health and social preference. When taking problem level into account, externalising problems were related to stability of clinical level internalising problems, even when controlling for third variables inadequate parenting, parenting stress, maternal mental health and social preference. Conclusions: Strong autoregressive paths for internalising and externalising problems were found. Internalising and externalising problems do not seem to influence each other over time in the community sample. When investigating relations among internalising and externalising problems, it seems to be important to take problem level into account. (Edited publisher abstract)
Parentification and mental health symptoms: mediator effects of perceived unfairness and differentiation of self
- Authors:
- JANKOWSKI Peter J., et al
- Journal article citation:
- Journal of Family Therapy, 35(1), 2013, pp.43-65.
- Publisher:
- Wiley
Noting that parentification (which occurs when one or both parents position a child to function in an adult role in the family system) can result in positive and negative outcomes for individuals, this study investigated the association between parentification and mental health. It was designed to test a theoretical model of the relationship between parentification tasks and mental health symptoms. The research involved a sample of 783 college students from a large state university in the southern US. It used a range of self-report measures to assess dimensions of dysfunctional parentification, differentiation of self and mental health symptoms. The article describes the study methodology and its findings. It reports that the results supported the proposed model in which the relationship between parentification and mental health symptoms was mediated by perceived unfairness and differentiation of self, and considers the clinical implications of the findings.
Parents' conceptualization of adolescents' mental health problems: who adopts a psychiatric perspective and does it make a difference?
- Author:
- MOSES Tally
- Journal article citation:
- Community Mental Health Journal, 47(1), February 2011, pp.67-81.
- Publisher:
- Springer
A cross-sectional, mixed-method study of 70 parents of adolescents receiving wraparound mental health services was used to examine: (1) how parents conceptualize their child’s mental health problems; (2) factors related to parents’ conceptualization of youths’ problems using medical model terms; and (3) associations between parents’ problem conceptualization and their emotional or coping responses to their child having psychiatric problem(s). Content analysis indicated that 54.3% of parents definitively conceptualized adolescents’ problems using psychiatric terms, 37.1% reported uncertainty about the nature of their child’s problems, and 8.6% gave alternative, non-psychiatric explanations for their child’s problems. Significant relationships were found between parents’ problem conceptualization and their attitudes and experience with mental health treatment, demographics, as well as with adolescents’ clinical characteristics. Parents who conceptualized problems using psychiatric terminology were more likely to express sadness and pessimism relative to other parents, though there were no differences in expressions of worry, guilt, pragmatism and optimism by problem conceptualization.
Childhood mental disorders in Great Britain: an epidemiological perspective
- Author:
- MELTZER Howard
- Journal article citation:
- Child Care in Practice, 13(4), October 2007, pp.313-326.
- Publisher:
- Taylor and Francis
The objective of this article is to describe the prevalence of childhood disorders and examine the factors associated with higher rates of disorder by combining the data from two large population-based samples of British children and young people aged 5-15. Just over 18,000 children were assessed in 1999 and 2004 using the Development and Well-Being Assessment, a structured interview with verbatim reports reviewed by clinicians so that information from parents, teachers and children is combined to produce national estimates of clinically recognisable disorders. The overall prevalence of childhood disorders was 9.5%. Factors which are independently associated with increased rates of childhood mental disorders ranged from characteristics of the child (age, sex, physical health problems, having poor scholastic achievement) to family characteristics (family structure, mother's psychological distress, poor family functioning) and household characteristics (tenure, type of accommodation and the working status of family). In conclusion, roughly one in 10 children have at least one ICD10 disorder, involving a significant level of distress or social impairment. Associations with child, family and household characteristics have implications for treatment strategies.
“Care just changes your life”: factors impacting upon the mental health of children and young people with experiences of care in Northern Ireland
- Authors:
- MULLAN Christine, et al
- Journal article citation:
- Child Care in Practice, 13(4), October 2007, pp.417-434.
- Publisher:
- Taylor and Francis
This paper represents one element of a research project carried out into the mental health needs of children and young people with experiences of care in Northern Ireland. Focusing exclusively on qualitative data collected from 51 young people in care and aftercare, it discusses in the first instance how the challenges and difficulties faced by young people can manifest themselves in feelings and behaviours that may exemplify poor mental well-being. In doing so it provides an understanding of mental health in the context of these young people's lives. Through offering a more detailed account of some of the specific issues that put these young people at increased risk, it highlights areas for further work and consideration as a means of protecting them against these risks. These include: dealing with experiences prior to care; easing and “normalising” the experience of living in care; and enhancing “safety nets” after care. A key objective of the research is to inform policy and practice through the accounts of children and young people. It is argued that more work needs to be done to find creative ways of enhancing the day-to-day experiences of young people while in care and when leaving care.
Mental health problems among child welfare clients living at home
- Author:
- IVERSON Anette Christine
- Journal article citation:
- Child Care in Practice, 13(4), October 2007, pp.387-399.
- Publisher:
- Taylor and Francis
The great majority of children receiving intervention from child welfare and protection services (CWS) in Norway live at home. The purpose of this study was to assess mental health problems among these children. Data stem from a population-based study, the Bergen child study, conducted in 2006. Of a sample consisting of 4,162 children in the fifth to seventh grades, 82 children were CWS clients who lived at home. Compared with their peers, the CWS children had significantly higher scores on emotional problems, hyperactivity, conduct problems, peer problems, and total difficulties (child and parent reports on the Strengths and Difficulties Questionnaire). The relationship between being a CWS client and total difficulties remained significant when socio-demographic variables were controlled for. Even though the results indicate that child welfare clients have more contact with child and adolescent mental health service than earlier assumed, the results emphasise the need for strong collaboration between CWS and mental health services and the need for CWS to include other types of interventions in addition to financial support.