Search results for ‘Subject term:"mental health problems"’ Sort:
Results 1 - 10 of 179
Why we come: clubhouse members seek connection, purpose and meaning
- Authors:
- PERNICE Francesca M., PRICE Megan H., RICE Kevin
- Journal article citation:
- Community Mental Health Journal, 57(3), 2021, pp.446-456.
- Publisher:
- Springer
Approximately 4.5% of U.S. adults live with a serious mental illness (SMI) (Substance Abuse and Mental Health Services Administration, 2018). Creating a place for people seeking structure, connection, and purpose following psychiatric hospitalization or for mental health recovery is difficult given several factors associated with illness trajectories, lack of community-based support programs, and reliance on traditional models of care. Using semi-structured interviews, the current study examined the reasons people attend community programs referred to as psychosocial "clubhouses." Interviews with 140 people across 10 clubhouse programs in one state were conducted. Qualitative analyses revealed that social connections and the need to reduce social isolation were driving forces for attending. Further, individuals noted that the “structure” of engaging in meaningful activities and roles was a main reason for participating. Authors discuss the continued need for community models that provide a “place” for all people to successfully engage and recover from psychiatric illnesses. (Edited publisher abstract)
Expert opinions on community services for people with intellectual disabilities and mental health problems
- Authors:
- HEMMINGS Colin, AL-SHEIKH Alaa
- Journal article citation:
- Advances in Mental Health and Intellectual Disabilities, 7(3), 2013, pp.169-174.
- Publisher:
- Emerald
A total of 14 multidisciplinary professionals from specialist intellectual disabilities services in the UK were interviewed about their opinions on four key areas of community service provision. These included the review and monitoring of service users, their access to social, leisure and occupational activities, the support, advice and training around mental health for a person's family or carers and “out of hours” and crisis responses. The interview data was used for coding using the NVivo 7 software package and then analyzed using thematic analysis. Analysis of participants' views on these key essential service components produced wider themes of importance. The ten major emergent themes for services were: their configuration/structure, their clarity of purpose/care pathways, their joint working, their training, their flexibility, their resources, their evidence-base, being holistic/multidisciplinary, being needs-led/personalised and providing accessible information. Selective quotations are included in the article to illustrate the main themes. These views of experts can help inform further research for the development and the evaluation of services. (Edited publisher abstract)
Experiences of clients who have made the transition from the psychiatric hospital to community service provision: a phenomenological approach
- Authors:
- MANNIX-MCNAMARA Patricia, et al
- Journal article citation:
- International Journal of Mental Health Promotion, 14(1), 2012, pp.44-56.
- Publisher:
- Taylor and Francis
Mental health and well-being are fundamental to the quality of life and the productivity of individuals, families and communities, enabling people to experience life as meaningful. Deinstitutionalisation, the replacement of long-stay hospitals with community-based alternatives, can have favourable outcomes for people experiencing mental health problems. However, in many cases the community services needed for comprehensive care are not available. This raises the question as to whether the move from the long-stay hospital has been positive or not for health of clients. Therefore, it is important to examine clients' lived experiences of such a move. This study, carried out over the period of 1 year, sought to qualitatively explore the lived experiences of clients who made the transition from institutional-based care to community service provision. Nine residents took part in the study, and the average time spent in various institutions varied from 1 to 13 years. Findings indicated that participants experienced a significant change in their lives in relation to their psychological, physical and social health and well-being. Freedom for self-determination and living in an environment that gives them autonomy is at the core of their personal experience. It could be argued that deinstitutionalisation generated a shift in client experience in relation to their health and well-being.
Community life for the mentally ill: an alternative to institutional care
- Authors:
- FAIRWEATHER George W., et al
- Publisher:
- Aldine Transaction
- Publication year:
- 2008
- Pagination:
- 357p., bibliog.
- Place of publication:
- New Brunswick, NJ
Community Life for the Mentally Ill presents a social innovative experiment aimed at providing new and more participating social positions in American society for mental patients. It presents the events that occurred when a courageous group of former chronic mental patients abruptly left a hospital and established their own autonomous sub-society in a large, metropolitan area. In order to complete this experiment, the patients created a small society in the community where discharged patients could live and work. Others evaluated the effects of the newly created society upon the behaviour and perceptions of its members, which is also presented here. Both the descriptive and comparative aspects of this study are presented as they occurred in real life. The book is concerned with the medical, economic, sociological, and psychological facets of these former patients' daily lives. The effects of this small society upon the neighbourhood and city in which it was located, as well as its effects upon professional persons, are richly explored. Clearly defining a radical departure from standard methods for treating the mentally ill, the authors conclude that such an autonomous society can thrive in the appropriate setting; the ex-patient's chances of employment are increased and the chance of recidivism are reduced; the member's self-esteem is enhanced; treatment costs are greatly reduced; the community adjustment of all members is increased, especially among those who have been hospitalized for a long period. With new guidelines for identifying danger zones in urban settings, this becomes a critical work.
Audit of metabolic syndrome in adults prescribed clozapine in community and long-stay in-patient populations
- Authors:
- MORGAN David, et al
- Journal article citation:
- Psychiatric Bulletin, 32(4), May 2008, pp.174-177.
- Publisher:
- Royal College of Psychiatrists
The aim was to calculate the prevalence of metabolic syndrome in patients receiving clozapine in community and long-stay in-patient settings. Patients were assessed using measures specified by the Expert Panel of the US National Cholesterol Education Program. The prevalence of the metabolic syndrome was calculated as 53% in the community groups and 11% in the in-patient group, although both sample sizes (particularly the in-patient group) were small. Women were more frequently affected than men in the community population. The higher percentage of metabolic syndrome in the community patients receiving clozapine has implications with respect to physical health. The reasons for the lower percentage in the in-patient group are unclear. The findings point to a possible difference in the physical health of long-stay psychiatric in-patients and patients in the community.
Associations between common mental disorders and the Mental Illness Needs Index in community settings
- Authors:
- FONE David L., et al
- Journal article citation:
- British Journal of Psychiatry, 191(8), August 2007, pp.158-163.
- Publisher:
- Cambridge University Press
The relationship between the Mental Illness Needs Index (MINI) and the common mental disorders is not known. Mental health status was measured using the Mental Health Inventory of the Short Form 36 instrument (SF–36). Data from the Caerphilly Health and Social Needs population survey were analysed in multilevel models of 10 653 individuals aged 18–74 years nested within the 2001 UK census geographies of 110 lower super output areas and 33 wards. The MINI score was significantly associated with common mental disorder after adjusting for individual risk factors. This association was stronger at the smaller spatial scale of the lower super output area and for individuals who were permanently sick or disabled. MINI is potentially useful for small-area needs assessment and service planning for common mental disorder in community settings.
The capacity to care: an analysis of four mental health initiatives in Northern Ireland
- Authors:
- BAMFORD David, HERRON Stanley, McCULLOUGH Billy
- Publisher:
- Northern Ireland Association for Mental Health/University of Ulster. Department
- Publication year:
- 1994
- Pagination:
- 88p.,bibliog.
- Place of publication:
- Belfast
Research report. Examines the policy background, including community care in Northern Ireland, and goes on to describe the research projects and methodology used. Draws out the major themes arising from the projects.
Psychopathology and quality of life among mentally ill patients in the community - British and US samples compared
- Authors:
- WARNER Richard, HUXLEY Peter
- Journal article citation:
- British Journal of Psychiatry, 163, October 1993, pp.505-509.
- Publisher:
- Cambridge University Press
Sixty-nine mentally ill patients in treatment in an intensive community support system in Boulder, Colorado, were evaluated using the same measures of quality of life and psychopathology as were used in assessing mentally ill patients in hospital and community facilities in Manchester. Psychopathology was greater in the Boulder samples, but quality of life scores were no worse for the American patients. The relationship of these findings to systems of care and availability of psychiatric hospital beds is discussed.
A model for measuring the implementation of community support programs: results from 3 sites
- Authors:
- BREKKE John S., TEST Mary Ann
- Journal article citation:
- Community Mental Health Journal, 28(3), June 1992, pp.227-247.
- Publisher:
- Springer
Presents and tests a model for measuring the implementation of Community Support Programs for people with severe mental illness. Aims to facilitate the description, replication and future study of the programmes.
Who is providing what: information about UK residential care provision for people with mental health problems
- Authors:
- FAULKNER Alison, FIELD Vida, LINDESAY James
- Publisher:
- Research and Development for Psychiatry
- Publication year:
- 1992
- Pagination:
- 23p.,tables,bibliog.
- Place of publication:
- London
Research study assessing the current status and composition of residential provision for people with mental health problems, and establishing a baseline picture of provision prior to the implementation of the NHS and Community Care Act 1990.