Search results for ‘Subject term:"mental health problems"’ Sort:
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Seasonality of depression referrals in older people
- Authors:
- HOLLOWAY Lucy Elizabeth, EVANS Sandra
- Journal article citation:
- Community Mental Health Journal, 50(3), 2014, pp.336-338.
- Publisher:
- Springer
Seasonal affective disorder is becoming more widely recognised as a prevalent mood disorder in the adult population. However, few studies have investigated the link between sunlight exposure and mood in the elderly. Referrals to the community Mental Health Care for Older People (MHCOP) in the Hackney and City area, were screened for the number of patients referred with depression in three separate years (2007, 2009 and 2011) in order to determine whether more referrals were made to the service during darker months of the year (October to March) than in the lighter months of the year (April to September). When data from the three years was combined, we found no significant increase in the number of referrals to the MHCOP in the darker months (Chi squared value 1.375, p value (2 tailed) 0.2409). Theauthors observed no statistically significant seasonal pattern of referrals, this suggests that depression in older people is not more prevalent in darker months of the year. (Edited publisher abstract)
Remission from depressive symptoms among older adults with mood disorders: findings of a representative community sample
- Authors:
- FULLER-THOMSON Esme, BATTISTON Marla
- Journal article citation:
- Journal of Gerontological Social Work, 52(7), October 2009, pp.744-760.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
The aim of this study was to determine factors associated with remission in a community-dwelling sample of older Canadians with mood disorders. A representative community survey conducted in 6 Canadian provinces was used. Data were gathered by telephone and in-person interviews. The response rate was 79%. The sample (n = 1,161) was limited to community-dwelling individuals, aged 55 and over, who reported that they had been diagnosed by a health professional with a mood disorder lasting 6 months or more at some point in their life. Three-quarters (76%) of older adults with mood disorders had been symptom-free for the preceding year. Analysis indicated that the married, those aged 65 and over, those in good to excellent health and those who reported minimal stress had the highest odds of remission. Gender, immigration status, education level, household income, number of chronic conditions, activities of daily living limitations, comorbid anxiety disorders and physical activity level were not associated with the likelihood of remission. Remission rates in this community sample of older adults with mood disorders were much higher than in previous clinical samples. Strategies to improve identification and outreach to those least likely to be in remission from depression are discussed.
Delivering for mental health using self-help in primary care and community based services: a guide to everyday service delivery for mild to moderate psychological problems: lessons from the Doing Well by People with Depression programme
- Author:
- SCOTLAND. Scottish Executive
- Publisher:
- Scotland. Scottish Executive
- Publication year:
- 2006
- Pagination:
- 37p.
- Place of publication:
- Edinburgh
This guide is an interactive practical approach to setting up supported self-help services for the treatment of psychological problems in a primary care/community-based setting. It has been taken from the learning and the evaluation of the Doing Well by People with Depression programme funded by the former Centre for Change and Innovation (now the Improvement and Support Team). Reasons for implementing a service are outlined along with definitions of self-help.
Computerized depression screening and awareness
- Authors:
- OGLES Benjamin M., et al
- Journal article citation:
- Community Mental Health Journal, 34(1), February 1998, pp.27-38.
- Publisher:
- Springer
Describes the development of an on-site computerisation depression screening questionnaire to use at fairs and other local events to generate interest and educate the public concerning depression and provide referrals or identity symptoms in the USA.
Improving treatment access and primary care referrals for depression in a national community-based outreach program for the elderly
- Authors:
- NYUNT Ma Shwe Zin, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 24(11), November 2009, pp.1267-1276.
- Publisher:
- Wiley
This paper describes a nationwide community-based outreach service model, the Community-Based Early Psychiatric Intervention Strategy (CEPIS) programme, aimed at improving access and acceptance of treatment for depression among the elderly population in Singapore. In the CEPIS, community nurses routinely screened older people for depressive symptoms, and provided psychoeducation (giving information about depression and its causes and treatment and availability of care by a general practitioner, and addressing commonly held negative beliefs and attitudes) and referral for primary care treatment. The authors evaluated the impact of the programme and the extent to which determinants of treatment-seeking were altered by removing socioeconomic, physical and cognitive barriers to care. Their conclusions were that an outreach service model of routine and active screening for depressive symptoms in a community setting of providing social services for the elderly population greatly increased the use of primary care treatment for depression, and that by eliminating socioeconomic, physical, knowledge, belief and attitudinal barriers, equitable care to all in need is attainable through such a service.
Characteristics of patients seen by a community perinatal mental health service
- Authors:
- DURANI Amanullah, CANTWELL Roch
- Journal article citation:
- Psychiatric Bulletin, 33(10), October 2009, pp.368-370.
- Publisher:
- Royal College of Psychiatrists
This research describes the characteristics of 277 service users newly referred to a specialist community perinatal mental health service over a year. It found that almost six in ten patients were on some form of medication at the time of conception, with 43% on antidepressants, 15% on antipsychotics and 4% on anticonvulsants. Nearly three in five women had previous non pregnancy related psychiatric contact and a fourth had a previous ante or postnatal psychiatric contact. During pregnancy, non smokers increased from 64% to 72%, alcohol consumption went down with 85% abstaining, and 93% did not use illicit drugs. It is concluded that perinatal mental health services are in a prime position to help women at high risk of postnatal mental illness, but women could be missing out on pre-pregnancy advice in relation to prescribed psychotropic medication.
Response to antidepressant treatment in a community mental health center
- Author:
- BASTIAENS Leo
- Journal article citation:
- Community Mental Health Journal, 40(6), December 2004, pp.561-567.
- Publisher:
- Springer
This study examines anti-depressant response after 6 months of treatment in 75 depressed patients in a community mental health clinic. Symptomatic and functional outcome measures were administered. A pharmacotherapy algorithm was followed.Many patients presented with chronic depressive disorders complicated by psychosocial problems and co-morbidity with substance use and other psychiatric and medical conditions. Level of functioning was seriously impaired. Attrition rate after 6 months was high (49%). Response rate after 6 months of treatment was 24%. Research studies cannot predict the response potential in the real world because of numerous complicating factors in the presentation and treatment of depression in the community.
Service provision for elderly depressed persons and political and professional awareness for this subject: a comparison of six European countries
- Author:
- BRAMSFELD Anke
- Journal article citation:
- International Journal of Geriatric Psychiatry, 18(5), May 2003, pp.392-401.
- Publisher:
- Wiley
Under-treatment of depression in late-life is a subject of rising public health concern throughout Europe. This study investigates and compares the availability of services for depressed elderly persons in Denmark, France, Germany, Sweden, Switzerland and the UK. Additionally, it explores factors that might contribute to an adequate services supply for depressed elderly people. Review of the literature and guide supported expert interviews. Analysis of the practice of care provision for depressed elderly persons and of indicators for political and professional awareness, such as university chairs, certification processes and political programmes in gerontopsychiatry. Only Switzerland and the UK offer countrywide community-oriented services for depressed elderly persons. Clinical experience in treating depression in late-life is not regularly acquired in the vocational training of the concerned professionals. Indicators suggest that the medical society and health politics in Switzerland and the UK regard psychiatric disease in the elderly more importantly than it is the case in the other investigated countries. Service provision for depressed elderly persons seems to be more elaborated and better available in countries where gerontopsychiatry is institutionalised to a greater extend in the medical society and health politics.
Financial difficulties in bipolar disorder part 1: longitudinal relationships with mental health
- Authors:
- RICHARDSON Thomas, JANSEN Megan, FITCH Chris
- Journal article citation:
- Journal of Mental Health, 27(6), 2018, pp.595-601.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Background: There has been little research on whether finances affect mental health in bipolar disorder. Aims: This study aimed to examine the relationship between finances and mental health in bipolar disorder across two time points. Methods: Fifty-four participants with bipolar disorder in a National Health Service community mental health service completed questionnaires examining financial difficulties, compulsive buying and perceived financial well-being. Questionnaires also measured alcohol dependence, stress, depression, anxiety, past and current manic symptoms. Results: Partial correlations showed correlations over time: depression, anxiety and stress predicted later compulsive buying. Compulsive buying also predicted later anxiety. Lower perceived financial wellness increased anxiety and stress over time. Being on benefits was associated with higher depression and going without items such as clothes was linked to higher depression, stress, anxiety and past hypomanic symptoms. Conclusions: Financial difficulties are related to mental health in bipolar disorder. Poor mental health leads to compulsive buying, whereas worry about finances increases anxiety and stress, with a vicious cycle for anxiety. (Publisher abstract)
Treating mental health in the community: a policy review
- Authors:
- HUDSON Gen Maitland, TOUROUNTIS Dimitrios, HARGRAVE Russell
- Publisher:
- Power to Change
- Publication year:
- 2017
- Pagination:
- 50
- Place of publication:
- London
A review of evidence on the effectiveness of different community approaches to mental health. The final synthesis looks at 48 studies, published between 2004 and 2017, drawn from the UK and comparable high-income countries. It focuses mainly on the highest-quality evidence, including systematic reviews, evaluations drawing on randomised control trials (RCTs), and comparative longitudinal data. The synthesis identified 29 interventions methods. The studies included public health interventions aiming to promote wellbeing using volunteers / peers or ‘green care’; community development interventions; and intervention focused on exercise or physical activity. The review identified a lack of high-quality evidence to guide community work on mental health. There was some evidence to suggest that community-centred projects which draw on the support networks and skills already available in a community, have a positive impact on mental health. However, it found no high-quality evidence that ‘community-based’ projects, which simply deliver services in a local area, have a positive impact on mental health. It highlights the need for new 'community-centred' projects in local places, with rigorous evaluations to assess the evidence that these projects are effective in helping people with mental health problems. (Edited publisher abstract)