Search results for ‘Subject term:"mental health problems"’ Sort:
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Medication effect intepretation and the social grid of management
- Authors:
- LONGHOFER Jeffrey, FLOERSCH Jerry, JENKINS Janis
- Journal article citation:
- Social Work in Mental Health, 1(4), 2003, pp.71-89.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Reports on two American research projects and argues that current medication management research and practice does not represent the complexity of community-based psychotropic treatment. Ethnographic findings are used to demonstrate that a social grid of management exists to negotiate medication 'effect' interpretation. Anthropological and semi-structured interview data are used to illustrate patient subjective experience of atypical antipsychotic treatment. Argues that 'active' and 'passive' management relationships are produced by the myriad ways individuals manage the gap between the desired and actual effects of medication. It is shown that psychological and cultural 'side effects' are as common as physical 'side effects.' (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).
Nurse prescribing in the field of community mental health nursing
- Authors:
- HEMINGWAY Steve, FLOWERS Katherine
- Journal article citation:
- Nursing Times, 26.10.00, 2000, pp.40-41.
- Publisher:
- Nursing Times
The NHS Plan proposes to extend nurse prescribing to the acute sector. Explores the need for, and the mechanics of, extending nurse prescribing to community mental health nurses.
Supporting briefing note: community mental health survey 2011
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2011
- Pagination:
- 19p.
- Place of publication:
- London
This briefing note provides key findings from the 2011 survey of people who use community mental health services. The survey comprises a sample of service users aged 16 and over who had been in contact with NHS mental health services in the 3 month period from July 2010 to September 2010 and who were receiving specialist care or treatment for a mental health condition. Over 17,000 service users from 65 mental health trusts in England responded to the survey, a response rate of 33%. This publication summarises the survey findings with regards to: health and social care workers; medications; talking therapies; care coordinators; care plans; care reviews; crisis care; and day to day living. Where comparisons are possible, it highlights notable changes from the 2010 survey and identifies areas where further improvement is required. Overall, service users rated the care they received from mental health services in the last 12 months as: excellent 29%, very good 30%, good 20%, fair 13%, poor 5% and very poor 4%. The ‘very poor’ category showed a small yet statistically significant decrease of less than 1% compared with 2010.
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.
National summary of the results for the 2013 community mental health survey
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2013
- Pagination:
- 21
- Place of publication:
- London
This national summary provides key findings from the 2013 survey of people who use community mental health services, and highlights statistically significant differences between 2012 (the last time the survey was carried out) and 2013. The 2013 survey involved 58 NHS trusts in England (including combined mental health and social care trusts, Foundation Trusts and community healthcare social enterprises that provide mental health services). Responses were received from more than 13,000 service users, a national response rate of 29%. Service users aged 18 and over were eligible for the survey if they were receiving specialist care or treatment for a mental health condition and had been seen by the trust between 1 July 2012 and 30 September 2012. The survey finds that the care people receive in the community needs to improve. Of particular concern is people’s lack of involvement in their care plans or having their views taken into account when deciding which medication to take. (Edited publisher abstract)
The history of community mental health treatment and rehabilitation for persons with severe mental illness
- Authors:
- DRAKE Robert E., et al
- Journal article citation:
- Community Mental Health Journal, 39(5), October 2003, pp.427-440.
- Publisher:
- Springer
The authors review the evolution of the treatments for persons with severe mental illnesses over the past 40 years in three areas: pharmacological and other somatic treatments, psychosomatic treatments, and rehabilitation. Current treatments are based on a much stronger evidence base, are more patient-centered, and are more likely to target autonomy and recovery.
Helping the helpers not to harm: iatrogenic damage and community mental health
- Authors:
- CAPLAN Gerald, CAPLAN Ruth B
- Publisher:
- Brunner-Routledge
- Publication year:
- 2001
- Pagination:
- 256p.,bibliog.
- Place of publication:
- New York
In this book the authors use the term 'iatrogenic' to refer to the damage caused, often inadvertently, to a child or adult with mental health problems by any caregiver, whether physician, psychiatrist, therapist, teacher, school guidance counselor, social worker, or judge, in the course of a professional intervention.
Viewpoint: we need an alliance not compliance
- Author:
- CHAPMAN Nigel
- Journal article citation:
- Community Care, 23.3.00, 2000, p.15.
- Publisher:
- Reed Business Information
Argues that care in the community for people with mental health problems has never really been properly implemented.
Survey of community mental health services 2010: full national results tables
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2010
- Pagination:
- 45p., tables
- Place of publication:
- London
This document provides the full national results tables from a 2010 survey of people who use community mental health services. The 2010 survey comprises a sample of service users aged 16 and over who had been in contact with NHS community mental health services in the period 1 July 2009 to 30 September 2009 and who were receiving specialist help for a mental health condition. The survey involved 66 NHS trusts in England. A total of 17,199 questionnaires were returned, a response rate of 32%. The survey aimed to find out about the experiences of people using mental health services in the community. These services provide care and treatment to people who have been referred to a psychiatric outpatient clinic, local community mental health team, or other community-based mental health services. The survey results are presented separately for those on Care Programme Approach (CPA) and those not on CPA. The survey questions relate to: health and social care workers; medications; talking therapies; care coordinators or lead professionals; care plans; care reviews; day to day living; and crisis care.