Search results for ‘Subject term:"mental health problems"’ Sort:
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Measuring community preferences for public mental health services: pilot test of a mail survey method
- Authors:
- SHUMWAY Martha, et al
- Journal article citation:
- Community Mental Health Journal, 40(4), August 2004, pp.281-295.
- Publisher:
- Springer
This study tested the feasibility of a simple mail survey approach to measuring community preferences for mental health services. A 38 item survey detected statistically significant differences in preferences for four central goals, finding that community members most value Focus on the Severely Mentally III, followed by Community Safety and Environment, Service Quality and Original Community Mental Health Goals. Some procedural problems were encountered that reduced the response rates, however, the study yielded information that suggests improved procedures for future surveys. Simple mail surveys appear to offer a potentially affordable, efficient way to assess community service priorities.
A survey of consultant psychiatrists in intellectual disability based in England
- Authors:
- GUINN Ashley, et al
- Journal article citation:
- Advances in Mental Health and Intellectual Disabilities, 10(4), 2016, pp.258-270.
- Publisher:
- Emerald
Purpose: Community mental health services are of increasing importance for people with an intellectual disability (ID), as the government aims to reduce the number of people treated within inpatient services. However, due to limited evidence base, it is unclear which service models are most effective for treating people with both ID and a mental health condition. Therefore, the purpose of this paper is to carry out a survey in order to gain a better understanding of the current state of ID community services. Design/methodology/approach The survey was e-mailed to 310 consultant psychiatrists based in England and whose main specialism was in ID. In total, 65 consultants responded to the survey with 53 complete data sets. Findings: In total, 84 per cent of consultants identified themselves as working in a generic community ID team. The majority of services were not integrated with social care (71 per cent). Regional differences were found. In contrast to the rest of England, the majority of services in London were integrated with social care. The Health of the Nation Outcome Scale for people with Learning Disabilities (HoNOS-LD) was found to be the most common outcome measure used by services. A range of interventions are widely available across services including psychological therapies and specialist memory assessments. The survey also provides evidence for increased decommissioning of specialist inpatient units and a need for more robust community services. Research limitations/implications: Findings limited by low return rate (21 per cent) and because responses could not be matched to specific services. The implications of this survey are that there is still a variable level of integration with social care and that lack of integration could affect the quality of service. While HoNOS-LD is used consistently across services, there may be a need to supplement it with other outcome measures. There is a need for larger scale and higher quality studies in this area to strengthen the evidence base and therefore demonstrate the benefits of integration and specialisation more convincingly to health professionals and commissioners. Originality/value: This survey presents an overview of the current state of community services for adults with ID in England. This information can be harnessed to add to revised approaches to mental health service models for people with ID. (Publisher abstract)
Are recovery and quality of life different outcome measures for community-based psychosocial program?
- Authors:
- YOUNG Daniel, et al
- Journal article citation:
- Social Work in Mental Health, 14(4), 2016, pp.360-378.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This research study aims to explore the relationship between quality of life (QoL) and recovery in mental illness in a community-based psychosocial programme. By adopting a prospective, naturalistic, longitudinal follow-up research design, a cohort of 87 consumers who were discharged from mental hospitals and participated in a community-based psychosocial programme were followed for one year. QoL and recovery of these individuals were assessed at baseline, 6-month and 12-month follow up assessments. At the 12-month follow up, this cohort of participants showed improvement in QoL and achieved a recovery rate of 8%. ANOVA analysis indicated that overall QoL was not related to recovery. Moreover, multiple linear regression analysis showed that overall QoL was predicted significantly by self-efficacy at baseline, improvement in self-efficacy and improvement in functioning (adjusted R2 = 22.8; F(3,81) = 9.272, p < .001). Multivariate logistic regression analysis showed that recovery was significantly predicted by baseline functioning level and improvement in open employment (Nagelkerke R2: 36.7, Model χ2 = 13.214, p < .001). Therefore, overall QoL and recovery were predicted by different factors. These results indicate that recovery and QoL should be conceptualised as two different outcome measures. Community-based psychosocial programmes should include both recovery and QoL as outcome measures and adopt different strategies to facilitate recovery and QoL for consumers. (Edited publisher abstract)
Mental health outcomes of children and youth accessing residential programs or a home-based alternative
- Authors:
- PREYDE Michèle, et al
- Journal article citation:
- Social Work in Mental Health, 9(1-6), 2011, pp.1-21.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Residential treatment centres (RTCs) are 24-hour facilities that offer mental health treatment programmes for children with severe emotional and behavioural disorders. RTCs are among the most restrictive and costly of mental health services. The aim of this study was to document the mental health outcomes of children and youth involved in residential treatment or a home-based alternative, intensive-family service (IFS). Participants were recruited from 5 children’s mental health agencies in Ontario, Canada. Parents or guardians of 106 children entering residential RTCs and 104 entering IFS completed standardised measures of symptom severity and functioning. Data was collected at admission, discharge, and at 1-2 years follow-up. In general, some clinical and psychosocial improvements from admission to discharge and follow up were revealed, although not all measures were statistically significant. Furthermore, many youth continued to function within the clinical range of impairment. Implications for mental health services are discussed.
Therapist effects on disparities experienced by minorities receiving services for mental illness
- Authors:
- LARRISON Christopher R., SCHOPPELREY Susan L.
- Journal article citation:
- Research on Social Work Practice, 21(6), November 2011, pp.727-736.
- Publisher:
- Sage
This article considers the relative contribution of the therapist to clinical outcomes. The aim of the study was to examine if some of the reason clients from racial and ethnic minority groups experience outcome disparities can be explained at the level of their therapists. The study took place at 2 community mental health centres where clients from racial and ethnic minority groups were known to be experiencing outcome disparities. The participants were 98 clients, of whom 19% were from an ethnic minority, and 14 therapists. Data were analysed using a hierarchical linear model with treatment outcomes at level 1, client demographics and clinical factors at level 2, and therapists at level 3. The findings showed substantial therapist effects that moderated the relationship between clients' race and treatment outcomes. Therapists accounted for 28.7% of the variability in outcome disparities. The article concludes that therapists appear to play a substantial role in why disparities occur. Suggestions for further research are discussed.
Can system integration improve mental health outcomes for children and youth?
- Authors:
- FOSTER E. Michael, et al
- Journal article citation:
- Children and Youth Services Review, 29(10), October 2007, pp.1301-1319.
- Publisher:
- Elsevier
This article compares mental health outcomes for children receiving services in two federally funded system-of-care communities to those of children in similar communities. Children's clinical and functional outcomes over three waves of data collection for 573 children and youth are analyzed using a propensity score matching methodology. Children at one of the two system-of-care sites showed substantially greater improvement than did their matched counterparts. For the other pair, no benefits of the system of care were apparent. The differences in the effectiveness of the system of care between the two pairs of sites may reflect differences in system implementation, especially as affecting service use.
Does additional care provided by a consumer self-help group improve psychiatric outcome? A study in an Italian community-based psychiatric service
- Authors:
- BURTI Lorenzo, et al
- Journal article citation:
- Community Mental Health Journal, 41(6), December 2005, pp.705-720.
- Publisher:
- Springer
This study compares the two-year clinical and social outcome, the use of services and the direct costs of patients of the South-Verona Community Psychiatric Service who were members of a self-help group, with those who were not. Use of services and costs in the two years before the baseline were compared with those occurring two years after the baseline. Self-help subjects decreased their use of hospital stay as to number of admissions and days in hospital, with a reduction of costs; they were more satisfied as to work/education while non self-help matches presented an increase of unmet needs. Clinical and social outcome showed no significant difference. The findings suggest that consumer participation may possibly enhance the effects of psychiatric treatment on outcome.
The impact of day hospital closure on social networks, clinical status, and service use: a naturalistic experiment
- Authors:
- GODDARD Kim, BURNS Tom, CATTY Jocelyn
- Journal article citation:
- Community Mental Health Journal, 40(3), June 2004, pp.223-234.
- Publisher:
- Springer
Little research is conducted on service closures. We examined the social, clinical and service use impact of the closure of a partial hospitalisation service (day hospital) on its users. Patients attending the closing day hospital were studied at closure and one year after, and compared to patients at an unchanged day hospital. : The closure did not increase use of inpatient beds, primary care or emergency room. Overall clinical improvements were similar for both groups as were costs. Social networks of the discharged patients decreased. Closures of services need to be as carefully evaluated as new developments.
The Camberwell Assessment of Need and Behaviour and Symptom Identification Scale as routine outcome measures in a psychiatric disability rehabilitation and support service
- Authors:
- TRAUER Tom, TOBIAS Glen
- Journal article citation:
- Community Mental Health Journal, 40(3), June 2004, pp.211-221,.
- Publisher:
- Springer
While routine outcome measurement is being progressively introduced into mental health services, there is little evidence of its potential in disability rehabilitation and support services. We report the introduction of a measure of need and a self-report measure of mental health problems in such a service in which most of the consumers have a principal diagnosis of a schizophrenia-spectrum disorder. The authors found that just over half of the consumers with a key worker were able and willing to complete these instruments. On average, consumers' self-ratings suggested only moderate levels of mental health problems, and consumers with schizophrenia identified lower levels of need than their key workers. Assessments of need showed more stability over time than assessments of mental health problems.
A study of treatment outcomes from atypical antipsychotic medications in the Virginia public system of community care
- Authors:
- ZIEGLER David M., PEACHY Thomas J.
- Journal article citation:
- Community Mental Health Journal, 39(2), April 2003, pp.169-182.
- Publisher:
- Springer
This retrospective study examines treatment outcomes associated with atypical antipsychotic medications in areas of 1) treatment response; 2) employment; 3) living arrangements; and 4) hospitalization rates. The study included a random sample of adults with serious mental illness, who participated in treatment for at least 36 months. Study results suggest that the utilization of these medications, despite higher costs, promote cost savings of public dollars through reduced hospitalization and enhanced functioning/outcomes. The study results proved to be very vital to the Virginia State Legislature and key system policy makers and funding authorities, as important actions were taken to enhance consumer access to these important medications and essential services.