Search results for ‘Subject term:"mental health problems"’ Sort:
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Service uptake in a sample of substance misuse and community mental health service clients: a case control study
- Authors:
- TODD J., et al
- Journal article citation:
- Journal of Mental Health, 14(2), April 2005, pp.95-107.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
This study compared service use in clients with single and comorbid diagnoses from Adult Mental Health (AMH) and Drug and Alcohol services (DAS). A retrospective matched case-control study of a sample of service users of a mental health Trust in East Anglia drawn across 400 AMH and 190 DAS. Odds ratios were estimated and used to test for differences in client groups with respect to uptake of community services, formal and informal in-patient services, “out-of-hours” services and engagement with statutory services.Marked differences were observed in terms of service use between clients of AMH who had a single diagnosis of severe, chronic or recurrent psychiatric problems and clients of AMH who had additional substance misuse problems. Differences were less pronounced between clients of DAS who had a single diagnosis of substance misuse and clients of DAS who had substance misuse and psychiatric problems. It is concluded that substance misuse could be a factor influencing service uptake rather than comorbidity per se.
Developing a model psychiatric treatment program for patients with intellectual disability in a community mental health centre
- Authors:
- HACKERMAN Florence, et al
- Journal article citation:
- Community Mental Health Journal, 41(1), February 2006, pp.13-24.
- Publisher:
- Springer
The Special Needs Clinic of the Johns Hopkins Bayview Medical Center in Baltimore, Maryland provides comprehensive treatment for patients with developmental or intellectual disability and psychiatric illness. This report describes the clinical characteristics and service utilization of patients attending this clinic. Factors that support quality mental health services that are both cost-effective and accessible are identified.
Barriers and facilitators to the implementation of individual placement and support (IPS) for patients with offending histories in the community: the United Kingdom experience
- Authors:
- KHALIFA Najat, et al
- Journal article citation:
- British Journal of Occupational Therapy, 83(3), 2020, pp.179-190.
- Publisher:
- Sage
Introduction: This study aimed to identify the barriers and facilitators to the implementation of a high fidelity individual placement and support service in a community forensic mental health setting. Method: In-depth interviews were conducted with clinical staff (n = 11), patients (n = 3), and employers (n = 5) to examine barriers and facilitators to implementation of a high fidelity individual placement and support service. Data was analysed using thematic analysis, and themes were mapped onto individual placement and support fidelity criteria. Results: Barriers cited included competing interests between employment support and psychological therapies, perceptions of patients’ readiness for work, and concerns about the impact of returning to work on welfare benefits. Facilitators of implementation included clear communication of the benefits of individual placement and support, inter-disciplinary collaboration, and positive attitudes towards the support offered by the individual placement and support programme among stakeholders. Offences, rather than mental health history, were seen as a key issue from employers’ perspectives. Employers regarded disclosure of offending or mental health history as important to developing trust and to gauging their own capacity to offer support. Conclusions: Implementation of individual placement and support in a community mental health forensic setting is complex and requires robust planning. Future studies should address the barriers identified, and adaptations to the individual placement and support model are needed to address difficulties encountered in forensic settings. (Edited publisher abstract)
Factors affecting the referral rate of the hoarding disorder at primary mental health care in Quebec
- Authors:
- BODRYZLOVA Yuliya, O'CONNOR Kieron
- Journal article citation:
- Community Mental Health Journal, 54(6), 2018, pp.773-781.
- Publisher:
- Springer
Hoarding disorder (HD) places an important burden on people with HD, on their family members and society. This paper evaluates help-seeking in HD at primary mental health, measured in referral rate, together with its individual, environmental and structural correlates. The authors conducted an aggregate study by combining existing official data with their own survey data at the catchment area level. The authors found a mean annual referral rate of 1.58 (SD = 1.79) cases of HD in primary mental health facilities per 10,000 of adult population. The referrals rate correlated with socio-demographic characteristics of the catchment area, the availability of tools for clinical management of HD, and affiliation to a University Medical school. They also found that: (1) family members, neighbours, municipal workers and health professionals are the primary source of complaints for HD; (2) 72% of primary mental health facilities worked with HD in crisis situations, 52% expressed difficulties in obtaining the consent of people with HD for an intervention (3) health/social services professionals lack HD clinical management tools, training and formal collaboration with municipal (housing, building security, fire prevention) specialists. Improvement of the readiness of the health-system to deal with HD will improve help-seeking for formal medical counselling on the part of people with HD. The authors argue this readiness could be improved by providing primary mental-health facilities with training, clinical management tools and by helping them to establish formal collaboration with municipalities and community organisations. University medical schools can take a leadership role and become centres catalysing the change in HD clinical management. (Edited publisher abstract)
Managing life, motherhood and mental health after discharge from a mother–baby unit: an interpretive phenomenological analysis
- Authors:
- CONNERTY Tracy Jayne, ROBERTS Rachel, WILLIAMS Anne Sved
- Journal article citation:
- Community Mental Health Journal, 52(8), 2016, pp.1009-1014.
- Publisher:
- Springer
Women who are admitted to a mother–baby psychiatric unit during the postnatal period often experience ongoing difficulties after discharge and require support in the community. This study explored the experiences of women following discharge from a mother–baby unit and their use of services and supports in the community. Semi-structured interviews were conducted with eight women who had been discharged from a mother–baby unit. To gain a comprehensive understanding of the lived experiences of these women, Interpretive Phenomenological Analysis was used to examine the transcripts. The themes identified focused on the transition home from the mother–baby unit as a significant event, the experience of life in the community, and the complex decision-making process involved in community service use. This study provides greater insight into women’s experiences of managing life, motherhood, and mental health in the community and their use of recommended services. Results can inform future post-discharge and transition planning within mother–baby units and inpatient psychiatric facilities. (Publisher abstract)
Access to and utilization of health services as pathway to racial disparities in serious mental illness
- Authors:
- LO Celia C., CHENG Tyrone C., HOWELL Rebecca J.
- Journal article citation:
- Community Mental Health Journal, 50(3), 2014, pp.251-257.
- Publisher:
- Springer
Often considered to fare better than White Americans in terms of mental health, African-Americans are nevertheless more vulnerable to chronic, persistent conditions should they become mentally ill, the literature suggests. The present study used data from the 2009 National Health Interview Survey to examine race differences in the prevalence rates of serious mental illness and race’s role in relationships among such illness and variables of (a) social status and (b) health services. Results showed that non-Hispanic Blacks’ level of reported chronic mental illness (in the past 30 days) exceeded that of non-Hispanic Whites. The results indicate that variables describing respondents’ mental health care, along with their age and alcohol consumption, affect serious mental illness differently among African-Americans compared to Whites. Implications concerning racial disparities in mental health are discussed. (Publisher abstract)
An interpretative phenomenological analysis of African Caribbean women’s experiences and management of emotional distress
- Authors:
- SISLEY Emma J., et al
- Journal article citation:
- Health and Social Care in the Community, 19(4), July 2011, pp.392-402.
- Publisher:
- Wiley
African Caribbean women are under-represented in UK mental health outpatient services, despite sociocontextual vulnerabilities which may increase emotional distress. This study aimed to explore understandings and experiences of personal distress held by African Caribbean women and examine coping choices including help-seeking from mental health services. Semi-structured interviews were conducted with 7 African Caribbean women who were recruited following their self-referral to self-help community wellbeing workshops in central London. Interpretative phenomenological analysis of the data revealed 5 super-ordinate themes: explanations of distress; experiences of distress; managing distress; social and cultural influences; and seeking help. Gender roles and a cultural legacy of being strong and hiding distress emerged as influential in the participants’ beliefs about managing personal difficulties. This was balanced with an acknowledgement that intergenerational differences highlighted an increasing acceptance amongst the community of talking about issues and seeking professional support. The study provides support for tailoring services to individual needs using a flexible approach which empowers individuals from black and minority ethnic groups by valuing explanatory models of distress alternative to the westernised medical model. Furthermore, the findings emphasise the importance of readily available information about statutory and voluntary community resources which use language relevant to the communities they are aimed at engaging.
Inner-city child mental health service use: the real question Is why youth and families do not use services
- Authors:
- HARRISON Myla E., MCKAY Mary M., BANNAN William M.
- Journal article citation:
- Community Mental Health Journal, 40(2), April 2004, pp.119-131.
- Publisher:
- Springer
This study examines pathways to urban child mental health care as well as explores reasons why care was not received. A single group longitudinal design was used to study initial attendance rates at an outpatient child mental health clinic and identify factors associated with initial service use for urban children and their families. Approximately one-third of families (n = 82) do not follow up with care despite their child being referred and an initial appointment scheduled. Yet, three-quarters of those who did not attend a first session still wanted services when interviewed. Factors most significantly related to service use were social support and parental skill efficacy. There is a significant unmet need for care along with identification of significant barriers to access. Empirical findings can serve as the basis for modifying urban child mental health service delivery systems.
Utility of the behavioral model in predicting service utilization by individuals suffering from severe mental illness and homelessness
- Authors:
- LEMMING Matthew R., CALSYN Robert J.
- Journal article citation:
- Community Mental Health Journal, 40(4), August 2004, pp.347-364.
- Publisher:
- Springer
This study compared the effectiveness of the behavioral model to predict two service utilization variables: case manager visits and total services used. Nearly 4000 individuals who were homeless and suffered from severe mental illness provided data for the study. Enabling variables explained more variance of both service utilization variables than predisposing or need variables. Social support from professionals was the strongest predictor for both service utilization variables.
Waiting in line: stories of young people accessing mental health support
- Author:
- CHILDREN'S SOCIETY
- Publisher:
- Children's Society
- Publication year:
- 2020
- Pagination:
- 52
- Place of publication:
- London
This report explores the experiences of young people accessing mental health support from NHS Children and Young People’s Mental Health Services. It is based on semi-structured interviews carried out with 27 young people aged 11-21 with minority protected characteristics. These included young people from ethnic minority backgrounds, LGBTQ young people, young people with disabilities, and young people with multiple disadvantages. Key challenges identified from interviews with young people were: the fear of stigma and a lack of knowledge in young people and communities about how to seek help and how to support each other through mental ill health. Young people also felt services once accessed were slow and confusing. The report includes direct quotations from the young people interviewed and the journeys of two individuals. The findings suggest that to improve young people's experiences of accessing mental health support services need to be re-designed and re-located in the communities where young people live. (Edited publisher abstract)