Search results for ‘Subject term:"mental health problems"’ Sort:
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Exploring the barriers and enablers to the implementation and adoption of recovery-orientated practice by community mental health provider organizations in England
- Authors:
- ERONDU Chima, McGRAW Caroline
- Journal article citation:
- Social Work in Mental Health, 19(5), 2021, pp.457-475.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
In England, implementation and adoption of recovery-orientated (RO) practice has been slow and uneven. This qualitative study explored the barriers and enablers to the implementation and adoption of RO practice in community mental health provider organizations. Thirteen registered managers took part in semi-structured interviews. Four themes were identified: RO practice is not an entirely alien concept; RO practice is a labor intensive and skilled activity; Families need to be on onboard with RO support; and Limited community capacity for RO support. The most salient barriers and/or enablers were: staff training, public misconceptions of mental illness, and joint-working with families. (Edited publisher abstract)
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).
The spiritual developmental process for people in recovery from severe mental illness
- Authors:
- STARNINO Vincent R., CANDA Edward R.
- Journal article citation:
- Journal of Religion and Spirituality in Social Work, 33(3-4), 2014, pp.274-299.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This article gives insights about the various ways that people with severe mental illnesses experience spiritual benefits and struggles in the context of their life journeys, and how these are navigated through time as part of a spiritual development process. Multiple in-depth interviews were conducted with 18 individuals with a range of diagnoses and spiritual affiliations receiving services at community mental health centres and consumer-run organisations in a Midwestern state. The study identified four patterns in the way people with severe mental illnesses utilised spirituality as part of their lives and recovery through time, which were named “basic impact” on recovery; “symptoms as a barrier” to using spirituality in recovery; learning to use spirituality for recovery “in progress”; and “high synergy” between spirituality and recovery. Implications for social workers and related mental health practitioners are discussed. (Edited publisher abstract)
Acute mental health care in the community: intensive home treatment
- Editor:
- BRIMBLECOMBE Neil
- Publisher:
- Whurr
- Publication year:
- 2001
- Pagination:
- 227p.,bibliog.
- Place of publication:
- London
Draws on the expertise of a wide range of mental health services to focus on a key aspects of community mental health care, Intensive Home Treatment (IHT). Examines the issues surrounding the provision of home treatment to individuals as an alternative to psychiatric admission and discusses current practice in the UK. Goes on to describe some of the clinical approaches to interventions used in home treatment and explores the impact of interagency and interprofessional issues on the day to day working of home treatment services.
Community treatment orders - what are the views of decision makers?
- Authors:
- RILEY Henriette, LOREM Geir Fagerjord, HOYER Georg
- Journal article citation:
- Journal of Mental Health, 27(2), 2018, pp.97-102.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Background: Community treatment orders (CTOs) are being increasingly used in Western countries. The scheme implies that mental health patients can live outside a hospital, but still be subject to coercive care to ensure compliance with their treatment. There is limited knowledge of how the scheme is practised. Aims: To gain knowledge of how decision makers weigh and evaluate various considerations when making decisions on CTOs. Method: Qualitative in-depth interviews with decision makers responsible for CTOs in Norway. Results: Decision makers viewed CTOs as a useful scheme to ensure control, continuity and follow-up care in the treatment of outpatients with a history of poor treatment motivation. They had varied interest in and knowledge of the patient’s life situation and how the scheme affects the patient’s everyday life. Little attention was devoted to patient experiences of formal and informal coercion. Conclusion: When deciding on CTOs, decision makers should pay more attention to the negative consequences that patients may experience. In many cases, decision makers are probably not aware of these coercive factors. (Edited 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)
Coping styles among individuals with severe mental illness and comorbid PTSD
- Authors:
- MCNEILL Shannon A., GALOVSKI Tara E.
- Journal article citation:
- Community Mental Health Journal, 51(6), 2015, pp.663-673.
- Publisher:
- Springer
There is little known about coping styles used by individuals with severe mental illness (SMI) and even less known about the influence of a comorbid posttraumatic stress disorder (SMI-PTSD) diagnosis on coping. The current study examines differences in utilisation of coping strategies, overall psychological distress, and exposure to traumatic events between SMI only and SMI-PTSD individuals seeking community mental health clinic services (N = 90). Results demonstrate that overall psychological distress and use of avoidance coping were significantly higher among the SMI-PTSD sample. Avoidance coping partially mediated the relationship between PTSD symptom severity and psychological distress. Findings suggest that the experience of PTSD for those with SMI is associated with increases in avoidance coping, a coping style that significantly contributes to psychological distress. Implications for further study and treatment within community mental health clinics are considered. (Publisher abstract)
Developing community support for homeless people with mental illness in transition
- Author:
- CHEN Fang-pei
- Journal article citation:
- Community Mental Health Journal, 50(5), 2014, pp.520-530.
- Publisher:
- Springer
To facilitate effective transitional services and enhance continuity of care among people with mental illness, this grounded theory study explored the practice of developing community support in critical time intervention (CTI), a time-limited, shortterm psychosocial rehabilitation program designed to facilitate the critical transition from institutional to community settings. Semi-structured, one-on-one interviews with twelve CTI workers were analyzed. Results show that CTI workers self-identified as an “extra support” to develop community ties that will help clients sustain stable housing. Their practice of community support development was represented by a transient triangular relationship model, involving three dyadic relationships (worker-client, worker-primary support, primary support-client) as the building blocks and specific strategies to facilitate the relational transition. Findings also detailed identification of community supports, collaboration and boundary issues in working with primary supports, and engagement with clients in this transitional process. Recommendations were drawn from findings to enhance broad discharge and transitional services. (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)
Attitudes to mental illness 2010: research report
- Author:
- TNS-BMRB
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2010
- Pagination:
- 66p.
- Place of publication:
- London
This report presents the findings of an annual survey of attitudes towards mental illness among adults in England. The aim of these surveys is to monitor public attitudes towards mental illness, and to track changes over time. 1,745 adults (aged 16+) were interviewed in England in January 2010. The questionnaire included a number of statements about mental illness. They covered a wide range of issues from attitudes towards people with mental illness, to opinions on services for people with mental health problems. Respondents were asked to indicate how much they agreed or disagreed with each statement. For analysis purposes the attitude statements were grouped into four themes – Fear and exclusion of people with mental illness; Understanding and tolerance of mental illness; Integrating people with mental illness into the community; and Causes of mental illness and the need for special services.