Search results for ‘Subject term:"mental health problems"’ Sort:
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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.
Rationale and design: PRiSM Psychosis Study 1
- Authors:
- THORNICROFT Graham, et al
- Journal article citation:
- British Journal of Psychiatry, 173, November 1998, pp.363-370.
- Publisher:
- Cambridge University Press
This paper sets out the rationale for the research PRiSM Psychosis Study, and the research design used. The accompanying nine papers in this issue present the results of the study for the main outcome domains.
Addressing the barriers to mental health services for inner city children and their caretakers
- Authors:
- McKAY Mary McKernan, McCADAM Kathleen, GONZALES J.Jude
- Journal article citation:
- Community Mental Health Journal, 32(4), August 1996, pp.353-361.
- Publisher:
- Springer
Outlines a series of three research studies meant to identify factors related to child mental health service usage. In addition, the paper describes the systematic development and evaluation of a telephone intervention strategy aimed towards increasing overall attendance at initial intake appointments at an urban child serving agency.
The long arm of outreach
- Author:
- RYAN Peter
- Journal article citation:
- Mental Health Today, December 2002, pp.20-21.
- Publisher:
- Pavilion
- Place of publication:
- Hove
Looks at standard four of the National Service Framework for Mental Health and the role of assertive outreach teams in achieving this standard and the issues which affect them.
What do inner city general practitioners want from a child and adolescents mental health service
- Authors:
- WEERAMTHRI Tara, KEANEY Francis
- Journal article citation:
- Psychiatric Bulletin, 24(7), July 2000, pp.258-260.
- Publisher:
- Royal College of Psychiatrists
The researchers surveyed 25 general practitioners (GPs) on their needs from their local child and adolescent mental health services (CAMHS) to improve liaison and inform service development. Showed that most GPs refer to specialist services. Only a quarter deal with problems themselves. The top priority was easy and quick access to services. The most popular topics for GP training were interactions between teenagers and their parents, child abuse and eating disorders. No GP had formal training in child and adolescent psychiatry and further training was a low priority.
Rural lessons for urban services
- Authors:
- HERIZIG Hugh, MURPHY Elaine
- Journal article citation:
- Journal of Mental Health, 6(1), February 1997, pp.11-21.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
In developed urbanised countries all over the world psychiatric beds, out-patient clinics and many so-called "community" services bases are still located in centralised hospitals. This arrangement persists despite an increasing emphasis internationally on providing psychiatric care in the community. In much of the world, however, a centralised system is inaccessible for many patients and planners of rural services are obliged to depart radically from the traditional model. This article examines special problems of mental health services in rural areas, the strengths of some of the solutions and deduces the core features of successful models. Finally, considers how they might usefully be applied to relatively deprived areas in the inner cities of developed countries.
Utilization of psychiatric services integrated with primary care by persons of color with HIV in the inner city
- Authors:
- BUDIN John, et al
- Journal article citation:
- Community Mental Health Journal, 40(4), August 2004, pp.365-378.
- Publisher:
- Springer
The authors identify the psychiatric diagnoses and utilization patterns of HIV-positive persons of color who received culturally responsive mental health services integrated into a community medical clinic. Ninety-three patients were referred and 86% (n=80) appeared for at least one encounter. Hispanics, compared with African-Americans, and HIV patients, compared with AIDS patients, were more likely to receive psychotropic prescriptions. Patients with six or more visits were defined as high utilizers: they comprised 27.5% of the patients but used 67.3% of the services. Development of a broader range of psychiatric interventions that address diagnoses, utilization, and psychotropics will better meet these patients' needs.
Frequency and predictors of adverse events: PRiSM Psychosis Study 3
- Authors:
- JOHNSON Sonia, et al
- Journal article citation:
- British Journal of Psychiatry, 173, November 1998, pp.376-384.
- Publisher:
- Cambridge University Press
Best available evidence from public records, interviews, case notes, keyworkers and general practitioners were assembled to establish: which subjects initially identified as having psychotic illnesses had died; care currently received by subjects originally selected for interview; and rates of major adverse events and of admission for these individuals. Concludes that rates of adverse events and 'slipping through the net' are relatively low among individuals receiving community-based services, whether intensive or standard care.
Use of the social services for mental health purposes in a rural and an urban area in Norway
- Authors:
- SORGAARD K.W., et al
- Journal article citation:
- Social Work and Social Sciences Review, 6(3), 1997, pp.186-197.
- Publisher:
- Whiting and Birch
Presents an analysis of help seeking of the help sought by people with mental health problems addressed to the social services in a rural and an urban area of Norway. Also seeks to examine whether there is an overlap between contacting social workers and mental health professionals; the psychiatric symptom level among persons contacting social workers compared with persons contacting other professionals/agencies such as psychiatrists, psychologists and GPS; and which demographic, mental health and social support variables explain help seeking addressed to social workers.