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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)
Seasonality of depression referrals in older people
- Authors:
- HOLLOWAY Lucy Elizabeth, EVANS Sandra
- Journal article citation:
- Community Mental Health Journal, 50(3), 2014, pp.336-338.
- Publisher:
- Springer
Seasonal affective disorder is becoming more widely recognised as a prevalent mood disorder in the adult population. However, few studies have investigated the link between sunlight exposure and mood in the elderly. Referrals to the community Mental Health Care for Older People (MHCOP) in the Hackney and City area, were screened for the number of patients referred with depression in three separate years (2007, 2009 and 2011) in order to determine whether more referrals were made to the service during darker months of the year (October to March) than in the lighter months of the year (April to September). When data from the three years was combined, we found no significant increase in the number of referrals to the MHCOP in the darker months (Chi squared value 1.375, p value (2 tailed) 0.2409). Theauthors observed no statistically significant seasonal pattern of referrals, this suggests that depression in older people is not more prevalent in darker months of the year. (Edited publisher abstract)
How did we let it come to this? A plea for the principle of continuity of care
- Author:
- LODGE George
- Journal article citation:
- Psychiatrist (The), 36(10), October 2012, pp.361-363.
- Publisher:
- Royal College of Psychiatrists
Caring for patients in the community has resulted in new challenges. To be effective, different professional disciplines need to work together, each providing their unique contribution but also coordinating their work and communicating with each other as part of a community team. National Health Service Trusts providing mental health services have found themselves required to provide a range of services: crisis and home treatment, assertive outreach and early intervention. This editorial argues that the administrative imposition of new specialised models of psychiatric care in the community has led to the fragmentation of services and a deteriorated experience for both service users and professionals. It makes a plea for psychiatrists to reassert the principle of continuity of care, which has been all but lost from the practice of psychiatry during the past decade. It considers how things might be done differently, arguing that it is possible to meet the clinical objectives of necessary support and treatment for service users within the community without the current multiplicity of team structures seen throughout England.
Survey of community mental health services 2011: full national results tables
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2011
- Pagination:
- 30p.
- Place of publication:
- London
National results of a survey which looked at the experiences of people receiving community mental health services during the time period July to September 2011. The survey involved 65 NHS Trusts in England and responses were received from over 17,000 services users (33% response rate). The survey included questions on care and treatment, contact with health and social care workers, medication, talking therapies, care coordinators, care plans and reviews, crisis care, and day to day living. Most people said that they were listened to carefully, treated with respect and dignity. The results also found that people needed to be more involved in some aspects of the provision of their care. Comparisons between 2011 and 2010 data are included where possible.
Mental health and autism: a guide for child and adolescent mental health practitioners
- Author:
- SIMS Patrick
- Publisher:
- National Autistic Society
- Publication year:
- 2011
- Pagination:
- 68p.
- Place of publication:
- London
This short book has been written for child and adolescent mental health professionals. It looks at why some children with autism develop mental health problems, how the more common mental health conditions may present, and some practical ways in which children, and their families, can be supported as effectively as possible. It is a practical guide for working practitioners, not an in-depth study of either mental health or autistic spectrum disorders. An ASD is a complex disability that makes it harder to recognise, evaluate and treat co-occurring mental health problems. In addition children with ASD face special difficulties such as communicating their needs and feelings, sensory sensitivities, and dealing with the unfamiliar that can make consulting rooms difficult to cope with. Therapies almost always need to be adapted. Working with parents, carers and other professionals is essential to fully understand the child’s needs and offer appropriate, consistent support. Where communication is limited it may be necessary to work as a co-therapist with parents and carers. The book begins with an overview of ASD, looks at a range of mental health problems and concludes with suggested ways of working. A checklist for working with children with ASD is provided along with sources of further information and support.
Increasing the employment rate for people with longer-term mental health problems
- Authors:
- RINALDI Miles, MONTIBELLER Tatiana, PERKINS Rachel
- Journal article citation:
- Psychiatrist (The), 35(9), September 2011, pp.339-343.
- Publisher:
- Royal College of Psychiatrists
People with mental health problems, especially those accessing secondary services, often experience low rates of employment. However many continue to regard employment as a yardstick of recovery. The low priory given to employment by mental health professionals and low expectation of being able to gain employment by the patients themselves contribute to the problem. This study examined the effects of implementing the individual placement and support (IPS) approach within four community mental health teams (CMHTs) in London. A full-time employment specialist was working in each CMHT and independent assessment confirmed that high quality IPS was being delivered. Demographic, clinical and vocational data were collected through a repeated cross-sectional survey and a service user experience survey was carried out. The IPS approach appeared to have a significant effect on the employment rates for service users, including those with a diagnosis of schizophrenia. A higher proportion felt able to return to employment and a smaller proportion believed they were unable to work because of their mental health problems. Employment rates for service users appeared to be independent of general employment rates.
Harm reduction in community mental health settings
- Authors:
- MANCINI Michael A., LINHORST Donald M.
- Journal article citation:
- Journal of Social Work in Disability and Rehabilitation, 9(2-3), April 2010, pp.130-147.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Fifty percent of people with psychiatric disabilities have a co-occurring substance misuse disorder, and are more likely to have a range of chronic disease conditions such as heart disease, diabetes, hypertension and chronic pulmonary disease. Harm reduction is a conceptual framework and set of practices that focus on the minimisation of the physical, social, and legal harms substance users do to themselves and to society as a whole. Its application to community mental health settings is relatively new, and can create controversies and ethical dilemmas if not properly designed, implemented, and evaluated. Building on the harm reduction literature, the community mental health literature, and the authors' experiences with a community mental health programme that uses a harm reduction approach, the authors offer five guidelines for its successful implementation. The authors conclude that when properly integrated with other recovery-based services, and when appropriately applied to the individual client's stage of change, harm reduction can effectively be used, and should be used, in community mental health settings with clients with co-occurring substance use and psychiatric disorders.
Service users' experiences with help and support from crisis resolution teams. A literature review
- Authors:
- WINNESS Monika Gullslett, BORG Marit, HESOOK Suzie Kim
- Journal article citation:
- Journal of Mental Health, 19(1), February 2010, pp.75-87.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Services for crisis resolution provided by home treatment teams are recent developments in the mental health care scene. The focus of this paper is to identify and discuss service users’ experiences of crisis resolution and home treatment (CR/HT) teams, especially in terms of how users find this form of service helpful, in order to explore ways to develop this form of service further. A systematic review of the periodical literature and research reports on CR/HT was carried out for the period from January 1995 to January 2009. The search identified a total of 13 papers, 1 Cochrane review, and 2 research reports were identified. Although these studies provided few in-depth details, 3 major themes as the characteristics of CR/HT teams are identified as: access and availability; being understood as “normal” human beings; and dealing with crises in an everyday life context. The findings suggest that the key positive characteristics of help in crisis situations are intrinsically tied to the values and principles underlying CR/HT services. The commitment to community-based services, the philosophy of partnership, and user-empowerment seem to the base from which these 3 themes of positive experiences emerged.
Remission from depressive symptoms among older adults with mood disorders: findings of a representative community sample
- Authors:
- FULLER-THOMSON Esme, BATTISTON Marla
- Journal article citation:
- Journal of Gerontological Social Work, 52(7), October 2009, pp.744-760.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
The aim of this study was to determine factors associated with remission in a community-dwelling sample of older Canadians with mood disorders. A representative community survey conducted in 6 Canadian provinces was used. Data were gathered by telephone and in-person interviews. The response rate was 79%. The sample (n = 1,161) was limited to community-dwelling individuals, aged 55 and over, who reported that they had been diagnosed by a health professional with a mood disorder lasting 6 months or more at some point in their life. Three-quarters (76%) of older adults with mood disorders had been symptom-free for the preceding year. Analysis indicated that the married, those aged 65 and over, those in good to excellent health and those who reported minimal stress had the highest odds of remission. Gender, immigration status, education level, household income, number of chronic conditions, activities of daily living limitations, comorbid anxiety disorders and physical activity level were not associated with the likelihood of remission. Remission rates in this community sample of older adults with mood disorders were much higher than in previous clinical samples. Strategies to improve identification and outreach to those least likely to be in remission from depression are discussed.
We do everything
- Author:
- JACKSON Catherine
- Journal article citation:
- Mental Health Today, April 2008, pp.16-17.
- Publisher:
- Pavilion
- Place of publication:
- Hove
Home treatment provides brief, intensive care at home as an alternative to hospital admission. This article describes the work of the older people's home treatment team based at Penn Hospital at Wolverhampton, winners of the NIMHE Positive Practice Award for innovative commissioning. Their model reduces the risk of dependency and also helps older people re-engage with their families and communities.