Search results for ‘Subject term:"mental health problems"’ Sort:
Results 1 - 10 of 30
Child mental health: who is responsible?; an overextended remit
- Author:
- GOODMAN Robert
- Journal article citation:
- British Medical Journal, 15.3.97, 1997, pp.813-814.
- Publisher:
- British Medical Association
Argues that the labelling of all childhood ills as mental health problems diverts doctors into child welfare work that is more properly the province of social services or education. The author claims that this results in many children who could have benefited from medical assessment and treatment for their emotional and behavioural problems not getting the help that they need.
Improving the emotional and behavioural health of looked after children and young people (LACYP): research summary 2
- Author:
- CENTRE FOR EXCELLENCE AND OUTCOMES IN CHILDREN AND YOUNG PEOPLE'S SERVICES
- Publisher:
- Centre for Excellence and Outcomes in Children and Young People's Services
- Publication year:
- 2009
- Pagination:
- 4p.
- Place of publication:
- London
This summary provides an overview of the key messages from a research review into what works in improving the emotional and behavioural health of looked after children and young people. The study focused on interventions for which the evidence based was most developed, including enhanced foster care, multi-systemic therapy and mentoring.
The Maudsley long-term follow-up of child and adolescent depression: 1; psychiatric outcomes in adulthood
- Authors:
- FOMBONNE Eric, et al
- Journal article citation:
- British Journal of Psychiatry, 179, September 2001, pp.210-217.
- Publisher:
- Cambridge University Press
Strong links exist between juvenile and adult depression but comorbid conduct disorder in childhood may mitigate this continuity. This article aims to test the impact of comorbid conduct disorder on psychiatric adult outcomes. A group of 149 subjects assessed at the Maudsley Hospital in the period 1970-1983 and meeting DSM-IV criteria for major depressive disorder with or without conduct disorder were interviewed 20 years later. Data were collected on the lifetime history of psychiatric disorders. Found that adult depressive recurrence was high for major depression (62.4%) and any depression (75.2%) and survival analyses showed no difference between the two groups. The group with conduct disorders had higher rates of drug misuse and dependence, alcoholism and antisocial personality disorders. Concludes that adolescent depression carries an elevated risk of adult depression irrespective of comorbidity. Comorbid conduct disorder in childhood is associated with raised rates of other psychiatric outcomes.
Prevalence of psychiatric disorders in young people in the care system
- Authors:
- McCANN Jacinta B., et al
- Journal article citation:
- British Medical Journal, 14.12.96, 1996, pp.1529-1530.
- Publisher:
- British Medical Association
Brief description of a study into levels of psychiatric disorders of young people in the care system. The results highlight that not only did they suffer from serious psychiatric disorders but they also showed high levels of comorbidity, reflecting the complexity of these adolescent's difficulties. Of particular concern was that potentially treatable psychiatric disorders had gone undetected. Makes recommendations to local and health authorities.
Children of the millennium: understanding the course of conduct problems during childhood
- Authors:
- GUTMAN Leslie Morrison, et al
- Publisher:
- Centre for Mental Health
- Publication year:
- 2018
- Pagination:
- 50
- Place of publication:
- London
The findings of a project on children’s behaviour or conduct problems, which analysed data from the Millennium Cohort Study, a longitudinal study following a large sample of children born in 2000 and 2001. This report uses the longitudinal data to explore pathways of conduct problems during childhood in three main areas: comparing the pathways by gender; the impact of multiple risks over time; and pathways of conduct disorder for children with multiple mental health difficulties. The results found that that one child in every twelve in the UK has behavioural problems from a young age into their teenage years. The findings show that children with persistent problems are much more likely to have a multitude of risks early in life, including poverty and housing insecurity, parental mental illness and developmental delay. Based on the findings, the report makes a series of recommendations for local authority public health departments, NHS England and wider Government. These include action to reduce child poverty and housing insecurity, increased mental health support to new parents, and additional funding for local authorities to boost early years services such as Sure Start and to offer evidence-based parenting programmes to families with the greatest needs. (Edited publisher abstract)
W4 serious case review
- Author:
- BAKER Gill
- Publisher:
- Walsall Safeguarding Children Board
- Publication year:
- 2015
- Pagination:
- 51
- Place of publication:
- Walsall
A serious case review of a young person who died as a result of inhalation of products of combustion, having barricaded herself into her bedroom and set fire to the mattress. The scene of the fire was at a care home in Ellesmere, Shropshire where she was the only resident with two adult carers. During her time in care it was found that she had complex needs and continually exhibited challenging, disruptive and risk-taking behaviour. The review found that it was predictable that she would eventually cause serious harm to herself and/or to others. The failure to adequately address the escalation of her unmanageable behaviour may in part be due to issues of gender, carers being afraid of physical assault or of allegations being made against them. However, the review concludes that a more co-ordinated robust holistic multi-agency approach, an earlier and full mental health assessment and formulation, monitoring and reviewing of treatment for ADHD, plus utilising the option of secure accommodation would have provided an opportunity to fully assess and meet her needs in a safe environment which may have contributed to potentially preventing her death. (Edited publisher abstract)
Child mental health: key to a healthier society
- Author:
- LAYARD Richard
- Publisher:
- London School of Economics, Centre for Economic Performance
- Publication year:
- 2008
- Pagination:
- 21p., bibliog.
- Place of publication:
- London
One in ten of school-aged children have a diagnosed mental problem, with only a quarter of them receiving specialist care recommended in NICE guidelines. The document discusses the scale of the problem and the financial consequences. It then looks at the cost-effectiveness of available treatment and the adequacy of services. Finally, proposals of what is required in order to better deliver the NICE guidelines in CAMHS are put forward. These include training 1,000 evidence-based therapists; the development of Tier 3 services, fully professional assessment of all children referred to Tier 3 services, and an expansion of Tier 2 parent training and training of practitioners to deliver it.
Outcomes of conduct problems in adolescence: 40 year follow-up of national cohort
- Authors:
- COLMAN Ian, et al
- Journal article citation:
- British Medical Journal, 24.1.09, 2008, pp.208-211.
- Publisher:
- British Medical Association
To describe long term outcomes associated with externalising behaviour in adolescence, defined in this study as conduct problems reported by a teacher, in a population based sample. A longitudinal study was used from age 13-53. Participants were 3,652 survey members assessed by their teachers for symptoms of externalising behaviour at age 13 and 15. Main outcome measures used were mental disorder, alcohol abuse, relationship difficulties, highest level of education, social class, unemployment, and financial difficulties at ages 36-53. 348 adolescents were identified with severe externalising behaviour, 1051 with mild externalising behaviour, and 2253 with no externalising behaviour. All negative outcomes measured in adulthood were more common in those with severe or mild externalising behaviour in adolescence, as rated by teachers, compared with those with no externalising behaviour. Adolescents with severe externalising behaviour were more likely to leave school without any qualifications, as were those with mild externalising behaviour, compared with those with no externalising behaviour. On a composite measure of global adversity throughout adulthood that included mental health, family life and relationships, and educational and economic problems, those with severe externalising behaviour scored significantly higher (40.1% in top quarter), as did those with mild externalising behaviour (28.3%), compared with those with no externalising behaviour (17.0%). Adolescents who exhibit externalising behaviour experience multiple social and health impairments that adversely affect them, their families, and society throughout adult life.
Steps to inclusion
- Author:
- REVANS Lauren
- Journal article citation:
- Community Care, 28.09.06, 2006, pp.28-29.
- Publisher:
- Reed Business Information
The government is promising "immediate action" to reduce the social exclusion of several vulnerable groups. This article looks at three of these plans: developing intensive interventions at home to tackle childhood mental health and conduct disorders; encouraging employment for those suffering from more severe mental health problems; and piloting of budge-holding practitioner model for children with additional needs. The author argues that for any of these to succeed, extra funding, training and support for practitioners will be needed.
Impact of child sexual abuse on mental health: prospective study in males and females
- Authors:
- SPATARO Josie, et al
- Journal article citation:
- British Journal of Psychiatry, 184(5), May 2004, pp.416-421.
- Publisher:
- Cambridge University Press
The lack of prospective studies and data on male victims leaves major questions regarding associations between child sexual abuse and subsequent psychopathology. The aim was to examine the association between child sexual abuse in both boys and girls and subsequent treatment for mental disorder using a prospective cohort design. Children (n=1612; 1327 female) ascertained as sexually abused at the time had their histories of mental health treatment established by data linkage and compared with the general population of the same age over a specified period. Both male and female victims of abuse had significantly higher rates of psychiatric treatment during the study period than general population controls (12.4% v. 3.6%). Rates were higher for childhood mental disorders, personality disorders, anxiety disorders and major affective disorders, but not for schizophrenia. Male victims were significantly more likely to have had treatment than females (22.8% v.10.2%). This prospective study demonstrates an association between child sexual abuse validated at the time and a subsequent increase in rates of childhood and adult mental disorders.