Search results for ‘Subject term:"mental health problems"’ Sort:
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Harsh realities
- Author:
- MAPP Sue
- Journal article citation:
- Community Care, 7.11.96, 1996, pp.28-29.
- Publisher:
- Reed Business Information
Reports on how an approved social worker must balance her client's right to refuse medication against society's right to be safeguarded against any danger this might pose.
Using the occupational performance history interview (OPHI): therapists' reflections
- Author:
- FOSSEY Ellie
- Journal article citation:
- British Journal of Occupational Therapy, 59(5), May 1996, pp.223-228.
- Publisher:
- Sage
Clinical interviews provide occupational therapists with sensitive and versatile sources of information; however, reliable means to collect and interpret this information are necessary for effective clinical decision making. The Occupational Performance History Interview (OPHI) is a semi-structured interview, designed to address the need for a reliable and clinically useful tool in occupational therapy. This article describes a qualitative research study, in which four experienced therapists reflected on their use of the OPHI to interview people referred to a psychiatric day hospital service.
Impaired judgment: a useful symptom of dementia?
- Authors:
- HEAD L., BERRIOS G.E.
- Journal article citation:
- International Journal of Geriatric Psychiatry, 11(9), September 1996, pp.779-785.
- Publisher:
- Wiley
'Impaired judgment' remains a diagnostic (and predictive) criterion for delirium, dementia and substance-related disorders, and yet its diagnosis and measurement are hampered by the absence of an operational definition. Most of the important research into judgment as a psychological function has been carried out in development and industrial psychology, in the experimental analysis of perception, medical diagnosis and legal decision-making. Models generated in these fields, although important, are only tangentially relevant to 'impaired judgment' as it is met with in clinical practice. This article explores some models of judgment and their application to dementia. It concludes that judgment is not a unitary function but a composite of subroutines. Hence, both low-and high-level analyses are required: the former to explore aetiology, differential diagnosis and treatment, the latter for the assessment of psychosocial competence. A model for the understanding of judgment is also suggested.
Ethics in community mental health care
- Author:
- BACKLAR Patricia
- Journal article citation:
- Community Mental Health Journal, 32(4), August 1996, pp.321-325.
- Publisher:
- Springer
Discusses the difficulty in assessing decision-making capacities of people with mental health problems; to ensure that they are able to give authentic autonomous informed consent to, or refusal of, health care treatment.
Small changes that make a big difference
- Authors:
- WAREING Lesley Ann, ASSEY Julian
- Journal article citation:
- Journal of Dementia Care, 4(4), July 1996, pp.26-27.
- Publisher:
- Hawker
Carers in East Dorset have real opportunity to communicate their views on services and influence policy decisions at Trust level. This article looks at some of the work undertaken by Dorset Healthcare NHS Trust to involve carers in the planning and provision of services for older people with mental health care needs and dementia. Based on interviews with two carers, the head occupational therapist and a ward sister, it draws on the experience of those involved, highlights the themes which emerged and contrasts the different perspectives.
Recording contract
- Author:
- STRONG Susannah
- Journal article citation:
- Community Care, 18.7.96, 1996, p.25.
- Publisher:
- Reed Business Information
People with a mental illness often have no say in their care package. The author reports on a scheme in Avon which involves everyone concerned, with some positive results.
The developing role of the forensic community nurse
- Authors:
- FRIEL Colum, CHALONER Chris
- Journal article citation:
- Nursing Times, 17.7.96, 1996, pp.33-35.
- Publisher:
- Nursing Times
Mental health professionals are increasingly concerned with the consequences of clinical judgment errors. Such concern has led to an increase in requests for specialist advice from forensic mental health care teams. Consequently, the demand for forensic community mental health nurses (FCMHNs) to provide specialist advice and reports has increased. Such advice can be significant in planning and delivering care.
Tangled web
- Author:
- AUSTIN Richard
- Journal article citation:
- Community Care, 7.3.96, 1996, p.22.
- Publisher:
- Reed Business Information
Regardless of how effective professionals are in dealing with people with a mental illness, failures do happen. The author explains the need to balance the needs of the client with the rights of the public to be protected.
Laying down the law on dementia
- Author:
- EVERS Clive
- Journal article citation:
- Journal of Dementia Care, 4(1), January 1996, pp.11-13.
- Publisher:
- Hawker
There is now an official legal document that recognises the social and medical challenge of dementia. This article looks at the Law Commission's report on mental incapacity which contains many ideas that could benefit people with dementia and their carers.
Ethics of 'informed consent' in dementia research: the debate continues
- Authors:
- AGARWAL Manoj R., et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 11(9), September 1996, pp.801-806.
- Publisher:
- Wiley
The Law Commission has recently proposed a legal test of capacity to consent to treatment. Consent to treatment in phase three trials in Alzheimer's Disease is usually obtained from both the subject and a carer or next of kin. This article examines the relevance of the Law Commission recommendations in accessing informed consent from early dementia sufferers and their carers subjected to a double-blind, placebo-controlled trial of a potentially therapeutic agent. Asks whether a single 'test' for informed consent, with stringent criteria, is likely to impede future research activity in dementia patients. Also argues that the role and involvement of carers in the decision-making process need to be considered so that subjects are not unnecessarily excluded.