Search results for ‘Subject term:"mental health problems"’ Sort:
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The evidence on how nurses approach risk assessment
- Author:
- BRUNTON Keith
- Journal article citation:
- Nursing Times, 12.07.05, 2005, pp.38-40.
- Publisher:
- Nursing Times
Over the past decade there have been a number of public enquiries that have forced nurses to improve their decision-making skills in risk assessment. This article reviews the literature on how psychiatric nurses assess risk. It examines the different risk-management strategies used, discusses the rationale behind them and highlights recent research looking at how nurses assess the risk of violence in crisis situations.
Assessing danger to others in clinical social work practice
- Author:
- NEWHILL Christina E.
- Journal article citation:
- Social Service Review, 66(1), March 1992, pp.64-84.
- Publisher:
- University of Chicago Press
Reviews the literature and suggests a model for use in the clinical assessment of clients who may present a risk of violent behaviour.
Supported decision making: experiences, approaches and preferences
- Authors:
- DAVIDSON Gavin, et al
- Publishers:
- Praxis Care, Mencap, Queens University Belfast
- Publication year:
- 2018
- Pagination:
- 72
- Place of publication:
- Belfast
This report presents the findings from research which explores how people are supported to make their own decisions. The report includes the results of a review of literature on supported decision making, including different approaches; a review of key guidance; and findings from interviews with 41 people with mental health problems and/ or intellectual disabilities carried out by peer researchers. The interviews provided an in-depth understanding of people’s experiences of support for decision making and their ideas on how decision making should be supported in the future. The research was funded by the Disability Research on Independent Living and Learning (DRILL) programme and was led by Praxis Care in partnership with Mencap NI and Queen’s University Belfast. The findings identified three things that participants felt make decision making harder: the type of decision; the role of other people; and what the outcome might be. Time was also identified as an important factor. In terms of support, people said they would like: practical support including more accessible information; emotional support including someone to talk to; and sometimes the options to choose from. The report makes a number of recommendations for how support for decision making should be provided but also specifically for how these findings might help to inform how the new support principle in the Mental Capacity Act (Northern Ireland) 2016 should be implemented in practice. (Edited publisher abstract)
Assessing risk of sex offenders with major mental illness: integrating research into best practices
- Authors:
- KELLEY Sharon M., THORNTON David
- Journal article citation:
- Journal of Aggression Conflict and Peace Research, 7(4), 2015, pp.258-274.
- Publisher:
- Emerald
Purpose: Sex Offenders with a Major Mental Illness (SOMMI) are doubly stigmatised, as these individuals are members of two highly marginalised social groups (Guidry and Saleh, 2004). Within each of these groups SOMMI only represent a small minority. For professionals seeking to base their practice in empirical research this has led to a significant problem since the literature related specifically to this group is both limited and hard to locate. Additionally, intensity of psychological risk factors varies as a function of psychiatric decompensation for some SOMMI making it hard to apply certain procedures that work with ordinary sexual offenders. The purpose of this paper is to provide a review of the relevant literature and recommendations for clinical practice that are responsive to the particular challenges posed by this unusual group of sexual offenders. Design/methodology/approach: The current paper provides a review of literature on risk factors for sexual recidivism and validity of current risk tools as it pertains to SOMMI. Recommendations for risk assessment with SOMMI are provided. Findings: The static actuarial tools appear to be useful with SOMMI. However, risk assessments measuring dynamic risk factors have poorer predictive validity. Additional factors that will need to be considered involve a possible higher recidivism rate for SOMMI and a variable relationship between major mental illness and sex offending with it sometimes predisposing, sometimes exacerbating existing risk factors, and sometimes mitigating risk. Originality/value: There is a paucity of research and guidance in assessment and risk management of SOMMI. The current paper is the first to thoroughly explore the efficacy of current sex offender risk assessment tools with SOMMI and provide structured guidance for making decisions about risk and risk management needs for this challenging population. (Edited publisher abstract)
The Disability Discrimination Act 1995 and psychiatry: lessons from the first seven years
- Author:
- GLOZIER Nick
- Journal article citation:
- Psychiatric Bulletin, 28(4), April 2004, pp.126-129.
- Publisher:
- Royal College of Psychiatrists
The aim was to extract relevant information for clinicians from reported and/or accessible cases involving psychiatric illness brought under the Disability Discrimination Act 1995 (DDA). Institutional databases were searched for DDA cases and relevant guidance from case law extracted. Over half the cases reaching higher courts involve psychiatric illness. A number of decisions provide guidance for clinicians wishing to aid their own patients, and those involved as expert witnesses. These cover which conditions are included as impairments (almost everything in ICD-10), what associated effects are to be considered, and the relevance of comorbidity and treatment. Cases often involve recovery of clinical documents that reveal interesting variation in professional standards. Virtually all patients of psychiatrists in secondary care would be covered by the DDA. Knowledge of this Act could be used to enhance a patient’s access to employment and services, and potentially overcome some of the effects of stigmatisation.
Issues in the development of advance directives in mental health care
- Authors:
- ATKINSON Jacqueline, et al
- Journal article citation:
- Journal of Mental Health, 12(5), October 2003, pp.463-474.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Interest in advance directives in mental health care is growing internationally. There is no clear universal agreement as to what such an advance directive is or how it should function. The aim was to describe the range of issues embodied in the development of advance directives in mental health care. The literature on advance directives is examined to highlight the pros and cons of different versions of advance directive. Themes emerged around issues of terminology, competency and consent, the legal status of advance directives independent or collaborative directives and their content. Opinions vary between a unilateral legally enforceable instrument to a care plan agreed between patient and clinician. There is immediate appeal in a liberal democracy that values individual freedom and autonomy in giving weight to advance directives in mental health care. They do not, however, solve all the problems of enforced treatment and early access to treatment. They also raise new issues and highlight persistent problems.
Training social problem-solving skill to reduce maladaptive behaviours in intellectual disability groups: the influence of individual difference factors
- Authors:
- LOUMIDIS Konstantinos S., HILL Andrew
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 10(3), 1997, pp.217-237.
- Publisher:
- Wiley
Describes how a critical review of the literature relevant to social problem-solving skills training (SPSST) in individuals with intellectual disabilities concluded that although there is some evidence that training may be effective, the evidence is weak. It is suggested that little is known about factors which may moderate the effectiveness of training; in particular the impact of age, general intellectual ability and place of residence.