Search results for ‘Subject term:"mental health problems"’ Sort:
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Medication masks the problems
- Author:
- WALSH Paul
- Journal article citation:
- Care Plan, 3(3), March 1997, pp.19-23.
- Publisher:
- Positive Publications/ Anglia Polytechnic University, Faculty of Health and Social Work
Argues that people with learning disabilities who also have mental health problems are ill-served by the general mental health services. One of the major problems is that medication is prescribed to control the individuals' behaviour without their consent. Urges the use of the least intrusive treatment as a less medicalised approach.
Repatriating psychiatric patients
- Authors:
- GREEN Lucinda, NAYANI Tony
- Journal article citation:
- Psychiatric Bulletin, 24(11), November 2000, pp.405-408.
- Publisher:
- Royal College of Psychiatrists
In a psychiatric intensive care unit in central London 17 percent of consecutive admissions between 1 October 1997 and 1 October 1998 were foreign nationals from European Union (EU) countries. This paper discusses the experience of arranging repatriation and some of the relevant legal, ethical and clinical issues involved and reports the results of contacting all the EU embassies regarding the process of repatriating psychiatric patients to their respective countries.
Rationing rationale
- Author:
- HIRST Judy
- Journal article citation:
- Community Care, 18.11.99, 1999, pp.22-23.
- Publisher:
- Reed Business Information
Investigates suggestions that "clinical effectiveness" tests applied to new drugs for mental illnesses with fewer side effects are really jut another cost controlling strategy.
General practitioners’ assessment of, and treatment decisions regarding, common mental disorder in older adults: thematic analysis of interview data
- Authors:
- STRACHAN Jennifer, YELLOWLEES Gill, QUIGLEY April
- Journal article citation:
- Ageing and Society, 35(1), 2015, pp.150-168.
- Publisher:
- Cambridge University Press
Primary and secondary care services are charged with failing to adequately detect and treat mental disorder in older adults due to the ‘understandability phenomenon’; the belief that mental disorder in old age is inevitable and therefore not worthy of intervention. Quantitative data appear to support this hypothesis but lack the explanatory power of detailed accounts. Nine general practitioners (GPs) participated in group interviews about their assessment and treatment of older patients, and their expectations and experience of referral to secondary care. Resulting transcripts were subject to Thematic Analysis. Respondents recognised the unique features of these clients, and their impact on the detailed, recursive processes of assessment, clinical decision-making and intervention. GPs described confidence in managing most cases of mental disorder, describing the role of secondary care as one of consultancy in extreme or unusual cases. GPs did view mental disorder as commonly originating in adverse circumstances, and queried the validity of pharmacological or psychological interventions in these cases. They did not, however, equate understandability with acceptability, and called for social interventions to be integrated with health-care interventions to tackle the cause of mental disorder in older adults. At a wider level, findings highlight the discrepancy between assumptions about GP attitudes and actions, and their own accounts. At a local level, findings will assist in focusing secondary care service development where need is perceived, into consultancy and training. (Publisher abstract)
Making plans for Nigella - the case for and against, harm reduction
- Author:
- DON Lesley
- Journal article citation:
- Drugs and Alcohol Today, 5(1), May 2005, pp.17-22.
- Publisher:
- Emerald
Deciding the best course of treatment for a drug or alcohol user can be a complex one. This article looks at the discussion of harm reduction and abstinence, and asks what the best plans are for a young woman with mental health problems who uses heroin to prevent recurring self-harm. The author explores the decision-making process towards treatment.
Feeling the way: childhood mental illness and consent to admission and treatment
- Authors:
- FORD Tamsin, KESSEL Anthony .
- Journal article citation:
- British Journal of Psychiatry, 179, November 2001, pp.384-386.
- Publisher:
- Cambridge University Press
Editorial which summarises the history and legal framework of consent, and discusses the developmental issues affecting capacity, and the ethical and clinical implications in relation to children with psychiatric disorder.
End of life treatment decisions in people with dementia: carers' views and the factors which influence them
- Authors:
- POTKINS Dawn, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 15(11), November 2000, pp.1005-1008.
- Publisher:
- Wiley
Treatment decisions in life threatening situations (TD) are poorly studied in people with dementia. The carers of people with dementia were asked four TD questions, pertaining to cardiac resuscitation, intravenous fluids, oral antibiotics and intravenous antibiotics. The impact of key variables (age, dementia severity, psychiatric co-morbidity, physical illness, family relationship of carer) on TD were evaluated. The global view of carers, was not influenced greatly by key disease variables. There are potential implications for the way in which carers are used as proxy decision makers.
Mental incapacity and consent to treatment: the Scottish experience
- Author:
- CRICHTON John
- Journal article citation:
- Journal of Forensic Psychiatry, 11(2), September 2000, pp.457-464.
- Publisher:
- Routledge
The paper describes the current state of the law in Scotland relating to the management of adults who do not have the ability to consent to treatment. There are important differences in the nature and content of the common law relating to this subject between Scotland and England, which are described. This is a confusing area of law, which is acknowledged to be in need of reform. The Adults with Incapacity (Scotland) Act 2000 addresses the issue. Briefly describes and discusses the Act.
Advance directives
- Author:
- PARSONS Andrew
- Journal article citation:
- Mental Health and Learning Disabilities Care, 3(10), June 2000, p.351.
- Publisher:
- Pavilion
A solicitor describes, with a case history, how advance directives, although not completely binding, can be used to state treatment preferences should you lose decision-making capacity.
Making the right moves: rights and protection for adults with incapacity; laid before Scottish Parliament by the Scottish Ministers, August 1999
- Author:
- SCOTLAND. Scottish Executive
- Publisher:
- Stationery Office
- Publication year:
- 1999
- Pagination:
- 36p.
- Place of publication:
- Edinburgh
Statement setting out Scottish Executive plans to introduce comprehensive legislation in the Scottish Parliament to protect the rights and interests of adults who lack capacity because of mental health problems, learning difficulties, or dementia.