Search results for ‘Subject term:"mental health problems"’ Sort:
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Sporting memories & the social inclusion of older people experiencing mental health problems
- Authors:
- CLARK Michael, et al
- Journal article citation:
- Mental Health and Social Inclusion, 19(4), 2015, pp.202-211.
- Publisher:
- Emerald
Purpose: Social exclusion and isolation of older people and their mental health are likely to be more significant, interlinked issues for society as countries experience an ageing demographic profile. The authors urgently need to identify effective ways of addressing these challenges that can be easily mobilised to meet diverse needs in different settings. The purpose of this paper is to explore the impact of sporting memories (SM) work as one approach to help meet this need. This SM work entails the use of sports-based reminiscence to engage with older people experiencing mental health problems. To date this has especially focused on people living with dementia in institutional and in community settings. Design/methodology/approach: The paper sets out the SM idea and discusses lessons learnt from case studies of its application to meet the inclusion and mental health needs of different older people in institutional and community settings. Findings: The evidence from the application of SM work to date is that it is an effective and flexible means of engaging people to improve their social inclusion and mental well-being. It can be readily deployed in various care and community settings. Research limitations/implications: The evidence to date is of case studies of the use of SM work, and, although these are now extensive case studies, further research is needed on the costs and impacts of SM work. Practical implications: SM work is a flexible and readily adoptable intervention to engage older people and help improve their social inclusion and mental well-being. Social implications: SM work can be an important part of meeting some of the challenges society faces with an ageing population profile. Originality/value: This is the first paper to set out the SM work. (Publisher abstract)
Cognitive–behavioural therapy for anxiety in dementia: pilot randomised controlled trial
- Authors:
- SPECTOR Aimee, et al
- Journal article citation:
- British Journal of Psychiatry, 206(6), 2015, pp.509-516.
- Publisher:
- Cambridge University Press
Background: Anxiety is common and problematic in dementia, yet there is a lack of effective treatments. Aims: To develop a cognitive–behavioural therapy (CBT) manual for anxiety in dementia and determine its feasibility through a randomised controlled trial. Method: A ten-session CBT manual was developed. Participants with dementia and anxiety (and their carers) were randomly allocated to CBT plus treatment as usual (TAU) (n = 25) or TAU (n = 25). Outcome and cost measures were administered at baseline, 15 weeks and 6 months. Results: At 15 weeks, there was an adjusted difference in anxiety (using the Rating Anxiety in Dementia scale) of (–3.10, 95% CI –6.55 to 0.34) for CBT compared with TAU, which just fell short of statistical significance. There were significant improvements in depression at 15 weeks after adjustment (–5.37, 95% CI –9.50 to –1.25). Improvements remained significant at 6 months. CBT was cost neutral. Conclusions: CBT was feasible (in terms of recruitment, acceptability and attrition) and effective. A fully powered RCT is now required. (Publisher abstract)
Hospital readmission rates and emergency department visits for mental health and substance abuse conditions
- Authors:
- SMITH Mark W., STOCKS Carol, SANTORA Patricia B.
- Journal article citation:
- Community Mental Health Journal, 51(2), 2015, pp.190-203.
- Publisher:
- Springer
Community hospital stays in 12 US states during 2008-2009 were analysed to determine predictors of 12-month hospital readmission and emergency department (EDs) revisits among persons with a mental health or substance abuse diagnosis. Probabilities of hospital readmission and of ED revisits were modelled as functions of patient demographics, insurance type, number of prior-year hospital stays, diagnoses and other characteristics of the initial stay, and hospital characteristics. Alcohol or drug dependence, dementias, psychotic disorders, autism, impulse control disorders, and personality disorders were most strongly associated with future inpatient admission or ED revisits within 12 months of initial encounter. Insurance type, including uninsured status, were highly significant predictors of both readmission and ED revisits. (Edited publisher abstract)
The NHS atlas of variation in healthcare: reducing unwarranted variation to increase value and improve quality
- Author:
- NATIONAL HEALTH SERVICE. Right Care
- Publisher:
- Public Health England
- Publication year:
- 2015
- Pagination:
- 277
- Place of publication:
- London
This publication uses maps to show the variation in health care for a variety of conditions across England and Wales. The maps are accompanied by commentary on the background context, scale of variation and options for action. Conditions covered include: care of mothers, babies, and children and young people; mental health problems; dementia; care of older people; end of life care; and learning disabilities. Twenty one of the indicators are also presented by local authority area. The Atlas also highlights the work being done by Right to Care to support anyone wanting to reduce unwarranted variation of health care provision within their locality or between their locality and other areas of the country. (Edited publisher abstract)
Working through interpreters in old age psychiatry: a literature review
- Authors:
- FAROOQ Saeed, KINGSTON Paul, REGAN Jemma
- Journal article citation:
- Mental Health Review Journal, 20(1), 2015, pp.36-47.
- Publisher:
- Emerald
Purpose: A systematic appraisal of the effect of use of interpreters for mental health problems in old age. The primary objective of the review is to assess the impact of a language barrier for assessment and management in relation to mental health problems in the old age. The secondary objectives are to assess the effect of the use of interpreters on patient satisfaction and quality of care, identify good practice and make recommendations for research and practice in the old age mental health. Design/methodology/approach: The following data sources were searched for publications between 1966 and 2011: PubMed, PsycINFO, CINAHL and Cochrane Library. The authors also conducted a search of the World Wide Web using Google Scholar, employing the search term Medical Interpreters and Mental Health. The search included literature in all languages. Findings: Only four papers met the inclusion and exclusion criteria and present original research in the field of “old age”, “psychiatry” and “interpreting”. None of these papers present UK-based research. The studies are from Australia, Canada, a paper describing community interpreting in a Belgian old home and an American case study. Practical implications: Interviewing older patients for constructs like cognitive function and decision-making capacity through interpreters can pose significant clinical and legal problems. There is urgent need for training mental health professionals for developing skills to overcome the language barrier and for interpreters to be trained for work in psychogeriatrics. Social implications: Further studies are needed to understand the extent of problem and how effective interpreting and translating services can be provided in the routine clinical practice. It is also essential to develop a standard of translation services in mental health that can be measured for their quality and also efficiency. At present such a quality standard is not available in the UK (Edited publisher abstract)
South Asian older adults with memory impairment: improving assessment and access to dementia care
- Authors:
- GIEBE Clarissa M., et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 30(4), 2015, pp.345-356.
- Publisher:
- Wiley
Objective: With increasing international migration, mental health care of migrants and ethnic minorities is a public health priority. South Asian older adults experience difficulties in accessing services for memory impairment, dementia and mental illness. This review examines barriers and facilitators in the pathway to culturally appropriate mental health care. Methods: Web of Knowledge, Pubmed and Ovid databases were searched for literature on South Asian older adults or their family carers, their understandings of mental illness and dementia and their pattern of service use. Dates were from 1984 to 2012. Abstracts were assessed for relevance, followed by detailed reading of salient papers. Three researchers rated the quality of each included study. A narrative synthesis was undertaken of extracted and charted data. Results: Eighteen studies met the eligibility criteria for the review. South Asians and health professionals highlighted several difficulties which deterred help seeking and access to care: a lack of knowledge of dementia and mental illness, and of local services; stigma; culturally preferred coping strategies; and linguistic and cultural barriers in communication and decision making. Conclusions: To improve access for these groups, service users and providers need to be better informed; services need to be more culturally tailored, sometimes employing staff with similar cultural backgrounds; and health professionals can benefit from dementia education and knowledge of local services. These factors are key to the delivery of the National Dementia Strategy in England. (Publisher abstract)
A call to action: the global response to dementia through policy innovation
- Authors:
- RUBINSTEIN Ellis, et al
- Publisher:
- World Innovation Summit for Health
- Publication year:
- 2015
- Pagination:
- 56
- Place of publication:
- Doha
Outlines key issues in understanding dementia and the need to tackle the burden globally. The report identifies and discusses effective approaches and innovative solutions, including: mobilising society to increase awareness, education and participation; prevention and risk reduction to decrease prevalence of dementia; diagnosis and care innovations to improve quality of life; health and social care systems optimised for dementia care; cure or disease-modifying treatments to minimise disease burden; research, trials and regulatory pathways to accelerate drug development; and innovative finance mechanisms to increase funding across the arc of disease management. The report makes recommendations to policymakers to accelerate prevention, improve care and treatments, and potentially cure the diseases that lead to dementia. (Edited publisher abstract)
Community care statistics: social services activity, England: 2014-15
- Author:
- HEALTH AND SOCIAL CARE INFORMATION CENTRE
- Publisher:
- Health and Social Care Information Centre
- Publication year:
- 2015
- Pagination:
- 77
- Place of publication:
- Leeds
This report covers the social care activity of Councils with Adult Social Services Responsibilities CASSRs in England, including people who pay entirely for their own care, for the period 1st April 2014 to 31st March 2015, and for people receiving services at 31st March 2015 . Data is taken from the Short and Long Term return (SALT) which tracks customer journeys through the social care system, replacing both the Referrals, Assessments and Packages of Care (RAP) return and the Adult Social Care Combined Activity Return (ASC-CAR). Statistics are provided for short term support, long term support and support for carers. Statistics also cover the primary reason for support: physical support, sensory support, support with memory and cognition, learning disability support, mental health support, social support and reported health conditions. (Publisher abstract)
Supporting people with dementia and other conditions: a case study-based guide to support the social care workforce working with people with dementia who have other conditions
- Author:
- SKILLS FOR CARE
- Publisher:
- Skills for Care
- Publication year:
- 2015
- Pagination:
- 30
- Place of publication:
- Leeds
Guide providing information to help develop the skills of the social care workforce who support people living with dementia and who also live with other conditions. The guide covers people with dementia who also live with sensory impairment, learning disabilities, long-term pain, Parkinson's disease and mental health problems. Section are also provided on holistic care for people with dementia and other conditions and specialist dementia and learning disabilities learning. Each section includes five top tips from a leading organisation in the sector and a practice example to show how these tips can be put into in practice to improve the quality of life of people living with dementia. Organisations contributing to the guide include Vista Blind, Rethink Mental Illness, Making Space, Hull City Council and the Fremantle Trust. The guide will be useful for leaders and managers and those developing teams who are working with services for people with dementia. (Edited publisher abstract)