Search results for ‘Subject term:"mental health problems"’ Sort:
Results 1 - 10 of 79
Reliability of emotional problems with the diagnostic assessment for the severely handicapped (DASH)
- Authors:
- SEVIN Jay A, et al
- Journal article citation:
- British Journal of Clinical Psychology, 34(1), February 1995, pp.93-94,.
- Publisher:
- Wiley
Briefly describes a method of assessing the reliability of emotional problems for people with severe learning difficulties.
Diagnosing psychiatric disorders in people with intellectual disabilities: issues and achievements
- Authors:
- BERTELLI Marco O., et al
- Journal article citation:
- Advances in Mental Health and Intellectual Disabilities, 9(5), 2015, pp.230-242.
- Publisher:
- Emerald
Purpose: Diagnosing psychiatric disorders (PD) in adults with Intellectual Disability (ID) presents several issues and need specific skills and tools. The purpose of this paper is to provide a detailed description of the current status of art through a systematic mapping of the literature. Design/methodology/approach: The authors reviewed the international literature on the basis of the following questions: what are the issues in the psychiatric diagnostic process for adults with ID? What methods and procedures have been used for psychiatric assessment in ID? To date, is it possible to identify some most effective procedures? Findings: The analysis of the literature indicates that main issues of the psychiatric diagnostic process in adults with ID are the following: identification of psychiatric symptoms, behavioural equivalents, diagnostic criteria, setting, source of information, screening, and diagnostic tools. The evidence base is only emerging and although many relevant achievements have been reached in the last two decades, no definitive guideline has been produced. Most recent acquisition also allowed to identify some assessment procedures that are currently considered the most effective. Individualised assessment remains the best way to meet the needs of this heterogeneous and variable patient group. Originality/value: This paper offers a comprehensive and updated description of current achievements and issues towards the assessment of PD in people with ID. (Publisher abstract)
UK extended Medical Assessment Programme for ex-service personnel: the first 150 individuals seen
- Author:
- PALMER Ian P.
- Journal article citation:
- Psychiatrist (The), 36(7), July 2012, pp.263-270.
- Publisher:
- Royal College of Psychiatrists
This study describes an interim service set up to examine the breadth of UK ex-service personnel’s concerns in relation to their mental health and military service and provides a record of the first 150 individuals assessed following conformation of military service and examination of all available military and civilian medical records. The majority of attendees were White male ex-soldiers. Average age, service and time to assessment were 44.5, 15.8 and 11.7 years respectively. Two-thirds were receiving help from the National Health Service and ex-service non-governmental organisations. Rates of post-traumatic stress disorder were similar to previous UK studies. Obsessional symptoms were of relevance to the clinical presentation in a third. Fabrication and/or exaggeration occurred in about 10%. The authors note that the spread of diagnoses and delay in help-seeking are similar to civilians. They believe that the link between mental disorders and military service is seldom straightforward and fabrication or exaggeration is difficult for civilians to recognise. Verification and contextualisation of service using contemporaneous service medical records is of value given the possible occupational origin of mental health conditions.
A social work perspective on the adjustment disorders
- Authors:
- WALSH Joseph, CORCORAN Jacqueline
- Journal article citation:
- Social Work in Mental Health, 9(1-6), 2011, pp.107-121.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
The adjustment disorders represent a client's problematic reaction to an environmental stress rather than assuming an internal functioning deficit. As a sole diagnosis, they account for 5-21% of voluntary mental health client consultations. However, they are controversial because of their relative lack of diagnostic validity and reliability. They may also be overused by social workers to avoid stigmatising clients. The purpose of this article is to explore the suitability of the adjustment disorders as clinical diagnoses, and to provide, through 2 case illustrations, intervention guidelines for social workers. Both illustrations provide example of assessment questions, risk and resilience considerations, and procedures for goal setting and treatment planning. The article argues that these diagnoses represent consistency with social work professional values in their focus on the interaction between persons and their environments, and in calling specific attentions to stressors that can be addressed during the intervention process. Social workers should therefore be encouraged to use these diagnoses when appropriate.
Hidden meanings
- Author:
- GEORGE Mike
- Journal article citation:
- Community Care, 6.2.97, 1997, pp.20-21.
- Publisher:
- Reed Business Information
Investigates the problem of recognising depression in older people.
Hidden meanings
- Author:
- RUSSELL Oliver
- Journal article citation:
- Community Care, 6.2.97, 1997, pp.18-19.
- Publisher:
- Reed Business Information
Discusses the problem of diagnosing depression in people with learning difficulties.
Assessment and diagnosis of psychiatric disorder in adults with autism spectrum disorder
- Authors:
- UNDERWOOD Lisa, et al
- Journal article citation:
- Advances in Mental Health and Intellectual Disabilities, 9(5), 2015, pp.222-229.
- Publisher:
- Emerald
Purpose: Adults with autism spectrum disorder (ASD) present with a range of psychiatric disorders. However, making an accurate diagnosis is challenging. It is important to follow a robust and informed process in the assessment of psychopathology that is centred on the individual and their neurodevelopmental difficulties. The purpose of this paper is to provide clinicians with an evidence-based approach to the assessment process for adults with ASD presenting with a possible co-occurrent psychiatric disorder. Design/methodology/approach: A review of the recent literature was undertaken focusing on key papers that describe the assessment of mental health problems in adults with ASD. Findings: The presentation of psychiatric symptoms is influenced by the underlying developmental disorder and it is often quite different from the one of the general population. Thus, it is essential to undertake a comprehensive psychopathological assessment including a diagnostic assessment of ASD. There is a very small evidence base on the use of diagnostic tools in the assessment of adults with ASD. Originality/value: This is a practice review paper applying recent evidence from the literature. (Publisher abstract)
Towards an evidence-based clinical forensic diagnostic assessment framework for juvenile fire setting and bomb making: DSM-5 Quadrant
- Author:
- JOHNSON Ronn
- Journal article citation:
- Journal of Forensic Psychology Practice, 15(3), 2015, pp.275-293.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia
Juvenile fire setting and bomb making (JFSB) poses clinical, cross-disciplinary, ethical, and legal challenges. For example, the discipline lacks an available assessment method that is specifically designed to guide the diagnostic work with JFSBs. This article identifies issues associated with assessing mental health symptoms frequently found within the JFSB population. Consistent with the Diagnostic and Statistical Manual of Mental Disorders (5th edition; DSM-5), an expanded dimensional diagnostic framework referred to as the DSM-5 Quadrant is recommended as a valid approach to augment the clinical utility for both case conceptualization and crafting forensically relevant interventions aimed at these young people. The DSM-5 Quadrant consists of symptoms found in ADHD, ASD, posttraumatic stress disorder (PTSD), and conduct disorder (CD). (Edited publisher abstract)
DSM-5 research: assessing the mental health needs of older adults from diverse ethnic backgrounds
- Authors:
- ROSE Alexis Lee, CHEUNG Monit
- Journal article citation:
- Journal of Ethnic and Cultural Diversity in Social Work, 21(2), April 2012, pp.144-167.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
The Diagnostic and Statistical Manual of Mental Disorders (DSM) is being updated and expanded by the American Psychiatric Association, based on scientific criteria for developing comprehensive assessments and culturally appropriate interventions to meet the psychological and behavioural needs of individuals. As a clinical manual, it identifies appropriate care through diagnoses and classifications of mental and behavioural health needs. This article analyses current trends and limitations in the design of the DSM, focusing particularly on its application to older adults from diverse ethnic backgrounds. It is based on a literature review which identified 54 articles published between 2001 and 2011 discussing DSM and its applicability to assessing ethnically diverse older adults' mental health. 5 themes emerged from qualitative analysis of the material: assessment issues related to acculturation, limitations with culture elements, health disparities, evidence-based practice with dementia, and prevalence of anxiety and depression. The article discusses incorporation of additional considerations into the DSM in the light of the literature review findings.
Mental health assessment of children and adolescents with learning disabilities
- Authors:
- FRIEDLANDER Robin, MOSS Steve
- Journal article citation:
- Journal of Public Mental Health, 8(1), March 2009, pp.37-45.
- Publisher:
- Emerald
Understanding the mental health problems of children who have learning disabilities presents huge challenges across many domains. The paper examines some of the assessment frameworks that may be used, offers clinical guidance on collecting information and suggests ways in which various theoretical approaches can be used to derive comprehensive case formulations. The common assessment approaches mentioned are psychiatric, behavioural, ecological and early attachment. A case study is used to discuss the use of the frameworks. An emphasis is placed on the use of structured methods to improve reliability and validity.