Search results for ‘Subject term:"mental health problems"’ Sort:
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Pandora's box: the effect of diagnostic disclosure on a depressed patient
- Author:
- LEBOLT Jonathan
- Journal article citation:
- Clinical Social Work Journal, 30(3), Autumn 2002, pp.281-291.
- Publisher:
- Springer
- Place of publication:
- New York
There is little literature on the effect of disclosure of psychiatric diagnosis on treatment. A case is presented in which the therapist suggests a depressed patient may be bipolar. Three concepts are utilized to understand the resultant impasse: empathic failure, intersubjective disjunction, and projective identification, and the subjugating third.
Prescriptive psychotherapy: alternatives to diagnosis
- Author:
- BEDI Robinder Paul
- Journal article citation:
- Journal of Psychotherapy in Independent Practice, 2(2), 2001, pp.39-60.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
The purpose of this paper is to introcuce uninformed mental health professionals to traditional prescriptive psychotherapy and to highlight potential client factors which can guide the selection of particiular interventions, relational stances, approaches, and orientations. Although some would be quick to point out that almost all mental health professionals advocate tailoring interventions to fit the client, true prescriptive psychotherapists employ direct empirical evidence in tailoring and do not limit themselves to one or just a few orientations. To aid in this endeavour, the three most prominent and theoretically devloped systems of prescriptive psychotherapy (Multimodal psychotherapy, systematic treatment selection and stage-based psychotherapy), and two particularly useful categories of idiographic factrs (the therapeutic relationship and the client's worldview) are introduced and discussed.
A guide to treatments that work
- Editors:
- NATHAN Peter E., GORMAN Jack M., (eds.)
- Publisher:
- Oxford University Press
- Publication year:
- 2007
- Pagination:
- 758p.
- Place of publication:
- Oxford
- Edition:
- 3rd ed.
The third edition of A Guide to Treatments That Work offers detailed evaluative reviews of current research on empirically supported treatments, written in most instances by clinical psychologists and psychiatrists who are major contributors to that literature. The authors evaluate the methodological rigor of the research on treatment efficacy and effectiveness As an interdisciplinary work that integrates information from both clinical psychology and psychiatry, this new edition will continue to serve as an essential volume for both academics and practicing clinicians.
Dual diagnosis of mental disorder and substance misuse
- Author:
- MCMURRAN Mary
- Publisher:
- NHS National Programme on Forensic Mental Health Research and Development
- Publication year:
- 2001
- Pagination:
- 32p.,bibliog.
- Place of publication:
- Liverpool
Substance misuse that is comorbid with mental disorder may increase the risk of crime, and militate against effective treatment. It is therefore important that forensic mental health professionals understand the assessment and treatment of both substance misuse and mental disorder. Since mentally disordered offenders may be detained under classifications of personality (psychopathic) disorder, mental illness, and learning disability (mental impairment / severe mental impairment), all three disorders are addressed, and this paper is structured accordingly. Substance misuse includes intoxication, problematic use, and dependence, all of which are relevant to criminal behaviour, and the focus is on crimes related to the ingestion of substances.
Dual Diagnosis toolkit: mental health and substance misuse; a practical guide tor professionals and practitioners
- Authors:
- HAWKINGS Caroline, GILBURT Helen
- Publisher:
- Turning Point,|Rethink
- Publication year:
- 2004
- Pagination:
- 98p.
- Place of publication:
- London
This toolkit provides background information to the issues surrounding dual diagnosis and offers a practical guide to delivering services. It includes information about substance misuse, mental health and policy background and features current treatment modules along with case studies and exercises for individuals or group work.
Survey of expert second opinions in a tertiary psychiatric out-patient clinic in the Yorkshire region between 1988 and 2000
- Authors:
- NIRODI Pratibha, et al
- Journal article citation:
- Psychiatric Bulletin, 27(10), November 2003, pp.416-420.
- Publisher:
- Royal College of Psychiatrists
A medical second opinion is an expert clinical case evaluation requested by a colleague for a patient already under specialist care. There is no literature on the provision for second opinions in psychiatric practice other than those relating to the Mental Health Act 1983, and the availability of clinics offering second opinions varies greatly from one area to another. The authors undertook a survey of an expert second opinion service in Leeds over the period 1988-2000 and examined the case notes of 103 referred patients, of whom 71 were included in the analysis data. In the majority of cases diagnoses were not changed, but alternative treatment strategies were suggested. The exception was for patients with a diagnosis of personality disorder, in whom neither a new diagnosis nor alternative management was commonly suggested. Half of the assessments were completed in a single visit, but a substantial minority required further evaluation as outpatients, close follow-up or even hospital admission for detailed review. The authors believe that a second opinion service offers clinicians valuable support and expertise, especially in sector psychiatry. Evidence presented suggests that further therapeutic options are available for many patients regarded as 'difficult to treat'. In some cases this may involve a period of observation free of all psychotropic medication. As in other specialities, psychiatrists should be aware of the value of further advice for patients with particularly refractory or unusual disorders.
Social work practice in mental health: contemporary roles, tasks, and techniques
- Editor:
- BENTLEY Kia
- Publisher:
- Brooks/Cole
- Publication year:
- 2001
- Pagination:
- 403p.,bibliogs.
- Place of publication:
- Pacific Grove, CA
This book presents a "partnership" model which addresses the need immediately useful discipline specific content on the most important social work practice roles in mental health. The book articulates how roles often associated with working with a specific population (e.g. those who abuse substances, persons with severe mental illness, distressed marital couples) are quite relevant and useful in a much wider range of populations. Experts address social workers' many roles: crisis counselor, diagnostician, therapist, mediator, educator, skills trainer, case manager, mediation facilitator, consumer and family consultant, team collaborator, advocate, programme evaluator/ researcher, and administrator and policy analyst.
Service innovations: second opinions in child and adolescent psychiatry
- Authors:
- RICHARDSON Greg, COTTERELL David
- Journal article citation:
- Psychiatric Bulletin, 27(1), January 2003, pp.22-24.
- Publisher:
- Royal College of Psychiatrists
This research seeks to devise a protocol, reflecting best practice, for obtaining second opinions in child and adolescent psychiatry through discussion with consultants in child and adolescent psychiatry within the Yorkshire region at their quarterly meetings. The major pressure for second opinions falls upon the Academic Unit of Child and Adolescent Mental Health and on the in-patient units. Other consultants who are considered to have specialist expertise in certain areas may also receive referrals for second opinions. Both consultants requesting and offering second opinions considered a protocol for obtaining them would be helpful to their practice. An agreed protocol between consultants in child and adolescent psychiatry within a region ensures that young people with complex problems have access to second opinions on their diagnosis and management by consultants who can be recommended to referrers by other consultants. The network of consultants ensures such opinions are not requested excessively and that 'rogue' opinions without therapeutic follow-up are avoided.
Dual diagnosis: counseling the mentally ill substance abuser
- Authors:
- EVANS Katie, SULLIVAN J Michael
- Publisher:
- Guilford Press
- Publication year:
- 2001
- Pagination:
- 290p.,bibliog.
- Place of publication:
- New York
- Edition:
- 2nd
Provides a synthesis of chemical chemical dependency and mental health models and articulates a framework for assessment and treatment and a range of effective counselling and motivational strategies for adolescents and adults. This edition is made compatible with the diagnostic statistical manual for mental health, DSM IV and includes discussions of recent developments in treatment plans and trauma based disorders in addicted female adolescents,
Assessment and management of risk of harm in clients with dual diagnosis
- Authors:
- ALCOHOL CONCERN, DRUGSCOPE
- Publisher:
- Alcohol Concern/Drugscope
- Publication year:
- 2002
- Pagination:
- 23p.
- Place of publication:
- London
Examines how to provide integrated treatment for clients with both substance abuse and mental health problems. Reviews the diagnosis and assessment of dual diagnosis clients, and goes on to discuss treatment and risk management of schizophrenia, depression, bipolar disorders and personality disorders, where they are complicated by substance abuse.