Search results for ‘Subject term:"mental health problems"’ Sort:
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Recent intimate partner violence among people with chronic mental illness: findings from a national cross-sectional survey
- Authors:
- KHALIFEH Hind, et al
- Journal article citation:
- British Journal of Psychiatry, 207(3), 2015, pp.207-212.
- Publisher:
- Cambridge University Press
Background: People with mental illness are at increased risk of intimate partner violence (IPV) victimisation, but little is known about their risk for different forms of IPV, related health impact and help-seeking. Aims: To estimate the odds for past-year IPV, related impact and disclosure among people with and without pre-existing chronic mental illness (CMI). Method: Data were analysed from 23 222 adult participants in the 2010/2011 British Crime Survey using multivariate logistic regression. Results: Past-year IPV was reported by 21% and 10% of women and men with CMI, respectively. The adjusted relative odds for emotional, physical and sexual IPV among women with versus without CMI were 2.8 (CI = 1.9-4.0), 2.6 (CI = 1.6-4.3) and 5.4 (CI = 2.4-11.9), respectively. People with CMI were more likely to attempt suicide as result of IPV, less likely to seek help from informal networks and more likely to seek help exclusively from health professionals. Conclusions: People with CMI are not only at increased risk of all forms of IPV, but they are more likely to suffer subsequent ill health and to disclose exclusively to health professionals. Therefore, health professionals play a key role in addressing IPV in this population. (Edited publisher abstract)
Statutory disclosure guidance
- Author:
- GREAT BRITAIN. Home Office
- Publisher:
- Great Britain. Home Office
- Publication year:
- 2015
- Pagination:
- 6
- Place of publication:
- London
- Edition:
- 2nd ed.
Revised statutory code of practice for chief officers of police to help them decided what police information to disclose during Disclosure and Barring Service (DBS) checks. The revised guidance includes advice on disclosing information relating to mental health, and advises whether and when to include information about detentions in police cells or health-based places of safety when someone experiencing a mental health crisis comes into contact with the police. Information from Disclosure and Barring Service (DBS) checks is used by an employer to decide whether someone is a suitable person to work with children or vulnerable adults. (Edited publisher abstract)
The process of reporting and peceiving support following exposure to intimate partner violence during childhood
- Authors:
- HOWELL Kathryn H., et al
- Journal article citation:
- Journal of Interpersonal Violence, 30(16), 2015, pp.2886-2907.
- Publisher:
- Sage
While a significant body of research suggests that exposure to intimate partner violence (IPV) during childhood has severe and long-lasting consequences, little is known about how children cope with witnessing IPV, including who they tell about the violence, whether they receive support after disclosing, and the association between childhood disclosure and adulthood mental health. The current study examines these issues in 703 Swedish young adults who endorsed witnessing IPV during childhood. In this sample, 57% reported that they had ever confided in someone about the witnessed violence. The primary reason given for not disclosing was the belief that no one could do anything about it, which was endorsed by 41% of the young adults who kept the violence concealed. Individuals who disclosed the violence were most likely to tell a friend and least likely to use an anonymous hotline. Young adults with higher levels of depression were less likely to have disclosed IPV during their childhood. Individuals’ use of formal reporting outlets was endorsed infrequently, with only 5.2% recalling that they had personally reported the violence or someone else had reported it on their behalf. If such reports were filed, it was most likely to the police. These formal reports typically resulted in participants feeling that the problem continued anyway or that they were believed, but no changes were made. Given the infrequent use of formal reporting services, results suggest that for this sample, reporting outlets for IPV exposure may be underutilised and may not be perceived as beneficial. (Publisher abstract)
Survivors' voices: breaking the silence on living with the impact of child sexual abuse in the family environment
- Author:
- ONE IN FOUR
- Publisher:
- One in Four
- Publication year:
- 2015
- Pagination:
- 48
- Place of publication:
- London
Using first-hand accounts, this report illustrates the effects suffered by people who were sexually abused as children in the family environment. In the report, adult survivors describe the long-term impact that childhood sexual abuse in the family environment has had on their lives and what has helped them to survive. The narratives demonstrates how sexual abuse in childhood can be associated with long-term conditions such as eating disorders, self-harm, addiction to alcohol or drugs, and mental illness including depression, post-traumatic stress disorder, suicidal thoughts and behaviour. Many survivors also end up in the criminal justice system through the misuse of alcohol and drugs, causing significant costs to society. To draw out the key themes an analysis of the individual narratives was carried out. Themes discuss the impact on the survivor, their families; the professional responses; and also include a list of survivors’ recommendations. Recommendations include: improve the training of health-related professionals; improve referral pathways for survivors to ensure they are directed to specialist agencies; and the involvement of survivors and survivor organisations in the training of professionals and service development. The report will be useful for policy-makers, healthcare professionals and social workers to help them to understand what it means to have been sexually abused as children by a relative or close family friend. (Edited publisher abstract)
Should youth disclose their mental health challenges? Perspectives from students, parents, and school professionals
- Authors:
- BUCHHOLZ Blythe, et al
- Journal article citation:
- Journal of Public Mental Health, 14(3), 2015, pp.159-168.
- Publisher:
- Emerald
Purpose: Disclosure seems to be a useful strategy for adults to deal with both the public and self-stigma of mental illness. However, youth may face a different set of risks when coming out with their experiences. The purpose of this paper is to examine youth, parent, and teacher perspectives on the costs and benefits of disclosure by middle- and high school-aged youth to better understand these risks. Design/methodology/approach: Focus groups were conducted with questions framed to elicit the different ways mental health challenges are discussed in schools and families. Findings: Surprisingly, the benefits of disclosure seemed to far outweigh the costs across groups. Benefits included ways to deal with stigma, reducing isolation, and “differentness,” as well as the pursuit of mental health services if needed. Costs included harsh responses to disclosure by peers and family members. Participants shared strategies used to minimise risk, including where and with whom youth might share their stories. Social implications: The results suggest many youth have disclosed their experiences with mental health challenges and have received mixed responses; these reactions often serve as the barometer for future disclosure decisions. Other youth are considering disclosure in a variety of settings, but are unsure how to go about it safely. Implications for addressing stigma are discussed. (Edited publisher abstract)
Developing guidelines for sharing lived experience of staff in health and social care
- Authors:
- MORGAN Philip, LAWSON Jackie
- Journal article citation:
- Mental Health and Social Inclusion, 19(2), 2015, pp.78-86.
- Publisher:
- Emerald
Purpose: Since 2010, Dorset HealthCare University NHS Trust has been running a Hidden Talents project seeking to better understand how mental health services can value the lived experience of their staff. The purpose of this paper is to inform discussions on how clinicians and other staff can share their lived experience of mental health problems to improve the experience of people who access services, their carers and supporters and promote the wellbeing of all staff. Design/methodology/approach: The discussion paper was developed through the use of qualitative data collected through three focus groups. One of the focus groups represented people who are part of the Hidden Talents Project, one focus group had representatives of the different professional bodies and the third represented people who access services. Findings: It was identified that there were two differing considerations between sharing personal experience one was sharing with people who access services, the other was sharing with colleagues and managers. It was identified that in order to safely share personal experience it needed to happen in an supportive organisational culture. A number of suggestions were made as to considered why, when, how and what to share with people who access services. Research limitations/implications: This is not a formal piece of research, rather it is an exploration of a range of views and set out into a discussion document. Further action and research is required to explore this topic area in more detail. Originality/value: At present a number of mental health services are beginning to address the value of lived experience in the workforce. Very little has been published exploring how people can share their live experience. This paper provides a starting point for these discussions. (Publisher abstract)
A briefing for mental health professionals: why asking about abuse matters to service users: REVA Briefing 3
- Authors:
- SCOTT Sara, et al
- Publishers:
- DMSS Research and Consultancy, NatCen Social Research, London Metropolitan University, Child and Woman Abuse Studies Unit, Truth
- Publication year:
- 2015
- Pagination:
- 10
- Place of publication:
- London
One of five briefing paper presenting findings from the Department of Health funded REVA study, which looked at responding effectively to the needs of survivors of violence and abuse who are mental health service users. The study included specifically asking survivors of violence and abuse about their views on routine enquiry (the policy of asking routinely about experiences of abuse in service user assessments), their experiences of disclosing abuse and their recommendations for how staff should ask people using mental health services about abuse. Interviews with users of mental health services found that people are positive about routine enquiry and that those who had been asked by a professional about their experience of violence and abuse welcomed this. Service user recommendations for service providers about routine enquiry included: asking the question as early as possible, asking with interest rather than as a tick box requirement and asking the question more than once. (Edited publisher abstract)
Guidance for Trust managers: implementing and sustaining routine enquiry about violence and abuse in mental health services: REVA Briefing 2
- Authors:
- SCOTT Sara, et al
- Publishers:
- DMSS Research and Consultancy, NatCen Social Research, London Metropolitan University, Child and Woman Abuse Studies Unit, Truth
- Publication year:
- 2015
- Pagination:
- 13
- Place of publication:
- London
One of five briefing paper presenting findings from the Department of Health funded REVA study, which looked at responding effectively to the needs of survivors of violence and abuse who are mental health service users. This briefing highlights key recommendations and good practice guidelines for Trust managers regarding implementation of routine enquiry, the practice that all adult service users should be asked about experiences of violence and abuse in mental health assessments. It draws on the findings from case studies of four hospital trusts. The briefing summarises key evidence on why mental health professionals should routinely ask service users whether they have experienced violence or abuse, presents findings from the four case studies in the REVA study which focuses on the need for strategic leadership and commitment; training provision; data collection requirements; knowledge sharing and awareness raising. It also list points for good practice in implementing routine enquiry as part of mental health assessments. (Edited publisher abstract)
Falling through the gaps: perinatal mental health and general practice
- Author:
- KHAN Lorraine
- Publisher:
- Centre for Mental Health
- Publication year:
- 2015
- Pagination:
- 43
- Place of publication:
- London
Using survey data from 1,547 women and 43 GPs, this report looks at common perinatal mental illnesses such as depression and anxiety and women’s experiences of disclosure, identification, help-seeking and support with particular reference to the role of the general practitioner. It also draws on interviews with four mothers, three GPs and a review of the literature. Key barriers in accessing support were poor identification of mental health problems; disclosure of problems to GPs and the need for improved access to effective intervention, treatment and support. The report found that women fear disclosing distress to their GPs or other professionals. GPs have fewer and shorter consultations with women during and in the year after pregnancy. And many doctors do not know how to respond effectively or lack confidence in their ability to achieve timely access to local psychological therapy services. The report makes recommendations for action from the next government, NHS England and clinical commissioning groups across England to invest in improved perinatal mental health support nationwide. (Edited publisher abstract)