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The Disability Discrimination Act: failing people with mental health problems? Part 2
- Author:
- PATRICK Hilary
- Journal article citation:
- SCOLAG Journal, 296, July 2002, pp.122-123,133.
- Publisher:
- ScoLAG(Scottish Legal Action Group)
Looks at the problems of implementing the Act for people with mental health problems. Focuses on the difficulties faced by people with mental health problems to qualify for protection under the Act.
The role of stigma in the quality of life of older adults with severe mental illness
- Authors:
- DEPLA Marja F. I. A., et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 20(2), February 2005, pp.146-153.
- Publisher:
- Wiley
Stigma and discrimination against older people with mental illness is a seriously neglected problem. (1) To investigate whether stigmatisation of older adults with mental disorder is associated with the type of residential institution they live in or the type of disorder they suffer and (2) to assess the role of stigma experiences in their quality of life. A cross-sectional study was carried out of 131 older adults with severe mental illness, recruited in 18 elder care homes operating supported living programmes and in eight psychiatric hospitals throughout the Netherlands. Stigmatisation was assessed with an 11-item questionnaire on stigma experiences associated with mental illness. Quality of life was assessed with the Manchester Short Assessment of Quality of Life (MANSA). To better ascertain the role of stigma, we also assessed in comparison the relationship of social participation to quality of life. Some 57% of the respondents had experienced stigmatisation. No association emerged between residential type or disorder type and the extent of stigma experiences. Stigmatisation did show a negative association with quality of life, a connection stronger than that between social participation and quality of life. A feeling of belonging, as contrasted with being excluded, is at least as important for the quality of life of older people with severe mental illness as their actual participation in the community.
Evaluating treatment outcomes for African American and white clients receiving treatment at a community mental health agency in the rural South
- Authors:
- LARRISON Christopher R., et al
- Journal article citation:
- Research on Social Work Practice, 14(3), May 2004, pp.137-146.
- Publisher:
- Sage
The present study examines the relationship between race and treatment outcomes among clients receiving services at a community mental health agency in the rural southeastern United States. A nonprobabilistic sample of clients completed the BASIS-32, a self-report summated rating scale, at an initial assessment and a series of three follow-up assessments conducted at 3-month intervals. The data were analyzed using a hierarchical linear model (HLM) consisting of an individual growth model and a between-client model examining possible differences in growth trajectories attributable to race, diagnosis, socioeconomic status, and gender. Clients’ symptomatology remained stable or decreased during the study period. Of the demographic variables examined, only diagnosis was significantly related to variation in treatment outcomes. No racial differences in treatment outcomes emerged. Although the findings must be considered preliminary, they do suggest that community mental health agencies can effectively respond to various ethnic, cultural, and racial groups by providing appropriate and individualized services.
Ethnic differences in prisoners: risk factors and psychiatric service use
- Authors:
- COID Jeremy, et al
- Journal article citation:
- British Journal of Psychiatry, 181(12), December 2002, pp.481-487.
- Publisher:
- Cambridge University Press
The aim of this article is to compare early environmental risks, stressful daily living experiences and reported use of psychiatric services in prisoners from different ethnic groups. Fewer Black and South Asian male prisoners reported childhood traumas and conduct disorder, and fewer Black prisoners experienced stressful prison experiences, than White prisoners. Fewer Black women had received previous psychiatric treatment, and fewer Black men had their psychiatric problems identified in prison. Black prisoners were less likely to have received psychiatric treatment than Whites. The lower prevalence of psychiatric morbidity observed in Black prisoners corresponds with reduced exposure to risk factors. Higher rates of imprisonment might be explained by higher rates of conduct disorder, adolescent-onset criminality and disadvantage within the criminal justice system.
Working with the mentally disordered offender in the community
- Authors:
- VAUGHAN Phillip J., BADGER Douglas
- Publisher:
- Chapman and Hall
- Publication year:
- 1995
- Pagination:
- 272p.
- Place of publication:
- London
Examines the issues involved in working with offenders with mental health problems in the community, and provides a guide through the policies, legislation, practicalities and dilemmas. Covers: risk assessment; social supervision; inequality and discrimination; residential and day care services; and primary and secondary intervention.