Search results for ‘Subject term:"mental health problems"’ Sort:
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Effectiveness of a life story intervention for adults with intellectual disability and depressive and trauma‐related complaints
- Authors:
- BEERNINK Janny, WESTERHOF Gerben J.
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 33(6), 2020, pp.1340-1347.
- Publisher:
- Wiley
Introduction: People with intellectual disability have a higher chance of developing mental disorders than the general population. Yet, few evidence‐based interventions exist. This article evaluates My Lifestory, a narrative intervention tailored to people with intellectual disability and depressive or trauma‐related complaints. Method: A quasi‐experimental research design was adopted with an experimental condition (My Lifestory) and a matched control condition (care as usual). Measurements took place before the intervention, at the end of the intervention and at follow‐up two months later. Measurements focused on psychiatric complaints, well‐being, life satisfaction, mastery, and purpose in life. Results: Participants in the intervention condition improved more in psychiatric complaints, well‐being, life satisfaction, and purpose in life, but not in mastery, than participants in the control condition. Effect sizes were large in the intervention condition and small in the control condition. Discussion: Despite some limitations, this study adds to the evidence base of this narrative intervention. (Edited publisher abstract)
Informal caregiving to older adults hospitalized for depression
- Authors:
- MORROW-HOWELL N.L., PROCTOR E.K.
- Journal article citation:
- Aging and Mental Health, 2(3), August 1998, pp.222-231.
- Publisher:
- Taylor and Francis
This study addresses the following questions: what are the caregiving needs stemming from functional dependency of older adults hospitalised for depression and discharged at home; who are the informal caregivers, and what assistance do they provide; and how adequate is this informal care? On a sample of depressed older adults, in-hospital information was collected from medical records and discharge planners; and one-month post-discharge, a telephone interview was completed. Finds that despite high levels of involvement, concerns remain about the adequacy of the care informal caregivers are able to provide in the face of such need. Increased attention should be paid to the topic of informal caregiving to older adults with depression.
Long-term clinical and cost-effectiveness of collaborative care (versus usual care) for people with mental-physical multimorbidity: cluster-randomised trial
- Authors:
- CAMACHO Elizabeth M., et al
- Journal article citation:
- British Journal of Psychiatry, 213(2), 2018, pp.456-463.
- Publisher:
- Cambridge University Press
Background: Collaborative care can support the treatment of depression in people with long-term conditions, but long-term benefits and costs are unknown. Aims: To explore the long-term (24-month) effectiveness and cost-effectiveness of collaborative care in people with mental-physical multimorbidity. Method: A cluster randomised trial compared collaborative care (integrated physical and mental healthcare) with usual care for depression alongside diabetes and/or coronary heart disease. Depression symptoms were measured by the symptom checklist-depression scale (SCL-D13). The economic evaluation was from the perspective of the English National Health Service. Results: 191 participants were allocated to collaborative care and 196 to usual care. At 24 months, the mean SCL-D13 score was 0.27 lower in the collaborative care group alongside a gain of 0.14 quality-adjusted life-years (QALYs). The cost per QALY gained was £13 069. Conclusions: In the long term, collaborative care reduces depression and is potentially cost-effective at internationally accepted willingness-to-pay thresholds. (Edited publisher abstract)
Fathers' perspectives on strengthening military families: a mixed method evaluation of a 10-week resiliency building program
- Authors:
- DODGE Jessica, et al
- Journal article citation:
- Clinical Social Work Journal, 46(2), 2018, pp.145-155.
- Publisher:
- Springer
- Place of publication:
- New York
This mixed-method study involved 14 fathers (previously deployed military) who engaged in the Strong Military Families Program, a resiliency-building group for families with young children. The purpose of this paper was twofold: first, to identify the efficacy of this brief intervention for reducing mental health symptomatology among previously deployed military fathers who completed the group, and second to better understand the perceptions and reflections of fathers who completed an effective symptom management program in order to fill the literature gap around this issue and guide future efforts at increasing engagement of this population. Pre- and post-group assessments were administered including depression and posttraumatic stress symptom ratings. Assessments also included interviews designed to elicit fathers’ expectations before the program and to capture their reflections after completion. Quantitative analyses examined changes in symptoms pre- to post-group, and qualitative analyses aimed to better understand fathers’ experiences and help guide future efforts to increase engagement of this population. A grounded theory approach was employed to analyse interview content, and two themes were identified reflecting a desire for (1) connection and (2) learning. The prominence of these themes both before and after group underscored the value of connection to others who shared experience and opportunity for learning effective parenting strategies. Corresponding quantitative analyses indicated a significant decrease in self-reported posttraumatic stress and trend level reduction in depression, suggesting participation may contribute to more effective symptom management. Subgroup analyses contrasting the pre-group interviews of fathers who endorsed higher (n = 9) versus lower (n = 5) levels of symptoms revealed that those with greater symptomatology expressed more themes related to fear of committing to the program. Discussion will focus on effective outreach and engagement, and the need to align programs to the interests of previously deployed fathers of young children. (Edited publisher abstract)
Treating mental health in the community: a policy review
- Authors:
- HUDSON Gen Maitland, TOUROUNTIS Dimitrios, HARGRAVE Russell
- Publisher:
- Power to Change
- Publication year:
- 2017
- Pagination:
- 50
- Place of publication:
- London
A review of evidence on the effectiveness of different community approaches to mental health. The final synthesis looks at 48 studies, published between 2004 and 2017, drawn from the UK and comparable high-income countries. It focuses mainly on the highest-quality evidence, including systematic reviews, evaluations drawing on randomised control trials (RCTs), and comparative longitudinal data. The synthesis identified 29 interventions methods. The studies included public health interventions aiming to promote wellbeing using volunteers / peers or ‘green care’; community development interventions; and intervention focused on exercise or physical activity. The review identified a lack of high-quality evidence to guide community work on mental health. There was some evidence to suggest that community-centred projects which draw on the support networks and skills already available in a community, have a positive impact on mental health. However, it found no high-quality evidence that ‘community-based’ projects, which simply deliver services in a local area, have a positive impact on mental health. It highlights the need for new 'community-centred' projects in local places, with rigorous evaluations to assess the evidence that these projects are effective in helping people with mental health problems. (Edited publisher abstract)
Get Set to Go programme evaluation summary: 2014 to 2017
- Author:
- MIND
- Publisher:
- MIND
- Publication year:
- 2017
- Pagination:
- 40
- Place of publication:
- London
An evaluation of the Get Set to Go programme, launched in July 2015 to help people with mental health problems benefit from being physically active. Participants took part in specially designed physical activity projects delivered across England and received group and one-to-one support from peers with an understanding of how mental health can be a barrier to physical activity. A website was also developed to support users to share their stories about the impact getting active has had for them. In total, the programme has supported 3,585 people with mental health problems get more active. The evaluation of the programme, which was carried out by researchers from Loughborough University and the University of Northampton collected information from over 1,000 participants to track their progress. The findings show that physical activity has an important role to play in building resilience, enabling and supporting mental health recovery and tackling stigma and discrimination. The report also provides recommendations for organisations wanting to support people with mental health problems to become more active. (Edited publisher abstract)
Effectiveness and cost-effectiveness of community singing on mental health-related quality of life of older people: randomised controlled trial
- Authors:
- COULTON Simon, et al
- Journal article citation:
- British Journal of Psychiatry, 207(3), 2015, pp.250-255.
- Publisher:
- Cambridge University Press
Aims: This study aimed to evaluate the effectiveness and cost-effectiveness of community group singing for a population of older people in England. Method: A pilot pragmatic individual randomised controlled trial comparing group singing with usual activities in those aged 60 years or more. Results: A total of 258 participants were recruited across five centres in East Kent. At 6 months post-randomisation, significant differences were observed in terms of mental health-related quality of life measured using the SF12 in favour of group singing. In addition, the intervention was found to be marginally more cost-effective than usual activities. At 3 months, significant differences were observed for the mental health components of quality of life, anxiety and depression. Conclusions: Community group singing appears to have a significant effect on mental health-related quality of life, anxiety and depression, and it may be a useful intervention to maintain and enhance the mental health of older people. (Edited publisher abstract)
Enhanced case management versus substance abuse treatment alone among substance abusers with depression
- Authors:
- STRILEY Catherine W., et al
- Journal article citation:
- Social Work Research, 37(1), 2013, pp.19-25.
- Publisher:
- Oxford University Press
This pilot study evaluated the effectiveness of enhanced case management for substance abusers with comorbid major depression, which was an integrated approach to care. One hundred and 20 participants admitted to drug treatment who also met Computerized Diagnostic Interview Schedule criteria for major depression at baseline were randomized to enhanced case management (ECM) (n = 64) or treatment as usual (TAU) (n = 56). Both groups were followed up at six and 12 months. Participants' current clinical status across a broad range of domains in the past 90 days was assessed using the Global Appraisal of Individual Needs and included their Depressive Symptom Scale, Homicidal–Suicidal Thought Index, and Mental Health Treatment Index scores. The findings did not reveal any statistically significant effects of ECM on outcome measures. However, in view of the high rates of adverse treatment outcomes among comorbid groups, including suicide, the finding of a clinically significant reduction in homicidal and suicidal thoughts warrants further research; the comprehensive approach to treatment tested may be especially helpful to depressed substance abusers with such ideations. (Publisher abstract)
Eco art on prescription
- Author:
- BAKER David
- Journal article citation:
- Mental Health and Social Inclusion, 16(2), 2012, pp.84-89.
- Publisher:
- Emerald
Eco Art on Prescription was a community art project in North Devon involving art courses for people with experience of mild to moderate depression, stress or anxiety. Three 10-week courses ran consecutively over 12 months and were followed by sessions to present art work and celebrate achievements. This article reports on an evaluation of the effect of the Eco Art on Prescription courses on the wellbeing of 39 participants. It describes the art sessions and the evaluation, in which students completed a wellbeing scale at the beginning and end of the course and also gave qualitative feedback. Attendance over the sessions was 91%, and the results indicated a significant increase in wellbeing scores from the start to the end of the courses. Key themes from the qualitative feedback included enjoyment, educational benefits and increased confidence, both artistically and socially, and the article includes quotations from participant feedback. The authors conclude that the findings provide supportive evidence for the potential of art to improve wellbeing, promote social networks and transform the lives of individuals
Use of the Distress Thermometer for the Elderly in the identification of distress and need in nursing and care homes
- Authors:
- DILWORTH Jennifer A., et al
- Journal article citation:
- Aging and Mental Health, 15(6), August 2011, pp.756-764.
- Publisher:
- Taylor and Francis
The Distress Thermometer for the Elderly (DTE), designed to identify and address distress and need in older people within care home settings, is a modification of the original Distress Thermometer which was developed to assess psychological distress in cancer settings. The DTE consists of a rating to indicate level of distress, a problem list to identify common problems, a selection of 4 priority concerns, and development of an action plan to meet each priority concern. This cross-sectional research study aimed to evaluate the usability and usefulness of the DTE. Staff in 12 nursing homes and one care home in England completed the DTE and a measure of depression with a total of 66 older residents, and quantitative methods were used to investigate the relationship between the DTE rating, depression scores, and problems or needs selected on the DTE. A table showing items and domains in the DTE problem checklist is included. The DTE was found to be feasible for completion by residents with assistance from staff, and the level of distress on the DTE was significantly related to depression, number of problems and practical/physical problems. The authors conclude that the DTE has promising potential for use to identify distress and day-to-day problems in care home residents and to enable residents to record their perceived needs as part of care planning and a person-centred approach.