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Developing and evaluating a psychoeducation program for caregivers of bipolar affective disorder patients: report of a pilot project
- Authors:
- BLAND Robert, HARRISON Christine
- Journal article citation:
- Research on Social Work Practice, 10(2), March 2000, pp.209-228.
- Publisher:
- Sage
Family caregivers of people with bipolar disorder experience a range of difficulties in understanding and coping with the impact of the disorder. The Family Support Team at a hospital in Australia developed an educational supportive programme for families of people with bipolar disorder that sought to improve caregiver knowledge of the illness, reduce caregiver distress and enhance caregiver coping. The programme also sought to moderate caregiver attributions of patient behaviour in order to build an illness perspective of behaviour. Analysis of results shows encouraging improvements for some families in knowledge, distress, attributions, and ways of coping. Practice and research implications include identifying differences with the schizophrenia programme, the importance of a problem solving focus, maintaining a balance between information giving and support, and timing of the intervention.
The impact of a state hospital closure on local jails: the Kansas experience
- Author:
- SEVERSON Margaret E.
- Journal article citation:
- Community Mental Health Journal, 36(6), December 2000, pp.571-587.
- Publisher:
- Springer
In 1990, Kansas' mental health reform legislation began transferring fiscal support for the delivery of mental health services from hospitals to community based services. Kansas jails were studied to assess the impact of the closure of the state hospital on the jail system. Though a relationship between the hospital closure and incarceration rates could not be substantiated, the results of this study provide a rare over-view of the extent of and problems associated with the incarceration of people with mental health problems in a predominantly rural US state.
Counselling in primary care: a review of the practice evidence
- Author:
- HEMMINGS Adrian
- Journal article citation:
- British Journal of Guidance and Counselling, 28(2), May 2000, pp.233-252.
- Publisher:
- Taylor and Francis
Describes the level of mental health problems that are encountered in primary health care. Describes the limitations of using randomised control trials (RCTs) in evaluating effectiveness of psychological therapies in primary health care and reviews the literature on research carried out in more naturalistic circumstances.
Developing practice and evidence for counselling in primary care: the agenda
- Author:
- MELLOR-CLARK John
- Journal article citation:
- British Journal of Guidance and Counselling, 28(2), May 2000, pp.253-266.
- Publisher:
- Taylor and Francis
Counselling in primary care has developed rapidly over the last few years and now appears to be a widespread provision. Yet ad hoc, unregulated development, coupled with radical changes within the National Health Service environment, presents an array of challenges to continued development. This paper reviews and summarises the contributions of all the authors to this special symposium, and in so doing attempts to set out a development agenda for both evidence and practice as a practical yield from the rich insights and experiences offered.
Tackling the revolving doors problem: the evaluation of a voluntary sector service initiative
- Authors:
- FINN William, HYSLOP Jon
- Journal article citation:
- Mental Health Research Review, 7, May 2000, pp.24-32.
- Publisher:
- Personal Social Services Research Unit
A study looking into service use by people with mental health problems in contact with the police resulted in the organisation Revolving Doors setting up a link workers scheme. The Revolving Doors Link Workers scheme aims to support and provide practical help at the time of arrest to people suspected of having mental health problems. This article looks at an evaluation of this service.
The delivery of mental health services in the 21st century: bringing the community back in
- Author:
- ROSENHECK Robert
- Journal article citation:
- Community Mental Health Journal, 36(1), February 2000, pp.107-124.
- Publisher:
- Springer
The community mental health movement of the 1960s enjoyed widespread public support in the USA but poorly served its intended target population of seriously mentally ill individuals. Since that time professional technologies and organisational linkages have substantially improved, but there has been a loss of public support for safety net services for the least well off, in part due to a general ascendance of individualist market values, declining civic engagement and reduced support for specialised services for the disadvantaged. A new community mental health movement would be less oriented towards stimulating broad community change, and more narrowly focused on building support among decision makers and the public at large to expand the availability of costly but effective and improved services for people with severe and persistent mental illness.
Could this be you: evaluating quality and standards of care in the inpatient psychiatric setting
- Author:
- WARNER Lesley
- Journal article citation:
- Mental Health and Learning Disabilities Care, 4(3), November 2000, pp.89-92.
- Publisher:
- Pavilion
NHS mental health services are under considerable pressure to meet exacting quality standards in the provision of services. The physical conditions of wards, staffing levels and training, treatment programmes and polices, and the design of the unit itself are all known to be important factors in the therapeutic care environment. Outlines a template services can use to evaluate their inpatient psychiatric units against national standards and known best practice.
Staff training in cognitive-behavioural family intervention in mental illness using the multiple-family group approach: a pilot study
- Authors:
- LAUBE Roy E., HIGSON Fiona M.
- Journal article citation:
- Community Mental Health Journal, 36(5), October 2000, pp.477-490.
- Publisher:
- Springer
This article describes a pilot project in which eight Community Mental Health Centre staff in Australia were trained in a cognitive-behavioural intervention for families of 37 mentally ill clients. After involvement in training, the staff demonstrated more regular inclusion of family members in routine clinical practice, and a trend towards an increase in relevant knowledge. After involvement in the programme, the families experienced a decrease in burden even though the primary clients' functioning did not change. The results indicates that it is possible to train staff in ordinary clinical settings in effective cognitive-behavioural family interventions.
The effectiveness of solution-focused therapy with child behaviour problems: a preliminary report
- Authors:
- CORCORAN Jacqueline, STEPHENSON Margaret
- Journal article citation:
- Families in Society, 81(5), September 2000, pp.468-474.
- Publisher:
- The Alliance for Children and Families
Reports on preliminary findings on the effectiveness of solution-focused therapy with children who have been referred from the school system for behaviour problems. Results found significant improvements between pretest and posttest scores on the Conner's Parent Rating Scale (Conners, 1990) for the following subscales: conduct problems, learning problems, psychosomatic problems, impulsivity-hyperactivity, and the hyperactivity index. On the Feelings, Attitudes, and Behaviours Scale for Children (Beitchman, 1996), child respondents reported positive improvements on self-image between pretest and posttest but negative changes for the conduct-problems subscale. Implications for solution-focused practice and the treatment of child behaviour problems are discussed.
Issues confronting effective services in systems of care
- Author:
- FARMER Elizabeth M.Z.
- Journal article citation:
- Children and Youth Services Review, 22(8), August 2000, pp.627-650.
- Publisher:
- Elsevier
American service provision for children and adolescents with mental health problems has changed dramatically in the past decade. The current paradigm revolves around values and principles of a "system of care". There is now consistent evidence in the literature that systems can be changed to reflect this new paradigm - agencies can work together, a full continuum of services can be developed, services can be individualised to need family and child needs. At this point, however, the field is confronted with a lack of convincing evidence about the individual-level effectiveness of these system changes. This article describes the current stat of the field and discusses conceptual and methodological challenges for moving forward. It concludes with suggestions for productive directions for assessing and improving effectiveness of children's mental health services.