Search results for ‘Subject term:"mental health problems"’ Sort:
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Researchable questions to support evidence-based mental health policy concerning adult mental illness
- Authors:
- THORNICROFT G., et al
- Journal article citation:
- Psychiatric Bulletin, 26(10), October 2002, pp.364-367.
- Publisher:
- Royal College of Psychiatrists
This article aims to identify important gaps in completed research and to translate these gaps into researchable questions that can contribute to a debate about the future research agenda for general adult mental health in England. The authors conduct an expert assessment of a thematic review of commissioned research on adult mental health between 1992 and 2000 the Scoping Review of the Effectiveness of Mental Health Services, produced by the Centre for Reviews and Dissemination at the University of York and the Report of the Mental Health Topic Working Group (1999).
Turning the tables
- Author:
- BERESFORD Peter
- Journal article citation:
- Openmind, 116, July 2002, pp.16-17.
- Publisher:
- MIND
Reports on how research opportunities are opening up for mental health users/survivors.
Clinical guidelines in old age psychiatry
- Authors:
- BURNS Alistair, DENING Tom, LAWLOR Brian
- Publisher:
- Martin Dunitz
- Publication year:
- 2002
- Pagination:
- 208p.,bibliog.
- Place of publication:
- London
Clinical guidelines have been defined as systematically developed statements which assist clinicians and patients in making decisions about appropriate treatment for specific conditions. This book aims to bring material together in the field of old age psychiatry in order to form judgements about which guidelines are "better". Topics include, dementia, depression, other disorders.
Evidence-based social work practice with mentally ill persons who abuse alcohol and other drugs
- Author:
- O'HARE Thomas
- Journal article citation:
- Social Work in Mental Health, 1(1), 2002, pp.43-62.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This article outlines a comprehensive approach to evidence-based social work practice, and applies it to persons with severe and persistent mentalillness who also abuse alcohol and other drugs. Representative empirical literature is summarized within a framework that delineates the three major functions of evidence-based social work practice: assessment, intervention andevaluation. Assessment protocol, which incorporates the use of valid scales tocomplement the qualitative interview, is based on domain-specific research that outlines relevant psychosocial risk factors, and highlights those that are amenable to change. Intervention strategies are derived from the growing body ofcontrolled research findings, but flexibility in implementation is recommended to accommodate clients' individual needs and the vagaries of daily practice. Naturalistic evaluation methods are used to capitalize on the use of brief,valid process and outcome measures to augment individual qualitative evaluation and to aggregate data for programme evaluation. The implications of this integrated evidence-based strategy for social work practice are discussed.
Developing a mental health promotion strategy in Croydon: the voluntary sector perspective
- Author:
- ALBERY Sue
- Journal article citation:
- Journal of Mental Health Promotion, 1(3), October 2002, pp.27-29.
- Publisher:
- Pavilion
By developing partnership work in mental health commissioning and service delivery the London Borough of Croydon used these relationships to create a mental health promotion strategy to meet the needs of this community . From awareness of an overall vision to concentration on priorities that reflect the community needs, the evidence-based strategy has a clear implementation programme and structure for evaluation. There is the need for the community ownership of the strategy for its success.
Implementing evidence based practices in geriatric mental health
- Authors:
- BARTELS Stephen J., HALEY William E., DUMS Aricca R.
- Journal article citation:
- Generations, 26(1), Spring 2002, pp.90-98.
- Publisher:
- American Society on Aging
At a time when information on new treatment is rapidly growing, clinicians are challenged to identify the interventions that are best supported by the research literature. This challenge is particularly daunting in the field of mental health because the number of well designed treatment studies is relatively small and treatments designed for younger people must be applied to a geriatric population which may respond in a different way.
Towards a new generation of therapeutic communities for troubled children and young people
- Author:
- BARNES-GUTTERIDGE William
- Journal article citation:
- Therapeutic Communities: the International Journal of Therapeutic Communities, 23(1), Spring 2002, pp.61-74.
- Publisher:
- Emerald
Residential therapeutic communities, which provide psychodynamic psychotherapy for troubled children and adolescents, are facing a crisis of credibility. A contributory cause of the crisis is the informed public's scepticism about the effectiveness of psychodynamic therapy. The author argues that in order to regain their credibility therapeutic communities need to practice evidence-based therapy and to develop a shared theoretical perspective on how therapy may bring about psychological change. Concludes that neither a theoretical perspective not an outcome study by themselves is sufficient. Both are indispensable for a community to be capable of learning from experience.
Assertive Outreach: does it reach expectations?
- Authors:
- MINGHELLA Edana, GAUNTLETT Nick, FORD Richard
- Journal article citation:
- Journal of Mental Health, 11(1), February 2002, pp.27-42.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
The study evaluated two voluntary sector Assertive Outreach (AO) teams. Team structures and functions were measured against an evidence-based model of assertive community treatment (ACT). Targeting and engagement were also considered. Outcome measures comprised mental health, quality of life, social functioning and user satisfaction. Users' contact with mental health services, and costs incurred, were measured. While the teams partly adhered to the ACT model, there were major areas of deviation. The teams had little influence over admission and discharge and no medical input. Local users with frequent hospital admissions were not targeted. Clinical and social outcomes were mixed, and hospital bed use - and, consequently, costs - increased. Conversely, clients valued the teams, especially the practical help provided and staff attitudes. The findings add to growing evidence that lack of adherence to the ACT model and inadequate targeting of the appropriate client group adversely affect outcomes. The question is whether the benefits of user satisfaction and engagement outweigh the costs of disappointing clinical outcomes and increased hospital use.
An international perspective on child and adolescent mental health
- Editors:
- RICHARDSON Joanna, JOUGHIN Carol
- Publisher:
- Royal College of Psychiatrists. Research Unit. FOCUS
- Publication year:
- 2002
- Pagination:
- 92p.
- Place of publication:
- London
Report of the 48th annual meeting of the American Academy of Child and Adolescent Psychiatry attended by members of FOCUS. FOCUS was launched in 1997 to promote clinical and organisational effectiveness in child and adolescent mental health services, with an emphasis on incorporating evidence-based research into everyday practice. FOCUS is part of the Royal College of Psychiatrists' Research Unit in London.
Validating the psychosocial well-being scale (PSWS)with community clients
- Authors:
- O'HARE Thomas, et al
- Journal article citation:
- Social Work in Mental Health, 1(2), 2002, pp.15-30.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Brief, reliable and valid multidimensional tools are needed for routine assessment and evaluation by case managers and other practitioners working incommunity support programmes with clients who abuse alcohol and other drugs. The Psycho-Social Well-being Scale was developed as part of a survey of two hundred and ninety-seven community clients for whom case managers assigned psychosocial ratings based on multiple sources of clinical data. Confirmatory factor analysis demonstrated good initial construct validity for the two-factor scale (psychological and social well-being), good internal consistency ratings, and good evidence of concurrent validity with substance abuse indices and other psychiatric indicators. Implications for further development and application of the scale are discussed.