Search results for ‘Subject term:"mental health problems"’ Sort:
Results 1 - 10 of 13
Recovery: a carer's perspective
- Authors:
- MACHIN Karen, REPPER Julie
- Publishers:
- Centre for Mental Health, NHS Confederation. Mental Health Network
- Publication year:
- 2013
- Pagination:
- 16
- Place of publication:
- London
This briefing paper examines what recovery means for the families and friends of people with mental health conditions. It suggests ways in which these informal carers can support recovery and looks at how mental health services can give the best possible help to do this. It also provides information about key resources, including the Triangle of Care and a Wellbeing Recovery Plan for families and friends. The briefing paper has been produced for the Implementing Recovery through Organisational Change Programme, a joint initiative from the Centre for Mental Health and the NHS Confederation’s Mental Health Network. (Publisher abstract)
Caregiver's burden, coping and psycho-education in Indian households with single- and multiple-affected members with schizophrenia
- Authors:
- CHAKRABORTY Satabdi, et al
- Journal article citation:
- International Journal of Mental Health Promotion, 15(2), 2013, pp.288-298.
- Publisher:
- Taylor and Francis
There is considerable evidence that family psycho-education combined with pharmacological intervention for patients with schizophrenia increases family understanding of the illness, reduces familial burden of care and improves patient outcomes. However, no studies have determined whether the burden of care is greater for those families with more than one ill member (multiplex), than for families with a single-affected individual (simplex), and whether psycho-educational programmes should be adapted to meet the specific needs of multiplex families. The study was conducted at a tertiary care postgraduate teaching hospital in New Delhi, India. Caregivers in simplex (N = 50) and multiplex families (N = 30) were compared with regard to levels of burden, coping and the impact of psycho-education on family functioning. All the caregiver participants attended eight bimonthly psycho-educational intervention sessions. They were assessed on the Burden Assessment Schedule (BAS) and the Coping Check List (CCL) before and after psycho-education. Caregivers from the multiplex families reported significantly more burden on two domains of the BAS, but there were no significant differences between the groups with regard to coping on the CCL. Following psycho-education, significant improvement occurred in the majority of domains of the BAS and the CCL; the effect sizes varied by domain and family type. Multiplex families face a greater burden of care compared with simplex families. Currently available psycho-education programmes are moderately effective for such families. (Publisher abstract)
Parents’ experience of their child's first psychiatric breakdown: “welcome to hell”
- Authors:
- SHPIGNER Elena, POSSICK Chaya, BUCHBINDER Eli
- Journal article citation:
- Social Work in Health Care, 52(6), 2013, pp.538-557.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
A retrospective study is used to examine the experiences, challenges, and difficulties faced by Israeli parents during the outbreak of psychiatric illness in their children. In-depth, semi-structured interviews were conducted with 10 parents who participated in a psycho-educational group in a family mental health center. Several themes regarding parents’ experience of the first outbreak of their children's psychiatric illness emerge from the content analysis of the interviews: the perception of sudden onset of the illness, feelings of being mired in distress, intense pain stemming from guilt and helplessness with concomitant anger, and isolation. The themes are then discussed in light of the concept of ambiguous loss and the existential approach. The findings indicate psycho-social services in the Israeli mental health system provide only a partial response to the needs of parents during this critical period. (Edited publisher abstract)
Supporting vulnerable families through school-based mental health services: results of caregiver and teacher focus groups
- Authors:
- WEGMANN Kate M., POWERS Joelle D., BLACKMAN Kate
- Journal article citation:
- Journal of Family Social Work, 16(4), 2013, pp.297-313.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Family perspectives facilitate participation and positive outcomes in child mental health treatment. In schools, families and teachers must cooperate to best meet children's mental health needs, also making teacher perspectives important. In this study, caregivers and teachers participated in focus groups following the pilot year of a school-based mental health (SBMH) project. Participants noted successes and challenges of the project and suggested improvements. Although this study focuses on the SBMH project, many of the study implications are applicable to other school mental health programs and may be of value to school and community practitioners. (Publisher abstract)
Characteristics related to family involvement in youth residential mental health treatment
- Authors:
- ROBST John, et al
- Journal article citation:
- Children and Youth Services Review, 35(1), 2013, pp.40-46.
- Publisher:
- Elsevier
This study examined family involvement among youth in residential mental health treatment facilities in Florida. Data were obtained from the provider reports from January 2005 through December 2007. Contacts by all family members was for in-person treatment, treatment-related phone contacts, treatment planning, campus visits, and therapeutic home passes. Families averaged 3.4 contacts per 30 days for the 1333 treatment episodes. Sixty-seven percent of the contacts included mothers, while 22% of the contacts involved fathers. A majority of contacts were for family therapy, either by phone (29% of contacts) or in person (43%). Nearly twenty percent of residential stays had no family contact. After the first 30 days of treatment, contacts did not vary significantly over the course of the treatment episode, although there was some evidence that youth with longer treatment episodes had fewer contacts throughout the residential stay. Total contacts were lower for girls than boys, for blacks than whites, and for older youth, and were higher when the youth lived in the same county as the residential treatment provider. Outreach programs could target specific demographic groups with low involvement, and the alternative methods for involvement that use internet conferencing tools should be explored for parents that live far from the treatment provider. (Edited publisher abstract)
Resilience to bullying victimization: the role of individual, family and peer characteristics
- Authors:
- SAPOUNA Maria, WOLKE Dieter
- Journal article citation:
- Child Abuse and Neglect, 37(11), 2013, pp.997-1006.
- Publisher:
- Elsevier
Little research attention has been paid to bullied students who function better than expected and are therefore defined as “resilient”. The present longitudinal study aimed to identify individual, family and peer factors that predict fewer than expected levels of depression and delinquency following experiences of bullying victimisation. The sample consisted 3,136 adolescents. Self-report data were used to measure bullying victimisation at age 13 and 14 and depression and delinquency at age 14. We examined the effects of gender, self-esteem, social alienation, parental conflict, sibling victimisation and number of close friends on levels of emotional and behavioural resilience following bullying victimisation. The resilience measures were derived by regressing depression and delinquency scores at age 14 on levels of bullying victimisation at age 13 and 14, respectively. The adolescents who reported low depression despite frequently experiencing bullying tended to be male, had higher self-esteem, were feeling less socially alienated, were experiencing low levels of conflict with parents and were not victimised by siblings. On the other hand, the adolescents who reported low delinquency despite frequently experiencing bullying tended to be female, had higher self-esteem, were experiencing low levels of conflict with parents, were not victimised by siblings and had less close friends. Relationships with parents and siblings continue to play some role in promoting emotional and behavioural adjustment among victims of bullying and, therefore, interventions are more likely to be successful if they target both the psychosocial skills of adolescents and their relationships with their family. (Publisher abstract)
It always comes down to money: recent changes in service provision to disabled children, young people and their families in Scotland
- Authors:
- STALKER Kirsten, et al
- Publisher:
- Scotland's Commissioner for Children and Young People
- Publication year:
- 2013
- Pagination:
- 101
- Place of publication:
- Glasgow
This report examines changes in the availability and accessibility of publicly-funded services for families with disabled children over the past two years. The research covers local authority services, voluntary sector service providers, and health services and professions allied to medicine. It includes children and young people aged 1-20 with a wide range of impairments including mental distress. The research is broadly based on a social model of disability, while also taking account of the day-to-day implications of impairment and the significance of personal experience. The report includes three case studies illustrative of changes resulting from reduced support to children with complex needs. (Edited publisher abstract)
Suicidal ideation and resilience in family carers of people with dementia: a pilot qualitative study
- Authors:
- O'DWYER Siobhan, MOYLE Wendy, van WYK Sierra
- Journal article citation:
- Aging and Mental Health, 17(6), 2013, pp.753-760.
- Publisher:
- Taylor and Francis
Family carers of people with dementia have higher than average rates of depression, anxiety and hopelessness. This pilot study conducts an initial exploration of carers’ experiences of suicidality and identifies factors associated with risk and resilience. A descriptive qualitative approach was taken. In-depth interviews were conducted with nine carers of people with dementia (four male, five female) from Brisbane, Australia and surrounding areas and transcripts were analysed thematically. Three themes were identified in the data: ‘experiences of suicidal ideation’, ‘risk factors’ and ‘resilience’. Four of the nine participants had experienced suicidal thoughts and two had made preparations for a suicidal act. Risk factors included pre-existing mental health problems, physical health conditions, and conflict with other family or care staff. Factors positively associated with resilience included the use of positive coping strategies, faith, social support and personal characteristics. Some people contemplate suicide while caring for a family member with dementia. Further research is required to confirm the rate of suicidal ideation in the caring population and the relative contribution of factors associated with risk and resilience. In the meantime, service providers and health professionals should be taking steps to identify and support carers currently experiencing suicidal thoughts. (Edited publisher abstract)
Impact of family history in persons with dual diagnosis
- Authors:
- WILSON Camille S., BENNETT Melanie E., BELLACK Alan S.
- Journal article citation:
- Journal of Dual Diagnosis, 9(1), 2013, pp.30-38.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Objective: This study examined relationships among family history of alcohol, drug, and psychiatric problems and substance use severity, interpersonal relationships, and service use in individuals with dual diagnosis. Methods: Data were collected with the family history section of the Addiction Severity Index administered as part of three studies of individuals with dual disorders (N = 413). Participants were categorised into family history risk groups for each problem domain based on the number of first- and second-degree relatives with alcohol, drug, or psychiatric problems. Results: Rates of alcohol, drug, and psychiatric problems were high across family member categories and highest overall for siblings. More than two-thirds of the sample was categorised in the high-risk group in the alcohol problem domain, almost half of the sample was categorised as high-risk in the drug problem domain, and more than a third of the sample was categorised as high-risk in the psychiatric problem domain. Across problem domains, individuals in the high-risk group reported more relationship problems with parents and siblings and higher rates of lifetime emotional, physical, and sexual abuse than did those in the low- or moderate-risk groups. Conclusions: Family history of alcohol, drug, and psychiatric problems is associated with greater rates of poor family relationships and history of abuse. Assessment of these different forms of family history in multiple family members can aid treatment providers in identifying individuals with dual disorders who may benefit from trauma-informed care as part of their overall mental health and substance abuse treatment services. (Publisher abstract)
Family involvement and changes in child behavior during residential mental health treatment
- Authors:
- ROBST John, et al
- Journal article citation:
- Child and Youth Care Forum, 42(3), 2013, pp.225-238.
- Publisher:
- Springer
Background Family involvement is viewed as an important component of the treatment process for children in residential treatment centers, but little is known about the impact of contact with family members on changes in youth functioning. Objective The goal of this study was to use administrative data to examine the association between family involvement and youth outcomes for a Medicaid-funded residential treatment programme in Florida. Differences between in-person and telephone intervention contacts based on the proximity of the family residence to the programme were also explored. Methods The sample was divided into two groups based on the number of family contacts per month during the treatment episode; i.e., number of family contacts equal to or less than the median and number of family contacts greater than the median. Generalised estimating equations were used to examine characteristics related to the percent change in scores on a measure of emotional and behavioral functioning. Results Results suggest that maternal and paternal contacts, as well as the total number of family contacts, were associated with greater improvements in youth functioning. Youth that resided in a different county than the residential programme had greater improvement in behaviours when the family was involved regardless of whether contact was in-person or over the phone. Conclusions Family involvement, including phone contacts, is associated with improved youth outcomes during the treatment episode. (Publisher abstract)