Search results for ‘Subject term:"mental health problems"’ Sort:
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Lost in transition or translation? Care philosophies and transitions between child and youth and adult mental health services: a systematic review
- Authors:
- MULVALE Gillian M., et al
- Journal article citation:
- Journal of Mental Health, 28(4), 2019, pp.379-388.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Background: Differences in care philosophies may influence transitions from child and adolescent mental health services (CAMHS) to adult mental health services (AMHS). Aims: To review literature about CAMHS and AMHS care philosophies and their influence on transitions. Method: MEDLINE, PsycINFO, Embase and CINAHL databases were searched electronically using keywords related to transitions, youth and mental disorders. Content relating to philosophies of care was searched manually. Descriptive themes were extracted and the analysis suggested four hypotheses of how care philosophies influence transitions. Results: Of the 1897 identified articles, 12 met eligibility criteria. Findings reveal consistent differences in care philosophies between CAMHS (developmental approach, involving families and nurturing) and AMHS (clinical/diagnosis-focus, emphasis on client autonomy and individual responsibility). Conclusions: Better understanding of philosophical differences and collaborative planning and service delivery may foster shared approaches in CAMHS and AMHS to better meet the needs of transitioning youth. (Edited publisher abstract)
Quality of medical care for people with and without comorbid mental illness and substance misuse: systematic review of comparative studies
- Authors:
- MITCHELL Alex J., MALONE Darren, DOEBBELING Caroline Carney
- Journal article citation:
- British Journal of Psychiatry, 194(6), June 2009, pp.491-499.
- Publisher:
- Cambridge University Press
This study aimed to investigate whether the quality of medical care received by people with mental health conditions, including substance misuse, differs from the care received by people who have no comparable mental disorder. A systematic review of studies that examined the quality of medical care in those with and without mental illness was conducted using robust critical appraisal techniques. Of 31 valid studies, 27 examined receipt of medical care in those with and without mental illness and 10 examined medical care in those with and without substance use disorder (or dual diagnosis). Nineteen of 27 and 10 of 10, respectively, suggested inferior quality of care in at least one domain. Twelve studies found no appreciable differences in care or failed to detect a difference in at least one key area. Several studies showed an increase in healthcare utilisation but without any increase in quality. Three studies found superior care for individuals with mental illness in specific subdomains. There was inadequate information concerning patient satisfaction and structural differences in healthcare delivery. There was also inadequate separation of delivery of care from uptake in care on which to base causal explanations. Despite similar or more frequent medical contacts, there are often disparities in the physical healthcare delivered to those with psychiatric illness although the magnitude of this effect varies considerably.
How can health services effectively meet the health needs of homeless people?
- Authors:
- WRIGHT Nat M.J., TOMPKINS Charlotte N.E.
- Journal article citation:
- British Journal of General Practice, 56(525), April 2006, pp.286-293.
- Publisher:
- Royal College of General Practitioners
This systematic review aims to critically evaluate the international literature relating to the health care of homeless people and discusses the effectiveness of treatment interventions. Medline, EMBASE, CINAHL, Web of Science and the Cochrane Library databases were reviewed using key terms relating to homelessness, intervention studies, drug misuse, alcohol misuse and mental health. The review was not limited to publications in English. It included searching the Internet using key terms, and grey literature was also accessed through discussion with experts.
Collaborative care for individuals with bipolar disorder or schizophrenia and co-occurring physical health conditions: A systematic review
- Authors:
- O’NEILL Elizabeth A., RATLIFF Denise
- Journal article citation:
- Social Work in Mental Health, 15(6), 2017, pp.705-729.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
While rates of chronic physical health conditions are increasing for the general population, individuals with severe mental illness are at greater risk. Co-occurring mental and physical health conditions are associated with poor health care utilisation, socioeconomic, and patient-reported health status outcomes. This study used systematic review procedures to investigate the effectiveness of collaborative care models for improving the health of adults with bipolar disorder or schizophrenia and co-occurring chronic physical health conditions. Six studies met inclusion criteria, and included outcomes related to quality of life, physical health, and mental health. Collective and study-level results are reported and discussed, including implications for social work practice and research. (Publisher abstract)