Search results for ‘Subject term:"mental health problems"’ Sort:
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Theoretical and practical considerations for combating mental illness stigma in health care
- Authors:
- UNGAR Thomas, KNAAK Stephanie, SZETO Andrew C.H.
- Journal article citation:
- Community Mental Health Journal, 52(3), 2016, pp.262-271.
- Publisher:
- Springer
Reducing the stigma and discrimination associated with mental illness is becoming an increasingly important focus for research, policy, programming and intervention work. While it has been well established that the healthcare system is one of the key environments in which persons with mental illnesses experience stigma and discrimination there is little published literature on how to build and deliver successful anti-stigma programs in healthcare settings, towards healthcare providers in general, or towards specific types of practitioners. This paper addresses this gap by providing a set of theoretical considerations for guiding the design and implementation of anti-stigma interventions in healthcare. (Edited publisher abstract)
Correlates and predictors of psychological distress among older Asian immigrants in California
- Authors:
- CHANG Miya, MOON Ailee
- Journal article citation:
- Journal of Gerontological Social Work, 59(2), 2016, pp.77-97.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Psychological distress occurs frequently in older minority immigrants because many have limited social resources and undergo a difficult process related to immigration and acculturation. Despite a rapid increase in the number of Asian immigrants, relatively little research has focused on subgroup mental health comparisons. This study examines the prevalence of psychological distress, and relationship with socio-demographic factors, and health care utilisation among older Asian immigrants. Weighted data from Asian immigrants 65 and older from 5 countries (n = 1,028) who participated in the California Health Interview Survey (CHIS) were analysed descriptively and in multiple linear regressions. The prevalence of psychological distress varied significantly across the 5 ethnic groups, from Filipinos (4.83%) to Chinese (1.64%). General health status, cognitive and physical impairment, and health care utilisation are all associated (p < .05) with psychological distress in multiple linear regressions. These findings are similar to those from previous studies. The findings reinforce the need to develop more culturally effective mental health services and outreach programmes (Edited publisher abstract)
Ethnic minority, young onset, rare dementia type, depression: a case study of a Muslim male accessing UK dementia health and social care services
- Author:
- REGAN Jemma L.
- Journal article citation:
- Dementia: the International Journal of Social Research and Practice, 15(4), 2016, pp.702-720.
- Publisher:
- Sage
A case study comprised of formal interviews, formal observations and informal discussions investigated the motivations and experiences accessing dementia care health and social care services for a Muslim, Pakistani male with dementia. Motivations derived from ‘desperation’ and an inability to access support from family or religious community. Experiences of accessing services were mostly negative. Dementia services were ill-informed about how to support persons with young onset dementia, with pre-existing mental health conditions, from an ethnic minority. Education and training to remove barriers to all dementia care services is required for persons with dementia, their families and within dementia services and religious communities. (Publisher abstract)
Improving mental health services in immigration detention: an action plan
- Authors:
- GREAT BRITAIN. Home Office, GREAT BRITAIN. Department of Health, NHS ENGLAND
- Publisher:
- Great Britain. Home Office
- Publication year:
- 2016
- Pagination:
- 21
- Place of publication:
- London
A joint action plan from the Department of Health, NHS England and Home Office on improving mental health services in immigration detention. It considers the provision of mental health services and wider welfare issues for vulnerable adults in immigration removal centres (IRC) and residential short term holding facilities in England. The action plan covers both prevention, to ensure mental health conditions are identified early and to prevent further deteriation, and the provision of services to ensure the right interventions are available and that the care and transfer of individuals is managed effective. The plan is organised into the two main strands: the detention environment - covering physical conditions in detention and welfare; and the provision of mental health services - covering early diagnosis of mental health problems, effective commissioning, and access to appropriate treatment. The actions have been developed from the findings from the mental health clinical needs analysis in IRCs conducted by the Centre for Mental Health. The appendices also includes a progress report on improving the quality of healthcare service provision in detention centres. (Edited publisher abstract)
Internet-based cognitive behaviour therapy and physical exercise – effects studied by automated telephone assessments in mental ill-health patients; a randomized controlled trial
- Authors:
- STRID Catharina, et al
- Journal article citation:
- British Journal of Clinical Psychology, 55(4), 2016, p.414–428.
- Publisher:
- Wiley
Objectives: Mental ill-health has become a large health problem and it is important for caregivers to provide effective treatment alternatives. REGASSA is a randomized controlled study performed in primary care to study the effects of 12 weeks of Internet-based cognitive behaviour therapy (ICBT) and physical exercise (PE) compared with treatment as usual (TAU) in patients with mild-to-moderate mental ill-health. The present study aimed to examine the results of these treatment alternatives on psychological functioning, stress, and sleep disturbances. Methods: The study comprised 879 patients with mental ill-health taking part in the REGASSA study. Data were collected by Interactive Voice Response (IVR), a computerised, automated telephone technique. The treatments were compared at baseline, twice during treatment, at the end of treatment and at three follow-ups after treatment. Measures used were the Outcome Questionnaire-45, the short versions of the Perceived Stress Scale, and the Karolinska Sleep Questionnaire. Results: Linear mixed models showed that the patients in ICBT and PE had better results than in TAU on psychological functioning and sleep disturbances, p < .001, with weak-to-moderate effect sizes. On stress there were no differences; all groups made improvements. Women had stronger effects than men. More patients recovered on psychological functioning (OQ-45) in ICBT and PE than in TAU. Conclusions: Internet-based cognitive behaviour therapy and PE proved to be effective treatment alternatives for patients with mild-to-moderate mental ill-health in improving psychological functioning, stress, and sleep disturbances and could be useful alternatives in primary care. Practitioner points: a) Internet-based cognitive behaviour therapy and physical exercise proved to be effective treatment alternatives for mental ill-health patients in primary care. Automated techniques (Interactive Voice Response) could be useful for following treatment course in large groups of patients in the health care; b) It is important to use measures that capture different aspects of patients’ health problems; c) The recruitment of participants was based on patients’ interest and inclusion criteria which may have affect the generalisability. (Edited publisher abstract)
Exploring the relationship between transgender-inclusive providers and mental health outcomes among transgender/gender variant people
- Authors:
- KATTARI Shanna K., et al
- Journal article citation:
- Social Work in Health Care, 55(8), 2016, pp.635-650.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Using a statewide survey of transgender and gender variant individuals (N = 417), this study examines the association between having a transgender-inclusive provider and three mental health concerns: current experience of depression, lifetime experience of anxiety disorder, and suicidality within the last year. Findings suggest that having a transgender-inclusive provider is associated with decreased rates of depression and suicidality, but not with lifetime experience of having anxiety. Implications for future research and education of providers are discussed. (Publisher abstract)
Living a meaningful life with serious mental illness: defining and understanding personal medicine
- Author:
- RADOHL Tamara
- Journal article citation:
- Journal of the Society for Social Work and Research, 7(2), 2016, p.345–369.
- Publisher:
- Society for Social Work and Research
Objective: Shared decision making (SDM) is an approach adapted from the health care field for use in mental health treatment because SDM promotes collaborative decision making of providers and consumers regarding treatment options and goals. Personal medicine, defined as “self-initiated, non-pharmaceutical self-care activities that serve to decrease symptoms, avoid undesirable outcomes such as hospitalisation, and improve mood, thoughts, behaviours, and overall sense of well-being” (Deegan, 2005, p. 31), has been incorporated into SDM when applied in mental health settings. This exploratory, qualitative study investigates how mental health consumers define and use personal medicine. Method: A sample of 14 consumers with severe and persistent mental illness were selected from a local community mental health agency using purposeful sampling. Participants used Common Ground, a software programme that formalises SDM and uses the concept of personal medicine. Participants were interviewed using a naturalistic inquiry approach and a semi-structured interview protocol of open-ended questions. Interviews were transcribed and coded, and findings were corroborated with consultant panels. Comprehensive member checks ensured trustworthiness. Results: Personal medicine might be a larger concept than can be explained by any single modality. Several factors contribute to the use of personal medicine, including the individualisation of personal medicine by consumers, how consumers define the concept of personal medicine, and the purposes and benefits of personal medicine. Conclusions: Participants report personal medicine to have benefit, value, and purpose that impact recovery. These findings support current literature and practical implications that might inform the ways in which professionals use personal medicine. (Edited publisher abstract)
The care needs of older patients with bipolar disorder
- Authors:
- DAUTZENBERG Geraud, et al
- Journal article citation:
- Aging and Mental Health, 20(9), 2016, pp.899-907.
- Publisher:
- Taylor and Francis
Objectives: With ageing, bipolar disorder evolves into a more complex illness, with increasing cognitive impairment, somatic comorbidity, and polypharmacy. To tailor treatment of these patients, it is important to study their needs, as having more unmet needs is a strong predictor of a lower quality of life. Method: Seventy-eight Dutch patients with bipolar I or II disorder aged 60 years and older in contact with mental health services were interviewed using the Camberwell Assessment of Need in the Elderly (CANE) to assess met and unmet needs, both from a patient and a staff perspective. Results: Patients (mean age 68 years, range 61–98) reported a mean of 4.3 needs compared to 4.4 reported by staff, of which 0.8 were unmet according to patients and 0.5 according to staff. Patients frequently rated company and daytime activities as unmet needs. More current mood symptoms were associated with a higher total number of needs. Less social participation was associated with a higher total number of needs and more unmet needs. Conclusion: Older bipolar patients report fewer needs and unmet needs compared to older patients with depression, schizophrenia, and dementia. A plausible explanation is that older bipolar patients had higher Global Assessment of Functioning scores, were better socially integrated, and had fewer actual mood symptoms, all of which correlated with the number of needs in this study. The results emphasise the necessity to assess the needs of bipolar patients with special attention to social functioning, as it is suggested that staff fail to recognise or anticipate these needs. (Edited publisher abstract)
Improving the physical health of people with mental health problems: actions for mental health nurses
- Authors:
- GREAT BRITAIN. Department of Health, PUBLIC HEALTH ENGLAND, NHS ENGLAND
- Publishers:
- Great Britain. Department of Health, Public Health England, NHS England
- Publication year:
- 2016
- Pagination:
- 61
- Place of publication:
- London
Drawing the available evidence, this resource provides practice advice to help mental health nurses to improve the physical health and wellbeing of people living with mental health problems. It builds on work to ensure parity of esteem between mental and physical health by giving equal attention to the physical health of people with mental health problems as is given to the general population, thus reducing health inequalities. The document focuses on how to deal with some of the main risk factors for physical health problems. It focuses on eight key areas for action: smoking, obesity, improving levels of physical activities, alcohol and substance misuse, sexual and reproductive health, medicine optimisation, dental and oral health, and reducing falls. Each area discussed incIudes information on why mental health nurses need to take action, activities to achieve change, examples of good practice and a review of the evidence base for practice. The publication is relevant for mental health nurses working both in inpatient settings and in the community and focuses on adults with mental health problems. (Edited publisher abstract)
Needs and fears of young people presenting at accident and emergency department following an act of self-harm: secondary analysis of qualitative data
- Authors:
- OWENS Christabel, et al
- Journal article citation:
- British Journal of Psychiatry, 208(3), 2016, pp.286-291.
- Publisher:
- Cambridge University Press
Background: Needs and fears of young people presenting at accident and emergency department following an act of self-harm: secondary analysis of qualitative data. Presentation at an accident and emergency (A&E) department is a key opportunity to engage with a young person who self-harms. The needs of this vulnerable group and their fears about presenting to healthcare services, including A&E, are poorly understood. Aims: To examine young people's perceptions of A&E treatment following self-harm and their views on what constitutes a positive clinical encounter. Method: Secondary analysis of qualitative data from an experimental online discussion forum. Threads selected for secondary analysis represent the views of 31 young people aged 16–25 with experience of self-harm. Results: Participants reported avoiding A&E whenever possible, based on their own and others' previous poor experiences. When forced to seek emergency care, they did so with feelings of shame and unworthiness. These feelings were reinforced when they received what they perceived as punitive treatment from A&E staff, perpetuating a cycle of shame, avoidance and further self-harm. Positive encounters were those in which they received ‘treatment as usual’, i.e. non-discriminatory care, delivered with kindness, which had the potential to challenge negative self-evaluation and break the cycle. Conclusions: The clinical needs of young people who self-harm continue to demand urgent attention. Further hypothesis testing and trials of different models of care delivery for this vulnerable group are warranted. (Publisher abstract)