Search results for ‘Subject term:"mental health problems"’ Sort:
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Complementary therapies
- Author:
- WALLCRAFT Jan
- Journal article citation:
- Mental Health and Learning Disabilities Care, 2(10), June 1999, pp.351-354.
- Publisher:
- Pavilion
Complementary therapies may have much to offer even people in very severe mental distress. Reviews the evidence.
Using explanatory models in the care of a person with intellectual disabilities
- Authors:
- INWANG Francis, HEMMINGS Colin, HVID Cindy
- Journal article citation:
- Advances in Mental Health and Intellectual Disabilities, 7(3), 2013, pp.152-160.
- Publisher:
- Emerald
A case study exploring the differences between carer and professional perspectives in the assessment and treatment of a young man with intellectual disabilities, autism and mental health problems. The opinions and perspectives of psychiatrists involved in the care and treatment of “S” and “S”'s mother about the aetiology, course, treatment and prognosis of “S”'s condition, are explored using “explanatory models”. The similarities and the differences of opinions and perspectives about the mental health care of a person with intellectual disabilities are highlighted. It shows how the explicit comparison of notions about a person's condition, assessment and treatment may help all involved to work together for the common ground of achieving the best outcomes for service users. (Edited publisher abstract)
A narrative review: arguments for a collaborative approach in mental health between traditional healers and clinicians regarding spiritual beliefs
- Author:
- POUCHLY Cara A.
- Journal article citation:
- Mental Health Religion and Culture, 15(1), 2012, pp.65-85.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This article discusses a collaborative approach between mental health clinicians and traditional healers, from a clinical psychology perspective, for clients with spiritual beliefs. Spiritual beliefs are incorporated into the identity and functioning of clients within a cultural context. It is argued that working collaboratively would address many access difficulties to mental health services and support for this is shown in a number of studies and case reports across cultures. This approach appears to be in accordance with current theories of acculturation. The problems in the current system when working non-collaboratively are also explored. Counter arguments and difficulties of collaboration are discussed. The author concludes that research in the United Kingdom is limited and it is suggested that more research is needed.
Depression in adults with a chronic physical health problem: treatment and management
- Author:
- NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE
- Publisher:
- National Institute for Health and Clinical Excellence
- Publication year:
- 2009
- Pagination:
- 397p., bibliog.
- Place of publication:
- London
This draft national clinical practice guideline was commissioned by the National Institute for Health and Clinical Excellence (NICE) and developed within the National Collaborating Centre for Mental Health (NCCMH). The guideline is intended for adults with depression and chronic health problems and covers the care provided by primary, community, secondary, tertiary and other healthcare professionals who have contact with, and make decisions concerning the care of, adults with depression and chronic health problems. It makes recommendations for the treatment and management of people with depression and chronic health problems, starting with an introduction to the topic of depression and chronic physical health problems and an explanation of the methods used to develop the guideline, and then providing the evidence that underpins the recommendations about the treatment and management of people with depression and chronic health problems, including personal accounts from service users and carers offering an insight into their experience, and looking at the identification of depression in people with chronic physical health problems, service-led interventions, psychosocial interventions, and pharmacological interventions.
An integrated, multidimensional treatment model for individuals living with HIV, mental illness, and substance misuse
- Authors:
- BOUIS Stephanie, et al
- Journal article citation:
- Health and Social Work, 32(4), November 2007, pp.268-278.
- Publisher:
- Oxford University Press
The challenge of providing effective treatment services for the growing population of HIV-positive individuals who are also dually diagnosed with substance use and mental disorders has only recently been recognized as an important public health concern affecting both HIV treatment and prevention. This article describes a treatment model that was created for a study of integrated treatment for HIV-positive individuals with substance use and mental disorders. The treatment model was based on the transtheoretical model of behaviour change as well as evidence-based practices that are widely used in the treatment of individuals dually diagnosed with substance use and mental disorders. The model involved collaboration between medical and behavioural health care professionals and emphasized the importance of goal reinforcement across disciplines. Furthermore, it included the development and enhancement of client motivation to modify medical and behavioural health-risk behaviours using individual readiness for change and offered comprehensive care addressing a continuum of client needs that may influence treatment outcomes. Treatment modalities included individual therapy, group therapy, and psychiatric medication management. This treatment intervention was associated with positive outcomes in the integrated treatment study and can be adapted for use in a variety of psychiatric or medical treatment settings.
The effects of memory, attention, and executive dysfunction on outcomes of depression in a primary care intervention trial: the PROSPECT study
- Authors:
- BOGNER Hillary R., et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 22(9), September 2007, pp.922-927.
- Publisher:
- Wiley
The aim was to describe the influence of domains of cognition on remission and response of depression in an intervention trial among older primary care patients. Twenty primary care practices were randomly assigned to Usual Care or to an Intervention consisting of a depression care manager offering algorithm-based care for depression. In all, 599 adults 60 years and older with a depression diagnosis were included in these analyses. Depression severity and remission of depression were assessed by the 24-item Hamilton Depression Rating Scale. The Mini-Mental State Examination (MMSE) was our global measure of cognitive function. Verbal memory was assessed with the memory subscale of the Dementia Rating Scale. Attention was measured with the digit span from the Weschler Adult Intelligence Test. Response inhibition, one of the executive functions, was assessed with the Stroop Color-Word test. The intervention was associated with improved remission and response rates regardless of cognitive impairment. Response inhibition as measured by the Stroop Color-Word test appeared to significantly modify the intervention versus usual care difference in remission and response at 4 months. Patients in the poorest performance quartile at baseline on the Stroop Color-Word test in the Intervention Condition were more likely to achieve remission of depression at 4 months than comparable patients in Usual Care [odds ratio (OR) = 17.76, 95% Confidence Interval (CI), 3.06, 103.1]. Depressed older adults in primary care with executive dysfunction have low remission and response rates when receiving usual care but benefit from depression care management.
Drug treatment in dementia
- Author:
- JONES Roy W
- Publisher:
- Blackwell
- Publication year:
- 2000
- Pagination:
- 139p.
- Place of publication:
- Oxford
Begins by describing the various conditions that cause dementia and how to diagnose patients and assess their suitability for drug treatment. Describes the drugs available to treat dementia itself, and those for accompanying psychological and behavioural problems. Discusses physical problems that may be found in people with dementia, treatment protocols and cost effectiveness of treatment.
Spreading the load
- Author:
- BUTTERWORTH Lorna
- Journal article citation:
- Nursing Times, 10.12.97, 1997, pp.32-34.
- Publisher:
- Nursing Times
Explores the hurdles facing nurses with mental health problems on the path to recovery.
The skill of an inside job
- Author:
- WRIGHT Colin
- Journal article citation:
- Nursing Times, 3.12.97, 1997, pp.14-15.
- Publisher:
- Nursing Times
Reports on how prison nurses are rising to the challenge of improving mental health care for inmates.
Small changes that make a big difference
- Authors:
- WAREING Lesley Ann, ASSEY Julian
- Journal article citation:
- Journal of Dementia Care, 4(4), July 1996, pp.26-27.
- Publisher:
- Hawker
Carers in East Dorset have real opportunity to communicate their views on services and influence policy decisions at Trust level. This article looks at some of the work undertaken by Dorset Healthcare NHS Trust to involve carers in the planning and provision of services for older people with mental health care needs and dementia. Based on interviews with two carers, the head occupational therapist and a ward sister, it draws on the experience of those involved, highlights the themes which emerged and contrasts the different perspectives.