Search results for ‘Subject term:"mental health problems"’ Sort:
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'Drone strikes
- Author:
- DALY Max
- Journal article citation:
- Druglink, 27(6), November 2012, pp.8-11.
- Publisher:
- Drugscope
- Place of publication:
- London
In this article, the author reports on the results of the Druglink Street Drug Trends 2012 survey. The survey, undertaken between September and November 2012, was based on information from police forces, drug action teams, frontline treatment services and user groups in 20 towns and cities, and from interviews and questionnaires involving drug experts, national drug services and drug workers across the UK. The article focuses in particular on the survey findings concerning use of mephedrone. It reports that despite a ban in 2010 mephedrone is becoming a significant problematic drug, and that more people are requesting help with physical and psychological problems associated with their mephedrone use. It notes mephedrone's relatively low cost, easy availability and reliable potency, and that it is being taken by a more diverse population. It discusses trends in use of the drug and possible reasons for this, and includes a brief user case example and a Barnsley case study report for Addaction on mephedrone injecting. It also reports on other major trends revealed in the 2012 survey.
Audit of metabolic syndrome in adults prescribed clozapine in community and long-stay in-patient populations
- Authors:
- MORGAN David, et al
- Journal article citation:
- Psychiatric Bulletin, 32(4), May 2008, pp.174-177.
- Publisher:
- Royal College of Psychiatrists
The aim was to calculate the prevalence of metabolic syndrome in patients receiving clozapine in community and long-stay in-patient settings. Patients were assessed using measures specified by the Expert Panel of the US National Cholesterol Education Program. The prevalence of the metabolic syndrome was calculated as 53% in the community groups and 11% in the in-patient group, although both sample sizes (particularly the in-patient group) were small. Women were more frequently affected than men in the community population. The higher percentage of metabolic syndrome in the community patients receiving clozapine has implications with respect to physical health. The reasons for the lower percentage in the in-patient group are unclear. The findings point to a possible difference in the physical health of long-stay psychiatric in-patients and patients in the community.
Evidence based practice and psychotherapy research
- Author:
- REYNOLDS Shirley
- Journal article citation:
- Journal of Mental Health, 9(3), June 2000, pp.257-266.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
This paper outlines the concept and the process of evidence based practice and discusses the potential role of evidence based practice in the development of psychotherapy research. Despite concerns that evidence based practice may impede the clinical freedom of clinicians, the argument presented in this paper is that this approach provides new opportunities for psychotherapy research. Although most attempts to develop evidence based practice have been focused on applying the results of qualitative research to practice there are emerging opportunities to broaden the scope of evidence based practice. This can and should include neglected methods of research, for example qualitative methods, and neglected topics of research including the treatment of individuals with enduring and severe mental health problems.
Women prisoners
- Author:
- GINN Stephen
- Journal article citation:
- British Medical Journal, 19.01.13, 2013, pp.22-24.
- Publisher:
- British Medical Association
The number of women in the prison population has trebled over the past 20 years. There is no evidence to show that women are committing more serious offences than before, but the rise is explained by a shift away from non-custodial treatment for relatively minor offences towards short prison sentences. In the fourth article in a series on prison health care the author looks at women's experience of prison; the high risk of self harm and suicide; pregnant women in prisons; and the failure to reduce the number of women prisoners.
Managing perinatal mental health disorders effectively: identifying the necessary components of service provision and delivery
- Authors:
- ROTHERA Ian, OATES Margaret
- Journal article citation:
- Psychiatric Bulletin, 32(4), April 2008, pp.131-133.
- Publisher:
- Royal College of Psychiatrists
The paper identifies problems with the management of perinatal mental health disorders and areas where improvements are thought-required. The study used qualitative methods comprising focus groups with recovered patients and interviews with health professionals. Issues identified included a lack of knowledge, skills, integrated working, poor access to resources and ill-defined professional roles and responsibilities. Improving care and service provision requires the development of training and education programmes, care pathways and protocols, and referral guidelines and liaison services. Difficulties over managing perinatal mental illnesses occur at all levels of healthcare provision. The findings confirm best practice recommendations which emphasise improved joint working and the provision of specialist services in all localities.
Looked after children: caring for health
- Author:
- PAYNE Heather
- Journal article citation:
- Childright, 231, November 2006, pp.18-21.
- Publisher:
- Children's Legal Centre
This article looks at the health outcomes of 'looked after' children and what is being done to provide them with equal access to appropriate health services. It focuses on the health status of looked after children in England Wales.
Effects of Medicaid managed care policies on mental health service use among a national probability sample of children in the child welfare system
- Authors:
- RAGHAVAN Ramesh, et al
- Journal article citation:
- Children and Youth Services Review, 28(12), December 2006, pp.1482-1496.
- Publisher:
- Elsevier
Children in the child welfare system are dependent upon Medicaid to finance services for their considerable mental health needs. This study examines the effects of Medicaid policies on mental health service use among a national probability sample of children in the child welfare system. Data for this study came from the National Survey of Child and Adolescent Well-Being, the Caring for Children in Child Welfare study, and the Area Resource File. Weighted multivariate logistic regression analyses were conducted to estimate effects of policy variables on children's use of mental health services, controlling for child-level covariates and county-level health resources. Children in counties with behavioural carve-outs under Medicaid managed care had lower odds of inpatient mental health service use. Medicaid managed care enrolment and variations in type of provider reimbursement did not affect use of mental health services. Older age, greater need for mental health services, and higher levels of caregiver education were associated with increased odds of service use. Restrictions on use of inpatient mental healthcare caused by behavioural carve-outs may disproportionately affect children in the child welfare system who have high rates of such use. Careful adoption of carve-outs is necessary to assure appropriate care for these children.
More than just a check up
- Author:
- GOVEANS Asha
- Journal article citation:
- Children Now, 01.02.06, 2006, pp.22-23.
- Publisher:
- Haymarket
The author reports on the Health Care initiative, which is making sure the emotional health of children in care is being looked after, as well as their physical health. The programme was developed by the National Children's Bureau (NCB) and funded by the Department for Education and Skills, to provide local authorities with a standard, a template and tools to develop these qualities.
The power of group work
- Author:
- FITZHERBERT Katrin
- Journal article citation:
- Young Minds Magazine, 74, January 2005, pp.28-29.
- Publisher:
- YoungMinds
Argues that group work is low-cost, easily accessible to children and non-stigmatising, and is proven to be effective, but is often ignored as viable intervention. In the USA it is an integral and respected strand of mainstream child and adolescent mental health services, that is, it has a career structure, professional organisation, journals, etc. and is supported by academic departments and a large body of research. There is some group work in the UK but it lacks the status of a valid professional activity and isn’t being taken up by NHS policy makers.
Healing the family way
- Author:
- McMILLAN Ian
- Journal article citation:
- Nursing Times, 20.11.96, 1996, pp.59-61.
- Publisher:
- Nursing Times
Reports on the Bethlem Royal's pioneering units which caters for mothers with mental health problems and their babies.