Search results for ‘Subject term:"mental health problems"’ Sort:
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Illness beliefs in schizophrenia
- Authors:
- KINDERMAN Peter, et al
- Journal article citation:
- Social Science and Medicine, 63(7), October 2006, pp.1900-1911.
- Publisher:
- Elsevier
Beliefs about health and illness shape emotional responses to illness, health-related behaviour and relationships with health-care providers in physical illness. Researchers are beginning to study the illness beliefs of people with psychosis, primarily using models developed in relation to physical illness. It is likely that modifications to these models will be necessary if they are to apply to mental disorders, and it is probable that some of the assumptions underlying the models will be inappropriate. In particular, different dimensions of understanding may be present in mental illness in comparison to those identified in physical illness. The present study examines the beliefs of 20 patients in the UK diagnosed with schizophrenia, including 10 currently psychotic inpatients and 10 outpatients in remission, about their experiences, using qualitative interviews and thematic analysis. Patients currently experiencing psychosis did not identify their experiences as separable ‘illnesses’ and did not have ‘illness beliefs’. Patients currently in a period of remission appraised their experiences as distinct from their own normal behaviour, but used conceptual frameworks of understanding that deviated significantly from conventional ‘health belief’ models. Patients’ ways of understanding mental illness did not parallel those described in physical illnesses. Methods for assessing beliefs about mental illness should therefore not be transferred directly from studies of beliefs about physical illness, but should be tailored to the nature of patients’ beliefs about mental illness.
Explore dream discover: working with holistic models of sexual health and sexuality, self esteem and mental health
- Author:
- ADAMS Jo
- Publisher:
- Centre for HIV and Sexual Health
- Publication year:
- 2004
- Pagination:
- 122p.
- Place of publication:
- Sheffield
A resource and training pack describing the Flower holistic models of holistic models of sexual health and sexuality, self esteem and mental health, with guidance on their use in practice.
Integrated care to address the physical health needs of people with severe mental illness: a mapping review of the recent evidence on barriers, facilitators and evaluations
- Authors:
- RODGERS Mark, et al
- Journal article citation:
- International Journal of Integrated Care, 18(1), 2018, Online only
- Publisher:
- International Foundation for Integrated Care
People with mental health conditions have a lower life expectancy and poorer physical health outcomes than the general population. Evidence suggests this is due to a combination of clinical risk factors, socioeconomic factors, and health system factors, notably a lack of integration when care is required across service settings. Several recent reports have looked at ways to better integrate physical and mental health care for people with severe mental illness (SMI). The authors built on these by conducting a mapping review that looked for the most recent evidence and service models in this area. This involved searching the published literature and speaking to people involved in providing or using current services. Few of the identified service models were described adequately and fewer still were evaluated, raising questions about the replicability and generalisability of much of the existing evidence. However, some common themes did emerge. Efforts to improve the physical health care of people with SMI should empower staff and service users and help remove everyday barriers to delivering and accessing integrated care. In particular, there is a need for improved communication among professionals and better information technology to support them, greater clarity about who is responsible and accountable for physical health care, and greater awareness of the effects of stigmatisation on the wider culture and environment in which services are delivered. (Edited publisher abstract)
Solving social problems: southern perspectives
- Authors:
- SHANNON Pat, YOUNG Sue
- Publisher:
- Dunmore Press
- Publication year:
- 2004
- Pagination:
- 319p., bibliog.
- Place of publication:
- Palmerston North, NZ
A Comprehensive textbook aimed at the training of social workers. Includes theory and practice models in social work, occupational change and unemployment, health problems and their management, discrimination, deprivation, and poverty
A social services' perspective
- Author:
- BRAND Don
- Journal article citation:
- Mental Health Review, 2(4), December 1997, pp.21-22.
- Publisher:
- Pier Professional
The author comments on Barker and Peck's Framework Feature (pp.7-16) from a social services' perspective.
A UK survey of psychiatric services for older people in general hospitals
- Authors:
- HOLMES John, BENTLEY Kris, CAMERON Ian
- Journal article citation:
- International Journal of Geriatric Psychiatry, 18(8), August 2003, pp.716-725.
- Publisher:
- Wiley
Psychiatric illness is common in older people in general hospitals, but little is known of the service models operating in the UK, or of the views of old age psychiatrists regarding service provision in this area. We set out to determine the range of UK old age psychiatry service models for older people in general hospital wards, and the opinions of clinicians on future service priorities and development. A postal questionnaire survey of old age psychiatrists providing psychiatric services to older people in general hospital wards. 73% of services were provided through a generic, sector-based, consultation psychiatry model. The remaining 27% employed a range of general hospital-based liaison psychiatry services for older people, involved in proactively seeking referrals and educating general hospital staff. Those providing a generic sector-based model were significantly slower at responding to referrals. 89% of respondents were unhappy with their service to older people in general hospital wards, with only 11% preferring the generic sector-based model. Organisational barriers to change identified included the management of mental health care and physical care by different organisations. Training, both of psychiatric staff in this specialist area, and of general hospital staff in the detection and basic management of common psychiatric conditions in the general hospital setting, was felt to be necessary. The management of co-morbid psychiatric and physical illness in older people is an important issue for health services. Old age psychiatrists are unhappy with the prevalent, reactive, consultation-based model, preferring a range of liaison psychiatry models based in the general hospital. The most important barriers to service development in this area were the separate managerial arrangements for psychiatric and physical care services, and a lack of evidence for effective old age psychiatry services in this setting.