Search results for ‘Subject term:"mental health problems"’ Sort:
Results 1 - 7 of 7
A comparison of the needs of homeless and never homeless patients with psychotic disorders
- Authors:
- COMMANDER Martin J., ODELL Sue M.
- Journal article citation:
- Journal of Mental Health, 10(4), August 2001, pp.449-456.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Although the large number of people with psychotic disorders who are homeless has triggered the development of targeted outreach services, it is uncertain whether, aside from their social circumstances, the needs of these patients differ from those of their residentially, stable counterparts. Reports on matched case control study of homeless and never homeless patients with psychotic disorders. Patients were recruited from psychiatric services and data collected through interviews with patients and their key workers as well as a review of their case notes. Homeless patients were more symptomatic and behaviourally disturbed than controls. They were significantly more likely to have a criminal history and to be identified by key workers as having problems related to substance use. Homeless patients were less likely to have been born in Birmingham and to have ongoing contact with childhood carers but despite being less aware of the need for treatment, uptake of psychiatric care was comparable with that of controls. Discusses the implications for the development of dedicated mental health services for this population.
Mental health training in emergency homeless shelters
- Authors:
- VAMVAKAS Angelos, ROWE Michael
- Journal article citation:
- Community Mental Health Journal, 37(3), June 2001, pp.287-295.
- Publisher:
- Springer
The prevalence of mental illness among homeless persons points to the importance of providing mental health training to emergency shelter staff. The authors report on their own work and argues that such training offers the potential to significantly improve shelter staff's ability to respond to the needs of shelter residents with mental illness, and to the behaviourial problems some of these individuals may pose for shelter operation.
Innovative therapeutic care for homeless mentally ill clients: intrapsychic humanism in a residential setting
- Authors:
- TYSON Katherine, CARROLL Emily
- Journal article citation:
- Families in Society, 82(6), November 2001, pp.591-603.
- Publisher:
- The Alliance for Children and Families
Residential care is increasingly recognised as an invaluable therapeutic resource for homeless, severely mentally ill, and substance-abusing clients. Describes how a comprehensive psychology-intrapsychic humanism-can be used as a flexible, consistent guide for serving this population in residential care. Based on a central principle that staff-client relationships can be path to healing, intrapsychic humanism's other precepts include treatment planning that recognises clients' conflicting motives and strengthens their constructive motives, understanding clients' self-destructive responses to positive experiences, and helping clients govern their self-destructive behaviour while enhancing their self-respect.
Doing the right thing: ethical and practical dilemmas in working with homeless mentally ill people
- Authors:
- TIMMS Philip, BORRELL Teresa
- Journal article citation:
- Journal of Mental Health, 10(4), August 2001, pp.419-426.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Psychiatric work with homeless people has generated a particular style of service. It involves elements of assertive outreach assessment, case management, assertive treatment, and close relationships with the voluntary sector. This activity has thrown up a number of practical and ethical dilemmas. These problems include the conflicting principles of paternalism and autonomy, the boundaries of medical confidentiality and the limitations of the Mental Health Act. Discusses the issues which also have a wider relevance to community psychiatry as a whole.
Homelessness, mental illness and citizenship
- Authors:
- ROWE Michael, et al
- Journal article citation:
- Social Policy and Administration, 35(1), March 2001, pp.14-31.
- Publisher:
- Wiley
Assertive mental health outreach to homeless persons points towards the goals of community membership and "citizenship" - a connection to the rights, responsibilities, roles and resources that society offers through public and social institutions and informal "associational life" - for homeless persons. The authors argue that the concept of citizenship is a useful framework for approaching these goals. Go on to review the principles of assertive mental health outreach and relevant aspects of contemporary citizenship theory; present a case example of outreach leading to a "citizenship project"; and discuss the potential benefits and pitfalls of a citizenship framework, including strategies and recommendations for program administrators, researchers and policy makers.
The responsibility to care for single homeless people
- Authors:
- CRANE Maureen, WARNES Anthony M.
- Journal article citation:
- Health and Social Care in the Community, 9(6), November 2001, pp.436-444.
- Publisher:
- Wiley
Examines the reasons why in contemporary Britain many single homeless people with severe physical and mental health problems and welfare needs do not receive the treatment, care and financial support that they manifestly need, and in particular considers the interaction between their personal characteristics and the organisation and the obligations of services. The greatest weaknesses of the service system are that no single agency has a statutory responsibility to ensure that vulnerable homeless people are served. The article appraises the approaches to single homeless peoples problems that have recently been introduced by the Rough Sleepers Unit (RSU), and discusses the ways in which current reforms of the welfare services may impact on the situation of homeless people. With the possibility that the RSUs prime responsibility for commissioning single homeless peoples services will transfer to local authorities in 2002, the article concludes by specifying the implications for voluntary and statutory providers and makes recommendations about the attribution of the responsibility to care for this vulnerable group.
Comparison of the outcome and treatment of psychosis in people of Caribbean origin living in the UK and British Whites: report from the UK700 trial
- Authors:
- McKENZIE K., et al
- Journal article citation:
- British Journal of Psychiatry, 178, February 2001, pp.160-165.
- Publisher:
- Cambridge University Press
The comparative outcome of psychosis in British Whites and UK African-Caribbeans is unclear. Some report that African-Caribbeans have worse outcome, whereas others claim better symptomatic outcome and a more benign course. This research aims to compare the course, outcome and treatment of psychosis in African-Caribbeans and British Whites in a large multi-centre sample. Outcome measures (hospitalisation, illness course, self-harm, social disability and treatment received) were adjusted for socio-economic and clinical differences between groups at baseline using regression analysis. Results found African-Caribbeans were less likely to have a continuous illness and to receive treatment with antidepressants or psychotherapy. Concludes that the outcome of psychosis is complex but differs between UK African-Caribbeans and British Whites. This may reflect risk factors that increase the rate of psychosis in UK African-Caribbeans. Treatment differences require further investigation.