Search results for ‘Subject term:"mental health problems"’ Sort:
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Can home come first?
- Author:
- -
- Journal article citation:
- Connect, 44, 2011, pp.18-19.
- Publisher:
- Homeless Link
Housing First is a model developed in the US in 1992. Designed specifically for people with a diagnosed mental health problem, the model prioritises housing people housed in their own accommodation before focusing on other areas of their lives, such as substance misuse or unemployment. This article looks at how the approach works and whether it would work in the UK.
Does context matter? Examining the mental health among homeless people
- Authors:
- FITZPATRICK Kevin, MYRSTOL Brad A., MILLER Elizabeth
- Journal article citation:
- Community Mental Health Journal, 51(2), 2015, pp.215-221.
- Publisher:
- Springer
Limited research exists that explores the impact of community on the health and wellbeing of homeless people. Using multivariate models, this research explores what factors are related to depressive symptoms among homeless people living in two distinctly different communities. Results suggest that context matters, but not for every circumstance examined in these models. While some variables exhibit a consistent relationship with depressive symptoms, the role of social capital is noted as particularly important to lowering symptomatology, yet its impact differs significantly by location. (Edited publisher abstract)
Setting up a methadone maintenance clinic in a hostel in London’s West End
- Authors:
- DUNN John, et al
- Journal article citation:
- Psychiatric Bulletin, 30(9), September 2006, pp.337-339.
- Publisher:
- Royal College of Psychiatrists
A satellite methadone prescribing service was set up in a hostel in London’s West End. The aim was to investigate if it were feasible to engage and retain these hard-to-reach, chaotic, polydrug users in treatment. A basic needs assessment was undertaken with staff and clients at the hostel. Treatment outcomes were assessed at 16 weeks using the Maudsley Addiction Profile. At 16 weeks 87% of the original cohort (26 out of 30) were still in treatment. There were also significant reductions in mean heroin use (from 29.7 to 14.5 out of the past 30 days, P<0.001) and in the frequency of injecting (from 25.9 to 15.9 days, P<0.001). This outreach clinic offers a model for developing services to homeless people with substance misuse problems.
Taking it to the street: a psychiatric outreach service in Canada
- Authors:
- FARRELL Susan J, et al
- Journal article citation:
- Community Mental Health Journal, 41(6), December 2005, pp.737-746.
- Publisher:
- Springer
This paper describes a model of flexible psychiatric outreach service in Canada designed to meet the needs of persons who are homeless or marginally housed and have mental illness. The activities of the Psychiatric Outreach Team of the Royal Ottawa Hospital for individual clients and the community agencies who serve them are profiled, followed by a demographic and mental and physical health profile of the clients seen in the past year. The differences from other models of service and the benefits and limitations of this unique multidisciplinary team are discussed, with implications for future service development for this vulnerable population.
Utility of the behavioral model in predicting service utilization by individuals suffering from severe mental illness and homelessness
- Authors:
- LEMMING Matthew R., CALSYN Robert J.
- Journal article citation:
- Community Mental Health Journal, 40(4), August 2004, pp.347-364.
- Publisher:
- Springer
This study compared the effectiveness of the behavioral model to predict two service utilization variables: case manager visits and total services used. Nearly 4000 individuals who were homeless and suffered from severe mental illness provided data for the study. Enabling variables explained more variance of both service utilization variables than predisposing or need variables. Social support from professionals was the strongest predictor for both service utilization variables.
Meeting mental health needs of ethnic minority groups
- Authors:
- GAUNTLETT Nick, et al
- Journal article citation:
- Nursing Times, 18.10.95, 1995, pp.36-37.
- Publisher:
- Nursing Times
The TULIP Outreach Service uses a team approach model to provide community support to people with long-term mental health problems. It was primarily set up to reach people falling through the net of mainstream services, that is, homeless or potentially homeless people and those from minority ethnic groups. Describes how the team approach works in practice. It also gives the preliminary results of an evaluation showing the team's success in targeting and supporting these clients.
Risk and risk taking in health and social welfare
- Author:
- TITTERTON Mike
- Publisher:
- Jessica Kingsley
- Publication year:
- 2005
- Pagination:
- 160p.bibliog.
- Place of publication:
- London
How can a social worker assess the risk that an older person with dementia faces? How would a nurse or housing support worker decide on the balance between danger and safety? In cases of potentially serious harm, as in the examples of abused children or sex offenders, can risk taking work? In this book, the author offers a model of risk work in health and social care. He argues that a thoughtful risk-taking approach can lead to empowerment and greater independence for vulnerable individuals. The author explores the dilemmas frequently faced when working with older people, homeless persons, and people with physical or learning disabilities or with mental illness, and proposes a systematic framework for assessing and managing the risks involved. He also discusses contemporary theories and definitions of risk, and identifies the essential skills needed by professionals, with an emphasis on developing creative approaches to practice.
The personal in the political: exploring the group work continuum from individual to social change goals
- Authors:
- COHEN Marcia B., MULLENDER Audrey
- Journal article citation:
- Social Work with Groups, 22(1), 1999, pp.13-31.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This article analyses three examples of group work practice in order to examine the relationship between internal and external change goals across the practice continuum. Using the conceptual framework of the British model of self-directed group work, the authors explore the potential of social action groups to meet individual, interpersonal, and social needs. The three practice illustrations include a poetry group in a service centre for homeless and low-income adults, a peer support group in a recipient-directed mental health agency, and a community meeting group in a homeless shelter.
Outreach to homeless mentally ill people: conceptual and clinical considerations
- Authors:
- MORSE Gary A., et al
- Journal article citation:
- Community Mental Health Journal, 32(3), June 1996, pp.261-274.
- Publisher:
- Springer
Describes a model of outreach predicated on developing a trusting, meaningful relationship between the outreach worker and the homeless person with mental illness. Describes five common tasks inherent in this model of outreach (establishing contact and credibility, identifying people with mental illness, engaging clients, conducting assessment and treatment planning, and providing ongoing service). Other issues discussed include: (a) responding to dependency needs and promoting autonomy; (b) setting limits while maintaining flexibility; (c)resistance to mental health treatment and follow-up service options.
Implementing the Comprehensive, Continuous, Integrated System of Care model for individuals with co-occurring disorders: preliminary findings from a residential facility serving homeless individuals
- Authors:
- HARRISON Melissa L., et al
- Journal article citation:
- Journal of Dual Diagnosis, 4(3), 2008, pp.238-259.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
The Comprehensive, Continuous, Integrated System of Care (CCISC) model is officially recognised as one of the best treatment protocols in the USA, and provides medical care, counselling, psychiatric/psychological evaluation, recreational and vocational services, and comprehensive discharge planning within a residential setting. A total of 76 participants were administered measures that assessed housing and employment status, mental health symptoms and levels of substance use at baseline and six-month follow-up. The results show significant improvement in all assessment categories at six months, as well as client satisfaction with the programme. In addition, application of the Comorbidity Program Audit and Self-Survey for Behavioral Health Services (COMPASS) showed that the CCISC principles of care were implemented as intended. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).