Search results for ‘Subject term:"mental health problems"’ Sort:
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Homelessness and the use of acute psychiatric beds: findings from a one-day survey of adult acute and low-level secure psychiatric patients in North and South Thames regions
- Authors:
- KOFFMAN Jonathan, FULOP Naomi
- Journal article citation:
- Health and Social Care in the Community, 7(2), March 1999, pp.140-147.
- Publisher:
- Wiley
This article describes the impact of homelessness on the use of adult acute and low-level secure psychiatric beds in North and South Thames regions. The article specifically focuses on those homeless patients who no longer required the acute psychiatric facilities in order to determine the complement of accommodation and alternative services necessary to enable them to be discharged. Concludes that homeless psychiatric in-patients have contributed to the increasingly precarious state of mental health services provision and represent a failure to provide a sufficient level of community alternatives for those who can no longer access the long-stay hospital services, and for whom the pool of acute psychiatric beds is ever reducing.
Discharged: homelessness among psychiatric patients in Scotland
- Authors:
- CROCKETT Nicole, SPICKER Paul
- Publisher:
- Shelter Scotland
- Publication year:
- 1994
- Pagination:
- 48p.,bibliog.
- Place of publication:
- Edinburgh
Hard core on the streets
- Author:
- CERVI Bob
- Journal article citation:
- Community Care, 30.1.92, 1992, p.8.
- Publisher:
- Reed Business Information
The government has announced extra funding to provide short-stay places for homeless mentally ill people. Concern is being raised that in a shift from community care policy, such people may be forced back into institutional accommodation.
Revolving doors: report of the telethon enquiry into the relationship between mental health, homelessness and criminal justice
- Author:
- JONES Helen
- Publisher:
- National Association for the Care and Resettlement of Offenders
- Publication year:
- 1992
- Pagination:
- 36p.
- Place of publication:
- London
Makes recommendations and proposes a pilot project which could help divert people out of a cycle of prison, psychiatric hospital and homelessness.
Community integration in the early phase of housing among homeless persons diagnosed with severe mental illness: successes and challenges
- Authors:
- YANOS Philip T., BARROW Susan M., TSEMBERIS Sam
- Journal article citation:
- Community Mental Health Journal, 40(2), April 2004, pp.133-150.
- Publisher:
- Springer
The present investigation used qualitative methods to explore the response to housing and experience of community integration of formerly homeless individuals diagnosed with severe mental illness recently housed in both independent and staffed residential settings. Findings indicate that entering into housing after a long period of homelessness is associated with improvements in community integration for most individuals diagnosed with severe mental illness. However, for a meaningful minority, the adaptation to housing may also be associated with challenges that can complicate the integration process. Implications of findings are discussed in the context of how best to tailor programs to meet the complex needs of persons diagnosed with severe mental illness and to maximize community integration.
What do female clients want from residential treatment? the relationship between expressed and assessed needs, psychosocial characteristics, and program outcome
- Authors:
- HOHMAN Melinda, LOUGHRAN Hilda
- Journal article citation:
- Journal of Dual Diagnosis, 9(1), 2013, pp.3-10.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Objective: Meeting the needs of clients receiving substance use services is related to programme engagement and retention. Using Bradshaw's (1972) classic taxonomy of needs as a framework, the purpose of this study was to determine the relationship between clients’ expressed needs for their treatment experiences as compared to their formally assessed or normative needs. How expressed needs are related to demographic and other characteristics and programme exit status was also explored. Methods: Secondary analysis of evaluation data gathered for other purposes was utilised. Data including demographic and drug use variables were obtained from client charts (N = 237) in a residential treatment agency serving women with co-occurring disorders who were homeless. Clients were administered the Addiction Severity Index-Multimedia Version (ASI-MV) to assess treatment or normative needs. They were also asked to complete the 69-item needs assessment questionnaire, “What I Want From Treatment” (Miller & Brown, 1994). Items that had the highest mean scores were submitted to a principal components analysis for data reduction to determine expressed needs. Bivariate analyses were used to determine the relationships between three expressed needs factors (alcohol/drug, psychological, and housing/employment) and ASI composite scores, demographic characteristics, and exit status. Results: There was no relationship between expressed needs and ASI scores except between the housing/employment factor and medical needs. Race, ethnicity, criminal justice status and drug of choice had no relationship to expressed needs. Those who were referred by a community agency had higher scores on the alcohol/drug factor as compared to those who were self-referred or referred by the criminal justice system. Clients receiving psychiatric medications were less likely to ask for help on psychological and housing/employment factors. There was no association between expressed needs at intake and programme exit status. Conclusions: Race and supervision status did not appear to be barriers to asking for help. Clients’ expressed needs were not related to the severity of their assessed problems, indicating that separate constructs were being measured. Including both expressed and assessed needs may be important in holistic treating planning and intervention. (Publisher abstract)
A comparison of homeless and domiciled young people
- Authors:
- COMMANDER Martin, et al
- Journal article citation:
- Journal of Mental Health, 11(5), October 2002, pp.557-564.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
There is growing concern about the welfare of the substantial number of young people who are homeless in the UK. A sample of young people living in homeless hostels in Birmingham is compared with one derived from a private household survey carried out in the same city. Sociodemographic details along with information on mental health, substance use and service uptake were ascertained. The homeless sample were younger and more likely to be male than their domiciled counterparts. They had more often spent time in institutional child care and had worse educational records and lower levels of employment. Young people who were homeless had greater involvement with the police, more frequently used illicit drugs and reported worse physical and mental health than those in private households. They were equally likely to see a general practitioner and more often consulted for 'nerves' as well as having a higher rate of contact with mental health professionals.
Perceptions of power in client/worker relationships
- Author:
- COHEN Marcia B.
- Journal article citation:
- Families in Society, 79(4), July 1998, pp.433-442.
- Publisher:
- The Alliance for Children and Families
Recent literature in America on empowerment-oriented social work practice raises questions about the nature of power in client/worker relationships. This qualitative study explores client and worker perceptions of power in their relationships with each other.
Good practice in risk assessment and risk management 2: protection, rights and responsibilities
- Editors:
- KEMSHALL Hazel, PRITCHARD Jacki
- Publisher:
- Jessica Kingsley
- Publication year:
- 1997
- Pagination:
- 327p.,tables,bibliogs.
- Place of publication:
- London
Contains chapters on: improving judgment and appreciating biases within the risk assessment process; assessing gay and lesbian carers; making family placements - working with risks and building on strengths; risk in adoption and fostering; attempting to manage risk in children's homes; vulnerable people taking risks - older people and residential care; citizenship, personal development and the management of risk for people with learning difficulties; young people and drug use; the effects and risks of alcohol for individuals; homelessness and mental health; risk, residential services and people with mental health problems; community care, homicide inquiries and risk assessment; risk and prison suicide; teenage suicide and self-harm; issues in risk assessment in parole; rights versus risks when working with prisoners; risk, domestic violence and probation practice; throughcare practice, risk and contact with victims; and the role and responsibilities of middle managers.