Search results for ‘Subject term:"mental health problems"’ Sort:
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Avoiding delays in diagnosis: the importance of proactive liaison and education of staff in the general hospital
- Authors:
- WALDER Anna, GREEN Robert, SONI Sujata
- Journal article citation:
- Advances in Mental Health and Intellectual Disabilities, 8(6), 2014, pp.399-402.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to illustrate the difficulties patients with intellectual disabilities face when they present to a general hospital with ambiguous symptoms and highlights the importance of adequate training for general staff in caring for people with learning disabilities. Design/methodology/approach: The authors describe the pathway of a person with a learning disability and mental health problems from A&E, through a general hospital, to discharge and the problems encountered in terms of diagnostic clarity and subsequent treatment. Findings: Delay in recognising a psychiatric cause for his symptoms and wrongly attributing his symptoms to his learning disability may have led to a protracted admission and invasive tests. Originality/value: Education of healthcare professionals and proactive liaison work can help improve outcomes for people with intellectual disabilities when they are admitted to generic services. (Publisher abstract)
Delirium: QS63
- Author:
- NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE
- Publisher:
- National Institute for Health and Care Excellence
- Publication year:
- 2014
- Place of publication:
- Manchester
This quality standard covers the prevention, diagnosis and management of delirium in adults (18 years and over) in hospital or long-term care settings. It is designed to contribute to improvements in the following outcomes: length of hospital stay; detection of delirium; incidence of delirium; falls in hospital; mortality; adults' experience of hospital care; and carer involvement in healthcare.
‘You don’t bring me flowers any more’: an investigation into the experience of stigma by psychiatric in-patients
- Authors:
- BROMLEY Joanna S., CUNNINGHAM Sara J.
- Journal article citation:
- Psychiatric Bulletin, 28(10), October 2004, pp.371-374.
- Publisher:
- Royal College of Psychiatrists
A structured interview-based questionnaire was used to measure the number of cards and gifts received by 40 people undergoing psychiatric in-patient treatment, compared with an age- and gender-matched group of medical in-patients. The study also assessed the amount of disclosure of admission and diagnosis to family and friends in the two groups. The psychiatric patients received about half as many cards as the medical patients (60 v. 112). Gifts to the psychiatric patients were often practical in nature and seldom included luxury items such as flowers. Disclosure of admission for mental illness (compared with the physical illness group) was significantly lower, both to family members (139 v. 193, P=0.041) and friends (74 v. 332, P=0.0001). The stigma of mental illness is reflected in the secrecy surrounding disclosure of hospital admission and the lack of tokens of support. Clinicians should be aware of the resulting sense of isolation and shame, and the consequences for mental health in view of reduced social networks increasing the risk of future relapse rates. Reduced contact with mentally ill patients has implications for society as a whole in maintaining the status quo of stigma.
Deliberate self-harm: the impact of a specialist DSH team on assessment quality
- Authors:
- WHYTE Sean, BLEWETT Andrew
- Journal article citation:
- Psychiatric Bulletin, 25(3), March 2001, pp.98-101.
- Publisher:
- Royal College of Psychiatrists
This research was a repetition after 5 years of a prospective case note audit, looking at the impact of a recently established deliberate self-harm (DSH) assessment team on the quality of DSH assessments at Kettering general hospital. Results showed that a specialist DSH team achieved improvement in the quality of psychiatric assessments for the majority of patients who harmed themselves. Assessments of mental state by accident and emergency (A&E) and medical staff before referral to the psychiatric team remain problematic. Setting up a specialist team to assess patients who harm themselves can improve the quality of the psychiatric care they receive, but emphasis must still be placed on an adequate assessment of mental state by medical and nursing staff in A & E and on medical wards.
Routinely administered questionnaires for depression and anxiety: systematic review
- Authors:
- GILBODY Simon M., et al
- Journal article citation:
- British Medical Journal, 17.2.01, 2001, pp.406-409.
- Publisher:
- British Medical Association
Examines the effect of routinely administered psychiatric questionnaires on the recognition, management, and outcome of psychiatric disorders in non-psychiatric settings. Nine randomised studies were identified that examined the use of common psychiatric instruments in primary care and general hospital settings. Overall, studies of routine administration of psychiatric measures did not show an effect on patient outcome. Concludes that the routine measurement of outcome is a costly exercise. Little evidence shows that it is of benefit in improving psychosocial outcomes of those with psychiatric disorder managed in non-psychiatric settings.
Forget me not 2002: developing mental health services for older people in England; Audit Commission update, February 2002
- Author:
- AUDIT COMMISSION
- Publisher:
- Audit Commission
- Publication year:
- 2002
- Pagination:
- 49p.
- Place of publication:
- London
'Forget me not', published in January 200, set out the Audit Commission's analysis of mental health services for older people in England and Wales. Since then auditors appointed by the Commission have been carrying out local audits of these services. This report summarises the main findings from audits in England. It highlights for managers and practitioners where they should concentrate their efforts.
Forget me not: mental health services for older people
- Author:
- AUDIT COMMISSION
- Publisher:
- Audit Commission
- Publication year:
- 2000
- Pagination:
- 119p.,diags.,bibliog.
- Place of publication:
- London
First of a series of reports with a common theme of promoting independence for older people. Looks at mental health services for older people and includes chapters on: mental health problems in older people; identification and initial responses by services; services to help people at home; hospital and residential provision; coordination between services; and developing a comprehensive strategy.
Basic powers under the Mental Health Act
- Author:
- GREEN Chris
- Journal article citation:
- Nursing Times, 3.3.99, 1999, pp.50-52.
- Publisher:
- Nursing Times
This final article in a series highlighting the relationship between nursing practice and the law details the provisions of the Mental Health Act.