Search results for ‘Subject term:"mental health problems"’ Sort:
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Lifting the lid
- Author:
- GREENWOOD Lynn
- Journal article citation:
- Health Service Journal, 30.5.02, 2002, pp.16-17.
- Publisher:
- Emap Healthcare
Briefly reports on a successful project in Newcastle which involved service users in the development of mental health services.
A culture of enquiry: research evidence and the therapeutic community
- Editor:
- LEES Jan
- Publisher:
- Jessica Kingsley
- Publication year:
- 2004
- Pagination:
- 336p.,bibliogs.
- Place of publication:
- London
Research is an increasing priority for workers throughout the mental health sector, and therapeutic communities are no exception. Those working in TCs increasingly have to justify the success and efficiency of their methods to outside bodies, and the prime means of doing so is through research. This volume collects a wide range of papers by contributors discussing all aspects of TC research. They consider questions of which methods are most appropriate in the unique environment of TCs, how research studies affect the TC environment, as well as practical and ethical questions. The book also includes accounts of several research studies undertaken at, among other places, the Cassel Hospital.
Six-month outcomes following an emergency hospital admission for older adults with co-morbid mental health problems indicate complexity of care needs
- Authors:
- BRADSHAW Lucy E., et al
- Journal article citation:
- Age and Ageing, 42(5), 2013, pp.582-588.
- Publisher:
- Oxford University Press
Background: Two-thirds of older patients admitted as an emergency to a general hospital have co-existing mental health problems including delirium, dementia and depression. This study describes the outcomes of older adults with co-morbid mental health problems after an acute hospital admission. Methods: A follow-up study of 250 patients aged over 70 admitted to 1 of 12 wards (geriatric, medical or orthopaedic) of an English acute general hospital with a co-morbid mental health problem and followed up at 180 days. Results: Twenty-seven per cent did not return to their original place of residence after the hospital admission. After 180 days 31% had died, 42% had been readmitted and 24% of community residents had moved to a care home. Only 31% survived without being readmitted or moving to a care home. However, 16% spent >170 of the 180 days at home. Significant predictors for poor outcomes were co-morbidity, nutrition, cognitive function, reduction in activities of daily living ability prior to admission, behavioural and psychiatric problems and depression. Only 42% of survivors recovered to their pre-acute illness level of function. Clinically significant behavioural and psychiatric symptoms were present at follow-up in 71% of survivors with baseline cognitive impairment, and new symptoms developed frequently in this group. Conclusions: The variable, but often adverse, outcomes in this group implies a wide range of health and social care needs. Community and acute services to meet these needs should be anticipated and provided for. (Publisher abstract)
Management of mental illness by the British Army
- Authors:
- NEAL Leigh A., et al
- Journal article citation:
- British Journal of Psychiatry, 182(4), April 2003, pp.337-341.
- Publisher:
- Cambridge University Press
The aim of this article was to assess the efficiency of the army psychiatric hospital at restoring patients to full active duty. To assess whether a new military training and rehabilitation unit (MTRU) that emphasises military-skills training, improves outcome. A 2-year, inception-cohort outcome study of hospital in-patients. A 12-month, case-matched, 'before and after' outcome study compared MTRU patients with hospital in-patients. I (hospital in-patients, n=309): at 2-year follow-up 67 (22%) were fully fit for active duty. Military psychiatrists' success rate at predicting recovery to active duty was 27%. 2: the odds of a soldier in the MTRU cohort (n=35) returning to active duty were 14 times greater than for the hospital cohort (n=35). The odds of remaining in the army while unfit for active duty were 20 times less for the MTRU than for the hospital cohort. The army hospital is inefficient at rehabilitation to active duty. The MTRU significantly increased the odds of returning to active duty and reduced the odds of remaining in the army while still unfit. These findings may be applicable to the emergency services.
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.
Accuracy completeness and relevance of Department of Health returns on provision of mental health residential accommodation: a data quality audit
- Authors:
- AUDINI Bernard, et al
- Journal article citation:
- Journal of Mental Health, 9(4), August 2000, pp.365-370.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
The objective of this study was to review the accuracy and coverage of Department of Health returns on provision of mental health residential accommodation in seven English districts. Main outcome measures were the completeness of the Department of Health returns and variations between districts. Results of Department of Health returns failed to identify 55% of facilities which contains 51% of all mental health places. Of these 130 facilities not identified, 89 68% were omitted because they do not meet criteria for inclusion.
Long stay patients discharged from psychiatric hospitals: social and clinical outcomes after five years in the community; the TAPS Project 46
- Authors:
- LEFF Julian, TRIEMAN Noam
- Journal article citation:
- British Journal of Psychiatry, 176, March 2000, pp.217-223.
- Publisher:
- Cambridge University Press
There have been no large-scale prospective studies evaluating the transfer of care from psychiatric hospitals to district-based services. The researchers aimed to compare the quality of life of patients in two north London hospitals scheduled for closure with that in the community homes to which they were discharged. Findings suggest that community care has enhanced the quality of life of this group of patients, involved in a well-planned and adequately resourced reprovision.
The outcomes of an inpatient treatment program for geriatric patients with dementia and dysfunctional behaviors
- Authors:
- HOLM Alvin, et al
- Journal article citation:
- Gerontologist, 39(6), December 1999, pp.668-676.
- Publisher:
- Oxford University Press
Evaluates the outcomes of an inpatient programme in the USA, designed to reduce severe agitated behavior in geriatric patients with dementia who could not be successfully treated on an outpatient basis. An individualized treatment plan was created for each patient that involved pharmacological and nonpharmacological interventions with behavioural, environmental, and psychological components. Significant improvements on these assessments were observed. Concludes that the longitudinal, multidisciplinary approach used in this study was effective in significantly reducing intrusive and dangerous behaviours while preserving or enhancing patients' cognitive and functional abilities.
From efficacy to effectiveness in community mental health services. PRiSM Psychosis Study 10
- Authors:
- THORNICROFT Graham, et al
- Journal article citation:
- British Journal of Psychiatry, 173, November 1998, pp.423-427.
- Publisher:
- Cambridge University Press
The PRiSM Psychosis Study investigated the outcomes of community mental health services for epidemiological representative cases of psychosis in London. The results presented in the other studies are interpreted. Concludes that the evidence supports a community-orientated rather than a hospital-orientated approach and there is little difference between the community mental health team models.
The effectiveness of old age psychiatry services
- Author:
- DRAPER Brian
- Journal article citation:
- International Journal of Geriatric Psychiatry, 15(8), August 2000, pp.687-703.
- Publisher:
- Wiley
This Australian study examines outcomes of acute service delivery in old age psychiatry using a review of the literature. The review includes controlled trials, audits and surveys of the outcomes of service delivery in old age psychiatry located in acute hospitals and community settings. With the exception of outreach services to nursing homes, long term institutional care was excluded. The majority of studies indicated that old age psychiatry services have positive acute treatment outcomes, particularly with depression. There is insufficient evidence to determine which types of care are associated with better outcomes.