Search results for ‘Subject term:"mental health problems"’ Sort:
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Design for living
- Authors:
- WILDGOOSE Deborah, et al
- Journal article citation:
- Health Service Journal, 31.03.05 supplement, 2005, p.5.
- Publisher:
- Emap Healthcare
Provides an overview of key features that make a good mental health hospital. Highlights user and carer involvement, staff involvement, lighting, outdoor spaces, flexible space, reception areas, bedroom layout and artwork.
Zero tolerance
- Author:
- GEORGE Chris
- Journal article citation:
- Mental Health Today, March 2005, pp.14-15.
- Publisher:
- Pavilion
- Place of publication:
- Hove
Investigates the safety of women admitted to psychiatric units and the extend of mixed sex accommodation still in use. Also briefly reports on the findings of a survey from Mind's Ward Watch campaign. Highlights the need for provide women only services.
Meeting NSF standards through partnership
- Author:
- WIGHTMAN Suzanne
- Journal article citation:
- Journal of Dementia Care, 13(1), January 2005, pp.8-9.
- Publisher:
- Hawker
Describes a project to improve care for older people with mental health needs in an acute hospital.
Smoking gun
- Author:
- CARLISLE Daloni
- Journal article citation:
- Care and Health Magazine, 26.04.05, 2005, pp.19-21.
- Publisher:
- Care and Health
There are increasing restrictions placed on smokers in public places, yet mental health inpatients continue to be exempt. Looks at the arguments for continuing to allow patients the freedom to smoke, and those for providing some support to help them quit. Also discusses the implications for staff health if smoking continues in psychiatric units.
Home treatment for acute mental disorders: an alternative to hospitalization
- Author:
- HEATH David S.
- Publisher:
- Routledge
- Publication year:
- 2005
- Pagination:
- 293p., bibliog.
- Place of publication:
- Oxford
When a patient is in need of intensive psychiatric care, the first step is often hospitalization. However, psychiatric home treatment is proposed as an alternative. Model programs in Canada and the United Kingdom are publicly administered by community health agencies or teaching hospitals. Psychiatric Home Treatment provides a review of the literature on home care and describes working programs around the world. This timely volume reviews treatment plans for different disorders with case illustrations, explains the administration of a PHC program and offers guidelines to case workers. It will be of interest to mental health professionals and policy makers working on the issue of patient hospitalization.
The effect of service setting on treatment outcome: a comparison between cognitive behavioural approaches within primary and secondary care
- Authors:
- FORTUNE Lorna, et al
- Journal article citation:
- Journal of Mental Health, 14(5), October 2005, pp.483-498.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Within the National Health Service (NHS) there has been an increasing emphasis on the integration of mental health services within primary care. This study compares a hospital-based and a primary care-based CBT service, to investigate if the setting of treatment affected participants' rate of recovery and levels of satisfaction. 52 participants who received CBT treatment for a range of psychological problems in either setting were compared using a non-randomized, quasi-experimental, design. A range of psychological measures were taken at baseline and over the first six treatment sessions, and rate of change in psychological symptoms and satisfaction were compared. Both groups demonstrated improvement over the period of the study but the participants from the primary care group showed a more rapid rate of recovery during the first six sessions, and received briefer treatment. Such differential rates of treatment change were not attributable to group differences in terms of chronicity or severity. The primary care group also reported significantly higher levels of satisfaction. The authors conclude the setting of treatment might impact on patients' outcome, with primary care patients responding more rapidly than those seen in secondary care. Providing a service in primary care might also increase patient compliance with treatment. Further research is needed to investigate longer term outcome, as well as enhancing how well findings can be generalized.
Unleashing creativity
- Author:
- McCUE Isabel
- Journal article citation:
- Mental Health Today, June 2005, pp.16-17.
- Publisher:
- Pavilion
- Place of publication:
- Hove
Theatre Nemo is a community theatre company that aims to promote the creative arts in education, but especially for those affected by mental health issues. The theatre is based in Lanarkshire, Scotland and this article looks at some of the projects it has undertaken in prisons and psychiatric hospitals.
Hospital utilization among persons with an intellectual disability, Ontario, Canada, 1995-2001
- Authors:
- BALOGH Robert S., HUNTER Duncan, OUELLETTE-KUNTZ Hélène
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 18(2), June 2005, pp.181-190.
- Publisher:
- Wiley
It has been suggested that persons with an intellectual disability consume a disproportionate amount of hospital services. Policy changes in Ontario in the 1970s and 1980s made it necessary for community health services to accommodate this population that formerly received most of its medical care in the institutions where they lived. It is frequently suggested that community health services are currently inadequate to care for this population. The study was a retrospective analysis of routinely collected hospitalization data for persons living in Ontario with an intellectual disability, between 1995 and 2001. A substantial proportion of hospitalizations of persons with an intellectual disability were for mental disorders and dental diseases. Of all in-hospital stays, one-third were for mental disorders such as schizophrenia and depression. Of all day-surgery admissions, almost 40% were for dental diseases corresponding to a high rate of dental procedures. The study also identified high ambulatory care-sensitive condition hospitalization rates. In-hospital surgical procedure rates, however, were low. A recurring finding is the large discrepancy between statistics for persons with an intellectual disability and published data for the general population. The study limitations mean further research is required to confirm the results and to determine if persons with an intellectual disability are receiving the health care they are entitled to in Ontario.
On the inside: a narrative review of mental health inpatient services
- Authors:
- GLASBY Jon, LESTER Helen
- Journal article citation:
- British Journal of Social Work, 35(6), September 2005, pp.863-879.
- Publisher:
- Oxford University Press
This paper describes and discusses the results of a narrative review of inpatient mental health services in the UK. Four main themes emerge from the review: the growing pressure on inpatient hospital services; the negative experience of inpatient services reported by many service users; the problematic nature of hospital discharge; and possible alternatives to hospital admission. This review also suggests that a failure to recognize and act on what appears to be happening in hospitals could result in inpatient care once again being subject to the scrutiny and criticism that cast a shadow over psychiatric services in the 1960s and 1970s. To stop this happening, current government policy is right to focus attention back onto acute care through new guidance and by commissioning research. However, changes also need to take place at a practice level so that front line workers are familiar with conditions in local acute services and can challenge unacceptable behaviour/services in support of their service users. With current changes in the make-up of local mental health services and a greater emphasis on partnership working between health and social care, it may be that social care practitioners can do this not only from the outside, but increasingly ‘on the inside’ (from within integrated health and social care organizations).
Cognitive-behavioural therapy in a hospital setting for children with severe emotional and/or behaviour disorders
- Authors:
- YEO Lay See, et al
- Journal article citation:
- Child Care in Practice, 11(1), January 2005, pp.7-22.
- Publisher:
- Taylor and Francis
This study examined the effectiveness of a cognitive-behavioural therapy programme for 13 children treated for severe emotional or behaviour disorders in a hospital setting. Data were obtained from multiple informants at pre-treatment, post-treatment, and three months follow-up. Results indicated statistically significant improvement in the children's global psychological functioning and reduction of maladaptive internalizing behaviours with maintenance at follow-up. The children reported statistically significant reduction in clinical maladjustment at discharge only. A positive trend toward healthier adaptive functioning was noted. Prognosis was poorer for children with comorbid diagnoses of internalizing and externalizing disorders. Clinical implications and directions for future research were discussed.