Search results for ‘Subject term:"mental health problems"’ Sort:
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Cost-effectiveness of an improving access to psychological therapies service
- Author:
- MUKURIA Clara
- Journal article citation:
- British Journal of Psychiatry, 202(3), 2013, pp.220-227.
- Publisher:
- Cambridge University Press
To determine the cost-effectiveness of Improving Access to Psychological Therapies (IAPT) at the Doncaster demonstration site (2007–2009) an economic evaluation to compare costs and health outcomes for patients at the IAPT demonstration site with those for comparator sites was conducted. The IAPT site had higher service costs and was associated with small additional gains in quality-adjusted life-years (QALYs) compared with its comparator sites, resulting in a cost per QALY gained of £29 500 using the Short Form (SF-6D). Sensitivity analysis using predicted EQ-5D scores lowered this to £16 857. Costs per reliable and clinically significant (RCS) improvement were £9440 per participant. Improving Access to Psychological Therapies provided a service that was probably cost-effective within the usual National Institute for Health and Clinical Excellence (NICE) threshold range of £20 000–30 000, but there was considerable uncertainty surrounding the costs and outcome differences. (Edited publisher abstract)
Effect of type and severity of intimate partner violence on women’s health and service use: findings from a primary care trial of women afraid of their partners
- Authors:
- HEGARTY Kelsey L., et al
- Journal article citation:
- Journal of Interpersonal Violence, 28(2), 2013, pp.273-294.
- Publisher:
- Sage
Intimate partner violence (IPV) has major affects on women’s wellbeing. This study investigated the socio-demographic characteristics, experiences of abuse, health, safety, and use of services in women enrolled in the Women’s Evaluation of Abuse and Violence Care (WEAVE) project. It explored associations between type and severity of abuse and women’s health, quality of life, and help seeking. Participants included woman aged 16 to years attending 52 Australian general practices. One third experienced Severe Combined Abuse, 26.2% Physical and Emotional Abuse, 26.6% Emotional Abuse and/or Harassment only, 2.7% Physical Abuse only and 12.4% scored negative on the Composite Abuse Scale. A total of 31.6% of participants reported poor or fair health and 67.9% poor social support. Compared to other abuse groups, women with Severe Combined Abuse had poor quality of life and mental health, despite using more medications. Those women experiencing severe combined physical, emotional, and sexual abuse have poorer quality of life and mental health than women experiencing other abuse types. The authors concluded that practitioners should take a history of type and severity of abuse for women with mental health issues to assist access to appropriate support.
Barriers to successful treatment completion in child sexual abuse survivors
- Authors:
- MCPHERSON Paul, SCRIBANO Philip, STEVENS Jack
- Journal article citation:
- Journal of Interpersonal Violence, 27(1), January 2012, pp.23-39.
- Publisher:
- Sage
Child sexual abuse (CSA) often necessitates psychological treatment to address the symptoms of trauma. However, barriers to counselling services can compromise long-term well-being. This study examined the characteristics between CSA patients who engaged versus those who do not in mental health treatment, and identified factors associated with successful completion of mental health treatment goals. A retrospective cohort study was conducted of 499 CSA patients, aged 3 to 16 years, referred to mental health services following a child advocacy centre (CAC) assessment. About 52% linked with mental health services and 39% of patients that successfully linked with mental health services completed therapy. Findings revealed that successful linkage was independently associated with referrals to other counselling services, and independently associated with caregiver participation in therapy. In contrast to previous reports, efforts at the CAC seem to overcome linkage barriers in this population. However, there remained challenges in achieving successful completion of treatment goals in this population. The authors concluded that engaging caregivers’ in therapy services had a positive effect with successfully achieving treatment goals.
Accessibility, efficiency and effectiveness in psychological services for adults with learning disabilities
- Author:
- JACKSON Tom
- Journal article citation:
- Advances in Mental Health and Learning Disabilities, 3(4), December 2009, pp.13-18.
- Publisher:
- Emerald
The gap between supply and demand for psychological therapy services is significant, and widely acknowledged. Also well-known is the fact that the health needs for people with learning disabilities are typically far greater than those of the rest of the population, and that they are more likely to experience psychological distress, and other mental health problems. Current moves by the NHS to modernise have led to increased accountability and competition between health providers, who in turn have tried to increase their accessibility, effectiveness and efficiency, thereby increasing access to psychological therapy services and reducing the long waiting times common in recent years. Adaptations to referral pathways and service delivery models in psychological care services have already made changes to how users access these services, and the input they receive. In this paper, the author discuses the Barnsley Learning Disability Service, and the attempts to develop service delivery strategies and modernise referral routes so that delivery of services which better meet the needs of the client group are accomplished. Looking at the service itself, the referral process, and the introduction of triage, the author examines how these have led to improvements in both quality and performance of the services offered, and summarises by examining the positive aspects of the modernisation process.
Young people and mental health: novel methods for systematic review of research on barriers and facilitators
- Authors:
- OLIVER S., et al
- Journal article citation:
- Health Education Research, 23(5), 2008, pp.770-790.
- Publisher:
- Oxford Press
- Place of publication:
- Oxford
Barriers to, and facilitators of, good mental health among young people aged 11-21 were identified from a systematic review of studies of their views, and compared with what is known from effectiveness studies about appropriate interventions. No clear pattern for effectiveness emerged in terms of mental health promotion focus, type of intervention, intervention provider or young people. Well evaluated interventions do not always target what young people see as important barriers and facilitators, for example material and physical resources. Rather, they tend to focus on low risk populations and priorities other than those raised by young people themselves.
Joy of living: a community-based mental health promotion program for African American elders
- Author:
- CREWE Sandra Edmonds
- Journal article citation:
- Journal of Gerontological Social Work, 48(3/4), 2007, pp.421-438.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
African American elders are often acknowledged for their resilience in overcoming discrimination. Because of their unique historical experience, many have relied upon family support and spirituality to address mental health problems and have shunned professional mental health services. Despite the strengths of African American elders, there are mental health needs that require professional intervention. This article specifically discusses a mental health promotion program sponsored by the Mental Health Association of the District of Columbia. It provides a description of the program and an evaluation of its outcomes. An analysis of pre and post intervention evaluations (n = 228) shows success of the intervention in raising participant awareness of normal and abnormal mental health as well as resources available to them. The article also discusses barriers to mental health care for older people, with particular focus on African Americans.(Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).
The heart of the matter 2: integration of ecosystemic family therapy practices with systems of care mental health services for children and families
- Author:
- COFFEY Ellen Pulleyblank
- Journal article citation:
- Family Process, 43(2), June 2004, pp.161-173.
- Publisher:
- Wiley
This article links the ideas inherent in systems of care with ecosystemic family therapy principles and practices. Based on a study of nine innovative systems of care pilot projects in Massachusetts, it describes how these innovative programs, and others like them, have been most successful in increasing access to services and providing for coordinated services. They have been less successful in accomplishing positive clinical and functional outcomes. Change in these systems is often described in terms of how services are provided. Not enough attention is given to the conversations that take place between families and case coordinators and how these conversations lead to long-term change. This article contends that the ways in which services are delivered in these systems of care fit well with ecosystemic family therapy principles and practices. Argues that family therapists, have an opportunity to link these two sets of ideas, which share common assumptions and values and increase the likelihood of positive clinical outcomes for children and families.
Positively young at heart
- Author:
- MARRIOTT Ruth
- Journal article citation:
- Mental Health Today, December 2003, pp.32-34.
- Publisher:
- Pavilion
- Place of publication:
- Hove
Reports on the development of an early intervention service, Insight, in a youth project in Plymouth. The service aimed to enable young people aged 16-25 to access mental health services in a youth-friendly and non-stigmatised way. The service has been running for three years and is due to be externally evaluated in January 2004 by the Sainsbury Centre for Mental Health.
The impact of mobile crisis services on the user of community-based mental health services
- Authors:
- DYCHES Hayne, et al
- Journal article citation:
- Research on Social Work Practice, 12(6), November 2002, pp.731-751.
- Publisher:
- Sage
This American study examines the differences in postcrisis mental health services and timing between a community-based intervention cohort and a matched hospital-based cohort, assessed using a Cox proportional hazards model. Service users most likely to use postcrisis services were African American homeless, those experiencing acute problems, previous mental health service users, and those with severe mental health problems. Discusses the implications of the findings.
Not just collateral damage: the hidden impact of domestic abuse on children
- Author:
- JAMES Emma
- Publisher:
- Barnardo's
- Publication year:
- 2020
- Pagination:
- 28
- Place of publication:
- Essex
This report looks at how being exposed to domestic violence can affect children and young people. It draws on the findings of research, the experiences of children supported at Barnardo's and the staff who work directly with them. Individual case studies also highlight the experiences of young people. The report identifies negative impacts in the areas of: mental health, child development, harmful sexual behaviour, future cycles of abuse and increased risk of youth offending. It finds that children who have experienced domestic abuse: can express the trauma they have suffered by being violent to the abused parent, boyfriend or girlfriend; are more likely to suffer from mental health issues than their peers; and are also likely to have poor self-esteem, low confidence and blaming themselves for what has happened. The report also suggests there is growing evidence of a link between children experiencing domestic abuse and then going on to become a young offender. The makes recommendations for three amendments to the Domestic Abuse Bill to address the impact of domestic abuse on children. (Edited publisher abstract)