Search results for ‘Subject term:"mental health problems"’ Sort:
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Introduction to adult mental health services
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2012
- Pagination:
- 12p.
- Place of publication:
- London
This briefing paper provides an overview of the adult mental health system. and the legislation and guidance that covers the structure and delivery of services. It includes details of key legislation; different ways of working, including care pathways and approaches; commonly used interventions; and general information about mental disorders. It also covers the importance of setting effective protocols for working together. The briefing is aimed at people who have little or no experience in adult mental health services.
Social connectedness in adults with mental disorders: ecological validation of a conceptual framework for novel complex interventions
- Authors:
- HARE-DUKE Laurie, et al
- Journal article citation:
- Journal of Mental Health, 30(3), 2021, pp.333-340.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Background: Social connectedness interventions may improve the clinical outcomes and personal recovery of adults with mental disorders but many interventions lack a clear theory-base and show limited effectiveness. Aim: To evaluate the validity of a newly developed conceptual framework (the CIVIC framework: Closeness, Identity, Valued relationships, Involvement and Cared for and accepted) to function as the theory-base for novel social connectedness-based mental health interventions. Method: Semi-structured interviews with adults with diagnostically heterogeneous mental disorders (n = 13) and mental health professionals (n = 9). Participants reported their social connectedness experiences, their views on the CIVIC framework and potential targets for new interventions. Sequential inductive and deductive thematic analyses were used. Data quality was assessed through respondent validation. Results: Both inductive and deductive analyses provided validation of the CIVIC framework. Additional themes of Stigma and Connectedness beyond social relationships were identified in the inductive analysis. Candidate interventions to target each CIVIC domain were identified. Conclusions: The CIVIC framework demonstrates ecological validity and can therefore serve as the theory-base for the development of novel social connectedness-based interventions. This study indicates that interventions would be most effective when they incorporate evidence-based approaches which target each of the categories described by the CIVIC framework. (Edited publisher abstract)
Gardening as a mental health intervention: a review
- Authors:
- CLATWORTHY Jane, HINDS Joe, CAMIC Paul M.
- Journal article citation:
- Mental Health Review Journal, 18(4), 2013, pp.214-225.
- Publisher:
- Emerald
Purpose: The number of gardening-based mental health interventions is increasing, yet when the literature was last reviewed in 2003, limited evidence of their effectiveness was identified. The purpose of this paper is to evaluate the current evidence-base for gardening-based mental health interventions and projects through examining their reported benefits and the quality of research in this field. Design/methodology/approach: Studies evaluating the benefits of gardening-based interventions for adults experiencing mental health difficulties were identified through an electronic database search. Information on the content and theoretical foundations of the interventions, the identified benefits of the interventions and the study methodology was extracted and synthesised. Findings: Ten papers published since 2003 met the inclusion criteria. All reported positive effects of gardening as a mental health intervention for service users, including reduced symptoms of depression and anxiety. Participants described a range of benefits across emotional, social, vocational, physical and spiritual domains. Overall the research was of a considerably higher quality than that reviewed in 2003, providing more convincing evidence in support of gardening-based interventions. However, none of the studies employed a randomised-controlled trial design. Research limitations/implications: There is a need for further high-quality research in this field. It is important that adequate outcome measures are in place to evaluate existing gardening-based mental health interventions/projects effectively. Originality/value: This paper provides an up-to-date critique of the evidence for gardening-based mental health interventions, highlighting their potential clinical value. (Publisher abstract)
Obesity and mental health
- Authors:
- GATINEAU Mary, DENT Monica
- Publisher:
- National Obesity Observatory
- Publication year:
- 2011
- Pagination:
- 28p.
- Place of publication:
- Oxford
This paper provides an overview of current evidence on the relationship between obesity and mental health for adults and children in the UK. It draws particular attention to associations between common mental health disorders and obesity, and the risk factors associated with obesity and mental health. It addresses issues around inequalities, the implications of psychological distress caused by weight related stigma and discrimination. Key points show that both obesity and common mental health disorders account for a significant proportion of the global burden of disease. The mental health of women is more closely affected by overweight and obesity than that of men, and there is strong evidence to suggest an association between obesity and poor mental health in teenagers and adults. This evidence is weaker for younger children. Finally, intervention strategies should consider both the physical and mental health of patients. It has been recommended that care providers should monitor the weight of depressive patients and, similarly, in overweight or obese patients, mood should be monitored. This awareness could lead to prevention, early detection, and co-treatment for people at risk, ultimately reducing the burden of both conditions. (Edited publisher abstract)
Public health interventions to promote positive mental health and prevent mental health disorders among adults: evidence briefing
- Authors:
- TAYLOR Lorraine, et al
- Publisher:
- National Institute for Health and Clinical Excellence
- Publication year:
- 2007
- Pagination:
- 130p., bibliog.
- Place of publication:
- London
This briefing aims to identify and review all relevant systematic reviews, syntheses, meta-analyses and review-level papers on non-pharmacological interventions to promote positive mental health and prevent mental health disorders in adults aged over 16. It also aims to highlight any gaps in the evidence and make recommendations for future research.
Destigmatized group intervention on promoting hope of recovery: a quasi-experiment study
- Authors:
- YOUNG Daniel K. W., NG Petrus Y. N., CHENG Daphne
- Journal article citation:
- Research on Social Work Practice, 30(1), 2020, pp.54-64.
- Publisher:
- Sage
Objective: This research project aims to evaluate the effectiveness of a stigmatised group intervention in promoting hope of recovery for adults with mental illness. Methods: A quasi-experimental research method was adopted. In addition to treatment as usual (TAU), the treatment group (n = 36) participated in a 10-session stigmatised group intervention, which was based on cognitive behavioural therapy (CBT), while the control group (n = 42) received TAU. Standardised assessment tools were used for outcome assessment at the pretreatment and posttreatment periods. Results: The 2 × 2 repeated measures analysis of covariance demonstrated that participants who participated in the stigmatised group intervention experienced significantly fewer self-stigma and more hope of recovery. Additionally, multiple linear regression showed that the reduction of self-stigma predicted the promotion of hope of recovery. Conclusions: This study supports the effectiveness of the stigmatised group intervention, suggesting the importance of reducing self-stigma for facilitating recovery for adults with mental illness. (Edited publisher abstract)
Are computer-based treatment programs effective at reducing symptoms of substance misuse and mental health difficulties within adults? A systematic review
- Authors:
- DUGDALE Stephanie, et al
- Journal article citation:
- Journal of Dual Diagnosis, 15(4), 2019, pp.291-311.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Objective: Comorbid substance misuse and mental health difficulties are recognized as a leading contributor to disease burden worldwide. Amid cuts to health care services, computer-based interventions may provide support for patients experiencing these difficulties. The aims of this systematic review were to identify and investigate the efficacy of these computer-based interventions at improving substance misuse and mental health outcomes. Methods: A systematic search was conducted of CINAHL Plus, PsycARTICLES, PsycINFO, Medline, Web of Science, and the Cochrane Library. Gray literature was also searched for relevant papers. Data were extracted from 33 papers, which met eligibility criteria by reporting a computer-based intervention designed to treat substance misuse and mental health in adults. Quality assessments were conducted on these papers. Results: Computer-based interventions generally led to an improvement of substance misuse and mental health outcomes within groups and when compared against waitlist control and psychoeducation. Computer-based interventions were effective at improving dual diagnosis outcomes, and improvements to mental health outcomes specifically were maintained for up to nine months. However, the combined effect of computer-based interventions and therapist support was found to be more effective than the effects of computer-based interventions alone. Conclusions: Many papers were limited by high attrition rates commonly attributed to “digital” interventions. Future research should consider systematically recruiting a range of participants, including those potentially affected by the digital divide, and incorporating methods within research to maintain engagement. This review was also limited by the heterogeneity of the papers reported, many of which differed between targeting dual diagnosis and targeting either substance misuse or mental health respectively, with outcomes investigating other difficulties out of curiosity. (Publisher abstract)
Stopping over-medication of people with an intellectual disability, autism or both (STOMP) in England part 2 – the story so far
- Authors:
- BRANFORD David, et al
- Journal article citation:
- Advances in Mental Health and Intellectual Disabilities, 13(1), 2019, pp.41-51.
- Publisher:
- Emerald
Purpose: The STOMP programme – stopping the over-medication of people with an intellectual disability, autism or both is a three-year programme supported by NHS England. Concern about the overuse of antipsychotic drugs has been a constant theme since the 1970s. However, despite a multitude of guidelines the practice continues. The report into the events at Winterbourne View not only raised concerns about the overuse of antipsychotic drugs but of antidepressants. Part 1 presented the historical background to the use of psychotropic drugs for people with an intellectual disability, autism or both. The purpose of this paper (Part 2) is to present the approach adopted to reduce over-medication (the “Call to Action”) and the progress so far at the half way stage. Design/methodology/approach: The “Call to Action” methodology is described in a Manchester University report – mobilising and organising for large-scale change in healthcare “The Right Prescription: A Call to Action on the use of antipsychotic drugs for people with dementia”. Their research suggested that a social mobilising and organising approach to change operates could provide a mechanism for bringing about change where other approaches had failed. Findings: The adoption of the “Call to Action” methodology has resulted in widespread acknowledgement across intellectual disability practice that overuse of psychotropic medication and poor review was resulting in over-medication. Many individual local programmes are underway (some are described in this paper) however to what extent the overall use of psychotropic drugs has changed is yet to be evaluated. Originality/value: STOMP is part of an English national agenda – transforming care. The government and leading organisations across the health and care system are committed to transforming care for people with intellectual disabilities autism or both who have a mental illness or whose behaviour challenges services. This paper describes a new approach to stopping the over-medication of people with an intellectual disability, autism or both. (Publisher abstract)
Stopping over-medication of people with intellectual disability, Autism or both (STOMP) in England part 1 – history and background of STOMP
- Authors:
- BRANFORD David, et al
- Journal article citation:
- Advances in Mental Health and Intellectual Disabilities, 13(1), 2019, pp.31-40.
- Publisher:
- Emerald
Purpose: The programme – Stopping the over-medication of people with an intellectual disability, Autism or Both (STOMP) is a three-year programme supported by NHS England. Concern about the overuse of antipsychotic drugs has been a constant theme since the 1970s. However, despite a multitude of guidelines the practice continues. The report into the events at Winterbourne View not only raised concerns about the overuse of antipsychotic drugs but of antidepressants and multiple psychotropic drug use. The purpose of this paper is twofold: Part 1 is to present the history and background to the use of psychotropic drugs in intellectual disabilities, autism or both; and Part 2 presents the progress with the STOMP programme. Design/methodology/approach: The review tracks the various concerns, guidelines and attempts to tackle the issue of over medication of people with intellectual disability autism or both. Findings: The review identifies that despite the many studies and guidelines associated with the prescribing of psychotropic drugs for people with an intellectual disability, autism or both the practice is common. Programmes that minimise the use of psychotropic drugs involve a full use of the multidisciplinary team and an availability of alternative methods of managing challenging behaviours. Originality/value: STOMP is part of an English national agenda – Transforming care. The English Government and leading organisations across the health and care system are committed to transforming care for people with intellectual disabilities, autism or both who have a mental illness or whose behaviour challenges services. This review identifies many studies, programmes and guidelines associated with psychotropic drug use for people with an intellectual disability, autism or both. (Publisher abstract)
Visual art and mental health: a systematic review of the subjective wellbeing outcomes of engaging with visual arts for adults ("working-age", 15-64 years) with diagnosed mental health conditions
- Authors:
- TOMLINSON Alan, et al
- Publisher:
- What Works Centre for Wellbeing
- Publication year:
- 2018
- Pagination:
- 66
- Place of publication:
- London
This systematic review examines the subjective wellbeing outcomes for adults with mental health conditions taking part in visual arts. It also examines the processes that have an impact on subjective wellbeing. For the review, searches were conducted on ten electronic databases for research and grey literature. The review is based on the findings of eight research articles and six evaluation reports from UK-based visual arts programmes identified as relevant to the scope of the review. The arts practices featured in the studies included painting, drawing, art appreciation, and more general creative and craft activities. A total of 163 participants from across the four countries of Australia, Sweden, the UK, and the USA were involved in the studies. The review found limited high-quality evidence, though case studies from the UK provided important and consistent findings, corroborated by grey literature on interventions and projects. The evidence identified found that engagement in the visual arts for adults with mental health conditions can reduce reported levels of depression and anxiety; increase self-respect, self-worth and self-esteem; encourage re-engagement with the wider community. It also supports participants a potential renegotiation of identity through practice-based forms of making or doing. Ensure the provision of secure safe-space and non-stigmatising settings for interventions were identified as important factors in implementing interventions. Negative impacts of engaging with arts interventions included stress and pressure felt to complete activities and concerns about the end of an intervention. (Edited publisher abstract)