Search results for ‘Subject term:"mental health problems"’ Sort:
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Early intervention begins at home
- Author:
- CROMPTON Nigel
- Journal article citation:
- Nursing Times, 24.12.97, 1997, pp.27-28.
- Publisher:
- Nursing Times
Early intervention and home support can prevent emotional distress from escalating into a psychiatric emergency. Describes how crisis intervention is paying off in Liverpool.
Mental health
- Author:
- RYAN Peter
- Journal article citation:
- Research Matters, 2004, 2004, pp.37-42.
- Publisher:
- Community Care
Focuses on child and adolescent mental health services (CAHMS), beginning with a Department of Health overall mapping exercise and continuing with an overview of a national survey of the interface between CAHMS and primary care. The efficacy of a Tier 2 early intervention service is reviewed, and an account of an evaluation of the efficacy of 2 Tier 3 specific treatments for children with severely disruptive behaviours is given. Lists the 4-tier system. Part of a special issue focusing on the Children Bill and the green paper, Every Child Matters.
Evaluation of an early intervention Tier 2 child and adolescent mental health service
- Authors:
- WORRALL-DAVIES Anne, COTTRELL David, BENSON Elizabeth
- Journal article citation:
- Health and Social Care in the Community, 12(2), March 2004, pp.119-125.
- Publisher:
- Wiley
While the recommendation issued by the Health Advisory Service in 1995 is for a tiered child and adolescent mental health service, there is little published evidence about the outcomes of such services. The objective of this study was to evaluate an innovative community-based child and adolescent mental health service in South and East Leeds using before and after measures. The client group was children and families with emotional and behavioural problems and/or parenting difficulties. Standardised assessment of families and young people was followed by brief intervention (solution-focused therapy) to child and family. Descriptive demographic and referral pathway details were recorded, as were baseline and postintervention Health of the Nation Outcome Scales for Children and Adolescents scores. South Leeds generated almost 4 times as many referrals in the 9 months after the Tier 2 Child and Adolescent Mental Health Service was set up. Clinically and statistically significant decreases in symptom scores were found for families completing work with the Tier 2 workers. Families referred on to Tier 3 had complex but not more severe problems. The new service encountered previously unmet need among troubled young people in the community, whilst freeing specialist Tier 3 staff to concentrate on complex, chronic problems.
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.
Early intervention and prevention of psychopathology: the potential role of affect
- Author:
- HOLINGER Paul C.
- Journal article citation:
- Clinical Social Work Journal, 28(1), Spring 2000, pp.23-41.
- Publisher:
- Springer
- Place of publication:
- New York
This article attempts to integrate early intervention and prevention concepts with various aspects of affect theory. First, early intervention and prevention of psychopathology in high-risk infants and children are discussed. Second, affect theory and affective interactions between infants and caregivers are presented. Third, an effort is made to integrate affect theory with concepts of prevention, with a focus on the potential role of affect theory to further inform early intervention and prevention. Fourth, a variety of related clinical, theoretical, and research issues are reviewed.
Mental health, employment and the social care workforce
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2011
- Place of publication:
- London
This report summarises evidence on what prevents people with mental health problems from working or retaining work in social care and what can be done to enable them to work. It provides a summary of a range of policy and programmes designed to enable people with mental health problems to gain, retain and regain work, with specific focus on employment in social care. Sections cover: the importance of mental health in employment; what keeps people with mental health problems from working in social care?; law, policy and guidance related to mental health and employment; the social care workplace and mental health; what helps people with mental health problems gain and regain employment?; and who helps people with mental health problems gain and regain employment?. Staff highlighted are those in primary care, occupational health staff, human resources staff and line managers. Links to additional resources are also included.
Social work training intervention to increase referral rates for preventive psychosis services: a randomized trial
- Authors:
- DeVYLDER Jordan E., et al
- Journal article citation:
- Research on Social Work Practice, 32(3), 2022, pp.322-327.
- Publisher:
- Sage
Social workers are employed in a broad range of community settings, in which they may be able to identify youth with emerging psychotic symptoms and facilitate connection to specialized services. Methods: This randomized controlled trial tested the efficacy of a training intervention for social workers (N = 959) intended to increase the volume of referrals and rate of successful referrals to specialized early psychosis services. Results: During the 2-year study period, referrals to the early intervention program nearly doubled, t (df = 11) = 5.46, p < 0.001. Additionally, the rate of successful referrals was greater among social workers who received the active training (41.7%) compared to the other referral sources (19.2%), X2 (df = 1, n = 311) = 3.69, p = 0.055. Conclusions: The active training was associated with a marginally greater rate of successful referrals. Overall referrals increased greatly during the training period although this could not be linked to specific participants, suggesting contamination effects may have increased community awareness of early intervention services. (Edited publisher abstract)
Effectiveness of youth mental health first aid USA for social work students
- Authors:
- ROSE Theda, et al
- Journal article citation:
- Research on Social Work Practice, 29(3), 2019, pp.291-302.
- Publisher:
- Sage
Purpose: Adolescent mental health is a public health priority. Considered an early intervention approach, Youth Mental Health First Aid (YMHFA) trains adults to provide initial assistance to adolescents experiencing a mental health problem or crisis. This study evaluated the effectiveness of the U.S. version of YMHFA (YMHFA-USA) among graduate social work students. Method: A quasi-experimental design (N = 73; intervention, n = 39; comparison, n = 34), using the Mental Health Beliefs and Literacy Scale, assessed the effectiveness of YMHFA-USA. Outcomes were measured at pretest, posttest, and 5 months in the intervention group. Differences between groups were compared at 5 months. Results: Statistically significant improvements in attitudes, beliefs, self-confidence, and knowledge were observed among intervention group students. At 5 months, these students had significantly better attitudes and greater knowledge and self-confidence than the comparison group. Conclusion: Results indicate YMHFA-USA may improve factors related to master’s level social work students’ abilities to engage with youth experiencing mental health problems. (Edited publisher abstract)
A unique regional family interventions training programme
- Authors:
- BURBACH Frank R., et al
- Journal article citation:
- Journal of Mental Health Training Education and Practice, 13(5), 2018, pp.273-282.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to describe the University of Exeter Family Interventions (FIs) training programme for the South West region which was commissioned as part of the NHS England Access and Waiting Times standards (A&WTS) initiative for early psychosis. This programme (10 taught days and 6 months of supervised practice) is designed to maximise implementation in practice. Design/methodology/approach: The programme introduces students to a flexible, widely applicable FI approach which integrates cognitive behavioural/psycho-educational and systemic approaches. It refreshes and develops CBT-based psycho-social intervention skills, so that clinicians feel confident to use them in family sessions and integrate these with foundation level family therapy skills. The approach facilitates engagement, and it is designed so that every session is a “mini intervention”. This enables clinicians to offer standard NICE-concordant FI or a briefer intervention if this is sufficient to meet the particular needs of a family. Findings: This paper provides details of the regional training programme and evaluates the first four training courses delivered to nine early intervention in psychosis teams. It considers how a combination of training a critical mass of staff in each service, ongoing supervision, regional events to maintain skills and motivation to deliver FI, and the national and regional auditing of FI as part of the A&WTS all contribute to clinical implementation. Originality/value: The unique design of this programme maximises implementation in practice by virtue of its widely applicable integrated FI approach, the focus on ongoing skills development and by embedding it within regional and local service support structures. (Edited publisher abstract)
Service user perspectives of an early intervention in psychosis service: a service evaluation
- Authors:
- WATKINS Simon, SANDERSON Chris, RICHARDS Victoria
- Journal article citation:
- Mental Health Review Journal, 23(3), 2018, pp.156-164.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to gather the perspectives of individuals accessing an early intervention in psychosis service (EIPS), in order to inform service development. Design/methodology/approach: Individual interviews (n=9) and one focus group (n=7) were conducted. Discussions focused on open questions pertaining to service users’ (SU’s) experiences of accessing the EIPS. The results were analysed using inductive thematic analysis. Findings: Inductive thematic analysis was used and three main themes were generated: consistency and communication, facilitating therapeutic relationships between EIPS staff and SU’s; pushing boundaries, relating to the importance of services taking a graded approach to developing therapeutic relationships and (re)engaging in activities; and normalising and validating experiences of psychosis. Participants emphasised the importance of relationships with EIPS staff and fellow SUs and highlighted how SUs can feel fearful and vulnerable when staff are not accessible or they view their care as inconsistent. Participants further emphasised the need for practitioners to balance an approach that de-stigmatises psychotic experiences whilst validating distress. Practical implications: Consistency of support from EIPSs can be as important as flexibility. Clinicians should carefully consider the balance between validating and normalising distressing experiences associated with psychosis. Offering social activities with other SUs can facilitate therapeutic relationships and recovery but the results suggest that this should be facilitated in a graded way. Originality/value: The paper addresses current need in the literature to understand the experiences of people using services in order to improve the quality of the services provided. (Edited publisher abstract)