Search results for ‘Subject term:"mental health problems"’ Sort:
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Potential impacts, alleviating factors, and interventions for children of a parent with schizophrenia: a scoping review
- Authors:
- CHEN Juan, et al
- Journal article citation:
- Children and Youth Services Review, 120, 2021, p.105751.
- Publisher:
- Elsevier
Background: As well as having a higher genetic vulnerability to psychiatric problems, children of a parent with schizophrenia suffer a significantly poorer quality of life than those with healthy parents. In mental healthcare settings, the well-being of these children is still overlooked. It is crucial to develop child-centered interventions for them. This scoping review focuses specifically on children of a parent with schizophrenia to identify the likely impacts on their life and development, the factors and strategies that may alleviate negative impacts, and available interventions. Methods: We applied a systematic approach to search the following databases: PsycINFO, MEDLINE, Embase, Google Scholar, CNKI and CEPS to identify relevant English and Chinese publications focusing on children. Quality assessments of quantitative and qualitative studies were undertaken, using the Downs and Black instrument and the CASP Checklist respectively. Results: After screening, thirty-three studies were included for review. The existing evidence indicates that children of a parent with schizophrenia experience multiple deficits. Although various factors have been identified that can potentially alleviate their negative experiences, few are well supported with solid empirical evidence that confirm causal effects. The needs of these children are commonly neglected: little professional support has been provided, and the usefulness of the available support has yet to be determined. Conclusions: Based on the review, we argue that effective means should be implemented so that children of a parent with schizophrenia needing help can be identified and experts can overcome barriers to providing help. The potential modifiable factors that can alleviate the negative impacts of having a parent with schizophrenia on youngsters need to be tested and confirmed. Interventions should be evidence-based, schizophrenia-specific, and child-centered. (Edited publisher abstract)
Preventing schizophrenia and severe mental illness: a grand challenge for social work
- Author:
- DeVYLDER Jordan E.
- Journal article citation:
- Research on Social Work Practice, 26(4), 2016, pp.449-459.
- Publisher:
- Sage
Schizophrenia is a leading cause of disability and health expenditure worldwide and is associated with homelessness, substance use, familial and social isolation, unemployment, involvement with the criminal justice system, stigma, and excess mortality. Prevention may be feasible through intervention with help-seeking “clinical high-risk” youth with early symptoms of psychosis. A social work approach to psychosis prevention would build upon initial evidence that prevention is effective for this population and would add cross-disciplinary coordination of services, mobilisation of community resources, and expertise in psychosocial interventions. Recent governmental funding priorities and policies have increasingly focused on early intervention for psychosis, making rapid change feasible. This substantial potential for change, the massive savings in the quality of lives that would accrue, and the broad impact across social work domains are consistent with the goals of the American Academy of Social Work and Social Welfare’s Grand Challenges Initiative. (Edited publisher abstract)
Does the scientific evidence support the recovery model?
- Author:
- WARNER Richard
- Journal article citation:
- Psychiatrist (The), 34(1), January 2010, pp.3-5.
- Publisher:
- Royal College of Psychiatrists
This brief editorial asks whether some of the basic tenets of the ‘recovery model’ – optimism about outcome, the value of work, the importance of empowerment of patients and the utility of user-run programmes – are supported by scientific research. Looking at the recovery model – a social movement that is influencing mental health service development around the world – this article questions if such methods are supported by scientific evidence by exploring its impact on schizophrenia. The author concludes that this model creates positive, recovery-oriented services, and optimism about the outcome from schizophrenia is supported by research data. A growing body of evidence supports the concept that empowerment is an important component of treatment, and that user-driven services are and a focus on reducing internal stigma are powerful tools to aid in recovery. More controlled studies of empowerment-oriented interventions are required to demonstrate convincingly that a focus on this factor will yield better outcomes in this field.
The ability of staff trained in family interventions to implement the approach in routine clinical practice
- Authors:
- BAILEY Rachel, BURBACH Frank R., LEA Susan J.
- Journal article citation:
- Journal of Mental Health, 12(2), April 2003, pp.131-141.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Despite the proliferation of training programmes for Family Interventions (FI) in psychosis, there are many reported difficulties in the implementation of these approaches in routine clinical settings. The aim was to examine the effectiveness of a team-based multi-professional training programme in FI for psychosis. Fifteen therapists who had completed a 1-year Family Intervention training course (FIRST) designed to establish local FI services completed questionnaires used in previous studies and participated in focus groups. All FIRST trained staff continued to work with families following completion of training and most (80%) reported little difficulty in implementing the approach. Organisational issues such as availability of time and integration with caseload or other responsibilities at work were identified as the main cause of difficulty in working with families, whilst the key enabling factors were related to the structure of the FI service - co-working, supervision, multi-disciplinary teams and its flexible approach. FIRST trained staff experienced fewer difficulties in implementing FI in routine clinical practice than has been reported in previous studies.
Barriers to using early signs monitoring in a forensic population
- Authors:
- BECK Alison, MORRISON Tamara
- Journal article citation:
- Journal of Mental Health, 11(5), October 2002, pp.501-509.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Research has highlighted a number of barriers to disseminating psychosocial interventions, which might ease the burden for individuals with psychotic illnesses. Barriers include an absence of appropriate skills and knowledge, certain characteristics of the organisation and poor working relations between researchers and clinicians. This article briefly examines these barriers in the context of a study that attempted, but failed, to explore the utility of the Early Sign Scale (ESS) in predicting relapse in a forensic population. The barriers experienced in this study included difficulty obtaining consistently completed ESS forms, staff workload and work priorities, the structure of the organization (particularly the use of shift work), high staff turnover and a lack of understanding about the researcher's role.
Psychosocial interventions in the treatment of psychosis
- Authors:
- BAGULEY Ian, BAGULEY Clare
- Journal article citation:
- Mental Health Care, 2(9), May 1999, pp.314-317.
- Publisher:
- Pavilion
In the third of a bi-monthly clinical update series, the authors describe the use and outcomes of psychosocial interventions to treat psychosis.
A family intervention in psychosis service integrating the systemic and family management approaches
- Authors:
- BURBACH Frank R., STANBRIDGE Roger I.
- Journal article citation:
- Journal of Family Therapy, 20(3), August 1998, pp.311-325.
- Publisher:
- Wiley
Describes a project to establish new family intervention services to support people with psychotic symptoms and their families. The new services are developed by training a whole team in each main population centre. Describes the multidisciplinary training course and the family intervention service, and discusses the way in which the 'family management' and 'family therapy' approaches are integrated.
An evaluation of family-based intervention with schizophrenia using single-system research
- Author:
- BENTLEY K.J.
- Journal article citation:
- British Journal of Social Work, 20(2), 1990, pp.1O1-116.
- Publisher:
- Oxford University Press
Evaluates an in-home time-limited educational and skills training programme lasting ten sessions.
Impacts of therapeutic horticulture on happiness and loneliness in institutionalized clients with mental health conditions
- Authors:
- MOURAO Isabel, et al
- Journal article citation:
- British Journal of Occupational Therapy, 85(2), 2022, pp.111-119.
- Publisher:
- Sage
Introduction: Therapeutic horticulture (TH) can be considered a non-pharmacological approach to support psychiatric treatments for the improvement of physical and mental health, but information is lacking on whether it has advantages as compared to more conventional occupational therapies (OTs). Method: The study focused on institutionalized 25 clients attending TH among other OTs and 15 clients attending OT other than TH. The measures used were the 'Subjective Happiness Scale' (SHS) and the 'Social and Emotional Loneliness Scale for Adults' (SELSA-S), along with sociodemographic and clinical data. The study design was descriptive, observational and cross-sectional. Results: Scores obtained from the SHS and SELSA-S were generally similar for both groups, although 40% of clients in the TH group perceived relaxation. These are in agreement with previous studies performed with chronic schizophrenia clients reporting that TH might effectively decrease depression/anxiety symptoms, but the feeling of hopelessness and quality of life did not change, probably due to long-term institutionalization and required medication that may limit other effects. Within the TH group, clients preferred specific horticultural tasks and more days/week attending activities decreased loneliness and increased happiness. Conclusion: TH interventions as an integrative treatment option merits further study on both process and outcome evaluation, to maximize its effectiveness. (Edited publisher abstract)
Key elements of a family intervention for schizophrenia: a qualitative analysis of an RCT
- Authors:
- GRACIO Jaime, GONÇALVES‐PEREIRA Manuel, LEFF Julian
- Journal article citation:
- Family Process, 57(1), 2018, pp.100-112.
- Publisher:
- Wiley
Schizophrenia is a complex biopsychosocial condition in which expressed emotion in family members is a robust predictor of relapse. Not surprisingly, family interventions are remarkably effective and thus recommended in current treatment guidelines. Their key elements seem to be common therapeutic factors, followed by education and coping skills training. However, few studies have explored these key elements and the process of the intervention itself. We conducted a qualitative and quantitative analysis of the records from a pioneering family intervention trial addressing expressed emotion, published by Leff and colleagues four decades ago. Records were analyzed into categories and data explored using descriptive statistics. This was complemented by a narrative evaluation using an inductive approach based on emotional markers and markers of change. The most used strategies in the intervention were addressing needs, followed by coping skills enhancement, advice, and emotional support. Dealing with overinvolvement and reframing were the next most frequent. Single‐family home sessions seemed to augment the therapeutic work conducted in family groups. Overall the intervention seemed to promote cognitive and emotional change in the participants, and therapists were sensitive to the emotional trajectory of each subject. On the basis of our findings, we developed a longitudinal framework for better understanding the process of this treatment approach. (Edited publisher abstract)