Search results for ‘Subject term:"mental health problems"’ Sort:
Results 1 - 10 of 63
Scoping review of interventions supporting mothers with mental illness: key outcomes and challenges
- Authors:
- SUAREZ Eliana Barrios, LAFRENIERE Ginette, HARRISON Jay
- Journal article citation:
- Community Mental Health Journal, 52(8), 2016, pp.927-936.
- Publisher:
- Springer
Despite the fact that more than 60 per cent of women experiencing mental distress also care for dependent children, little is known about the efficacy of interventions supporting parents with mental illness. A scoping review of the literature published between 1997 and 2014 was conducted to obtain an overview of empirically evaluated interventions and to typify their outcomes. The review identified 19 publications reporting on 9 interventions. The efficacy of programs was apparent and key components used by programs were recognised. To enhance the well-being of mothers with mental illness and their children an increased knowledge transfer in this field is required. (Edited publisher abstract)
Does forming implementation intentions help people with mental health problems to achieve goals? A meta-analysis of experimental studies with clinical and analogue samples
- Authors:
- TOLI Agoro, WEBB Thomas L., HARDY Gillian E.
- Journal article citation:
- British Journal of Clinical Psychology, 55(1), 2016, pp.69-90.
- Publisher:
- Wiley
Objective: People struggle to act on the goals that they set themselves, and this gap between intention and action is likely to be exacerbated by mental health problems. Evidence suggests that forming specific if-then plans (or ‘implementation intentions’) can promote goal attainment and a number of studies have applied such techniques in clinical contexts. However, to date, the extent to which planning can help people with mental health problems has not been systematically examined. Method: This review used meta-analysis to investigate the effect of if-then planning on goal attainment among people with a DSM-IV/ICD-10 diagnosis (i.e., clinical samples) or scores above a relevant cut-off on clinical measures (i.e., analogue samples). In total, 29 experimental studies, from 18 records, met the inclusion criteria. Results: Excluding one outlying (very large) effect, forming implementation intentions had a large-sized effect on goal attainment. Implementation intentions proved effective across different mental health problems and goals, and in studies with different methodological approaches. Conclusions: Taken together, the findings suggest that forming implementation intentions can be a useful strategy for helping people with mental health problems to achieve various goals and might be usefully integrated into existing treatment approaches. However, further studies are needed addressing a wider range of mental health problems. (Edited publisher abstract)
Developing trauma-informed resettlement for young custody leavers. A practitioner's guide
- Authors:
- WRIGHT Sam, LIDDLE Mark, GOODFELLOW Pippa
- Publisher:
- Beyond Youth Custody
- Publication year:
- 2016
- Pagination:
- 8
- Place of publication:
- London
This practitioner briefing outlines key features of trauma-informed approaches to working with young offenders leaving custody. It highlights the importance of carrying out resettlement work with an awareness of possible trauma in the backgrounds of young custody leavers and with an understanding of the way in which such trauma can affect behaviour and engagement. It outlines four key features: staff awareness, training and support; assessment; approaches to working with young offenders; and consideration of the therapeutic window. It also looks at the implications that trauma and its effects might have for resettlement practice and at the impact the right kind of interventions can have. It concludes that developing trauma-informed approaches to resettlement work has the potential to deliver more productive and long-standing positive impacts for custody leavers, particularly those considered to be the most difficult to engage. A short practice example of the iCoN clinically-led outreach trauma service is included. (Edited publisher abstract)
The mental health of children and young people in England
- Author:
- PUBLIC HEALTH ENGLAND
- Publisher:
- Public Health England
- Publication year:
- 2016
- Pagination:
- 33
- Place of publication:
- London
This report describes the importance of mental health and wellbeing among children and young people and the case for investment in mental health. It provides statistics on prevalence of poor mental health and wellbeing and those most at risk. It also summarises statistics and evidence of what works to improve mental health in children and young people, including information on costs and potential savings. Information is included for: anxiety disorders, attention deficit hyperactivity disorder (ADHD), conduct disorder, depression, eating disorders, schizophrenia, self-harm and suicide. (Edited publisher abstract)
Mothering from the Inside Out: results of a pilot study testing a mentalization-based therapy for mothers enrolled in mental health services
- Authors:
- SUCHMAN Nancy E., et al
- Journal article citation:
- Attachment and Human Development, 18(6), 2016, pp.596-617.
- Publisher:
- Taylor and Francis
Mothers who are involved with mental health services (for themselves or their children) rarely receive adequate support for their role as parents. Mental illness in a parent or child often exacerbates the challenges of managing psychological distress that is germane to the parenting roll. Mentalization-based approaches to psychotherapy for parents have the potential to address challenges of emotional regulation in parents by supporting their capacity to recognise and modulate negative affect during stressful parenting situations. This study piloted Mothering from the Inside Out (MIO) with 17 mothers receiving services at a community-based mental health clinic. MIO is a 12-week, mentalization-based parenting intervention that demonstrated efficacy in two previous randomized controlled trials with substance using mothers. The authors were interested in: determining whether community-based clinicians could deliver MIO with sustained fidelity; examining the preliminary feasibility, acceptability and efficacy of MIO when delivered by clinicians in a community mental health centre; and replicating prior tests of the proposed treatment mechanisms. Treatment outcomes included maternal reflective functioning, psychiatric and parenting stress, and mother–child interaction quality. The findings indicated that MIO was feasible and acceptable when delivered in the community-based setting and that all maternal indices improved. However, no improvement in mother–child interaction quality was found, possibly because of insufficient time for these changes to consolidate. (Edited publisher abstract)
Complexities and challenges: working with multiple health conditions
- Authors:
- STEADMAN Karen, SHELDON Helen, DONNALOJA Victoria
- Publisher:
- The Work Foundation
- Publication year:
- 2016
- Pagination:
- 58
- Place of publication:
- London
This report examines the effect of multiple long term conditions on employment and looks at ‘what works’ in terms of managing and supporting people to remain, and to be productive, in work. The report draws evidence from the literature, analysis of data from the Health Survey for England 2013 which covered people of working age with at least two long-term health conditions, and interviews with people who are managing multiple health conditions in work. Evidence from the existing literature found a higher risk of comorbidity for specific groups, such as older workers, those from low socio-economic backgrounds and for women. Analysis of data from the Health Survey found that people with two or more long-term health conditions are: less likely to be in employment; are more likely to be doing unskilled work; and likely to have lower levels of job satisfaction. Musculoskeletal disorders and mental health problems were also found to have a substantial impact on employment outcomes. In terms of support, the report found that adjustments by employers, such as changes in working hours or break patterns; support provided by GPs and Occupational Health Services were found to be helpful for staff retention. The report makes recommendations focused on improving the prevention, recognition and management of multiple long term conditions during working age, and particularly in the working population. These include recommendations for individuals, employers, the health sector and government. (Edited publisher abstract)
A survey of consultant psychiatrists in intellectual disability based in England
- Authors:
- GUINN Ashley, et al
- Journal article citation:
- Advances in Mental Health and Intellectual Disabilities, 10(4), 2016, pp.258-270.
- Publisher:
- Emerald
Purpose: Community mental health services are of increasing importance for people with an intellectual disability (ID), as the government aims to reduce the number of people treated within inpatient services. However, due to limited evidence base, it is unclear which service models are most effective for treating people with both ID and a mental health condition. Therefore, the purpose of this paper is to carry out a survey in order to gain a better understanding of the current state of ID community services. Design/methodology/approach The survey was e-mailed to 310 consultant psychiatrists based in England and whose main specialism was in ID. In total, 65 consultants responded to the survey with 53 complete data sets. Findings: In total, 84 per cent of consultants identified themselves as working in a generic community ID team. The majority of services were not integrated with social care (71 per cent). Regional differences were found. In contrast to the rest of England, the majority of services in London were integrated with social care. The Health of the Nation Outcome Scale for people with Learning Disabilities (HoNOS-LD) was found to be the most common outcome measure used by services. A range of interventions are widely available across services including psychological therapies and specialist memory assessments. The survey also provides evidence for increased decommissioning of specialist inpatient units and a need for more robust community services. Research limitations/implications: Findings limited by low return rate (21 per cent) and because responses could not be matched to specific services. The implications of this survey are that there is still a variable level of integration with social care and that lack of integration could affect the quality of service. While HoNOS-LD is used consistently across services, there may be a need to supplement it with other outcome measures. There is a need for larger scale and higher quality studies in this area to strengthen the evidence base and therefore demonstrate the benefits of integration and specialisation more convincingly to health professionals and commissioners. Originality/value: This survey presents an overview of the current state of community services for adults with ID in England. This information can be harnessed to add to revised approaches to mental health service models for people with ID. (Publisher abstract)
Peer support for employment: a review of the evidence
- Authors:
- McENHILL Libby, STEADMAN Karen, BAJOREK Zofia
- Publisher:
- The Work Foundation
- Publication year:
- 2016
- Pagination:
- 30
- Place of publication:
- London
Reviews the evidence from eleven academic studies to explore how, and if, peer support is effective in supporting employment outcomes for people with long term health conditions and disabilities. The studies identified included support group-based peer support, one-on-one mentoring models and a work-based model, where peer support was offered by a peer adviser trained to provide support to colleagues. The review highlights elements of successful peer support programmes for employment. Direct outcomes considered in the studies include improved job retention, reduced sick leave, achieving a new job. Other outcomes included changes in participants; confidence, self-esteem and social skills. The review also identifies gaps in the existing research which include the relationship between direct and indirect employment outcomes and the costs of providing peer support versus the benefits. The paper concludes that although the evidence is at an early stage of development, it suggests that peer support can be a useful tool in achieving a range of employment outcomes - such as moving into work, returning to work after sick leave, and retaining a job - for people with a wide range of health conditions. (Edited publisher abstract)
Peer support for employment: a practice review
- Authors:
- SAYCE Liz, FAGELMAN Natasha
- Publisher:
- Disability Rights UK
- Publication year:
- 2016
- Pagination:
- 63
- Place of publication:
- London
A companion report to The Work Foundation’s review of research evidence on peer support in employment, this report identifies practice examples of peer support to help people with long term health conditions or disabilities to secure, retain or progress in employment. Based on a survey and interviews the report identified over 50 practice examples. The Practice Review discusses different approaches under the following headings: who is involved and benefiting; the purpose of the initiatives (recruitment, retention, progression, and wider outcomes); and the type of approach used (on-to-one, support groups, paid or unpaid). It then highlights the impact of the practice examples, including evidence on outcomes. Practice Review finds promising peer support practice in relation to securing, retaining and progressing in employment, for disabled people generally and for people living with specific impairments. It also found a high demand for peer support, and those involved in the report found peer support for employment offers hope, additional confidence and a sense of achievement. The report makes recommendations to support and strengthen the practice of peer support for disabled people or those with long-term conditions in terms of employment. (Edited publisher abstract)
In control: a consultation on regulating spending during periods of poor mental health
- Authors:
- MURRAY Nic, HOLKAR Merlyn, MACKENZIE Polly
- Publisher:
- Money and Mental Health Policy Institute
- Publication year:
- 2016
- Pagination:
- 34
- Place of publication:
- London
One of many reasons people with mental health problems often end up in financial difficulty is because they struggle to control their spending when unwell. This paper sets out the psychological drivers of increased spending in people with mental health problems in periods of poor mental health and explores a range of possible solutions to prevent or limit this ‘crisis spending'. This includes solutions that could be put in place during a period of good mental health by the individual or those that aim to prevent or reduce the incidence of financially harmful behaviour during a period of poor mental health. It also considers the importance of therapeutic support. Section four looks at developing a more protective financial services environment and ways to enable people to limit their own access to credit, improve control of their day-to-day spending, and insulate themselves from potentially damaging or risky products and marketing they may not be able to resist when unwell. Section five looks at what can be done to make retailing strategies and environments, such as online retail, subscriptions and services on premium telephone numbers to be less risky in periods of mental health. The paper draws on the findings two surveys, including a survey completed by 257 people with experience of higher spending during a period of poor mental health, and focus groups. The paper then provides a series of questions for consultation aimed at those with expertise in financial services, retail and mental health. The consultation runs until 10 October 2016. (Edited publisher abstract)