Search results for ‘Subject term:"mental health problems"’ Sort:
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Service users' experiences with help and support from crisis resolution teams. A literature review
- Authors:
- WINNESS Monika Gullslett, BORG Marit, HESOOK Suzie Kim
- Journal article citation:
- Journal of Mental Health, 19(1), February 2010, pp.75-87.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Services for crisis resolution provided by home treatment teams are recent developments in the mental health care scene. The focus of this paper is to identify and discuss service users’ experiences of crisis resolution and home treatment (CR/HT) teams, especially in terms of how users find this form of service helpful, in order to explore ways to develop this form of service further. A systematic review of the periodical literature and research reports on CR/HT was carried out for the period from January 1995 to January 2009. The search identified a total of 13 papers, 1 Cochrane review, and 2 research reports were identified. Although these studies provided few in-depth details, 3 major themes as the characteristics of CR/HT teams are identified as: access and availability; being understood as “normal” human beings; and dealing with crises in an everyday life context. The findings suggest that the key positive characteristics of help in crisis situations are intrinsically tied to the values and principles underlying CR/HT services. The commitment to community-based services, the philosophy of partnership, and user-empowerment seem to the base from which these 3 themes of positive experiences emerged.
Service provision for elderly depressed persons and political and professional awareness for this subject: a comparison of six European countries
- Author:
- BRAMSFELD Anke
- Journal article citation:
- International Journal of Geriatric Psychiatry, 18(5), May 2003, pp.392-401.
- Publisher:
- Wiley
Under-treatment of depression in late-life is a subject of rising public health concern throughout Europe. This study investigates and compares the availability of services for depressed elderly persons in Denmark, France, Germany, Sweden, Switzerland and the UK. Additionally, it explores factors that might contribute to an adequate services supply for depressed elderly people. Review of the literature and guide supported expert interviews. Analysis of the practice of care provision for depressed elderly persons and of indicators for political and professional awareness, such as university chairs, certification processes and political programmes in gerontopsychiatry. Only Switzerland and the UK offer countrywide community-oriented services for depressed elderly persons. Clinical experience in treating depression in late-life is not regularly acquired in the vocational training of the concerned professionals. Indicators suggest that the medical society and health politics in Switzerland and the UK regard psychiatric disease in the elderly more importantly than it is the case in the other investigated countries. Service provision for depressed elderly persons seems to be more elaborated and better available in countries where gerontopsychiatry is institutionalised to a greater extend in the medical society and health politics.
Treating mental health in the community: a policy review
- Authors:
- HUDSON Gen Maitland, TOUROUNTIS Dimitrios, HARGRAVE Russell
- Publisher:
- Power to Change
- Publication year:
- 2017
- Pagination:
- 50
- Place of publication:
- London
A review of evidence on the effectiveness of different community approaches to mental health. The final synthesis looks at 48 studies, published between 2004 and 2017, drawn from the UK and comparable high-income countries. It focuses mainly on the highest-quality evidence, including systematic reviews, evaluations drawing on randomised control trials (RCTs), and comparative longitudinal data. The synthesis identified 29 interventions methods. The studies included public health interventions aiming to promote wellbeing using volunteers / peers or ‘green care’; community development interventions; and intervention focused on exercise or physical activity. The review identified a lack of high-quality evidence to guide community work on mental health. There was some evidence to suggest that community-centred projects which draw on the support networks and skills already available in a community, have a positive impact on mental health. However, it found no high-quality evidence that ‘community-based’ projects, which simply deliver services in a local area, have a positive impact on mental health. It highlights the need for new 'community-centred' projects in local places, with rigorous evaluations to assess the evidence that these projects are effective in helping people with mental health problems. (Edited publisher abstract)
Assessing psychiatric patients for violence
- Authors:
- ANDERSON Tanya R., et al
- Journal article citation:
- Community Mental Health Journal, 40(4), August 2004, pp.379-399.
- Publisher:
- Springer
Managing violent patients is a dilemma that every clinician faces. This article reviews the current literature and assesses the evidence on the management of violent patients in the clinical setting. Risk factors (dispositional, historical, contextual and clinical) and early warning signs of violence will be outlined. Understanding these issues will facilitate the short-term prediction and prevention of violence in clinical settings. Interventions have been categorized for use according to the urgency of the situation. This degree of urgency has been designated as either potential, imminent or emergent violence. Special considerations that may alter the management of violence will be delineated. Specifically, we will highlight issues related to gender, age and mental retardation. Aspects of professional training in regards to the management of the violent patient will be underscored as well. Finally, the review of the literature has led to a decision tree that can inform the reader in the evidence-based management of the violent patient. This decision tree is offered to the busy practitioner as a practical clinical tool for using evidence based practices in managing violent patients.
The effectiveness of old age psychiatry services
- Author:
- DRAPER Brian
- Journal article citation:
- International Journal of Geriatric Psychiatry, 15(8), August 2000, pp.687-703.
- Publisher:
- Wiley
This Australian study examines outcomes of acute service delivery in old age psychiatry using a review of the literature. The review includes controlled trials, audits and surveys of the outcomes of service delivery in old age psychiatry located in acute hospitals and community settings. With the exception of outreach services to nursing homes, long term institutional care was excluded. The majority of studies indicated that old age psychiatry services have positive acute treatment outcomes, particularly with depression. There is insufficient evidence to determine which types of care are associated with better outcomes.
Effective community mental health services for people with serious mental illness: a critical review
- Author:
- HALL Pauline
- Journal article citation:
- Mental Health and Learning Disabilities Care, 3(9), May 2000, pp.299-303.
- Publisher:
- Pavilion
Government policy demands that the majority of people with mental illness are cared for in the community. Yet the implementation of this policy remains controversial and variable in outcome. Reviews the literature on recent developments in community mental health care, and the evidence for their relative effectiveness.