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Setting up a methadone maintenance clinic in a hostel in London’s West End
- Authors:
- DUNN John, et al
- Journal article citation:
- Psychiatric Bulletin, 30(9), September 2006, pp.337-339.
- Publisher:
- Royal College of Psychiatrists
A satellite methadone prescribing service was set up in a hostel in London’s West End. The aim was to investigate if it were feasible to engage and retain these hard-to-reach, chaotic, polydrug users in treatment. A basic needs assessment was undertaken with staff and clients at the hostel. Treatment outcomes were assessed at 16 weeks using the Maudsley Addiction Profile. At 16 weeks 87% of the original cohort (26 out of 30) were still in treatment. There were also significant reductions in mean heroin use (from 29.7 to 14.5 out of the past 30 days, P<0.001) and in the frequency of injecting (from 25.9 to 15.9 days, P<0.001). This outreach clinic offers a model for developing services to homeless people with substance misuse problems.
A multi-level ecological model of psychotropic prescribing to adults with intellectual disability
- Authors:
- EDWARDS Niki, et al
- Journal article citation:
- Advances in Mental Health and Intellectual Disabilities, 8(1), 2014, pp.24-31.
- Publisher:
- Emerald
Purpose: Simple linear accounts of prescribing do not adequately address reasons “why” doctors prescribe psychotropic medication to people with intellectual disability (ID). Greater understanding of the complex array of factors that influence decisions to prescribe is needed. Design/methodology/approach: After consideration of a number of conceptual frameworks that have potential to better understand prescribing of psychotropic medication to adults with ID, an ecological model of prescribing was developed. A case study is used to outline how the model can provide greater understanding of prescribing processes. Findings: The model presented aims to consider the complexity and multi-dimensional nature of community-based psychotropic prescribing to adults with ID. The utility of the model is illustrated through a consideration of the case study. Research limitations/implications:The model presented is conceptual and is as yet untested. Practical implications: The model presented aims to capture the complexity and multi-dimensional nature of community-based psychotropic prescribing to adults with ID. The model may provide utility for clinicians and researchers as they seek clarification of prescribing decisions. Originality/value: The paper adds valuable insight into factors influencing psychotropic prescribing to adults with ID. The ecological model of prescribing extends traditional analysis that focuses on patient characteristics and introduces multi-level perspectives that may provide utility for clinicians and researchers. (Publisher abstract)
Can humanistic and existential therapies help the problems of adolescents in the National Health Service
- Author:
- GUISHARD-PINE Jeune
- Journal article citation:
- Journal of Critical Psychology Counselling and Psychotherapy, 6(1), Spring 2006, pp.48-55.
This article argues that existentialism has been neglected in therapies available to children and adolescents, to the advantage of biological interventionists, and the disadvantage of families. The article presents a background to the 'medical/biological model' and its relevance to work with children and families in Child and Adolescent Mental Health Services. Secondly, it gives a brief description of childhood and adolescence and the mental and emotional health issues widely known to pervade this phase of the life cycle. Thirdly, the article looks at the development of the humanistic and existential ideas promoting the restoration of emotional and mental health in reference to childhood and adolescence.
Consumer representation in multi-site HIV, mental health, and substance abuse research: the HIV/AIDS Treatment Adherence, Health Outcomes and Cost Study
- Author:
- MEYER P.
- Journal article citation:
- AIDS Care, 16(Supplement 1), January 2004, pp.S137-S153.
- Publisher:
- Taylor and Francis
Funders of HIV, mental health, and substance abuse research and services are increasingly mandating substantial consumer representation in the programmes they support. A review of the literature reveals that despite considerable challenges, consumer representation in HIV, mental health, and substance abuse research and services can be extremely valuable, both for the consumer representatives and the programmes they serve. The consumer representation model of the HIV/AIDS Treatment Adherence, Health Outcomes and Cost Study is described. Consumer representatives and principal investigators are interviewed about their experiences working within the model. Their collective comments form the basis of recommendations for practice when employing consumer representation models
Gender and psychotropics: toward a third wave framework
- Author:
- FARMER Rosemary L.
- Journal article citation:
- British Journal of Social Work, 33(5), August 2003, pp.611-623.
- Publisher:
- Oxford University Press
This paper highlights the fact that women are much more likely than men to use psychotropic medications. It proposes the development of a new intellectual framework for understanding and responding to the high use of psychotropic medications by women. The framework is developed using the conceptual space provided by Third Wave feminisms and a Lacanian interpretation of the Hegelian dialectic. The Third Wave is seen as a viable lens for this endeavour since it tolerates contradictions and ambiguity and is radically open to difference and diversity. This new framework can incorporate relevant aspects of the Discourse Model and the Medical Model. It is argued that the Third Wave framework, which includes a postmodern attitude, allows us to make use of both perspectives, since either model alone is inadequate to inform our understanding of why women are prescribed psychotropic medications so much more frequently than are men. The point is that each model by itself is inevitably inadequate. The answers have to be sought from both models, even though these models conflict.
Compliance of informed choice
- Authors:
- PERKINS Rachel E., REPPER Julie M.
- Journal article citation:
- Journal of Mental Health, 8(2), April 1999, pp.117-129.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Explores the ways in which attempts to increase compliance with psychotropic medication run counter to the goal of enabling people to make informed choices about their treatment. An alternative approach to understanding why people behave in the way that they do is explored within the framework of health belief models of behaviour developed in relation to physical health illness.
A word in your ear: challenging the medical construct of auditory hallucinations
- Author:
- CLARKE Liam
- Journal article citation:
- Mental Health Care, 2(3), November 1998, pp.98-101.
- Publisher:
- Pavilion
Explores from a general and historical perspective the experiences of 'voice hearing' and contrasts this with the medical construct of the phenomena and how suffers should be treated.