Search results for ‘Subject term:"mental health problems"’ Sort:
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Finding treatment to suit the patient: the Maudsley medication review clinic
- Authors:
- GRAY Richard, REVELEY Adrianne, HOWARD Alan
- Journal article citation:
- Mental Health Care, 2(4), December 1998, pp.132-134.
- Publisher:
- Pavilion
Negative treatment experience and use of drugs with unacceptable side effects are known to reduce patient compliance. The author reports on the first's years operation of a new medication review clinic which believes that patients and carers have a major say in deciding the preferred course of treatment.
Adult mental health in a changing international context: the relevance to social work
- Author:
- RUMON Shula
- Journal article citation:
- British Journal of Social Work, 39(8), December 2009, pp.1615-1622.
- Publisher:
- Oxford University Press
This critical commentary surveys the field of mental health social work in the UK from an international perspective. There has been a major shift in societal and professional attitudes to mental health, moving from a medicalised, chronicity-oriented model to one that acknowledges the ability of those experiencing or recovering from mental ill-health to lead a meaningful life. Internationally there is a trend towards deinstitutionalisation, although in post-Communist and developing countries 'total institutions' persist alongside new, small-scale initiatives. Psychological and social therapies are becoming more available, together with early intervention and prevention services. Stigma against the mentally ill persists, partly fuelled by biased media reporting. Privatisation and commercialisation of services has developed hand in hand with opportunities for employing mental health service users and carers as support workers. Mental health service users are among the most deprived groups in the community. In the UK, mental health social workers are currently in a minority both within mental health and within social work. The implications for social work educators and researchers are considerable.
Just one per cent: the experiences of people using mental health services
- Authors:
- UNIVERSITY OF EAST ANGLIA, RETHINK
- Publisher:
- Rethink
- Publication year:
- 2003
- Pagination:
- 7p.
- Place of publication:
- Kingston upon Thames
Rethink regularly carries out social survey research to monitor expert opinion on standards of mental health care. The recent Our Point of View survey, upon which this report is based, asked are things getting better for the people who use mental health services, their families and friends at the beginning of the 21st Century in Britain? This report looks at what service users want in order to feel fully represented.
Mind's yellow card for reporting drug side effects: a report of users' experiences
- Authors:
- COBB Alison, DARTON Katherine, JUTTLA Kiran
- Publisher:
- MIND
- Publication year:
- 2001
- Pagination:
- 40p.
- Place of publication:
- London
Mind's yellow card scheme is based on the official scheme used by doctors to report adverse drug reactions to the Medicines Control Agency. Mind's own scheme is for people taking psychiatric drugs rather than health professionals. It invites people to report side effects and other aspects of their treatment.
The lion's cage
- Authors:
- PARKER Mike, NORTHWAY Ruth
- Journal article citation:
- Openmind, 116, July 2002, p.23.
- Publisher:
- MIND
Reports on ForUs, a mental health user group which has successfully challenged the traditional power base of service providers within a local borough in Wales.
Viewpoint: we need an alliance not compliance
- Author:
- CHAPMAN Nigel
- Journal article citation:
- Community Care, 23.3.00, 2000, p.15.
- Publisher:
- Reed Business Information
Argues that care in the community for people with mental health problems has never really been properly implemented.
A chance for change
- Author:
- LINDOW Vivien
- Journal article citation:
- Nursing Times, 24.3.93, 1993, pp.33-34.
- Publisher:
- Nursing Times
Argues that community-based caring for people with mental health problems offers an opportunity to empower users - but only if old practices such as long-term drug therapy are challenged.
Mental health problems in people with learning disabilities: prevention, assessment and management: NG54
- Author:
- NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE
- Publisher:
- National Institute for Health and Care Excellence
- Publication year:
- 2016
- Place of publication:
- London
Practice guideline which covers preventing, assessing and managing mental health problems in children, young people and adults with learning disabilities. The guideline aims to improve assessment and support for mental health conditions, and help people with learning disabilities and their families and carers to be involved in their care. The recommendations include that: the person's communication needs and level of understanding should be considered throughout their assessment, treatment and care; that professionals with expertise in mental health problems in people with learning disabilities should coordinate mental health assessments; the impact of the social and physical environment on the mental health of people with learning disabilities should be considered when developing care plans; adults with learning disabilities should be supported to participate in paid or voluntary work. The recommendations also provide guidance on delivering psychological and pharmacological interventions. The guideline covers all settings, including health, social care, education, and forensic and criminal justice. (Edited publisher abstract)
Medication, healing and resistance in East Malaysia
- Author:
- CRABTREE Sara Ashencaen
- Journal article citation:
- Mental Health Religion and Culture, 8(1), March 2005, pp.17-25.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This paper considers some findings from an ethnographic study of psychiatric patients in hospital care in East Malaysia. The subject of treatment is considered with regard to professional attitudes towards patient 'compliance' and the demonstration of resistance by users within a multicultural context in which traditional healing continues to be a popular alternative to biomedicine. 'Resistance' here is used in its literal meaning, rather than as an abstract, theoretical construct. The narratives of Malaysian patients in relation to resisting treatment in this study form some direct comparisons with, for example, the quotes from service users on the topic of medication, 'control and coercion' in the UK. Resistance to treatment then is interpreted by staff as the outcome of sickness behaviour, which frequently results in coercive strategies. The undisputed power of the medical profession in Malaysia has contributed to the lack of an evolved 'service-user' perspective in which few patient rights are recognised, especially non-treatment. These responses remain embedded in a paternalistic and custodial attitude that does not acknowledge issues of spirituality or alternative healing practices that are important to hospitalised patients. Modernisation of services have not led to a parallel development with regard to patient participation or in terms of appropriate cultural responses. It is concluded that until this takes place professionals will continue to ignore the personal meaning users attach to treatment resistance.
Living with risk: mental health service user involvement in risk assessment and management
- Authors:
- LANGAN Joan, LINDOW Vivien
- Publisher:
- Policy Press,|Joseph Rowntree Foundation
- Publication year:
- 2004
- Pagination:
- 59p.
- Place of publication:
- Bristol
This research is about the involvement in risk assessment and management of mental health service users considered by professionals to pose a potential risk to other people. The research was carried out due to concerns that the voices of these service users are not being heard in research, policy or practice. Many service users were aware that they could pose a risk to other people when experiencing psychosis and they wanted help to reduce the chances of this happening. Full and frank discussion of risk to others was difficult for many professionals. Some people could not be asked to participate in the study because they did not know they were considered to be a risk to other people. Reasons for talking about risk to others included the user's right to know what is written about them, and increased trust between user and professional, with the potential for collaborative risk management. Reasons against talking about risk to others included increasing stigma and distress; this prompted disengagement from services, and fears for personal safety. Levels of agreement between service users and professionals about risk and how to respond to it ranged from full agreement to very little or none. Service user involvement in risk assessment and management was variable and depended upon individual professional initiative. Few professionals were undertaking systematic risk assessment or risk management plans. Some service users influenced the support they received but, generally, users' main role was to accept or reject what was offered. Professionals had less room to accommodate user views where the risks were considered too high. Little use was made of advocates, and users were not provided with a full picture of the different supports available. Medication and supported housing emerged as key issues for potential tension and disagreement between service users and professionals. Serious gaps and inaccuracies were sometimes found in information held about service users that potentially put themselves and others at risk.