Search results for ‘Subject term:"mental health problems"’ Sort:
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Mental health and the settings of housing support: a systematic review and conceptual model
- Author:
- BURGOYNE Jon
- Journal article citation:
- Housing Care and Support, 17(1), 2014, pp.26-40.
- Publisher:
- Emerald
Purpose: The purpose of this qualitative systematic review is to examine how the nature and quality of housing affect adults receiving support for mental health problems, focusing on the less considered structural aspects of housing. Design/methodology/approach: A systematic search identified relevant research. Data consisting exclusively of service-user testimony was taken from seven studies based in varied types of accommodation in England. A synthesis was carried out using thematic analysis, and a conceptual model developed based on the themes identified from the data. A literature review examines the context, with relevant material drawn from a variety of disciplines and professions. Findings: There were three main determinants of whether housing was a setting that enabled users to benefit from support and enjoy a good quality of life – “autonomy”, “domain”, and “facilitation”. Secondary themes influenced these primary themes, or described respondents’ condition or feelings in relation to their housing situation. The “Tripod Model” illustrates the relationships between these themes. Research limitations/implications: Applying systematic review methods to qualitative material proved contentious and challenging. The model produced is a hypothesis based on limited data and requiring further investigation. Practical implications: The findings suggest that a balance is required to increase the chances of successful and sustainable housing outcomes for service-users. Originality/value: The model enables a holistic understanding of issues affecting service-users, and the interdependent nature of these. It offers a new typology based on a synthesis of data drawn from a spectrum of accommodation, which gives it a breadth a single piece of research could not encompass. (Publisher abstract)
Children and young people's conceptualizations of depression: a systematic review and narrative meta-synthesis
- Authors:
- GEORGAKAKOU-KOUTSONIKOU N., WILLIAMS J. M.
- Journal article citation:
- Child: Care, Health and Development, 43(2), 2017, pp.161-181.
- Publisher:
- Wiley
Background: There is an increasing research interest in conceptualisations of mental illness, examined in association with help-seeking, stigma and treatment preferences. A recent focus on young people's concepts has been identified, with depression being one of the most examined conditions. Methods: The purpose of this systematic review is to synthesise evidence on children and adolescents' conceptualisations of depression, adopting the model of illness representations. The review further aims to examine developmental trends, gender differences and the role of experience. A systematic review and narrative meta-synthesis were conducted, reviewing 36 studies identified through a systematic search of six databases in March 2016. Results: Thirty-six quantitative and qualitative studies were included. Half of the young people are able to recognise depression, and recognition increases when symptoms are more severe (e.g. suicidality). Young people are able to name a variety of causes for depression. Mental health professionals are considered the appropriate source of help by half of the young people, followed by family and peers. However, stigma constitutes a major barrier to help-seeking. There are developmental trends and gender differences in young people's conceptualisation of depression, while experience with depression is associated with a broader conceptualisation. Conclusions: Young people's concepts of depression resemble aspects of adult conceptualisations, however are sometimes incomplete. Further research on younger children and clinical populations is needed. Research on young people's conceptualisations informs both clinical practice and mental health literacy interventions. (Edited publisher abstract)
A review of integrated care for concurrent disorders: cost effectiveness and clinical outcomes
- Author:
- KARAPAREDDY Venu
- Journal article citation:
- Journal of Dual Diagnosis, 15(1), 2019, pp.56-66.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Objective: The recognition of concurrent disorders (combined mental health and substance use disorders) has increased substantially over the last three decades, leading to greater numbers of people with these diagnoses and a subsequent greater financial burden on the health care system, yet establishing effective modes of management remains a challenge. Further, there is little evidence on which to base recommendations for a particular mode of health service delivery. This paper will further summarize the existing treatment models for a comprehensive overview. The objectives of this study are to determine whether existing service models are effective in treating combined mental health and substance use disorders and to examine whether an integrated model of service delivery should be recommended to policy makers. The following two research questions are the focus of this paper: (1) Are the existing service models effective at treating mental health and substance use disorders? (2) How are existing service models effective at treating mental health and substance use disorders? Methods: We used various databases to systematically review the effectiveness of service delivery models to treat concurrent disorders. Models were considered effective if they are found to be cost-effective and significantly improve clinical and social outcomes. Results: This systematic review revealed that integrated models of care are more effective than conventional, nonintegrated models. Integrated models demonstrated superiority to standard care models through reductions in substance use disorders and improvement of mental health in patients who had diagnoses of concurrent disorders. Our meta-analysis revealed similar findings, indicating that the integrated model is more cost-effective than standard care. Conclusions: Given the limited number of studies in relation to service delivery for concurrent disorders, it is too early to make a strong evidence-based recommendation to policy makers and service providers as to the superiority of one approach over the others. However, the available evidence suggests that integrated care models for concurrent disorders are the most effective models for patient care. More research is needed, especially around the translation of research findings to policy development and, vice versa, around the translation from the policy level to the patients’ level. (Edited publisher abstract)
Interagency collaboration models for people with mental ill health in contact with the police: a systematic scoping review
- Authors:
- PARKER Adwoa, et al
- Journal article citation:
- BMJ Open, 8(3), 2018, Online only
- Publisher:
- BMJ Publishing Group
Objective: To identify existing evidence on interagency collaboration between law enforcement, emergency services, statutory services and third sector agencies regarding people with mental ill health. Design: Systematic scoping review. Scoping reviews map particular research areas to identify research gaps. Data sources and eligibility ASSIA, CENTRAL, the Cochrane Library databases, Criminal Justice Abstracts, ERIC, Embase, MEDLINE, PsycINFO, PROSPERO and Social Care Online and Social Sciences Citation Index were searched up to 2017, as were grey literature and hand searches. Eligible articles were empirical evaluations or descriptions of models of interagency collaboration between the police and other agencies. Study appraisal and synthesis: Screening and data extraction were undertaken independently by two researchers. Arksey’s framework was used to collate and map included studies. Results: One hundred and twenty-five studies were included. The majority of articles were of descriptions of models (28%), mixed methods evaluations of models (18%) and single service evaluations (14%). The most frequently reported outcomes (52%) were ‘organisational or service level outcomes’ (eg, arrest rates). Most articles (53%) focused on adults with mental ill health, whereas others focused on adult offenders with mental ill health (17.4%). Thirteen models of interagency collaboration were described, each involving between 2 and 13 agencies. Frequently reported models were ‘prearrest diversion’ of people with mental ill health (34%), ‘coresponse’ involving joint response by police officers paired with mental health professionals (28.6%) and ‘jail diversion’ following arrest (23.8%). Conclusions: 13 different interagency collaboration models catering for a range of mental health-related interactions were identified. All but one of these models involved the police and mental health services or professionals. Several models have sufficient literature to warrant full systematic reviews of their effectiveness, whereas others need robust evaluation, by randomised controlled trial where appropriate. Future evaluations should focus on health-related outcomes and the impact on key stakeholders. (Edited publisher abstract)
Collaborative care for individuals with bipolar disorder or schizophrenia and co-occurring physical health conditions: A systematic review
- Authors:
- O’NEILL Elizabeth A., RATLIFF Denise
- Journal article citation:
- Social Work in Mental Health, 15(6), 2017, pp.705-729.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
While rates of chronic physical health conditions are increasing for the general population, individuals with severe mental illness are at greater risk. Co-occurring mental and physical health conditions are associated with poor health care utilisation, socioeconomic, and patient-reported health status outcomes. This study used systematic review procedures to investigate the effectiveness of collaborative care models for improving the health of adults with bipolar disorder or schizophrenia and co-occurring chronic physical health conditions. Six studies met inclusion criteria, and included outcomes related to quality of life, physical health, and mental health. Collective and study-level results are reported and discussed, including implications for social work practice and research. (Publisher abstract)