Search results for ‘Subject term:"mental health problems"’ Sort:
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How common are the anxiety disorders in old age?
- Authors:
- MANELA M., KATONA C., LIVINGSTON G.
- Journal article citation:
- International Journal of Geriatric Psychiatry, 11(1), January 1996, pp.65-70.
- Publisher:
- Wiley
This community study of the anxiety disorders in people aged 65 and over found a relatively high prevalence of anxiety disorders with phobic disorders being the most prevalent subclassification. While generalised anxiety was usually seen with other psychiatric syndromes, phobic disorder was usually observed in the absence of either depression or anxiety. The results suggest that while generalized anxiety should be placed below depression in a diagnostic hierarchy, phobic disorder does not fit with this diagnostic model.
Impaired judgment: a useful symptom of dementia?
- Authors:
- HEAD L., BERRIOS G.E.
- Journal article citation:
- International Journal of Geriatric Psychiatry, 11(9), September 1996, pp.779-785.
- Publisher:
- Wiley
'Impaired judgment' remains a diagnostic (and predictive) criterion for delirium, dementia and substance-related disorders, and yet its diagnosis and measurement are hampered by the absence of an operational definition. Most of the important research into judgment as a psychological function has been carried out in development and industrial psychology, in the experimental analysis of perception, medical diagnosis and legal decision-making. Models generated in these fields, although important, are only tangentially relevant to 'impaired judgment' as it is met with in clinical practice. This article explores some models of judgment and their application to dementia. It concludes that judgment is not a unitary function but a composite of subroutines. Hence, both low-and high-level analyses are required: the former to explore aetiology, differential diagnosis and treatment, the latter for the assessment of psychosocial competence. A model for the understanding of judgment is also suggested.
Outreach to homeless mentally ill people: conceptual and clinical considerations
- Authors:
- MORSE Gary A., et al
- Journal article citation:
- Community Mental Health Journal, 32(3), June 1996, pp.261-274.
- Publisher:
- Springer
Describes a model of outreach predicated on developing a trusting, meaningful relationship between the outreach worker and the homeless person with mental illness. Describes five common tasks inherent in this model of outreach (establishing contact and credibility, identifying people with mental illness, engaging clients, conducting assessment and treatment planning, and providing ongoing service). Other issues discussed include: (a) responding to dependency needs and promoting autonomy; (b) setting limits while maintaining flexibility; (c)resistance to mental health treatment and follow-up service options.
Brief social work intervention for people with severe and persistent disorders
- Authors:
- FIRTH Malcolm T., BRIDGES Keith
- Journal article citation:
- Journal of Mental Health, 5(2), April 1996, pp.135-143.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
A small-scale pilot study of assessment and short-term care brief social work intervention for people in the community who suffer from severe and persistent mental disorders is described. Case vignettes portray the wide variation in disability - inter-personal, social, and environmental - which subjects endure, in addition to their mental disorders. Although most subjects had a low quality of life they were managing their lives independently, and their coping skills pointed up the need to consider a strengths, rather than a needs, style of assessment. Additionally, a model of care that incorporates change, not just maintenance, seemed appropriate.
Mental illness in the family: issues and trends
- Editors:
- ABOSH Beverley, COLLINS April
- Publisher:
- University of Toronto Press
- Publication year:
- 1996
- Pagination:
- 171p.,bibliogs.
- Place of publication:
- Toronto
Contains chapters on: programme planning; families and mental illness; a model of familial relationships in families with a member with mental health problems; helping families cope with mental health problems and the criminal justice system; the loss of a child to mental illness; the forgotten sibling; the impact of parental affective disorders on families; parents with mental health problems; the effects on a 6 year old child of a parent with mental health problems; and Dyadic Circularity in the mother-infant relationship.
Putting back the 'E' in 'EDB'
- Author:
- BOWERS Tony
- Journal article citation:
- Emotional and Behavioural Difficulties, 1(1), Spring 1996, pp.8-13.
- Publisher:
- Taylor and Francis
Argues that recent developments in the curriculum and in administrative structures for pupils with special educational needs have tended to marginalise the term 'emotional' or to combine it loosely with 'behavioural'. Looks at the influence of forty years of behavioural psychology on the UK Code of Practice for children with Special Educational Needs (SEN) and related government circulars and suggests an alternative model for conceptualising emotional difficulties. The article suggests that if the term 'emotional' is to be used in statements and IEPs in the future, then appropriate ways of defining, assessing and providing for these will have to be found.
Brief report: dual diagnosis - a treatment model for substance abuse and major mental illness
- Authors:
- BRADY Stephen, et al
- Journal article citation:
- Community Mental Health Journal, 32(6), December 1996, pp.573-578.
- Publisher:
- Springer
The treatment of "dual diagnosis", co-occurring substance abuse and mental illness, calls for addressing two serious and often confounding problems. The authors introduce an expanded version of the transtheoretical model of change as formulated by J.O.Prochaska and C.C. DiClemente, and suggest that this new version offers a pragmatic approach to the conceptualisation and treatment of dual diagnosis. The potential utility of the treatment model is presented through the authors' experiences in working with inner-city, chronic mentally ill individuals with substance abuse problems. The potential utility of the treatment model is presented through the authors' experiences in working with inner-city, chronic mentally ill individuals with substance abuse problems. Practical guidelines for dual diagnosis group therapy are discussed.
Beyond the CMHT: moving mental health services forward in East Yorkshire
- Authors:
- ATKIN Mike, HOSTICK Chris, PECK Edward
- Journal article citation:
- Community Care Management and Planning, 4(2), February 1996, pp.51-57.
- Publisher:
- Pavillion
Recently commentators and clinicians have been challenging the robustness of the Community Mental Health Team (CMHT) model. Managers have also become increasingly sceptical about the utility of the traditional, generic CMHT which attempts to combine assessment, care planning and review with service delivery, such as crisis response, assertive outreach, continuing care and primary care liaison and counselling. This case study presents the process of outcome of a strategic review of mental health services in East Yorkshire which may look beyond the CMHT as the preferred way forward.
Health care needs assessment: the epidemiologically based needs assessment reviews; part 20; community child health services
- Author:
- HALL D
- Publisher:
- Radcliffe Medical Press
- Publication year:
- 1996
- Pagination:
- 110p.,tables,bibliog.
- Place of publication:
- Oxford
No. 20 in a series of booklets looking at different medical conditions and using a triangular model to assess population health care needs when purchasing and providing health services. Looks at the availability of community based child care services, effectiveness of services, models of care, outcomes, targets, and information and research required. Also includes sections on services for disabled children, and child mental health.
Health care needs assessment: the epidemiologically based needs assessment reviews; part 15; mental illness
- Author:
- WING J.K
- Publisher:
- Radcliffe Medical Press
- Publication year:
- 1996
- Pagination:
- 109p.,bibliog.
- Place of publication:
- Oxford
No. 15 of a series of booklets looking at different medical conditions and using a triangular model to assess population needs when purchasing and providing services. This volume looks at: the incidence and prevalence of mental health problems; services available; effectiveness of services; models of care; targets; outcomes; information; and topics for research.