Search results for ‘Subject term:"mental health problems"’ Sort:
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Mental health supported housing: securing financial stability, supply and quality
- Author:
- RETHINK MENTAL ILLNESS
- Publisher:
- Rethink Mental Illness
- Publication year:
- 2017
- Pagination:
- 34
- Place of publication:
- London
This report looks at supported housing for people living with mental health problems, the way it is funded and Government proposals to reform housing benefit and cap benefits for those in supported housing. The report identifies six typologies of mental health supported housing provision: group home and peer support housing; individual flats; therapeutic communities; temporary 'move-on flats'; mental health hostels and forensic hostels. It shows that the proposed funding reforms do not reflect the breadth of provision and therefore the financial realities of delivering supported housing. In some cases, the report show that Government’s estimates were lower than real costs by £80 a week, potentially creating a 'significant shortfall' for those in need of the high levels of support. The report was produced in association with HACT and the Centre for Mental Health and supported by the Association of Mental Health Providers (Edited publisher abstract)
Listening to refugees: how traditional mental health interventions may miss the mark
- Authors:
- MITSCHKE Diane B., PRAETORIUS Regina T., KELLY Don R.
- Journal article citation:
- International Social Work, 60(3), 2017, pp.588-600.
- Publisher:
- Sage
Understanding the dynamics of mental health of recently resettled refugees is an essential component of any comprehensive resettlement programme, yet establishing the components of a successful and acceptable mental health intervention is an elusive task. Semi-structured interviews were conducted with 30 resettled refugees from five countries who had received treatment for depression, post-traumatic stress symptoms, or anxiety. Themes generated from the interviews emphasised the need for strong group-based social support as well as a focus on practical needs such as acquiring and maintaining employment, language and literacy training, and access to care. (Edited publisher abstract)
Help seeking among adolescents in foster care: a qualitative study
- Authors:
- JOHNSON Emily M., MENNA Rosanne
- Journal article citation:
- Children and Youth Services Review, 76, 2017, pp.92-99.
- Publisher:
- Elsevier
Adolescents in foster care are at high risk for mental health and emotional problems, however many do not receive needed services. The objective of this qualitative study was to examine the subjective experiences and perceptions related to mental health and help seeking of adolescents in care. Seven individuals aged 16–20 completed in-depth semi-structured interviews, which were coded following a grounded theory approach. Identified concepts or themes were related to level of need (i.e., stressful situations related to school, family, and foster care); predisposing and enabling factors (e.g., attitudes toward help seeking, previous help seeking, and awareness of sources); seeking help (i.e., a preference to talk to others with shared experiences); and stages of help seeking (i.e., problem recognition; recognition of need for help; evaluation of appropriate sources of help; and seeking help). Findings address gaps in the literature, and suggest targets for intervention. (Publisher abstract)
Mental health needs and therapeutic service utilization of young children in foster care in Germany
- Authors:
- VASILEVA Mira, PETERMANN Franz
- Journal article citation:
- Children and Youth Services Review, 75, 2017, pp.69-76.
- Publisher:
- Elsevier
Although children in foster care often need therapeutic help, the ways to initiate therapeutic services for them is not regulated in Germany. The objective of this cross-sectional study is to identify factors associated with therapeutic service utilisation in young children in foster care in Germany. Additionally, it explores predictors of foster parents' perceived need for therapeutic help for the child. Foster parents of 286 children aged 3–7 years completed questionnaires about children's mental health, child and placement characteristics. Logistic regression models tested the impact of these factors on therapeutic service utilisation and foster parents' perceived need for child therapy separately for children with and without potentially traumatic experiences. Approximately 62% of the sample had some mental health problems; around 37% of these children received no treatment. Placement disruptions and cases where the child welfare services had the custodial rights predicted higher therapeutic service utilisation. Foster parents' stress was associated with perceived need for help. Children's symptoms – especially externalising problems – also predicted both outcomes. The findings indicate the need for strategies to increase therapeutic service utilisation in young children in foster care on caregiver, system, and legislative levels. Such strategies should target routine assessment of children's mental health as well as interventions on foster family characteristics. (Edited publisher abstract)
From despair to integrity: using narrative therapy for older individuals in Erikson’s last stage of identity development
- Authors:
- GOODCASE Eric T., LOVE Heather A.
- Journal article citation:
- Clinical Social Work Journal, 45(4), 2017, pp.354-363.
- Publisher:
- Springer
- Place of publication:
- New York
Adults aged 65 and over are a growing population in the United States today. This population is underrepresented in the mental health literature despite the high rates of depression and suicide. Additionally, the newest generation of older individuals is more likely to seek therapy than past generations, furthering the need for mental health professionals to be prepared for treating older individuals. Erikson in Childhood and society, Norton, New York, (1950) describes this time period as being critical in terms of the final identity crisis, integrity versus despair. Integrity is marked by a positive evaluation of the individual’s entire life, less anxiety about death, and a feeling of gaining wisdom. Individuals who do not resolve this crisis can manifest despair in a number of ways, including depression, anger, and regret. This model proposes utilising Narrative therapy (White in Maps of narrative practice, Norton, New York, 2007) to understand how elderly individuals evaluate their lives in reference to their environment. The model utilises externalisation, unique outcomes, and re-membering conversations to unlock subjugated stories and promote integrity. (Publisher abstract)
Predictors of mental health and developmental service utilization among children age birth to 5 years in child welfare: a systematic review
- Authors:
- KEYSER Daniel, AHN Haksoon
- Journal article citation:
- Journal of Public Child Welfare, 11(4/5), 2017, pp.388-412.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Children from age birth to 5 years in the child welfare system who experience trauma are at risk for mental health problems and developmental delays but often do not receive the service they need. The purpose of this systematic review is to identify research studies examining the prevalence of mental health and developmental needs among these children and the factors predicting mental health and developmental service use. Of the 1,147 studies screened, 38 were retained for full review with eight selected for systematic review. The results suggest that mental health need, developmental need, and child welfare placement are significant predictors of mental health and developmental service use. This study will contribute to developing implications for child welfare practice and research for early childhood development. (Publisher abstract)
Racial/ethnic disparities in mental health service use for older foster youth and foster care alumni
- Author:
- VILLAGRANA Margarita
- Journal article citation:
- Child and Adolescent Social Work Journal, 34(5), 2017, pp.419-429.
- Publisher:
- Springer
Studies have shown that foster care alumni have disproportionally high rates of poor mental health outcomes compared to the general population. The purpose of this study was to examine differences in mental health service use for Latino, African American, and White youth while in foster care and upon exit from the foster care system. Secondary data were used to identify youth 1 year prior to exiting the foster care system (N = 934) and 1 year after exit from the foster care system (N = 433). Racial/ethnic disparities in mental health service use upon exit from the foster care system were found, with Latino youth using the least amount of services after foster care exit. Racial/ethnic service disparities in type of services used were also found. Findings suggest that a lack of support (e.g., mandatory or voluntary) may be significant in overcoming challenges in the continuation or disruption of services. (Publisher abstract)
Expert views of children's knowledge needs regarding parental mental illness
- Authors:
- GROVE Christine, et al
- Journal article citation:
- Children and Youth Services Review, 79, 2017, pp.249-255.
- Publisher:
- Elsevier
Children of parents with a mental illness are at significant risk of developing a mental illness. This risk may be reduced if appropriate interventions are provided that include information and knowledge about mental illness. While there are some interventions for children of parents with a mental illness, research is lacking about the type of mental health information children need and why they need that knowledge. This study presents the perspectives of a purposive sample of international research experts in the field of parental mental illness about the kind of mental health literacy information children with parents with a mental illness need. Twenty-three participants completed a self-constructed short answer questionnaire about the knowledge needs of children of parents with a mental illness. The qualitative data indicates that ‘identifying information’, ‘making sense of parents behaviour’, ‘coping better’ and ‘respecting safety’ are key knowledge needs of children. Given the views presented, these findings suggest that health care professionals should advocate for policies that support individual-, peer-, and family-focused programmes driven by strong evaluation and rigorous research. If this is done, children of parents with mental illness may experience ‘myth busting’ of incorrect information about mental illness. (Publisher abstract)
Psychologically informed environments for homeless people: resident and staff experiences
- Authors:
- PHIPPS Catriona, et al
- Journal article citation:
- Housing Care and Support, 20(1), 2017, pp.29-42.
- Publisher:
- Emerald
Purpose: Many homeless people have significant levels of early adverse experiences and consequent mental health difficulties. This study examines the experiences of residents and staff living and working in a Psychologically Informed Environment (PIE), a new model of hostel for homeless people which aims to update and make more flexible the principles of the therapeutic community, thereby meeting the psychological and emotional needs of residents. Design/methodology/approach: Semi-structured interviews were carried out with nine residents, ten staff and five psychotherapists at two PIE hostels in London. The data were analysed using thematic analysis with a phenomenological epistemological approach. Findings: Analysis generated 18 themes for residents and staff combined, organised into five domains: what makes a home, resident needs, managing relationships, reflective practice and theory vs practice of PIEs. The study suggests that PIEs broadly meet their aim in providing a different type of environment from standard hostels. Efforts to build relationships with residents are particularly prioritised. This work can be challenging for staff and reflective practice groups provide a supportive forum. There are limits to the extent to which the theoretical PIE can be put into practice in the current political and economic climate. Originality/value: Originality/Value: This is one of the first qualitative studies of PIEs. It provides perspectives on their theoretical background as well as how they operate and are experienced in practice. It may be informative to services intending to establish a PIE and to commissioners in assessing appropriate resources. (Publisher abstract)
Exploring the potential for family carers to support people with mental illness to stop smoking
- Authors:
- LAWN Sharon, et al
- Journal article citation:
- Journal of Dual Diagnosis, 13(1), 2017, pp.52-59.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Cigarette smoking poses significant health burdens for people with mental illness. They die sooner than they should, and smoking is a major contributor to their high rates of morbid chronic physical health conditions and early mortality, compared to the general population. Family carers provide important support to people with mental illness. However, family carers' perspectives of smoking by their family members with mental illness are largely absent from the research literature and from practice, despite smoking rates remaining high and quit rates remaining low for this population. Little is known about how family carers are or could be involved in supporting people with mental illness who smoke to stop smoking. This paper aims to provide a discussion of the opportunities for family carers to support their family member's smoking cessation and a discussion of our preliminary research on this topic. From the available literature, it appears that family carers are well placed to support smoking cessation for this population; however, they struggled physically, philosophically, and emotionally with perceived responsibilities involving their family member's smoking and the caring role. They felt isolated and asserted that there was limited support from service providers to assist them. The authors concluded that family carers are important agents within the person's immediate environment who could help them to improve their smoking cessation success. This suggests also that mental health services and other health service providers could benefit from including family carers in their efforts to support smoking cessation for people with mental illness who smoke. (Edited publisher abstract)