Search results for ‘Subject term:"mental health problems"’ Sort:
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Representations of elderly with mental health problems held by psychosocial practitioners from community and institutional settings
- Authors:
- DALLAIRE Bernadette, et al
- Journal article citation:
- Social Work in Mental Health, 7(1-3), 2008, pp.139-152.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This article begins by providing an overview of the prevalence of mental health problems among people aged 65 and older, the specific situations and needs of this population, and the services provided to them. It then briefly discusses three trends in psychosocial interventions, that is practices oriented toward recovery, empowerment, and social integration are then reviewed.. Finally, the article looks at the cumulative impacts of social representations of aging and the aged and of mental illness and the mentally ill, and how they can impede the implementation of interventions, services and programs based on recovery, empowerment and social integration approaches.
Executive cognitive function of older people with HIV/AIDS
- Authors:
- KIM Suk-Hee, et al
- Journal article citation:
- Journal of Human Behavior in the Social Environment, 18(1), 2008, pp.48-63.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Executive cognitive function is concerned with the planning, initiation, sequencing and monitoring of complex goal-directed behaviour, and can be directly measured using instruments such as the Executive Clock Drawing Task (CLOX) which comprises CLOX 1 (drawing a clock face set to a specified time) and CLOX 2 (copying a clock face set to the same time). This study analyses CLOX results from a purposive sample of 275 people, including 91 receiving primary medical care for HIV AIDS at eight clinics in a US metropolitan area, with the aim of identifying whether there was a significant difference in scores between those with and without HIV AIDS. This was not the case. The most significant factors associated with executive cognitive impairment were age (over 50) and gender (male).
Electroshocking the elderly: another psychiatric abuse
- Author:
- WEITZ Don
- Journal article citation:
- Journal of Critical Psychology Counselling and Psychotherapy, 8(4), Winter 2008, pp.241-248.
Women and older people, particularly old women, remain the chief targets of electro-convulsive therapy (ECT). The author looks at the use of ECT in the United States and Canada and calls for a ban of the procedure.
Purchasing power: getting the best for older people
- Authors:
- MANTHORPE Jill, ILIFFE Steve
- Journal article citation:
- Mental Health Today, November 2008, pp.26-29.
- Publisher:
- Pavilion
- Place of publication:
- Hove
The authors discuss some of the challenges facing commissioners who are purchasing mental health services for older people. They briefly highlight some of the main complexities which include: the complexity of older people's identities; the make up of workforces; the difficult nature of work with older people; and the multiple agencies involved in working with older people. It is argued that consistent application of a long-term strategy, which allows the accumulation of small changes across agencies and disciplines, is likely to be the key to success. It sets out the issues that need to be addressed, the pitfalls to avoid, and examines a series of objectives for commissioners.
Predicting longitudinal patterns of psychological distress in older husband caregivers: further analysis of existing data
- Authors:
- LEVESQUE Louise, et al
- Journal article citation:
- Aging and Mental Health, 12(3), May 2008, pp.333-342.
- Publisher:
- Taylor and Francis
Further analysis of existing data from a previous longitudinal Canadian study of older husband caregivers sought to determine whether primary objective and subjective stressors drawn from Pearlin's model of caregiving could predict three patterns of psychological distress observed in the sample over 1 year: (a) stable high (n = 115), (b) stable low (n = 44), and (c) rising (n = 46). Results of discriminant function analyses show that subjective stressors (level of role overload, role captivity and relational deprivation) at baseline, distinguish the stable low group of husbands from the stable-high. The results suggest that there is considerable stability over time. Many husband caregivers report high-psychological distress and need help, whereas there is a need of preventive interventions to keep psychological distress low. Implications for singular interventions.
A semi-structured interview to assess visual hallucinations in older people
- Authors:
- MOSIMANN Urs Peter, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 23(7), July 2008, pp.712-718.
- Publisher:
- Wiley
Visual hallucinations are under-reported by patients and are often undiscovered by health professionals. There is no gold standard available to assess hallucinations. The authors' objective was to develop a reliable, valid semi-structured interview for identifying and assessing visual hallucinations in older people with eye disease and cognitive impairment. They piloted the North-East Visual Hallucinations Interview (NEVHI) in 80 older people with visual and/or cognitive impairment (patient group) and 34 older people without known risks of hallucinations (control group). The informants of 11 patients were interviewed separately. They established face validity, content validity, criterion validity, inter-rater agreement and the internal consistency of the NEVHI and assessed the factor structure for questions evaluating emotions, cognitions, and behaviours associated with hallucinations. Recurrent visual hallucinations were common in the patient group (68.8%) and absent in controls (0%). The criterion, face and content validities were good and the internal consistency of screening questions for hallucinations was high (Cronbach alpha: 0.71). The inter-rater agreements for simple and complex hallucinations were good (Kappa 0.72 and 0.83, respectively). Four factors associated with experiencing hallucinations (perceived control, pleasantness, distress and awareness) were identified and explained a total variance of 73%. Informants gave more don't know answers than patients throughout the interview, especially to questions evaluating cognitions and emotions associated with hallucinations. It was concluded that NEVHI is a comprehensive assessment tool, helpful to identify the presence of visual hallucinations and to quantify cognitions, emotions and behaviours associated with hallucinations.
Does mental illness affect consumer direction of community-based care? Lessons from the Arkansas cash and counseling program
- Authors:
- SHEN C., et al
- Journal article citation:
- Gerontologist, 48(1), February 2008, pp.93-104.
- Publisher:
- Oxford University Press
Some argue that consumer-directed care may not be appropriate for consumers with intellectual disabilities or mental health diagnoses. This study examined how Cash and Counseling - a new option allowing consumers to manage an individualized budget equivalent to what agencies would have spent on their care - changes the way consumers with mental health diagnoses meet their personal care needs and how that affects their well-being. Using the Arkansas CCDE baseline and the 9-month follow-up data for individuals in the treatment and control groups, the study compared and contrasted the experience of elderly consumers with and without mental health diagnoses utilizing logit regression. After examining several outcome measures, including satisfaction with care arrangements and the paid caregiver's reliability and schedule, unmet needs, and satisfaction with the relationship with paid caregivers, this study found evidence that, from the perspective of consumers, the Cash and Counseling program works well for participants with mental health diagnoses.
Cardiac conditions
- Authors:
- PECK Michel D., AI Amy L.
- Journal article citation:
- Journal of Gerontological Social Work, 50(S1), 2008, pp.13-44.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Cardiovascular disease (CVD) is the leading cause of death in the USA, and the incidence of age-related CVD will inevitably increase with an aging population. There is increasing evidence of co-morbid mental health conditions in CVD patients, especially depression and anxiety, and this systematic review explores the empirical literature on psychosocial treatments. This identified three meta-analyses and 11 additional randomised controlled trials. The meta-analyses provide positive evidence for the benefits of psychosocial treatments on some primary health outcomes but these are less clear in subsequent trials. Further research is required. The paper concludes with a ‘treatment resource appendix’ directed at US practitioners. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).
We do everything
- Author:
- JACKSON Catherine
- Journal article citation:
- Mental Health Today, April 2008, pp.16-17.
- Publisher:
- Pavilion
- Place of publication:
- Hove
Home treatment provides brief, intensive care at home as an alternative to hospital admission. This article describes the work of the older people's home treatment team based at Penn Hospital at Wolverhampton, winners of the NIMHE Positive Practice Award for innovative commissioning. Their model reduces the risk of dependency and also helps older people re-engage with their families and communities.
Pause for thought
- Author:
- TAYLOR Amy
- Journal article citation:
- Community Care, 10.04.08, 2008, pp.30-31.
- Publisher:
- Reed Business Information
Carers are often too wrapped up in their duties to think about their needs. This article reports on a pilot project in Kensington and Chelsea, run by charity wpf Counselling and Psychotherapy and funded by the council. The project aimed to offer carers of older people and people with mental health problems counselling to help them gain independence. The article also contains a brief case study.