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Evaluation of a pilot project for mental health screening for children looked after in an inner London borough
- Authors:
- NEWLOVE-DELGADO Tamsin, MURPHY Elizabeth, FORD Tamsin
- Journal article citation:
- Journal of Children's Services, 7(3), 2012, pp.213-225.
- Publisher:
- Emerald
This study evaluated the feasibility of a screening test for looked after children in order to identify undetected psychiatric disorders. Children aged 4 to 16 in care in the London Borough of Southwark for four consecutive months were eligible for screening. Where the Strengths and Difficulties Questionnaire suggested that a psychiatric disorder was possible, participants were then invited to complete the Developmental and Well-Being Assessment, which was rated by a senior psychiatrist to generate diagnoses if appropriate. Findings revealed that that over one year, 23 children were eligible for screening, a total of 18 underwent the initial stage of screening, and 7 were subsequently diagnosed with a formal psychiatric disorder. The authors concluded that the study highlighted the unmet need for mental health interventions among children looked after by the local authority, and confirmed the feasibility of a simple screening protocol.
People with mental health conditions and pathways to work
- Authors:
- HUDSON Maria, et al
- Publisher:
- Great Britain. Department for Work and Pensions
- Publication year:
- 2009
- Pagination:
- 131p., bibliog.
- Place of publication:
- London
This qualitative research project aimed to identify how Jobcentre Plus Pathways to Work may better meet the needs of the mental health client group. The research explored the reasons why Pathways has yielded mixed results for clients with mental health conditions and what helps contribute to good outcomes. Fieldwork was carried out between January 2008 and February 2009 across 3 Jobcentre Plus districts. An iterative qualitative research design was used including interviews with Jobcentre Plus and non-Jobcentre Plus staff working with people with mental health conditions, incapacity benefit claimants with mental health conditions, and service provider workshops. The study focused on the areas of: Jobcentre Plus and non-Jobcentre Plus staff perceptions and experiences of working with people with mental health conditions and Pathways to Work; clients' attitudes towards and beliefs about work; clients’ experiences and perceptions of Work Focused Interviews; and clients’ experiences and perceptions of referrals; and other services and issues in entering and sustaining paid work. Many clients were satisfied with the help they received from Jobcentre Plus Pathways, though many mandatory clients felt that the opportunity to participate had not come at the right time for them. A range of suggestions are made for improvement to Pathways emerging from this research.
Emotional well-being and mental health of looked after children in England
- Authors:
- MCAULEY Colette, DAVIS Teresa
- Journal article citation:
- Child and Family Social Work, 14(2), May 2009, pp.147-155.
- Publisher:
- Wiley
This article examines the evidence on prevalence of mental health problems amongst looked after children in England. In previous national prevalence studies forty-five per cent of looked after children in England were found to have a diagnosable mental health disorder. In contrast, this is to one in 10 in the general population. Carers estimated that mental health problems were even more widespread. Children with mental health disorders were also more likely to have education, health and social issues. This paper discusses the findings and argues for early intervention along with inter-departmental and interdisciplinary approaches. The recent Child and Adolescent Mental Health Services Review clearly indicates that issues of access to appropriate and timely Child and Adolescent Mental Health Services remain. However, the introduction of evidence-based approaches is encouraging. Young people's views on the services they want and on what is important for emotional well-being and mental health are important considerations.
Can CORE assessment data identify those clients less likely to benefit from brief counselling in primary care?
- Authors:
- SAXON David, IVEY Catherine, YOUNG Tracey
- Journal article citation:
- Counselling and Psychotherapy Research, 8(4), December 2008, pp.223-230.
- Publisher:
- Wiley
Studies show that counsellors in primary care see many clients with difficulties of a severity similar to those found in secondary care services. Evidence from both RCTs and studies of routinely collected data indicates that many of these 'clinical' clients benefit from brief counselling intervention. However, little is known about why some benefit while others fail to do so despite completing their counselling contract. This paper considers client characteristics recorded at assessment and aims, using logistic regression analysis, to identify those characteristics predictive of a poor outcome. Results indicate that a number of characteristics are associated with poor outcome; the most important predictors are economic inactivity and aspects of the patient's condition, particularly continuous/recurrent depression, with some differences between genders. However, the models produced were not acceptable in their predictive power. This may be partly due to data quality issues or important characteristics not being available in the data. The paper concludes that being unemployed or on state benefits may be a proxy measure of severity that has an important impact on outcome for all patients, and particularly for males. Some reasons are suggested and areas of future research are identified.
Art for mental health's sake
- Authors:
- SECKER Jenny, et al
- Journal article citation:
- Mental Health Today, July 2007, pp.34-36.
- Publisher:
- Pavilion
- Place of publication:
- Hove
In 2005 the Development for Culture, Media and Sport and the Department of Health jointly commissioned a study to contribute to the evidence base on the benefits for mental health of participation of arts work. This article reports findings from two key strands of the second phase of the research: an outcomes study providing quantitative evidence of the benefits of arts participation for people with mental health needs, and a series of qualitative case studies of six arts and mental health projects that explored how people benefited from arts participation.
Side effects: mental health service users’ experiences of the side effects of anti-psychotic medication
- Author:
- RETHINK
- Publisher:
- Rethink
- Publication year:
- 2006
- Pagination:
- 10p.
- Place of publication:
- London
This report based on the real-life experiences of mentally ill people taking medicines, highlights the need for three points of action – first, a recognition that side-effects are very important, their impacts are significant to individuals; secondly more choice over medicines and appropriate information sharing; thirdly more investment in the search for a third generation of medicines that are more effective in controlling symptoms and have even fewer and less severe side effects.
Psychodynamic psychotherapy: an effectiveness study
- Author:
- ROSEBOROUGH David J.
- Journal article citation:
- Research on Social Work Practice, 16(2), March 2006, pp.166-175.
- Publisher:
- Sage
This effectiveness study used a secondary analysis of data from a multidisciplinary, psychodynamic mental health clinic in the United States. It used a single-group, within-subjects longitudinal design. The psychometrically validated Outcome Questionnaire was used as a measure of change. A linear mixed and random effects model was used to analyze the data. The aims of this study were (a) to look at whether patients improve and (b) if so, at what variables moderate outcome. Findings suggest that psychodynamic treatment, provided within this practice configuration, is effective over time, producing moderate effect sizes, and points to the particular importance of the first 3 months.
Lines in the sand: final report
- Authors:
- SIMONS Ken, RUSSELL Oliver
- Publisher:
- Norah Fry Research Centre
- Publication year:
- 2003
- Pagination:
- 129p.
- Place of publication:
- Bristol
A research project on the interface between mental health and learning disability services. The main objective of this research project, which was funded by the South West Regional NHS Research and Development Directorate, was to carry out an audit of ‘pressure points’ within services for people with learning disabilities and mental health needs in South West England. A retrospective two-year census of case files (n=348) was carried out, supplemented by in-depth interviews with key clinical staff (n=30), and semi-structured interviews with commissioners from Valuing People Partnership Boards (n =10) and Local Implementation Teams for the National Service Framework for Mental Health (n=9). The main outcome measures were descriptions of patterns of service use, along with the presence (or otherwise) of disputes and/or joint working, set in the context of the views of providers and commissioners.
Outcomes of crises before and after introduction of a crisis resolution team
- Authors:
- JOHNSON Sonia, et al
- Journal article citation:
- British Journal of Psychiatry, 187(1), July 2005, pp.68-75.
- Publisher:
- Cambridge University Press
Crisis resolution teams (CRTs) are being introduced throughout England, but their evidence base is limited. The aim was to compare outcomes of crises before and after introduction of a CRT. A new methodology was developed for identification and operational definition of crises. A quasi-experimental design was used to compare cohorts presenting just before and just after a CRT was established. Following introduction of the CRT, the admission rate in the 6 weeks after a crisis fell from 71% to 49% (OR 0.38, 95% CI 0.21-0.70). A difference of 5.6 points (95% CI 2.0-8.3) on mean Client Satisfaction Questionnaire (CSQ-8) score favoured the CRT. These findings remained significant after adjustment for baseline differences. No clear difference emerged in involuntary hospitalisations, symptoms, social functioning or quality of life. CRTs may prevent some admissions and patients prefer them, although other outcomes appear unchanged in the short term.
The effect of physical ill health on the course of psychiatric disorder in general practice
- Authors:
- KISELY S.R., GOLDBERG D.P.
- Journal article citation:
- British Journal of Psychiatry, 170, June 1997, pp.536-540.
- Publisher:
- Cambridge University Press
Looks at a study to determine the effect of physical morbidity on the outcome of patients with psychiatric disorder, and compares the effects of non-medically and medically explained symptoms. Results found that medically explained somatic symptoms were strongly related to psychological outcome one year later. Concludes that physical ill-health is shown to make an independent contribution to psychological outcome, and that specific needs of these patients should receive greater attention.