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Counselling older people: a systematic review
- Authors:
- HILL Andrew, BRETTLE Alison
- Publisher:
- British Association for Counselling and Psychotherapy
- Publication year:
- 2004
- Pagination:
- 92p.
- Place of publication:
- Rugby
The Government’s National Service Framework for older people has been developed in response to the ageing UK population with a consequential need to expand health and social care services for older people. The importance of mental health care for older people as an area of public policy has also been recognised, the under-detection of mental illness in older people having been identified as a key issue. Counselling can play a key role in this area of service provision but the evidence base to demonstrate its effectiveness with this client group has not been established. The Centre for Social Work and Social Care and the Health Care Practice Unit undertook this systematic review of the literature relating to counselling and older people funded by The British Association of Counselling and Psychotherapy.
Measuring community preferences for public mental health services: pilot test of a mail survey method
- Authors:
- SHUMWAY Martha, et al
- Journal article citation:
- Community Mental Health Journal, 40(4), August 2004, pp.281-295.
- Publisher:
- Springer
This study tested the feasibility of a simple mail survey approach to measuring community preferences for mental health services. A 38 item survey detected statistically significant differences in preferences for four central goals, finding that community members most value Focus on the Severely Mentally III, followed by Community Safety and Environment, Service Quality and Original Community Mental Health Goals. Some procedural problems were encountered that reduced the response rates, however, the study yielded information that suggests improved procedures for future surveys. Simple mail surveys appear to offer a potentially affordable, efficient way to assess community service priorities.
Working all together
- Authors:
- THOMAS Tina, SECKER Jenny, GROVE Bob
- Journal article citation:
- Mental Health Today, June 2004, pp.30-33.
- Publisher:
- Pavilion
- Place of publication:
- Hove
Job retention schemes have an essential role in a recovery orientated mental health service. This article looks at a job retention team (JRT) based in Avon and Wiltshire Mental Health Partnership Trust (AWMHTP). The JRT operates on a case management model, and offers a free service to people in employment currently experiencing mental health problems and at a risk of loosing their jobs as a result. The ultimate aim of the pilot is to develop a model for job retention services across the UK. Summarises findings from a qualitative evaluation of the project's first year of operation, from June 2002 to May 2003. Semi-structured interviews were conducted with 13 of the 29 clients with whom the JRT had worked over the 12 months, 5 of their employers, 6 of their GPs and 2 case managers.
Short and long-term effects of terrorist attacks in Spain
- Authors:
- BACA Enrique, et al
- Journal article citation:
- Journal of Aggression Maltreatment and Trauma, 9(1/2), 2004, pp.157-170.
- Publisher:
- Taylor and Francis
This article illustrates the effects of terrorism on its victims. The authors conducted a study on a sample of 2,998 Spanish victims of terrorism (1997-2001). Victims were evaluated with the General Health Questionnaire (28-item version). A much higher prevalence of psychiatric symptoms (mainly anxiety and psychosomatic symptoms) among the victims than in the general population was found. This was maintained over time. There was a correlation between the degree of harm due to the attack and the severity of the psychopathology. It is concluded that terrorist attacks are risk factors that will affect some of their victims for a lifetime.
Traumatic loss, complicated grief, and terrorism
- Authors:
- PIVAR Ilona L., PRIGERSON Holly G.
- Journal article citation:
- Journal of Aggression Maltreatment and Trauma, 9(1/2), 2004, pp.277-288.
- Publisher:
- Taylor and Francis
The experience of losing loved ones is an inevitable outcome of acts of terror. In assessing mental health outcomes in survivors of such acts, researchers have frequently not measured the distress of bereavement even when losses occur. This article defines current concepts of complicated and traumatic grief and reviews the progress researchers have made in measuring the full extent of distress caused by violent and traumatic events. The authors suggest that measurement of complicated and traumatic grief must be included in research and assessment protocols within cultural contexts in order to develop successful treatments for survivors of terrorist acts.
The importance of work as compared to other forms of daily occupations for wellbeing and functioning among persons with long-term mental illness
- Authors:
- EKLUND Mona, HANSSON Lars, AHLQVIST Carin
- Journal article citation:
- Community Mental Health Journal, 40(5), October 2004, pp.465-477.
- Publisher:
- Springer
This study investigated the importance of competitive work as compared to participating in community-based activities and having no regular daily activity for people with long-term mental illness. One hundred and three persons visiting an outpatient unit and representing the three targeted occupational conditions were randomized to the study and assessed on satisfaction with daily occupations, health, and wellbeing. Persons with work were more satisfied with their daily occupations and were interviewer-rated as better functioning than the other groups, but the groups did not differ on self-ratings of health and wellbeing. Unexpectedly, people participating in community-based activities did not show better satisfaction or functioning than those without regular daily activity. It was concluded that competitive work should be an urgent end goal for services designed for occupational or vocational support.
The impact of day hospital closure on social networks, clinical status, and service use: a naturalistic experiment
- Authors:
- GODDARD Kim, BURNS Tom, CATTY Jocelyn
- Journal article citation:
- Community Mental Health Journal, 40(3), June 2004, pp.223-234.
- Publisher:
- Springer
Little research is conducted on service closures. We examined the social, clinical and service use impact of the closure of a partial hospitalisation service (day hospital) on its users. Patients attending the closing day hospital were studied at closure and one year after, and compared to patients at an unchanged day hospital. : The closure did not increase use of inpatient beds, primary care or emergency room. Overall clinical improvements were similar for both groups as were costs. Social networks of the discharged patients decreased. Closures of services need to be as carefully evaluated as new developments.
The Camberwell Assessment of Need and Behaviour and Symptom Identification Scale as routine outcome measures in a psychiatric disability rehabilitation and support service
- Authors:
- TRAUER Tom, TOBIAS Glen
- Journal article citation:
- Community Mental Health Journal, 40(3), June 2004, pp.211-221,.
- Publisher:
- Springer
While routine outcome measurement is being progressively introduced into mental health services, there is little evidence of its potential in disability rehabilitation and support services. We report the introduction of a measure of need and a self-report measure of mental health problems in such a service in which most of the consumers have a principal diagnosis of a schizophrenia-spectrum disorder. The authors found that just over half of the consumers with a key worker were able and willing to complete these instruments. On average, consumers' self-ratings suggested only moderate levels of mental health problems, and consumers with schizophrenia identified lower levels of need than their key workers. Assessments of need showed more stability over time than assessments of mental health problems.
Is engagement associated with outcome in assertive outreach?
- Authors:
- MEADEN Alan, et al
- Journal article citation:
- Journal of Mental Health, 13(4), August 2004, pp.415-424.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Many studies have examined the impact of Assertive Outreach management on hospital usage. However, there has been little attempt to examine the possible role of engagement in reducing hospital usage despite the emphasis on the importance of engagement in delivering care in such services. The main aim of the study was to investigate the relationship between engagement and hospital usage. An observer rated measure of engagement was completed on 45 clients who had been under the management of an Assertive Outreach team (AOT) for a minimum of 1 year. This was compared (together with clinical and demographic factors) to hospital usage; notably bed days and admission rates before AOT and under AOT. Certain indices of engagement were associated with fewer admissions and less bed days under AOT: perceived usefulness of treatment, quality of client-therapist interaction and openness. Engagement factors which were least predictive of outcome were those concerning compliance with medication and appointment keeping. Clients' overall level of engagement was not associated with reduced hospital usage. Assertive Outreach management was associated with a reduction in the number of admissions per year but not with fewer bed days per year. Client Engagement is useful in AOT populations and may be a useful outcome indicator for the Future.
A culture of enquiry: research evidence and the therapeutic community
- Editor:
- LEES Jan
- Publisher:
- Jessica Kingsley
- Publication year:
- 2004
- Pagination:
- 336p.,bibliogs.
- Place of publication:
- London
Research is an increasing priority for workers throughout the mental health sector, and therapeutic communities are no exception. Those working in TCs increasingly have to justify the success and efficiency of their methods to outside bodies, and the prime means of doing so is through research. This volume collects a wide range of papers by contributors discussing all aspects of TC research. They consider questions of which methods are most appropriate in the unique environment of TCs, how research studies affect the TC environment, as well as practical and ethical questions. The book also includes accounts of several research studies undertaken at, among other places, the Cassel Hospital.