Search results for ‘Subject term:"mental health problems"’ Sort:
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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.
The role of symptom distress and goal attainment in promoting aspects of psychological recovery for consumers with enduring mental illness
- Authors:
- CLARKE Samantha P., et al
- Journal article citation:
- Journal of Mental Health, 18(5), October 2009, pp.389-397.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Goal striving is a major facilitator of psychological recovery from enduring mental health problems, and promotes meaning and self-identity. However, there is a lack of empirical data regarding the impact of goal progress and attainment on mental health outcome for consumers of mental health services with enduring mental illness. This study investigated whether baseline measures of symptoms, functioning and recovery are associated with greater goal progress. It also examined the impact of goal attainment on improvements in mental health outcome. Seventy-one consumers with enduring mental illness who were receiving case-management support from mental health services in eastern Australia participated. Level of attainment for case-management goals was examined against mental health outcome measures for the corresponding goal-setting period. Findings indicated that goal attainment mediated the relationship between baseline levels of symptom distress and progress on recovery constructs. Overall, the study found that when symptoms were perceived as less distressing service users were better able to progress toward their case-management goals, in turn promoting psychological recovery.
Recovery among youths referred to outpatient psychotherapy: reliable change, clinical significance, and predictors of outcome
- Authors:
- ASH Sarah E., WEIS Robert
- Journal article citation:
- Child and Adolescent Social Work Journal, 26(5), October 2009, pp.399-413.
- Publisher:
- Springer
The outcomes of 35,429 children and young people (5–17 years of age) referred to public outpatient psychotherapy programs in Ohio were examined. One year after intake, approximately 55% of youths showed statistically reliable symptom reduction whereas 8% showed reliable symptom exacerbation. Approximately one-third of the sample showed both reliable and clinically significant improvement. Outcomes varied significantly by informant, client age, and client gender. Results indicate that many children and young people improve during the course of therapy but most remain symptomatic 1 year after intake.
Young adult outcomes and mental health problems among transition age youth investigated for maltreatment during adolescence
- Authors:
- SOUTHERLAND Dannia, CASANUEVA Cecilia E., RINGEISEN Heather
- Journal article citation:
- Children and Youth Services Review, 31(9), September 2009, pp.947-956.
- Publisher:
- Elsevier
This American study examines the young adult outcomes of a nationally representative cohort of transition age youth who were involved with the Child Welfare System (CWS) during adolescence. The demographic and psychosocial characteristics, risk of mental health problems, and developmental milestones related to young adult outcome among these transition age youth are reported. The effect of risk for mental health problems on young adult outcomes, over and above other psychosocial risk factors were also examined. Many youth were living in poverty, getting married early and already parenting, involved with the criminal justice system and had high levels of mental health need. Being at risk for a mental health problem increased the likelihood of criminal justice system involvement for these youth. Youth transitioning to adulthood with a history of CWS involvement appear to be at risk for negative developmental outcomes. Findings are consistent with previous findings and highlight the risks associated with the transition to adulthood for youth who were involved with the CWS in adolescence.
Guided self-help supported by paraprofessional mental health workers: an uncontrolled before-after cohort study
- Authors:
- FARRAND Paul, et al
- Journal article citation:
- Health and Social Care in the Community, 17(1), February 2009, pp.9-17.
- Publisher:
- Wiley
There has been considerable development of guided self-help clinics within primary care. This uncontrolled before–after cohort study examines efficiency and effectiveness of these clinics when supported by paraprofessional mental health workers having little mental health training and experience. Data were collected by seven Graduate Mental Health Workers (GMHW) located in South-west England. Alongside an analysis of clinic attendance and dropout, efficiency was measured with respect to the number and length of sessions to support patients with the effectiveness of the interventions examined with respect to problem severity. Over a 15-month period, 1162 patients were referred to the GMHW clinics with 658 adopting guided self-help. Patients using guided self-help received an average input per patient, excluding assessment, of four sessions of 40 minutes. Dropout rate was comparable to other primary-care-based mental health clinics supported by experienced mental health professionals with 458 patients completing all support sessions. However, only 233 patients went on to attend the 3 months of follow-up session. Effectiveness of guided self-help clinics supported by paraprofessional mental health workers was comparable to that supported by an experienced mental health nurse. Improvements in problem severity were statistically significant, with 55% and 58% (final support session) and 63% and 62% (3 months of follow-up) of patients experiencing clinically significant and reliable change for anxiety and depression, respectively. However, concerns exist over the efficiency of the GMHW clinic especially with respect to the use of longer support sessions and high dropout rate at the 3 months of follow-up session. The paper concludes by highlighting the effectiveness of guided self-help when supported by paraprofessional mental health workers, but questions the utility of the two-plus-one model of service delivery proposing a collaborative care approach as an alternative.
User-defined outcomes in mental health: a qualitative study and consensus development exercise
- Authors:
- PERRY Alex, GILBODY Simon
- Journal article citation:
- Journal of Mental Health, 18(5), October 2009, pp.415-423.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
While there is an increase in the role of service-users in service planning, many of the most widely used outcome measures do not represent a service user perspective. This study analysed the views of two service-user focus groups to gauge their understanding of the concept of outcome. A formal consensus development method, the Delphi Panel, was then used to attempt to prioritise these outcome domains and to formulate consensus between participants. A total of 26 service users participated. Qualitative analysis identified a hierarchy of themes relating to outcome. Forty-four individual outcome domains were identified. These were grouped into six categories of personal and social changes: changes in myself; believing in change; satisfaction with treatment; managing independently; social contact and connection with society. Although no particular pattern could be identified in the items that were most strongly endorsed, two additional domains were produced that did not appear in the focus groups. Although the outcomes identified in this study overlapped with many commonly in use, there appeared to be a greater emphasis on non-clinical and social outcomes.
Adolescents in residential and inpatient treatment: a review of the outcome literature
- Authors:
- BETTMANN Joanna E., JASPERSON Rachael A.
- Journal article citation:
- Child and Youth Care Forum, 38(4), August 2009, pp.161-183.
- Publisher:
- Springer
Operationalizing treatment efficacy has become essential in the field of psychotherapy. Managed health care now requires psychotherapy to produce measurable outcomes and define success concretely. This requirement has resulted in research attempting to identify empirically supported and evidence-based treatments. This article presents a review of adolescent residential and inpatient outcome literature, for the purpose of identifying elements of successful programs and highlighting needed directions for research in the field.
Minor depression during adolescence and mental health outcomes during adulthood
- Authors:
- JOHNSON Jeffrey G., COHEN Patricia, KASEN Stephanie
- Journal article citation:
- British Journal of Psychiatry, 195(3), September 2009, pp.264-265.
- Publisher:
- Cambridge University Press
Data from a community-based prospective longitudinal study were used to investigate the association of minor depressive disorder during adolescence with adverse mental health outcomes during adulthood. Structured diagnostic interviews were administered to a community-based sample of 755 individuals during adolescence and adulthood. Results indicated that minor depressive disorder during adolescence was associated with elevated risk for subsequent psychiatric disorders during adulthood, including major depressive disorder, disruptive disorders and clinically relevant impairment after corresponding and co-occurring disorders were controlled statistically.
Effect of feedback of treatment outcome in specialist mental healthcare: meta-analysis
- Authors:
- KNAUP Carina, et al
- Journal article citation:
- British Journal of Psychiatry, 195(1), July 2009, pp.15-22.
- Publisher:
- Cambridge University Press
Feedback of treatment outcome during the course of therapy (outcome management) is increasingly considered to be beneficial for improving the quality of mental healthcare. This study aimed to review the impact of feedback of outcome to practitioners and/or patients in specialist mental health services. A systematic search and meta-analysis of controlled trials using outcome management in mental health services published in English or German language. Twelve studies met inclusion criteria. Feeding back outcome showed a small, but significant positive short-term effect on the mental health of individuals that did not prevail in the long run. Subgroup analysis revealed no significant differences regarding feedback modalities. Outcome management did not contribute to a reduction of treatment duration. The authors conclude that evidence on the effects of outcome management in mental healthcare is promising. More targeted research is needed in order to identify the effective ingredients of outcome feedback and to assess its cost-effectiveness.