Search results for ‘Subject term:"mental health problems"’ Sort:
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Qualitative research exploring the pathways to work sanctions regime
- Authors:
- MITCHELL Martin, WOODFIELD Kandy
- Publisher:
- Great Britain. Department for Work and Pensions
- Publication year:
- 2008
- Pagination:
- 100p.
- Place of publication:
- London
A new report from the Department for Work and Pensions, ‘Qualitative research exploring the pathways to work sanctions regime’ has found that the use of benefits sanctions: Worsens existing health problems; Provokes new mental health problems; Has a worse impact on the most deprived and isolated people; Rarely improves positive engagement; Is poorly understood by people .The conclusions of the report suggest that benefit sanctions should play a more limited role
ADHD in adults: what the science says
- Authors:
- BARKLEY Russell A., MURPHY Kevin R., FISCHER Mariellen
- Publisher:
- Guilford Press
- Publication year:
- 2008
- Pagination:
- 500p., bibliog.
- Place of publication:
- New York
Providing a new perspective on ADHD in adults, this book analyzes findings from two major studies directed by Russell A. Barkley. Information is presented on the significant impairments produced by the disorder across major functional domains and life activities, including educational outcomes, work, relationships, health behaviours, and mental health. Thoughtfully considering the treatment implications of these findings, the book also demonstrates that existing diagnostic criteria do not accurately reflect the way ADHD is experienced by adults, and points the way toward developing better criteria that centre on executive function deficits. Accessible tables, figures, and sidebars encapsulate the study results and offer detailed descriptions of the methods used.
The extension of a set of needs-led mental health clusters to accommodate people accessing UK intellectual disability health services
- Authors:
- PAINTER Jon, et al
- Journal article citation:
- Journal of Mental Health, 27(2), 2018, pp.103-111.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Background: A development of a needs-led mental health classification system based on the Health of the National Outcome Scales (HoNOS) has previously been developed. Aims: To extend the needs-based mental health (MH) clusters to accommodate the additional needs of people accessing UK intellectual disabilities health services. Method: Hierarchical cluster analysis was performed on assessment data from 18 National Health Service (NHS) provider organisations. The statistical results were clinically shaped through multi-disciplinary workshops. The resulting clusters were combined with six independently rated measures for a second data collection exercise. Based on these data, refinements were made before performing internal and external validity checks.Results: Eight additional clusters for people with health needs associated with their intellectual disabilities were produced. Three described primarily physical health (PH) needs, four described needs arising from behaviours which challenged (with/without autism) whilst one described people with generally low needs. Together, these covered 83.4% of cases with only a 10% overlap. The clusters were replicable and had clinical utility and validity. Conclusions: It was possible to extend the needs-led mental health classification system to capture the additional needs of people accessing UK intellectual disability services. (Edited publisher abstract)
The impacts of child sexual abuse: a rapid evidence assessment
- Authors:
- FISHER Cate, et al
- Publisher:
- Independent Inquiry into Child Sexual Abuse
- Publication year:
- 2017
- Pagination:
- 196
- Place of publication:
- London
This rapid evidence assessment (RAE) summarises the existing evidence for the impacts of child sexual abuse on victims and survivors throughout their lives, in relation to physical health, emotional wellbeing and mental health; externalising behaviours, interpersonal relationships, socio-economic impact, religious and spiritual beliefs and vulnerability to revictimisation. The REA also looks at impact of CSA on the families of victims and survivors and wider society. Searches were conducted using peer-reviewed journal databases and sources of grey literature during 2016 and the results of over 200 of the most relevant and robust studies were synthesised for the report. The review found compelling evidence that CSA is associated with an increased risk of adverse outcomes in almost every sphere of victims and survivors’ lives, and that this risk can persist across their lifespan. It also identified impacts for family members of the victims and survivors, and for wider society in both financial and less tangible ways. The evidence also shows that resilience and recovery are possible for victims and survivors. Protective factors identified include the receipt of effective support services and a positive and sensitive response from family, friends and professionals following disclosure of CSA. The review identifies evidence gaps in a number of areas, including the impact of CSA on pre-adolescent and older (65 plus) victims and survivors, as well as on black and minority ethnic (BME), lesbian, gay, bisexual and transgender (LGBT) and disabled people. (Edited publisher abstract)
Bridging the gap from availability to accessibility: providing health and mental health services in schools
- Author:
- MANNING Amy R.
- Journal article citation:
- Journal of Evidence-Based Social Work, 6(1), January 2009, pp.40-57.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
The author argues that, although much time and energy has been spent in recent years discussing and improving health benefit coverage and affordability for children in the United States, physical access to services has not kept pace with these changes. Four major physical health issues (obesity, diabetes, asthma and teen pregnancy/sexually transmitted diseases) and five key mental health issues (suicide, depression, ADHD, aggression, and violence) facing young people and their impact on health and education outcomes are discussed. The value of health screening in schools and school-based health clinics is then highlighted. The author concludes that having both health and mental health issues universally addressed in schools is something to aim for. With schools as a central feature in the lives of children, adolescents and their families, school based health clinics have a place in all communities, not just urban centres. By implementing enhanced screening measures and providing prevention and treatment services for physical and mental health issues where children and adolescents are, it may be possible to change the present trajectory and improve the lives of this generation.
The mental and physical health difficulties of children held within a British immigration detention center: a pilot study
- Authors:
- LOREK Ann, et al
- Journal article citation:
- Child Abuse and Neglect, 33(9), September 2009, pp.573-585.
- Publisher:
- Elsevier
The present study aimed to assess the mental and physical health of children held within a British immigration detention centre. A total of 24 detained children (aged 3 months to 17 years) were assessed with their parents or carer after being referred by a registered legal charity. During the psychological assessment of 11 children, 8 met criteria for psychiatric “caseness” on the Strengths and Difficulties Questionnaire. All 11 reported symptoms of depression and anxiety. Sleep problems, somatic complaints, poor appetite, emotional symptoms, and behavioural difficulties were common. Symptoms of global distress were also reported by all 9 parents. According to paediatric assessment 8 out of 20 children had lost weight. Six had missed health appointments and 2 were taken to hospital. Detained children were found to be experiencing mental and physical health difficulties of recent onset, which appeared to be related to the detention experience. These findings suggest that current UK policies regarding the detention of children for purposes of immigration control should be re-examined. Detained families had very limited access to appropriate assessment, support or treatment. The traumatic experience of detention itself also has implications for the sizeable proportion of psychologically distressed children who are eventually released from detention and expected to successfully reintegrate into British society; while those children who are deported are returned with increased vulnerability to future stressors.
Work and family divided across borders: the impact of parental migration on Mexican children in transnational families
- Authors:
- LAHAIE Claudia, et al
- Journal article citation:
- Community Work and Family, 12(3), August 2009, pp.299-312.
- Publisher:
- Taylor and Francis
Using new data collected in high emigration communities within Mexico, the impact of partial family migration on children left behind in Mexico is explored. Multivariate results suggest that households where respondents have a spouse who was a caregiver and who migrated to the USA are more likely to have at least one child with academic, behavioural, and emotional problems than non-migrant households. This finding supports efforts to decrease the need for families to cross borders either by decreasing the economic necessities for migration or by designing immigration policies aimed at decreasing the separation of families across borders and increasing family support after a caregiver's departure to the USA. The end goal of these efforts and policies is to improve children's health and well-being in communities with high levels of migration.
The health of the nation outcome scales for people with learning disabilities (HoNOS-LD)
- Authors:
- ROY Ashok, et al
- Publication year:
- 2002
- Pagination:
- 55p., disc
- Place of publication:
- London
The Health of the Nation Outcome Scales for People with Learning Disabilities (HoNOS-LD) is the result of collaboration between the Royal College of Psychiatrists, the British Psychological Society and the Department of Health. HoNOS-LD measures global outcomes (improvement or deterioration) in people with learningdisabilities who have additional mental health needs.
How are you? Further development of a generic quality of life outcome measure
- Authors:
- CLIFFORD Paul I., et al
- Journal article citation:
- Journal of Mental Health, 11(4), August 2002, pp.389-404.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
The methods described in the 'How Are You?' measures are designed to meet the need for a broad-based self-report tool that integrates the recording of health and social problems and the measurement of quality of life outcomes within routine practice. This article describes the process of revising the original How Are You? Utilizing a series of factor analyses, we hoped to confirm that items that were theoretically coherent aggregated empirically, with the goal of refining the measure for outcome analyses and comparisons with other outcomes measures. Based upon data from both the USA and the UK, the factor analyses confirmed the How Are You? theoretical structure and identified a new factor, referred to as 'Risk' that measures emotional dyscontrol and symptoms that can be associated with psychosis. The advantages of the refined scale include shorter length, a broad set of quality of life domains and the instruction to the respondent to identify key problems that are of most concern. The revisions will allow for a more valid assessment of outcome.
Recognising the importance of physical health in mental health and intellectual disability: achieving parity of outcomes
- Author:
- BRITISH MEDICAL ASSOCIATION. Science and Education Department
- Publisher:
- British Medical Association
- Publication year:
- 2014
- Pagination:
- 100
- Place of publication:
- London
This report outlines what needs to be done to support doctors and the medical profession in meeting the health needs of people with mental health problems and also those with intellectual disabilities and tackling health inequalities. It sets out a range of core actions to ensure that each patient receives ‘whole person’ care. The report defines mental health, intellectual disability and physical health and looks at current prevalence in the UK. It then examines the relationship between mental health, intellectual disabilities and physical health the mechanisms of co-morbidity ; the barriers people with learning disabilities and mental health problems experience when accessing health services and the importance of promoting parity of esteem between mental health, intellectual disability, and physical health. The conclusion sets out steps that need to be taken in the following key areas: promoting prevention and early intervention strategies; delivering ‘joined-up’ care; enhancing training and workforce planning; encouraging a greater research focus on mental-physical multi-morbidity. (Original abstract)