Search results for ‘Subject term:"mental health problems"’ Sort:
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Recovery: a selective review of the literature and resources
- Authors:
- CARSON Jerome, McMANUS Gordon, CHANDER Anant
- Journal article citation:
- Mental Health and Social Inclusion, 14(1), February 2010, pp.35-44.
- Publisher:
- Emerald
There has been a huge increase in the literature and resources devoted to the topic of recovery. Recovery is a concept that has been embraced by service users, professionals, mental health planners, and governments. In this review, the authors offer a selection of what they feel are the top 10 on the topic of recovery in the following categories: journal papers; policy papers and reports; books; and websites. In addition, Gordon McManus, who has been diagnosed with paranoid schizophrenia, gives his personal thoughts on his reading around recovery. The review ends with some reflections on the topic. It concludes that recovery was grounded in a ‘grassroots advocacy movement’, but there are real dangers that mental health professionals may try and divert the movement away from its focus on service users, towards scientific research and randomised controlled trials.
Cost and health impacts of adherence to the National Institute for Health and Care Excellence schizophrenia guideline recommendations
- Authors:
- JIN Huajie, et al
- Journal article citation:
- British Journal of Psychiatry, 218(4), 2021, pp.224-229.
- Publisher:
- Cambridge University Press
Background: Discrepancies between the National Institute for Health and Care Excellence (NICE) schizophrenia guideline recommendations and current clinical practice in the UK have been reported. Aims: We aim to assess whether it is cost-effective to improve adherence to the NICE schizophrenia guideline recommendations, compared with current practice. Method: A previously developed whole-disease model for schizophrenia, using the discrete event simulation method, was adapted to assess the cost and health impacts of adherence to the NICE recommendations. Three scenarios to improve adherence to the clinical guidelines were modelled: universal provision of cognitive–behavioural therapy for patients at clinical high risk of psychosis, universal provision of family intervention for patients with first-episode psychosis and prompt provision of clozapine for patients with treatment-resistant schizophrenia. The primary outcomes were lifetime costs and quality-adjusted life-years gained. Results: The results suggest full adherence to the guideline recommendations would decrease cost and improve quality-adjusted life-years. Based on the NICE willingness-to-pay threshold of £20 000–£30 000 per quality-adjusted life-year gained, prompt provision of clozapine for patients with treatment-resistant schizophrenia results in the greatest net monetary benefit, followed by universal provision of cognitive–behavioural therapy for patients at clinical high risk of psychosis, and universal provision of family intervention for patients with first-episode psychosis. Conclusions: Our results suggest that adherence to guideline recommendations would decrease cost and improve quality-adjusted life-years. Greater investment is needed to improve guideline adherence and therefore improve patient quality of life and realise potential cost savings. (Edited publisher abstract)
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.
How substance use affects people with mental illness
- Author:
- HOLLAND Mark
- Journal article citation:
- Nursing Times, 16.6.99, 1999, pp.46-48.
- Publisher:
- Nursing Times
Reports on the findings of a recent survey which suggests that more attention needs to be paid to this area.
Psychosocial interventions in the treatment of psychosis
- Authors:
- BAGULEY Ian, BAGULEY Clare
- Journal article citation:
- Mental Health Care, 2(9), May 1999, pp.314-317.
- Publisher:
- Pavilion
In the third of a bi-monthly clinical update series, the authors describe the use and outcomes of psychosocial interventions to treat psychosis.
Key elements of a family intervention for schizophrenia: a qualitative analysis of an RCT
- Authors:
- GRACIO Jaime, GONÇALVES‐PEREIRA Manuel, LEFF Julian
- Journal article citation:
- Family Process, 57(1), 2018, pp.100-112.
- Publisher:
- Wiley
Schizophrenia is a complex biopsychosocial condition in which expressed emotion in family members is a robust predictor of relapse. Not surprisingly, family interventions are remarkably effective and thus recommended in current treatment guidelines. Their key elements seem to be common therapeutic factors, followed by education and coping skills training. However, few studies have explored these key elements and the process of the intervention itself. We conducted a qualitative and quantitative analysis of the records from a pioneering family intervention trial addressing expressed emotion, published by Leff and colleagues four decades ago. Records were analyzed into categories and data explored using descriptive statistics. This was complemented by a narrative evaluation using an inductive approach based on emotional markers and markers of change. The most used strategies in the intervention were addressing needs, followed by coping skills enhancement, advice, and emotional support. Dealing with overinvolvement and reframing were the next most frequent. Single‐family home sessions seemed to augment the therapeutic work conducted in family groups. Overall the intervention seemed to promote cognitive and emotional change in the participants, and therapists were sensitive to the emotional trajectory of each subject. On the basis of our findings, we developed a longitudinal framework for better understanding the process of this treatment approach. (Edited publisher abstract)
Effect of the adapted virtual reality cognitive training program among Chinese older adults with chronic schizophrenia: a pilot study
- Authors:
- CHAN Christopher L. F., et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 25(6), June 2010, pp.643-649.
- Publisher:
- Wiley
One emerging development in cognitive rehabilitation in recent years is the application of virtual reality (VR) based technologies, used to produce a relatively lifelike situation. This paper examined the effect of an adapted virtual reality cognitive training programme, the Interactive Rehabilitation Exercise System (IREX), in older adults with chronic schizophrenia. Twelve older people with chronic schizophrenia were recruited from a long-stay care setting and were assigned into VR intervention, and a further fifteen assigned to a control group. The intervention group received 10-session of VR programme that consisted of 2 VR activities using IREX. The control group attended the usual programmes in the setting. Findings showed that after the 10-session intervention, older people with chronic schizophrenia preformed significantly better than the control group in overall cognitive function, and in two cognitive subscales – repetition and memory. These participants engaged in the VR activities voluntarily. No instances of cyber-sickness were observed. In conclusion, the authors suggest that the results of the current study indicate that engaging in the adapted virtual reality cognitive training programme offered the potential for significant gains in cognitive function of older people with chronic schizophrenia.
Developing and using social capital in public mental health
- Author:
- FALZER Paul R.
- Journal article citation:
- Mental Health Review Journal, 12(3), October 2007, pp.34-42.
- Publisher:
- Emerald
Social capital has played a prominent role in recent initiatives to improve mental health and enhance the quality of services. However, efforts to substantiate a link between social capital and mental health have been daunted by equivocal findings and conceptual confusion. These consequences are in part due to having two prominent approaches that offer disparate and inconsistent accounts about what comprises social capital, how to increase it and how to use it to benefit mental health policy and practice. This paper lays the groundwork for a rapprochement.
What are the benefits of evidence-based supported employment for patients with first-episode psychosis?
- Authors:
- RINALDI Miles, et al
- Journal article citation:
- Psychiatric Bulletin, 28(8), August 2004, pp.281-284.
- Publisher:
- Royal College of Psychiatrists
The aim was to examine the effectiveness of integrating evidence-based supported employment into an early intervention service for young people with first-episode psychosis. Demographic, clinical and vocational data were collected over a 12-month period to evaluate the effect on vocational outcomes at 6 months and 12 months of the employment of a vocational specialist, and to assess model fidelity. Following vocational profiling and input from the vocational specialist and the team, there were significant increases in the proportion of clients engaged in work or educational activity over the first 6 months of the intervention, and in a subsample over a second 6-month period. The evidence-based Supported Employment Fidelity Scale was used to measure the degree of implementation, which scored 71, signifying ‘good implementation’. The results suggest that implementing evidence-based supported employment within an early intervention service increases employment and education opportunities for patients within the service.
The open dialogue approach to acute psychosis: its poetics and micropolitics
- Authors:
- SEIKKULA Jaakko, OLSON Mary E.
- Journal article citation:
- Family Process, 42(3), 2003, pp.403-418.
- Publisher:
- Wiley
Reports on a network-based, language approach to psychiatric care, Open Dialogue, which has emerged in Finland. The approach includes two levels of analysis, the poetics and the micropolitics. The poetics include three principles: tolerance of uncertainty, dialogism, and polyphony in social networks. A treatment meeting shows how these poetics operate to generate a therapeutic dialogue. The micropolitics are the larger institutional practices that support this way of working and are part of Finnish Need-Adapted Treatment. Recent research suggests that Open Dialogue has improved outcomes for young people in a variety of acute, severe psychiatric crises, such as psychosis, as compared to treatment-as-usual settings.