Search results for ‘Subject term:"mental health problems"’ Sort:
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Is case management effective for people with serious mental illness? a research review
- Author:
- RUBIN Allen
- Journal article citation:
- Health and Social Work, 17(2), May 1992, pp.138-150.
- Publisher:
- Oxford University Press
Reviews recent outcome studies on case management and concludes that the hypothesis that it is effective for people with serious mental illness has not been disproved but that further research is needed to establish its efficacy.
Families with parental mental health problems: a systematic narrative review of family-focused practice
- Authors:
- LAGDON Susan, et al
- Journal article citation:
- Child Abuse Review, 30(5), 2021, pp.400-421.
- Publisher:
- Wiley
The mental health problems of parents can negatively affect their whole family. The organisational and wider context may also influence the outcomes for all involved. The aims of this systematic review were: to develop a working definition of family-focused practice (FFP); identify the types of outcomes that are measured with a focus on service user experiences; and explore how well interventions in the included studies fit with previously established components of FFP. A comprehensive literature search of 16 databases was conducted for peer-reviewed, primary research studies related to FFP published between 1998 and 2016. In total, 3731 articles were identified and screened by four reviewers. Of those, 40 articles met all of the inclusion criteria. The review focused on family outcomes and, consistent with previous reviews, there was a reasonable degree of consistency about the core components of FFP. An additional component, identified by this review, which was part of some interventions, was work to improve access to and engagement with community supports and services. The review concludes that there is a need for: an agreed definition of FFP; clearer links to relevant theories; a more consistent approach to measuring outcomes, including economic perspectives; and an increased strategic promotion of whole family approaches. (Edited publisher abstract)
Quantifying the effectiveness of interventions for people with common health conditions in enabling them to stay in or return to work: a rapid evidence assessment: research summary
- Authors:
- DIBBEN Pauline, et al
- Publisher:
- Great Britain. Department for Work and Pensions
- Publication year:
- 2012
- Pagination:
- 4p.
- Place of publication:
- London
This report reviews the available research on the effectiveness of health and work interventions to help people with common health conditions to stay in work or return to work following sickness absence. It assesses the latest available evidence from 2008 to 11 on the quantitative impact of such interventions. The report looks at the evidence for interventions with general health conditions, musculoskeletal health conditions, cardio-respiratory conditions, and mental health conditions, and discusses the evidence on the economic costs and benefits of interventions. Findings suggest that the evidence base on work-related interventions for people with common health conditions has not changed substantially since 2007, and that studies generally lacked robust quantification of employment outcomes and cost/benefit analysis of interventions. Key areas where there is a reasonably strong body of evidence, with positive effects, include: workplace-based interventions for those with musculoskeletal disorders, particularly for low back pain; cognitive behavioural therapy (CBT), vocational rehabilitation and workplace rehabilitation for lower back pain; supported employment for people with severe mental health conditions; and psychological interventions for depression.
Quantifying the effectiveness of interventions for people with common health conditions in enabling them to stay in or return to work: a rapid evidence assessment: research report
- Authors:
- DIBBEN Pauline, et al
- Publisher:
- Great Britain. Department for Work and Pensions
- Publication year:
- 2012
- Pagination:
- 97p.
- Place of publication:
- London
This report reviews the available research on the effectiveness of health and work interventions to help people with common health conditions to stay in work or return to work following sickness absence. It assesses the latest available evidence from 2008 to 11 on the quantitative impact of such interventions. The report looks at the evidence for interventions with general health conditions, musculoskeletal health conditions, cardio-respiratory conditions, and mental health conditions, and discusses the evidence on the economic costs and benefits of interventions. Findings suggest that the evidence base on work-related interventions for people with common health conditions has not changed substantially since 2007, and that studies generally lacked robust quantification of employment outcomes and cost/benefit analysis of interventions. Key areas where there is a reasonably strong body of evidence, with positive effects, include: workplace-based interventions for those with musculoskeletal disorders, particularly for low back pain; cognitive behavioural therapy (CBT), vocational rehabilitation and workplace rehabilitation for lower back pain; supported employment for people with severe mental health conditions; and psychological interventions for depression.
Emotional outcomes and mechanisms of change in online cognitive-behavioral interventions: a quantitative meta-analysis of clinical controlled studies
- Authors:
- MUREŞAN Vlad, MONTGOMERY Guy H., DAVID Daniel
- Journal article citation:
- Journal of Technology in Human Services, 30(1), January 2012, pp.1-13.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Online cognitive behavioural interventions have emerged as an alternative, cheaper, anonymous and location independent alternative to face to face sessions for the treatment of anxiety and depression. This meta analysis investigated whether hypothesized cognitive mechanisms of change mediate the efficacy of online CBT. The MEDLINE, PsychInfo and PsychArticles databases were searched from January 1980 to March 2011. The inclusion criteria were: randomised trials investigating the role of CBT delivered online, patient sample had clinical or subclinical emotional problems, at least one measure of cognitions was included, a control group was included and sufficient data provided to allow calculation of effect sizes. Eleven articles were selected. Analysis revealed a moderate overall effect size of CBT on the combined cognitive and emotional outcomes. There were also positive independent impacts of online CBT on cognitive factors and emotional outcomes. The authors conclude that cognitive-behavioural therapy delivered online can be used as an efficacious treatment for patients with emotional disorders. Assuming causal effects, the data indicate that cognitive factors are an important mechanism of change in online CBT. It is suggested that future online CBT focusing on changing cognitions may be efficacious.
Personalised caregiver support: effectiveness of psychosocial interventions in subgroups of caregivers of people with dementia
- Authors:
- MIERLO Lisa D. Van, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 27(1), January 2012, pp.1-14.
- Publisher:
- Wiley
To be able to provide carers of people with dementia with the appropriate care and tailored support, more detailed knowledge is needed on the effectiveness of interventions in the different subgroups of carers. The aim of this review was to gain insight into the relationship between caregiver subgroups and intervention outcomes. Specifically, this paper reviews the personal characteristics of caregivers of people with dementia for whom psychosocial interventions were found to be effective. A literature search was conducted for reviews on psychosocial interventions for caregivers studies published between January 1990 and February 2008. Based on these reviews, 26 studies met the inclusion criteria of having positive outcomes described in subgroups. The findings are presented in a table which provides an overview of the characteristics of carers of people with dementia that are related to positive intervention outcomes. Most positive effects were found in caregivers of people with a diagnosis of ‘dementia not otherwise specified’ and in the subgroup of female caregivers. Examples of outcomes were decreased depression and improved self-efficacy.
Treatment effects for common outcomes of child sexual abuse: a current meta-analysis
- Authors:
- TRASK Emily V., WALSH Kate, DILILLO David
- Journal article citation:
- Aggression and Violent Behavior, 16(1), January 2011, pp.6-19.
- Publisher:
- Elsevier
This meta-analysis examines the literature to quantify the effectiveness of psychosocial treatments at reducing the most frequent outcomes of child sexual abuse. A literature search identified a total of 35 articles or dissertations written in English, focusing on youth under the age of 18, and evaluating the effectiveness of treatments for the following negative outcomes of sexual abuse: post traumatic stress disorder (PTSD) symptoms, externalising problems, and internalising problems. Analyses of these publications revealed that treatment was effective in reducing many negative outcome of child sexual abuse. The effect sizes averaged across all outcomes were medium. The potential moderating effects of treatment (e.g., modality, duration, and inclusion of caregiver) and participant (e.g., age, gender, and ethnicity) characteristics were also analysed. The results indicated that longer interventions were associated with greater treatment gains. Group and individual treatments were equally effective. Studies with older children and more males were shown to have larger treatment effects. The findings shed new light on treatment effectiveness and provide information regarding the conditions under which treatment may be most effective.
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.
New research into general psychiatric services for adults with intellectual disability and mental illness
- Author:
- CHAPLIN R.
- Journal article citation:
- Journal of Intellectual Disability Research, 53(3), March 2009, pp.189-199.
- Publisher:
- Wiley
There has been a long-running debate as to whether this should be provided by general psychiatric or specialised intellectual disability (ID) services. A previous review concluded that there was no clear evidence to support either model with research being often of a poor quality, lacking replication, and outcome measures were often inappropriate or varied between studies. This review aims assess differences in outcome for adults with ID and mental disorders treated in general or specialised ID mental health services. A literature review was conducted using electronic databases and websites of ID and mental health organisations to locate all references where people with ID receive mental health care in general psychiatric services from 2003. People with ID (especially severe ID) have reduced access to general psychiatric services. General psychiatric inpatient care is unpopular especially with carers but can be improved by providing specially trained staff and in-reach from community ID teams. Opportunities may exist to enhance the care of people with borderline intellectual functioning within general psychiatric services. Although no new randomised controlled trials have been published, the weight of research is accumulating to suggest that provision of general psychiatric services without extra help is not sufficient to meet the needs of people with ID.
Adolescent mental health evidence brief 2: the relationship between emotional and behavioural problems in adolescence and adult outcomes
- Authors:
- CLARKE Aleisha, LOVEWELL Katie
- Publisher:
- Early Intervention Foundation
- Publication year:
- 2021
- Pagination:
- 12
- Place of publication:
- London
This brief sets out the evidence for the association between emotional and behavioural problems experienced during adolescence and later life outcomes. Adolescents who experience persistent emotional problems such as anxiety and depression are at greater risk of a range of negative outcomes, for example – there is strong evidence that persistent depression during adolescence is associated with a significant increased risk of depression during adulthood; studies consistently show that young people with persistent emotional problems are at an increased risk of poorer employment and educational outcomes including school drop-out and NEET (not in education, employment or training) status; there is some evidence from individual studies to suggest an association between adolescent mental health disorders and poorer general health in adulthood, social withdrawal, increased risk of intimate partner victimisation and unplanned pregnancy. Adolescents who exhibit behavioural problems such as conduct problems are also at increased risk of poor adult outcomes, including: poor mental health, such as depression and anxiety, education outcomes — school drop-out, NEET, and at work without basic education level — and a range of physical and social outcomes; importantly, behaviour problems do not seem to occur in isolation and often coexist with mental health problems. Being a perpetrator and/or victim of bullying is strongly associated with a range of mental health problems in young adulthood, including increased risk of anxiety disorders and depression and suicidal behaviour. These findings illustrate that issues during adolescence cast a long shadow over individuals’ life chances. The findings highlight the need to invest not just in the treatment of disorders but also in prevention and early intervention support, and the promotion of positive mental health and prosocial behaviour, in order to reduce vulnerabilities and enhance protective factors. (Edited publisher abstract)