Search results for ‘Subject term:"mental health problems"’ Sort:
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How patients in New Zealand view community treatment orders
- Authors:
- GIBBS Anita, et al
- Journal article citation:
- Journal of Mental Health, 14(4), August 2005, pp.357-368.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
New Zealand operates a well-embedded community treatment order scheme for patients with serious mental disorders. A similar scheme may be enacted for England and Wales. This study aimed to explore the views of patients with recent experience of community treatment orders. All patients in one region under an order in the last 2 years, not readmitted to hospital for at least 6 months, were included, subject to their capacity and consent. Forty-two patients out of 84 potential participants were interviewed. The majority of patients were generally supportive of the community treatment order, especially if the alternative was hospital. Many valued the access to services and sense of security obtained, and attributed improvements in their health to treatment under the order. They also experienced reduced choice about medication and restrictions on residence and travel. For a minority this meant they were strongly opposed to the order, but for most the restrictions did not unduly hinder them. The majority of patients viewed the order as a helpful step towards community stability. The usefulness of community treatment orders is accepted by most patients under them in NZ, as well as by most psychiatrists. Critical factors include the quality of therapeutic relationships and the structure provided for community mental health care.
The poor general health of the severely mentally ill: impact of schizophrenic diagnosis
- Authors:
- CHAFETZ Linda, et al
- Journal article citation:
- Community Mental Health Journal, 41(2), April 2005, pp.169-184.
- Publisher:
- Springer
This study focused on poor health among the severely mentally ill and additional risks associated with schizophrenia. Records of 781 clients in short-term residential treatment programs provided data. The schizophrenic subgroup was compared to others in bivariate analyses, with significant findings included in logistic regression. Those with schizophrenia were more likely to be male, unemployed, and insured by MediCal/Medicare. Most health problems occurred at similar rates across diagnoses, reflecting common environmental risk factors. Those with schizophrenia had less substance abuse and fewer liver conditions, but more diabetes and chronic respiratory problems. Implications for providers and for research are discussed.
Psychiatrists’ smoking cessation activities with Ohio community mental health center patients
- Authors:
- PRICE James H., et al
- Journal article citation:
- Community Mental Health Journal, 43(3), June 2007, pp.251-266.
- Publisher:
- Springer
This study describes a survey of Ohio community mental health center psychiatrists’ perceptions and practices regarding smoking cessation activities using the 5A’s method of smoking cessation. Of the 150 psychiatrists surveyed, 80 (53%) were returned. The majority of psychiatrists reported asking their patients about cigarette smoking status as well as giving advice to quit. However, the practice of actually facilitating quit attempts (i.e. with social support, nicotine replacement therapy, referrals, and follow-up visits) was lacking. This demonstrates that although cigarette smoking in individuals with mental illness is recognized as a major problem by adult psychiatrists, too little is being done to adequately address the issue.
Measuring personal loss among adults coping with serious mental illness
- Authors:
- STEIN Catherine H., et al
- Journal article citation:
- Community Mental Health Journal, 41(2), April 2005, pp.129-139.
- Publisher:
- Springer
Psychometric properties of a brief self-report measure of personal loss for adults coping with psychiatric disability are examined. The Personal Loss from Mental Illness Scale (PLMI) is a 20-item measure that assesses overall perceptions and four interrelated aspects of personal loss from mental illness. Using a sample of 158 adults with serious mental illness, the PLMI was found to have a meaningful factor structure, good internal consistency and high test–retest reliability. Construct validity is evidenced by positive correlations between personal loss scores, number of psychiatric hospitalizations, self-reports of loneliness, psychological symptoms, and problems with alcohol. PLMI scores were unrelated to scores on a personal growth measure and negatively correlated with scores on a positive well-being scale. Implications of the PLMI for research on coping, adaptation and recovery from serious mental illness are discussed.
Non-attendance rates among patients attending different grades of psychiatrist and a clinical psychologist within a community mental health clinic
- Authors:
- McIVOR Ronan, EK Emma, CARSON Jerome
- Journal article citation:
- Psychiatric Bulletin, 28(1), January 2004, pp.5-7.
- Publisher:
- Royal College of Psychiatrists
Examines non-attendance rates in patients seen by psychiatrists of different grades and a consultant clinical psychologist. Rates were obtained from the patient administration system over a 21-month period. A planned linear contrast showed that the clinical psychologist's patients had the lowest rate of non-attendance (7.8%), followed in turn by those of consultant psychiatrists (18.6%), specialist registrars (34%) and senior house officers (37.5%). Factors such as continuity of care, perceived clinical competence and the provision of non-medical interventions might have an impact on attendance rates. These results indicate the difficulty in reconciling the training needs of junior doctors with the provision of continuity and quality of care for patients. Reminder systems for people seeing training doctors might be an effective way of reducing non-attendance rates.
Patient held information record: adult mental health
- Author:
- PICKERSGILL David
- Publisher:
- Wakefield and Pontefract Community Health
- Publication year:
- 1999
- Pagination:
- 123p.,bibliog.
- Place of publication:
- Wakefield
Report on a pilot project undertaken to develop a patient held record system for people with mental health problems. The project was a partnership between Wakefield and Pontefract Community Health Service, who took the lead, and Wakefield SSD and the Richmond Fellowship for Community Mental Health.
Childhood memories
- Author:
- EATON Lynn
- Journal article citation:
- Nursing Times, 20.4.94, 1994, pp.14-15.
- Publisher:
- Nursing Times
Between a quarter and a half of psychiatric in-patients were abused as children. Describes a community service established to help adult survivors.
Human rights in mental health services: good practice guide
- Author:
- MENTAL WELFARE COMMISSION FOR SCOTLAND
- Publisher:
- Mental Welfare Commission for Scotland
- Publication year:
- 2017
- Pagination:
- 74
- Place of publication:
- Edinburgh
This guide explains how and where human rights impact on the provision of mental health care and how staff can best ensure that the key rights are respected. It is aimed at staff in hospital and community teams in Scotland and has been written in consultation with mental health care practitioners, users of services, and patients’ relatives who have direct experience of adult acute settings. It looks at each of the rights set out in the Rights in Mind pathway to patients’ rights in mental health services. There is a section for each stage, covering patient’s rights in the community, hospital admission, hospital care, and hospital discharge. The guide also sets out overarching rights that apply across all of these stages. Short case studies are included to illustrate different scenarios. The guide can be used both as a reference guide and as an improvement resource to help staff reflect on their policies and practice. (Edited publisher abstract)
Care begins at home: reducing the use of inpatient beds
- Author:
- HEWSON Lesley
- Journal article citation:
- Young Minds Magazine, 58, May 2002, pp.39-41.
- Publisher:
- YoungMinds
Reports on experience in Bradford which suggests that intensive community and home based approaches can reduce the use of adolescent inpatient beds and release of funding for improving community services.
Patient violence in community mental health: a review of the literature
- Author:
- BLANK Alison
- Journal article citation:
- British Journal of Occupational Therapy, 64(12), December 2001, pp.584-589.
- Publisher:
- Sage
The past decade has seen an increasing focus in the community. During this period, the media has given a high profile to a number of incidents where members of the public and health service staff have been assaulted by patients of mental health services. Presents a systematic review of 10 studies, two conducted in the United Kingdom and eight in the United States of America. It is suggested that the occupational therapy profession urgently needs to address this gap in its literature and consider what can be learned from other professions.