Search results for ‘Subject term:"mental health problems"’ Sort:
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Burden, interdependence, ethnicity, and mental health in caregivers of patients with schizophrenia
- Authors:
- SURO Giulia, WEISMAN de MAMANI Amy G.
- Journal article citation:
- Family Process, 52(2), 2013, pp.299-311.
- Publisher:
- Wiley
Caring for a patient with schizophrenia often results in high levels of perceived burden and poorer overall mental health. Using a sample of 176 caregivers of patients with schizophrenia, the present study examined how two components of burden (objective and subjective) interacted with interdependence and ethnicity to influence relatives' overall mental health. In line with study hypotheses, and with the stress-appraisal-coping model developed by Lazurus and Folkman (1984), we found that subjective burden mediated the relationship between objective burden and mental health. In other words, subjective appraisals of caregiving appeared to partially underlie the association between the concrete costs of caregiving and psychological outcomes in schizophrenia caregivers. Also as hypothesised, the authors found that interdependence, or the perceived interconnectedness of individuals within a group, moderated the relationship between objective burden and subjective burden. In other words, when levels of interdependence were high, the objective components of burden appeared to have a weaker relationship with subjective burden. When interdependence was low, on the other hand, objective burden was more likely to be associated with subjective burden. This finding suggests that helping caregivers to value harmony and connection with others over individual self-interests may reduce the likelihood that objective stressors (which are often inevitable in schizophrenia) will result in subjective distress. On the basis of prior research, the authors also tested several hypotheses regarding the role of ethnicity and its association with burden, interdependence, and mental health. However, contrary to expectations, no ethnic patterns were observed. (Edited publisher abstract)
Inpatients from black and minority ethnic backgrounds in mental health services in Wales: a secondary analysis of the Count Me In census, 2005–2010
- Authors:
- ROIYAH Saltus, et al
- Journal article citation:
- Diversity and Equality in Health and Care, 10(3), 2013, pp.165-176.
- Publisher:
- Insight Medical Publishing
Count Me In was an annual census of mental health inpatients that was undertaken in England and Wales from 2005 to 2010. This paper presents a secondary analysis of the census data, with a focus on mental health inpatients from Black and minority ethnic backgrounds in Wales. Analyses focused on the number and characteristics of patients (age, gender, ethnicity, language and religion), the distribution of patients across Wales, sources of referral, detention status under the Mental Health Act 1983 on admission, and length of stay from admission to census day. The results revealed that the numbers of Black and minority ethnic patients from different ethnic groups fluctuated over the 6 years; it was difficult to identify any distinct pattern. The number and proportion of Black and minority ethnic patients admitted to, or being supervised by, inpatient facilities increased year on year from 57 (2.7% of all patients) in 2005 to 76 (3.2%) in 2010. The three highest ethnic-group categories were 'Other', 'Black African' and 'Mixed Caribbean.' Racialised minorities in Wales were over-represented in inpatient mental healthcare, including compulsory detention. A consistently higher proportion of Black and minority ethnic people than White people in Wales were referred from the criminal justice system, while a consistently higher proportion of White people than Black and minority ethnic people were referred by GPs. Although the results cannot reveal the care pathways followed by particular groups or indicate emerging trends for the Black and minority ethnic inpatient population, there are differences between the majority and minority ethnic population groups. Action is required to address this imbalance, and future data collection is necessary to determine whether this action has any impact. In-depth exploration of care pathways remains another clear priority for research and policy. (Edited publisher abstract)
Virtual worlds: in-world survey methodological considerations
- Authors:
- ANSTADT Scott, BRADLEY Shannon, BURNETTE Ashley
- Journal article citation:
- Journal of Technology in Human Services, 31(2), 2013, pp.156-174.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Second Life (SL) offers unique opportunities for research and exploration in virtual environments. A review of current research regarding SL has examined the influence of real world social influences in online interactions and what the effects on users may be. This suggests the importance of developing an understanding of the relationship between users' real life (RL) and their SL. Some research has begun to reveal the effectiveness of telecommunication and computer simulation with certain clients in the fields of mental health and human services, yet there is a lack of sufficient research done within the context of virtual worlds. This study illustrates a methodology which can be used for online and in-world survey data collection of participants in SL. Limitations encountered as well as suggestions for refinement are discussed. Implications for human services are discussed including engaging clients using incentives for social participation built into the SL milieu. (Publisher abstract)
Impact of patient involvement in mental health research: longitudinal study
- Authors:
- ENNIS Liam, WYKES Til
- Journal article citation:
- British Journal of Psychiatry, 203(5), 2013, pp.381-386.
- Publisher:
- Cambridge University Press
To assess the impact of patient involvement in mental health research 374 studies listed on the Mental Health Research Network (MHRN) portfolio database were interrogated using logistic regression, ANOVA and Pearson’s correlation to identify associations with study characteristics, funding bodies and recruitment success. The results found that patient involvement increased over time, although in some areas of research it was limited. Some funders, especially the National Institute for Health Research (NIHR), had more associated patient involvement than others. Studies that involved patients to a greater extent were more likely to have achieved recruitment targets. Researchers might now consider ways to involve patients more comprehensively as this is associated with study success. Further research is needed to explore this finding. (Edited publisher abstract)
Service user experience in adult mental health services
- Author:
- NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE
- Publisher:
- National Institute for Health and Care Excellence
- Publication year:
- 2013
- Place of publication:
- Manchester
The NICE care pathway, which aims to ensure that users of adult mental health services have the best possible experience of care from the NHS. This pathway recommends how health and social care professionals and providers can achieve this within the NHS. Areas covered include access to care, assessment, community care, hospital care and discharge, transfer of care, and care and support of service users across all points on the care pathway. (Edited publisher abstract)
Integrated care: what do patients, service users and carers want?
- Author:
- NATIONAL VOICES
- Publisher:
- National Voices
- Publication year:
- 2013
- Pagination:
- 13p.
- Place of publication:
- London
This paper was commissioned by the Integration workstream of the NHS Future Forum. It discusses what aspects of care are associated with a good patient experience. It argues that the aspects of care that are important to patients are relational. Patients want to be listened to, to share in decisions, and to be treated with empathy and compassion. Patients also want continuity of care and smooth transitions. This requires good planning and co-ordination of care and treatment. The integration of service organisations is secondary. It is therefore important that any integrated care service must provide this care co-ordination at the point of use. The paper looks at the particular needs of 3 exemplar groups of service users: children with complex needs; adults with enduring mental health conditions; and frail elderly people. It also makes recommendations on various issues including: integrating mental and physical health; joining up local and specialist services; care planning; and medicines management and review.