Search results for ‘Subject term:"mental health problems"’ Sort:
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Long-term psychodynamic psychotherapy in complex mental disorders: update of a meta-analysis
- Authors:
- LEICHSENRING Falk, RABUNG Sven
- Journal article citation:
- British Journal of Psychiatry, 199(1), July 2011, pp.15-22.
- Publisher:
- Cambridge University Press
Psychodynamic psychotherapy is an umbrella concept encompassing treatments that include supportive-interpretive psychotherapeutic interventions. This meta-analysis focused on its use in complex mental disorders (defined as personality disorders, chronic mental disorders or multiple mental disorders). A literature search was used to identify relevant studies, and 10 controlled trial studies were identified as meeting the inclusion criteria, including psychodynamic psychotherapy lasting for at least one year or 50 sessions. The article discusses the analysis of the studies, including comparison of the effects of long-term psychodynamic psychotherapy with other forms of psychotherapy. The authors conclude that the analysis showed that long-term psychodynamic psychotherapy was superior to less intensive methods of psychotherapy in complex mental disorders, and that there were positive correlations between outcome and duration of therapy. They note that further research on long-term psychotherapy is needed.
When does personality disorder become enduring mental illness
- Author:
- SHAD Douglas
- Journal article citation:
- Nursing Times, 19.5.99, 1999, p.52.
- Publisher:
- Nursing Times
At the heart of mental health care practice is the question of what constitutes a severe and enduring mental health problem. In this article, the author maintains that there is confusion about the best use of resources and appropriate targeting of patients. He questions the wisdom of generic services trying to meet the complex and often long-term needs of people with a personality disorder.
Standardised Assessment of Personality – Abbreviated Scale (SAPAS): preliminary validation of a brief screen for personality disorder
- Authors:
- MORAN Paul, et al
- Journal article citation:
- British Journal of Psychiatry, 18(9), September 2003, pp.228-232.
- Publisher:
- Cambridge University Press
There is a need for a brief and simple screen for personality disorders that can be used in routine psychiatric assessments. The aim was to test the concurrent validity and test–retest reliability of a brief screen for personality disorder. Sixty psychiatric patients were administered a brief screening interview for personality disorder. On the same day, they were interviewed with an established assessment for DSM–IV personality disorder. Three weeks later, the brief screening interview was repeated in order to examine test–retest reliability. A score of 3 on the screening interview correctly identified the presence of DSM–IV personality disorder in 90% of participants. The sensitivity and specificity were were 0.94 and and 0.85 respectively. The study provides preliminary evidence of the usefulness of the screen in routine clinical settings
Ashworth report confirms problems with special hospitals
- Author:
- WARDEN John
- Journal article citation:
- British Medical Journal, 23.1.99, 1999, p.211.
- Publisher:
- British Medical Association
Reports on the findings of the Fallon inquiry into Ashworth Special Hospital.
Exploring multi-disciplinary team meetings on a personality-disorder ward within a forensic setting
- Authors:
- LEESE Maggie, FRASER Kim
- Journal article citation:
- Mental Health Review Journal, 24(3), 2019, pp.160-170.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to understand how patients on a low security personality disorder ward experienced multi-disciplinary team (MDT) meetings, in order to suggest improvements that would benefit the patients and clinical teams. Design/methodology/approach: The design was a case study where all patients on a low secure ward that specialised in personality disorders were approached to take part in the research. The study utilised non-participant observations of the MDT meeting (n=11), followed by individual interviews with the patients (n=10). Findings: The data were subjected to a thematic analysis and this illuminated five themes relating to the patients’ experience of the MDT meetings namely, the importance of leave applications, the formality of the meetings, the opportunity to check on progress, decision-making and the importance of communication. Practical implications: The findings suggest that small changes could be made to improve the patients’ experience of the MDT meeting. These included the provision of a less formal setting, ensuring a system where leave can be requested confidentially, greater transparency about the content of progress reports, and clearer communication between the MDT and the patient after the meeting. Originality/value: There is limited research that has explored patients’ experiences of MDT meetings within secure forensic settings, and the use of non-participant observations of the MDT meeting followed by semi-structured interviews meant that the researcher and the patient had a shared experience that formed the basis of the later discussion. (Edited publisher abstract)
Mental health and wellbeing and personality disorders: a guide for criminal justice professionals
- Author:
- NORTHERN IRELAND. Department of Justice
- Publisher:
- Northern Ireland. Department of Justice
- Publication year:
- 2016
- Pagination:
- 29
- Place of publication:
- Belfast
This guide aims to provide practical advice and information for criminal justice professionals on recognising, working with, and supporting people who are experiencing mental health distress and who come into contact with the criminal justice system. Section one provides information on why criminal justice professionals are likely to come across people with mental health conditions in the criminal justice system and how to recognise when someone might be experiencing mental health distress. Section two provides a three step guide to working with and supporting someone who may be experiencing mental health distress. This could include victims and witnesses, or individuals who have been convicted of an offence. Section three provides information on the support available for people with mental health problems in different parts of the Northern Ireland criminal justice system. Section four provides more detailed information on the main range of mental health conditions, mental health issues and personality disorders. The guide is relevant for police officers, advocacy and support workers, solicitors, barristers, prosecutors, magistrates, the judiciary and courts and probation, prison, youth justice and Department of Justice staff. (Edited publisher abstract)
Ethnic minority psychiatric illness rates in the community (EMPIRIC)
- Editors:
- SPROSTON Kerry, NAZROO James
- Publisher:
- Stationery Office
- Publication year:
- 2002
- Pagination:
- 210p.
- Place of publication:
- London
The results of this survey allow for the first time detailed analysis of the mental health of ethnic minority groups and comparisons with a general White population. It contains data on common mental disorders, psychosis, social functioning, physical health, use of services and social support. The survey was carried out by the Joint Health Surveys Unit of the National Centre for Social Research (NatCen) and University College, London among ethnic minority adults aged 16-74 living in England to make comparisons with the prevalence of psychiatric morbidity in the general population. The survey took place in 2000 and was conducted at the same time as the Office for National Statistics (ONS) survey of the adult population of Great Britain. It had a focus on some of the main ethnic minority groups in England. The survey consisted of two elements, a quantitative survey of rates of mental illness among different ethnic groups in England and a qualitative study investigating ethnic and cultural differences in the context, experience and expression of mental distress.
Using a model to guide data gathering, interpretation, and communication in capital mitigation evaluations
- Authors:
- MARCZYK Geoffrey, et al
- Journal article citation:
- Journal of Forensic Psychology Practice, 3(3), 2003, pp.89-103.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia
The use of a model can have a direct impact on several areas of forensic mental health assessment, and is important in gathering and interpreting data, reasoning about the results and conclusions, and communicating the results of such an assessment. The following report and accompanying discussion illustrates the application of a forensic model in the context of a defense-initiated capital mitigation evaluation under Pennsylvania State law. The first step in employing a model was to identify the relevant legal standard, which required the forensic clinician to assess character traits, contextual circumstances, extreme mental or emotional disturbance, and mental and cognitive deficits that might have had a direct impact on the defendant's ability to conduct or conform his conduct to the requirements of the law at the time of the alleged offense. In the second part of the model, these clinical characteristics were related to the tasks and functional abilities that are part of the relevant legal question. Finally, using the third step of the model, the forensic clinician assesses the strength of the causal connection between the existence of mental and cognitive deficits and the functional abilities related to the relevant legal question. In addition to improving the overall quality and accuracy of the evaluation, the use of this type of model is consistent with the guidelines and substantive criteria for capital mitigation articulated by the United States Supreme Court. (Copies of this article are available from: Haworth Document Delivery Centre Haworth Press Inc., 10 Alice Street Binghamton, NY 13904-1580)
Personality disorder: temperament or trauma?: an account of an emancipatory research study carried out by service users diagnosed with personality disorder
- Author:
- CASTILLO Heather
- Publisher:
- Jessica Kingsley
- Publication year:
- 2003
- Pagination:
- 176p.,bibliog.
- Place of publication:
- London
Personality Disorder (PD) is one of the most difficult psychological conditions to classify and treat and in the past literature on the subject has tended to neglect the invaluable viewpoint of sufferers themselves. Drawing on research carried out in conjunction with service users, the author seeks to emphasise the need for health professionals to reassess their approach to the condition and allows those with PD to effectively define themselves and their illness.
Impact of the ICD-10 Primary Health Care (PHC) diagnostic and management guidelines for mental disorders on detection and outcome in primary care: cluster randomised controlled trial
- Authors:
- CROUDACE Tim, et al
- Journal article citation:
- British Journal of Psychiatry, 182(1), January 2003, pp.20-30.
- Publisher:
- Cambridge University Press
World Health Organization (WHO) ICD-10 Primary Health Care (PHC) Guidelines for Diagnosis and Management of Mental Disorders (1996) have not been evaluated in a pragmatic randomised controlled trial (RCT). The method used was pragmatic, pair-matched, cluster RCT involving 30 practices. Guideline practices were less sensitive but more specific in identifying morbidity, but these differences were not significant. Guideline patients did not differ from usual-care patients on 12-item General Health Questionnaire scores at 3-month follow-up or in the proportion who were still cases. There were no significant differences in secondary outcomes. Attempts to influence clinician behaviour through a process of adaptation and extension of guidelines are unlikely to change detection rates or outcomes.