Looks at the development of horticulture as therapy for people with physical or mental health problems. Highlights a number of key projects.
Looks at the development of horticulture as therapy for people with physical or mental health problems. Highlights a number of key projects.
Subject terms:
learning disabilities, mental health problems, physical disabilities, therapeutic horticulture, therapies, therapy and treatment, community mental health services, gardening;
British Journal of Occupational Therapy, 60(6), June 1997, pp.248-252.
Publisher:
Sage
Describes the nature of the disability experienced by people with long-term schizophrenia and reviews the literature concerning work-related activities for these clients. The role and value of work-related activities in their lives is discussed. Finds that there is some evidence from the few relevant outcome studies that structured activity programmes with these clients can be beneficial in terms of reducing symptomatology and maintaining community tenure. Investigations of clients' opinions and preferences lend some support for the provision of structured activity programmes. Suggestions are made for possible further lines of inquiry.
Describes the nature of the disability experienced by people with long-term schizophrenia and reviews the literature concerning work-related activities for these clients. The role and value of work-related activities in their lives is discussed. Finds that there is some evidence from the few relevant outcome studies that structured activity programmes with these clients can be beneficial in terms of reducing symptomatology and maintaining community tenure. Investigations of clients' opinions and preferences lend some support for the provision of structured activity programmes. Suggestions are made for possible further lines of inquiry.
Subject terms:
mental health problems, occupational therapy, physical disabilities, rehabilitation, schizophrenia, severe mental health problems, sheltered employment, treatment, therapy and treatment, employment;
This book addresses the issues faced by women with disabilities, examines the social construction of disability, and makes suggestions for the development and modification of culturally relevant therapy to meet the needs of disabled women. Most of the chapters in this book address the concerns of age, ethnicity, size, relationships, sexual orientation, and other social situations that complicate the lives of women with disabilities. Several of the contributing authors address safety concerns and the vulnerability of these women, while others focus on successful coping strategies. Feminist therapists describe the extensions they have made to traditional psychotherapy in order to directly address a wide range of issues faced by their female clients with disabilities.
This book addresses the issues faced by women with disabilities, examines the social construction of disability, and makes suggestions for the development and modification of culturally relevant therapy to meet the needs of disabled women. Most of the chapters in this book address the concerns of age, ethnicity, size, relationships, sexual orientation, and other social situations that complicate the lives of women with disabilities. Several of the contributing authors address safety concerns and the vulnerability of these women, while others focus on successful coping strategies. Feminist therapists describe the extensions they have made to traditional psychotherapy in order to directly address a wide range of issues faced by their female clients with disabilities.
Subject terms:
learning disabilities, mental health problems, physical disabilities, psychoanalysis, sexuality, therapies, therapy and treatment, women, coping behaviour, ethnicity, feminist theory;
Cognitive Behaviour Therapy (CBT) is now well established as an effective treatment for a range of mental health problems, but for clinicians working with older clients, there are particular issues that need to be addressed. Topics covered include the need to build a therapeutic relationship, dealing with stereotypical thinking about ageing, setting realistic expectations in the face of deteriorating medical conditions, maintaining hope when faced with difficult life events such as the loss of a spouse, disability, etc., and dealing with the therapist's own fears about ageing.
Cognitive Behaviour Therapy (CBT) is now well established as an effective treatment for a range of mental health problems, but for clinicians working with older clients, there are particular issues that need to be addressed. Topics covered include the need to build a therapeutic relationship, dealing with stereotypical thinking about ageing, setting realistic expectations in the face of deteriorating medical conditions, maintaining hope when faced with difficult life events such as the loss of a spouse, disability, etc., and dealing with the therapist's own fears about ageing.
Subject terms:
mental health problems, older people, physical disabilities, therapies, therapy and treatment, age discrimination, behaviour, behaviour modification, behaviour therapy, bereavement, cognitive behavioural therapy;
Child Abuse and Neglect, 27(10), October 2003, pp.1179-1186.
Publisher:
Elsevier
Children with special health care needs are known to be at increased risk of all forms of child maltreatment when compared to children without such needs. The authors describe a health care team's experience providing medical evaluations for suspected child maltreatment to children with special health care needs. Consecutive cases seen as outpatients in the Abuse Referral Clinic for Children with Disabilities were abstracted and analyzed. Mail and telephone follow-up contact was attempted after the medical evaluation to determine adherence with treatment recommendations. A subsample of cases for which complete financial information was available was reviewed to determine a reimbursement rate. During the study, 49 children received complete outpatient evaluations. Ages ranged from 3 to 16 years old, and 54% were males. Special needs spanned a wide range of physical, developmental/cognitive and behavioral conditions. The largest number of referrals came from child protective services (42%) followed by referrals from physicians (27%). After the team's comprehensive evaluation, 18% of the children were found to have a history or physical examination that was diagnostic for child maltreatment, 13% were thought to be at high risk, 25% were thought to be at low risk and 44% were thought to have non-abusive etiologies. The collection rate was 14% for an average reimbursement of $38 per case. Only 29 caregivers could be found at follow-up and 22 remembered the recommendations made by the team. Of the 25 cases that were referred for outpatient mental health counseling, 12 (48%) complied. Children with a wide range of special health care needs were evaluated in an outpatient special health care needs clinic that offered comprehensive medical evaluations for possible child maltreatment. Medical evaluation services for this group of children were poorly reimbursed. Mental health services were frequently recommended but often not accessed. Child maltreatment teams seeking to serve children with special health care needs will need to plan for service delivery to a potentially diverse group of children and families who may experience difficulty in carrying through on the team's treatment recommendations.
Children with special health care needs are known to be at increased risk of all forms of child maltreatment when compared to children without such needs. The authors describe a health care team's experience providing medical evaluations for suspected child maltreatment to children with special health care needs. Consecutive cases seen as outpatients in the Abuse Referral Clinic for Children with Disabilities were abstracted and analyzed. Mail and telephone follow-up contact was attempted after the medical evaluation to determine adherence with treatment recommendations. A subsample of cases for which complete financial information was available was reviewed to determine a reimbursement rate. During the study, 49 children received complete outpatient evaluations. Ages ranged from 3 to 16 years old, and 54% were males. Special needs spanned a wide range of physical, developmental/cognitive and behavioral conditions. The largest number of referrals came from child protective services (42%) followed by referrals from physicians (27%). After the team's comprehensive evaluation, 18% of the children were found to have a history or physical examination that was diagnostic for child maltreatment, 13% were thought to be at high risk, 25% were thought to be at low risk and 44% were thought to have non-abusive etiologies. The collection rate was 14% for an average reimbursement of $38 per case. Only 29 caregivers could be found at follow-up and 22 remembered the recommendations made by the team. Of the 25 cases that were referred for outpatient mental health counseling, 12 (48%) complied. Children with a wide range of special health care needs were evaluated in an outpatient special health care needs clinic that offered comprehensive medical evaluations for possible child maltreatment. Medical evaluation services for this group of children were poorly reimbursed. Mental health services were frequently recommended but often not accessed. Child maltreatment teams seeking to serve children with special health care needs will need to plan for service delivery to a potentially diverse group of children and families who may experience difficulty in carrying through on the team's treatment recommendations.
Subject terms:
medical social work, medical social workers, mental health problems, physical disabilities, referral, risk, social worker teams, treatment, therapy and treatment, unmet need, child abuse, children, counselling, diagnosis, health needs;
The increasing number of children who have multiple and complex disabilities has highlighted the need for new systems of service provision in which health, education and social services and the voluntary sector join together to offer the child and the family a coordinated approach. Although this need is recognised by all tiers of government the call for coordination needs to be accompanied by more practical suggestions as to how to achieve it.
The increasing number of children who have multiple and complex disabilities has highlighted the need for new systems of service provision in which health, education and social services and the voluntary sector join together to offer the child and the family a coordinated approach. Although this need is recognised by all tiers of government the call for coordination needs to be accompanied by more practical suggestions as to how to achieve it.
Subject terms:
interagency cooperation, learning disabilities, mental health problems, multidisciplinary services, physical disabilities, service development, social care provision, teamwork, treatment, therapy and treatment, children, children in need, families;
Loughborough University. Centre for Child and Family Research
Publication year:
2002
Pagination:
4p.
Place of publication:
Loughborough
Summarises the main findings of a literature review on social and therapeutic horticulture with vulnerable client groups. More than 300 articles were examined in detail from over 1,000 available titles. Client groups studied included those recovering from major illness or injury, people with physical disabilities, people with learning difficulties and mental health problems, older people, offenders and those who misuse drugs or alcohol. Highlights the reported benefits.
Summarises the main findings of a literature review on social and therapeutic horticulture with vulnerable client groups. More than 300 articles were examined in detail from over 1,000 available titles. Client groups studied included those recovering from major illness or injury, people with physical disabilities, people with learning difficulties and mental health problems, older people, offenders and those who misuse drugs or alcohol. Highlights the reported benefits.
Subject terms:
learning disabilities, literature reviews, mental health problems, older people, physical disabilities, self-esteem, therapeutic horticulture, therapies, therapy and treatment, alcohol misuse, drug misuse, gardening;
Journal of Mental Health, 9(4), August 2000, pp.409-420.
Publisher:
Taylor and Francis
Place of publication:
London
Patient satisfaction is an important outcome measure of psychiatric care and a correlate of appropriate use of services. This research assessed out-patient satisfaction by questionnaire and surveyed environment quality at two clinic sites. High satisfaction was found in most areas of enquiry. Lower satisfaction was expressed with choice of available treatment, medication side effects and availability of information. Rapid turnover of doctors produced dissatisfaction with the consistency of medical care. Many patients wanted greater advocacy support. Facilities for the disabled could be improved. The best predictors of lower satisfaction were wishing for help to put one's views across and wish for more psychological help. Most psychiatric out patients were satisfied with their care. Dissatisfied patients may avoid out patients follow up and related surveys. Simple measures such as better provision of information and more explanation about medication side effects could increase satisfaction with services.
Patient satisfaction is an important outcome measure of psychiatric care and a correlate of appropriate use of services. This research assessed out-patient satisfaction by questionnaire and surveyed environment quality at two clinic sites. High satisfaction was found in most areas of enquiry. Lower satisfaction was expressed with choice of available treatment, medication side effects and availability of information. Rapid turnover of doctors produced dissatisfaction with the consistency of medical care. Many patients wanted greater advocacy support. Facilities for the disabled could be improved. The best predictors of lower satisfaction were wishing for help to put one's views across and wish for more psychological help. Most psychiatric out patients were satisfied with their care. Dissatisfied patients may avoid out patients follow up and related surveys. Simple measures such as better provision of information and more explanation about medication side effects could increase satisfaction with services.
Subject terms:
medication, mental health problems, mental health services, outcomes, patients, physical disabilities, psychiatry, quality assurance, treatment, therapy and treatment, user views, access to information, advocacy, health professionals;
law, long term conditions, mental health law, mental health problems, nursing homes, offenders, older people, physical disabilities, residential care, residential child care, secure accommodation, social welfare law, social care provision, treatment, therapy and treatment, young people, admission to care, children, day services, discharge;