Search results for ‘Subject term:"mental health problems"’ Sort:
Results 1 - 10 of 21
Developing a capable dual diagnosis strategy: a good practice guide
- Authors:
- HUGHES Liz, GORRY Ann, DODD Tom
- Publisher:
- National Mental Health Development Unit
- Publication year:
- 2009
- Pagination:
- 11p., bibliog.
- Place of publication:
- London
This document, for commissioners and lead providers of services involved in the care and treatment of people with a dual diagnosis, describes how a Dual Diagnosis Strategy will set out the vision and values for local service provision and be the focal point for collaboration between all key stakeholders at a local level. People with a dual diagnosis of mental health and substance use often have multiple and complex long term needs, which require a comprehensive, coordinated, seamless, multi-agency response. However, due to a variety of factors (such as resources, lack of clarity around local service responses, and a lack of workforce skills), this group often fail to receive good quality and consistent care. A robust local Dual Diagnosis Strategy will set out the vision and values for local service provision, and be the focal point for collaboration between all key stakeholders at a local level. A successful strategy will be able to account for the varying needs of all groups and will be comprehensive and flexible in its approach. This document is designed to support the development of a capable dual diagnosis strategy built on recommendations from national policy guidance and best practice.
Distressing times: what happens to vulnerable women when they come into custody
- Author:
- DOCKLEY Anita
- Journal article citation:
- Prison Service Journal, 169, January 2007, pp.22-27.
- Publisher:
- Her Majesty's Prison Service of England and Wales
The years of 2002-04 saw a spate of self-inflected deaths of women in prison in England and Wales, with 36 women taking their own lives. The Howard League for Penal Reform aimed to look at the conditions that led to the crisis of 2002-04 and the changes that have occurred in women's prisons since to bring about a reduction in the number of self-inflicted deaths, how this might be sustained and what the future might hold. This article reports on visits to two women's prisons, Holloway in London and Styal in Cheshire, made by the Howard League of Penal Reform. Emphasis is given to the importance of first night arrangements.
Adverse childhood experiences and their association with chronic disease and health service use in the Welsh adult population
- Author:
- PUBLIC HEALTH WALES
- Publisher:
- Public Health Wales
- Publication year:
- 2016
- Pagination:
- 24
- Place of publication:
- Cardiff
This is the third in a series of reports examining the prevalence of Adverse Childhood Experiences (ACEs) in the Welsh adult population and their impact on health and well-being across the life course. Over 2,000 adults aged 18-69 years participated in the study, providing anonymous information on their exposure to ACEs before the age of 18 years and their health and lifestyles as adults. Overall, 14.6% of respondents to the Welsh ACE survey reported that they had been told by a doctor or nurse they had one or more of the chronic diseases studied in this survey (cancer; Type 2 diabetes; coronary heart disease or heart attack; stroke; respiratory disease; liver disease; and digestive disease). The findings support other international studies, and are consistent with ACEs having a significant association with both the development of chronic disease throughout the life course and increased health service use in Wales. Over a 12-month period, those with four or more ACEs were three times more likely to have attended Accident and Emergency units, three times more likely to have stayed overnight in hospital, and twice as likely to have visited their GP, compared to individuals with no ACEs. This reflects an increase in health needs within this population.The report concludes that increasing the understanding of the consequence of ACEs on an individual’s mental and physical health supports the case for investment in ACE prevention, early identification and health and social systems capable of reducing their consequences. (Edited publisher abstract)
A framework for the prevention and mitigation of injury from family violence in children of parents with mental illness and substance use problems
- Authors:
- HARTNEY Elizabeth, BARNARD D .Kelly
- Journal article citation:
- Aggression and Violent Behavior, 25(Part B), 2015, p.354–362.
- Publisher:
- Elsevier
Recognising the need for a more comprehensive approach to preventing child homicides that result from family violence, the authors applied Haddon's three methods of injury prevention to the context of family violence: modification of the agent of injury; identification of control strategies to intervene in the process of injury; and application of the comprehensive Haddon matrix to explore pre-event, event, and post-event strategies addressing the child, parent, and the environment. Examples of evidence-based strategies were identified to support this approach, and innovative strategies were suggested which build on existing approaches applied to other contexts. Recommendations and implications for research and practice are discussed. (Edited publisher abstract)
Goal setting in recovery: families where a parent has a mental illness or a dual diagnosis
- Authors:
- MAYBERY Darryl, REUPERT Andrea, GOODYEAR Melinda
- Journal article citation:
- Child and Family Social Work, 20(3), 2015, pp.354-363.
- Publisher:
- Wiley
Goal setting is an important element within mental health recovery models; however, parenting and children are rarely recognised in such approaches. This study outlines a family recovery planning model where a parent has a mental health or dual substance and mental health problem. The differences between family types (parent with a mental illness or parent with dual diagnosis) and family members (parent and children) are illustrated in terms of goals across 11 domains. There were a total of 33 parents and 50 children from 10 mental illness and 10 dual diagnosis families. Education and specifically mental health knowledge are important goals across all families and appear especially important for children whose parent has a dual diagnosis. Specific goals and achievement levels for each type of family and parents and children are also outlined. Clear areas for action by clinicians and family members are indicated by this study. (Publisher abstract)
Preliminary outcomes of a model program for increasing treatment access for African American women who use crack cocaine and are at risk for contracting HIV
- Authors:
- OKPAKU Samuel, et al
- Journal article citation:
- Journal of Evidence-Based Social Work, 7(1-2), January 2010, pp.41-57.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
In the United States, the threat of HIV/AIDS to African American women's health has become the focus of much concern. Despite African Americans only representing 12.3% of the US population, they represent 64% of all female HIV cases. This paper describes a federally funded community-based programme that provides services to African American women at risk for HIV/AIDS in Nashville, Tennessee. The Treatment Access Project provides a culturally relevant set of interventions specific to crack cocaine users aimed at reducing substance use and HIV/AIDS risk behaviours. The components of the programme include: pre-treatment services; case management; and substance abuse treatment. An evaluation of the programme based on analysis of data for 153 individuals who completed both the intake interview and the 6-month interview is described. The results demonstrated improvements in substance use behaviours, HIV/AIDS risk behaviours, mental health status, and various measures of self-sufficiency. The article concludes that this model is important for the continued development of culturally relevant interventions aimed at reducing the disproportionate rates of HIV/AIDS within the African American community by ensuring treatment access to all populations.
Working together to support families of vulnerable children
- Author:
- SCOTT Dorothy
- Journal article citation:
- Social Work Now: the Practice Journal of Child, Youth and Family, 45, April 2010, pp.20-25.
- Publisher:
- Child, Youth and Family (Department of Child, Youth and Family Services, Te Tari Awhina I te Tamaiti, te Rangatahi, tae atu ki te Whanau)
This article looks at examples of the ways in which services are provided across the sector to support the needs of children and their families. Early intervention opportunities that have a preventive focus within child health care are explored. The article then discusses targeted services for families with mental health and substance misuse issues. The author acknowledges that whilst professionals need to strengthen their collaborative efforts to bring about ‘whole of government’ approaches, worker-family collaborations that sustain effective relationships with parents remain a key component of successful intervention. In conclusion, the author suggests that familiarisation with the knowledge base underpinning early intervention, the development of effective collaboration across organisational and professional boundaries, and the strengthening of opportunities for skilful and respectful collaborative partnerships with parents will undoubtedly support good outcomes for children.
Neglect: research evidence to inform practice
- Author:
- MORAN Patricia
- Publisher:
- Action for Children
- Publication year:
- 2009
- Pagination:
- 31p., bibliog.
- Place of publication:
- London
Neglect in its many forms remains an under-researched area, despite being the most pervasive form of child maltreatment in the UK. However, there is sufficient evidence to build a picture of the individuals, families and circumstances in which neglect is most likely to occur. There is also sufficient evidence to understand the devastating impact neglect can have on all aspects of child development and into adulthood. The evidence required to guide practitioners in the development and delivery of interventions to prevent or reduce neglect is particularly lacking. Promising interventions include programmes of home visiting (begun in the prenatal period), parent training, school-based social workers, social network support and therapeutic approaches with parents and children. Intervening in neglect is also likely to be costly, requiring intensive, long-term, multi-faceted work by a highly skilled workforce. Provision of such services is likely to be hampered by the short-term nature of much funding available for new initiatives, and by a desire for quick results. Given that neglect is characterised by multiple contributing factors at personal, interpersonal, social and societal levels, it is also important to remember the role of social policy in alleviating neglect
Young mothers and babies wellness program
- Authors:
- LOVE Susan M., SUAREZ Ana M., LOVE Marianne E.
- Journal article citation:
- Children and Youth Services Review, 30(12), December 2008, pp.1437-1446.
- Publisher:
- Elsevier
Young Mothers and Babies Wellness Program is a comprehensive mental health and sobriety treatment plan for pregnant and parenting young women emancipating from probation department or child welfare services and their infants. The Program provides interventions to establish safe, nurturing and responsive relationships between mothers and babies. This article includes rationale for treating this high risk population and its focus on mother-infant dyads; program design, lists of scientifically supported protocols - on the individual, relationship and contextual levels; and a plan to evaluate the integrity of its delivery, responses to treatment, and program outcome goals.
Child physical punishment, injury and abuse (part two)
- Authors:
- WATKINS Dianne, COUSINS Judy
- Journal article citation:
- Community Practitioner, 78(9), September 2005, pp.318-321.
- Publisher:
- Community Practitioners' and Health Visitors' Association
This article introduces the microtheoretical factors that contribute to child physical punishment and its relationship with child physical injuries and abuse. the focus is on parental and child influences, lifestyle factors and socialisation of parents. It will integrate macrotheroretical factors and microtheroretical factors into a framework for the prevention of child physical injury and abuse based on an ecological model.