Search results for ‘Subject term:"mental health problems"’ Sort:
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The European Early Promotion Project: description of the service and evaluation study
- Authors:
- PUURA Kaija, et al
- Journal article citation:
- International Journal of Mental Health Promotion, 7(1), February 2005, pp.17-31.
- Publisher:
- Taylor and Francis
Describes an innovative cross-cultural method of working with families to promote the psychosocial wellbeing of children and prevent the development of psychological and social problems. Also presents a study designed to evaluate the effects of the service. Primary health care workers in 5 countries of northern, central and southern Europe were trained to conduct promotional interviews with all prospective mothers in their area one month before and one month after birth. They were also taught to work with mothers identified as in need of support as a parent, using a specific counselling model to try to prevent the onset of child mental health difficulties. Effects of the intervention on children's psychological development and family adaptation were evaluated at 2 years of age in comparison with matched groups not receiving the intervention, using a set of questionnaires, interviews and observation methods. The total sample at initial assessment was 824 families, of which 705 (85.65) were retained for outcome assessment. Part of a special issue on the European Early Promotion Project (EEPP).
Child and family outcomes of the European Early Promotion Project
- Authors:
- DAVIS Hilton, et al
- Journal article citation:
- International Journal of Mental Health Promotion, 7(1), February 2005, pp.63-81.
- Publisher:
- Taylor and Francis
This paper, part of a special issue on the European Early Promotion Project (EEPP), concerns outcomes for families involved in the Project and presents data collected when the children were between 6-8 and 24 months old. A total of 824 families were recruited from the 5 countries involved. At baseline, differences were found between country samples in extent and type of need (Finnish families having the lowest risk factor rates and Serbia the highest, for example), but recruitment was generally successful in including families from the whole range of need, excluding those with the severest physical and psychiatric problems. Although not randomised, intervention families (receiving the EEPP service) were reasonably matched with comparison families (receiving usual services) on most variables initially, except in Greece, where intervention families were somewhat more at risk. At 24 months, in spite of low intensity of service provision and methodological difficulties likely to reduce effects, there was evidence, particularly in Greece, of differences in outcome favouring the intervention group, who also showed significantly higher levels of satisfaction with the intervention received. It was concluded that the service merits further exploration to assist in understanding promotional and preventative processes.
Primary prevention of child mental health problems using primary health care professionals: cost comparisons
- Authors:
- KNAPP Martin, et al
- Journal article citation:
- International Journal of Mental Health Promotion, 7(1), February 2005, pp.95-102.
- Publisher:
- Taylor and Francis
The importance of economic dimension in planning, delivery and evaluation of care and support for children and families is widely recognised. This paper reports a cost analysis of a primary prevention programme in 4 European centres using primary health care professionals trained to promote the psychosocial adaptation of children from birth. The cost of the intervention in training and supervision for each country was estimated, and the impact on service use and cost 2 months after the birth of the index child was measured. Total costs incurred by families at comparison sites where no such training was provided were also calculated and compared with total costs at intervention sites. Cost differences between countries were also explored. Differences in total costs between the groups were small and did not reach statistical significance. However, total costs varied substantially between countries. Training primary health care professionals in primary prevention of child mental health problems is found to be inexpensive and does not appear to affect total costs in the years immediately following. Given the outcome findings, the cost evaluation provides encouragement for wide establishment and examination of this preventative intervention. Part of a special issue on the European Early Promotion Project (EEPP).
Preventing mental illness: mental health promotion in primary care
- Editors:
- JENKINS Rachel, USTUN T. Bedirhan
- Publisher:
- Wiley
- Publication year:
- 1998
- Pagination:
- 517p.,bibliogs.
- Place of publication:
- Chichester
Presents an evaluation of action programmes to date in the prevention of mental illness and promotion of mental health within primary care. Illustrates the significance of primary care in mental health promotion and the way in which it optimises the resources of the community to serve the needs of people with mental health problems. Looks at: strategies; application in primary care; guidelines for practice; education of the primary care team and the community; case findings and screening instruments for early identification; and specific areas for attention.
Primary prevention of mental health problems: a position statement
- Author:
- GREAT BRITAIN. Scottish Office. National Health Service in Scotland. CRAG Working Group on Mental Illness
- Publisher:
- HMSO/Great Britain. Scottish Office. National Health Service in Scotland
- Publication year:
- 1995
- Pagination:
- 35p.,bibliog.
- Place of publication:
- Edinburgh
Recommendations from a working group on mental health in Scotland. Presents data on: the size of the problem; prevention; epidemiological framework; prevention; and potential for effective action. Following chapters look at the causes of mental health problems, establishing the effectiveness of primary prevention strategies, and evidence of effective interventions. Draws conclusions and makes recommendations for research and for drawing up guidance for purchasers.
Prevention of anxiety and depression in vulnerable groups: a review of the theoretical, epidemiological and applied research literature
- Author:
- MURRAY Joanna
- Publishers:
- Gaskell, Royal College of Psychiatrists
- Publication year:
- 1995
- Pagination:
- 112p.,bibliog.
- Place of publication:
- London
Review looking at primary prevention of anxiety and depression occurring in adults in the community.
Improving life expectancy in people with serious mental illness: should we place more emphasis on primary prevention?
- Authors:
- ILYAS Athif, CHESNEY Edward, PATEL Rashmi
- Journal article citation:
- British Journal of Psychiatry, 211(4), 2017, pp.194-197.
- Publisher:
- Cambridge University Press
People with serious mental illness have a reduced life expectancy that is partly attributable to increased cardiovascular disease. One approach to address this is regular physical health monitoring. However, physical health monitoring is poorly implemented in everyday clinical practice and there is little evidence to suggest that it improves physical health. The authors argue that greater emphasis should be placed on primary prevention strategies such as assertive smoking cessation, dietary and exercise interventions and more judicious psychotropic prescribing. (Edited publisher abstract)
Exploring primary care activities in ACT teams
- Authors:
- VANDERLIP Erik R., et al
- Journal article citation:
- Community Mental Health Journal, 50(4), 2014, pp.466-473.
- Publisher:
- Springer
People with serious mental illness often receive inadequate primary and preventive care services. Federal healthcare reform endorses team-based care that provides high quality primary and preventive care to at risk populations. Assertive community treatment (ACT) teams offer a proven, standardised treatment approach effective in improving mental health outcomes for the seriously mentally ill. Much is known about the effectiveness of ACT teams in improving mental health outcomes, but the degree to which medical care needs are addressed is not established. The purpose of this study was to explore the extent to which ACT teams address the physical health of the population they serve. ACT team leaders were invited to complete an anonymous, web-based survey to explore attitudes and activities involving the primary care needs of their clients. Information was collected regarding the use of health screening tools, physical health assessments, provision of medical care and collaboration with primary care systems. Data was analysed from 127 team leaders across the country, of which 55 completed the entire survey. Nearly every ACT team leader believed ACT teams have a role in identifying and managing the medical co-morbidities of their clientele. ACT teams report participation in many primary care activities. ACT teams are providing a substantial amount of primary and preventive services to their population. The survey suggests standardisation of physical health identification, management or referral processes within ACT teams may result in improved quality of medical care. ACT teams are in a unique position to improve physical health care by virtue of having medically trained staff and frequent, close contact with their clients. (Edited publisher abstract)
Managing and preventing depression in adolescents
- Authors:
- THAPAR Anita, et al
- Journal article citation:
- British Medical Journal, 30.1.10, 2010, pp.254-258.
- Publisher:
- British Medical Association
Adolescent depression affects 1-6% of adolescents and rates of underdiagnosis and undertreatment are higher than for adults. It has adverse effects on educational attainment and relationships, and longterm negative effects on adult health and functioning. It is also associated with an increased risk of suicide, the leading cause of death in this age group (14-19 years). This article reviews the published evidence on diagnosis, treatment and prevention of adolescent depression. Evidence shows that moderate to severe adolescent depression responds to treatment with the antidepressant fluoxetine, the most widely prescribed of the selective serotonin reuptake inhibitors (SSRIs). However, the value of combining this with cognitive-behavioural therapy CBT) remains unclear. Despite concerns that antidepressants may be associated with an increased suicidal risk in adolescents, a recent meta-analysis found that the benefits of these drugs were greater than the risks in this age group. The most promising preventive strategy is to target three high risk groups: adolescents with raised depressive symptoms, those who have experienced a previous depressive episode and those whose parents have a history of depression. A recent randomised controlled trial in the US found that a group based CBT approach was effective in reducing the incidence of depressive episodes at one year in these at-risk groups.
How can health services effectively meet the health needs of homeless people?
- Authors:
- WRIGHT Nat M.J., TOMPKINS Charlotte N.E.
- Journal article citation:
- British Journal of General Practice, 56(525), April 2006, pp.286-293.
- Publisher:
- Royal College of General Practitioners
This systematic review aims to critically evaluate the international literature relating to the health care of homeless people and discusses the effectiveness of treatment interventions. Medline, EMBASE, CINAHL, Web of Science and the Cochrane Library databases were reviewed using key terms relating to homelessness, intervention studies, drug misuse, alcohol misuse and mental health. The review was not limited to publications in English. It included searching the Internet using key terms, and grey literature was also accessed through discussion with experts.