Search results for ‘Subject term:"mental health problems"’ Sort:
Results 1 - 10 of 19
Olive Tree community treatment centre for individuals with personality disorder: naturalistic service evaluation
- Authors:
- PRETORIUS Johannes L., ALBENIZ Alberto, BROOME Matthew
- Journal article citation:
- Psychiatrist (The), 34(1), January 2010, pp.12-20.
- Publisher:
- Royal College of Psychiatrists
Community based treatment for an individual with personality disorder is a rapidly developing field. This study, from the Olive Tree community treatment centre for individuals with personality disorder, created by the Coventry Primary Care Trust, reports on the effectiveness of one such community based approach. Examining the referral pathways of all clients between January 2005 and April 2008, including the mean days spent in this unit, the days spent in a psychiatric hospital before and after admission to the unit, and the results of changes in the rating scales that are routinely used, this paper outlines the methods employed to routinely reduce the number of in-patient beds in use and shows a small but significant improvement of most psychometric test results. Using a graphical presentation of the referral pathway, and presenting statistical evidence for the positive benefit the authors conclude that the data presented in the study provides further evidence for the effectiveness of community treatment for individuals with personality disorder.
Mental health services for adults with learning disabilities
- Authors:
- BOURAS Nick, HOLT Geraldine
- Journal article citation:
- British Journal of Psychiatry, 184(4), April 2004, pp.291-292.
- Publisher:
- Cambridge University Press
The specialisation of mental health services for people with learning disabilities, provided by mainstream mental health services at a tertiary care level, offers a way forward. Such a solution should be instrumental in surmounting the bureaucratic barriers to care at all service levels. It would bridge the gulf between service systems and would endorse working within the National Framework for Mental Health as well as sharing resources and expertise. This service model would be compatible with other tertiary mental health services such as home treatment teams, assertive outreach services, eating disorders teams and early intervention teams for psychosis. The clinical interface between mental health and learning disability services should follow the pattern of that existing between child development teams and child and adolescent mental health teams, and old age mental health teams and geriatric services.
Involving service users in their mental health care: the CUES Project
- Authors:
- BLENKIRON Paul, et al
- Journal article citation:
- Psychiatric Bulletin, 27(9), September 2003, pp.334-338.
- Publisher:
- Royal College of Psychiatrists
The purpose of this article was to assess the impact of Carers’ and Users’ Expectations of Services – User version (CUES–U) upon clinical care planning in working age adults with mental health problems. Eighty-six individuals who were receiving input from the community mental health team gave their views. Life and service satisfaction ratings ranged from 49% to 88%. The CUES-U discussion led to a change in clinical care for 49% of respondents. Care coordinators rated CUES-U as a good use of their time in 64% of cases. Women and those with a shorter duration of mental disorder were rated as more engaged in the consultation process. CUES-U appears to be a useful tool for supporting individual clinical care and the evaluation of community mental health services.
Assertive outreach teams in London: staff experiences and perceptions: Pan-London Assertive Outreach Study, Part 2
- Authors:
- BILLINGS Joanne, et al
- Journal article citation:
- British Journal of Psychiatry, 183(8), August 2003, pp.139-147.
- Publisher:
- Cambridge University Press
The job satisfaction, burn-out and work experiences of assertive outreach team staff are likely to be important to the model's sustainability. The aim is to describe self-reported views and work experiences of staff in London's 24 assertive outreach teams and to compare these with staff in community mental health teams (CMHTs) and between different types of assertive outreach team. Confidential staff questionnaires in London's assertive outreach teams (n=187, response rate=89%) and nine randomly selected CMHTs (n=114, response rate=75%). Staff in assertive outreach teams and CMHTs were moderately satisfied with their jobs, with similar sources of satisfaction and stress. Mean scores were low or average for all sub-scales of the Maslach Burnout Inventory for the assertive outreach team and the CMHT staff, with some differences suggesting less burn-out in the assertive outreach teams. Nine of the 24 assertive outreach teams had team means in the high range for emotional exhaustion and there were significant differences between types of assertive outreach team in some components of burn-out and satisfaction. These findings are encouraging, but repeated investigation is needed when assertive outreach teams have been established for longer.
Work and employment for people with psychiatric disabilities
- Authors:
- BOARDMAN Jed, et al
- Journal article citation:
- British Journal of Psychiatry, 182(6), June 2003, pp.467-468.
- Publisher:
- Cambridge University Press
Community mental health teams have a central role in assessing need and facilitating access to relevant local opportunities. Specialist vocational workers integrated into these teams can ensure that these needs are met within the existing care-planning approach. Vocational support cannot be simply handed over to specialists, and once people are in work any continuing support should remain the responsibility of the key worker. A satisfactory working life may reduce the need for clinical support, but such support should remain available and be tailored where possible to the constraints of the individual's working life.
Comparison of the assessment by doctors and nurses of deliberate self-harm
- Author:
- WESTON Sian Nerys
- Journal article citation:
- Psychiatric Bulletin, 27(2), February 2003, pp.57-60.
- Publisher:
- Royal College of Psychiatrists
The aim of this article was to compare the assessment by community psychiatric nurses and junior psychiatric doctors of individuals following deliberate self-harm (DSH) and, in particular, to elicit differences in referral practices and perceptions of mental illness. The health professionals involved completed questionnaires after carrying out DSH assessment. There was a significant difference in referral patterns between doctors and nurses after DSH assessment. Doctors were significantly more likely to refer individuals for psychiatric follow-up which involved direct contact with other doctors (51 of 72 (71%) compared with 60 of 175 (34%)). Doctors were also significantly more likely than nurses to perceive individuals as having a mental illness (57 of 72 (79%) compared with 86 of 175 (49%)). Further research is warranted to establish the precise reasons for these differences, and to determine whether the widespread introduction of nurse-led services is an effective and efficient use of resources.
Dual diagnosis screening: preliminary findings on the comparison of 50 clients attending community mental health services and 50 clients attending community substance misuse services
- Authors:
- MANNING V. C., et al
- Journal article citation:
- Journal of Substance Use, 7(4), December 2002, pp.221-228.
- Publisher:
- Taylor and Francis
In the current study clinicians administered a brief screening tool, which detects problematic alcohol, drug use, psychosis and common mental health symptoms, to 50 substance misuse and 50 mental health treatment attenders. Sixty-four per cent of the total sample screened positive for dual diagnosis (positive for any psychiatric disorder and either a drug or alcohol problem). Highest rates were observed in the alcohol sample (92.3%), followed by the drug sample (87.5%), and lowest in the community mental health (CMHT) sample (38%). Current depression and social phobia were most prevalent in alcohol clients compared to psychosis, mania and suicidal ideation in CMHT clients. Around one-third of CMHT clients reported using drugs (mainly cannabis) and around a fifth reported problematic alcohol use. The study demonstrates the feasibility of incorporating a dual diagnosis screen into routine clinical practice. The screen can be used in both mental health and substance misuse treatment settings, which are evidently managing complex client caseloads
Dropping out of care: inappropriate terminations of contact with community-based psychiatric services
- Authors:
- ROSSI Alberto, et al
- Journal article citation:
- British Journal of Psychiatry, 181(10), October 2002, pp.331-338.
- Publisher:
- Cambridge University Press
The aim of this article is to identify patient and treatment characteristics associated with dropping out of contact with community-based psychiatric services. It was found that drop-outs were younger, less likely to be married and their previous length of contact with services was shorter. No drop-outs had a diagnosis of schizophrenia.
Drawing the line
- Author:
- McEVOY Phil
- Journal article citation:
- Health Service Journal, 30.9.99, 1999, pp.28-29.
- Publisher:
- Emap Healthcare
The article discusses how psychiatric nurses have a valuable role in prioritising patients referred to community mental health teams. Employing community psychiatric nurses to assess clients referred to community psychiatric teams can help target resources. Includes a study of the impact of mental health assessment nurses on referral patterns.
An inspection of forensic psychiatric social work: a report of the social work input to the South Wales Forensic Psychiatric Service
- Author:
- GREAT BRITAIN. Welsh Office. Social Services Inspectorate
- Publisher:
- Great Britain. Welsh Office. Social Services Inspectorate
- Publication year:
- 1994
- Pagination:
- 38p.,diags.,bibliog.
- Place of publication:
- Cardiff