Search results for ‘Subject term:"mental health problems"’ Sort:
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Psychiatric research in Nigeria: bridging tradition and modernisation
- Authors:
- AYONRINDE Oyedji, GUREJE Oye, LAWAL Rahmann
- Journal article citation:
- British Journal of Psychiatry, 184(6), June 2004, pp.536-538.
- Publisher:
- Cambridge University Press
Mental health research in Nigeria is rich in untapped opportunities, such as the highest twin rate in the world among the Yoruba. International collaboration is a key to advancing psychiatric research in Nigeria through skill development and resource sharing.
Prevalence of substance misuse in first-episode psychosis
- Authors:
- CANTWELL Roch, et al
- Journal article citation:
- British Journal of Psychiatry, 174, February 1999, pp.150-153.
- Publisher:
- Cambridge University Press
This study identifies the prevalence and pattern of substance use and misuse in first-episode psychosis, and relationships with diagnosis, mode of presentation and demographic variables. It confirms high rates of substance misuse at onset of psychosis. There is evidence for an increase in diagnosis of substance-related psychotic disorder over time. Those most at risk of substance misuse are young males.
Validation of the Social Satisfaction Questionnaire for outcome evaluation in substance use disorders
- Authors:
- RAISTRICK Duncan, et al
- Journal article citation:
- Psychiatric Bulletin, 31(9), September 2007, pp.333-336.
- Publisher:
- Royal College of Psychiatrists
The aim was to develop a scale to measure social satisfaction in people with substance use disorders and to test its psychometric properties. The rationale is that social satisfaction is more universal and relevant to treatment planning than assessing social problems. The new Social Satisfaction Questionnaire (SSQ) was derived from an existing social problems questionnaire and validation was undertaken on two large clinic populations. An eight-item SSQ was tested and found to have good psychometric properties in terms of test–retest reliability, internal consistency, distribution of responses and concurrent validity. The SSQ is suitable for use as the social domain element of an outcome measures package.
Drug-related movement disorders: training experiences of psychiatrists
- Authors:
- KURUVILLA Kpoancariel, SEDANO-RUIZ Jose Antonio, LEY Ann
- Journal article citation:
- Psychiatric Bulletin, 30(8), August 2006, pp.300-303.
- Publisher:
- Royal College of Psychiatrists
A questionnaire was sent by post to 185 psychiatrists in Devon and Cornwall to investigate training in the assessment and management of drug-related movement disorders and current training needs. Responses were obtained from 143 psychiatrists (77%). Formal training was reported by 67 out of 140 (48%). Only 26 out of 142 (18%) had received formal training in the use of rating scales, which were rarely used. The mean level of satisfaction with training received was below the mid-point on a 5-point scale at 2.76 (s.d.=1.23). Mean levels of confidence in the assessment and management of drug-related movement disorders were just above mid-point at 3.25 (s.d.=1.04) and 3.16 (s.d.=0.99) respectively. Specific training was thought to be necessary by 135 out of 141 psychiatrists (96%) and there were high levels of interest in further training, particularly from those below consultant grade. Drug-related movement disorders affect patients' adherence to medication and their quality of life. Psychiatrists need more structured clinical training in assessing and managing these disorders in order to provide the best clinical care.
The use of ‘drug dogs’ in psychiatry
- Authors:
- GORDON Harvey, HAIDER Daniel
- Journal article citation:
- Psychiatric Bulletin, 28(6), June 2004, pp.196-198.
- Publisher:
- Royal College of Psychiatrists
The undertaking of drug dog searches on psychiatric units, being premised on the need to create and maintain a safe therapeutic environment, precludes the obtaining of consent by patients or affording to them any advance warning that such a search is to take place. It would be unreasonable for such a search to be prevented due to refusal of consent by patients with illegal drugs in their possession. Similarly, patients cannot usually be informed in advance as that would defeat the purpose by enabling patients to remove any illegal drugs prior to the search. Patients should, however, be informed generally that drug dogs may be brought in at various times without them knowing specifically exactly when. Staff themselves may have differing views on the use of drug dogs, though no surveys in psychiatric units have been published. Extensive discussion is therefore appropriate on units where such an approach is being introduced.
What role does employment play in dual recovery? A qualitative meta-synthesis of cross-cutting studies treating substance use treatment, psychiatry and unemployment services
- Authors:
- HANSEN Jeppe Oute, BJERGE Bagga
- Journal article citation:
- Advances in Dual Diagnosis, 10(3), 2017, pp.105-119.
- Publisher:
- Emerald
Purpose: The role of employment in dual recovery from mental illness and substance use is scarcely addressed in previous studies and a deeper understanding of this issue is needed. The purpose of this paper is to cast further light on the conditions that either facilitate or block the road to employment for dually diagnosed people (DDP) and how these conditions could either promote or hinder recovery. Design/methodology/approach: Drawing on the principles laid out by health researchers Sandelowski and Barroso (2007), the study is designed as a qualitative meta-synthesis comprising a systematic literature search, a critical assessment of the identified studies and an integrative synthesis of the articles’ findings. Findings: The synthesis outlines that the findings from the seven identified studies show a recovery process in which unemployed, DDP are becoming employed people – or where there is an attempt to restore their status as working persons – and how this process is driven or hindered by personal, interpersonal and systemic facilitators or barriers. Research limitations/implications: The synthesis adds nuances to the understanding of employment in dual recovery processes and suggests that unconnected means of, and goals for, intervention among these individuals and systems might reduce the chances of DDP obtaining and maintaining a job. Originality/value: The paper calls for more advanced research and policy on the multiple – and often contradictory – aspects of gaining and maintaining employment as part of dually diagnosed persons’ recovery. (Publisher abstract)
Exercise, health and mental health: emerging relationships
- Editors:
- FAULKNER Guy E.J., TAYLOR Adrian H., (eds)
- Publisher:
- Routledge
- Publication year:
- 2005
- Pagination:
- 233p.
- Place of publication:
- Abingdon
Provides an introduction to this emerging field and a platform for future research and practice. Written by exercise, health, and medical scientists, this is the first systematic review of the evidence for the psychological role of exercise in: treating and managing mental health problems including dementia, schizophrenia, and drug and alcohol dependence; coping with chronic clinical conditions including cancer, heart disease, and HIV/AIDS; and enhancing wellbeing in the general population by improving sleep, assisting in smoking cessation, and as a way of addressing broader social issues such as antisocial behaviour.
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
Substance misuse, psychiatric disorder and violent and disturbed behaviour
- Author:
- SOYKA Michael
- Journal article citation:
- British Journal of Psychiatry, 176, April 2000, pp.345-350.
- Publisher:
- Cambridge University Press
Presents a literature review to assess whether people with schizophrenia who use substances have an increased risk for violence and disturbed behaviour. Concludes that substance misuse has been shown consistently to be a significant risk factor for violence and disturbed behaviour. Future research should try to evaluate possible pharmacological and psychosocial treatment approaches.
Substance use and misuse in psychiatric wards: a model task for clinical governance?
- Authors:
- WILLIAMS Richard, COHEN Jeff
- Journal article citation:
- Psychiatric Bulletin, 24(2), February 2000, pp.43-46.
- Publisher:
- Royal College of Psychiatrists
Substance use has reached endemic proportions. Inevitably, the world of psychiatric wards must reflect issues arising in our society. Recognition of its impact on the psychiatric ward is a key issue for staff and patients alike. This paper discusses the problems of substance use in this setting and suggests some procedures and approaches for dealing with its impact.