Search results for ‘Subject term:"mental health problems"’ Sort:
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Anxiety disorders: QS53
- Author:
- NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE
- Publisher:
- National Institute for Health and Care Excellence
- Publication year:
- 2014
- Place of publication:
- Manchester
This quality standard covers the identification and management of anxiety disorders in primary, secondary and community care for children, young people and adults. These include generalised anxiety disorder, social anxiety disorder, post-traumatic stress disorder, panic disorder, obsessive-compulsive disorder and body dysmorphic disorder. The standard sets out the following four quality statements: people with a suspected anxiety disorder receive an assessment that identifies whether they have a specific anxiety disorder, the severity of symptoms and associated functional impairment; people with an anxiety disorder are offered evidence-based psychological interventions; they are not prescribed benzodiazepines or antipsychotics unless specifically indicated; and people receiving treatment for an anxiety disorder have their response to treatment recorded at each treatment session. (Edited publisher abstract)
Understanding psychosis and schizophrenia
- Editor:
- COOKE Anne
- Publisher:
- British Psychological Society
- Publication year:
- 2014
- Pagination:
- 175
- Place of publication:
- Leicester
An overview of the current state of knowledge about why some people hear voices, experience paranoia or have other experiences seen as psychosis or sometimes thought of as schizophrenia. The report also describes what can help, concluding that psychosis can be understood and treated in the same way as other psychological problems such as anxiety or shyness. It suggests that hearing voices or feeling paranoid are common experiences which can often be a reaction to trauma, abuse or deprivation. Calling them symptoms of mental illness, psychosis or schizophrenia is only one way of thinking about them, with advantages and disadvantages. There is no clear dividing line between ‘psychosis’ and other thoughts, feelings and beliefs, and while some people find it useful to think of themselves as having an illness others prefer to think of their problems as, for example, an aspect of their personality which sometimes gets them into trouble but which they would not want to be without. Psychological therapies – talking treatments such as Cognitive Behaviour Therapy – are very helpful for many people, although most people are currently unable to access it. Many people find that ‘antipsychotic’ medication helps to make the experiences less frequent, intense or distressing. However, there is no evidence that it corrects an underlying biological abnormality and recent evidence also suggests that it carries significant risks, particularly if taken long term. The report calls for services to change radically, and for increasing investment in prevention by taking measures to reduce abuse, deprivation and inequality. (Edited publisher abstract)
An urgent need: We Need to Talk’s manifesto for better talking therapies for all
- Author:
- WE NEED TO TALK COALITION
- Publisher:
- MIND
- Publication year:
- 2014
- Pagination:
- 4
- Place of publication:
- London
Sets out an action plan for improving access to psychological therapies for people with mental health problems, drawing on findings from a 2014 survey of 2,000 people who have tried to access talking therapies within the last two years. The study showed that one third of people had to ask for therapy, rather than being offered and half had waited more than three months for an assessment, with 1 in 10 waiting more than a year for assessment. While waiting for therapy 67 per cent of people became more mentally unwell, 40 per cent harmed themselves and 1 in 6 attempted to take their own life. The manifesto calls on the Government to invest in psychological therapies, so that the NHS in England can offer a full range of evidence-based psychological therapies to all who need them within 28 days of requesting a referral. In particular, it advocates: a commitment to equality between physical and mental health; greater investment in talking therapies; the introduction of national access standards and waiting times; improving the choice of therapies people are able to access, choice about when and where they access them, as well as help to take informed decisions; increasing access to psychological therapies for children and young people; and expanding research and evidence base for talking therapies. (Edited publisher abstract)
Bipolar disorder: the assessment and management of bipolar disorder in adults, children and young people in primary and secondary care: CG185
- Author:
- NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE
- Publisher:
- National Institute for Health and Care Excellence
- Publication year:
- 2014
- Place of publication:
- Manchester
This guideline covers the recognition, assessment and management of bipolar disorder in children, young people and adults. It includes specific recommendations for diagnosis in children and young people because presentation in these age groups can be complicated by other conditions such as ADHD. The recommendations apply to people with bipolar I, bipolar II, mixed affective and rapid cycling disorders. The guideline highlights the key priorities for implementation in relation to: care across all phases of bipolar disorder; recognising and managing bipolar disorder in adults in primary care; managing mania or hypomania in adults in secondary care; managing bipolar depression in adults in secondary care; managing bipolar disorder in adults in the longer term in secondary care; and recognising, diagnosing and managing bipolar disorder in children and young people. (Edited publisher abstract)
The HEALTHY group: a mind-body-spirit approach for treating anxiety and depression in youth
- Author:
- BOYNTON Heather Marie
- Journal article citation:
- Journal of Religion and Spirituality in Social Work, 33(3-4), 2014, pp.236-253.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Anxiety and depression are complex mental health concerns affecting adolescents, and when experienced together the prognosis can be worsened. Current evidence based approaches used in social work interventions include cognitive behavioral therapy, dialectical therapy, and counselling incorporating psychotherapy and psychoeducation, however they do not work for all individuals and they are not holistic. This paper argues that spirituality is a missing element of current social work interventions for treating anxiety and depression. Yoga has emerged as one type of mind body spirit intervention that is more holistic in nature, and it is deemed to be a positive approach that can be included in social work interventions. Furthermore, the explicit incorporation of spirituality is seen as a necessary component of treatment. Literature pertaining to spirituality as an important dimension of life, mental health, coping and wellbeing provides a rationale for its inclusion into comprehensive multi-modal approaches. The HEALTHY group is highlighted as a comprehensive multi-modal mind body spirit approach that addresses the gap of explicitly attending to spirituality. Implications for practice are put forth regarding the need for research on this kind of comprehensive integrative mind body and spirit social work intervention on the outcomes for adolescents experiencing anxiety and depression. (Publisher abstract)
Achieving better access to mental health services by 2020
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2014
- Pagination:
- 20
- Place of publication:
- London
Sets out the government plan to end the disparity of esteem for mental health and achieve better access to mental health services. This comprises a first phase in 2014-15 in which substantial investments will be targeted to end the practice of young people being admitted to mental health beds far away from where they live, or from being inappropriately admitted to adult wards; to support people in mental health crisis; and to boost early intervention services, that help some of the most vulnerable young people to get well and stay well. The second phase, from next year, will see the introduction of access standards and waiting time standards for mental health services, with the aim to deliver: treatment within 6 weeks for 75 per cent of people referred to the Improving Access to Psychological Therapies programme, with 95 per cent of people being treated within 18 weeks; treatment within 2 weeks for more than 50 per cent of people experiencing a first episode of psychosis. Additional targeted investment is also promised to help people in crisis to access effective support in more acute hospitals. Subject to future resourcing decisions following the next Spending Review, the final phase from 2016 to 2020, would see the continuous staged roll out of these new access and waiting time standards across the whole of mental health services in England. (Edited publisher abstract)
Treatment implications based on measures of child abuse potential and parent mental health: are we missing an intervention opportunity?
- Authors:
- SOLOMON David A., et al
- Journal article citation:
- Children and Youth Services Review, 43, 2014, pp.153-159.
- Publisher:
- Elsevier
This paper discusses the results of MMPI-2-RF (Minnesota Multiphasic Personality Inventory-2 Restructured Form) and Child Abuse Potential Inventory assessments in a sample of identified perpetrators of child maltreatment. Results indicated that child abuse potential (CAP) scores were most strongly correlated with internalizing symptoms (e.g., depression and anxiety) while correlations between abuse potential and externalizing symptoms (e.g., substance use and aggressive behaviour) and thought dysfunctions (e.g., delusions and hallucinations) were comparably weaker. Internalizing problems predicted elevations on the overall CAP Abuse Scale as well as certain CAP subscales, while other classes of problems did not. Because the results of this study indicate a clear relationship between internalizing symptoms and child abuse potential, it is suggested that psychotherapy and other interventions aimed at reducing such symptoms may be beneficial in the prevention of further maltreatment. (Edited publisher abstract)
The effectiveness of psychodynamic interventions for people with learning disabilities: a systematic review
- Authors:
- JAMES Chris W., STACEY James M.
- Journal article citation:
- Tizard Learning Disability Review, 19(1), 2014, pp.17-24.
- Publisher:
- Emerald
Purpose: Recent governmental policy has emphasised the need for greater choice and inclusion for people with learning disabilities. Accordingly, learning disabilities services are increasingly offering a greater choice of psychological interventions to people with learning disabilities. A growing body of research has examined the use of psychodynamic interventions for people with learning disabilities. The purpose of the this paper is to identify, outline, and evaluate research on the efficacy of psychodynamic approaches with people with learning disabilities and to consider the implications for clinical practice. Design/methodology/approach: A systematic search identified 13 relevant studies. A qualitative review of these studies was carried out. Findings: Overall, the reviewed studies offer some preliminary support for the use of psychodynamic approaches with people with learning disabilities. Research limitations/implications – A number of methodological issues are identified (particularly concerning the influence of extraneous variables and the generalisability of findings) and further, larger scale and more robust, research is required. Practical implications: Learning disabilities services should consider providing psychodynamic psychotherapy for people with a mild learning disability experiencing mental health, behavioural, and/or offending problems. Originality/value: This paper provides an up-to-date, comprehensive review of the literature on the efficacy of psychodynamic psychotherapy for people with a learning disability that will be of use to services providing therapeutic support to people with a learning disability and to people commissioning those services. (Publisher abstract)
Commentary on “The effectiveness of psychodynamic interventions for people with learning disabilities: a systematic review”
- Author:
- BROWN Hilary
- Journal article citation:
- Tizard Learning Disability Review, 19(1), 2014, pp.25-28.
- Publisher:
- Emerald
Purpose: This paper is a commentary on “The effectiveness of psychodynamic interventions for people with learning disabilities: a systematic review” by Chris James and James Stacey. The purpose of this paper is to illustrate the thesis that standardised ways of evaluating health care interventions may have the inadvertent effect of undermining the case that people with intellectual disabilities should be offered the same opportunities to address their emotional and mental health difficulties as other citizens. Design/methodology/approach: The commentary argues that while the evidence base focuses on the outcomes of orthodox one-to-one interventions, sometimes broader “contextual reformulation” and systemic interventions are called for. However, family- or service-based interventions tend not to feature in studies. Findings: The commentary illustrates these issues by discussing two case studies, which demonstrate how relational issues tend to be unhelpfully focused on the person with intellectual disabilities to the detriment of family members or direct care staff, who may be struggling to make sense of the person's behaviour or distress. Originality/value: The commentary supports the argument put forward in the longer paper and also argues for mental health services to be offered on a non-discriminatory basis to people with intellectual disabilities and to their family members. But it also suggests that one of the additional impacts of service level psychotherapeutic interventions is to re-establish respect for the work of direct care staff whose work is often presented as if it is little more than domestic drudgery when in fact it involves negotiating and responding to people and their issues with great sensitivity and balance. (Publisher abstract)
The HEALTHY group: a mind–body–spirit approach for treating anxiety and depression in youth
- Author:
- BOYNTON Heather Marie
- Journal article citation:
- Journal of Religion and Spirituality in Social Work, 33(3-4), 2014, pp.236-253.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Anxiety and depression are complex mental health concerns affecting adolescents, and when experienced together the prognosis can be worsened. Current evidence based approaches used in social work interventions include cognitive behavioral therapy, dialectical therapy, and counselling incorporating psychotherapy and psychoeducation, however they do not work for all individuals and they are not holistic. This paper argues that spirituality is a missing element of current social work interventions for treating anxiety and depression. Yoga has emerged as one type of mind body spirit intervention that is more holistic in nature, and it is deemed to be a positive approach that can be included in social work interventions. Furthermore, the explicit incorporation of spirituality is seen as a necessary component of treatment. Literature pertaining to spirituality as an important dimension of life, mental health, coping and wellbeing provides a rationale for its inclusion into comprehensive multi-modal approaches. The HEALTHY group is highlighted as a comprehensive multi-modal mind body spirit approach that addresses the gap of explicitly attending to spirituality. Implications for practice are put forth regarding the need for research on this kind of comprehensive integrative mind body and spirit social work intervention on the outcomes for adolescents experiencing anxiety and depression. (Publisher abstract)