Search results for ‘Subject term:"mental health problems"’ Sort:
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Perceptions of personal well-being among youth accessing residential or intensive home-based treatment
- Authors:
- PREYDE Michele, et al
- Journal article citation:
- Residential Treatment for Children and Youth, 30(1), 2013, pp.1-22.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
The outcomes of youth accessing residential treatment or intensive home-based treatment are varied. Understanding youth's perceptions of their well-being may inform service. The purpose of this report was to explore perceptions of youth's mental health, life satisfaction, and outlook for the future. Youth reported ongoing struggles with mental health disorders, depression in particular, though youth also reported a sense of well-being and a positive outlook for the future. Many youth were able to articulate the improvements in their mental health and functioning after accessing intensive mental health treatment. Youth also divulged perceptions of their treatment and care. Implications are discussed. (Publisher abstract)
Recent violence among persons entering short-term residential mental health and substance abuse treatment
- Authors:
- HAVASSY Barbara E., MERICLE Amy A.
- Journal article citation:
- Journal of Dual Diagnosis, 9(3), 2013, pp.222-227.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Objective: Large-scale epidemiologic studies have consistently found that co-occurring mental health and substance use disorders are associated with increased risk of involvement in violence. Individuals with co-occurring mental and substance use disorders can present either in mental health or substance abuse treatment systems, and both systems must be able to respond to their needs. This study examined the prevalence and correlates of recent violence (both perpetration and victimisation) among adults (N = 419) entering short-term residential mental health and substance abuse treatment. Methods: Approximately 41% (n = 171) of participants reported having any involvement in violence, and for the majority of them (n = 144; 84%) that included victimation. For analytic purposes, we classified participants with involvement in violence as any perpetration (n = 87) or only victimization (n = 84) and conducted bivariate and multivariate logistic regression analyses examining potential correlates of these different types of violence. Results: Homelessness (adjusted odds ratio [AOR] = 1.6, 95% confidence interval [CI] [1.0–2.4], p < .04), alcohol use disorder (AOR = 1.8, 95% CI [1.1–2.9], p < .03), and the interaction of comorbidity and substance abuse treatment system (AOR = 2.8, 95% CI [1.0–7.6], p < .05) were associated with an increased likelihood of any violence. Alcohol use disorder (AOR = 1.8, 95% CI [1.0–3.3], p < .05) increased the likelihood of perpetration. Homelessness (AOR = 1.9, 95% CI [1.1–3.2], p < .02) and the interaction of comorbidity and being recruited from substance abuse treatment (AOR = 5.1, 95% CI [1.8–14.2], p < .003) increased the likelihood of involvement in only victimization. Conclusions: Victimization was far more prevalent than perpetration. Comorbidity was not a significant predictor of violence, but individuals with comorbidity recruited from the substance abuse treatment system were more likely to be involved in violence. (Publisher abstract)
Winterbourne View Hospital: a glimpse of the legacy
- Authors:
- FLYNN Margaret, CITARELLA Vic
- Journal article citation:
- Journal of Adult Protection, 15(4), 2013, pp.173-181.
- Publisher:
- Emerald
This paper concerns the fall-out from a TV programme “Undercover Care: the Abuse Exposed” which exposed cruelty at Winterbourne View Hospital, a private hospital that purported to provide assessment, treatment and rehabilitation to adults with learning disabilities, autism and mental health problems. It describes the principal findings of the Serious Case Review which was commissioned after the TV broadcast, and outlines some of the activities designed to reduce the likelihood of such abuses recurring. From policy, commissioning, regulation, management, service design and practice perspectives, events at Winterbourne View Hospital highlight a gulf between professionals, professionals and their organisations, and leadership shortcomings. The English government responded promptly and encouragingly to the circumstances of patients at Winterbourne View Hospital with a “Timetable of Actions”. (Edited publisher abstract)
Provider perspectives on involving families in children's residential psychiatric care
- Authors:
- SHARROCK, Patty J., et al
- Journal article citation:
- Residential Treatment for Children and Youth, 30(1), 2013, pp.40-54.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Over time, residential mental health treatment programmes for youth with serious emotional and behavioral disorders have shifted to a more family-focused paradigm that stresses the importance of family involvement during children's psychiatric care. Findings are presented from an in-depth qualitative examination of the factors that facilitate and hinder family involvement as well as expectations for family involvement from the perspective of providers at five residential youth treatment facilities in Florida. Results indicate that family involvement is facilitated by offering transportation assistance and flexible scheduling, fostering communication, and empowering families through education and support. Suggestions for future research are also offered. (Publisher abstract)
The youngest victims of violence: examining the mental health needs of young children who are involved in the child welfare and juvenile justice systems
- Authors:
- WHITTED Kathryn S., DELAVEGA Elena, LENNON-DEARING Robin
- Journal article citation:
- Child and Adolescent Social Work Journal, 30(3), 2013, pp.181-195.
- Publisher:
- Springer
Children placed in the state's custody due to neglect, abuse or maltreatment are one America's most vulnerable populations. 75% of child victims of maltreatment are under the age of 12. Not only is their suffering a problem, these children are also at increased risk for delinquent behaviour later in life. While research has documented the potential long-term consequences of child abuse and neglect, the mental health needs of young children involved in the foster care and juvenile justice systems have been largely overlooked. This study examines the social, emotional and behavioural difficulties of 670 children, age 3-11, who were involved in the child welfare and juvenile justice systems. children in the study were living in residential treatment facilities, group homes, foster care homes or were receiving intensive home-based services.The children's mental health needs were assessed and finding indicated a high prevalence of mental health problems. (Edited publisher abstract)
Unit costs of health and social care 2013
- Author:
- CURTIS Lesley
- Publisher:
- Personal Social Services Research Unit
- Publication year:
- 2013
- Pagination:
- 289
- Place of publication:
- Canterbury
This publication provides unit costs for a wide range of health and social care services using a standardised methodology. The report is organised into five main sections. Section I covers services used by a particular client group, and includes services for older people, people with mental health problems, people who misuse drugs/alcohol, people with learning disabilities, younger adults with physical and sensory impairments, services for children and their families, hospitals, and care packages. Sections II, III and IV deal with the unit costs of professionals in community-based health care, community-based social care, and hospital-based health care. Section V details the sources of information used. This volume also includes three articles which explore: information on the costs of: cognitive behaviour therapy, residential child care and telecare and telehealth. (Original abstract)
Statistics on community care for adults in Northern Ireland 2012-2013
- Author:
- NORTHERN IRELAND. Department of Health, Social Services and Public Safety
- Publisher:
- Northern Ireland. Department of Health, Social Services and Public Safety
- Publication year:
- 2013
- Pagination:
- 141
- Place of publication:
- Belfast
An annual statistical report presenting information on a range of community activity gathered from HSC Trusts. It also includes comparisons over the past five years for the main activities. Activities covered include: contacts with HSC Trusts; residential and nursing home care packages; meals on wheels services; residential and nursing home care accommodation; and day care facilities. Services provided include those for older people, people with mental health problems, people with learning disabilities and people with physical and sensory disability. (Original abstract)
What do female clients want from residential treatment? the relationship between expressed and assessed needs, psychosocial characteristics, and program outcome
- Authors:
- HOHMAN Melinda, LOUGHRAN Hilda
- Journal article citation:
- Journal of Dual Diagnosis, 9(1), 2013, pp.3-10.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Objective: Meeting the needs of clients receiving substance use services is related to programme engagement and retention. Using Bradshaw's (1972) classic taxonomy of needs as a framework, the purpose of this study was to determine the relationship between clients’ expressed needs for their treatment experiences as compared to their formally assessed or normative needs. How expressed needs are related to demographic and other characteristics and programme exit status was also explored. Methods: Secondary analysis of evaluation data gathered for other purposes was utilised. Data including demographic and drug use variables were obtained from client charts (N = 237) in a residential treatment agency serving women with co-occurring disorders who were homeless. Clients were administered the Addiction Severity Index-Multimedia Version (ASI-MV) to assess treatment or normative needs. They were also asked to complete the 69-item needs assessment questionnaire, “What I Want From Treatment” (Miller & Brown, 1994). Items that had the highest mean scores were submitted to a principal components analysis for data reduction to determine expressed needs. Bivariate analyses were used to determine the relationships between three expressed needs factors (alcohol/drug, psychological, and housing/employment) and ASI composite scores, demographic characteristics, and exit status. Results: There was no relationship between expressed needs and ASI scores except between the housing/employment factor and medical needs. Race, ethnicity, criminal justice status and drug of choice had no relationship to expressed needs. Those who were referred by a community agency had higher scores on the alcohol/drug factor as compared to those who were self-referred or referred by the criminal justice system. Clients receiving psychiatric medications were less likely to ask for help on psychological and housing/employment factors. There was no association between expressed needs at intake and programme exit status. Conclusions: Race and supervision status did not appear to be barriers to asking for help. Clients’ expressed needs were not related to the severity of their assessed problems, indicating that separate constructs were being measured. Including both expressed and assessed needs may be important in holistic treating planning and intervention. (Publisher abstract)