Search results for ‘Subject term:"mental health problems"’ Sort:
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Out of the asylum era
- Author:
- WELLARD Sarah
- Journal article citation:
- Community Care, 25.11.04, 2004, pp.30-31.
- Publisher:
- Reed Business Information
Presents a brief overview of changes in services since the closure of the big Victorian institutions for more varied living arrangements and treatment services. Looks at mental health, learning difficulties and drug misuse.
Interrelationship of PTSD, perceived health, and treatment satisfaction
- Author:
- ASTONE-TWERELL Janetta
- Journal article citation:
- Therapeutic Communities: the International Journal of Therapeutic Communities, 35(1), 2014, pp.21-34.
- Publisher:
- Emerald
Purpose: The residential therapeutic community (TC) treatment modality has been shown to effectively reduce drug use and improve psychiatric/medical health among clients who are often disproportionately impacted by medical conditions and have a co-occurring psychiatric disorder such as Posttraumatic Stress Disorder (PTSD). Yet not much is known regarding how clients’ health may impact their treatment satisfaction. Using path analysis, the interrelationship between PTSD, perceived health, and treatment satisfaction was examined. The paper aims to discuss these issues. Design/methodology/approach – A survey including the Posttraumatic Stress Disorder Checklist-Specific (PCL-S), a perceived health rating, and a Treatment Satisfaction Scale was collected from 303 clients at three comparable long-term residential TC treatment programmes in New York City. Findings: Findings indicated that clients with PTSD rated their health significantly worse than those without PTSD. Although no direct relationship between PTSD and treatment satisfaction was found, there was a significant positive correlation between perceived health and treatment satisfaction. Research limitations/implications: Findings likely constitute a regional sample thus generalisability is limited. Practical implications: Simultaneously addressing addiction, PTSD, and medical issues can improve clients’ treatment satisfaction, consequently increasing treatment retention and producing greater positive post-treatment outcomes. Originality/value: Few if any studies have examined the extent to which PTSD and perceived health impact treatment satisfaction within residential substance abuse treatment programmes. (Edited publisher abstract)
Economic activity and social functioning of residents with psychiatric disorders
- Authors:
- MELTZER Howard, et al, GREAT BRITAIN. Office of Population Censuses and Surveys
- Publisher:
- HMSO
- Publication year:
- 1996
- Pagination:
- 83p.,tables.
- Place of publication:
- London
Report of a survey looking at psychiatric morbidity amongst people with mental health problems who are in residential care, including: hospitals, nursing homes, residential care homes and other types of residential accommodation. Presents data on residents with: schizophrenia; delusional or schizoaffective disorders; affective psychoses; neurotic disorders in respect of their economic activity; difficulty with activities of daily living; social functioning; and use of alcohol, drugs and tobacco.
Anyone at home?: adult residential services; a handbook on visits for councillors
- Author:
- ASSOCIATION OF METROPOLITAN AUTHORITIES
- Publisher:
- Association of Metropolitan Authorities
- Publication year:
- 1993
- Pagination:
- 38p.
- Place of publication:
- London
Handbook drawing on guidance produced by the Department of Health.
Home life: a code of practice for residential care; report of a working party sponsored by the Department of Health and Social Security and convened by the Centre for Policy on Ageing under the Chairmanship of Kina, Lady Avebury
- Author:
- CENTRE FOR POLICY ON AGEING
- Publisher:
- Centre for Policy on Ageing
- Publication year:
- 1984
- Pagination:
- 114p.
- Place of publication:
- London
Report of the Working Party under the chairmanship of Kina, Lady Avebury.
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)
A comparison of homeless and domiciled young people
- Authors:
- COMMANDER Martin, et al
- Journal article citation:
- Journal of Mental Health, 11(5), October 2002, pp.557-564.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
There is growing concern about the welfare of the substantial number of young people who are homeless in the UK. A sample of young people living in homeless hostels in Birmingham is compared with one derived from a private household survey carried out in the same city. Sociodemographic details along with information on mental health, substance use and service uptake were ascertained. The homeless sample were younger and more likely to be male than their domiciled counterparts. They had more often spent time in institutional child care and had worse educational records and lower levels of employment. Young people who were homeless had greater involvement with the police, more frequently used illicit drugs and reported worse physical and mental health than those in private households. They were equally likely to see a general practitioner and more often consulted for 'nerves' as well as having a higher rate of contact with mental health professionals.
Standards used by the Social Services Inspectorate: volume 5; disability and mental health services
- Author:
- GREAT BRITAIN. Department of Health. Social Services Inspectorate
- Publisher:
- Great Britain. Department of Health. Social Services Inspectorate
- Publication year:
- 1997
- Pagination:
- 108p.
- Place of publication:
- London
Contains standards and criteria for the inspection of: services for people who misuse alcohol and drugs; services for people with HIV/AIDS; the care programme approach; special hospitals; medium secure units; services to deaf and hard of hearing people; community services for disabled people; and services for disabled young people.
Mental disorder: its care and treatment
- Author:
- LYTTLE Jack
- Publisher:
- Bailliere Tindall
- Publication year:
- 1986
- Pagination:
- 455p.,illus.,bibliogs.
- Place of publication:
- London
Social care in London: trends in social services activity 1993-97
- Editor:
- FLATLEY John
- Publisher:
- London Research Centre
- Publication year:
- 1999
- Pagination:
- 186p.,tables.
- Place of publication:
- London
Report bringing together a wide range of data on social services activity in London. Examines the pressure on London's services in the context of an active Government agenda to tackle social exclusion and modernise social services. Includes chapters on: London's population; social indicators; children; older people; people with learning difficulties; people with sensory impairments; disabled people; mental health; drug and alcohol misuse; day and domiciliary care; residential care for adults; and resources and charging for social care.