Search results for ‘Subject term:"mental health problems"’ Sort:
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A narrative review of reviews of interconnecting risks (IR) of mental health problems for young people
- Authors:
- EDBROOKE-CHILDS Julian, DEIGHTON Jessica
- Journal article citation:
- Journal of Family Therapy, 43(4), 2021, pp.748-772.
- Publisher:
- Wiley
The aim of this narrative review is to examine the most prevalent multiple or interconnecting risks of mental health problems that have been identified in previous reviews of the literature and to examine those most prevalent for children and young people. Overall, ten databases were searched for published literature reviews, and from 1,556 unique hits, 91 reviews examining individual risks were included, with 35 reviews examining interconnecting risks. The findings suggest that interpersonal connection plays a central role in interconnecting risks, as indicated by the number of interconnections between social groups, interpersonal, parental relationships and family cohesion with other risk themes. Family and systemic approaches have clear value in supporting young people by enabling the development of a secure relational foundation on which to build future protective interpersonal connections. (Edited publisher abstract)
Longitudinal study assessing the joint effects of socio-economic status and birth risks on adult emotional and nervous conditions
- Authors:
- FAN Angela P., EATON William W.
- Journal article citation:
- British Journal of Psychiatry, 178(Supplement 40), April 2001, pp.78-83.
- Publisher:
- Cambridge University Press
This article aims to assess the long-range impact of socio-economic status (SES) and birth risks on the development of emotional and nervous conditions through adulthood. The Johns Hopkins Pathways Study interviewed 1824 subjects born between 1960 and 1965, was divided the cohort into high and low income categories. Differences in life time prevalence of emotional and nervous conditions through adulthood between the two income groups were identified. Children in the lower income group were more likely to report or nervous condition as adults. The risks of difficult birth for adult mental disturbance were accentuated in the low-income group.
Rethinking risk: a narrative approach
- Authors:
- FELTON Anne, STICKLEY Theo
- Journal article citation:
- Journal of Mental Health Training Education and Practice, 13(1), 2018, pp.54-62.
- Publisher:
- Emerald
Purpose: The assessment and management of risk is central to contemporary mental health practice. The emergence of recovery has contributed to demands for more service user centred approaches to risk. The purpose of this paper is to examine the potential of narrative as a framework for understanding risk and safety in mental health care. Design/methodology/approach: Narrative theory is adopted to structure a debate examining the potential role of a narrative approach to risk assessment and inform future practice. Findings: There is a danger that even within services, people with mental health problems are understood in terms of their riskiness perpetuating an image of service users as “dangerous others”. This is confounded by a disconnection with individual context in the risk assessment process. Narrative centralizes the persons’ subjective experience and provides a contemporaneous self-account of their identity. This situates risk within a context and creates possibility for greater understanding of coping, strengths and resilience. Originality/value: There has been a call for new ways of working with risk in mental health which facilitate safety and recovery. There is limited examination of what this might actually look like. This paper presents narrative as an approach that may achieve these aims. (Publisher abstract)
The mental health of British adults with intellectual impairments living in general households
- Authors:
- HATTON Chris, et al
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 30(1), 2017, pp.188-197.
- Publisher:
- Wiley
Background: People with intellectual disability or borderline intellectual functioning may have poorer mental health than their peers. The present authors sought to (i) estimate the risk of poorer mental health among British adults with and without intellectual impairments and (ii) estimate the extent to which any between-group differences in mental health may reflect between-group differences in rates of exposure to common social determinants of poorer health. Materials and Methods: The present authors undertook secondary analysis of confidentialised unit records collected in Wave 3 of Understanding Society. Results: British adults with intellectual impairments living in general households are at significantly increased risk of potential mental health problems than their non-disabled peers (e.g. GHQ Caseness OR = 1.77, 95% CI (1.25–2.52), P < 0.001). Adjusting for between-group differences in age, gender and indicators of socio-economic position eliminated this increased risk [GHQ Caseness adjusted OR = 1.06, 95% CI (0.73–1.52), n.s]. Conclusions: The authors' analyses are consistent with the hypothesis that the increased risk of poor mental health among people with intellectual impairments may be attributable to their poorer living conditions rather than their intellectual impairments per se. Greater attention should be given to understanding and addressing the impact of exposure to common social determinants of mental health among marginalised or vulnerable groups. (Edited publisher abstract)
Experience of racism as a correlate of developmental and health outcomes among urban adolescent mental health clients
- Authors:
- SURKO Michael, et al
- Journal article citation:
- Social Work in Mental Health, 3(3), 2005, pp.235-260.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Correlates of race/ethnicity and perceived racism among 760 urban, predominantly Hispanic/Latino and African-American, adolescent mental health clients were investigated using an exploratory, clinical data-mining approach. All racial/ethnic groups reported substantial rates of racism, ranging from 80.0% for Asian/Pacific Islanders to 32.4% for Hispanic/Latinos. Racism was associated with significantly elevated environmental risk (e.g., violence, sexual abuse or assault, exposure to drug use), behavioral risk (e.g., drug use) and worry (e.g., worry about hurting self or others, worry about doing dangerous things). Overall, racism was significantly associated with more negative health and well-being outcomes than ability to get a gun, sexual orientation, and being enrolled in school. The authors conclude that experience of racism should be routinely assessed at intake to mental health services along with traumatic experiences such as physical or sexual abuse.(Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).
Better prevention
- Author:
- BHADURI Reba
- Journal article citation:
- Care and Health Magazine, 14.9.04, 2004, pp.26-27.
- Publisher:
- Care and Health
Looks at how to improve risk assessment in mental health.
How wishing on a Starr helped
- Author:
- HOPKINS Graham
- Journal article citation:
- Community Care, 9.1.03, 2003, pp.42-43.
- Publisher:
- Reed Business Information
Presents a case study of a young asylum seeker who was severely traumatised when she sought asylum in Britain. Looks at how social care staff helped her recover by offering practical support.
Attachment and personality disorders: exploring maladaptive developmental pathways
- Author:
- PAGE Timothy F.
- Journal article citation:
- Child and Adolescent Social Work Journal, 18(5), October 2001, pp.313-334.
- Publisher:
- Springer
Recent theorising and research from an attachment perspective has begun to trace linkages between attachment in childhood and the later appearance of personality disorders. This paper contributes to this work by identifying consistencies between descriptions of insecure attachment in childhood provided by Crittenden (1995, 1997a, 1997b) and descriptions of personality disorders provided by Millon (1996). Implications for clinical assessment and intervention are discussed. In particular, understanding of dimensional characteristics shared by attachment organization and personality disorders may shed light on the differential use of primarily cognitive-behavioral and primarily psychodynamic clinical interventions.
The effects of cognitive impairment and substance abuse on psychiatric hospitalisations
- Authors:
- JACKSON Carlos T., et al
- Journal article citation:
- Community Mental Health Journal, 37(4), August 2001, pp.303-312.
- Publisher:
- Springer
Previous studies have demonstrated a relationship between impairment in executive functioning and hospital and community tenure for people with schizophrenia. However, while it has been clearly established that comorbid substance abuse has a profound negative impact on the functioning of people with schizophrenia, no studies have examined the relative effect of cognitive impairment to substance use in predicting rehospitalisation in this population. This study examined the extent to which impairment on the Wisconsin Card Sorting Test (WCST) and substance abuse are correlated with lifetime psychiatric hospitalisations for outpatients with schizophrenia. Substance abuse was significant predictor of prior hospitalisations and impairment on the WCST was a significant predictor of the months hospitalised. The findings suggest that both substance abuse and cognitive impairment need to be addressed in order to reduce hospitalisations and time in the hospital.
Psychiatric effects of cannabis
- Author:
- JOHNS Andrew
- Journal article citation:
- British Journal of Psychiatry, 178, February 2001, pp.116-122.
- Publisher:
- Cambridge University Press
Aims To re-evaluate the adverse effects of cannabis in the general population and among vulnerable individuals, including those with serious psychiatric disorders. It was found that an appreciable proportion of cannabis users report short-lived adverse effects, including psychotic states following heavy consumption, and regular users are at risk of dependence. People with major mental illnesses such as schizophrenia are especially vulnerable in that cannabis generally provokes relapse and aggravates existing symptoms. Health workers need to recognise, and respond to, the adverse effects of cannabis on mental health.