Search results for ‘Subject term:"mental health problems"’ Sort:
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Schedule control and mental health: the relevance of coworkers’ reports
- Authors:
- HURTADO David A., et al
- Journal article citation:
- Community Work and Family, 18(4), 2015, pp.416-434.
- Publisher:
- Taylor and Francis
Although some studies suggest that schedule control might promote mental health, research has over-relied on self-reports, which might explain why the evidence is inconclusive and mixed. This study introduces an analytical approach based on coworkers’ reports (in lieu of self-reports) in order to better characterise the organizational nature of schedule control, and to address biases of self-reports (e.g. reverse causation or confounding). Following job demand-control theoretical principles, in this cross-sectional study of 1229 nurses nested in 104 hospital units, the hypothesis that psychological distress (a risk factor for mental illness) would be lower for nurses where coworkers reported higher levels of schedule control at their units was tested. Results showed that increments in coworkers’ reports of schedule control at their units were associated with lower risk of psychological distress, even after accounting for self-reports of schedule control, which were not associated with this outcome. In conclusion, relying only on self-reports might conceal mental health effects of schedule control, so future research ought to include organisational and individual measures and perspectives of schedule control. Using coworkers' reports is a pertinent strategy to better signal the potential health effect of schedule control, especially when biased self-reporting is suspected. (Edited publisher abstract)
With safety in mind: mental health services and patient safety
- Authors:
- SCOBIE Sarah, et al
- Publisher:
- National Health Service. National Patient Safety Agency
- Publication year:
- 2006
- Pagination:
- 65p.
- Place of publication:
- London
The report contains analysis which covers almost 45,000 mental health incidents reported to the agency’s National Reporting and Learning System (NRLS) by mental health staff between November 2003 and the end of September 2005. It includes data from 75% of specialist mental health service providers in England and 80% of combined trusts in Wales. It also includes analysis of clinical negligence claims, data from death registrations, hospital activity and national surveys.
A review and case report of pseudologia fantastica
- Authors:
- BIRCH Cheryl D., KELLN Brad R. C., AQUINO Emmanuel P. B.
- Journal article citation:
- Journal of Forensic Psychiatry and Psychology (The), 17(2), June 2006, pp.299-320.
- Publisher:
- Taylor and Francis
Pseudologia fantastica (PF) is an understudied, poorly understood entity. The current diagnostic system captures intentional deception around physical or psychological problems but does not allow for diagnosis around prominent, purposeless deception within other realms (e.g., false accusations). In addition to reviewing the literature around PF, the authors report the case of a 22-year-old female who made frequent, dramatic false accusations against others for no apparent reason, and who possessed an unusual ability to convince others to collaborate in her lying. Her lies eventually resulted in a number of people being criminally charged, including a friend being imprisoned for over a year for staging an elaborate abduction, the burning of an apartment building, and the investigation of a small child for arson. Implications and suggestions for future research are discussed.
Threats against health care workers, part II: the characteristics of those who makes threats, threats as predictors of violence and effects on the victims
- Authors:
- DALTON Rita, ERACLEOUS Helen
- Journal article citation:
- British Journal of Forensic Practice, 8(2), May 2006, pp.25-30.
- Publisher:
- Emerald
This article considers the literature on threats made by individuals, with particular reference to threats made by patients against health care workers. This is the second of two parts, and concerns the characteristics of those who threaten and the impact of the threats on the victims. It considers threats as predictors of, and part of, the escalating process which leads to further violence.
Violence in the workplace: new perspectives in forensic mental health services in the USA
- Authors:
- FLETCHER Tony A., BRAKEL Samuel Jan, CAVANAUGH James L.
- Journal article citation:
- British Journal of Psychiatry, 176, April 2000, pp.339-344.
- Publisher:
- Cambridge University Press
This paper reviews current research on workplace violence in the USA and offers suggestions concerning the roles that mental health professionals with forensic expertise can play in this expanding field. It aims to clarify the role of the mental health professional in evaluating issues related to workplace violence.
Factors associated with Type II trauma in occupational groups working with traumatised children: a systematic review
- Authors:
- SAGE Clara A.M., BROOKS Samantha K., GREENBERG Neil
- Journal article citation:
- Journal of Mental Health, 27(5), 2018, pp.457-467.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Background: There is evidence that “Type II trauma” (TTT) - repeated exposure to traumatic events - can lead to the development of post-traumatic stress disorder (PTSD). TTT frequently occurs in occupational groups working with children who are themselves victims of trauma. Aim: To conduct a systematic review identifying risk factors for/protective factors against TTT-associated mental ill-health in employees working with traumatised children and explore how this type of work impacts upon social functioning. Method: Databases were searched for relevant studies and supplemented by hand searches. Results: 836 papers were found and 13 were included in the review. The key themes identified were coping mechanisms; social support; personality; demographics; occupational support; work-related stressors; traumatic exposure; organisational satisfaction; training/experience and impact on life. Conclusion: Unhelpful coping strategies (e.g. denial) appeared to increase the risk of TTT. Training and strong support may be protective and work-related stressors (e.g. excessive workload) appeared detrimental. Despite some positive impacts of the work (e.g. becoming more appreciative of life) many negative impacts were identified, demonstrating the importance of minimising risk factors and maximising protective factors for staff at risk of TTT. (Publisher abstract)
Preventing prison suicides: staff perspectives
- Authors:
- STUBBS Jessica, DURCAN Graham
- Publisher:
- Centre for Mental Health
- Publication year:
- 2017
- Pagination:
- 8
- Place of publication:
- London
The fourth in a series of briefings into mental health in prisons, this briefing focuses on staff views on what contributes to vulnerability and suicide risk in prisoners. It also makes recommendations based on staff members’ views and their examples of promising practice. The briefing draws on findings from interviews and focus groups held with health care staff, safer custody officers and independent clinical reviewers working in prisons and for health care providers. The figures show that suicide in prison, incidents of self-harm and violent incidents have all risen dramatically over the past three years. Staff identified staffing shortages, inexperienced staff, a prison culture which views prisoner’s distress, self-harming or suicide attempts as ‘manipulative’ rather than ‘vulnerable’, and the increasing complex needs of the prison population as contributing to increased risk of suicide. Staff also highlighted arrival in prison as a time of increased suicide risk and the importance of completing assessments for new arrivals. Recommendations include: the adoption of a ‘stepped care’ approach’ where in which the whole system is responsible for a prisoner’s wellbeing and mental health support is available at every level of need; providing training and support for staff; and the need for robust assessments when a person arrives in prison. (Edited publisher abstract)
A novel CAMHS risk assessment system: clinicians’ views
- Authors:
- DANIEL Matthew R., WEIR Steve, TIFFIN Paul A.
- Journal article citation:
- Journal of Forensic Practice, 15(3), 2013, pp.182-191.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to record and analyse clinicians’ views of the proposed FACE Child and Adolescent Risk Assessment Suite (CARAS). This is a novel risk assessment system comprising a set of screening questions and domain specific sub-schedules intended to be implemented in electronic format within a youth mental health setting. Design/methodology/approach: A qualitative approach was adopted with a series of focus groups conducted with three Child and Adolescent Mental Health Service (CAMHS) teams drawn from general and specialised services in a large NHS Trust in North-East England. A thematic analysis was used to explore the perceived clinical relevance, clarity and utility of the items that are contained within the FACE Child and Adolescent Risk Assessment Suite. Findings: Emerging themes highlighted that items such as criminality and fire-setting be added to the violence risk assessment schedule; a structured approach for risk of sexual harm be utilised; and an eating disorder risk assessment be included. Practical implications: Clinicians viewed the FACE Child and Adolescent Risk Assessment Suite as a structured and comprehensive risk management tool that also demonstrated potential clinical utility. CAMHS clinicians’ views of the potential benefits of risk assessment schedules appear to be influenced by the perceived balance between comprehensiveness and ease and rapidity of administration. Further studies relating to validity and reliability are currently ongoing. Originality/value: This is the first qualitative exploration of a comprehensive and flexible approach to risk assessment in a youth mental health setting. (Publisher abstract)
Staff attributions and management of violent incidents in hostels for homeless people
- Authors:
- MEDDINGS Sara, LEVEY Susan
- Journal article citation:
- Journal of Mental Health, 9(5), October 2000, pp.481-494.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
The attitudes, attributions and preferred management strategies of workers in direct access hostels for homeless people were examined in relation to a hypothetical vignette of a violent incident. Half the participants were told that the man described had schizophrenia. Staff reported internal temporary, internal enduring and external attributions for the incident. They made fewer internal enduring attributions about the violent behaviour of a homeless person with schizophrenia than without, otherwise they made quite similar attributions. Staff rated psychiatric strategies as more useful in managing the behaviour of a person with schizophrenia. External attributions, positive attitudes and talking/caring management strategies were associated. Clinical implications of the study are discussed. Staff training and integrated multi-agency approaches to working with people who are homeless and experience mental health problems are recommended.
A critical appraisal of violent incident measures
- Author:
- BOWERS Len
- Journal article citation:
- Journal of Mental Health, 8(4), August 1999, pp.339-349.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Instrumentation for the recording of violence incidents in psychiatric wards for the purpose of research remain rudimentary and underdeveloped. This article provides a critical review of the currently available research tools. All have potentially fatal handicaps which have not been identified in previous reviews, the most serious of which is the conflation of severity of a violent incident with the outcome in terms of injury.