Search results for ‘Subject term:"mental health problems"’ Sort:
Results 1 - 10 of 12
Cues and knowledge structures used by mental-health professionals when making risk assessments
- Authors:
- BUCKINGHAM Christopher D., ADAMS Ann, MACE Chris
- Journal article citation:
- Journal of Mental Health, 17(3), June 2008, pp.299-314.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Research into mental-health risks has tended to focus on epidemiological approaches and to consider pieces of evidence in isolation. Less is known about the particular factors and their patterns of occurrence that influence clinicians' risk judgements in practice. This research aims to identify the cues used by clinicians to make risk judgements and to explore how these combine within clinicians' psychological representations of suicide, self-harm, self-neglect, and harm to others. Content analysis was applied to semi-structured interviews conducted with 46 practitioners from various mental-health disciplines, using mind maps to represent the hierarchical relationships of data and concepts. Most of the participants were from psychiatric nursing (21)and psychiatry (14), but social workers (3), general practitioners (3), and psychologists (3) were also represented. Strong consensus between experts meant their knowledge could be integrated into a single hierarchical structure for each risk. This revealed contrasting emphases between data and concepts underpinning risks, including: reflection and forethought for suicide; motivation for self-harm; situation and context for harm to others; and current presentation for self-neglect. Analysis of experts' risk-assessment knowledge identified influential cues and their relationships to risks. It can inform development of valid risk-screening decision support systems that combine actuarial evidence with clinical expertise.
Assessing the needs of sentenced children in the Youth Justice System: 2018/19
- Author:
- GREAT BRITAIN. Ministry of Justice
- Publisher:
- Great Britain. Ministry of Justice
- Publication year:
- 2020
- Pagination:
- 10
- Place of publication:
- London
This publication draws on data from AssetPlus, an assessment and planning framework used with children by Youth Offending Teams and secure establishments across England and Wales. The report focuses on a small subset of data, relating to assessed concern types (factors that practitioners judge to be affecting the child, covering their wellbeing, how they relate to other people, social factors and issues at home or their own behaviours); care status types, looking at the child’s current and previous care history; as well as the four ratings for both Safety and Wellbeing (risk that a child’s safety and well-being is now or in the future potentially compromised) and Risk of Serious Harm (looking at the imminence and likelihood of death or serious personal injury whether physical or psychological). The data shows that a large proportion of children assessed had concerns present across most concern types, giving an indication of the vulnerability and complex needs of sentenced children within the Youth Justice System. Over 70% had a concern present for five of the 19 concern types, including safety and wellbeing, risk to others, substance misuse, speech, language and communication, and mental health. Crucially, over half of children assessed showed them to be a current or previous child in need. In the year ending March 2019, almost half of children assessed had a Medium Risk of Serious Harm rating, while 29% were rated as High or Very High – as the sentence type severity increased so did the proportion of children that had a High or Very High Risk of Serious Harm rating. (Edited publisher abstract)
Self-harm: QS34
- Author:
- NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE
- Publisher:
- National Institute for Health and Care Excellence
- Publication year:
- 2013
- Place of publication:
- Manchester
This quality standard covers the initial management of self-harm and the provision of longer-term support for children and young people (aged 8 years and older) and adults (aged 18 years and older) who self-harm. The standard comprises eight statements that describe high-quality care for people who have self-harmed. These focus on: compassion, respect and dignity; initial assessments; comprehensive psychosocial assessments; monitoring; safe physical environments; risk management plans; psychological interventions; and moving between services. (Edited publisher abstract)
Managing self-harm in young people
- Author:
- ROYAL COLLEGE OF PSYCHIATRISTS
- Publisher:
- Royal College of Psychiatrists
- Publication year:
- 2014
- Pagination:
- 28
- Place of publication:
- London
Provides updated guidance on managing self-harm in young people up to the age of 18, including young people who have an intellectual disability. Focusing on professional responses to clinical need, this report primarily addresses broad matters such as professional roles and links and pathways between professionals. It also addresses service arrangements and links between services. The report begins with an overview of the commissioning services across the UK, briefly examines risk factors and reviews the evidence on young people’s experiences of services. It then examines the presentation of self-harm in the community, discussing the role of professionals, including general practitioners and school staff, and acute presentation to hospital, including roles and responsibilities of involved staff. The impact of digital technology on self-harm in young people is examined. The report makes a series of recommendations, including: ensuring that front-line professionals are able to carry out the basics of a mental health risk assessment; involving young people who self-harm in the planning and delivery of training for professionals; and ensuring that good-quality care is provided in a non-judgemental, confidential manner, respecting the young person and their family with a view to emotionally supporting recovery and treatment. (Edited publisher abstract)
Clinical risk management: an introductory text for mental health clinicians
- Author:
- FLEWETT Tom
- Publisher:
- Churchill Livingston
- Publication year:
- 2010
- Pagination:
- 338p.
- Place of publication:
- Sydney, NSW
A useful textbook for anyone working in the mental health field. Topics covered include an introduction to the concept of risk, an analysis of where risk sits within a mental health setting and an in-depth exploration of the most common mental health risks, including suicide, violence and self-harm. It has a logical structure, with four main parts covering, an introduction to risk in mental health; clinical skills in risk assessment and risk management; types of risk, including suicide, chronic risk and violence; and advanced skills. Easy-to-read boxed tips, examples and learning pints are included. The text is written from an Australian perspective.
Risk, mental disorder and social work practice: a gendered landscape
- Authors:
- WARNER Joanne, GABE Jonathan
- Journal article citation:
- British Journal of Social Work, 38(1), January 2008, pp.117-134.
- Publisher:
- Oxford University Press
Whilst the importance of gender for social work practice, risk and mental health has been recognized theoretically for some time, few attempts have been made to explore this area empirically. This paper presents findings from a mixed-methods study of social work practice in relation to mental health service users perceived to be ‘high-risk’ in a social services department in the south-east of England. Findings suggest, first, that the concept ‘high-risk’ was gendered because the primary focus in social work practice was on the risks posed by male service users to others. Second, female social workers in the present study were found to have more female service users from their caseloads who had been defined as ‘high-risk’ compared with their male counterparts. The paper goes on to explore this apparent congruence between female social workers and female service users and highlights how the management of risk could be considered gendered because it reflects a worker’s (perceived) capacity in cultural terms to ‘decode’ the nature of the risks that their clients face as gendered subjects. The paper demonstrates how the intersections between risk, mental disorder and social work practice can therefore be understood as a gendered landscape. It concludes by highlighting the implications of these findings for social work practice and research.
Managing clinical risk: a guide to effective practice
- Authors:
- LOGAN Caroline, JOHNSTONE Lorraine, (eds.)
- Publisher:
- Routledge
- Publication year:
- 2012
- Pagination:
- 332p.
- Place of publication:
- Abingdon
The editors have brought together experts to provide an evidence-based for understanding risk in key areas of practice. Contributions cover; violence, sexual violence, firesetting, suicide, and self-harm, working with individuals and with organisations. Discussion also includes issues around working with special groups: women, young people, serving and former military personnel, clients with comorbid presentations, and clients with cognitive impairment. The book looks at how practitioners can assess and manage clinical risk, communicate their concerns about risk, and account for their decisions about risk management to their clients and to the Courts. It describes the skills practitioners need to understand and communicate their concerns through coverage of interviewing and risk formulation skills. Violence directed towards others or self can cause immense physical and psychological damage to the harmed, the harmful, their families, and the public at large. The book’s contributors have a wide range of knowledge and experience about the notion of risk, conducting risk management in real world mental health, correctional, and community settings, and about working with clients with a label of high risk. Together, they combine theoretical and research knowledge with practical skills in care and management, emphasising the collaborative and recovery-focused nature of modern risk management.
Risk assessment in people with learning disabilities
- Author:
- SELLARS Carol
- Publisher:
- British Psychological Society/Blackwell
- Publication year:
- 2002
- Pagination:
- 168p.,bibliog.
- Place of publication:
- Oxford
This book provides an explanation of the concept of risk, and a discussion of the key areas where risks need to be assessed in the lives of people with learning disabilities. It describes an approach to assessing risks and emphasizes the need to see risk assessment as an ongoing process in which all interested parties can consider the potential risks in any situation.
The care programme approach and risk assessment of borderline personality disorder: clinical validation of the CORE risk sub-scale
- Authors:
- WHEWELL P., BONANNO D.
- Journal article citation:
- Psychiatric Bulletin, 24(10), October 2000, pp.381-384.
- Publisher:
- Royal College of Psychiatrists
Article describes the validation of self-report of risk by patients with borderline personality disorder (BPD) as compared with the judgement of experienced psychotherapists in regular contact with them. The aim was to validate the Clinical Outcomes in Routine Evaluation System (CORE) self-report in order to be able to use it monitor risk change for patients with BPD in psychotherapy and general psychiatric settings. There was significant separation correlation between CORE risk sub-scales for self-harm, suicide and risk to others and therapists' estimation of significant risk v. no significant risk.
How predictable is violence and suicide in community psychiatric practice?
- Authors:
- SHERGILL Sukhwinder S., SZMUKLER George
- Journal article citation:
- Journal of Mental Health, 7(4), August 1998, pp.393-401.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Reports on research assessing the level of risk of violence and suicide in patients seen routinely by a community mental health team. Risk assessment questionnaires were completed by community mental health team professionals for all contacts with all patients seen by the team over a one-month period. The variables best identifying those judged at risk of suicide were previous violence to person or property, specific threats towards another, expression of emotions related to violence in the mental state examination and absence of previous depressive illness. Results indicate a large number of patients seen by the community teams are at risk of suicide and violence; yet suicide or incidents of serious violence are rare. This highlights the difficulty in accurate prediction and the limits of risk management strategies recommended by inquiries following such events.