Search results for ‘Subject term:"mental health problems"’ Sort:
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Reducing the barriers to accessing psychological therapies for Bengali, Urdu, Tamil and Somali communities in the UK: some implications for training, policy and practice
- Authors:
- LOEWENTHAL Del, et al
- Journal article citation:
- British Journal of Guidance and Counselling, 40(1), February 2012, pp.43-66.
- Publisher:
- Taylor and Francis
Those from minority groups are generally under-represented in mental health services. This study examined the feasibility of achieving Improving Access to Psychological Therapies (IAPT) for people from Black, Asian and Minority Ethnic communities living in the UK. There was with specific reference to Bengali, Urdu, Tamil and Somali speaking communities. Focus groups were carried out with each of the communities to investigate how they conceptualise and experience mental health issues and what they do when faced with what they regard as these issues. Participants recruited through Bengali, Urdu, Tamil and Somali community groups. Focus groups were held with 14 Bengali speakers, 21 Urdu, 18 Tamil, 24 Somali, and interviews were held separately with 6 people from each group. Findings revealed that the participants did not fully understand common conceptualisations about mental health issues, nor did they know how to seek mental health support. Implications of cultural barriers and recommendations for IAPT outcomes are presented.
Male sexual abuse and trauma training: the manual
- Author:
- JONES Peter
- Publisher:
- Pavilion
- Publication year:
- 2012
- Pagination:
- 150p.
- Place of publication:
- Hove
This manual aims to increase participants' knowledge and help them to acquire skills in the engagement, management and treatment of males who have suffered sexual abuse and trauma. It is one part of a three part programme (there is an accompanying DVD and interactive book) which takes a building-block approach to the training. The package provides an opportunity to develop and deepen insight into the issues surrounding abuse and trauma. The primary aims of the manual itself are the application and acquisition of therapeutic skills. It takes a holistic approach, seeing the victim in the context of their environment. The manual is divided into seven sessions each with accompanying experiential exercises. Chapters include: introduction to the training; gender perceptions and gender stereotyping; trauma, abuse and associated mental health issues; the role of the therapeutic relationship in the engagement of victims; regime change; and case studies. The training is aimed at professionals working in mental health trusts, prisons and other institutional settings, practitioners and service providers; participants may include counsellors, prison officers, police officers, probation, psychologists and nurses, service users and carers.
Investigating adherence promoters in evidence-based mental health interventions with children and adolescents
- Authors:
- GEARING Robin E., et al
- Journal article citation:
- Community Mental Health Journal, 48(1), February 2012, pp.63-70.
- Publisher:
- Springer
This study investigates patterns of adherence promoting interventions employed in conjunction with RCT of interventions for child and adolescent mental health problems. An 85 question survey on adherence promoters was sent to 85 researchers who published randomized controlled trials on three psychosocial interventions (Cognitive Behavioral Therapies (CBT), Interpersonal Therapy (IPT), and Psychoeducational (PE)) in the area of child and adolescent mental health, between January 2000 and March 31, 2008. Forty-six (54%) researchers completed the survey. Most researchers reported using multiple adherence promoting interventions throughout the duration of their studies. The intensity of adherence promoting efforts was increased for interventions targeting disruptive behaviour disorders and for family based interventions. On average, respondents reported using little more than one promoter per session and devoting approximately 12 min per session on all adherence promoters. Findings of this study support best practice literature on adherence promotion and open new avenues for research into the adherence to evidence-based interventions for child and adolescent mental health problems.
Pathways from social support to service use among caregivers at risk of child maltreatment
- Author:
- KANG Jiyoung
- Journal article citation:
- Children and Youth Services Review, 34(5), May 2012, pp.933-939.
- Publisher:
- Elsevier
Caregivers at risk of maltreating their children have different needs for services that would help them provide safe environments for their children. The purpose of this study was to test pathways from social support to service use among caregivers at risk of child maltreatment. The proposed model of pathways to service use involved 4 mediating variables: family functioning; psychosomatic problems; child maltreatment allegation; and perceived needs. The study used data for 1000 caregivers from the Longitudinal Studies of Child Abuse and Neglect (LONGSCAN) study. The findings showed that social support exerted indirect effects on at-risk caregivers' service use. The proposed model fitted the data well, and supported some of the hypothesised pathways. The effect of social support on service use was mediated by family functioning and psychosomatic symptoms, which in turn was associated with caregivers' perceived needs for outside assistance for a personal or emotional problem. The hypothesised pathways from perceived family functioning and psychosomatic symptoms through child maltreatment allegation report were not supported. The study's findings contribute to understanding the role that social support can play in caregivers' seeking service use for emotional or personal problems.
Why don't older adults with subjective memory complaints seek help?
- Authors:
- HURT Catherine S., et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 27(4), April 2012, pp.394-400.
- Publisher:
- Wiley
Subjective memory complaints (SMCs) are common among older adults, often causing significant distress. Although they show little relation to current cognitive abilities there appears to be a relationship to future cognitive decline. Low rates of help-seeking for memory complaints are well documented but the reasons for this remain unclear. The common-sense model of illness perception (CSM) proposes that the beliefs people hold about their health underlie help-seeking behaviour. This study investigated factors affecting the decision to seek help in people with SMCs within the framework of the CSM. Cognition, illness perceptions, coping styles, depression and anxiety were assessed in 98 adults with SMCs, aged 50 years and over, including 60 attending a memory clinic in Manchester and 38 non-help-seekers. Objective cognitive performance did not differ in relation to help seeking. Logistic regression revealed that illness perceptions including social comparison and causal attributions predict help-seeking behaviour. More general coping style did not predict help-seeking. Help seekers were more likely to have had a close relative with dementia. The results suggest that beliefs about memory, rather than objective cognitive impairment, are associated with the decision to seek help. Education regarding memory problems and challenging causal attributions may help to encourage help-seeking in people with SMCs and improve care in early stage dementia.
Midlife and older gay men living with HIV/AIDS: the influence of resiliency and psychosocial stress factors on health needs
- Authors:
- KING Shawn D., OREL Nancy
- Journal article citation:
- Journal of Gay and Lesbian Social Services, 24(4), October 2012, pp.346-370.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
HIV/AIDS research has mostly focused on younger gay men. However, the population of older gay men living with HIV/AIDS continues to increase at a rapid rate. The aim of this study was to investigate the physical and mental health outcomes for midlife and older gay men living with HIV/AIDS, and the influence that coping and psychosocial stress factors have on their utilisation of health and social services. This cross-sectional study originated from a larger study of 316 gay men aged 45 years and older and includes a subsample of 38 participants living with HIV/AIDS. An online survey questionnaire explored physical and mental health service utilisation rates, including physical and mental health status. Resiliency, internal health locus of control beliefs, and psychosocial stressors of age and sexual orientation discrimination, stigma, and internalised homophobia were also examined. The findings show that 65.8% of the HIV/AIDS participants had received no mental health services the past year, despite reporting higher mental health distress. Of those reporting an HIV status, 10.5% indicated having no health visits in the preceding year and more delays in seeking care when needed and unmet health needs for which services were not sought. Participants reporting higher resiliency indicated less mental health distress and better health access indicators. Stigma and internalised homophobia negatively affected resiliency. Implications for practitioners working with midlife and older gay men are discussed.
Missed opportunities: mental disorder in children of parents with depression
- Authors:
- POTTER Robert, et al
- Journal article citation:
- British Journal of General Practice, 62(600), July 2012, pp.360-361.
- Publisher:
- Royal College of General Practitioners
Research indicates that a quarter of children with a parent with depression have mental health problems, but about two-thirds of them are not in contact with any services. Evidence suggests that early intervention and prevention programmes are important for this group of patients but they are difficult to implement if the children are not identified and are not accessing services, even if their parents are known to primary care. A total of 333 families were recruited in which at least one parent had received treatment for recurrent depression and had a child aged 9-17 years. Parents and children were assessed using research diagnostic interviews. The service-use interview recorded current (in the past 3 months) and lifetime contact with health, educational, and social services due to concerns about the child's emotions or behaviour. Only 37% of children who met criteria for psychiatric disorder were in contact with any service at the time of interview. A third, who were suicidal or self-harming and had a psychiatric disorder at that time, were not in contact with any service. Lack of parental worry predicted lower service use, with higher rates in children with comorbidity and suicidality. The authors stress the importance of improving ease of access to services, and increasing parental and professional awareness that mental health problems can cluster in families.