Search results for ‘Subject term:"mental health problems"’ Sort:
Results 1 - 10 of 35
A systematic review of research on the epidemiology of mental health disorders in prison populations: a summary of findings
- Authors:
- SIRDIFIELD Coral, et al
- Journal article citation:
- Journal of Forensic Psychiatry and Psychology (The), 20(Supplement 1), April 2009, pp.78-101.
- Publisher:
- Taylor and Francis
Brooker et al. (2002) conducted a systematic review of research into the mental health of prisoners. Their final report included a review of the epidemiology of the prison population, an overview of the interventions used to treat the major mental health disorders in both the general and prison populations, and a review of service delivery and organisation for prisoners with mental health disorders. The review found a high prevalence of mental health disorders in prison populations, with up to 15% of prisoners having four or five co-existing mental disorders. This review has been updated, using the same methodology, to include literature dated from 2002 to August 2006. This paper presents findings from the epidemiology section of the updated review, which includes 18 new studies. The recent studies largely reflect the findings of earlier research. However, some studies in the updated review focus on countries where little of this type of research has previously been conducted. The prevalence of mental health disorders, suicide, and substance misuse remains high in prison populations around the world - demonstrating the need for suitable evidence-based interventions to address these issues. Future research should concentrate on mapping interventions available to prisoners and evaluating their effectiveness.
More than shelter: supported accommodation and mental health
- Author:
- BOARDMAN Jed
- Publisher:
- Centre for Mental Health
- Publication year:
- 2016
- Pagination:
- 36
- Place of publication:
- London
This report looks at evidence about the provision of supported housing for people with mental health problems in England, including those with multiple needs and substance misuse, and presents key themes for its future development. It highlights the significant links between housing and mental wellbeing, indicating that factors such as overcrowding, insufficient daylight and fear of crime all contribute to poorer mental health. The review identifies a wide range of types of housing support, including help for people to remain their own tenancies to specialist supported accommodation, hostels, crisis houses and the Housing First approach. Although the review identified limited evidence about what kinds of housing support are most effective and cost-effective, small-scale studies suggest that housing support can reduce the costs of hospital stays. When looking at the type of support people want, the literature found most people prefer help in their own homes to being in sheltered or transitional accommodation. The report calls for better provision of housing support and also argues that housing support should be funded jointly by local authorities and the NHS to ensure that services are delivered in partnership between health, housing and social care providers. (Edited publisher abstract)
Mental health and substance abuse indicators among homeless youth in Denver, Colorado
- Authors:
- MERSCHAM Carrie, van LEEUWEN James M., McGUIRE Megan
- Journal article citation:
- Child Welfare Journal, 88(2), 2009, pp.93-110.
- Publisher:
- Child Welfare League of America
The results of mental health evaluations from 182 homeless youth residing in a Denver, Colorado, shelter are reported. The literature on homeless youth, although developing, is still somewhat limited as it relates to mental health, substance abuse, and trauma. This study was motivated by clinically observed high rates of mental illness, trauma, dangerousness issues, and drug and alcohol abuse. Using archival data from mental health evaluations conducted over two years, variables including gender, age, ethnicity, primary diagnosis, drug of choice, trauma history, suicidal ideation, homicidal ideation, and legal history were assessed. Results discovered significantly higher than expected diagnoses of mental illness and associations between drug of choice and diagnosis, trauma history and suicidal ideation, and trauma history and diagnosis. Results suggest a strong need for co-occurring treatment, trauma-focused therapy, and attention to both mental illness and substance abuse in homeless youth.
The link between mental health problems and violence behaviour
- Author:
- GREGORY Nathan
- Journal article citation:
- Nursing Times, 6.4.04, 2004, pp.34-36.
- Publisher:
- Nursing Times
Reviews literature on mental illness and violence with the aim of clarifying whether there is a link between the two. Concludes that while higher rates of violence have been found among people with mental illness, most studies have flaws and their results should be viewed with caution. Calls for the development of preventative strategies by providing appropriate support for people with mental health problems.
Aggressive incidents in first-episode psychosis
- Authors:
- MILTON John, et al
- Journal article citation:
- British Journal of Psychiatry, 178, May 2001, pp.433-440.
- Publisher:
- Cambridge University Press
Recent research has reported increased risk of aggressive incidents by individuals with psychotic illness. Article aims to examine acts of aggression in first-episode psychosis. Subjects with a first-episode psychosis were ascertained from a defined catchment area and reassessed at 3 years. Of the subjects, 9.6% demonstrated at least one act of serious aggression (defined as weapon use, sexual assault or victim injury) during at least one psychotic episode and 23.5% demonstrated lesser acts of aggression (defined as all other acts of aggression). For all aggressive subjects (33.1%), unemployment, comorbid substance misuse and symptoms of over activity at service contact had independent effects on risk of aggression. Findings confirmed some previously reported demographic and clinical associations with aggression in first-episode psychosis but no relationship with specific psychotic symptoms or diagnostic groups was observed.
The prevalence and characteristics of co-occurring serious mental illness (SMI) and substance abuse or dependence in the patients of Adult Mental Health and Addictions Services in eastern Dorset
- Authors:
- VIRGO Nick, et al
- Journal article citation:
- Journal of Mental Health, 10(2), April 2001, pp.175-188.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Researchers interviewed key workers of all NHS inpatient, day-patient and outpatient Adult Mental Health (AMH) and Addictions Services in eastern Dorset. 'Dual diagnosis' (co-occurring severe mental illness (SMI) and substance abuse or dependence) occurred in 12% of addictions, 12% of all AMH, and 20% of SMI, AMH patients (range 10% rehabilitation to 41% acute wards). Most 'dual diagnoses' in AMH were alcohol and/or cannabis abuse with psychoses, and in addictions heroin dependence and/or alcohol abuse or dependence with depression. Compared with other AMH, SMI patients, AMH 'dual diagnosed' patients were younger; were more often male, in less stable accommodation, unemployed, with more than one psychiatric diagnosis and personality disorder; and tended to have more crises and pose greater risk to themselves and others. Compared with 'dual diagnosed' addictions patients they were less involved with drugs, at less risk of abuse by others and less often acknowledged dual problems.
How substance use affects people with mental illness
- Author:
- HOLLAND Mark
- Journal article citation:
- Nursing Times, 16.6.99, 1999, pp.46-48.
- Publisher:
- Nursing Times
Reports on the findings of a recent survey which suggests that more attention needs to be paid to this area.
The role of gender in engaging the dually diagnosed in treatment
- Authors:
- WATKINS Katherine E., SHANER Andrew, SULLIVAN Greer
- Journal article citation:
- Community Mental Health Journal, 35(2), April 1999, pp.115-126.
- Publisher:
- Springer
Individuals with both a serious mental illness and substance abuse are particularly difficult to engage in treatment. Given known gender differences in both substance abuse and schizophrenia, this article examines the impact of gender on treatment engagement. Qualitative interviews with ten males and eleven females focused on how the client perceived the engagement process, and what obstacles they faced. While both males and females are difficult to engage, the interviews suggest that they experience the process differently and that they face different obstacles. Discusses the implication for service providers.
Drug and alcohol problems among individuals with severe mental illness in South London
- Authors:
- MENEZES Paulo R., et al
- Journal article citation:
- British Journal of Psychiatry, 168, May 1996, pp.612-619.
- Publisher:
- Cambridge University Press
High rates of comorbid alcohol and drug disorders have previously been found among individuals with severe mental illnesses such a schizophrenia and bipolar affective disorders. Clinical and social outcomes have been reported to be worse in this group and service costs greater than in individuals with severe mental illness only. This article looks at a study of these 'dual diagnosis' patients to study patterns of substance abuse. Concludes that the prevalence of substance problems among people suffering from severe mental disorders is high, and seems to be associated with greater use of in-patient services. Recognises this as a significant clinical problem, with cost implications.
Does substance use precipitate the onset of functional psychosis?
- Authors:
- TAYLOR Dawn, WARNER Richard
- Journal article citation:
- Social Work and Social Sciences Review, 5(1), 1994, pp.64-75.
- Publisher:
- Whiting and Birch
Clinical and substance use information was gathered on 55 community-based patients with functional psychosis. Most schizophrenic subject began the use of marijuana or hallucinogens in the year of onset of illness or earlier, but began the use of stimulants after onset. This pattern of first use was not true for bipolar subjects. After controlling for age, age of onset of psychosis was no earlier in subjects who began substance use before developing psychosis. The findings fail to confirm substance use as a precipitant of functional psychosis, but suggest that patients use substances for self-control of prepsychotic and post psychotic symptoms.