Search results for ‘Subject term:"mental health problems"’ Sort:
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Going back to nature
- Author:
- JEFFRIES Elisabeth
- Journal article citation:
- Mental Health Today, September/October 2015, pp.12-13.
- Publisher:
- Pavilion
- Place of publication:
- Hove
A project promoting mental health recovery through contact with nature and building relationships is providing results for service users, and has the potential to bring major savings to the local mental health budget. This article looks at the Greencare project at the Iver Environment Centre in Slough which supports a range of activities in an environment that aims to promote physical, mental, social and spiritual wellbeing through contact with nature and engaging as a community. Currently it runs a Greencare Thursday group for people with personality disorders and long term complex emotional problems. The article highlights the difficulties of obtaining additional funding as Greencare do not offer traditional mainstream services. (Edited publisher abstract)
Resilience, mental health and Assertive Community Treatment
- Authors:
- HURLEY Dermot J., O’REILLY Richard L.
- Journal article citation:
- Social Work in Mental Health, 15(6), 2017, pp.730-748.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Clinicians try to promote resilience by building an effective therapeutic relationship with their clients. Assertive Community Treatment (ACT) is an established approach for providing services to individuals with severe mental illness who have not fared well in the regular mental health system. This work underscores the importance of a resilient therapeutic relationship in preventing relapse and assuring adherence to therapeutic outcomes. Persistent psychiatric illness takes a toll on the resilience of the client, while the relationship work takes a toll on the resilience of the clinician. This article explores the concept of relational resilience between clinician and client as a dynamic process of shared success and failure, progress and regression through cycles of crisis, stabilisation, relapse, and partial recovery. This is a qualitative study exploring how ACT clinicians promote and sustain resilience and is based on interviews with social workers, nurses, occupational and recreational therapists, coordinators, and psychiatrists. (Publisher abstract)
Determinants of subjective well-being in people with psychosis referred for psychological therapy in South London
- Authors:
- BROYD Annabel, JOLLEY Suzanne, JOHNS Louise C.
- Journal article citation:
- British Journal of Clinical Psychology, 55(4), 2016, p.429–440.
- Publisher:
- Wiley
Objectives: Improving subjective well-being (SWB) for people with mental health problems is a United Kingdom national health priority and is increasingly important in justifying funding of mental health services. Aside from the economic advantages, maximising SWB confers obvious individual and clinical benefits for people with severe mental illness, such as psychosis. Gaining a better understanding of well-being and its determinants will enable current evidence-based interventions to be targeted and refined appropriately. This study therefore sought to identify the cross-sectional correlates of SWB in an Improving Access to Psychological Therapies for people with Severe Mental Illness psychosis demonstration site, to inform a future longitudinal investigation. Methods: Participants with a psychosis or bipolar spectrum diagnosis referred to the demonstration site (n = 410) rated SWB as part of their initial assessment before starting psychological therapy. Potential influencing factors including age, gender, ethnicity, employment status, illness duration, perceived social support, perceived coping, and psychotic symptoms (voices and beliefs) were also assessed. Results: Regression analyses showed that unemployment (β = −.16, p < .001), lack of social support (β = −.20, p < .001), distressing beliefs (β = −.12, p = .004), and poorer coping (β = −.43, p < .001) were associated with reduced SWB, together accounting for 43% of the variance in well-being, F(5, 392) = 58.42, p < .001; mean SWB = 39.09, SD = 11.61. Conclusions: This study provides preliminary insights into the determinants of SWB in a large sample of people with psychosis. Improving employability, social interactions, coping strategies, and psychotic symptoms may improve SWB. Further longitudinal investigation will determine the potential value of preferentially targeting these areas in therapy to meet national requirements to prioritise well-being outcomes. Practitioner points: a) average well-being in people with psychosis was lower than SWB previously reported for the general population; b) Unemployment, lack of social support, poorer coping, and distressing beliefs were all associated with lower levels of well-being in people with psychosis; c) Psychological interventions targeting the positive symptoms of psychosis may impact on well-being d) Greater focus on promoting social contact and inclusion and facilitating a return to employment may further improve well-being outcomes following psychological intervention; e) The cross-sectional design of the study does not allow for firm conclusions about the causal relationship between well-being and associated factors in psychosis; f) The study was carried out within a particular service context, and the findings need replicating before they can be considered to be generalisable outside this setting. (Edited publisher abstract)
NICE guidelines for mental health
- Author:
- KHELE Suky
- Journal article citation:
- Therapy Today, 19(10), December 2008, pp.40-41.
- Publisher:
- British Association for Counselling and Psychotherapy
NICE have currently published 15 guidelines for the treatment of mental health and behavioural conditions. This article lists the conditions covered in each of the guidelines and the psychological therapies recommended for them.
Acute wards: problems and solutions: a rehabilitation approach to in-patient care
- Author:
- DAVENPORT Sarah
- Journal article citation:
- Psychiatric Bulletin, 26(10), October 2002, pp.385-388.
- Publisher:
- Royal College of Psychiatrists
Describes rehabilitation principles and some specialised practice that could usefully inform the provision of acute in-patient care.
The voice of reason
- Author:
- JAMES Adam
- Journal article citation:
- Nursing Times, 15.10.02, 2002, pp.26-27.
- Publisher:
- Nursing Times
Looks at the use of cognitive behaviour therapy in the treatment of people with psychosis.
Innovative therapeutic care for homeless mentally ill clients: intrapsychic humanism in a residential setting
- Authors:
- TYSON Katherine, CARROLL Emily
- Journal article citation:
- Families in Society, 82(6), November 2001, pp.591-603.
- Publisher:
- The Alliance for Children and Families
Residential care is increasingly recognised as an invaluable therapeutic resource for homeless, severely mentally ill, and substance-abusing clients. Describes how a comprehensive psychology-intrapsychic humanism-can be used as a flexible, consistent guide for serving this population in residential care. Based on a central principle that staff-client relationships can be path to healing, intrapsychic humanism's other precepts include treatment planning that recognises clients' conflicting motives and strengthens their constructive motives, understanding clients' self-destructive responses to positive experiences, and helping clients govern their self-destructive behaviour while enhancing their self-respect.
Learning to conduct psychotherapy with psychotically disturbed patients
- Author:
- McKENNA Patricia
- Journal article citation:
- Clinical Supervisor (The), 19(1), 2000, pp.20-211.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
A first experience working therapeutically with a psychotically-impaired individual challenges a psychologist-in-training with a number of issues. These include how best to establish a therapeutic stance toward symptoms of cognitive disorganisation and delusions, and countertransferential difficulties arising from the power differential between patient and therapist. These issues are explored in the context of a twice-weekly psychodynamic treatment with an involuntary patient on a locked inpatient facility. Challenges faced in this type of treatment are important training experiences, and can inform work with higher-functioning patients as well.
Song sung blue
- Author:
- GILLAM Tony
- Journal article citation:
- Nursing Times, 6.10.99, 1999, pp.34-35.
- Publisher:
- Nursing Times
This article looks at how a music project for people with mental health problems has gone from strength to strength. The project aims to: encourage interpersonal communication; learn to explore and express feelings and moods through music; promote spontaneity, creativity and playfulness as a means of relaxation, recreation and problem-solving.
A necessary madness: the role of the wounded healer in contemporary mental health care
- Author:
- BRANDON David
- Journal article citation:
- Mental Health Care, 2(6), February 1999, pp.198-200.
- Publisher:
- Pavilion
The author discusses his belief that some eastern ideologies offer a way forward for those seeking a genuinely holistic approach to working with clients. Looks in particular at shamanism as a holistic model.