Search results for ‘Subject term:"mental health problems"’ Sort:
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Support for family carers for an elderly person at home: a systematic literature review
- Authors:
- STOLTZ Peter, UDDEN Giggi, WILLMAN Ania
- Journal article citation:
- Scandinavian Journal of Caring Sciences, 18(2), June 2004, pp.111-119.
- Publisher:
- Blackwell Publishing
Sweden, like other countries, has an ageing population, and support for the carers of older people in their own homes is an important policy issue. Support may take a variety of forms, both formal and informal, and this review aims to identify and synthesise high quality evidence on family carers’ perspectives of their situations and needs. Twenty-six papers (primarily American and of carers of people with Alzheimer’s disease) are included in the review, showing that carers fear social isolation and want to network with their peers, either for social or learning purposes. They also want respite care. However, the evidence is not clear on whether they actually benefit from these forms of support, or how service provision should be attempted.
The impact of day hospital closure on social networks, clinical status, and service use: a naturalistic experiment
- Authors:
- GODDARD Kim, BURNS Tom, CATTY Jocelyn
- Journal article citation:
- Community Mental Health Journal, 40(3), June 2004, pp.223-234.
- Publisher:
- Springer
Little research is conducted on service closures. We examined the social, clinical and service use impact of the closure of a partial hospitalisation service (day hospital) on its users. Patients attending the closing day hospital were studied at closure and one year after, and compared to patients at an unchanged day hospital. : The closure did not increase use of inpatient beds, primary care or emergency room. Overall clinical improvements were similar for both groups as were costs. Social networks of the discharged patients decreased. Closures of services need to be as carefully evaluated as new developments.
Selling social inclusion through the arts
- Author:
- RIGBY Terry
- Journal article citation:
- A Life in the Day, 8(3), August 2004, pp.25-28.
- Publisher:
- Emerald
Exercise on prescription is common, but many primary care trusts are only just becoming aware of the potential of offering parallel access to other activities. Describes the arts on prescription programme running in Stockport for 9 years. Highlights the benefits of co-working between artists and mental health workers, pinpoints issues relating to image and marketing and urges us to consider how we can support people to continue moving forward in their lives.
Social outcomes of employment: the experience of people with mental ill health
- Author:
- BUCKLE David
- Journal article citation:
- A Life in the Day, 8(2), May 2004, pp.17-22.
- Publisher:
- Emerald
The author uses evidence from research and the findings of his own qualitative study to explore the relationship between supported employment and social inclusion. In the study 10 people whose employment had been arranged by Arena, a supported employment agency in Cheltenham were interviewed. Argues that the social and psychological needs of people with mental ill heath can potentially be met by putting employment at the heart of mental health services.
Factors influencing help seeking in mentally distressed young adults: a cross-sectional survey
- Authors:
- BIDDLE Lucy, et al
- Journal article citation:
- British Journal of General Practice, 54(501), April 2004, pp.248-253.
- Publisher:
- Royal College of General Practitioners
A questionnaire was sent to a sample of 3004 young adults aged 16-24 years. This assessed probably mental disorder, suicidal thoughts, and help-seeking behaviours. Results found most respondents who were assessed as having probably mental disorders had not sought help. Help seeking was more common in female cases than male cases. Recent experiences of suicidal thoughts appeared to be the stronger predictor of formal help seeking in mentally distressed women than mentally distressed men. Concludes that mentally distressed young adults are reluctant to seek help. Men are particularly unlikely to do so unless severely distressed and tend not to seek lay support.
Social networks of people with dual diagnosis: the quantity and quality of relationships at different stages of substance use treatment
- Authors:
- MacDONALD Elspeth M., et al
- Journal article citation:
- Community Mental Health Journal, 40(5), October 2004, pp.451-464.
- Publisher:
- Springer
This study compares the social networks, perceived levels of social support, and satisfaction with this support, for people with serious mental illnesses and comorbid problematic use of alcohol and other drugs who are at different stages of substance use recovery. Participants in the late stage of recovery were more likely to perceive greater social support from their non substance-using social contacts than participants in the early stage. This social support was more likely to be from professionals than other non-substance-using contacts in their networks. The support from professionals is discussed in relation to engagement in integrated dual diagnosis interventions.
Factors enabling and hindering participation in leisure for people with mental health problems
- Authors:
- PIERIS Yvonne, CRAIK Christine
- Journal article citation:
- British Journal of Occupational Therapy, 67(6), June 2004, pp.240-247.
- Publisher:
- Sage
Using a qualitative design, semi-structured interviews were conducted with 10 participants with mental health problems living in the community, randomly selected from clients referred to a local assertive outreach service in South-East England. Initially, the data were analysed for content and the phrases, language and words used; subsequently, emerging themes were identified, which were confirmed by a second occupational therapist. The three themes arising from the data reported here were the number and range of occupations engaged in, the factors enabling participation in leisure and the factors hindering participation in leisure. The range of leisure occupations was similar to that noted in the literature. The main enabling factor was having an adequate network of people to provide support, while the main hindering factors were physical limitations, lack of finances and lack of transport. In the absence of paid employment, leisure was important to the clients. Occupational therapists need to recognise that enhancing the factors enabling participation in leisure and assisting clients to overcome the factors hindering participation in leisure will lead to the increased wellbeing of people with enduring mental health problems.
Social factors and depression in carers of people with dementia
- Authors:
- WAITE Allyson, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 19(6), June 2004, pp.582-587.
- Publisher:
- Wiley
Research has highlighted the influence of psychosocial factors on the wellbeing of carers of people with dementia. This study aimed to investigate the interrelationships between life events, depression and social support in carers of people with dementia. Participants were 72 carers of people with dementia. They were interviewed using the Bedford College Life Events and Difficulties Schedule and the Geriatric Depression Scale. The results showed that 31 (43%) of carers were depressed. Factors associated with depression in carers were a lack of confiding relationship, depression in the person with dementia, and living with the person with dementia. Carers of people with dementia appear more vulnerable to depression in the context of the caring experience rather than threatening life events.
Cognitive impairment and associated risk factors among aged community members
- Authors:
- YEN Yung-Chieh, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 19(6), June 2004, pp.564-569.
- Publisher:
- Wiley
The objective of this paper is to investigate the prevalence of and risk factors associated with cognitive impairment in a community-dwelling elderly population. 1000 community residents aged 65-74 years were recruited in the cross-sectional survey of associated factors of cognitive impairment in southern Taiwan. We employed a multilevel stratified sampling strategy and conducted this interview survey from April to June 2001. The survey questionnaire included background information and the Short Portable Mental Status Questionnaire. The relationship between cognitive impairment and each individual variable in personal attributes and social participation were explored. Eight hundred and ninety-four (89.4%) subjects completed the interview and questionnaires. The cognitive impairment rate among all subjects was 4.92%. Of those surveyed, 54.98% were male and 45.02% were female, and the average age was 69.37 (SD 2.73) years. Most survey respondents (72.05%) were married, and 68.90% of the subjects did not participate in any social activities in the last 6 months. Females, those who were illiterate or did not attend school, those who had an average family income below US$860 per month, and persons who did not participate in any social activities had a significantly higher rate of cognitive impairment. The educational level and participation in social activities were associated with the cognitive impairment among the aged community dwellers.
The consumer-employee as a member of a Mental Health Assertive Outreach Team: clinical and social outcomes
- Authors:
- CRAIG Tom, et al
- Journal article citation:
- Journal of Mental Health, 13(1), February 2004, pp.59-69.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
The Health Service is among the largest employers in Britain and has the potential to provide supported work for significant numbers of people who have been long-term unemployed as a result of mental health problems. This investigates the feasibility and impact of employing mental health service users as health care assistants within an assertive outreach team. Forty-five clients of the assertive outreach team were randomly assigned to receive either standard case management (n =21) or to case management plus additional input from a consumeremployee (n =24) working as a health care assistant (HCA) to the team. Clients alllocated to the HCAs were more engaged with treatment as re ected in lower rates of non-attendance at appointments, higher levels of participation in structured social care activities and significantly fewer unmet needs in the domains of daytime activity, company, finances, transport and access to benefits. There were no differences between groups in terms of social networks (size or subjective quality) or in satisfaction with the service received. Employing service consumers in front-line caring roles is feasible and may contribute to improved client engagement with services.