Search results for ‘Subject term:"mental health problems"’ Sort:
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Service uptake in a sample of substance misuse and community mental health service clients: a case control study
- Authors:
- TODD J., et al
- Journal article citation:
- Journal of Mental Health, 14(2), April 2005, pp.95-107.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
This study compared service use in clients with single and comorbid diagnoses from Adult Mental Health (AMH) and Drug and Alcohol services (DAS). A retrospective matched case-control study of a sample of service users of a mental health Trust in East Anglia drawn across 400 AMH and 190 DAS. Odds ratios were estimated and used to test for differences in client groups with respect to uptake of community services, formal and informal in-patient services, “out-of-hours” services and engagement with statutory services.Marked differences were observed in terms of service use between clients of AMH who had a single diagnosis of severe, chronic or recurrent psychiatric problems and clients of AMH who had additional substance misuse problems. Differences were less pronounced between clients of DAS who had a single diagnosis of substance misuse and clients of DAS who had substance misuse and psychiatric problems. It is concluded that substance misuse could be a factor influencing service uptake rather than comorbidity per se.
Characteristics and rates of mental health problems among Indian and White adolescents in two English cities
- Authors:
- DOGRA Nisha, et al
- Journal article citation:
- British Journal of Psychiatry, 203(1), 2013, pp.44-50.
- Publisher:
- Cambridge University Press
A cross-sectional survey with oversampling of Indian adolescents aged 13-15 years of age was used to establish the prevalence rates of mental health problems in ethnic Indian adolescents in England. These were compared with matched White adolescents living in the same areas. The sample size was 2900 (71% response rate) with 1087 (37%) Indian and 414 (14%) White adolescents. Ethnically Indian adolescents had lower rates of all types of mental health problems (5% v. 13% and 21% v. 30% for abnormal Strengths and Difficulties Questionnaire and Short Mood and Feelings Questionnaire scores, respectively) and substance misuse (18% v. 57%, 5% v.15% and 6% v. 9% for regular alcohol, smoking and drug use, respectively), with the exception of eating disorders, compared with their White counterparts. The odds of an abnormal score on the mental health questionnaires were worse for White compared with Indian children irrespective of sociodemographic variables. Factors relating to how Indian adolescents are parented or their social support networks may be influencing their mental health and may warrant further investigation. (Edited publisher abstract)
Religion, spirituality and mental health: results from a national study of English households
- Authors:
- KING Michael, et al
- Journal article citation:
- British Journal of Psychiatry, 202(1), 2013, pp.68-73.
- Publisher:
- Cambridge University Press
Data collected from interviews with 7403 people who participated in the third National Psychiatric Morbidity Study in England were analysed to examine associations between a spiritual or religious understanding of life and psychiatric symptoms and diagnoses. Of the participants 35% had a religious understanding of life, 19% were spiritual but not religious and 46% were neither religious nor spiritual. Religious people were similar to those who were neither religious nor spiritual with regard to the prevalence of mental disorders, except that the former were less likely to have ever used drugs or be a hazardous drinker. Spiritual people were more likely than those who were neither religious nor spiritual to have ever used or be dependent on drugs, and to have abnormal eating attitudes, generalised anxiety disorder, any phobia or any neurotic disorder. They were also more likely to be taking psychotropic medication. The study concludes that people who have a spiritual understanding of life in the absence of a religious framework are vulnerable to mental disorder. (Edited publisher abstract)
Probation and mental illness
- Authors:
- BROOKER Charlie, et al
- Journal article citation:
- Journal of Forensic Psychiatry and Psychology (The), 23(4), August 2012, pp.522-537.
- Publisher:
- Taylor and Francis
The aim of this study was to assess the prevalence of mental illness and substance abuse among individuals under probation supervision. An epidemiological survey of mental health was conducted on a randomised sample of people being supervised by probation offices in Lincolnshire on 4 specific days in 2009 and 2010. Overall, 173 individuals were interviewed, and information was gathered about drug and alcohol abuse, personality disorder and mental illness. This article reports on the study findings. The authors estimate that around 39% of individuals in this probation population are suffering from current mental illnesses, with anxiety orders being the most common, and that around 60% have substance abuse problems and around 48% have personality disorders. They conclude that the prevalence of mental health problems in those serving community sentences is high, and argue that there is a need for a national study of the prevalence of mental health disorders in probation populations to inform community-based mental health services for offenders serving supervision orders.
Housing scheme is putting people in the comfort zone
- Author:
- SALE Anabel Unity
- Journal article citation:
- Community Care, 11.12.08, 2008, pp.36-37.
- Publisher:
- Reed Business Information
Reports on the work of the supported housing provider Comfort Care Services. The organisation provides supported accommodation for people with mental illness, learning disabilities and substance misuse problems in Slough, Reading and Maidenhead. It has also developed vital crisis units and an innovative Move On programme which operates a structured, three-tiered approach to support that eventually leads to clients living independently.
Developing a dual diagnosis
- Authors:
- SWINDEN Donna, BARRETT Mandy
- Journal article citation:
- Nursing Times, 13.5.08, 2008, pp.26-27.
- Publisher:
- Nursing Times
This article describes the development of a dual diagnosis intervention worker role to work with people with coexisting mental health and substance misuse needs in North Durham. It describes the role, how it interacts with other structures, and outcomes for service users. It also outlines some innovative initiatives that have developed as a result of introducing this role.
Connecting up the care: supporting London's children exposed to domestic abuse, parental mental ill-health and parental substance abuse
- Author:
- LONDON ASSEMBLY. Health Committee
- Publisher:
- London Assembly
- Publication year:
- 2020
- Pagination:
- 11
- Place of publication:
- London
Early neglect and trauma on children can have substantial negative outcomes later on in life. These potentially traumatic events are called Adverse Childhood Experiences (ACEs). This report from the London Assembly Health Committee examines three commonly co-occurring ACEs to assess their prevalence in London and how access to and support from services could be improved. The co-occurring ACEs are: domestic violence and abuse, parental mental ill-health and parental alcohol and drug misuse. Key findings of highlight the importance of: information sharing and data collection; multi-agency working; and the adoption of a trauma-informed approach to improve outcomes. (Edited publisher abstract)
Examining prisoner experience of an equine assisted psychotherapy
- Authors:
- ROBINSON-EDWARDS Shona, et al
- Journal article citation:
- Therapeutic Communities: the International Journal of Therapeutic Communities, 40(3-4), 2019, pp.111-124.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to examine prisoner experience of an equine assisted psychotherapy (EAP). This paper explores the use of therapeutic interventions; specifically focussing on EAP, within this paper EAP constitutes the use of horses in therapy and involves a team approach from equine and mental health experts. Design/methodology/approach: This paper took a qualitative approach; due to the exploratory nature of this study a phenomenological approach was adopted. Interpretative phenomenological analysis was deemed appropriate; the intervention took place in an adult, male, open condition prison in England (Category D) however participants who engaged in the equine intervention were from both the open prison and a nearby closed Category C prison. The equine intervention was delivered by qualified therapists who worked to help improve emotional regulation among participants with a history of drug and alcohol abuse. Findings: The findings within this paper identify a strong correlation between EAP and positive experiences expressed by participants. Alternative approaches such as animal assisted therapies are worthy of consideration when attempting to support the rehabilitation and treatment needs of incarcerated clients. Participants achieved a number of goals and their confidence improved as they felt a sense of achievement. Research limitations/implications: This paper demonstrates the complexities of therapeutic interventions. Research relating to EAP in the UK is few and far between, consequently understanding is limited. This paper seeks to offer an insight into this topic and build upon this research in the future. Practical implications: Access to prison for research purposes is challenging. Due to the nature of this study and the resources required sometimes EAP therapy cannot be implemented in or near many prisons in England and Wales. Therefore gaining access to this prison and exploring the data is the first phase of further research in this area. Social implications: Researching the way individuals experience therapeutic interventions is a “growing phenomenon”. This paper aimed to explore EAP interventions, however due to the sample size it was imperative that the role of EAP was not misrepresented. Therefore this papers intention is to raise awareness of EAP interventions and therapeutic interventions in prisons in England and Wales. (Edited publisher abstract)
Children in families at risk: local area maps
- Author:
- CHILDREN'S COMMISSIONER FOR ENGLAND
- Publisher:
- Children's Commissioner for England
- Publication year:
- 2019
- Place of publication:
- London
Local area maps illustrating projected percentages of children living in households in England where an adult has any of the 'toxic trio' factors present, which are: alcohol or substance misuse; domestic abuse; and mental health problems. These factors have been shown to put children at greater risk of immediate harm as well as having a detrimental impact on their later life outcomes. The maps cover both local authority areas and Parliamentary constituency areas. These figures are not actual data collected from each local area, but are projections from a national survey combined with additional predictive modelling. (Edited publisher abstract)
Capability framework: working effectively with people with co-occurring mental health and alcohol/drug use conditions
- Authors:
- REVOLVING DOORS AGENCY, CLINKS
- Publishers:
- Revolving Doors Agency, Clinks
- Publication year:
- 2019
- Pagination:
- 30
- Place of publication:
- London
This framework describes the values, knowledge and skills required for effective care of people with co-occurring mental health and alcohol or drug use conditions s (COMHAD). It is designed as an individual development tool and can also be used by service providers for workforce development. The framework is organised into the following themes: values; effective management; right care right time; working effectively and collaboratively with multiple agencies; working with families, carers and friends; and physical health and health promotion. It will be relevant to staff in mental and physical health settings, alcohol/drug misuse services, social services and the criminal justice system. The framework updates and builds on 'Closing the gap' and the 'Leeds capability framework.' It supports the implementation of Public Health England’s 'Better care for people with co-occurring mental health and alcohol/drug use conditions: a guide for commissioners and service providers on the ground.' (Edited publisher abstract)