Search results for ‘Subject term:"mental health problems"’ Sort:
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Building resilience in families under stress: supporting families affected by parental substance misuse and/or mental health problems: a handbook for practitioners
- Author:
- SAWYER Emma
- Publisher:
- National Children's Bureau
- Publication year:
- 2009
- Pagination:
- 151p., bibliog.
- Place of publication:
- London
This book explores how professionals can support parenting more effectively in families affected by parental mental illness and substance abuse. It covers context, legislation and policy; the potential impact on children and families; what helps build resilience; professional responses and barriers to effective practice; and how services can support families more effectively at practice and strategic level;
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.
Changes in treatment content of services during trauma-informed integrated services for women with co-occurring disorders
- Authors:
- CHUNG Sukyung, DOMINO Marisa Elena, MORRISSEY Joseph P.
- Journal article citation:
- Community Mental Health Journal, 45(5), October 2009, pp.375-384.
- Publisher:
- Springer
This study examined how an intervention targeted to provide women with trauma-informed integrated services in the treatment of co-occurring disorders changed the content of services reported by clients. It was found the intervention led to an increased provision of integrated services as well as services addressing each content area: trauma, mental health and substance abuse. There was no increase in service quantity from the intervention. Incorporation of trauma-specific element in the treatment of mental health and substance abuse may have been successfully implemented at the service level thereby better serve women with complex behavioural health histories.
Narrative therapy, older adults, and group work?: practice, research, and recommendations
- Authors:
- POOLE Jennifer, et al
- Journal article citation:
- Social Work with Groups, 32(4), October 2009, pp.288-302.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This article reports on the use of narrative therapy with a diverse group of older adults dealing with mental health and substance misuse issues. Narrative therapy supports individuals to critically assess their lives and develop alternative and empowering life stories that aim to keep the problem in its place. Although the literature suggests this is a promising intervention for individuals, there is a lack of research on narrative therapy and group work. In 2006, a team of Canadian social work practitioners and allied researchers set out to explore what narrative therapy might look like if it were provided in a group rather than individually. Based in a clinical gerontology programme at an urban mental health centre in Toronto, the team developed and researched a narrative therapy group for older adults coping with mental health and substance misuse issues. The final group consisted of 12 adults ranging in age from 55 to 70. Taking an ethnographic approach, field notes and interviews were analysed to determine how, when, and for whom, such a group could be beneficial. The article concludes that narrative therapy is highly suitable for older adults coping with substance misuse and mental health issues and may be more effective for this particular community when provided in a group.
Developing a capable dual diagnosis strategy: a good practice guide
- Authors:
- HUGHES Liz, GORRY Ann, DODD Tom
- Publisher:
- National Mental Health Development Unit
- Publication year:
- 2009
- Pagination:
- 11p., bibliog.
- Place of publication:
- London
This document, for commissioners and lead providers of services involved in the care and treatment of people with a dual diagnosis, describes how a Dual Diagnosis Strategy will set out the vision and values for local service provision and be the focal point for collaboration between all key stakeholders at a local level. People with a dual diagnosis of mental health and substance use often have multiple and complex long term needs, which require a comprehensive, coordinated, seamless, multi-agency response. However, due to a variety of factors (such as resources, lack of clarity around local service responses, and a lack of workforce skills), this group often fail to receive good quality and consistent care. A robust local Dual Diagnosis Strategy will set out the vision and values for local service provision, and be the focal point for collaboration between all key stakeholders at a local level. A successful strategy will be able to account for the varying needs of all groups and will be comprehensive and flexible in its approach. This document is designed to support the development of a capable dual diagnosis strategy built on recommendations from national policy guidance and best practice.
Predictors of running away from out-of-home care
- Authors:
- COURTNEY Mark E., ZINN Andrew
- Journal article citation:
- Children and Youth Services Review, 31(12), December 2009, pp.1298-1306.
- Publisher:
- Elsevier
Whilst running away from home is a common occurrence, with one child in eight having run away at some point during adolescence, this puts children at serious risk of victimisation, sexual exploitation, substance abuse and criminal activity. This is also shown to increase the likelihood of adult depression and homelessness later in life. This study, using data from the state's child welfare management information system and Medicaid paid claims data, examines the frequency and predictors of children running away from foster care in Illinois. Analysis focused on 14,282 children and youth who ran away from care at least once between 1993 and 2003, where the likelihood that youths in care would run nearly doubled over the study period, driven largely by an increase over time in the likelihood that those same youths who had run once would run again. Child age, gender, race and ethnicity, disability, and diagnosed mental health and substance use disorders all predicted running from care. System-level factors including placement type, number of prior placements, prior runaway history, and administrative region were also found to predict running away. Implications of the study findings for child welfare policy and practice are further discussed.
The experience of working with dual diagnosis in an early intervention in psychosis team
- Author:
- HALFPENNY-WEIR Emma
- Journal article citation:
- Advances in Dual Diagnosis, 2(4), December 2009, pp.18-23.
- Publisher:
- Emerald
In Northamptonshire, local data indicates that around half of the mental health practitioner caseload has a dual diagnosis of mental health and substance use. This paper presents the outcomes of a small qualitative study within Northamptonshire Service for the Treatment of Early Psychosis (N-STEP), investigating the experience of social care and health practitioners working with dual diagnosis in an early intervention in psychosis team with a focus on the use of a specifically developed a screening tool concerned with the detection stage of screening and assessment, which is the ability to identify young people who may be at risk of using substances problematically. Interviews were conducted with 4 mental health professionals, and 6 themes emerged: the importance of the cycle change in treatment planning, service accountability and responsibility, the nature of psychotic illness, assumptions about the reasons for substance abuse, confidence, and using the dual diagnosis screening tool as part of the recovery process. The study highlighted that, although the participants interviewed felt that dual disorders should be treated simultaneously, there remained some confusion about which team or professional was best suited to manage this complex service user group. The findings are discussed and modification and further evaluation of the screening tool are recommended.
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.
Comparing male and female juveniles charged with homicide: child maltreatment, substance abuse and crime details
- Author:
- ROE-SEPOWITZ Dominique Eve
- Journal article citation:
- Journal of Interpersonal Violence, 24(4), April 2009, pp.601-617.
- Publisher:
- Sage
This study examines a sample of 136 male and female juveniles charged with attempted homicide or homicide. The purpose of this study is to explore the differences between nondirect file male and female juvenile homicide offenders regarding individual, family, and crime circumstances. Findings suggest that compared to male juvenile offenders, female juvenile homicide offenders have higher rates of reported childhood abuse, more serious substance abuse, and mental health problems including suicidal ideations, depression, anxiety, anger, and irritability. Male juvenile homicide offenders reported higher rates of substance use than their female counterparts but the females had more serious substance abuse problems. Female juveniles were found to more often kill a person known to them and male homicide offenders were found to more often kill a stranger. These findings suggest strongly that male and female juvenile homicide offenders are dissimilar and require unique assessment and treatment.
The resettlement needs of female prisoners
- Authors:
- KEIL Joanna, SAMELE Chiara
- Journal article citation:
- Journal of Forensic Psychiatry and Psychology (The), 20(Supplement 1), April 2009, pp.29-46.
- Publisher:
- Taylor and Francis
Continuity of care issues are relevant to the prison population in terms of release and resettlement into the community. A sample of 27 female prisoners due for release were interviewed about the care they had received in prison and their plans for release. The interviews particularly focused on mental health problems and any care they might have received for these. Attempts were made to track these prisoners after release from prison, but only eight interviews could be conducted after release. There was no information available for eight of the sample after release; for the remaining 11, some information was gained from family, friends, and agencies who had engaged with them on release. This article highlights three main themes from these interviews: mental health, substance misuse, and accommodation.