Search results for ‘Subject term:"mental health problems"’ Sort:
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A closer look at involuntary treatment and the use of transport service in outdoor behavioral healthcare (Wilderness Therapy)
- Authors:
- HARPER Nevin J., MAGNUSON Doug, DOBUD Will W.
- Journal article citation:
- Child and Youth Services, 42(2), 2021, pp.200-219.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Outdoor behavioral healthcare (OBH or wilderness therapy) is an out-of-home adolescent treatment option serving tens of thousands of youths annually for behavioral, substance, and mental health issues in the United States. About half of OBH participants attend involuntarily and are transported by services specialized for “uncooperative” youth. Transportation has been argued by some researchers to have little impact on youth in treatment, and Tucker and colleagues found little difference in outcomes between not transported and transported youth. Ethical and empirical concerns arise from these findings, and we apply a critical perspective to address these concerns. Specifically, we examined the claim in OBH research that being transported has no significant bearing on client treatment outcomes. We propose that the findings of no difference were random, rather than systematic, because they were constructed on a post hoc measure of perceived voluntariness. To demonstrate, we used data from OBH to construct five different measures of voluntary/involuntary, also fabricated post hoc. All five operationalizations resulted in statistically significant differences across a variety of social and psychological outcomes, demonstrating inconsistencies across the findings. Further independent and rigorous research is called for in OBH to understand the use and ethics of forced transportation, coercion, and involuntary treatment. (Edited publisher abstract)
Supporting the mental health of children in care: evidence based practice
- Author:
- McCALL Suzanne
- Editors:
- GUISHARD-PINE Jeune, COLEMAN-OLUWABUSOLA Gail
- Publisher:
- Jessica Kingsley
- Publication year:
- 2017
- Pagination:
- 248
- Place of publication:
- London
Combining research with practice findings, this book brings together contributions from a range of experts on improving the mental health of children in care. Chapters describe the difficulties children in care often experience, such as vulnerability to self-harm, substance misuse or inappropriate sexual behaviour. Chapters also explore therapeutic interventions, such as art therapy or integrative therapy, which can be used to address the root of these behaviours. The book also makes recommendations for further training for foster carers, for reinforcing professional support networks and for all agencies to have a developed understanding of cultural considerations when working with children in care. The book will be especially useful for psychologists, psychiatrists, CAMHS professionals and social workers working with children and young people in care. (Edited publisher abstract)
Preliminary evaluation of a forensic dual diagnosis intervention
- Authors:
- TIBBER Marc Samuel, PIEK Nicola, BOULTER Sara
- Journal article citation:
- Advances in Dual Diagnosis, 8(1), 2015, pp.42-56.
- Publisher:
- Emerald
Purpose: This study is a post hoc service level investigation into the efficacy of a forensic dual diagnosis intervention. The treatment programme incorporated the principles of cognitive behavioural therapy and Motivational Interviewing, and was comprised of three stages: psycho-education into the links between mental/physical health, substance use and offending, the cultivation of coping strategies and relapse prevention planning. The paper aims to discuss these issues. Design/methodology/approach: Treatment outcome was tracked using pre- and post- stage 1 and 2 measures, and included self-report questionnaires that probed service users readiness for change, motivations for treatment and perceived effectiveness of coping strategies (n=80 and 37 patients for stages 1 and 2, respectively). In addition, service users undertook a knowledge quiz, which probed information retention. Findings: The results show that whilst psycho-education (stage 1) increased service users' knowledge of key issues, this had no parallel effects on other measures. In contrast, completion of stage 2 led to an increase in external motivation for treatment, although this did not translate into a shift in service users' readiness for change. Research limitations/implications: These findings are consistent with the Motivational Interviewing literature and highlight the need for a shift in internalised motivation for treatment if change is to be elicited. Further, they point towards the viability of using self-report measures to monitor treatment outcome in a secure forensic setting. Originality/value: These findings have a number of implications for the design and on-going evaluation of forensic dual diagnosis services, an area of research that is currently under-represented in the literature. (Publisher abstract)
100 ways to support recovery
- Author:
- SLADE Mike
- Journal article citation:
- Addiction Today, 20(123), March 2010, pp.20-21.
- Publisher:
- Addiction Recovery Foundation
This brief summary guide provides ideas for working with service users, both those with mental health problems and those with addiction or dependency, in a recovery orientated fashion. The guide is based on two beliefs; first, that recovery is something worked towards and experienced by the person with the problem, it is not something a service can do to the person; and secondly every journey of recovery is individual. The role of the staff is to provide support. The guide looks at recovery tasks, the personal recovery framework and the central importance of relationships and peer involvement. Traditional and recovery-orientated services are compared. A link is provided to the full 32 page guide published by Rethink which identifies 100 action points for staff in supporting recovery.
Ensuring integrated treatment for people with mental health and substance use problems
- Author:
- HAMILTON Ian
- Journal article citation:
- Nursing Times, 23.3.10, 2010, pp.12-15.
- Publisher:
- Nursing Times
The prevalence of dual diagnosis is high among those who access mental health and addiction services. Definitions of dual diagnosis, the prevalence of the condition and the reasons why people with mental illness use substances are briefly examined. Methods of assessment, the importance of integrated treatment and issues that need to be considered in management plans for this group, such as drug interactions and treatment approaches are also discussed.
An integrated, multidimensional treatment model for individuals living with HIV, mental illness, and substance misuse
- Authors:
- BOUIS Stephanie, et al
- Journal article citation:
- Health and Social Work, 32(4), November 2007, pp.268-278.
- Publisher:
- Oxford University Press
The challenge of providing effective treatment services for the growing population of HIV-positive individuals who are also dually diagnosed with substance use and mental disorders has only recently been recognized as an important public health concern affecting both HIV treatment and prevention. This article describes a treatment model that was created for a study of integrated treatment for HIV-positive individuals with substance use and mental disorders. The treatment model was based on the transtheoretical model of behaviour change as well as evidence-based practices that are widely used in the treatment of individuals dually diagnosed with substance use and mental disorders. The model involved collaboration between medical and behavioural health care professionals and emphasized the importance of goal reinforcement across disciplines. Furthermore, it included the development and enhancement of client motivation to modify medical and behavioural health-risk behaviours using individual readiness for change and offered comprehensive care addressing a continuum of client needs that may influence treatment outcomes. Treatment modalities included individual therapy, group therapy, and psychiatric medication management. This treatment intervention was associated with positive outcomes in the integrated treatment study and can be adapted for use in a variety of psychiatric or medical treatment settings.
Solution-focused brief therapy with substance-using individuals: a randomized controlled trial study
- Authors:
- KIM Johnny S., BROOK Jody, AKIN Becci A.
- Journal article citation:
- Research on Social Work Practice, 28(4), 2018, pp.452-462.
- Publisher:
- Sage
Objective: This study examined the effectiveness of solution-focused brief therapy (SFBT) intervention on substance abuse and trauma-related problems. Methods: A randomized controlled trial design was used to evaluate the effectiveness of SFBT in primary substance use treatment services for child welfare involved parents in outpatient treatment for substance use disorders. Mixed linear models were used to test within- and between-group changes using intent-to-treat analysis (N = 64). Hedges’s g effect sizes were also calculated to examine magnitude of treatment effects. Results: Both groups decreased on the Addiction Severity Index-Self-Report and the Trauma Symptom Checklist-40. The between group effect sizes were not statistically significant on either measures, thus SFBT produced similar results as the research supported treatments the control group received. Conclusion: Results support the use of SFBT in treating substance use and trauma and provide an alternative approach that is more strengths based and less problem focused. (Edited publisher abstract)
Dual diagnosis of mental disorder and substance misuse
- Author:
- MCMURRAN Mary
- Publisher:
- NHS National Programme on Forensic Mental Health Research and Development
- Publication year:
- 2001
- Pagination:
- 32p.,bibliog.
- Place of publication:
- Liverpool
Substance misuse that is comorbid with mental disorder may increase the risk of crime, and militate against effective treatment. It is therefore important that forensic mental health professionals understand the assessment and treatment of both substance misuse and mental disorder. Since mentally disordered offenders may be detained under classifications of personality (psychopathic) disorder, mental illness, and learning disability (mental impairment / severe mental impairment), all three disorders are addressed, and this paper is structured accordingly. Substance misuse includes intoxication, problematic use, and dependence, all of which are relevant to criminal behaviour, and the focus is on crimes related to the ingestion of substances.
Dual Diagnosis toolkit: mental health and substance misuse; a practical guide tor professionals and practitioners
- Authors:
- HAWKINGS Caroline, GILBURT Helen
- Publisher:
- Turning Point,|Rethink
- Publication year:
- 2004
- Pagination:
- 98p.
- Place of publication:
- London
This toolkit provides background information to the issues surrounding dual diagnosis and offers a practical guide to delivering services. It includes information about substance misuse, mental health and policy background and features current treatment modules along with case studies and exercises for individuals or group work.
Dual diagnosis: counseling the mentally ill substance abuser
- Authors:
- EVANS Katie, SULLIVAN J Michael
- Publisher:
- Guilford Press
- Publication year:
- 2001
- Pagination:
- 290p.,bibliog.
- Place of publication:
- New York
- Edition:
- 2nd
Provides a synthesis of chemical chemical dependency and mental health models and articulates a framework for assessment and treatment and a range of effective counselling and motivational strategies for adolescents and adults. This edition is made compatible with the diagnostic statistical manual for mental health, DSM IV and includes discussions of recent developments in treatment plans and trauma based disorders in addicted female adolescents,