Search results for ‘Subject term:"mental health problems"’ Sort:
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Diverted to where? What happens to the diverted mentally disordered offender
- Authors:
- ROWLANDS Robert, et al
- Journal article citation:
- Journal of Forensic Psychiatry, 7(2), September 1996, pp.284-296.
- Publisher:
- Routledge
Describes a court diversion scheme in a provincial city using a forensic community psychiatric nurse specialist. Results found that failure to secure continued psychiatric follow-up was significantly more likely for those who had substance dependence problems or personality disorders. The study demonstrates that diversion schemes can run successfully with the nurse as the main focus, but that there is a high default rate among mentally disordered offenders who receive outpatient management. Argues that there is a need for greater availability of secure beds for the minority of mentally disordered offenders who present as severely disordered.
Drug and alcohol problems among individuals with severe mental illness in South London
- Authors:
- MENEZES Paulo R., et al
- Journal article citation:
- British Journal of Psychiatry, 168, May 1996, pp.612-619.
- Publisher:
- Cambridge University Press
High rates of comorbid alcohol and drug disorders have previously been found among individuals with severe mental illnesses such a schizophrenia and bipolar affective disorders. Clinical and social outcomes have been reported to be worse in this group and service costs greater than in individuals with severe mental illness only. This article looks at a study of these 'dual diagnosis' patients to study patterns of substance abuse. Concludes that the prevalence of substance problems among people suffering from severe mental disorders is high, and seems to be associated with greater use of in-patient services. Recognises this as a significant clinical problem, with cost implications.
Impaired judgment: a useful symptom of dementia?
- Authors:
- HEAD L., BERRIOS G.E.
- Journal article citation:
- International Journal of Geriatric Psychiatry, 11(9), September 1996, pp.779-785.
- Publisher:
- Wiley
'Impaired judgment' remains a diagnostic (and predictive) criterion for delirium, dementia and substance-related disorders, and yet its diagnosis and measurement are hampered by the absence of an operational definition. Most of the important research into judgment as a psychological function has been carried out in development and industrial psychology, in the experimental analysis of perception, medical diagnosis and legal decision-making. Models generated in these fields, although important, are only tangentially relevant to 'impaired judgment' as it is met with in clinical practice. This article explores some models of judgment and their application to dementia. It concludes that judgment is not a unitary function but a composite of subroutines. Hence, both low-and high-level analyses are required: the former to explore aetiology, differential diagnosis and treatment, the latter for the assessment of psychosocial competence. A model for the understanding of judgment is also suggested.
Brief report: dual diagnosis - a treatment model for substance abuse and major mental illness
- Authors:
- BRADY Stephen, et al
- Journal article citation:
- Community Mental Health Journal, 32(6), December 1996, pp.573-578.
- Publisher:
- Springer
The treatment of "dual diagnosis", co-occurring substance abuse and mental illness, calls for addressing two serious and often confounding problems. The authors introduce an expanded version of the transtheoretical model of change as formulated by J.O.Prochaska and C.C. DiClemente, and suggest that this new version offers a pragmatic approach to the conceptualisation and treatment of dual diagnosis. The potential utility of the treatment model is presented through the authors' experiences in working with inner-city, chronic mentally ill individuals with substance abuse problems. The potential utility of the treatment model is presented through the authors' experiences in working with inner-city, chronic mentally ill individuals with substance abuse problems. Practical guidelines for dual diagnosis group therapy are discussed.
Comparison of the life experiences and personal functioning of men and women in prison
- Author:
- SHERIDAN Michael J.
- Journal article citation:
- Families in Society, 77(7), September 1996, pp.423-434.
- Publisher:
- The Alliance for Children and Families
Although some researchers in the USA have studied backgrounds and needs of persons who are incarcerated, few investigators have examined the multiple occurrence of these life factors within the same sample and even fewer have compared the differences between men and women on these variables. Examines the differences between incarcerated men and women in the history and severity of substance abuse, family-of-origin factors, previous abuse and neglect, and current personal functioning. Results indicate that although the women consistently had more problems in these areas than did their male counterparts, male respondents also displayed a significant need for services. Recommendations for relevant programming for both incarcerated men and women are presented, and the role of social work in effective service delivery is discussed.
Good practice in risk assessment and risk management
- Editors:
- KEMSHALL Hazel, PRITCHARD Jacki
- Publisher:
- Jessica Kingsley
- Publication year:
- 1996
- Pagination:
- 210p.,bibliog.
- Place of publication:
- London
Includes chapters on: risking legal repercussions; risk assessment in child protection; children with disabilities; a framework of risk assessment and management for older people; social work with disabled people; risk management and people with mental health problems; risk and substance abuse; offender risk and probation practice; sex offender risk assessment; and the risk of violence to staff.