Search results for ‘Subject term:"mental health problems"’ Sort:
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Is the addiction severity index a reliable and valid assessment instrument
- Authors:
- ZANIS David A., McLELLAN A. Thomas, CORSE Sara
- Journal article citation:
- Community Mental Health Journal, 33(3), June 1997, pp.213-227.
- Publisher:
- Springer
Examined aspects of reliability, validity and utility of Addiction Severity Index (ASI) data as administered to clients with severe and persistent mental illness (SMI) and concurrent substance abuse disorders enrolled in a publicly-funded community mental health centre in the USA. Suggests that the ASI has a number of limitations in assessing the problems of clients with severe and persistent mental illness, and it is likely that other similar instruments based on the self-reports of persons with severe and persistent mental illness would also encounter these limitations.
A case-control study of GP and patient-related variables associated with non-attendance at new psychiatric out-patient appointments
- Authors:
- NEELEMAN Jan, MIKHAIL Wagdy I.
- Journal article citation:
- Journal of Mental Health, 6(3), June 1997, pp.301-306.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Describes a case-control study of 50 attenders and 46 defaulters at first psychiatric out-patient appointments which examined patient and GP-related factors in relation to non-attendance. A history of behavioural difficulties (such as substance abuse, legal problems or self-harm) and the absence of a clear psychiatric diagnosis were associated with non-attendance. Patients referred by fund-holding GPs were more likely to keep their appointment than those referred by non-fundholding GPs. However, a strong association between the presence of current social and relationship problems, and non-attendance, overshadowed the other predictors. The results suggest that there is a group of patients with minor psychiatric morbidity who, while in need of psychiatric help, are unable to make use of conventional psychiatric services.
Inquiry into the treatment and care of Damian Witts: summary of the report commissioned by Gloucestershire Health Authority
- Authors:
- LINGHAM Richard, CANDY Julian
- Publisher:
- Gloucestershire Health Authority
- Publication year:
- 1997
- Pagination:
- 39p.
- Place of publication:
- Gloucester
Report of an inquiry into the provision of services to Damian Witts, who has mental health problems and who pled guilty to the manslaughter of his brother.
Dual diagnosis of severe mental illness and substance misuse: a case for specialist services?
- Author:
- JOHNSON Sonia
- Journal article citation:
- British Journal of Psychiatry, 171, September 1997, pp.205-208.
- Publisher:
- Cambridge University Press
Investigation of the prevalence, consequences and management of comorbid psychotic illness and substance misuse ('dual diagnosis') has been one of the central projects in the US clinical research and service development during the past decade. This article draws on a comprehensive literature search and visits to specialist services in New Hampshire and Washington, DC to discuss whether the absence of specialist services for people with dual diagnosis in Europe constitutes a significant gap, and whether US experiences have produced models of dual diagnosis treatment which could usefully be adopted here.
ABC of mental health: mental health on the margins
- Authors:
- TIMMS Philip, BALAZ John
- Journal article citation:
- British Medical Journal, 30.8.97, 1997, pp.536-539.
- Publisher:
- British Medical Association
Discusses mental illness in the homeless population.
ABC of mental health: common mental health problems in primary care
- Authors:
- CRAIG T.K.J., BOARDMAN A.P.
- Journal article citation:
- British Medical Journal, 31.5.97, 1997, pp.1609-1612.
- Publisher:
- British Medical Association
Looks at the prevalence of mental health problems in primary care, such as bereavement, anxiety disorders, substance users, and psychotic disorders. Also discusses detecting and managing mental disorders in primary care.
Impact of assertive community treatment on homeless persons with co-occurring severe psychiatric and substance use disorders
- Authors:
- MEISLER Neil, et al
- Journal article citation:
- Community Mental Health Journal, 33(2), April 1997, pp.113-122.
- Publisher:
- Springer
Evaluates the impact of an integrated assertive community treatment programme on homeless persons with serious mental and substance use disorders in the USA. High rates of retention in treatment, housing stability, and community tenure were attained, and all but the most severe substance users appeared to gain these benefits. Results found that while the intervention appears to be an effective means of retaining in services and monitoring such difficult-to-treat and costly populations, it did not yield high rates of abstinence and social benefits in severe users.
Psychiatric disorders among the homeless: a comparison of older and younger groups
- Authors:
- DeMALLIE Diane A., NORTH Carol S., SMITH Elizabeth M.
- Journal article citation:
- Gerontologist, 37(1), February 1997, pp.61-66.
- Publisher:
- Oxford University Press
Looks at the differences between older and younger homeless subgroups by interviewing homeless people in the USA using the National Institute of Mental Health Diagnostic Interview Schedule. Results showed that 13 percent of the 600 men and 3 percent of the 300 women were in the older group. Compared with their younger counterparts, older subjects were more likely to be male and white, to report lower incomes and poorer health, and to meet criteria for lifetime alcohol-use disorder. Fewer older than younger subjects met criteria for lifetime drug use disorder and post-traumatic stress disorder. These findings suggest that older and younger people individuals have different vulnerabilities to homelessness.
Family functioning and mental illness: a comparison of psychiatric and nonclinical families
- Authors:
- FRIEDMANN Michael S., et al
- Journal article citation:
- Family Process, 36(4), December 1997, pp.357-367.
- Publisher:
- Wiley
Examines adaptive functioning in the families of patients with a wide range of psychiatric disorders. Seven dimensions of family functioning, as measured by the Family Assessment Device (FAD), were compared across families of patients with a schizophrenia spectrum disorder, bipolar disorder, major depression, anxiety disorder, eating disorder, substance abuse disorder, and adjustment disorder. Results indicated that having a family member with a psychiatric illness is a general stressor for families, and family interventions should be considered for most patients who require a psychiatric hospitalisation for either the onset of, or an acute exacerbation of, any psychiatric disorder.
Physical punishment/maltreatment during childhood and adjustment in young adulthood
- Authors:
- FERGUSSON David M., LYNSKEY Michael T.
- Journal article citation:
- Child Abuse and Neglect, 21(7), July 1997, pp.617-630.
- Publisher:
- Elsevier
Reports on a study of the relationships between retrospective reports of physical punishment/maltreatment and rates of adjustment difficulties at age 18 in a birth cohort of New Zealand subjects. Data were gathered over the course of an 18 year longitudinal study of a birth cohort of New Zealand born children. At age 18 retrospective reports of exposure to physical punishment/maltreatment were obtained. At this time the cohort was also assessed on measures of psychosocial adjustment including juvenile offending, substance abuse behaviours, and psychiatric disorder. Leads to three major conclusions: (1) Those exposed to harsh or abusive treatment during childhood are an at-risk population for juvenile offending, substance abuse, and mental health problems; (2) Much of this elevated risk arises from the social context within which harsh or abusive treatment occurs: (3) Nonetheless, exposure to abuse appears to increase risks of involvement in violent behaviour and alcohol abuse.