Search results for ‘Subject term:"mental health problems"’ Sort:
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Mental health in Scotland: closing the gaps - making a difference: commitment 13
- Author:
- SCOTLAND. Scottish Government
- Publisher:
- Scotland. Scottish Government
- Publication year:
- 2007
- Pagination:
- 35p.
- Place of publication:
- Edinburgh
The aims of this publication are to improve the awareness of co-occurring mental health and substance misuse problems, to improve support and service provision for people who have both mental health and substance misuse problems (and their carers), and to reduce stigma and influence positively attitudes towards this care group.
The Hoosier Assurance Plan instrument for adults (HAPI-A): the psychometric properties of a level of functioning assessment instrument designed for use in a state managed care mental health program
- Authors:
- McGREW John, NEWMAN Fredrick L., DELIBERTY Richard N.
- Journal article citation:
- Community Mental Health Journal, 43(5), October 2007, pp.481-515.
- Publisher:
- Springer
The psychometric properties of the HAPI-A were examined at intake and 90-day follow-up in consumers with mental illness (MI) or chronic addiction (CA) being served at one of 11 treatment facilities (n = 1168). A 4-factor subscale structure was confirmed and factor invariance tests indicated a single model for the CA and MI samples. Internal consistency and inter-rater reliability were good. Factor scores correlated with GAF ratings and predicted membership in severity/cost groupings proposed for setting reimbursement rates. Sensitivity to change was confirmed for all four factors for the CA sample and for three of four factors for the MI sample.
Personal social networks of women with co-occurring substance use and mental disorders
- Authors:
- TRACY Elizabeth M., JOHNSON Pamela J.
- Journal article citation:
- Journal of Social Work Practice in the Addictions, 7(1/2), 2007, pp.69-90.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
There has been relatively little examination of the social network resources of women with substance use disorder, and even fewer explorations of women with co-occurring mental disorders, such as anxiety, depression, and posttraumatic stress disorder. This American study explores the nature of co-occurring mental disorders, social network characteristics and perceived social support in 136 women with substance use disorders. Respondents reported small personal networks that contained both supportive and non-supportive people. Relatives did provide social support, but those who used alcohol/drugs were viewed as tending to interact negatively. Women with dual disorders perceived less concrete, emotional, and sobriety support from some network relationships than the women with substance use disorders only. Implications for research and practice are presented. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).
The stigma of psychiatric disorders and the gender, ethnicity, and education of the perceiver
- Authors:
- CORRIGAN Patrick W., WATSON Amy C.
- Journal article citation:
- Community Mental Health Journal, 43(5), October 2007, pp.439-458.
- Publisher:
- Springer
The purpose of this American study is to determine how the demographics of perceivers influence their stigma of people with mental illness or with substance abuse. A nationally representative sample (N = 968) was asked to respond to a vignette describing a person with a health condition (schizophrenia, drug dependence, or emphysema) and his/her family member. Consistent with the hypotheses, women were less likely to endorse stigma than men. Participants with higher education were also less likely to stigmatize than less educated participants. Contrary to our expectations, non-white research participants were more likely to endorse stigma than whites. Implications of these findings for better understanding the stigma of mental illness, and the development of anti-stigma programs, are reviewed.
The importance of social context: neighborhood stressors, stress-buffering mechanisms, and alcohol, drug, and mental health disorders
- Authors:
- STOCKDALE Susan E., et al
- Journal article citation:
- Social Science and Medicine, 65(9), November 2007, pp.1867-1881.
- Publisher:
- Elsevier
This study examines the relationship among neighbourhood stressors, stress-buffering mechanisms, and likelihood of alcohol, drug, and mental health (ADM) disorders in adults from 60 US communities (n=12,716). Research shows that larger support structures may interact with individual support factors to affect mental health, but few studies have explored buffering effects of these neighbourhood characteristics. A conceptual model ist tested that explores effects of neighbourhood stressors and stress-buffering mechanisms on ADM disorders. Using Health Care for Communities with census and other data, results found a lower likelihood of disorders in neighbourhoods with a greater presence of stress-buffering mechanisms. Higher neighbourhood average household occupancy and churches per capita were associated with a lower likelihood of disorders. Cross-level interactions revealed that violence-exposed individuals in high crime neighbourhoods are vulnerable to depressive/anxiety disorders. Likewise, individuals with low social support in neighbourhoods with high social isolation (i.e., low-average household occupancy) had a higher likelihood of disorders. If replicated by future studies using longitudinal data, the results have implications for policies and programs targeting neighbourhoods to reduce ADM disorders.
Dual diagnosis of substance abuse and severe mental illness: the scope of the problem
- Author:
- BUCKLEY Peter F.
- Journal article citation:
- Journal of Dual Diagnosis, 3(2), 2007, pp.59-62.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This short paper notes, on the basis of US data, that mental illness and substance abuse co-occur at an alarmingly high rate. Causes may include self-medication, genetic vulnerability, environmental factors or lifestyle, underlying shared origins, or a common neural substrate. The consequences of co-occurring substance abuse include poor medication compliance, physical co-morbidities and poor health, poor self-care, increased suicide or aggression, increased risky sexual behaviour and a higher risk of incarceration. Appropriate screening, assessment and integrated mental health and addiction services for dual diagnosis are key components of care for this complex patient group. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).
Charismatic/Pentecostal Christians, spirituality, and treatment: the revival phenomenon
- Authors:
- BELCHER John R., BURRY Caroline
- Journal article citation:
- Journal of Social Work Practice in the Addictions, 7(4), 2007, pp.93-111.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
In the USA revival is widely practised in Charismatic/Pentecostal circles, and has been used as a means of ‘treating’ people with addictions and mental health problems. At the same time, such circles are commonly ‘closed’ and seek to remain separate from the world, raising potential difficulties for social workers and other professionals dealing with such clients. Revival practice is described, and the implications for social work practice are discussed. These include the need to understand a mindset that attributes illness to sin, and believes that healing requires divine intervention. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).
Dual diagnosis: a challenging therapeutic issue of our time
- Author:
- ASKEY Jane
- Journal article citation:
- Drugs and Alcohol Today, 7(4), December 2007, pp.33-39.
- Publisher:
- Emerald
This article looks at some of the challenges that face staff working in both substance misuse services and mental health services as they work to deliver services to a group of service users with multiple and complex needs. It will look at the way in which dual diagnosis is defined, the challenges that face both services and service users, how new government guidance could impact upon improved working practice and outcomes in the future and what some of the barriers are to the successful implementation of this guidance.
Predictors of burden of family caregivers of women with substance use disorders or co-occurring substance and mental disorders
- Authors:
- BIEGEL David E., et al
- Journal article citation:
- Journal of Social Work Practice in the Addictions, 7(1/2), 2007, pp.25-49.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This American study examined the impact of having a female family member with a substance use or co-occurring disorders on family caregivers. Predictors of subjective burden (worry, stigma, and displeasure) and objective burden (family disruption) on caregivers and on types of burden were explored. Subjects were 82 women receiving substance abuse treatment and their family member providing most social support. Behavioural problems of the recipient and lack of social support for caregivers predicted higher levels of family member burden, with different types of social support predicting different types of burden. Having a dual disorder did not predict family member burden. Implications of findings for treatment are discussed. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).
Building trauma informed practice: appreciating the impact of trauma in the lives of women with substance abuse and mental health problems
- Authors:
- SAVAGE Andrea, et al
- Journal article citation:
- Journal of Social Work Practice in the Addictions, 7(1/2), 2007, pp.91-116.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This paper examines the lifetime interpersonal abuse experienced by a substance abuse treatment sample of 1,955 women in the United States with co-occurring disorders. Substantial rates of intimate and community based interpersonal abuse and other life stressors are documented. Regression analysis shows that while trauma severity is significantly related to trauma distress, its impact on psychological symptom distress and drug severity is quite modest. The implementation of a trauma informed approach featuring trauma-specific treatment, service integration and consumer empowerment is described as a promising practice model for assisting women seeking help in substance abuse treatment programs. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).