Search results for ‘Subject term:"mental health problems"’ Sort:
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Double jeopardy
- Author:
- BIRD Lisa
- Journal article citation:
- Mental Health and Learning Disabilities Care, 4(8), April 2001, pp.252-253.
- Publisher:
- Pavilion
Reports on the results of a new survey which reveals that poverty and mental health problems go hand in hand.
Reducing parental dissatisfaction with a child and adolescent psychology service: a process of quality improvement
- Author:
- STALLARD Paul
- Journal article citation:
- Journal of Mental Health, 10(1), February 2001, pp.63-73.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Describes a process of quality improvement within a community child and adolescent psychology service by focusing upon areas of dissatisfaction as identified by parents. The views of parents about the service were assessed by the Parent Satisfaction Questionnaire. Non-respondents were followed-up by a researcher and the questionnaire completed. High rates of dissatisfaction were identified and quality improvement targets implemented. Concludes that consumer satisfaction surveys can have an important role in ensuring and monitoring quality within mental health services although their traditional emphasis upon satisfaction is not helpful. Focusing upon dissatisfaction can inform service change with qualitative and quantitative data providing a way of assessing the impact of this change.
Research into the Mental Health Act: a qualitative study of the views of those using or affected by it
- Authors:
- MARRIOTT Sarah, et al
- Journal article citation:
- Journal of Mental Health, 10(1), February 2001, pp.33-39.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
The study investigates opinions about the strengths and weaknesses of Parts II and X of the Mental Health Act (1983) and those affected by it. The study covers those directly and commonly involved with the Act (mental health nurses; approved social workers; general psychiatrists; MHA administrators; service users; their carers); those less directly affected (hospital managers; lawyers; general practitioners; policy makers; police surgeons and liaison officers; specialist psychiatrists); and organisations representing Groups 1 and 2. A range of qualitative research methods were used to gather data. The findings provide a valuable insight into views about how existing legislation is applied in practice. They suggest that a review of criteria and procedures for commitment is needed. More effective implementation of legislative policies and the reconfiguration of resources to support them are also needed.
Survey of staff perceptions of illicit drug use among patients in a medium secure unit
- Authors:
- DOLAN Mairead, KIRWAN Helen
- Journal article citation:
- Psychiatric Bulletin, 25(1), January 2001, pp.14-17.
- Publisher:
- Royal College of Psychiatrists
This study is a survey of staff perceptions of illicit drug among in-patients in a medium secure unit. Results showed that sixty per cent of staff were aware of drug misuse on the unit. Less than one-third of staff were clear about the unit's policy for dealing with in-patient drug use and few have had adequate training in the management of patients with dual diagnoses. Strategies for dealing with drug misuse appear to focus on security rather than therapeutic issues. Services need to provide adequate training for staff on the management of patients with co-morbid substance misuse, introduce patient education programmes and develop and disseminate clear policies that emphasise both therapy and security.
Survey of patients from an inner-London health authority in medium secure psychiatry care
- Authors:
- LELLIOTT Paul, AUDINI Bernard, DUFFETT Richard
- Journal article citation:
- British Journal of Psychiatry, 179, January 2001, pp.62-66.
- Publisher:
- Cambridge University Press
Under-provision by the National Health Service (NHS) has led to an increase in medium secure psychiatric beds managed by the independent sector. Black people are over-represented in medium secure care. This study describes those people from an inner-London health authority occupying all forms of medium secure provision, and compares those in NHS provision with those in the independent sector, and Black patients with White patients. The researchers concluded that the NHS meets only part of the need for medium secure care of the population of this London health authority. This comparison of the characteristics of Black and White patients does not help to explain why Black people are over-represented in medium secure settings.
Creating identities: mental health consumer to citizen?
- Authors:
- BOLZAN Natalie, et al
- Journal article citation:
- Journal of Social Work, 1(3), December 2001, pp.317-328.
- Publisher:
- Sage
Support groups for people with a mental illness have been in existence for over 40 years. The current consumerist agenda constructs people with a mental illness as consumers of mental health services such as support groups. To explore the range and type of support groups in New South Wales, Australia, an empirical study based upon interviews with a purposive sample of respondents with experience of using support groups and a postal questionnaire was conducted. From the study it became apparent that (so-called) consumers were challenging the construction of themselves as consumers of services. Instead they were asserting that their contribution to the treatment and management of their illness was closer to that of 'expert' than of consumer. From the findings, the authors argue that this reconstruction of their self-perceptions suggests that people with a mental illness are challenging the consumerist agenda and acting as social citizens. This change in self-perception by mentally ill people should be addressed by policymakers and practitioners in all forms of social work practice.
Social disability, challenging behaviour and risk: A comparison of health and Social Services residential provision for people with severe and enduring mental health problems
- Authors:
- DILKS Sarah, et al
- Journal article citation:
- Journal of Mental Health, 10(5), October 2001, pp.547-557.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
The population characteristics of people with severe and enduring mental health problems living in 'high support' Health and Local Authority (LA) residential facilities were compared in this survey of social functioning and psychiatric symptomatology. The survey was intended to assist in local service planning, particularly in the targeting of relatively high cost provision. A cross-sectional survey of all 62 residents of the three Local Authority hostels was conducted and compared to an earlier survey of 76 residents living in seven NHS residential facilities. Residents of NHS facilities were found to have poorer social functioning than LA residents; had more physical health problems; had higher levels of behaviour problems and risk behaviours which were both rated as more serious in terms of their effect on community tenure. The survey's findings were consistent with the results of other surveys of the characteristics of people considered 'hard to place' in the community as a result of mental health problems.
On being in a young offender institution: what boys on remand told a child psychiatrist
- Authors:
- DIMOND C., MISCH P., GOLDBERG D.
- Journal article citation:
- Psychiatric Bulletin, 25(9), September 2001, pp.342-345.
- Publisher:
- Royal College of Psychiatrists
This research describes the reported experiences of 15- and 16-year-old boys on remand in a young offender institution (YOI) as told to a child psychiatrist. The boys described experiences of institutionalisation, including the deprivation of incarceration and the intimidation of a 'macho-culture', which on occasions verged on the abusive. Their responses are described.
Mental health professionals' attitudes towards and knowledge of electroconvulsive therapy
- Authors:
- LUTCHMAN Russell D., et al
- Journal article citation:
- Journal of Mental Health, 10(2), April 2001, pp.141-150.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Argues that the efficacy and safety of electroconvulsive therapy (ECT) have been established, yet widespread negative public attitudes towards the procedure remain. Studies the attitudes towards and knowledge of ECT among mental health staff of different disciplines. A questionnaire revealed significant differences in attitudes to and knowledge of the therapy between four mental health disciplines, with psychiatrists being most favourably disposed and most knowledgeable, followed by nurses, social workers and psychologists. Concludes that discipline is an accurate predictor of attitudes towards ECT. There is a need for awareness of differences of opinion towards the treatment in multidisciplinary teams, as well as for better education about ECT for all members of the clinical team.
Residential and nursing home care of elderly people with cognitive impairment: prevalence, mortality and costs
- Authors:
- NETTEN A., et al
- Journal article citation:
- Aging and Mental Health, 5(1), February 2001, pp.14-22.
- Publisher:
- Taylor and Francis
Cognitive impairment among residents has considerable resource implications for both individuals and those responsible for publicly funded care. Reports on two linked surveys carried out in England: a longitudinal study followed 2500 admissions to publicly funded care up to 42 months after admission; and a cross-sectional survey of 618 homes collected information about 11,900 residents. Results found cognitive impairment was associated with source of funding and type of home. Although level of cognitive impairment has some effect, fees and costs were most influenced by type of home. At the same level of impairment, self-funded residents were more likely to be located in relatively low-cost settings than publicly funded residents. Concludes that more information is needed about the effect of quality of care on people with cognitive impairment in different settings.