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Prevalence of obsessive-compulsive disorder in the British nationwide survey of child mental health
- Authors:
- HEYMAN Isobel, et al
- Journal article citation:
- British Journal of Psychiatry, 179, October 2001, pp.324-329.
- Publisher:
- Cambridge University Press
Obsessive-compulsive disorder (OCD) is a disorder that appears to be underdiagnosed and under treated, despite the evidence for effective treatments. There are variable estimates of OCD prevalence in the under-16s and published rates give little indication of age trends. This study aims to establish the prevalence and associates of OCD in young people aged 5-15 years. Its uses a nationwide (UK) epidemiological study of rates of psychiatric disorder in 5- to 15-year-olds. Concludes that although OCD is rare in young children, the rate increases towards the adult rates at puberty. Children with OCD have additional psychosocial disadvantage. The majority of the childhood cases identified in this survey appear to have been undetected and untreated.
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.
Mental health services for looked after children: implications from two studies
- Authors:
- MINNIS Helen, PRIORE Christina Del
- Journal article citation:
- Adoption and Fostering, 25(4), Winter 2001, pp.27-38.
- Publisher:
- Sage
Two recent studies by Glasgow researchers have highlighted the high level of emotional and behaviourial difficulties experienced by looked after children. One was a survey of children entering the care system (Dimigen et al, 1999) while the other was a randomised controlled trial of a training programme for foster carers. The survey was carried out in Glasgow, while the trial was carried out across another part of the Central Belt of Scotland. Despite their different designs and geographical areas, the two studies came up with complementary results. The results are synthesised in this article and are used to argue that practitioners need to take a fresh look at mental health services for looked after children and the assessments which should determine what these children need.