Search results for ‘Subject term:"mental health problems"’ Sort:
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All you need to know?
- Author:
- BRADSTREET Simon
- Journal article citation:
- Mental Health Today, May 2004, pp.27-30.
- Publisher:
- Pavilion
- Place of publication:
- Hove
Reports findings from the first ever Scotland-wide systematic study of what mental health service users themselves really think about all aspects of psychiatric drugs and their prescribing. It was conducted by the Scottish mental health charity the Scottish Association for Mental Health (SAMH), with funding from the Community Fund.
Community centred
- Author:
- MILLAR Barbara
- Journal article citation:
- Health Service Journal, 25.7.96, 1996, p.16.
- Publisher:
- Emap Healthcare
Reports on a four year study of greater London acute psychiatric units, the results of which suggest that offering a range of community alternative to inpatient beds would be the best solution to London's mental health service crisis.
Patient experience of negative effects of psychological treatment: results of a national survey
- Authors:
- CRAWFORD Mike J., et al
- Journal article citation:
- British Journal of Psychiatry, 208(3), 2016, pp.260-265.
- Publisher:
- Cambridge University Press
Background: To make informed choices, patients need information about negative as well as positive effects of treatments. There is little information about negative effects of psychological interventions. Aims: To determine the prevalence of and risk factors for perceived negative effects of psychological treatment for common mental disorders. Method: Cross-sectional survey of people receiving psychological treatment from 184 services in England and Wales. Respondents were asked whether they had experienced lasting bad effects from the treatment they received. Results: Of 14 587 respondents, 763 (5.2%) reported experiencing lasting bad effects. People aged over 65 were less likely to report such effects and sexual and ethnic minorities were more likely to report them. People who were unsure what type of therapy they received were more likely to report negative effects (odds ratio (OR) = 1.51, 95% CI 1.22–1.87), and those that stated that they were given enough information about therapy before it started were less likely to report them (OR = 0.65, 95% CI 0.54–0.79). Conclusions: One in 20 people responding to this survey reported lasting bad effects from psychological treatment. Clinicians should discuss the potential for both the positive and negative effects of therapy before it starts. (Publisher abstract)
Trends in service use and treatment for mental disorders in adults throughout Great Britain
- Authors:
- BRUGHA Traolach S., et al
- Journal article citation:
- British Journal of Psychiatry, 185(11), November 2004, pp.378-384.
- Publisher:
- Cambridge University Press
Trends in health treatments and outcomes in the general population may be used to monitor achievement of health targets. The aim was to investigate changes in mental health services and treatment in Britain over a 7-year period. National surveys of psychiatric morbidity were completed in 1993 and 2000 in households throughout Great Britain. Standardised interviews were used to establish psychiatric case status and service and treatment utilisation in adults aged 16–64 years. Use of psychotropic medication doubled in those designated as psychiatric cases. In the non-case-status population antidepressant use rose from 0.16% in 1993 (95% CI 0.07–0.25) to 2.02% in 2000 (95% CI 1.69–2.35). However, the overall prevalence of neurotic and psychotic disorder hardly changed from 1993 to 2000. Use of specialised ‘talking treatments’did not increase significantly, except in the non-case group. Treatment with psychotropic medication alone is unlikely to improve the overall mental health of the nation. A policy based almost exclusively on treatment of identified cases should be augmented by preventive approaches.
Attitudes towards mental health care in younger and older adults: similarities and differences
- Authors:
- ROBB C., et al
- Journal article citation:
- Aging and Mental Health, 7(2), March 2003, pp.142-152.
- Publisher:
- Taylor and Francis
It is commonly assumed that older and younger adults have very different attitudes about seeking mental health services and that this is a major factor in reducing the use of mental health services by the elderly. However, little evidence exists to illustrate how elders actually perceive mental health care. Responses from a survey of 474 older adults age 65 and over were compared with data from a national survey of 1001 persons age 21-65. Results indicate similarities in many attitudes including likelihood of seeking treatment for severe mental disorders, importance of mental health care, and concerns about cost and coverage as barriers to care. Differences included use of services, perceptions about less severe disorders, referral sources, and preferred providers. Clinical, policy and public education implications are discussed.
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.
Consumers' and case managers' perceptions of mental health and community support service needs
- Authors:
- CRANE-ROSS Dushka, ROTH Dee, LAUBER Betsy G.
- Journal article citation:
- Community Mental Health Journal, 36(2), April 2000, pp.161-178.
- Publisher:
- Springer
Consumers with serious and persistent mental illness and their case managers rated the amount of help needed and the amount of help received with mental health and community support services. Consumers' reports revealed a strong reliance on sources of support service needs, interpersonal needs, and crisis-related needs. In general, correlations between consumers' and case managers' ratings of help needed and help received were low. Consumers perceived the majority of their needs to be unmet; case managers perceived the majority of consumer needs to be overly met.
Continental rift
- Authors:
- BRANDON David, et al
- Journal article citation:
- Mental Health Care, 2(2), October 1998, pp.48-50.
- Publisher:
- Pavilion
Reports on the results of a survey conducted by the UK based Breakthrough journal on what the words 'mental illness' mean to the public in Europe.
The cost of mental health care for victims of crime
- Authors:
- COHEN Mark A., MILLER Ted A.
- Journal article citation:
- Journal of Interpersonal Violence, 13(1), February 1998, pp.93-110.
- Publisher:
- Sage
This article reports on a nationally representative survey in the USA of mental health care professionals about their treatment of crime victims. More than half of these victims are estimated to be adults being seen for child sexual or physical abuse that occurred years prior to their victimisation. Crime victims are estimated to present about 20% to 25% of the total client population of mental health care professionals. Because many crime victims do not receive mental health care services that would be beneficial, the author's estimates understate the true costs of mental illness caused by criminal victimisation.
Survey of expert second opinions in a tertiary psychiatric out-patient clinic in the Yorkshire region between 1988 and 2000
- Authors:
- NIRODI Pratibha, et al
- Journal article citation:
- Psychiatric Bulletin, 27(10), November 2003, pp.416-420.
- Publisher:
- Royal College of Psychiatrists
A medical second opinion is an expert clinical case evaluation requested by a colleague for a patient already under specialist care. There is no literature on the provision for second opinions in psychiatric practice other than those relating to the Mental Health Act 1983, and the availability of clinics offering second opinions varies greatly from one area to another. The authors undertook a survey of an expert second opinion service in Leeds over the period 1988-2000 and examined the case notes of 103 referred patients, of whom 71 were included in the analysis data. In the majority of cases diagnoses were not changed, but alternative treatment strategies were suggested. The exception was for patients with a diagnosis of personality disorder, in whom neither a new diagnosis nor alternative management was commonly suggested. Half of the assessments were completed in a single visit, but a substantial minority required further evaluation as outpatients, close follow-up or even hospital admission for detailed review. The authors believe that a second opinion service offers clinicians valuable support and expertise, especially in sector psychiatry. Evidence presented suggests that further therapeutic options are available for many patients regarded as 'difficult to treat'. In some cases this may involve a period of observation free of all psychotropic medication. As in other specialities, psychiatrists should be aware of the value of further advice for patients with particularly refractory or unusual disorders.