Search results for ‘Subject term:"mental health problems"’ Sort:
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Factors that influence the cost of caring for patients with severe psychotic illness: report from the UK700 trial
- Authors:
- BYFORD Sarah, et al
- Journal article citation:
- British Journal of Psychiatry, 178, May 2001, pp.441-447.
- Publisher:
- Cambridge University Press
Investigate factors that influence the cost of caring for patients with severe psychotic illness. Univariate and multivariate analyses were used to examine associations between baseline characteristics and subsequent 2-year total direct costs in 667 patients from the UK 700 case management trial. Finds that significantly more money was spent on younger patients, those with longer duration of illness, those who had spent less time living independently and those who had spent longer in hospital for psychiatric reasons. Concludes that total costs of caring for patients with severe psychotic illness appear to be influenced to a large extent by age, duration of illness and past levels of dependence on statutory services. The strength of these relationships is greater than the impact of illness severity.
"Less is best" a group-based treatment programme for persons with personality disorders
- Author:
- HURDLE Donna
- Journal article citation:
- Social Work with Groups, 23(4), 2001, pp.71-80.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Personality disorders are among the most difficult of mental disorders for which to provide effective interventions. Using a group work model that emphasizes skill-building, problem-solving and community integration can enable clients with personality disorders to function more adaptively in the community. This article describes a model programme that integrates therapy, educational and socialization groups and is consistent with established social group work models and practices. This group work approach also fits well to a managed care environment, as it is cost-effective and maximizes the number of clients served with limited staff.
Subjective health measures and acute treatment outcomes in geriatric depression
- Authors:
- LENZE Eric J., et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 16(12), December 2001, pp.1149-1155.
- Publisher:
- Wiley
This study examines measures of self-rated health, physical disability, and social function as predictors of treatment response in late life- depression, and to assess these same health measures as treatment outcomes. Results found subjects with poorer self-rated health as baseline were more likely both to drop out of treatment and to not respond to adequate treatment. This relationship was independent of demographic measures, severity of depression, physical and social functioning, medical illness, personality, hopelessness, overall medication use, and side effects or non-compliance with treatment. Although this finding is preliminary it suggests that lower self-rated health may independently predict premature discontinuation of treatment for depression. Additionally, subjects who recovered from depression showed significantly improvements in self-rated health, physical disability, and social functioning.
Reform of the Mental Health Act 1983: implications of safety capacity and compulsion
- Author:
- CARR Julie
- Journal article citation:
- British Journal of Occupational Therapy, 64(12), December 2001, pp.590-594.
- Publisher:
- Sage
The Mental Health Act 1983 was written for a predominantly hospital-based service. The closure of mental health institutions reduced the number of inpatient beds available and created a community-based service. In November 1999, the report of the Expert Committee appointed to review the Act was published alongside the Government's Green Paper 'Reform of the Mental Health Act 1983: Proposals for Consultation' (Department of Health). The report advised that incapacity should be central to the recommendations for changing the existing legal framework. Despite the expression of concern by professional bodies and individuals, the Government chose to reject the notion of incapacity from the White Paper, 'Reforming the Mental Health Act' (DH2000). There is, however, a strong emphasis on the role of compulsions for the patient to accept treatment. This article discusses the issues of safety, capacity and compulsion covered by the White Paper, Reforming the Mental Health Act (DH 2000). Looks at the dilemmas for and impact on occupational therapists working with patients being treated under this Act.
Cutting through the pain
- Author:
- FREEMAN Jacqueline
- Journal article citation:
- Nursing Times, 10.01.02, 2001, pp.38-39.
- Publisher:
- Nursing Times
Looks at the background and causes of self harm. Explains why empathy and understanding is vital in the treatment of people who self-harm.
Outcomes of residential treatment: a study of the adolescent clients of girls and boys town
- Authors:
- LARZELERE Robert E., et al
- Journal article citation:
- Child and Youth Care Forum, 30(3), June 2001, pp.175-185.
- Publisher:
- Springer
Pre-treatment and post-treatment data was collected from adolescent clients of a new residential treatment centre in the USA. Young people who received treatment improved significantly on the Child Behaviour Checklist and the Children's Global Assessment Scale and were maintaining their treatment gains at follow-up. Ten months following discharge, the majority were stabilised and functioning adequately in school and with their primary caregiver. For these young people, residential treatment succeeded where other interventions failed.
Young's therapy for clients with personality disorders
- Authors:
- McVEY Denis, MURPHY Naomi
- Journal article citation:
- Nursing Times, 19.4.01, 2001, pp.34-35.
- Publisher:
- Nursing Times
The author suggests that a scheme-focused approach offers a nurse a valuable tool in helping them understand care for clients with personality disorders.
Innovative therapeutic care for homeless mentally ill clients: intrapsychic humanism in a residential setting
- Authors:
- TYSON Katherine, CARROLL Emily
- Journal article citation:
- Families in Society, 82(6), November 2001, pp.591-603.
- Publisher:
- The Alliance for Children and Families
Residential care is increasingly recognised as an invaluable therapeutic resource for homeless, severely mentally ill, and substance-abusing clients. Describes how a comprehensive psychology-intrapsychic humanism-can be used as a flexible, consistent guide for serving this population in residential care. Based on a central principle that staff-client relationships can be path to healing, intrapsychic humanism's other precepts include treatment planning that recognises clients' conflicting motives and strengthens their constructive motives, understanding clients' self-destructive responses to positive experiences, and helping clients govern their self-destructive behaviour while enhancing their self-respect.
Feeling the way: childhood mental illness and consent to admission and treatment
- Authors:
- FORD Tamsin, KESSEL Anthony .
- Journal article citation:
- British Journal of Psychiatry, 179, November 2001, pp.384-386.
- Publisher:
- Cambridge University Press
Editorial which summarises the history and legal framework of consent, and discusses the developmental issues affecting capacity, and the ethical and clinical implications in relation to children with psychiatric disorder.
The clinical advantage of the death instinct
- Author:
- WASKA Robert
- Journal article citation:
- Psychoanalytic Social Work, 8(2), 2001, pp.23-40.
- Publisher:
- Taylor and Francis
The death instinct is dirived from Kleinian theory and has been subject to great debate. This paper explores the advantages of the concept from both a clinical and theoretical perspective. Due to their self-destructive ways, certain patients seem to create difficult and destructive transference-countertransference patterns. Case material is used to illustrate manifestations of the death instinct.