Search results for ‘Subject term:"mental health problems"’ Sort:
Results 1 - 10 of 10
Improving psychiatric diagnosis in multidisciplinary child and adolescent mental health services
- Authors:
- MICHELSON Daniel, et al
- Journal article citation:
- Psychiatrist (The), 35(12), December 2011, pp.454-459.
- Publisher:
- Royal College of Psychiatrists
Obtaining an accurate clinic diagnosis is a critical process in mental healthcare pathways. This study was designed to develop and test a new one-day diagnostic training intervention for multidisciplinary practitioners (n=63) in out-patient child and adolescent mental health services. The authors examined learning outcomes, practice impacts and the implementation processes. The work was conducted in an inner London area where previous audits had revealed large inconsistencies in rates of recorded diagnoses. Training was viewed positively by most participants and was associated with significant increases in practitioner self-efficacy; this effect was sustained at 8-month follow-up. A comparative audit before and after training indicated that clinicians were significantly more likely to assign an Axis I diagnosis following the training intervention. However, absolute rates of Axis I classification remained relatively low (less than 40%) both before and after training. Practitioners were moderately successful at following through on personal plans for implementing new learning. Support for implementation within teams was inconsistent. The authors conclude that a brief training workshop may have some impact on practitioners’ behaviour so that diagnoses are made more promptly and appropriately recorded. However, they suggest that future workforce development initiatives should consider more comprehensive and diversified strategies, including targeted post-training support, if increased self-efficacy following training is to be translated into sustained changes in diagnostic practice.
Mental health first aid for the elderly: a pilot study of a training program adapted for helping elderly people
- Authors:
- SVENSSON Bengt, HANSSON Lars
- Journal article citation:
- Aging and Mental Health, 21(6), 2017, pp.595-601.
- Publisher:
- Taylor and Francis
Objectives: Epidemiological studies have shown a high prevalence of mental illness among the elderly. Clinical data however indicate both insufficient detection and treatment of illnesses. Suggested barriers to treatment include conceptions that mental health symptoms belong to normal ageing and lack of competence among staff in elderly care in detecting mental illness. A Mental Health First Aid (MHFA) training programme for the elderly was developed and provided to staff in elderly care. The aim of this study was to investigate changes in knowledge in mental illness, confidence in helping a person, readiness to give help and attitudes towards persons with mental illness. Method: Single group pre-test–post-test design. Results: The study group included staff in elderly care from different places in Sweden (n = 139). Significant improvements in knowledge, confidence in helping an elderly person with mental illness and attitudes towards persons with mental illness are shown. Skills acquired during the course have been practiced during the follow-up. Conclusions: The adaption of MHFA training for staff working in elderly care gives promising results. Improvements in self-reported confidence in giving help, attitudes towards persons with mental illness and actual help given to persons with mental illness are shown. However, the study design allows no firm conclusions and a randomised controlled trail is needed to investigate the effectiveness of the programme. Outcomes should include if the detection and treatment of mental illness among the elderly actually improved. (Edited publisher abstract)
How substance use affects people with mental illness
- Author:
- HOLLAND Mark
- Journal article citation:
- Nursing Times, 16.6.99, 1999, pp.46-48.
- Publisher:
- Nursing Times
Reports on the findings of a recent survey which suggests that more attention needs to be paid to this area.
Is 'dual diagnosis' a useful term?
- Author:
- PETERSEN Trudi
- Journal article citation:
- Nursing Times, 16.9.98, 1998, pp.56-57.
- Publisher:
- Nursing Times
Asks whether the term 'dual diagnosis' is helpful to clients with mental illness who also have a substance use problem.
Teaching psychiatry through cinema
- Author:
- BHUGRA Dinesh
- Journal article citation:
- Psychiatric Bulletin, 27(10), November 2003, pp.429-430.
- Publisher:
- Royal College of Psychiatrists
Films portray mental illness and mental health problems in a variety of ways. Some can be used to teach medical students and psychiatric trainees about certain aspects of psychiatry: watching a film is useful when learning about mental state examination, how to reach a diagnosis, doctor-patient interactions and personality disorder.
DSM-IV and social work professionals:a continuing education evaluation
- Authors:
- DZIEGIELEWSKI Sophia, JOHNSON Alan J., WEBB Erin
- Journal article citation:
- Social Work in Mental Health, 1(1), 2002, pp.27-42.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Describes a six-hour group training designed to gather information in regard to the role of social workers using the Diagnostic and Statistical Manual for Mental Health Disorders (DSM-IV). The intention of the group training was to exploresocial workers' knowledge and comfort in using the DSM-IV as well as assessing the continuing education experience provided. In total, 132 surveys were circulated during two training groups. All participants were asked to givegeneral information and perceptions of use of the DSM, and were pre and posttested for current levels of understanding and comfort regarding diagnostic usage. Significant relationships were noted between several study variables as well as between pretest and posttest scores. Overall, pre and posttest results yielded a significant positive correlation between comfort levels in utilizationof the DSM-IV and formulating a diagnostic impression as a means of identifying certain mental health conditions. Furthermore, the results of this study support that attending this group training increased the comfort and knowledge level of social workers in regard to DSM-IV.
Mental health of adults in contact with the criminal justice system: NG66
- Author:
- NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE
- Publisher:
- National Institute for Health and Care Excellence
- Publication year:
- 2017
- Place of publication:
- London
This practice guideline covers assessing, diagnosing and managing mental health problems in adults aged 18 and over who are in contact with the criminal justice system. It aims to improve mental health and wellbeing in this population by establishing principles for assessment and management, and promoting more coordinated care planning and service organisation across the criminal justice system. The guideline includes recommendations on: assessing and managing a person’s mental health problems, including assessing risk to themselves and others; planning their care; psychological and pharmacological interventions; how services should be organised; and staff training. It also provides advice for implementing the guideline and includes recommendations for further research. The guideline is aimed at commissioners and providers of health and justice services and all health and social care professionals working with adults in contact with the criminal justice system in community, primary care, secondary care and secure settings. (Edited publisher abstract)
Managing the dually diagnosed patient
- Editors:
- O'CONNELL David, BEYER Eileen
- Publisher:
- Haworth Press
- Publication year:
- 2002
- Pagination:
- 352p.,bibliogs.
- Place of publication:
- Binghamton, NY
Provides information on special treatment considerations for women and adolescents and examines the restrictions placed on treatment in the age of managed care. The book addresses the theoretical, conceptual, and practical issues involved in caring for dually diagnosed patients. Treatment professionals from hospitals, medical schools, addiction treatment programs, and dual disorder units examine the critical issues in the assessment and treatment of dually diagnosed individuals and offer an up-to-date review of research and rehabilitation. Topics covered: substance abuse and psychopathology; psychodiagnostic assessment; training issues for dealing with comorbidity; how collaboration with other helping professionals can improve your treatment of dually diagnosed patients; understanding and treating the psychiatric problems common within chemically dependent populations-affective disorders, such as anxiety disorders, personality disorders, and schizophrenia.
Recognising mental health problems in older patients
- Author:
- SAYERS Jayne
- Journal article citation:
- Nursing Times, 30.11.00, 2000, pp.41-42.
- Publisher:
- Nursing Times
Mental ill health is not an inevitable part of growing old, yet all too often the needs of older people are overlooked. Describes how one trust is tackling this problem.
Caring for mentally ill people in Europe
- Authors:
- VAN OS Jan, NEELEMAN Jan
- Journal article citation:
- British Medical Journal, 5.11.94, 1994, pp.1218-1221.
- Publisher:
- British Medical Association
Despite legislation to harmonise mental health practice throughout Europe and convergence in systems of training there remains an extraordinary diversity of psychiatric practice in Europe. Approaches to tackling substance misuse vary among nations; statistics on psychiatric morbidity are affected by different approaches to diagnosis and treatment of psychiatric disorders; attitudes towards mental illness show definite international differences. Everywhere, though, mental health care for patients with psychotic illness is a "cinderella service", and there is a general move towards care falling increasingly on the family and the community.