Search results for ‘Subject term:"mental health problems"’ Sort:
Results 1 - 10 of 13
Engaging with complexity: providing effective trauma-informed care for women
- Authors:
- WILTON John, WILLIAMS Alec
- Publishers:
- Centre for Mental Health, Mental Health Foundation
- Publication year:
- 2019
- Pagination:
- 26
- Place of publication:
- London
A guide to the principles of gender-sensitive trauma-informed care and how services can put the approach into practice. The resource looks at the concept of trauma, including causes, impact and prevalence and explores the model of trauma-informed care. It discusses four aspects of trauma-informed care in detail - listening, understanding, responding and checking - considering what each of these looks like in practice. It also anticipates some of the challenges services might face on their journey to becoming trauma-informed. It includes a lists of organisations in the UK currently employing trauma-based approaches provides links to resources that may act as a useful starting point for services. The resource is draws on the findings of research and the results of workshop discussions. It was produced by Centre for Mental Health and the Mental Health Foundation in collaboration with the Association of Mental Health Providers, the National LGB&T Partnership and the Race Equality Foundation. (Edited publisher abstract)
Trauma, gender, and mental health symptoms in individuals with substance use disorders
- Authors:
- KEYSER-MARCUS Lori, et al
- Journal article citation:
- Journal of Interpersonal Violence, 30(1), 2014, pp.3-24.
- Publisher:
- Sage
The relationships between trauma history, lifetime endorsement of psychiatric symptoms, and gender were examined in a sample of individuals participating in outpatient substance abuse treatment. Study participants (N = 625) from six psychosocial counselling and five methadone maintenance programmes were recruited as part of a larger study conducted through the National Institute on Drug Abuse Clinical Trials Network (NIDA CTN) in the United States. Study measures included lifetime trauma experience (yes/no), type of trauma experienced (sexual, physical, both), lifetime depression/anxiety, and lifetime suicidal thoughts/attempts (as measured by the Addiction Severity Index–Lite [ASI-Lite]). Lifetime endorsement of psychiatric symptoms was compared between individuals with and without trauma history. The role of gender was also examined. Results indicated that the experience of trauma was associated with an increase in lifetime report of psychiatric symptoms. Experience of physical and combined physical and sexual trauma consistently predicted positive report of psychiatric symptoms in both males and females, even when controlling for demographic and treatment-related variables. Employment outcomes, however, were not predicted by self-reported history of lifetime trauma. (Edited publisher abstract)
Polytraumatization and trauma symptoms in adolescent boys and girls: interpersonal and noninterpersonal events and moderating effects of adverse family circumstances
- Authors:
- NILSSON Doris Kristina, GUSTAFSSON Per E., SVEDIN Carl Göran
- Journal article citation:
- Journal of Interpersonal Violence, 27(13), September 2012, pp.2645-2664.
- Publisher:
- Sage
Previous research has highlighted that polyvictimisation or polytraumatisation among adolescents are important predictors of reported trauma-related symptoms. The aim of this study was to investigate the cumulative effect of interpersonal and noninterpersonal traumatic life events (IPEs and nIPEs, respectively) on the mental health of adolescents and to determine if the adverse impacts of this trauma were moderated by adverse family circumstances (AFC). A total of 462 adolescents from 13 different schools and 27 classes completed the questionnaire, the Linköping Youth Life Experience Scale (LYLES), together with Trauma Symptom Checklist for Children (TSCC). The findings showed that the lifetime accumulation of interpersonal, noninterpersonal, and AFC was independently related to trauma-related symptoms in both boys and girls. The number of AFCs moderated the mental health impact of both IPEs and nIPEs in boys, but not in girls. The article concludes that cumulative exposure to both interpersonal and noninterpersonal traumatic events is important for the mental health of adolescents, and, at least for boys, family circumstances seem to be relevant for the impact of trauma. The implications for practice are discussed.
Military deployment to the Gulf War as a risk factor for psychiatric illness among US troops
- Authors:
- FIEDLER Nancy, et al
- Journal article citation:
- British Journal of Psychiatry, 188(5), May 2006, pp.453-459.
- Publisher:
- Cambridge University Press
Several studies document an excess of psychiatric symptoms among veterans of the 1991 Gulf War. However, little is known about the prevalence of psychiatric disorders in those who were deployed to that conflict. The aim was to compare the 12-month prevalence and associated risk factors for DSM Axis I psychiatric diagnoses between random samples of Gulf War-deployed veterans and veterans of the same era not deployed to the Persian Gulf era veterans. Interview data from 967 Gulf War veterans and 784 era veterans were examined to determine current health status, medical conditions, symptoms and Axis I psychiatric disorders. Logistic regression models evaluated risk factors for psychiatric disorder. Gulf War veterans had a significantly higher prevalence of psychiatric diagnoses, with twice the prevalence of anxiety disorders and depression. Lower rank, female gender and divorced or single marital status were significant independent predictors of psychiatric disorder. Deployment to the Gulf War is associated with a range of mental health outcomes more than 10 years after deployment
Social work and women's mental health: does trauma theory provide a useful framework?
- Author:
- TSERIS Emma
- Journal article citation:
- British Journal of Social Work, 49(3), 2019, pp.686-703.
- Publisher:
- Oxford University Press
Trauma theory has been positioned as a helpful framework for social workers to utilise when working with women presenting to mental health services. In particular, the trauma concept has been praised for its ability to acknowledge the social and relational determinants of women’s mental health presentations and to challenge the dominance of a biomedical framework for understanding emotional distress. On the other hand, trauma approaches have been critiqued for being overly deficit-oriented and for failing to adequately incorporate a feminist analysis of gender inequality. This article presents qualitative research conducted with twelve mental health social workers in Australia reporting on their use of trauma theory when working with adolescent women who have experienced child abuse within a family context. Analysis found that the trauma concept was in some cases applied in a paternalistic manner that medicalised young women’s distress and minimised issues of gender inequality. However, other participants described trauma work with young women as a form of feminist activism. This study is significant because it points towards the existence of multiple and competing trauma perspectives currently informing social work practice. (Edited publisher abstract)
Trauma is everyone's business: an exploration of the challenges and opportunities for trauma-informed practice amongst female populations within custodial settings
- Author:
- THOMSON Lisa
- Publisher:
- Barnardo's
- Publication year:
- 2018
- Pagination:
- 16
- Place of publication:
- Ilford
This paper provides an overview of the key themes emerging from focus groups to explore the prevalence and impact of trauma and bereavement experiences among women in custodial institutions. Information gathered from these sessions was used to adapt the trauma, bereavement and loss service to meet the needs of a female population. The paper also draws on experiences of professionals to highlight some of the challenges and opportunities identified during the development phase of a trauma- informed intervention for the female custodial population. (Edited publisher abstract)
The Women's Mental Health Taskforce: final report
- Author:
- GREAT BRITAIN. Department of Health and Social Care
- Publisher:
- Great Britain. Department of Health and Social Care
- Publication year:
- 2018
- Pagination:
- 73
- Place of publication:
- London
This report sets out how women's experience of mental ill health can differ to men's and the strategic priorities for the future. It is the final report of the Taskforce, which was formed in response to a rise in mental ill health among women. The Taskforce reviewed evidence and held focus groups to hear the views and experiences of women. Core themes identified include: women’s experiences of mental health services; women as mothers and carers; gender based violence and trauma; and multiple needs. The report sets out the statements developed by women as to what matters to them in mental health services. It also presents the gender and trauma informed principles developed by the Taskforce and describes how these could be implemented to improve outcomes for women. It goes on to outline the commitments made by members and other organisations to improve the experiences and treatments of women and makes suggestions for the future, including the strategic priorities and suggestions for how current research and data could be improved for women. It calls for commissioners and providers across the health and care system to take note of the report’s findings and to embed these in their work. (Edited publisher abstract)
Cumulative trauma, gender discrimination and mental health in women: mediating role of self-esteem
- Author:
- KUCHARSKA Justyna
- Journal article citation:
- Journal of Mental Health, 27(5), 2018, pp.416-423.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Background: Evidence suggests that women show symptoms of trauma-related symptoms more often than men. Gender discrimination is also associated with the severity of symptoms in women. Aims: This study explored the relations among cumulative trauma, gender discrimination and mental health in women with a mediating role of self-esteem and emotion regulation. Two types of gender discrimination were taken into account: discrimination by parents and in the social context. Cumulative trauma over the lifetime was assessed, as well as three types of symptoms: internalising, externalising, psychoticism. Methods: A total of 277 females from Poland participated in the study. It was hypothesised that gender discrimination and cumulative trauma would be positively related to symptoms and that lowered self-esteem mediates these relations. Results: Hypotheses received partial confirmation, as both gender discrimination and cumulative trauma have been shown to be related to three types of symptoms. Self-esteem was a partial mediator between gender discrimination in the social context and symptoms. It was also demonstrated that emotion suppression is a partial mediator between cumulative trauma and symptoms. Conclusions: It has been demonstrated that socio-cultural factors, such as gender discrimination, play an important role in psychiatric symptoms development. (Publisher abstract)
Childhood sexual abuse: a gender perspective on context and consequences
- Authors:
- BANYAR Victoria L., WILLIAMS Linda M., SIEGEL Jane A.
- Journal article citation:
- Child Maltreatment, 9(3), August 2004, pp.223-238.
- Publisher:
- Sage
Literature on gender and child sexual abuse (CSA) has highlighted patterns of similarity and difference among survivors and the need for further research. This study relied on gender analysis of 128 women and 69 men, obtained through an examination of childhood hospital records, to further examine gender differences in mental health outcomes among abuse survivors and correlates of mental health outcomes including professional help seeking, family environment, and other trauma exposure. Overall, men and women were similar in the context and consequences of CSA. The role of the characteristics of CSA and contextual variables in explaining variance in mental health for 106 male victims and nonvictims was also examined. Among male participants, number of incidents of sexual abuse, injury at the hands of a caregiver, and exposure to other traumas significantly explained higher levels of an array of mental health symptoms. Implications for future research are discussed.
Critical issues in mental health
- Editors:
- TUMMEY Robert, TURNER Tim, (eds.)
- Publisher:
- Palgrave Macmillan
- Publication year:
- 2008
- Pagination:
- 224p.
- Place of publication:
- Basingstoke
The editors draw together respected authors in the field of mental health, each focussing on a controversial issue that is often overlooked or ignored. They ask: Does the mental health system abuse service users? What makes the relationship between mental health and crime so problematic? and, Why is mental health care obsessed with risk? These alternative perspectives are designed to encourage readers to reflect on their own role; what they are doing, who they are doing it for, and what the implications are for service users. Topics discussed include: psychiatric diagnosis; socioeconomic disadvantage; institutional racism and cultural diversity; spirituality; sexuality; gender; the lifespan; iatrogenic abuse; psychological trauma; risk; crime; and media: reframing the debates.