Search results for ‘Subject term:"mental health problems"’ Sort:
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Assessing trauma, substance abuse, and mental health in a sample of homeless men
- Authors:
- KIM Mimi M., et al
- Journal article citation:
- Health and Social Work, 35(1), February 2010, pp.39-48.
- Publisher:
- Oxford University Press
This study of 329 homeless men examined the impact of physical and sexual trauma, using questionnaires that collected data on four types of trauma exposure: demographics; exposure to psychological trauma; physical health problems; mental health problems; and substance misuse. Binomial logistic regression analyses were used to investigate the significance of demographic factors and the four types of trauma exposure associated with three outcomes: mental health; substance abuse; and physical health problems. Findings indicate that trauma history was appreciably associated with mental health problems but was not associated with substance abuse problems for homeless men. This study reinforces service providers’ perceptions that many homeless men experience the long-term, harmful effects of not only various stressors, but also abuse and victimisation that often begin in childhood. The authors suggest that mentally ill, homeless men need proactive services that address the sequelae of abuse with care that is specialised and distinctly different from care for homeless adults with substance abuse or physical health care issues.
Sexual, reproductive and mental health: sexual health matters: for mental health
- Authors:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE, EVANS David
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2011
- Place of publication:
- London
This e-learning resource is one of 8 modules developed to help mental health professionals deal with aspects of sexual and reproductive health in the context of mental illness. Sections cover sexual health and sexuality, sexual risk assessment, sexual violence, abuse and trauma and making a difference in your practice. A self assessment checklist covering the key points of each module is also included.
The toxic trio, adverse childhood experiences and the Family Court
- Author:
- WEBB Sheena
- Journal article citation:
- Seen and Heard, 31(2), 2021, pp.56-67.
- Publisher:
- NAGALRO
- Place of publication:
- Esher
The author suggests that while professionals working in the family courts are very aware of the historical adversity experienced by the parents and the children involved in care proceedings the way professionals assess and intervene with parents within care proceedings does not reflect our understanding of the role that trauma plays in parental difficulties. The author poses the question, why do we keep doing the same thing when we know it does not work? The article also considers what the toxic trio really tells us. The toxic trio refers to problems with substance misuse, domestic abuse and mental health difficulty. The author suggests that parents are sent to different services to deal with each of the trio separately, so it is less likely that complex trauma is addressed and since the issues are interdependent, treating them separately is not effective. The author suggests that recent research points to the need for comprehensive services that are targeted to a family's multiple needs regardless of the chosen therapeutic model. The article also discusses why parents don't engage and the need for emotional safety as a prerequisite for effective psychosocial treatment. In addition, the role of diagnosis and struggle to access trauma therapy are considered along with a consideration of adversarial proceedings versus Family Drug and Alcohol Court approach. The article concludes that reframing engagement problems as trauma-related responses gives us more scope to overcome them effectively. (Edited publisher abstract)
Hand in hand: survivors of multiple disadvantage discuss service and support
- Authors:
- HAILES Amanda, et al
- Publisher:
- Agenda
- Publication year:
- 2018
- Pagination:
- 40
- Place of publication:
- London
This report, co-produced by peer researchers for the National Commission on Domestic and Sexual Violence and Multiple Disadvantage, highlights the challenges facing women and girls who have experienced violence or abuse. It draws on interviews with 11 women, who have experienced violence and abuse, and continue to face issues like homelessness, mental ill-health and substance use. The report looks at the impacts of abuse on women's lives, their experiences of seeking help, and contact with services – including police, health and mental health services, substance misuse services, domestic abuse services, housing, and children’s services. The interviews found most of the women had experienced many forms of abuse throughout their life. More than a third of those interviewed had a mental health diagnosis, all described experiencing symptoms of trauma, thirty per cent used drugs to cope, and a quarter had involvement with social services in relation to their children. Despite this, women could struggle to get help or to get services to understand their needs. The report makes recommendations across five themes: awareness raising and prevention work around abuse so that women and girls can recognise what they are experiencing as abuse; for more staff with lived experience to be on the workforce; for multi-agency support so that women can access a range of services in one place; increased staff training on the impact of trauma; and the need for empathy in building a trusting relationship between women and services. The report co-produced by peer researchers with the charities AVA (Against Violence and Abuse) and Agenda, the alliance for Women and Girls at Risk, for the National Commission on Domestic and Sexual Violence and Multiple Disadvantage. (Edited publisher abstract)
Psychological disturbance associated with sexual abuse in people with learning disabilities: case control study
- Authors:
- SEQUEIRA Heather, HOWLIN Patricia, HOLLINS Sheila
- Journal article citation:
- British Journal of Psychiatry, 183(11), November 2003, pp.451-456.
- Publisher:
- Cambridge University Press
The association between sexual abuse, mental health and behavioural problems in people with learning disabilities has not previously been examined in a controlled study. The aim was to identify symptoms of psychological disturbance in adults with and without a confirmed history of sexual abuse. The study used a matched (1:1) case-control design comparing 54 adults who had experienced sexual abuse with 54 adults with no reported history of abuse. The two groups were selected from a community population of adults with learning disabilities living in residential care, and compared for selected psychiatric diagnoses and for scores on measures of disturbed behaviour. Sexual abuse was associated with increased rates of mental illness and behavioural problems, and with symptoms of post-traumatic stress. Psychological reactions to abuse were similar to those observed in the general population, but with the addition of stereotypical behaviour. The more serious the abuse, the more severe the symptoms that were reported. The study provides the first evidence from a controlled study that sexual abuse is associated with a higher incidence of psychiatric and behavioural disorder in people with learning disabilities.
Early intervention service for non-abusing parents of victims of child sexual abuse
- Authors:
- FORBES Fiona, et al
- Journal article citation:
- British Journal of Psychiatry, 183(7), July 2003, pp.66-72.
- Publisher:
- Cambridge University Press
Childhood sexual abuse is a non-specific risk factor for psychopathological disorders in childhood and later life. The response of non-abusing parents to disclosure of abuse may influence the child's outcome. The aim was to assess the level of psychopathological symptoms in parents and children following disclosure of sexual abuse and the changes following a parental treatment intervention. Parents completed standardised rating scales about their own and their child's symptoms. These were repeated following the intervention. Thirty-nine parents of 31 children completed scales at the baseline assessment; 18 repeated these following interventions. Initially, parents reported high rates of psychopathological symptoms in themselves and their children, which were reduced following the intervention. This study confirms the high rates of psychopathological symptoms found in parents of children following disclosure of sexual abuse. Children clinically identified for intervention had higher measured levels of psychopathological symptoms. Targeted treatment interventions are needed.