Search results for ‘Subject term:"mental health problems"’ Sort:
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Changes in treatment content of services during trauma-informed integrated services for women with co-occurring disorders
- Authors:
- CHUNG Sukyung, DOMINO Marisa Elena, MORRISSEY Joseph P.
- Journal article citation:
- Community Mental Health Journal, 45(5), October 2009, pp.375-384.
- Publisher:
- Springer
This study examined how an intervention targeted to provide women with trauma-informed integrated services in the treatment of co-occurring disorders changed the content of services reported by clients. It was found the intervention led to an increased provision of integrated services as well as services addressing each content area: trauma, mental health and substance abuse. There was no increase in service quantity from the intervention. Incorporation of trauma-specific element in the treatment of mental health and substance abuse may have been successfully implemented at the service level thereby better serve women with complex behavioural health histories.
The recovered memory controversy; a representative case study
- Author:
- COLANGELO James J.
- Journal article citation:
- Journal of Child Sexual Abuse, 18(1), 2009, pp.103-121.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
The recovered memory controversy has been an ongoing debate within the mental health profession for the past two decades. Disagreement remains over the veracity of “forgotten” memories of childhood sexual abuse that are recalled or recovered during therapy. At the heart of the controversy are the concepts of repression and dissociation as well as the impact traumatising events have on the encoding of memory. This article provides an overview of the central factors in the longstanding debate and presents a detailed clinical case study involving independent corroboration of memories of childhood sexual abuse recovered during treatment, which the author believes provides additional support for the potential veracity of recovered memories.
Pathological dissociation as measured by the child dissociative checklist
- Authors:
- WHERRY Jeffrey N., NEIL Debra A., TAYLOR Tamara N.
- Journal article citation:
- Journal of Child Sexual Abuse, 18(1), 2009, pp.93-102.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
The component structure of the Child Dissociative Checklist was examined among abused children. A factor described as pathological dissociation emerged that was predicted by participants being male. There also were differences in pathological dissociation between groups of sexually abused and physically abused children. Replication of this factor and the establishment of base rates for various groups of children are recommended so that the Child Dissociative Checklist might be used to more effectively eliminate false positives and increase true positives in the screening and ultimate treatment of dissociative children.
Anger, PTSD, and the nuclear family: a study of Cambodian refugees
- Authors:
- HINTON Devon E., et al
- Journal article citation:
- Social Science and Medicine, 69(9), November 2009, pp.1387-1394.
- Publisher:
- Elsevier
This study profiles the family-directed anger of traumatized Cambodian refugees, all survivors of the Pol Pot genocide who were patients at a psychiatric clinic in Lowell, MA, USA. Survey data were collected from a convenience sample of 143 Cambodian refugee patients from October 2006 to August 2007. The study revealed that 48% of the patients had anger directed toward a nuclear family member in the last month, with anger directed toward children being particularly common. Responses to open-ended questions revealed the causes of anger toward a significant other and children, the content of anger-associated trauma recall, and what patients did to gain relief from anger. A type of cultural gap, namely, a linguistic gap (i.e., the parent's lack of English language skills and the child's lack of Khmer language skills), seemingly played a role in generating conflict and anger. Nuclear family-type anger was associated with PTSD presence. The effect of anger on PTSD severity resulted in part from anger-associated trauma recall and fears of bodily dysfunction, with 54% of the variance in PTSD severity explained by that regression model. The study: 1) suggests that among traumatized refugees, family-related anger is a major clinical concern; 2) illustrates how family-related anger may be profiled and investigated in trauma-exposed populations; and 3) gives insights into how family-related anger is generated in such populations.
Mental health and substance abuse indicators among homeless youth in Denver, Colorado
- Authors:
- MERSCHAM Carrie, van LEEUWEN James M., McGUIRE Megan
- Journal article citation:
- Child Welfare Journal, 88(2), 2009, pp.93-110.
- Publisher:
- Child Welfare League of America
The results of mental health evaluations from 182 homeless youth residing in a Denver, Colorado, shelter are reported. The literature on homeless youth, although developing, is still somewhat limited as it relates to mental health, substance abuse, and trauma. This study was motivated by clinically observed high rates of mental illness, trauma, dangerousness issues, and drug and alcohol abuse. Using archival data from mental health evaluations conducted over two years, variables including gender, age, ethnicity, primary diagnosis, drug of choice, trauma history, suicidal ideation, homicidal ideation, and legal history were assessed. Results discovered significantly higher than expected diagnoses of mental illness and associations between drug of choice and diagnosis, trauma history and suicidal ideation, and trauma history and diagnosis. Results suggest a strong need for co-occurring treatment, trauma-focused therapy, and attention to both mental illness and substance abuse in homeless youth.
Contemporary topics in women's mental health: global perspectives in a changing society
- Editors:
- CHANDRA Prabha S, et al, (eds.)
- Publisher:
- Wiley
- Publication year:
- 2009
- Pagination:
- 593p.
- Place of publication:
- Chichester
This compilation discusses advances in reproductive health, the neurobiology of psychiatric disorders and psychopharmacology in the context of women’s current social, cultural and political realities. It acknowledges the effect of social change on women, stresses such as migration, war and violence and the impact this may have on women who care for children and extended families. Specific case studies from Africa, India and Chile are included. Each of the 28 chapters is introduced by an editor’s commentary. Chapters cover topics such as: psychiatric disorders and bipolar affective disorder BPAD; depression and anxiety; somatisation and dissociation; eating disorders; suicide; alcohol and substance abuse; psychiatric consequences of trauma: voices of consumers; mental aspects of pregnancy; childbirth and the postpartum period: psychological issues and reproductive health conditions; menopause and the need for multidimensional approaches; ethics in psychiatric research; settings for gender sensitive psychiatric care for children; young people and adults; wars and disasters; intimate partner violence and coercion; work and stress; female genital mutilation; and mothers and the unpaid workload.
Mental health characteristics of social work students: implications for social work education
- Authors:
- HORTON E. Gail, DIAZ Naelys, GREEN Diane
- Journal article citation:
- Social Work in Mental Health, 7(5), 2009, pp.458-475.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This study was undertaken to describe and identify mental health and substance use characteristics of a sample of social work students located in a Florida school of social work. Results indicated that approximately 34 percent of the participants reported high levels of depressive symptoms, 12 percent had a history of suicidal ideation, and 4 percent reported having thought about suicide recently. Six percent reported high levels of post-traumatic stress disorder symptoms and 3 percent were highly likely to have a dissociative disorder. High proportions of the students reported having multiple traumatic experiences. Students in this sample were less likely to report lifetime or current alcohol or marijuana use than national college student samples, but more likely to report lifetime or current use of illicit substances other than marijuana.
The mental and physical health difficulties of children held within a British immigration detention center: a pilot study
- Authors:
- LOREK Ann, et al
- Journal article citation:
- Child Abuse and Neglect, 33(9), September 2009, pp.573-585.
- Publisher:
- Elsevier
The present study aimed to assess the mental and physical health of children held within a British immigration detention centre. A total of 24 detained children (aged 3 months to 17 years) were assessed with their parents or carer after being referred by a registered legal charity. During the psychological assessment of 11 children, 8 met criteria for psychiatric “caseness” on the Strengths and Difficulties Questionnaire. All 11 reported symptoms of depression and anxiety. Sleep problems, somatic complaints, poor appetite, emotional symptoms, and behavioural difficulties were common. Symptoms of global distress were also reported by all 9 parents. According to paediatric assessment 8 out of 20 children had lost weight. Six had missed health appointments and 2 were taken to hospital. Detained children were found to be experiencing mental and physical health difficulties of recent onset, which appeared to be related to the detention experience. These findings suggest that current UK policies regarding the detention of children for purposes of immigration control should be re-examined. Detained families had very limited access to appropriate assessment, support or treatment. The traumatic experience of detention itself also has implications for the sizeable proportion of psychologically distressed children who are eventually released from detention and expected to successfully reintegrate into British society; while those children who are deported are returned with increased vulnerability to future stressors.
The reported experience of four women with intellectual disabilities receiving emergency psychiatric services in Canada
- Authors:
- LUNSKY Yona, GRACEY Carolyn
- Journal article citation:
- Journal of Intellectual Disabilities, 13(2), June 2009, pp.87-98.
- Publisher:
- Sage
- Place of publication:
- London
A focus group study was conducted in 2005 in Toronto, Canada with four women with intellectual disabilities who had paid repeated visits to their local emergency department due to a psychiatric or behavioural crisis. These women spoke about not feeling respected, the trauma of being restrained physically or chemically, and about hospital staff not being comfortable working with women with intellectual disabilities. Clinical implications are discussed and recommendations are presented to improve the experience of women who require emergency services in the future.
Sibling separation and psychological problems of double AIDS orphans in rural China – a comparison analysis
- Authors:
- GONG J., et al
- Journal article citation:
- Child: Care, Health and Development, 35(4), July 2009, pp.534-541.
- Publisher:
- Wiley
The authors investigated the psychological impact of sibling separation among children who lost both of their parents to AIDS and were placed in group care or kinship care settings in rural China. Comparative analysis of cross-sectional survey data among 155 children among whom 96 experienced sibling separation. Trauma symptoms (anxiety, depression, anger, post-traumatic stress, dissociation, sexual concerns) were compared between the AIDS orphans who experienced sibling separation and those who did not using analysis of variance and multivariate analysis of covariance. Among the participants (47.7% girls) with an average age of 12.4 years, univariate and multivariate analyses showed that separation from siblings was associated with significantly higher scores in anxiety, depression, anger and dissociation before or after controlling for gender, age, care arrangement, number of household replacement, trusting relationship with the current caregivers and perceived quality of current living condition. Sibling separation among orphans was not associated with level of post-traumatic stress and sexual concerns. The authors conclude that AIDS orphans separated from their siblings suffered from increased psychological distress compared with those who remained with their siblings. The data in the current study suggest that care arrangement for AIDS orphans should include accommodating the siblings together or providing them with opportunities for frequent contact and/or communication with each other. Appropriate psychological counselling should be given to those orphans experiencing sibling separation.