Search results for ‘Subject term:"mental health problems"’ Sort:
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Complex service needs of emerging adults accessing treatment for co-occurring opioid and mental health conditions
- Authors:
- LOMBARDI Brianna M., et al
- Journal article citation:
- Social Work in Mental Health, 19(6), 2021, pp.502-516.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Emerging adults are at high risk for opioid-use disorders (OUDs); however, their service use and co-occurring needs are infrequently described. This study analyzed county-level Medicaid claims across 3 years (2016–2018). A total of 1,665 individuals aged 17–25 received OUD services. More than 54% of the sample received services for a co-occurring mental health (MH) disorder. Only 21.3% received medications for OUDs (MOUDs), yet those with co-occurring MH were less likely to receive MOUDs and more likely to receive high-intensity services. This article will describe the characteristics of OUD and co-occurring treatment for emerging adults and address implications for social work. (Edited publisher abstract)
Youth mental health: new economic evidence
- Authors:
- KNAPP Martin, et al
- Publisher:
- Personal Social Services Research Unit
- Publication year:
- 2016
- Pagination:
- 117
- Place of publication:
- London
Examines the economic challenges of youth mental health problems in England, focusing on adolescents and young adults. The report summarise findings from a review of the international evidence on the economic impact of youth mental health services, an analysis of the economic implications of youth mental health problems – including the failure to recognise or treat them – and an evaluation of two models of youth mental health service provision in England. The report found that for young people aged 12–15 at baseline assessment (aged 15–18 by the end of the follow-up period), mental health-related average costs over the three-year follow-up period totalled £1,778 a year. In addition, the report shows that young people aged 16 to 25 with mental health issues at baseline are significantly more likely not to be in employment, education or training (NEET) than those without such issues. Among the group with mental health issues, those in contact with services are much more likely to be receiving benefits. A key theme emerging from the research is the substantial unmet need for services for young people with mental health problems - the treatment gap has been known for at least two decades and this study identifies treatment gaps dating from 1999. Tentative findings suggest that local specialist youth mental health services can generate significant improvements in mental health, employment, education and training outcomes. Contacts with services such as emergency and inpatient hospital care and the criminal justice system can also be reduced. (Edited publisher abstract)
Symptoms of depression and their effects on employment
- Authors:
- STEADMAN Karen, TASKILA Tyna
- Publisher:
- The Work Foundation
- Publication year:
- 2015
- Pagination:
- 79
- Place of publication:
- London
This study looks at the role that symptoms associated with depression can have on an individual’s ability to find a job, or remain in employment. It also explores the evidence around which interventions and support might improve employment outcomes for people experiencing these symptoms, and make a series of recommendations on how employment outcomes for this group may be enhanced. The study found that specific symptoms, including low mood, difficulty concentrating, and negative thinking, can have a considerable effect on employment outcomes, and that poor awareness and access to appropriate, evidence-based services are forming barriers to improving rates of employment for people with depression – many of whom want to work, and are able to work. The report was informed by a review of the recent academic literature on symptoms of depression and employment outcomes, and through interviews with experts in the field. (Edited publisher abstract)
Specialist substance misuse treatment for young people in England 2013-14
- Author:
- PUBLIC HEALTH ENGLAND
- Publisher:
- Public Health England
- Publication year:
- 2015
- Pagination:
- 8
- Place of publication:
- London
Contains statistics on specialist substance misuse treatment for young people in England during 2013 to 2014. The data show how the specialist substance misuse services in England continue to respond to the needs of young people who have alcohol and drug problems. These services intervene to help young people overcome their substance misuse problems and prevent them from becoming problematic users in adulthood. Figures from the report reveal that: 19,126 young people received help for alcohol or drug problems; 71 per cent had cannabis as their main problem drug; and 79 per cent of young people left services having successfully completed their treatment. (Edited publisher abstract)
Integrating addiction and mental health networks to improve access to treatment for people with alcohol and drug-related problems: a qualitative study
- Authors:
- FONSECA Francina, GILCHRIST Gail, TORRENS Marta
- Journal article citation:
- Advances in Dual Diagnosis, 5(1), 2012, pp.5-14.
- Publisher:
- Emerald
Improvement in Access to Treatment for People with Alcohol and Drug Related Problems (IATPAD) was a European multi-centre study designed to detect barriers and facilitators to accessing treatment for patients with alcohol and drug-related problems. This article reports the main findings of the qualitative study carrier out in Catalunya. A total of 47 staff were interviewed from a randomly selected sample of the three main entry points to treatment for patients with alcohol and drug problems; out-patient general psychiatry centres (CSMA); out-patient addiction centres (CAS); and primary care centres (CAP). Open-ended responses were also collated from 142 additional staff on barriers and facilitators to accessing treatment for patients with alcohol and drug problems and how these barriers could be improved. A total of 25 patients from two CAS were interviewed in-depth. Many opinions about accessing treatment were shared by staff and patients. These included patients' motivation, centres' opening hours, staff attitudes, the provision of information about services, and stigma. In addition staff mentioned referral waiting times and the co-ordination and integration of different services (mainly the mental health and addiction sectors). Patients were also influenced by previous treatment experiences. The authors make recommendations for the improvement of service accessibility for patients with addiction problems and those with a dual diagnosis.
A service framework to meet the needs of people with a co-occurring substance misuse and mental health problem
- Publisher:
- Wales. Welsh Assembly Government
- Publication year:
- 2007
- Pagination:
- 21p.
- Place of publication:
- Cardiff
The importance of developing seamless services for clients requiring both services cannot be stressed too strongly. Evidence indicates that drug and/or alcohol misuse among people with mental health problems is now commonplace but despite the availability of effective treatments, these services are not as co-ordinated as they might be Joining these services together is important because research shows that treatment for substance misuse problems often reduces psychiatric and mental health problems. Furthermore, substance misuse treatment is associated with decreasing substance use, decreased injecting behaviour and hence a reduction in the risk of HIV and hepatitis transmission, and improvements in other related forensic, psychological and physical problems.
Physical health decision making and decision aid preferences of individuals with severe mental illness
- Authors:
- WRIGHT-BERRYMAN Jennifer L., CREMERING Allison
- Journal article citation:
- Social Work in Mental Health, 15(6), 2017, pp.651-662.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Individuals with severe mental illness (SMI) often suffer from comorbid physical health conditions that reduce quality of life and longevity. The integrated care movement has improved access to primary care services, but system change does not necessarily impact health behaviours. In an effort to better understand health behaviours of persons with SMI in integrated care, the authors explored physical health decision making and decision aid preferences. Three focus groups were conducted, including two consumer groups and one mental health staff group. Data were analysed using a grounded theory approach, employing independent coding, thematic analysis, and meaning-making processes. Data suggest that overall, the consumer groups preferred a shared decision making process, with the doctor making the final treatment decision. Staff indicated that decision making depended on a consumer’s functioning level. Consumers liked the idea of using a decision aid, and reported preferring the computerised aid. Staff felt that decision aids were dependent on consumer level of functioning. Consumers generally view primary care doctors as experts, but like the idea of using decision aids to assist in making medical decisions. Staff feel that consumers may need help in both decision making and decision aid use in primary care. (Publisher abstract)
Whole in one: achieving equality of status, access and resources for people with depression
- Authors:
- PAXMAN Jon, MANNING Julia
- Publisher:
- 2020 Health
- Publication year:
- 2015
- Pagination:
- 50
- Place of publication:
- London
This report focuses on depression in adults, with particular emphasis on access to NHS services and treatment, the funding of services, depression in the workplace, and the role of the National Institute for Health and Care Excellence (NICE). It draws on evidence from interviews and discussions with researchers and people living with depression or in supportive roles. The report questions the lack of diagnosis, treatment options and the apparent discrimination in availability of medicines, as well as the continued separation of mental health from physical health. The report sets out a series of recommendations aimed at: improving access to treatment and services; closing the funding gap; improving mental health in the workplace; and encouraging parity of esteem through NICE. (Edited publisher abstract)
Can Assertive Community Treatment remedy patients dropping out of treatment due to fragmented services?
- Authors:
- DRUKKER Marjan, et al
- Journal article citation:
- Community Mental Health Journal, 50(4), 2014, pp.454-459.
- Publisher:
- Springer
Previously, many patients with severe mental illness had difficulties to engage with fragmented mental health services, thus not receiving care. In a Dutch city, Assertive Community Treatment (ACT) was introduced to cater specifically for this group of patients. In a pre–post comparison, changes in mental health care consumption were examined. All mental health care contacts, ACT and non-ACT, of patients in the newly started ACT-teams were extracted from the regional Psychiatric Case Register. Analyses of mental health care usage were performed comparing the period before ACT introduction with the period thereafter. After the introduction of ACT, mental health care use increased in this group of patients, although not all patients remained under the care of ACT teams. ACT may succeed in delivering more mental health care to patients with severe mental illness and treatment needs who previously had difficulties engaging with fragmented mental health care services. (Publisher abstract)
Profiles and Service Utilization for children accessing a nental health walk-in clinic versus usual care
- Authors:
- BARWICK Melanie A., et al
- Journal article citation:
- Journal of Evidence-Based Social Work, 10(4), 2013, pp.338-352.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Many children and adolescents with mental health problems do not receive the treatment they need. Unmet need raises questions about specific barriers that may prevent service use, and/or the characteristics of children and families who are less likely to receive care. Brief interventions or single–session psychotherapy delivered in a highly accessible manner are methods of addressing the problems associated with waitlists and limited access to care. In the current study the authors offer an exploratory evaluation of the West End Walk-In Counseling Centre for children and youth with psychosocial problems. Children 4 to 18 years of age who accessed the Walk-In Counseling Centre and a comparison group of clients who accessed usual care were assessed at intake, post-treatment, and 3-month follow-up on demographic characteristics, behavioural/emotional adjustment and functioning, client satisfaction, and service use. Children in the walk-in group had more severe behavioural/emotional adjustment and functioning than usual care clients at baseline. At post-treatment, walk-in clients had lower scores on Total Mental Health Problems and Internalising Behaviours, and exhibited fewer problems across all scales at follow-up. Walk-in clients found the wait time for service more reasonable and at follow-up, felt the service addressed concerns and had higher regard for counsellor availability and cultural sensitivity of the service than usual care clients. Service utilisation, assessed at post–treatment and 3-month follow-up, showed that both groups were more likely to access mental health and education services rather than health or child welfare services, and were more likely to have used services in the 12 months prior to service than the 3 months following service completion. Walk–in clients had steeper rates of improvement compared to usual care clients despite equivalence in psychosocial functioning at baseline. The walk-in model may be an effective alternative to usual care, particularly for those clients only willing to wait up to 2 weeks for service. (Publisher abstract)