Search results for ‘Subject term:"mental health problems"’ Sort:
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The relevance of guidelines for treatment mania in old age
- Author:
- SNOWDON John
- Journal article citation:
- International Journal of Geriatric Psychiatry, 15(9), September 2000, pp.779-783.
- Publisher:
- Wiley
Reviews three sets of guidelines for the treatment of patients with bipolar disorder, in order to assess their adequacy in relation to treatment of older persons with mania. One of the three referred to differences encountered when treating elderly people, but none gave adequate attention to age-related changes in pharmacokinetics and whether it is appropriate to prescribe lithium as a first-line mood stabiliser for older persons. Concludes that the guidelines do not give clear guidance on initial management of acutely manic patients who refuse medication. Nor do they give consideration to secondary mania. Recommended that evidence be gathered in order to develop guidelines specifically for management of mental disorders presenting in old age.
Assessment and treatment of physical health problems among people with schizophrenia: national cross-sectional study
- Journal article citation:
- British Journal of Psychiatry, 205(6), 2014, pp.473-477.
- Publisher:
- Cambridge University Press
Background: In the UK and other high-income countries, life expectancy in people with schizophrenia is 20% lower than in the general population. Aims: To examine the quality of assessment and treatment of physical health problems in people with schizophrenia. Method: Retrospective audit of records of people with schizophrenia or schizoaffective disorder aged ≥18. We collected data on nine key aspects of physical health for 5091 patients and combined these with a cross-sectional patient survey. Results: Body mass index was recorded in 2599 (51.1%) patients during the previous 12 months and 1102 (21.6%) had evidence of assessment of all nine key measures. Among those with high blood sugar, there was recorded evidence of 53.5% receiving an appropriate intervention. Among those with dyslipidaemia, this was 19.9%. Despite this, most patients reported that they were satisfied with the physical healthcare they received. Conclusions: Assessment and treatment of common physical health problems in people with schizophrenia falls well below acceptable standards. Cooperation and communication between primary and secondary care services needs to improve if premature mortality in this group is to be reduced. (Publisher abstract)
Clinical guidelines in old age psychiatry
- Authors:
- BURNS Alistair, DENING Tom, LAWLOR Brian
- Publisher:
- Martin Dunitz
- Publication year:
- 2002
- Pagination:
- 208p.,bibliog.
- Place of publication:
- London
Clinical guidelines have been defined as systematically developed statements which assist clinicians and patients in making decisions about appropriate treatment for specific conditions. This book aims to bring material together in the field of old age psychiatry in order to form judgements about which guidelines are "better". Topics include, dementia, depression, other disorders.
Not so easy
- Author:
- NEWBIGGING Karen
- Journal article citation:
- Mental Health Today, October 2002, pp.12-13.
- Publisher:
- Pavilion
- Place of publication:
- Hove
Looks at how primary care services are responding to standard two of the National Service Framework for Mental Health, that anyone who contacts their primary health care team with a common mental health problem should be assessed and offered treatment or referral to a specialist mental health service.
National Minimum Standards for patients liable to be detained under the 1983 Mental Health Act in an independent hospital
- Authors:
- CURRAN Christopher, HEWITT David
- Journal article citation:
- Openmind, 115, May 2002, p.28.
- Publisher:
- MIND
The National Minimum Standards for mental health establishments came into effect on 1 April 2002. Considers some of the key provisions that will affect patients detained under the 1983 Mental Health Act.
Mix 'n' match?
- Author:
- JOHNSTONE Lucy
- Journal article citation:
- Openmind, 110, July 2001, p.16.
- Publisher:
- MIND
Argues that the National Service Framework does not do enough to challenge a biomedical view of mental ill-health.
Case management: the current best practices and the next generation of innovation
- Authors:
- BEDELL Jeffrey R., CHEN Neal L., SULLIVAN Ann
- Journal article citation:
- Community Mental Health Journal, 36(2), April 2000, pp.179-194.
- Publisher:
- Springer
Eight published literature reviews of case management were evaluated to determine areas of consensus regarding outcomes associated with full service, broker, and hybrid models. Full service was recommended for "best practice" status and the effectiveness of the broker model was seriously questioned. Research evaluating paraprofessional and peer assisted models of case management, a potential method for improving outcomes, was also reviewed.
Protocol for assessing services for people with severe mental illness
- Authors:
- WIGS J.K., et al
- Journal article citation:
- British Journal of Psychiatry, 172, February 1998, pp.121-129.
- Publisher:
- Cambridge University Press
Reports on how the Clinical Standards Advisory Group was asked by the UK health ministers to advise on the standards of clinical care being achieved for people with schizophrenia. A subcommittee commissioned a review of standards, followed by research into how far these were reflected in contracts and met by providers. A protocol of items of good service practice was constructed, and applied by teams visiting services. After wide consultation revised protocol of key points for direct rating was drawn up and has since been further tested.
Skills for recovery: a recovery-oriented dual diagnosis group for veterans with serious mental illness and substance abuse
- Authors:
- TOPOR David R., et al
- Journal article citation:
- Social Work with Groups, 36(2/3), 2013, pp.222-235.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Individuals with serious mental illness (SMI) are at a high risk for abusing alcohol and illicit substances relative to the general population. This use, even in small quantities, can negatively affect mental and physical health. Group therapy is an evidence-based treatment for individuals dually diagnosed with SMI and a substance abuse disorder. The Skills for Recovery group used a recovery-oriented therapy manual for dual diagnoses and was informed by the International Association for Social Work with Groups' Standards for Social Work Practice with Groups throughout the development and implementation of the group. (Publisher abstract)
A memory clinic for older people with intellectual disabilities
- Authors:
- HASSIOTIS A., et al
- Journal article citation:
- Aging and Mental Health, 7(6), November 2003, pp.418-423.
- Publisher:
- Taylor and Francis
Cognitive decline in older people with intellectual disabilities (ID) is often under-recognized. Following the publication of the National Service Framework for Older People and the white paper Valuing People, older people with intellectual disabilities of all aetiologies should have access to a systematic assessment of their cognitive function in order to detect decline in cognition and adaptive skills and implement appropriate treatments as early as possible. The development of a memory clinic for older people with ID is described, including instruments used and characteristics of attendees. Such projects are in line with current UK government policies and can contribute to the improvement of standards of care and support research in this vulnerable group of people.