Search results for ‘Subject term:"mental health problems"’ Sort:
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Mental health first aid for the elderly: a pilot study of a training program adapted for helping elderly people
- Authors:
- SVENSSON Bengt, HANSSON Lars
- Journal article citation:
- Aging and Mental Health, 21(6), 2017, pp.595-601.
- Publisher:
- Taylor and Francis
Objectives: Epidemiological studies have shown a high prevalence of mental illness among the elderly. Clinical data however indicate both insufficient detection and treatment of illnesses. Suggested barriers to treatment include conceptions that mental health symptoms belong to normal ageing and lack of competence among staff in elderly care in detecting mental illness. A Mental Health First Aid (MHFA) training programme for the elderly was developed and provided to staff in elderly care. The aim of this study was to investigate changes in knowledge in mental illness, confidence in helping a person, readiness to give help and attitudes towards persons with mental illness. Method: Single group pre-test–post-test design. Results: The study group included staff in elderly care from different places in Sweden (n = 139). Significant improvements in knowledge, confidence in helping an elderly person with mental illness and attitudes towards persons with mental illness are shown. Skills acquired during the course have been practiced during the follow-up. Conclusions: The adaption of MHFA training for staff working in elderly care gives promising results. Improvements in self-reported confidence in giving help, attitudes towards persons with mental illness and actual help given to persons with mental illness are shown. However, the study design allows no firm conclusions and a randomised controlled trail is needed to investigate the effectiveness of the programme. Outcomes should include if the detection and treatment of mental illness among the elderly actually improved. (Edited publisher abstract)
Seeing through the symptoms
- Author:
- ADAMS Ian
- Journal article citation:
- Nursing Times, 16.11.00, 2000, p.29.
- Publisher:
- Nursing Times
A psychiatric nurse talks to the author about his innovative and controversial approach to helping people who self harm.
Economic evaluation of the SOS training to reduce victimization in dual diagnosis patients
- Authors:
- DE WAAL Marleen M., et al
- Journal article citation:
- Journal of Dual Diagnosis, 17(4), 2021, pp.333-343.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Objective: Economic evaluations of interventions for dual diagnosis patients are scarce. A recent randomized controlled trial has supported the effectiveness of the Self-wise, Otherwise, Streetwise (SOS) training to reduce victimization in dual diagnosis patients. The purpose of the current study was to analyse the cost-effectiveness and cost-utility of the SOS training as an add-on to care as usual (CAU). Methods: the researchers performed an economic evaluation from a societal perspective alongside the SOS trial. Participants were 250 dual diagnosis patients recruited at three locations from a large urban psychiatric service in the Netherlands. The main outcomes were treatment response for victimization and quality-adjusted life years (QALYs). Both costs and effects were measured across a 14-month follow-up. Results: There was no significant difference between CAU + SOS and CAU in total costs (mean difference €4,859; 95% CI [−€4,795 to €14,513]) and QALY gains (mean difference 0.0012; 95% CI [−0.05 to 0.05]). Significantly more participants in CAU + SOS achieved treatment response for victimization compared to CAU (68% vs. 54%; mean difference 0.14; 95% CI [0.02 to 0.26]). The cost-effectiveness analysis indicated an 83% likelihood that CAU + SOS resulted in a higher treatment response rate for victimization at higher costs compared to CAU. The cost-utility analysis indicated that adding SOS-training to CAU is probably not cost-effective at conventional willingness-to-pay levels for QALYs. Conclusions: At a societal willingness-to-pay of €38,000 or more per extra treatment responder, adding SOS-training to usual care is probably more attractive than usual care alone with regard to cost-effectiveness. This is a considerable willingness to pay. However, the direct costs of offering the SOS training are expected to be minor. Our findings should be interpreted with caution due to the short follow-up period and absence of data on potential reductions in police and judicial costs other than prison costs. (Edited publisher abstract)
Psychiatric practice in Iran and the UK
- Authors:
- HASHEMI Nazir, LONDON Mervyn
- Journal article citation:
- Psychiatric Bulletin, 27(5), May 2003, pp.190-191.
- Publisher:
- Royal College of Psychiatrists
More than any other area of medicine, psychiatry is influenced greatly by the cultural setting in which it is practised. Iran and the UK have similar-sized populations, but are very different in many other respects. The opportunity arose to compare psychiatric practice in these two countries when one of the authors spent 3 months visiting mental health services at a UK centre
Working with people with dual diagnosis in the voluntary sector: training and support needs of practitioners
- Authors:
- SCOTT Helen, et al
- Journal article citation:
- Mental Health and Learning Disabilities Care, 4(9), May 2001, pp.297-301.
- Publisher:
- Pavilion
People with dual diagnosis are likely to be among the most demanding of clients encountered by mental health practitioners. Reports the findings of an evaluation of four voluntary sector projects funded by the Department of Health to develop their services to this group, with a particular focus on the staff. The majority of the staff had no formal qualifications in mental health, which may well have contributed both to their high burn-out levels and to the limited range of interventions they offered clients. Concludes that considerable further investment in staff training may be needed if such services in both the voluntary and statutory sectors are to be effective.
Learning to conduct psychotherapy with psychotically disturbed patients
- Author:
- McKENNA Patricia
- Journal article citation:
- Clinical Supervisor (The), 19(1), 2000, pp.20-211.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
A first experience working therapeutically with a psychotically-impaired individual challenges a psychologist-in-training with a number of issues. These include how best to establish a therapeutic stance toward symptoms of cognitive disorganisation and delusions, and countertransferential difficulties arising from the power differential between patient and therapist. These issues are explored in the context of a twice-weekly psychodynamic treatment with an involuntary patient on a locked inpatient facility. Challenges faced in this type of treatment are important training experiences, and can inform work with higher-functioning patients as well.
Out of the darkness
- Authors:
- KEUKENS Rob, PERNIS Hans van
- Journal article citation:
- Nursing Times, 25.2.98, 1998, pp.38-39.
- Publisher:
- Nursing Times
Mental health care in many east European countries is still stuck in the dark ages. Looks at what it would take to reform it.
Special treatment
- Author:
- -
- Journal article citation:
- Nursing Times, 14.1.98, 1998, pp.29-32.
- Publisher:
- Nursing Times
Presents the views of a number of mental health practitioners on whether statutory mental health services should give priority to treating people with a personality disorder.
Managing the dually diagnosed patient
- Editors:
- O'CONNELL David, BEYER Eileen
- Publisher:
- Haworth Press
- Publication year:
- 2002
- Pagination:
- 352p.,bibliogs.
- Place of publication:
- Binghamton, NY
Provides information on special treatment considerations for women and adolescents and examines the restrictions placed on treatment in the age of managed care. The book addresses the theoretical, conceptual, and practical issues involved in caring for dually diagnosed patients. Treatment professionals from hospitals, medical schools, addiction treatment programs, and dual disorder units examine the critical issues in the assessment and treatment of dually diagnosed individuals and offer an up-to-date review of research and rehabilitation. Topics covered: substance abuse and psychopathology; psychodiagnostic assessment; training issues for dealing with comorbidity; how collaboration with other helping professionals can improve your treatment of dually diagnosed patients; understanding and treating the psychiatric problems common within chemically dependent populations-affective disorders, such as anxiety disorders, personality disorders, and schizophrenia.
Recognising mental health problems in older patients
- Author:
- SAYERS Jayne
- Journal article citation:
- Nursing Times, 30.11.00, 2000, pp.41-42.
- Publisher:
- Nursing Times
Mental ill health is not an inevitable part of growing old, yet all too often the needs of older people are overlooked. Describes how one trust is tackling this problem.