Search results for ‘Subject term:"mental health problems"’ Sort:
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Self Help Services: helping people to help themselves
- Authors:
- LIDBETTER Nicky, BUNNELL Dawn
- Journal article citation:
- Mental Health and Social Inclusion, 17(2), 2013, pp.76-81.
- Publisher:
- Emerald
Purpose – Self Help Services is a pioneering charity in how it champions personal experience of mental health and uses these experiences in the treatment of people living with common mental health problems – anxiety, depression, phobias, and low self-esteem issues. This paper aims to describe how the charity grew from one individual's journey with agoraphobia to being the main provider of primary care mental health services in the North West of England. Design/methodology/approach – The paper charts the growth of Self Help Services over time, with a particular focus on its employment of people with personal mental health problems. It describes the experiences of its founder and Chief Officer and includes case studies of a user of its e-therapy services and the charity's Informatics and Governance Lead. Findings – The case studies illustrate how the charity has grown in both size and success as a result of harnessing the skills and experience of large numbers of staff and volunteers living with a mental health problem. The case studies illustrate that, rather than being an issue, these personal experiences are vital tools in helping others work through their own difficulties. Originality/value – The paper provides a detailed overview of a charity which was unique when it was formed and now thrives as a result of its uniqueness. It provides other similar organisations with advice on lessons learnt along the way, and advice for individuals or groups looking to establish similar organisations.
Person-centered diagnosis and treatment in mental health: a model for empowering clients
- Authors:
- LADD Peter D., CHURCHILL AnnMarie
- Publisher:
- Jessica Kingsley
- Publication year:
- 2012
- Pagination:
- 352p.
- Place of publication:
- London
The authors suggest that clients with mental health conditions are often diagnosed and treated using a strictly medical model of diagnosis. This book takes a more person-centred, holistic approach to diagnosis and treatment. It sees the client as the expert on their condition and encourages their involvement and collaboration. The authors explore the reasons behind clients’ feelings and behaviour and take the whole person into account with the aim of finding meaning in their experiences. Designed to complement DSM assessments, the manual covers a range of mental health conditions as well as mental health patterns of behaviour. In each case, the client is involved in the diagnosis and treatment plan. Extended case studies, sample questions and treatment plans are included throughout. The first part of the book on mental health disorders covers: attention-deficit/hyperactive disorder; borderline personality disorder; bulimia nervosa; depression; general anxiety disorder; obsessive compulsive disorder; oppositional defiant disorder; and post traumatic stress disorder. The second section of the book covers discussion of the following mental health patterns; abuse; bullying; compassion fatigue; lateral violence; loneliness; loss; and self-hatred. The book is aimed at all those involved in mental health diagnosis and treatment, including psychologists, psychiatrists, mental health counsellors, clinical social workers, school counsellors and therapists.
Finding treatment to suit the patient: the Maudsley medication review clinic
- Authors:
- GRAY Richard, REVELEY Adrianne, HOWARD Alan
- Journal article citation:
- Mental Health Care, 2(4), December 1998, pp.132-134.
- Publisher:
- Pavilion
Negative treatment experience and use of drugs with unacceptable side effects are known to reduce patient compliance. The author reports on the first's years operation of a new medication review clinic which believes that patients and carers have a major say in deciding the preferred course of treatment.
Card carriers
- Author:
- STRONG Susannah
- Journal article citation:
- Community Care, 1.7.95, 1995, p.7.
- Publisher:
- Reed Business Information
Increasing numbers of people with mental health problems are experiencing adverse side effects from prescribed drugs. Reports on the practice implications of a new yellow card scheme to give users a voice.
Shared treatment decision-making and empowerment-related outcomes in psychosis: systematic review and meta-analysis
- Authors:
- STOVELL Diana, et al
- Journal article citation:
- British Journal of Psychiatry, 209(1), 2016, pp.23-28.
- Publisher:
- Cambridge University Press
Background: In the UK almost 60% of people with a diagnosis of schizophrenia who use mental health services say they are not involved in decisions about their treatment. Guidelines and policy documents recommend that shared decision-making should be implemented, yet whether it leads to greater treatment-related empowerment for this group has not been systematically assessed. Aims: To examine the effects of shared decision-making on indices of treatment-related empowerment of people with psychosis. Method: A systematic review and meta-analysis of randomised controlled trials (RCTs) of shared decision-making concerning current or future treatment for psychosis (PROSPERO registration CRD42013006161) was conducted. Primary outcomes were indices of treatment-related empowerment and objective coercion (compulsory treatment). Secondary outcomes were treatment decision-making ability and the quality of the therapeutic relationship. Results The authors identified 11 RCTs. Small beneficial effects of increased shared decision-making were found on indices of treatment-related empowerment (6 RCTs; g = 0.30, 95% CI 0.09–0.51), although the effect was smaller if trials with >25% missing data were excluded. There was a trend towards shared decision-making for future care leading to reduced use of compulsory treatment over 15–18 months (3 RCTs; RR = 0.59, 95% CI 0.35–1.02), with a number needed to treat of approximately 10 (95% CI 5–∞). No clear effect on treatment decision-making ability (3 RCTs) or the quality of the therapeutic relationship (8 RCTs) was found, but data were heterogeneous. Conclusions: For people with psychosis the implementation of shared treatment decision-making appears to have small beneficial effects on indices of treatment-related empowerment, but more direct evidence is required. (Edited publisher abstract)
Using social work theory and values to investigate the implementation of community treatment orders
- Authors:
- BROPHY Lisa, MCDERMOTT Fiona
- Journal article citation:
- Australian Social Work, 66(1), 2013, pp.72-85.
- Publisher:
- Taylor and Francis
In Victoria, Australia, involuntary psychiatric treatment in the community is authorised by Community Treatment Orders (CTOs). CTOs are an increasingly common feature of mental health legislation in Australia. This paper establishes the value of a social work investigation of good practice with people on CTOs in the context of social work's longstanding interest in the ethical challenges of working with involuntary clients. Critical social work theory provided an important theoretical base. A mixed methods approach was undertaken, including a cluster analysis and case studies. Five principles of good social work practice emerged from the qualitative data: use and develop direct practice skills; take a human rights perspective; focus on goals and desired outcomes; aim for quality of service delivery; and enhance and enable the role of key stakeholders. These principles are presented along with recommendations for practice.
Recovery-oriented professionals: helping relationships in mental health services
- Authors:
- BORG Marit, KRITIANSEN Kristiansen
- Journal article citation:
- Journal of Mental Health, 13(5), October 2004, pp.493-505.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Traditionally mental health services have been based on the view that health professionals effect changes within a person with psychiatric problems via a range of treatment methods. Service users have had little opportunity to speak for themselves about their view of professional help or about what supports their recovery process. Qualitative study based on interviews with 15 service users with lived experience of severe mental illness. Certain common factors about helpful relationships were identified. Service users valued professionals who conveyed hope, shared power, were available when needed, were open regarding the diversity in what helps, and were willing to stretch the boundaries of what is considered the "professional" role. Recovery-oriented professionals were those who had the courage to deal with the complexities and the individuality of the change process, and were able to use their professional skills and expertise in a collaborative partnership with the service user. A recovery-orientation in professionals also involves the willingness and ability to shape services to the needs and preferences of each individual service user.
Exploring the concept of recovery from the perspective of people with mental health problems
- Author:
- WARREN Kate
- Publisher:
- University of East Anglia. School of Social Work and Psychosocial Studies
- Publication year:
- 2003
- Pagination:
- 56p.,bibliog.
- Place of publication:
- Norwich
Recovery is about seeing people and people seeing themselves as capable of recovery rather than as passive recipients of professional treatments. It is about working out strategies and taking control of our own lives. Within the recovery approach,developing in states in America, New Zealand and elsewhere, individuals are encouraged to learn more about their experience, and find ways to deal with their mental health experiences. People are actively supported to acquire the skills, knowledge and strength to reduce the prevalence or harmful experiences in safe, simple and effective ways. The focus is on self determination and cascading strategies. This means that those who participate in the groups will have a framework for recovery but will determine for themselves how they take this forward. This is a quite different way of doing things from the pervading methodology. It is about people taking control of their own lives, being responsible for their actions and self empowerment.
Care in the community: services users - what they want
- Author:
- SONE Kendra
- Journal article citation:
- Community Care, 26.5.94 Supplement, 1994, pp.12-13.
- Publisher:
- Reed Business Information
There is still resistance from some professionals to service users having any input in shaping and running services. Gives case studies which describe what people with mental health problems have experienced and what they need.
A chance for change
- Author:
- LINDOW Vivien
- Journal article citation:
- Nursing Times, 24.3.93, 1993, pp.33-34.
- Publisher:
- Nursing Times
Argues that community-based caring for people with mental health problems offers an opportunity to empower users - but only if old practices such as long-term drug therapy are challenged.