Search results for ‘Subject term:"mental health problems"’ Sort:
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An integral approach to mental health recovery: implications for social work
- Author:
- STARNINO Vincent R.
- Journal article citation:
- Journal of Human Behavior in the Social Environment, 19(7), October 2009, pp.820-842.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
The term recovery has become increasingly popular in the area of mental health care. Recently, it has been described by policy makers as the guiding vision for transforming the mental health system. Problematic, however, is that a lack of clarity continues to exist regarding how recovery is to be defined. Definitional attempts often appear to have competing opinions about what the concept exactly stands for. This causes confusion for both professionals and consumers desiring to adopt a recovery approach. This article organises and connects insights from different views of mental health recovery by drawing on aspects of Ken Wilber's integral theory. The intention is to create a conceptual framework that brings together the competing ideological positions held by key stakeholders who have helped to shape the contemporary recovery paradigm. The resulting model comprises 4 quadrants which present a framework for situating recovery themes alongside their respective philosophical underpinnings. The implications for social work practice and education is discussed.
Adolescents in residential and inpatient treatment: a review of the outcome literature
- Authors:
- BETTMANN Joanna E., JASPERSON Rachael A.
- Journal article citation:
- Child and Youth Care Forum, 38(4), August 2009, pp.161-183.
- Publisher:
- Springer
Operationalizing treatment efficacy has become essential in the field of psychotherapy. Managed health care now requires psychotherapy to produce measurable outcomes and define success concretely. This requirement has resulted in research attempting to identify empirically supported and evidence-based treatments. This article presents a review of adolescent residential and inpatient outcome literature, for the purpose of identifying elements of successful programs and highlighting needed directions for research in the field.
The use of psychotropic medication for children in foster care
- Authors:
- CRISMON Lynn, ARGO Tami
- Journal article citation:
- Child Welfare Journal, 88(1), 2009, pp.71-100.
- Publisher:
- Child Welfare League of America
The use of psychotropic medication for foster children is in itself not unique; however, these children are of particular interest because of the stress associated with their life situations. A thorough assessment of the child and family should occur before beginning these medications, and in general, they should only be used in the presence of a Diagnostic and Statistical Manual, 4th edition, diagnosis of a mental disorder. Parents and caregivers need to be aware of principles of use, potential side effects, and monitoring parameters.
Treatment for people with eating disorders: the case for extending care
- Author:
- McCARTHY Greg
- Journal article citation:
- Addiction Today, 20(118), May 2009, pp.22-23.
- Publisher:
- Addiction Recovery Foundation
Often people with eating disorders also abuse alcohol or drugs. The author highlights a model of treatment that offer separate yet connected programmes which offer holistic care. This author outlines the psychiatric conditions commonly complicating addictive disorders, what extended care entails, the importance of community (versus hospital) settings and advantages of extended care over traditional addiction or eating-disorder treatment programmes.
Learning resource workbook for professionals working with children and young people
- Author:
- NATIONAL INSTITUTE FOR MENTAL HEALTH IN ENGLAND
- Publisher:
- National Institute for Mental Health in England
- Publication year:
- 2009
- Pagination:
- 141p.
- Place of publication:
- London
Focusing on the changes introduced by the Mental Health Act 2007 and related provisions of the Code of Practice, and setting these changes within the wider legal frameworks that affect the care and treatment of children and young people, this workbook is intended to support the learning of professionals who work with children and young people affected by mental disorder. The workbook provides an overview of the nine key changes to legislation brought about by the Mental Health Act 2007 (definition of mental disorder, criteria for detention, age appropriate services, professional groups and new ways of working, nearest relative, advocacy services, electroconvulsive therapy safeguards, Supervised Community Treatment, and referrals to the tribunal), and presents the changes as key steps in the pathway into and out of compulsion (coming into compulsion, making decisions, Supervised Community Treatment, ending compulsion), with activities for each.
Motivating young people towards success: evaluation of a motivational interviewing-integrated treatment programme for COD clients in a residential therapeutic community
- Authors:
- KLAG Stefanie, et al
- Journal article citation:
- Therapeutic Communities: the International Journal of Therapeutic Communities, 30(4), Winter 2009, pp.366-386.
- Publisher:
- Emerald
Noting that substance use amongst people with mental illness is one of the most significant problems facing the mental health system, and that intervening early and supporting the mental health of adolescents and young adults with co-occurring mental health and substance use disorders (COD) is a research and policy priority in Australia, this study integrated motivational interviewing into standard treatment and compared the effectiveness of this treatment approach with standard treatment alone for young chronic substance users with high rates of comorbidity with mental health problems in a therapeutic community on the Gold Coast, Australia. The results showed that the motivational interviewing-integrated treatment approach was associated with improved retention of clients in the programme, a more autonomous motivational attitude towards treatment and more positive and stronger treatment outcomes. The researchers conclude that the findings suggest that the motivational interviewing-integrated treatment approach was more effective in the treatment of COD clients compared to standard drug and alcohol treatment.
Relationships among motivation to change, barriers to care, and substance-related consequences in people with dual disorders
- Authors:
- NIDECKER Melissa, et al
- Journal article citation:
- Journal of Dual Diagnosis, 5(3), July 2009, pp.375-391.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Although the impact of motivation to change substance use and outcomes in primary substance abusers is well known, less is known about motivation in people with serious mental illness and substance addiction. This study sought to better recognise the relationships among substance use and consequences, understand the barriers to care, and the effect of motivation to change in a sample of people with serious mental illness and substance use disorders who were entering outpatient mental health care. Forty one dually diagnosed outpatients who completed self-report measures at intake to outpatient mental health treatment were included. Participants identified barriers to treatment and many negative consequences resulting from substance misuse. Results showed positive relationships between substance-related problems and both motivation to change and the perceived importance of change. Higher maintenance stage scores were related to a greater number of barriers to care. Higher action scores were inversely related to past-month drug use. Relationships among variables were similar to what has been found in primary substance abusers. In conclusion, the authors discuss: that dually diagnosed patients may encounter unique challenges when seeking care; those who have made changes continue to perceive barriers to treatment.
Implementing assertive community treatment in diverse settings for people who are homeless with co-occurring mental and addictive disorders: a series of case studies
- Authors:
- NEUMILLER Steven, et al
- Journal article citation:
- Journal of Dual Diagnosis, 5(3), July 2009, pp.239-263.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
The Assertive Community Treatment model (ACT), developed more than 30 years ago, was designed to treat individuals with serious mental illness. This qualitative study outlines issues encountered when establishing ACT teams in serving people who are homeless with co-occurring mental and addictive disorders (COD). Administrators from 9 programmes, in 7 states, completed a survey on implementation challenges, modifications to the ACT model, and programme successes. Difficulties related to staffing and funding limitations as well as to difficulties with implementing the ACT model without modifications - several modifications to the model were beneficial to recruiting and retaining consumers. These included an emphasis on housing, additional staff positions not included by ACT, implementing mini-teams within the programme, delivering in-office services in a group format, and placing time-limited services by transitioning consumers to less intensive settings. Successes included reduction in hospitalisations, psychiatric symptoms, and substance abuse. Stabilisation of consumers was attributed largely to housing assistance and maintenance; medication adherence; and delivery of intensive, multidisciplinary services including substance abuse treatment. The authors suggest the need to adapt the ACT model for people who are homeless with COD by tailoring staff and service delivery, and that there is a need for a measure capable of assessing ACT fidelity in the context of both housing models and integrated treatment for the homeless population.
Depression in adults with a chronic physical health problem: treatment and management
- Author:
- NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE
- Publisher:
- National Institute for Health and Clinical Excellence
- Publication year:
- 2009
- Pagination:
- 397p., bibliog.
- Place of publication:
- London
This draft national clinical practice guideline was commissioned by the National Institute for Health and Clinical Excellence (NICE) and developed within the National Collaborating Centre for Mental Health (NCCMH). The guideline is intended for adults with depression and chronic health problems and covers the care provided by primary, community, secondary, tertiary and other healthcare professionals who have contact with, and make decisions concerning the care of, adults with depression and chronic health problems. It makes recommendations for the treatment and management of people with depression and chronic health problems, starting with an introduction to the topic of depression and chronic physical health problems and an explanation of the methods used to develop the guideline, and then providing the evidence that underpins the recommendations about the treatment and management of people with depression and chronic health problems, including personal accounts from service users and carers offering an insight into their experience, and looking at the identification of depression in people with chronic physical health problems, service-led interventions, psychosocial interventions, and pharmacological interventions.
The role of psychology in enhancing dual diagnosis provision in substance misuse wards
- Authors:
- HILL Rob G., et al
- Journal article citation:
- Advances in Dual Diagnosis, 2(2), June 2009, pp.24-29.
- Publisher:
- Emerald
In this paper, the authors explore the role that psychology can play in enhancing dual diagnosis provision in substance misuse wards. In order to understand what can be achieved, they review: the nature of the client group presenting to substance misuse wards; the role and function of such wards; the role of clinical psychology within these wards; and specific issues relating to inpatient substance misuse treatment. They conclude by identifying some key elements that can enhance effective dual diagnosis working within inpatient substance misuse services.