Search results for ‘Subject term:"mental health problems"’ Sort:
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Strengthening the voice of those with mental health issues: a community approach to developing a mental health identification system
- Authors:
- QUINN Andrew, OTTESON Mary
- Journal article citation:
- Social Work: A journal of the National Association of Social Workers (NASW), 64(3), 2019, p.216–223.
- Publisher:
- Oxford University Press
This article describes how an action research approach was used to involve a community of individuals with mental health issues and their support systems in the development and adoption of a mental health identification (ID) card. The intent of the card was to provide individuals with mental health issues a way to communicate and manage the idiosyncratic nature of their behaviours. A credit card–size ID card was developed that has the individual’s picture, address, diagnosis, idiosyncratic behaviours, best approach with the individual when those behaviours are present, medications, allergies, and emergency contact information. Benefits and concerns about the ID system in regard to the cardholder, card recipients, the provision of consent, Health Insurance Portability and Accountability Act compliance, and the balancing of reducing and increasing stigmas and stereotypes emerged throughout the process. In the end, the ID card has come to be seen as a social justice mechanism that allows for communication and awareness for those with mental health issues. (Edited publisher abstract)
Clients role choices: unexplored factors in intervention decisions
- Author:
- STARIN Amy C.
- Journal article citation:
- Clinical Social Work Journal, 34(1), Spring 2006, pp.101-119.
- Publisher:
- Springer
- Place of publication:
- New York
The role of the client in social work interventions has not been extensively explored in the professional literature. However, the client role varies significantly in different models of care and carries vast differences in the expectations and behaviours required of clients in the process. Clients’ individual characteristics, preferences, and expectations make them better suited to some approaches than others. This paper explores the change in perspectives on consumers emerging in the field and analyzes client role factors in four intervention models. Specifically the article considers behavioural, psychodynamic, strengths and person-environment practice models. It also discusses the “fit” between the client and the particular approach as well as implications for outcomes and evidence-based practice.
Is engagement associated with outcome in assertive outreach?
- Authors:
- MEADEN Alan, et al
- Journal article citation:
- Journal of Mental Health, 13(4), August 2004, pp.415-424.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Many studies have examined the impact of Assertive Outreach management on hospital usage. However, there has been little attempt to examine the possible role of engagement in reducing hospital usage despite the emphasis on the importance of engagement in delivering care in such services. The main aim of the study was to investigate the relationship between engagement and hospital usage. An observer rated measure of engagement was completed on 45 clients who had been under the management of an Assertive Outreach team (AOT) for a minimum of 1 year. This was compared (together with clinical and demographic factors) to hospital usage; notably bed days and admission rates before AOT and under AOT. Certain indices of engagement were associated with fewer admissions and less bed days under AOT: perceived usefulness of treatment, quality of client-therapist interaction and openness. Engagement factors which were least predictive of outcome were those concerning compliance with medication and appointment keeping. Clients' overall level of engagement was not associated with reduced hospital usage. Assertive Outreach management was associated with a reduction in the number of admissions per year but not with fewer bed days per year. Client Engagement is useful in AOT populations and may be a useful outcome indicator for the Future.
The Recovery House in Trieste: rational, participants, intervention as the “work”
- Authors:
- CASADIO Roberta, et al
- Journal article citation:
- Therapeutic Communities: the International Journal of Therapeutic Communities, 39(4), 2018, pp.149-161.
- Publisher:
- Emerald
Purpose: Too often people with complex mental health needs do not find their way out of the mental health system or find satisfactory solutions that enable them to live a full life. In 2015 the Mental Health Department (MHD) of Trieste established the Recovery House pilot project to address this concern. The paper aims to Investigate the project. Design/methodology/approach: The Recovery House was co-created with and for people between 18 and 35 years old with diagnoses of psychosis and other complex mental health conditions. An integral part of the pilot was the organization of the “Recovery Community,” inspired by the Assembly model embraced by Franco Basaglia. The Recovery Community met regularly to both support and learn from the Recovery House and aimed to create a democratic and reflective space where power relationships, self-determination, responsibility and ownership by all the stakeholders, including family members, could be explored together. Findings: Over a period of 31 months, four groups of people have successfully completed their residency at the Recovery House. In total, 89 percent of people who stayed at the Recovery House did so up to six months. After the period of staying at the Recovery House most of them moved to independent living or shared supported accommodation. Originality/value: This initiative sheds light on the fact that democratic values, approaches and structures can improve both service functioning and the recovery outcomes for people with complex health needs. Further, the Recovery House has had a significant effect on the culture and practice of the MHD in adopting a comprehensive approach to emotional distress. (Edited publisher abstract)
Feeling connected and understood: the role of creative arts in engaging young adults in their mental health services
- Authors:
- COLE Andrea R., et al
- Journal article citation:
- Social Work with Groups, 41(1-2), 2018, pp.6-20.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Young adults face an elevated risk of developing mental illness yet are less likely to engage in mental health services than other adult age groups. The purpose of this article is to describe and present qualitative data related to the use of the arts in a group intervention designed to increase mental health service engagement in young adults with mental health challenges. Participants described feeling more understood and connected to group members through the creative arts activities and stated the use of the arts was positive, effective, and helpful in processing grief and loss. Research and practice implications are discussed. (Publisher abstract)
It takes a village to deliver and test child and family-focused services
- Authors:
- MCKAY Mary M., et al
- Journal article citation:
- Research on Social Work Practice, 20(5), September 2010, pp.476-482.
- Publisher:
- Sage
The purpose of this article is to highlight the benefits of collaboration in child focused mental health services research. Three unique research projects are described: MFG (multiple family groups for youth with disruptive behavioral difficulties); HOPE (homeless outreach for parents and early adolescents, a family-based HIV prevention and mental health promotion programme); and Step-Up (a multi-level, school-based mental health service for youth evidencing academic failure and mental health difficulties). These three projects address the mental health needs of vulnerable, urban, minority children and their families. In each one, service delivery was codesigned, interventions were co-delivered and a team of stakeholders collaboratively tested the impact of each one. The results illustrate that collaborative work between consumers, providers, and researchers is feasible and effective in the design, delivery, and evaluation of child and adolescent mental health and preventive services. Preliminary results for each project indicate significant reductions in youth mental health symptoms. The article concludes that these interventions are feasible alternatives to traditional individualised outpatient treatment.
Developing an evaluation framework: the Mellow experience
- Author:
- GRIFFITHS Sandra
- Journal article citation:
- Journal of Mental Health Promotion, 2(2), July 2003, pp.22-28.
- Publisher:
- Pavilion
The Mellow Campaign, launched in October 2000, is a project which aims to address the factors that influence the mental health of young African and Caribbean men and their experience of mental health services and to develop alternative responses to mental distress among this target group. Mellow activities cover a wide range of interventions including public events, theatre, arts, personal development, employment opportunities awareness raising and partnership development across agencies. Mellow commissioned the mental health charity Mentality to work with them to develop an evaluation framework capable of capturing the impact and influence of its activities over the past two years and to assess the extent to which it has been successful in achieving its aims. The evaluation included face to face interviews and telephone interviews with Mellow staff and key stakeholders. Focus groups were also used to consult with users, and a 22 users were interviewed. This article looks at the processes involved and highlights some of the findings and their implications of thinking differently about how to measure the success of community initiatives.
Unemployment rates among patients with long term mental health problems
- Authors:
- PERKINS Rachel, RINALDI Miles
- Journal article citation:
- Psychiatric Bulletin, 26(8), August 2002, pp.295-298.
- Publisher:
- Royal College of Psychiatrists
This article surveys the unemployment rates among people with mental health problems in the London Borough of Wandsworth, It argues that greater attention to vocational issues in clinical teams is required. The challenge of mental health services is to make employment interventions available to those who need them.
Psychosocial interventions for adults with intellectual disabilities and mental health problems: A review
- Author:
- HATTON Chris
- Journal article citation:
- Journal of Mental Health, 11(4), August 2002, pp.357-373.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
This article briefly reviews existing evidence concerning psychosocial interventions for adults with intellectual disabilities and mental health problems. Research evidence concerning the epidemiology of mental health problems in adults with intellectual disabilities is discussed, focusing on issues in the reliable and valid identification of mental health problems in this user group and the results of prevalence studies. Current evidence concerning the use and effectiveness of psychosocial interventions for people with intellectual disabilities and mental health problems is then outlined. Particular attention is paid to cognitive-behavioural interventions. Finally, issues concerned with adapting psychosocial interventions for people with intellectual disabilities and mental health problems are discussed.
The effect of a brief motivational intervention on community psychiatric patients' attitudes to their care, motivation to change, compliance and outcome: a case control study
- Authors:
- HUMFRESS Harriet, et al
- Journal article citation:
- Journal of Mental Health, 11(2), April 2002, pp.155-166.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Individuals referred to psychiatric services are often ambivalent about service involvement. This study assesses the impact of a brief motivational intervention during initial consultation with community psychiatric patients. 45 patients referred to a Community Mental Health Team received an initial consultation followed by a feedback letter, both of which drew on the principles of motivational interviewing. These users were compared with matched controls who received a standard psychiatric assessment. The impact of the initial consultation, with or without motivational enhancement, on users' attitudes to their care, motivation to change, compliance and outcome was assessed at one month post-consultation and 3-4 months later. After initial consultation, patients in both groups had similar problem severity ratings. Those patients who had received the intervention were more motivated to change, and had more positive attitudes to their consultation and care. Attitudinal differences tended to persist up to 3-4 months follow-up.