Search results for ‘Subject term:"mental health problems"’ Sort:
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Aggressive children with mental illness: a conceptual model of family-level outcomes
- Author:
- SPORER Karyn
- Journal article citation:
- Journal of Interpersonal Violence, 34(3), 2019, pp.447-474.
- Publisher:
- Sage
The purpose of this research was to examine how families adapt and respond to an aggressive child with mental illness. This article presents findings from a qualitative study of four families, which were selected as typifying the experiences of a larger sample of 14 families; each family included a child with mental illness and a history of violent behavior. The analysis revealed a five-stage pattern in how families perceived and responded to victimization and their child or sibling’s mental illness. The study suggests that families with a violent child with mental illness and other healthy children cannot live through episodes of violence without removing the child with mental illness from the home or suffering considerable damage to the family. The article concludes with recommendations for mental health practitioners and family intervention specialists. (Edited publisher abstract)
Sexual and nonsexual offenders with intellectual and learning disabilities: a comparison of characteristics, referral patterns, and outcome
- Authors:
- LINDSAY William R., et al
- Journal article citation:
- Journal of Interpersonal Violence, 19(8), August 2004, pp.875-890.
- Publisher:
- Sage
This article reports an evaluation of a community intellectual disability offender service over the period from 1990 to 2001. Men who committed sex offenses or sexually abusive incidents (n = 106) and men who committed other types of offenses and serious incidents (n = 78) are compared on personal characteristics, referral sources, forensic details, and outcome up to 7 years after referral. The cohorts are older than one would expect from the criminology literature, and, at about 33%, the incidence of mental illness is consistent with some previous studies. A greater proportion of sex offenders had criminal justice involvement and a formal disposal from court. Fire raising was not overly represented as an offense. There was a higher rate of reoffending in the nonsexual cohort, which persisted up to 7 years. Investigating only reoffenders, there was a considerable amount of harm reduction recorded up to 7 years, statistically significant up to 5 years following initial referral.
Violent offender treatment in a medium secure unit
- Authors:
- HOWDEN Sharon, MIDGLEYJayde, HARGATE Rebecca
- Journal article citation:
- Journal of Forensic Practice, 20(2), 2018, pp.102-111.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to conduct a preliminary evaluation of a Violent Offender Treatment Program (VOTP) adapted for use in a medium secure unit (MSU). The patient population is adult male mentally disordered offenders. Design/methodology/approach: Patient outcomes are explored using the Reliable Change Index and Clinical Significance Criterion. Outcomes are assessed using VOTP facilitators violence risk assessment (VRS), multi-disciplinary team violence risk assessment (HCR-20 and GAS-V), and patient self-report using two measures (FAVT and STAXI-2). Findings: There was evidence of improved outcomes for some participants in some areas related to risk of violence. Research limitations/implications: Consideration is given to using varied risk assessments to evaluate outcomes of an adapted VOTP for a MSU. Originality/value: There is limited development and evaluation of psychological treatment programmes that aim to reduce risk of violence for male offenders within MSUs. Outcomes of this evaluation could influence treatment delivery and evaluation in other services. (Edited publisher abstract)
Experiences of intimate partner and neighborhood violence and their association with mental health in pregnant women
- Authors:
- de MENDOZA Veronica Barcelona, et al
- Journal article citation:
- Journal of Interpersonal Violence, 33(6), 2018, pp.938-959.
- Publisher:
- Sage
Both intimate partner violence and neighbourhood crime have been associated with worse mental health outcomes, but less is known about cumulative effects. This association was studied in a sample of pregnant women who were enrolled in a study of disaster exposure, prenatal care, and mental and physical health outcomes between 2010 and 2012. Women were interviewed about their exposure to intimate partner violence and perceptions of neighbourhood safety, crime, and disorder. Main study outcomes included symptoms of poor mental health; including depression, pregnancy-specific anxiety (PA), and post-traumatic stress disorder (PTSD). Logistic regression was used to examine predictors of mental health with adjustment for confounders. Women who experienced high levels of intimate partner violence and perceived neighbourhood violence had increased odds of probable depression in individual models. Weighted high cumulative (intimate partner and neighbourhood) experiences of violence were also associated with increased odds of having probable depression when compared with those with low violence. Weighed high cumulative violence was also associated with increased odds of PTSD. This study provides additional evidence that cumulative exposure to violence is associated with poorer mental health in pregnant women. (Edited publisher abstract)
Mentally disordered parricide and strange killers admitted to high-security care 2: course after release
- Authors:
- MCCARTHY Lucy, et al
- Journal article citation:
- Journal of Forensic Psychiatry, 12(3), December 2001, pp.501-514.
- Publisher:
- Routledge
When deciding to transfer a patient from a high-security care, the most important determinant will often be the likelihood of further violence. Despite this, there are surprisingly few data to inform the clinician on the risks posed by particular groups. This study compares the outcome of a group of mentally disordered offenders convicted of either parricide or the killing of a stranger after their release from high-security care. All the patients were released still subject to restriction orders under the Mental Health Act 1983. Results found none of the sample committed a further homicide during the follow-up and their history of further violence was also low. These data add further evidence to the widely held view that transfer from high-security care may be unduly restrictive.
Assertive outreach teams in London: patient characteristics and outcomes: Pan-London Assertive Outreach Study, Part 3
- Authors:
- PRIEBE Stefan, et al
- Journal article citation:
- British Journal of Psychiatry, 183(8), August 2003, pp.148-154.
- Publisher:
- Cambridge University Press
Although the model of assertive outreach has been widely adopted, it is unclear who receives assertive outreach in practice and what outcomes can be expected under routine conditions. Patients (n=580) were sampled from 24 assertive outreach teams in London. Outcomes – days spent in hospital and compulsory hospitalisation – were assessed over a 9-month follow-up. The 6-month prevalence rate of substance misuse was 29%, and 35% of patients had been physically violent in the past 2 years. During follow-up, 39% were hospitalised and 25% compulsorily admitted. Outcome varied significantly between team types. These differences did not hold true when baseline differences in patient characteristics were controlled for. Routine assertive outreach serves a wide range of patients with significant rates of substance misuse and violent behaviour. Over a 9-month period an average of 25% of assertive outreach patients can be expected to be hospitalised compulsorily. Differences in outcome between team types can be explained by differences in patient characteristics.
Mental illness, substance abuse, demographics and offending: dual diagnosis in the suburbs
- Authors:
- WRIGHT Steve, et al
- Journal article citation:
- Journal of Forensic Psychiatry, 13(1), April 2002, pp.32-52.
- Publisher:
- Routledge
High rates of offending and violence have been found in patients with co-morbid severe mental illness and substance misuse. This study compares offending and violence rates in patients with dual diagnosis (DD) and patients with psychosis only, drawing on a demographically representative population.Forty patients with severe mental disorders were interviewed in a geographically defined catchment area in Croydon, Surrey. DD patients were more likely to report a lifetime history of both offending and violence than patients with psychosis only (although gender may play a greater role than substance misuse). Few instances of recent violence were found, and no between-group differences were detected. The medical case records of DD patients were significantly more likely to contain a lifetime history of non-substance misuse-related offending, but not violence. However, the extent to which substance misuse contributes to violence and offending independently of contextual variables requires further investigation.
Use of the behavioural status index in therapeutic programmes with high-risk clients
- Authors:
- WOODS Phil, REED Val
- Journal article citation:
- Mental Health and Learning Disabilities Care, 3(6), February 2000, pp.194-196.
- Publisher:
- Pavilion
Violence and aggression are often linked to poor communication and interpersonal skills. This article illustrates how the Behavioural Status Index provides not only a means of assessing the client's difficulties and collecting the information to plan an appropriate therapeutic care plan, but also a tool to evaluate progress towards realistic and achievable goals.
Mental health impact of child sexual abuse, rape, intimate partner violence, and hate crimes in the National Lesbian Health Care Survey
- Authors:
- DESCAMPS Monica J., et al
- Journal article citation:
- Journal of Gay and Lesbian Social Services, 11(1), 2000, pp.27-55.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Examines the prevalence and mental health sequelae of child sexual abuse, rape, intimate partner violence and hate crimes in a national sample of 1925 lesbians who participated as respondents in the National Lesbian Health Care Survey (1984-1985), the most comprehensive study on US lesbians to date. Analyses indicates that, relative to a comparison group, lesbians who had experienced child sexual abuse and intimate partner violence reported significantly more daily stress, depression, and alcohol abuse; those who had been raped reported significantly more depression and alcohol abuse; and those who had experienced hate crimes reported significantly more daily stress, depression and alcohol and drug abuse. Lesbians who experienced a physical hate crime reported significantly more daily stress and drug abuse compared to lesbians who experienced a physical assault that they did not perceive as hate-motivated.