Search results for ‘Subject term:"severe mental health problems"’ Sort:
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Associations of serious mental illness with earnings: results from the WHO World Mental Health surveys
- Authors:
- LEVINSON Daphna, et al
- Journal article citation:
- British Journal of Psychiatry, 197(2), August 2010, pp.114-121.
- Publisher:
- Cambridge University Press
Burden-of-illness data, which are often used in setting healthcare policy-spending priorities, are unavailable for mental disorders in most countries. The purpose of this study was to use the survey data in the World Health Organisation (WHO) World Mental Health (WMH) Surveys to make estimates of the human capital costs of serious mental disorders in a range of countries. The WMH Surveys were carried out in 10 high-income and 9 low- and middle-income countries worldwide. The total sample size was 101,825 with individual country sample sizes ranging from a low of 2,372 in the Netherlands to a high of 12,992 in New Zealand. The associations of personal earnings with serious mental illness were estimated. The results showed that respondents with serious mental illness earned on average a third less than median earnings, with no significant between-country differences. These losses are equivalent to 0.3-0.8% of total national earnings. Reduced earnings among those with earnings and the increased probability of not earning are both important components of these associations. These results add to a growing body of evidence that mental disorders have high societal costs. Decisions about healthcare resource allocation should take these costs into consideration.
The needs of males detained under the legal category of 'psychopathic disorder' in high security: implications for policy and service development
- Authors:
- DOLAN M., et al
- Journal article citation:
- Journal of Forensic Psychiatry and Psychology (The), 16(3), September 2005, pp.523-537.
- Publisher:
- Taylor and Francis
Approximately a quarter of the high secure psychiatric hospital (HSPH) population is detained under the 1983 Mental Health Act legal category of ‘psychopathic disorder’ (PD). To date, there have been no studies specifically examining the security, treatment, and placement needs of this group despite recent policy developments. The authors conducted a cross-sectional survey of the needs of all males detained under the legal category of PD in the HSPHs in England. It was found that 60% continued to require high secure care. Ongoing needs primarily related to substance misuse, interpersonal relationships, and sexual offending. Security and political issues were key factors associated with the continued need for HSPH care. High levels of Axis I and II co-morbidity were found. Although a substantial proportion did not require HSPH care, organisational and service-related factors prevented or delayed their transfer to appropriate services. The findings are discussed in light of proposed legislative reforms and service developments.
Residential care in Italy: national survey of non-hospital facilities
- Authors:
- de GIROLAMO G., et al
- Journal article citation:
- British Journal of Psychiatry, 181, September 2002, pp.220-225.
- Publisher:
- Cambridge University Press
In Italy, where all mental hospitals have been gradually phased out since 1978, psychiatric patients requiring long-term care are being treated in non-hospital residential facilities (NHRF). The Progetto Residenze (PROGRES) residential care project is a three-phase study, the first phase of which aims to survey the main characteristics of all Italian NHRFs. Structured interviews were conducted with the manager of each NHRF. Results of the study found variability in the provision of residential places between different regions; with generally low discharge rates.
Right treatment, right time
- Author:
- RETHINK MENTAL ILLNESS
- Publisher:
- Rethink Mental Illness
- Publication year:
- 2018
- Pagination:
- 23
- Place of publication:
- London
Draws on the results of a survey of over 1,600 people who have used NHS mental health services to highlight a significant gap in access to health services for people severely affected by mental illness. Over a quarter of those surveyed were not referred to an appropriate service by their GP; over half did not receive treatment in the appropriate time; and over half found they did not receive treatment for a sufficient and appropriate length of time. The report found that core mental health services, such as community mental health teams cannot cope with demand, leaving many people with mental health problems to fall through the gaps. It sets out recommendations to help ensure those with severe and complex mental health needs get the care they need. (Edited publisher abstract)
Attitudes to mental illness 2012 research report: prepared for time to change: September 2013
- Author:
- TNS-BMRB
- Publishers:
- Rethink Mental Illness, MIND
- Publication year:
- 2013
- Pagination:
- 49
- Place of publication:
- London
This report presents the findings of a survey of attitudes towards mental illness among adults in England conducted in December 2012. A total of 1727 adults (aged 16+) were interviewed. The survey questionnaire included a number of statements about mental illness. Respondents were asked to indicate how much they agreed or disagreed with each statement. Other questions covered a range of topics such as descriptions of people with mental illness, relationships with people with mental health problems, personal experience of mental illness, and perceptions of mental health-related stigma and discrimination. The survey - which has been carried out since 1994 and is funded by the Department of Health - aims to monitor changes in public attitudes towards mental illness over time. (Edited publisher abstract)
A national survey of assertive community treatment services in England
- Authors:
- GHOSH Ratna, KILLASPY Helen
- Journal article citation:
- Journal of Mental Health, 19(6), December 2010, pp.500-508.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Assertive community treatment (ACT) teams have been implemented across England since 1999. Although successful at engaging clients, the model has failed to show the same clinical effectiveness in trials in Europe as in the US and Australia. The aim of this study was to carry out a postal survey of ACT managers across England to investigate current ACT provision, aims of treatment and team managers' views of the effectiveness of ACT and the most important interventions. A total of 104 completed questionnaires were received, which was a response rate of 56%. The majority of teams were in urban or mixed urban/rural areas. One third (36%) of teams had no psychiatrist, one half (48%) had no psychologist and less than a fifth (18%) had designated inpatient admission beds. The areas of intervention rated as most important by team managers were engagement, support with accommodation, and support with finances. These could be delivered by non-professionally trained staff. The majority of managers reported positive clinical outcomes but only one third had collected data to support this. One third of teams were undergoing review or being reconfigured or closed. The article concludes that successful client engagement is not being used as a vehicle to deliver evidence-based interventions. Many ACTs in England are not adequately staffed to deliver these.
Well what do you think? (2004): the second national Scottish survey of public attitudes to mental health, mental well-being and mental health problems: summary
- Authors:
- BRAUNHOLTZ Simon, DAVIDSON Sara, KING Susan
- Publisher:
- Scotland. Scottish Executive. Social Research
- Publication year:
- 2004
- Pagination:
- 4p.
- Place of publication:
- Edinburgh
The National Programme for Improving Mental Health is a key part of Scottish Executive’s health improvement and social justice policy development. The first National Scottish Survey of Public Attitudes to Mental Health was commissioned by the Executive in 2002 to help inform the National Programme’s work and to provide relevant baseline data. The second survey was commissioned to track progress towards meeting the aims of the National Programme. The survey was carried out by MORI and conducted among 1,401 adults aged 16+ in Scotland. The sample was designed to be representative of the adult population of Scotland.
Breakaway and physical restraint techniques in acute psychiatric nursing: results from a national survey of training and practice
- Authors:
- WRIGHT Steve, et al
- Journal article citation:
- Journal of Forensic Psychiatry and Psychology (The), 16(2), June 2005, pp.380-398.
- Publisher:
- Taylor and Francis
This survey examined training and practice in the prevention and management of violence in nurses working in acute in-patient psychiatric services throughout the UK. Out of 2,152 questionnaires sent out, 771 completed responses were returned (36%). While the response rate was low, there were no obvious biases affecting it, and a high level of statistical power was attained. The study is the largest survey of training in the prevention and management of violence in this population conducted so far. Most respondents reported an acceptable ratio of theoretical input to practical skills training, although some important theoretical aspects received insufficient attention. The use of wrist flexion and pain compliance elements in the restraining holds taught were frequently reported. In clinical practice, breakaway techniques were reported as more frequently used than has been suggested in earlier research. Some redundancies in restraint training were also found, with some commonly-taught techniques being seldom or never used. Respondents were not particularly confident in their ability to use their skills safely or effectively. Training sessions were generally considered to have been safely and well run. The need for national standards in training that the findings suggest, and directions for further research are discussed.
Tackling the attitude problem
- Authors:
- DUNION Linda, GORDON Lindsey
- Journal article citation:
- Mental Health Today, March 2005, pp.22-25.
- Publisher:
- Pavilion
- Place of publication:
- Hove
Reports on Scotland's national anti-stigma campaign, two years after its initial launch. The findings of a survey, published in 'Well? What do you think?', have show an significant improvement in the attitudes of the general population to mental health problems. Highlights some of the initiatives.
Well? what do you think?: a national Scottish survey of public attitudes to mental health, well being and mental health problems
- Authors:
- GLENDINNING Richard, et al
- Publisher:
- Scotland. Scottish Executive. Social Research
- Publication year:
- 2002
- Pagination:
- 108p.,tables.
- Place of publication:
- Edinburgh
The Scottish Executive is committed to policies and initiatives designed to raise awareness of mental health issues and to promote positive mental health and well being. As part of the early work of the National Programme for Improving the Mental Health and Well Being of the Scottish population, a survey was commissioned to assess people's understanding of mental health and well being, sources of information about mental health issues, experience and perceptions of mental health problems, and attitudes towards mental health problems and people who suffer from them. This project was based around an in-home random sample of 1381 interviews conducted with a representative sample of adults across Scotland. Since the sample size would not give robust data relating to minority ethnic people in Scotland, a ‘booster’ of 51 interviews with non-white people was included. Data was weighted to correct for differential chance of respondent selection and demographic imbalance.