scholarly journals Issues Facing the Birth Parents and Their Implications for Open Adoption

2021 ◽  
pp. 41-62
Author(s):  
Harriet Ward ◽  
Lynne Moggach ◽  
Susan Tregeagle ◽  
Helen Trivedi
Keyword(s):  
Mental Health ◽  
Cognitive Impairment ◽  
Mental Health Problems ◽  
Child Welfare Services ◽  
Children At Risk ◽  
Full Cohort ◽  
Birth Parents ◽  
High Incidence ◽  
Case Files ◽  
Almost All

AbstractThe 210 children in the full cohort came from 142 families. Their birth parents’ circumstances provide a context for evaluating adoption outcomes. The chapter explores data collected from the children’s case files and records presented to the court at the time the order was made. Parents demonstrated a high incidence of factors known to be associated with recurrent child abuse: 31% of mothers had experienced abuse in their own childhoods; 45% were known to statutory child welfare services before their child’s birth, and 29% had already experienced the permanent removal of a child. Almost all parents struggled with complex factors including mental health problems, substance misuse, unstable relationships and domestic abuse that placed their children at risk of harm; for some parents, cognitive impairment was an exacerbating factor. About 10% of birth parents had died, and 23% of mothers and 60% of fathers had already lost contact with children before the adoption placement.

scholarly journals Social position of persons with disabilities in and out of residential institution

Stanovnistvo ◽  
2014 ◽  
Vol 52 (2) ◽  
pp. 91-111
Author(s):  
Milan Markovic
Keyword(s):  
Mental Health ◽  
General Population ◽  
Economic Activity ◽  
Census Data ◽  
Mental Health Problems ◽  
Equality Of Opportunity ◽  
Access To Education ◽  
Persons With Disabilities ◽  
Residential Settings ◽  
Almost All

The 2011 Census in the Republic of Serbia introduced, for the first time questions about difficulties in functioning, following the Recommendations from the Washington Group on Disability Statistics. Since there are no stable and continuous sources on the position of persons with disabilities in Serbia, the Census results may be used as a relevant source on disability measurement. Of course, due to the main goal of census disability measurement, and that is a general identification of disability in population, these results should be employed with certain reservations and carefully, especially because of some methodological specification in approaching disability. The main use of census data on disability should be found in evaluating the "equality of opportunity" in relevant areas, such as economic activity (labour and employment), education, living sources, etc. and this is to be achieved mainly through comparison between the values in the general population and population with disabilities. Having done that, we were able to conclude on visible inequality of opportunities between the general and population with disabilities. These discrapancies are indeed evident first in the area of education-especially in accessing elementary education, where the percentage of persons with disabilities that never attended school is extremely high (12.2% v. 2.68% in general population). The unfavourable status of persons with disabilities in the context of education continues in almost all levels of education. An even more obvious inequality of opportunity is present in the area of economic activity, where the prevalence of inactive persons with disability is very high - almost 90%. Having gone through all the age categories, what becomes abvious is a significantly lower activity among all age groups in comparison to the same groups in general population. However, the main goal of this article was to detect the discrapancies existing between the position of persons with disabilities that live in the community and those living in institutional settings - institutions for collective housing. In both areas of education and economic activity, the results tell us very much about a much more problematic status of those living in residential settings. Overall, the access to education is much lower with residents, making an even more negative picture about this smaller group of persons with disabilities in Serbia. In the area of economic activity, the percentage of economically active persons with disabilities in residential settings does not climb to one percent (0.30% excluding the homes for adults and the elderly), which is indeed a worrying situation. Having in mind well known facts on the effects of institutionalization of persons with disabilities in terms of almost all their rights and freedoms, the results that we have encountered are to confirm a negative status of those living in residential settings. Experiences of discrimination, marginalization, segregation and exclusion are evident in the census results. Even if one tries to focus only on analyzing the equality of opportunity in the given context, in comparison with the general population, or even only with the contingent of persons with disabilities out of the residential settings, those living in institutions in Serbia are seriously suffering from lack of access to education, training, labour market and other important areas of life and social functioning. In addition, a potentially relevant insight has been made into the correlation of the type of problem and the status within economic activity and education of persons with disabilities in Serbia. The results confirm that those persons identified through census questions that aim at detecting problems of mental health (intellectual and psycho-social disability) are in the least favourable position in both of the observed areas. Such conclusions should also be connected to a specifically problematic social inclusion and acceptance of those with mental health problems and the extremely high burden of social stigma towards them, combined with the long-going practice of exclusion and discrimination (legal capacity, education, employability, etc.).

scholarly journals Detección de problemas de salud mental en un grupo especialmente vulnerable: niños y adolescentes en acogimiento residencial

2015 ◽  
Vol 31 (2) ◽  
pp. 472 ◽  
Author(s):  
Ana Sainero ◽  
Jorge F. Del Valle ◽  
Amaia Bravo
Keyword(s):  
Mental Health ◽  
Young People ◽  
Mental Health Treatment ◽  
Mental Health Problems ◽  
Clinical Group ◽  
Children And Young People ◽  
Parents And Children ◽  
High Incidence ◽  
Self Reports ◽  
Salud Mental

<p>Research on mental health problems of children and young people in residential child care shows a high incidence. One of the strategies to improve the interventions is the use of tools of detection, so that biases in the referral to treatment could be avoided.</p><p>The objective of this study was to analyze the level of concordance between the information given by the young people and their social educators, using the CBCL (in case of educators) and YSR (for adolescents) in a sample of 138 young people aged from 11 to 18 who were in residential care. Also differences between the group of young people referred to mental health treatment and those without it were analyzed.</p>Results show low and moderate levels of concordance between the information given by the young people and their educators, with higher levels of agreement in externalized problems, in a similar way as the results found in research with samples of parents and children. Score differences are discussed according to the literature review, concluding that adults distinguish the clinical and non-clinical group clearly, but young people do not display significant differences. These findings indicate the need for giving more relevance to self-reports, to the adolescent own perspective.

scholarly journals Overview of Recurrence Mental Health Disorders in Community

2020 ◽  
Vol 8 (4) ◽  
pp. 515
Author(s):  
Umi Rachmawati ◽  
Islamiyah Islamiyah ◽  
Firman Firman
Keyword(s):  
Mental Health ◽  
Mental Disorders ◽  
Health Center ◽  
Quantitative Research ◽  
Mental Health Problems ◽  
Univariate Analysis ◽  
Hospital Treatment ◽  
Comprehensive Treatment ◽  
Sampling Techniques ◽  
Almost All

Mental health problems found in the community require comprehensive treatment, as the disease can cause recurrence in the past year after undergoing hospital treatment despite still taking medication. This study aims to find out the picture of recurrence of people with mental disorders in the commut. The design of this research is a type of quantitative research that is descriptive narrative, the population in this study is all people with mental disorders who are in the working area of Poasia Health Center Kendari City and live witha care giver, asmany as 24 people, sampling techniques using purposive sampling techniques obtained as many as 20 respondents. This research was conducted in June 2020 in poasia health center working area of Kendari City, Southeast Sulawesi Province. The data collection tool uses a questionnaire containing the characteristics of respondents and a mental disorder recurrence questionnaire. Data analysis in the form of univariate analysis in the form of frequency distribution. The results showed that almost all respondents experienced a relapse with a high relapse category after undergoing treatment at the hospital.

scholarly journals Prevalence and Characteristics of Patients with Severe Hyperacusis among Patients Seen in a Tinnitus and Hyperacusis Clinic

2018 ◽  
Vol 29 (07) ◽  
pp. 626-633 ◽  
Author(s):  
Hashir Aazh ◽  
Brian C. J. Moore
Keyword(s):  
Mental Health ◽  
Mental Health Problems ◽  
Cross Sectional Study ◽  
Health Problems ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Associated ◽  
High Incidence ◽  
Seeking Help ◽  
The Difference

AbstractThe purpose was to assess the proportion of patients seeking help for tinnitus and/or hyperacusis who have severe hyperacusis and to examine factors associated with severe hyperacusis.This was a retrospective cross-sectional study based on 362 consecutive patients who attended a National Health Service audiology clinic for tinnitus and/or hyperacusis rehabilitation and for whom uncomfortable loudness levels (ULLs) had been measured. The criterion for severe hyperacusis was taken as a ULL of 30 dB HL or less for at least one of the measured frequencies for at least one ear.Thirteen patients had severe hyperacusis, and eight of those had normal hearing. The lowest average ULL across frequencies was 28 dB HL. The difference in average ULLs between ears was 5 dB or less for nine patients. The range of ULLs across frequencies was between 5 and 60 dB, ULLs often being lowest at 8 kHz. Eleven patients had tinnitus, eight had otological abnormalities, twelve had mental health problems, and six were taking antidepressants.Severe hyperacusis is characterized by low ULLs for specific frequencies and no or mild hearing loss. Given the high incidence of tinnitus, otological abnormalities, and mental health problems, the management of patients with severe hyperacusis should involve otologists and psychiatrists in addition to audiologists.

scholarly journals Drayton Park, an alternative to hospital admission for women in acute mental health crisis

2000 ◽  
Vol 24 (3) ◽  
pp. 101-104 ◽  
Author(s):  
Helen Killaspy ◽  
Joy Dalton ◽  
Shirley McNicholas ◽  
Sonia Johnson
Keyword(s):  
Mental Health ◽  
Hospital Admission ◽  
Mental Health Problems ◽  
Clinical Implications ◽  
Mental Health Crisis ◽  
Safe Alternative ◽  
Health Crisis ◽  
Case Files ◽  
The Uk ◽  
Depressive Episodes

Aims and MethodTo describe Drayton Park, the first women-only residential mental health crisis facility in the UK and to investigate whether it is succeeding in its remit of providing a viable alternative to hospital admission. We randomly selected case files from 100 women admitted to Drayton Park since its opening and examined variables including demographic details, the reasons for referral, diagnosis and the source of referral.ResultsOur findings show that the service is able to respond quickly to referrals and appears to be functioning safely. The women admitted have a relatively short length of stay, half suffer from depressive episodes and one-third have a relapse of schizophrenia or bipolar disorder.Clinical ImplicationsThis project appears to be succeeding in providing a safe alternative to hospital admission for women with severe and enduring mental health problems.

Egyptian Students open to digital Mental Health Care: A Cross-Sectional Survey (Preprint)

2021 ◽  
Author(s):  
Mostafa Mamdouh ◽  
Andy Man Yeung Tai ◽  
Jean Westenburg ◽  
Farhud Shams ◽  
Kerry Jang ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Young People ◽  
Mental Health Care ◽  
Mental Health Problems ◽  
Technology Literacy ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Almost All ◽  
And Coping

BACKGROUND In Egypt, the shortage of mental health services, particularly for adolescents and young adults is apparent. Electronic mental health (EMH) solutions have been brought forward as solutions to bridge the gap and better address the needs of young people. However, EMH is new to Egypt and crucial to its implementation and success is the acceptability, access and appropriateness for the tar-get populations OBJECTIVE Our objective was to utilize an online cross-sectional survey to identify key areas that need to be addressed in order for Electronic mental health (EMH) solutions to be implemented to the youth population in Egypt. METHODS An online cross-sectional survey was distributed among medical students at Tanta University in Egypt. Of the 707 individuals who completed the survey (90.9% response rate), 60.5% were fe-male, 62.0% lived in urban and suburban areas, and the mean age of the sample was 20.5 (±1.8) years old. RESULTS The vast majority of participants had already used the internet to find information about mental health problems (73.8%), but the information was unsatisfactory for about half of them (45.6%). Almost all students reported that they would prefer internet-based therapy if EMH were available through a trustworthy national internet platform for youth mental health (85%). Students believed that emotional difficulties, social support, and coping strategies were the main topics that EMH should help with. The most common perceived barriers for using EMH in Egypt were concerns about privacy (54%) and a lack of technology literacy and unfamiliarity with EMH (50%). CONCLUSIONS EMH is a promising strategy addressing gaps in mental health care for young people, who are open to it. To implement a digital system of care and engage youth they should be involved in co-development and design. Universities are a very good place to start such a development for the country.

The Functional Assessment Inventory and Job Tenure for Persons with Severe and Persistent Mental Health Problems

1989 ◽  
Vol 20 (4) ◽  
pp. 13-15
Author(s):  
Russell J. Wallner ◽  
Donald W. Clark
Keyword(s):  
Mental Health ◽  
Functional Assessment ◽  
Supported Employment ◽  
Mental Health Problems ◽  
Health Problems ◽  
Job Tenure ◽  
Ex Post ◽  
Ex Post Facto ◽  
Case Files ◽  
Levels Of Functioning

This study explored the relationship between job retention and certain levels of functioning for individuals experiencing severe and persistent mental health problems. The Functional Assessment Inventory (FAI) (Crewe & Athelstan, 1984) was examined ex post facto in relation to job tenure from 92 case files of adults who were employed competitively or in supported employment. The sum total of FAI scores and five of the nine subgroups were found to be significantly related at the .05 alpha level. Further research utilizing the FAI is indicated.

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