scholarly journals Mental Health is Central to Good Neurorehabilitation after TBI

2013 ◽  
Vol 14 (1) ◽  
pp. 2-4 ◽  
Author(s):  
Simon Fleminger

Those after traumatic brain injury (TBI) who suffer mental health problems, by which I mean problems that a psychiatrist might understand as falling within their remit, suffer a double whammy. Not only do they suffer the stigma of the disabled, but even within this group they may be stigmatised. It has often been my experience that while families will allow for their injured loved one to be under the care of rehabilitation services, including a psychologist, they baulk at the possibility that their loved one may need psychiatric care. This comes to a head when it comes to detaining a patient, in England and Wales, under the Mental Health Act; this may be vigorously resisted by family because of what they infer this says about their loved one's sanity.

2017 ◽  
Vol 62 (10) ◽  
pp. 3135-3150 ◽  
Author(s):  
Rachel Woolhouse ◽  
Audrey McKinlay ◽  
Randolph C. Grace

Relatively little is known about the characteristics of female offenders. Here, we studied the prevalence of traumatic brain injury (TBI) and mental health issues in an exclusively female prison population in New Zealand. Participants ( N = 38) were recruited from all security levels at Christchurch Women’s Prison. Measures for depression, anxiety, and stress, sleep, and a history of TBI were administered; 94.7% (36/38) of participants presented with a history of TBI. Younger age at first injury was associated with an increased risk of mental health problems. The study concludes that TBI is highly prevalent among female offenders and may be linked to increased mental health problems. TBI should be considered as an important factor in offender pathways and treatment programs.


Pained ◽  
2020 ◽  
pp. 69-72
Author(s):  
Michael D. Stein ◽  
Sandro Galea

This chapter studies the health of veterans and the military. Since the first Gulf War in 1990, veterans have had worse mortality than the general population. Aside from mortality, mental health problems are a particular concern. More soldiers kill themselves than are killed on the battlefield. Beyond suicide, key mental health concerns among veterans include posttraumatic stress disorder (PTSD). Itself disruptive, PTSD foreshadows increased risks of physical health problems, substance use/misuse, homelessness, and violence. Less studied, but equally important, are high rates of depression and anxiety among veterans. Rates of chronic pain and physical disability are also high. These challenges make the Veterans Health Administration’s unique expertise in mental health care provision and rehabilitation services all the more crucial. For these reasons, moves to privatize veterans’ health care and narrow access to these services do veterans a disservice, shortchanging a fundamental social contract. The health of soldiers is the public’s health.


2013 ◽  
Vol 14 (1) ◽  
pp. 1-1
Author(s):  
Grahame K. Simpson ◽  
Robyn Tate

Addressing mental health issues is a core concern in the treatment of people with traumatic brain injury (TBI) and their families. Mental health issues are widespread after TBI and arise whether the injury was sustained in civilian or conflict contexts. In the Guest Editorial, Simon Fleminger outlines key issues and conundrums that arise in the intertwining of mental health problems and TBI, as well as the importance of integrating the treatment of mental health conditions into neurorehabilitation.


2014 ◽  
Vol 1 (17) ◽  
pp. 53
Author(s):  
Linda Seymour ◽  
Max Rutherford ◽  
Husnara Khanom ◽  
Chiara Samele

<p align="LEFT">Just a few months into 2008, a convergence of unfortunate circumstances has brought the plight of offenders with mental health problems into sharp focus. Figures released by the Ministry of Justice showed there were 92 apparently self-inflicted deaths among prisoners in England and Wales in 2007, compared with 67 in 2006. This 37% increase in suicides in prison has been associated with the overcrowding that has continued inexorably.</p><p align="LEFT">This article discusses the application of mental health services to offenders in the prison and the community contexts.</p>


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