The mental and physical health of clients referred to social workers in a local authority department and a general practice attachment scheme

1984 ◽  
Vol 14 (1) ◽  
pp. 137-144 ◽  
Author(s):  
Roslyn H. Corney

SynopsisAlthough numerous reports have strongly argued that there is a need for a closer collaboration between the health and social services, studies investigating the health of clients in contact with the personal social services have been few and limited. This study collected information regarding the physical and mental health of clients referred to social workers in a local authority intake team and to a general practice attachment scheme by means of questionnaires completed by the client and at interview. The results indicated that the proportions of patients with physical or mental illness were very high. However, while social workers in the attachment scheme had many contacts with members of the primary care team regarding these clients, contacts between intake social workers and medical personnel were very limited.

1979 ◽  
Vol 9 (3) ◽  
pp. 585-589 ◽  
Author(s):  
Roslyn H. Corney

SynopsisInformation regarding the physical and mental health of clients referred to social workers in a local authority intake team and to a general practice attachment scheme was collected over a 3-month period. Although returns to the Department of Health and Social Security during this period indicated that a very low proportion of clients were physically or mentally ill, it is clear that these figures greatly underestimate the extent of illness present. While social workers operating outside hospital and general practice attachments have been shown to have little contact with medical staff, in this study high proportions of their clients were ill and their social problems were often associated with their illness.


Author(s):  
V. N. Semenova ◽  
N. A. Galuzo ◽  
O. G. Chirkova

The analysis of the research results indicates a significant physiological «cost» of labor, violations of both physical and mental health of medical personnel of different structural units of medical organizations. The authors emphasize the professional conditionality of health changes and emphasize the need for a special accounting system for this category of people.


Author(s):  
Harry Minas

This chapter provides an overview of what is known about prevalence, social determinants, treatment, and course and impact of depression in developing, or low- and middle-income, countries. The importance of culture in depression and in the construction and application of diagnostic classifications and in health and social services is highlighted, with a particular focus on the applicability of ‘Western’ diagnostic constructs and service systems in developing country settings. The role of international organizations, such as WHO, and international development programs, such as the SDGs, in improving our understanding of depression and in developing effective and culturally appropriate responses is briefly examined. There is both a need and increasing opportunities in developing countries for greater commitment to mental health of populations, increased investment in mental health and social services, and culturally informed research that will contribute to improved global understanding of mental disorders in general and depression in particular.


2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Tijana Topalovic ◽  
Maria Episkopou ◽  
Erin Schillberg ◽  
Jelena Brcanski ◽  
Milica Jocic

Abstract Background Thousands of children migrate to Europe each year in search of safety and the promise of a better life. Many of them transited through Serbia in 2018. Children journey alone or along with their family members or caregivers. Accompanied migrant children (AMC) and particularly unaccompanied migrant children (UMC) have specific needs and experience difficulties in accessing services. Uncertainty about the journey and daily stressors affect their physical and mental health, making them one of the most vulnerable migrant sub-populations. The aim of the study is to describe the demographic, health profile of UMC and AMC and the social services they accessed to better understand the health and social needs of this vulnerable population. Methods We conducted a retrospective, descriptive study using routinely collected program data of UMC and AMC receiving medical, mental and social care at the Médecins sans Frontières clinic, in Belgrade, Serbia from January 2018 through January 2019. Results There were 3869 children who received medical care (1718 UMC, 2151 AMC). UMC were slightly older, mostly males (99%) from Afghanistan (82%). Skin conditions were the most prevalent among UMC (62%) and AMC (51%). Among the 66 mental health consultations (45 UMC, 21 AMC), most patients were from Afghanistan, with 98% of UMC and 67% of AMC being male. UMC as well as AMC were most likely to present with symptoms of anxiety (22 and 24%). There were 24 UMC (96% males and 88% from Afghanistan) that received social services. They had complex and differing case types. 83% of UMC required assistance with accommodation and 75% with accessing essential needs, food and non-food items. Several required administrative assistance (12.5%) and nearly a third (29%) legal assistance. 38% of beneficiaries needed medical care. Most frequently provided service was referral to a state Centre for social welfare. Conclusion Our study shows that unaccompanied and accompanied migrant children have a lot of physical, mental health and social needs. These needs are complex and meeting them in the context of migration is difficult. Services need to better adapt by improving access, flexibility, increasing accommodation capacity and training a qualified workforce.


2021 ◽  
pp. 136548022199684
Author(s):  
Geoffrey Wango ◽  
Leila Mkameli Gwiyo

Death is inevitable and universal, and the corona virus disease has only further intensified a world of uncertainties as a result of frequent accidents, HIV/AIDS, cancer and natural disasters. Bereavement after any death is a potentially disruptive life event with consequences in physical and mental health, relationships and social functioning. Death is a rather odd, thought-provoking and challenging experience, particularly in the lives of children and adolescents. Death of parent/s, sibling, relative/s, teacher, classmate or friend is a relatively new and challenging phenomenon. Persons working with pupils and students, including teachers, counsellors, school chaplain and social workers, need to be prepared to offer help to those who experience bereavement. Death is unpredictable and may occur naturally, suddenly, or traumatically. In several instances, help is sometimes required in advance of bereavement in that the death may be anticipated such as instances of prolonged illness or following a fatal accident. In all cases, the role of the teacher and counsellor in the school is pivotal in supporting pupils and students who have been bereaved. This paper highlights the need to impart post-traumatic growth in bereft pupils and students in schools in order to cope with bereavement.


2021 ◽  
Vol 1 (1) ◽  
pp. 14-31
Author(s):  
Elise Smith ◽  
Piper Moore ◽  
Sarah Canham

Policy related to homelessness varies across federal, state, and local levels influencing access to health and social services among persons experiencing homelessness. With a diversity of community stakeholders comes a diversity of ideas about which health and social services to provide and prioritize. Despite the unique insights PEH are able to offer on their own situations, their voices often remain excluded from research and policy. The aim of the current study was to identify the basic needs and health and social service priorities of PEH, to incorporate these voices into policy decisions and prioritization. Fifteen participants age 18 and older who had any experience of homelessness in Salt Lake Countyparticipated in in-depth qualitative interviews between February and March 2020. Open-ended questions enabled the interviews to naturally progress and focus on what was most relevant to participants and their experience. Data were categorized into the services and supports identified as the most needed by PEH and to help lift people out of homelessness: 1) Housing and shelter, 2) Income and employment, 3) Transportation, 4) Food, 5) Physical and mental health services, and 6) Social support. We describe the needs, challenges, and solutions as identified and narrated by study participants. Findings offer critical insight into how the homelessness crisis should be approached by policymakers as the ways in which PEH understand and utilize the system of available resources and supports must align with their abilities and realities. Without these in-depth discussions with PEH about how they understand and meet their basic needs, there will be ongoing gaps in service delivery and mismatches in the attempts made to serve this population.


2021 ◽  
Vol 12 ◽  
Author(s):  
Jon Dyg Sperling ◽  
Nina Dalkner ◽  
Christina Berndt ◽  
Eva Fleischmann ◽  
Michaela Ratzenhofer ◽  
...  

Background: The COVID-19 pandemic has led to an increased psychological strain on public mental health and may impact behavioral, mental, and physical health, presumably with effects on patients with severe mental disorders. This study examines pandemic-related physical and mental health and (compensatory) behavioral changes, in patients with BD as compared to healthy control individuals.Method: Physical and mental health and self-reported changes in daily structure and behavior due to the pandemic were assessed using a self-constructed questionnaire and the brief symptom inventory (BSI) in Germany, Austria, and Denmark in individuals with BD and a healthy control group.Results: The present study included 118 individuals with BD and 215 healthy controls. Individuals with BD reported statistically significant higher physical risk burden, increased weight gain, more physical comorbidities, and a decrease in physical activity and they further reported higher rates of COVID-19 testing, had more worries concerning health, and experienced more anxiety but less social distancing.Conclusion: The COVID-19 pandemic seems to have a greater impact on physical health in individuals with BD than in healthy controls. Individuals with BD appear to be having more difficulties compensating their behavior due to the pandemic which could amplify the effect of risk factors associated with poorer physical health. This highlights the necessity for optimizing and targeting the overall treatment of both mental and physical health in patients with BD during periods with far-reaching changes such as the COVID-19 pandemic.Limitations: Sampling issues and self-report forms, selectivity (missing elderly, and those lacking access or knowledge of technology).


1995 ◽  
Vol 19 (2) ◽  
pp. 106-107
Author(s):  
Rosemary Lethem

The purpose of aftercare is to enable patients to return to their home or accommodation other than a hospital or nursing home, and to minimse the need for future in-patient care. Under section 117 of the Mental Health Act 1983, local health and social services authorities have a legal duty to provide aftercare for certain categories of patients when they leave hospital (Department of Health and Welsh Office, 1993).


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