scholarly journals Mental health morbidity among people subject to immigration detention in the UK: a feasibility study

2017 ◽  
Vol 27 (6) ◽  
pp. 628-637 ◽  
Author(s):  
P. Sen ◽  
J. Arugnanaseelan ◽  
E. Connell ◽  
C. Katona ◽  
A. A. Khan ◽  
...  
Keyword(s):  
Mental Health ◽  
Personality Disorder ◽  
Mental Disorder ◽  
Developmental Disorders ◽  
Psychiatric Morbidity ◽  
Screening Tools ◽  
Psychiatric Research ◽  
Foreign National ◽  
Immigration Detention ◽  
The Uk

Aims.The UK has one of the largest systems of immigration detention in Europe.. Those detained include asylum-seekers and foreign national prisoners, groups with a higher prevalence of mental health vulnerabilities compared with the general population. In light of little published research on the mental health status of detainees in immigration removal centres (IRCs), the primary aim of this study was to explore whether it was feasible to conduct psychiatric research in such a setting. A secondary aim was to compare the mental health of those seeking asylum with the rest of the detainees.Methods.Cross-sectional study with simple random sampling followed by opportunistic sampling. Exclusion criteria included inadequate knowledge of English and European Union nationality. Six validated tools were used to screen for mental health disorders including developmental disorders like Personality Disorder, Attention Deficit Hyperactivity Disorder (ADHD), Autistic Spectrum Disorder (ASD) and Intellectual Disability, as well as for needs assessment. These were the MINI v6, SAPAS, AQ-10, ASRS, LDSQ and CANFOR. Demographic data were obtained using a participant demographic sheet. Researchers were trained in the use of the screening battery and inter-rater reliability assessed by joint ratings.Results.A total of 101 subjects were interviewed. Overall response rate was 39%. The most prevalent screened mental disorder was depression (52.5%), followed by personality disorder (34.7%) and post-traumatic stress disorder (20.8%). 21.8% were at moderate to high suicidal risk. 14.9 and 13.9% screened positive for ASD and ADHD, respectively. The greatest unmet needs were in the areas of intimate relationships (76.2%), psychological distress (72.3%) and sexual expression (71.3%). Overall presence of mental disorder was comparable with levels found in prisons. The numbers in each group were too small to carry out any further analysis.Conclusion.It is feasible to undertake a psychiatric morbidity survey in an IRC. Limitations of the study include potential selection bias, use of screening tools, use of single-site study, high refusal rates, the lack of interpreters and lack of women and children in study sample. Future studies should involve the in-reach team to recruit participants and should be run by a steering group consisting of clinicians from the IRC as well as academics.

scholarly journals Mental health in immigration detention: A comparison of foreign national ex‐prisoners and other detainees

2021 ◽  
Vol 31 (4) ◽  
pp. 275-287
Author(s):  
Piyal Sen ◽  
Grace Crowley ◽  
Claira Moro ◽  
Karen Slade ◽  
Al Aditya Khan ◽  
...  
Keyword(s):  
Mental Health ◽  
Foreign National ◽  
Immigration Detention

Nurse, 1 year’s experience, UK

2020 ◽  
pp. 36-37
Author(s):  
Markus Reuber ◽  
Gregg H. Rawlings ◽  
Steven C. Schachter
Keyword(s):  
Mental Health ◽  
Personality Disorder ◽  
Epileptic Seizures ◽  
Main Reaction ◽  
Psychological Response ◽  
Mental Health Nurse ◽  
Health Nurse ◽  
The Uk

This chapter describes the experience of a Mental Health Nurse at a tertiary neuroscience unit in the UK. In nearly two years of working at the unit, the nurse has not encountered many patients with non-epileptic seizures. As such, the nurse’s main reaction to these patients is uncertainty. It is very hard for the nurse to understand that a psychological response can produce a seizure. Moreover, the nurse often assumes that all patients with non-epileptic seizures have a personality disorder of some kind. The distrust toward these patients is partly because the nurse has no concept of how the psychological can impinge upon the physical brain, and the driver of the of the nurse’s insensitive inner response to these patients is therefore ignorance of the condition. Thus, the likely solution is to learn more about the diagnosis and do as much background reading as possible in an effort to overcome one’s own ignorance—or at the very least, construct some good counterarguments to deploy against one’s own ignorant thoughts.

Mental health services for single homeless people

2020 ◽  
pp. 1-11
Author(s):  
Philip Timms ◽  
Jenny Drife
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Personality Disorder ◽  
Health Services ◽  
Substance Misuse ◽  
Homeless People ◽  
Psychiatric Services ◽  
Background Information ◽  
The Past ◽  
The Uk

SUMMARY Homelessness has long been associated with high rates of psychosis, alcohol and substance misuse, and personality disorder. However, psychiatric services in the UK have only recently engaged actively with homeless people. This article provides some background information about homelessness and mental illness and describes the elements of inclusion health and some of the models of service for homeless people that have been established over the past 30 years.

scholarly journals Trends in mental health, non‐suicidal self‐harm and suicide attempts in 16–24-year old students and non-students in England, 2000–2014

2019 ◽  
Vol 55 (1) ◽  
pp. 125-128 ◽  
Author(s):  
S. McManus ◽  
D. Gunnell
Keyword(s):  
Mental Health ◽  
Young People ◽  
Mental Disorder ◽  
Suicide Attempts ◽  
Common Mental Disorder ◽  
Psychiatric Morbidity ◽  
Female Students ◽  
Self Harm ◽  
Using Data ◽  
Over Time

Abstract There are concerns about high levels of mental ill-health amongst university students, but little is known about the mental health of students compared to non-students over time. Using data on young people (16–24) from three UK National Psychiatric Morbidity Surveys (2000, 2007, and 2014), we found no evidence that the overall prevalence of common mental disorder (CMD), suicide attempts, or non-suicidal self-harm (NSSH) differed between students and non-students, although there was an indication that CMDs rose markedly in female students between 2007 and 2014. A rise in NSSH is apparent in both students and non-students.

Mind Matters: a psychoeducation programme for individuals with intellectual disabilities and co-morbid diagnoses of mental disorder

2017 ◽  
Vol 8 (1) ◽  
pp. 34-40 ◽  
Author(s):  
Sarah Ashworth ◽  
Krista Jansen ◽  
Lydia Bullock ◽  
Paul Mooney
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Intellectual Disability ◽  
Personality Disorder ◽  
Mental Disorders ◽  
Mental Disorder ◽  
Intellectual Disabilities ◽  
Psychological Intervention ◽  
Content Type ◽  
Group Members

Purpose The purpose of this paper is to describe a feasibility study into the development and pilot of a psychoeducational group for people with intellectual disability and co-morbid mental disorder (including mental illness and personality disorder) within forensic settings. Design/methodology/approach “Mind Matters”, a psychoeducational programme for people with an intellectual disability and co-morbid mental disorders is a group based programme in a medium secure hospital, adapted and developed to be suitable for people with intellectual disability therapist multidisciplinary approach was key to its development. An open group on a 16-bedded ward for individuals with mild to moderate intellectual disability and co-morbid mental illness was delivered over a six-week period. Findings The group was positively received in pilot by participants and members of the clinical teams. Attendance and engagement of participants were key measures of the success of the programme. In addition to the apparent increased social skills and motivation to engage with future psychological intervention. Practical implications The authors believe that this approach benefitted both the group members and staff on ward, reinforcing strategies for maintaining positive mental health. It also stimulated engagement, discussion about mental disorders including mental illness, personality disorder and intellectual disabilities. Originality/value This paper shows how a psychoeducational approach to mental disorder and mental health in individuals with an intellectual disability is possible, beneficial and well received.

Income-related inequality in mental health in Britain: the concentration index approach

2007 ◽  
Vol 37 (7) ◽  
pp. 1037-1045 ◽  
Author(s):  
ROSHNI MANGALORE ◽  
MARTIN KNAPP ◽  
RACHEL JENKINS
Keyword(s):  
Mental Health ◽  
Psychiatric Disorders ◽  
Concentration Index ◽  
Mental Health Problems ◽  
Psychiatric Morbidity ◽  
Demographic Composition ◽  
Related Inequality ◽  
Income Related Inequality ◽  
Using Data ◽  
The Uk

Background. Reduction of health inequalities is a major policy goal in the UK. While there is general recognition of the disadvantaged position of people with mental health problems, the extent of inequality, particularly the association with socio-economic characteristics, has not been widely studied. We aimed to measure income-related inequality in the distribution of psychiatric disorders and to compare with inequality in other health domains.Method. The concentration index (CI) approach was used to examine income-related inequality in mental health using data from the Psychiatric Morbidity Survey 2000 for Britain.Results. There is marked inequality unfavourable to lower income groups with respect to mental health disorders. The extent of inequality increases with the severity of problems, with the greatest inequality observed for psychosis. Income-related inequality for psychiatric disorders is higher than for general health in the UK. Standardized CIs suggest that these inequalities are not due to the demographic composition of the income quintiles.Conclusions. Income-related inequalities exist in mental health in Britain. As much of the observed inequality is probably due to factors associated with income and not due to the demographic composition of the income quintiles, it may be that these inequalities are potentially ‘avoidable’.

Good defiance and flourishing

2016 ◽  
Author(s):  
Nancy Nyquist Potter
Keyword(s):  
Mental Health ◽  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Mental Disorder ◽  
Well Being ◽  
Borderline Personality ◽  
Defiant Behavior ◽  
The Relationship

This chapter examines the relationship between defiance and flourishing by analyzing three cases and unpacking some of the epistemic and ontological assumptions that undergird our naïve ideas about flourishing. The aim is to clarify under what conditions a person with a mental disorder might be able to flourish, what a claim of flourishing entails, and why some defiant behavior is central to this theory of flourishing—it counts as good defiance. It argues against Aristotle’s account of human virtue as a function of excellent reasoning and against positive psychology’s conception of mental health as well-being and flourishing. Instead, it identifies features of non-ideal flourishing that are then applied to three people with diagnoses: one with schizophrenia, one with depression, and one with Borderline Personality Disorder. The author then explains how she would evaluate these three cases in terms of their defiant behavior.

scholarly journals Parenting and personality disorder: clinical and child protection implications

2015 ◽  
Vol 21 (1) ◽  
pp. 15-22 ◽  
Author(s):  
Gwen Adshead
Keyword(s):  
Mental Health ◽  
Personality Disorder ◽  
Child Development ◽  
Personality Disorders ◽  
Child Protection ◽  
Psychiatric Morbidity ◽  
Healthcare Providers ◽  
Mental Healthcare ◽  
Parental Mental Health ◽  
Psychological Burden

SummaryI review some of the evidence that parental personality disorder represents a risk to child development, in terms of both transmission of genetic vulnerability and the environmental stress of living with a parent who has a personality disorder that negatively affects their parenting capacities. I argue that there are two compelling reasons to impose a duty on mental healthcare providers to offer services for adults with personality disorders that specifically focus on their parenting identity: first, because effective therapies for personality disorder are now available; and second, because there is a strong utilitarian and economic argument for improving parental mental health so as to reduce the economic and psychological burden of their offsprings' future psychiatric morbidity.

Managing challenging behavior in people with intellectual disabilities in communities and reducing hospital stays: Current and future challenges from an European perspective

2017 ◽  
Vol 41 (S1) ◽  
pp. S598-S599
Author(s):  
B. Perera ◽  
K. Courtenay ◽  
S. Elstner ◽  
K. Krysta
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Mental Disorder ◽  
Challenging Behavior ◽  
Psychiatric Inpatient ◽  
Psychotropic Medications ◽  
Behavior Difficulties ◽  
Specialist Services ◽  
The Uk

Prevalence of intellectual disability (ID) ranges from 0.05 to 1.55%. A total of10–15% of the people with ID present with challenging behavior (CB). This causes a significant strain on mental health services. People with ID; end up staying in psychiatric inpatient units for longer periods. Most people with ID move out of their family home to various care settings due to severity of their behavior difficulties. Few European countries have specialist services for people with ID whereas most countries manage people with ID and CB using adult mental health services. There is ongoing debate whether patients with ID and CB need to be managed by specialist services. There are significant financial implications looking after people with ID and CB. This has often led to over prescribing of psychotropic medications to people with ID without a mental disorder to manage their behaviors. There are significant strains on mental health services to manage people with ID and CB. This presentation discusses. Describe people with CB and ID and their characteristics including mental disorder, use of psychotropic medications, socio demographic factors and financial costs to look after them. Social and health care approach to look after people with CB in the UK, Challenges to develop services for people with CB in ID in Germany and Poland. Do we need specialist services for people with ID and CB? Pros and cons.Disclosure of interestCOI: Bhathika Perera, I have received travel grants from pharmaceutical companies to attend ADHD conferences and I have been a speaker at pharmaceutical company sponsored events on ADHD.

Mental health and psychiatric disorders

2019 ◽  
pp. 398-423 ◽  
Author(s):  
Richard J.L. Heron ◽  
Neil Greenberg
Keyword(s):  
Mental Health ◽  
Psychiatric Morbidity ◽  
Economic Cost ◽  
Well Being ◽  
Health Condition ◽  
Health Conditions ◽  
Working Age ◽  
Health Disorders ◽  
Working Age Population ◽  
The Uk

Mental health disorders significantly impact well-being and productivity in the working age population. They affect around 17% of the population and their economic cost has been estimated at £70 billion or 4.5% of gross domestic product in the UK. Mental health conditions are a leading cause of sickness absence with 70 million working days lost per year. Over half of disabled people who are out of work have a mental health and/or musculoskeletal disorder as their main health condition. This chapter considers how work and mental health interrelate, how employers can ensure that their workforce mental health needs are managed, opportunities for productivity maximized, and psychiatric morbidity minimized.

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