Feedback-informed treatment for adolescents and young adults with early-onset psychotic disorders: Developmentally appropriate mental health services and the need for relevant outcome measures.

2017 ◽  
pp. 283-298
Author(s):  
Ryan Melton ◽  
Elinor Taylor
Keyword(s):  
Mental Health ◽  
Young Adults ◽  
Mental Health Services ◽  
Health Services ◽  
Early Onset ◽  
Psychotic Disorders ◽  
Developmentally Appropriate ◽  
Informed Treatment ◽  
Feedback Informed Treatment ◽  
Relevant Outcome

scholarly journals A Qualitative Investigation of Engagement in Mental Health Services Among Black and Hispanic LGB Young Adults

2020 ◽  
Vol 71 (6) ◽  
pp. 555-561
Author(s):  
Kiara L. Moore ◽  
Lucy Lopez ◽  
David Camacho ◽  
Michelle R. Munson
Keyword(s):  
Mental Health ◽  
Young Adults ◽  
Mental Health Services ◽  
Health Services ◽  
Qualitative Investigation

Psychotic Disorders in Urban Areas: An Overview of the Study on Low Prevalence Disorders

2000 ◽  
Vol 34 (2) ◽  
pp. 221-236 ◽  
Author(s):  
Assen Jablensky ◽  
John McGrath ◽  
Helen Herrman ◽  
David Castle ◽  
Oye Gureje ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Urban Areas ◽  
Psychotic Disorders ◽  
Functional Impairments ◽  
Personal Functioning ◽  
Low Prevalence

Objective: This paper reports on a study designed within the framework of the National Survey of Mental Health and Wellbeing to: estimate the prevalence of psychoses in urban areas of Australia; identify profiles of symptomatology, impairments and disabilities; collect information on services received and needed; and explore quality of life issues in a broadly representative sample of people with psychotic illnesses. Method: The study was conducted over four areas in the Australian Capital Territory, Queensland, Victoria and Western Australia, as a two-phase survey: (i) a census and screening for psychosis of all individuals who made contacts with mental health services during a period of 1 month in 1997; and (ii) interviews with a stratified random sample (n = 980) of the screen-positive individuals (n = 3800) using a standardised instrument. Results: The point prevalence (1 month) of psychotic disorders in the urban population aged 18–64 is in the range of 4–7 per 1000 with a weighted mean of 4.7 per 1000. People with psychotic disorders experience high rates of functional impairments and disability, decreased quality of life, persistent symptoms, substance-use comorbidity and frequent side effects of medication. Although the utilisation of hospital-based and community mental health services, as well as of public and non-governmental helping agencies, is high, the majority live in extreme social isolation and adverse socioeconomic circumstances. Among the many unmet needs, the limited availability of community-based rehabilitation, supported accommodation and employment opportunities is particularly prominent. Conclusions: The so-called ‘low-prevalence’ psychotic disorders represent a major and complex public health problem, associated with heavy personal and social costs. There is a need for a broad programmatic approach, involving various sectors of the community, to tackle the multiple dimensions of clinical disorder, personal functioning and socioeconomic environment that influence the course and outcome of psychosis and ultimately determine the effectiveness of service-based intervention.

Children as Consumer Participants of Child and Adolescent Mental Health Services

2009 ◽  
Vol 17 (4) ◽  
pp. 287-290 ◽  
Author(s):  
Margaret Mitchell-Lowe ◽  
Matthew Eggleston
Keyword(s):  
Mental Health ◽  
Pilot Study ◽  
Mental Health Services ◽  
Health Services ◽  
Developmentally Appropriate ◽  
Adolescent Mental Health ◽  
Child And Adolescent ◽  
Initial Assessment ◽  
Key Issues ◽  
Children’S Views

Objective: This pilot study explored children's perspectives of an initial assessment at outpatient child and adolescent mental health services (CAMHS). Method: A semi-structured qualitative interview was undertaken with nine children aged 7–12 years. Transcribed interviews were analyzed to reveal common themes. Results: Children generally coped well with the interview. They identified themes involving stigma, qualities and approaches of staff, aspects of the CAMHS environment, and anxiety about attending CAMHS as key issues. Conclusions: This pilot study suggests that it is feasible to interview children regarding their perspectives on attending a CAMHS. Children's views of CAMHS are required to help inform developmentally appropriate service delivery.

scholarly journals A Mobile Phone–Based Intervention to Improve Mental Health Among Homeless Young Adults: Pilot Feasibility Trial (Preprint)

2018 ◽  
Author(s):  
Stephen M Schueller ◽  
Angela C Glover ◽  
Anne K Rufa ◽  
Claire L Dowdle ◽  
Gregory D Gross ◽  
...  
Keyword(s):  
Mental Health ◽  
Young Adults ◽  
Mental Health Services ◽  
Health Services ◽  
Mobile Phone ◽  
Clinical Outcomes ◽  
Small Sample ◽  
Text Messages ◽  
Feasibility Trial ◽  
Homeless Young Adults

BACKGROUND Youth homelessness is a substantial issue, and many youths experiencing homelessness have mental health issues as both a cause and consequence of homelessness. These youths face many barriers to receiving traditional mental health services, and as a result, only a few youths experiencing homelessness receive any form of mental health care. OBJECTIVE This project aimed to develop and determine the feasibility and acceptability of engaging young adults (ie, individuals aged 18-24 years) experiencing homelessness in a remotely delivered mental health intervention. This intervention provided brief emotional support and coping skills, drawing from cognitive behavioral principles as an introduction into psychosocial support. The intervention was piloted in a homeless shelter network. METHODS A total of 35 young adults experiencing homelessness participated in a single-arm feasibility pilot trial. Participants received a mobile phone, a service and data plan, and 1 month of support from a coach consisting of up to 3 brief phone sessions, text messaging, and mobile mental health apps. We evaluated feasibility by looking at completion of sessions as well as the overall program and acceptability with satisfaction ratings. We also collected clinical symptoms at baseline and the end of the 1-month support period. We used validity items to identify participants who might be responding inappropriately and thus only report satisfaction ratings and clinical outcomes from valid responses. RESULTS Most participants (20/35, 57%) completed all 3 of their phone sessions, with an average of 2.09 sessions (SD 1.22) completed by each participant. Participants sent an average of 15.06 text messages (SD 12.62) and received an average of 19.34 messages (SD 12.70). We found higher rates of satisfaction among the participants with valid responses, with 100% (23/23) of such participants indicating that they would recommend participation to someone else and 52% (12/23) reporting that they were very or extremely satisfied with their participation. We found very little change from pre- to posttreatment on measures of depression (d=0.27), post-traumatic stress disorder (d=0.17), and emotion regulation (d=0.10). CONCLUSIONS This study demonstrated that it was feasible to engage homeless young adults in mental health services in this technology-based intervention with high rates of satisfaction. We did not find changes in clinical outcomes; however, we had a small sample size and a brief intervention. Technology might be an important avenue to reach young adults experiencing homelessness, but additional work could explore proper interventions to deliver with such a platform. CLINICALTRIAL ClinicalTrials.gov NCT03620682; https://clinicaltrials.gov/ct2/show/NCT03620682

scholarly journals Young Adults in Nature-Based Services in Norway—In-Group and Between-Group Variations Related to Mental Health Problems

2018 ◽  
Vol 9 ◽  
pp. 110-133
Author(s):  
Anne Mari Steigen ◽  
Bengt Eriksson ◽  
Ragnfrid Eline Kogstad ◽  
Helge Prytz Toft ◽  
Daniel Bergh
Keyword(s):  
Mental Health ◽  
Young Adults ◽  
Mental Health Services ◽  
General Population ◽  
Health Services ◽  
Mental Health Problems ◽  
Population Sample ◽  
Mental Healthcare ◽  
Health Problems ◽  
Local Mental Health

Young adults with mental health problems who do not attend school or work constitute a significant welfare challenge in Norway. The welfare services available to these individuals include nature-based services, which are primarily located on farms and integrate the natural and agricultural environment into their daily activities. The aim of this study is to examine young adults (16–30 years old) not attending school or work who participated in nature-based services in Norway. In particular, the study analyses mental health problems among the participants and in-group variations regarding their symptoms of mental health problems using the Hopkins Symptoms Checklist (HSCL-10). This paper compares symptoms of mental health problems among participants in nature-based services with those of a sample from the general population and a sample of those receiving clinical in-patient mental healthcare. A questionnaire was developed for the study and was completed by 93 participants in nature-based services. The majority of these participants were recruited from the Norwegian Labour and Welfare Administration (NAV), local mental health services, and school authorities. Results indicate that just more than half of the respondents exhibited symptoms of mental health problems based on their HSCL-10 scores. In general, they reported fewer symptoms than the clinical in-patient sample (18–30 years old) and more symptoms than the general population sample (18–19 years old). Among the participants in nature-based services, those recruited through NAV and local mental health services exhibited no differences in symptoms. Half of the participants older than 23 years in nature-based services had not completed upper secondary school. The participants, including those with symptoms of mental health problems and low expectations at the outset of their participation, generally expressed high satisfaction with the services.

Treating body, treating mind: The experiences of people with psychotic disorders and their general practitioners – Findings from the Australian National Survey of High Impact Psychosis

2017 ◽  
Vol 52 (6) ◽  
pp. 561-572 ◽  
Author(s):  
Anna Waterreus ◽  
Vera A Morgan
Keyword(s):  
Mental Health ◽  
Health Care ◽  
General Practitioner ◽  
Mental Health Services ◽  
Health Services ◽  
General Practitioners ◽  
Psychotic Disorders ◽  
Phase 1 ◽  
General Practitioner Practice ◽  
Physical And Mental Health

Objectives: To describe from the perspective of people living with psychotic illness their use of general practitioner services over a 12-month period and the experiences, attitudes and challenges general practitioners face providing health care to this population. Methods: A two-phase design was used. Phase 1, screening for psychosis, occurred in public specialised mental health services and non-government organisations within seven catchment sites across Australia. In Phase 2, 1825 people who were screened positive for psychosis were randomly selected for interview which included questions about frequency and reason for general practitioner contact in the 12 months prior to interview. General practitioners (1473) of consenting participants were also surveyed. Results: Almost all (90.3%) survey participants had consulted a general practitioner in the 12-month period, on average 8.9 times, and 28.8% of attenders had consulted 12 times or more. The majority (83.5%) attended one general practitioner practice. Most (77.6%) general practitioners wanted to be involved in the mental health care of their patient. Although 69.1% said the management of their patient was not problematic for their practice, one in five general practitioners reported issues related to patient non-compliance with treatment and non-attendance at scheduled appointments; time constraints; and lack of feedback from treating mental health services. Conclusion: People with psychotic disorders consult general practitioners, some very frequently. Most Australian general practitioners believe they have a responsibility to review the physical and mental health of their patients. Improved communication between general practitioners and mental health services, and easier access to mental health support, may help general practitioners manage the complex mental, physical and social problems of their patients.

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