Children and Young People's Mental Health - Recent Developments

2011 ◽  
Author(s):  
Sally Davies ◽  
Christine Beasley ◽  
Keith Ridge ◽  
Bruce Keogh
2011 ◽  
Vol 08 (01) ◽  
pp. 09-15
Author(s):  
D. McDaid

SummaryNew forms of psychiatric remuneration linked to levels of activity undoubtedly will have an increasing role to play in mental health systems right across Europe. Potentially they can be more efficient and promote choice, but valid concerns have been raised about their impact on the sustainability and nature of psychiatric care. This article looks in particular at recent developments in England and the Netherlands and reflects on how remuneration mechanisms may need to develop further both to improve efficiency and quality within the context of an ever more fragmented and multi-sectoral mental health system. Any introduction of activity- based reimbursement should be introduced gradually. This should be accompanied by investment in adequate information systems to help better understand service utilisation patterns, transitional funding safeguards to reduce the risk of financial instability and incentives/ contractual measures to ensure that services strive to offer services of the highest possible quality that meet the needs of service users.


1994 ◽  
Vol 21 (3) ◽  
pp. 144-150 ◽  
Author(s):  
Susan M. Bögeis

In this article, recent developments in the teaching of diagnostic-interviewing skills in the mental health professions are discussed. First, the tasks and skills of the diagnostic interviewer are analyzed. Second, empirical evidence on effective interviewing styles is outlined. Third, training methods for teaching diagnostic interviewing are reviewed. A training program, developed to teach diagnostic interviewing to undergraduates, is then described. The program is highly structured, and simulated patients are used to introduce complex clinical problems and to evaluate students’ emerging competencies. Student and trainer satisfaction with the program has been high during the past 6 years.


2012 ◽  
Vol 35 (5) ◽  
pp. 358-359
Author(s):  
Kenneth John Aitken

AbstractA number of recent developments in our understanding of the biology of heritability question commonly held views on the immutability of genetic factors. These have numerous potential implications for improving understanding and practice in pre- and postconceptional care and for infant and child mental health, and they carry a cautionary message against overgeneralization.


2021 ◽  
Vol 12 ◽  
Author(s):  
James Crum

Neuroimaging and neuropsychological methods have contributed much toward an understanding of the information processing systems of the human brain in the last few decades, but to what extent do cognitive neuroscientific findings represent and generalize to the inter- and intra-brain dynamics engaged in adapting to naturalistic situations? If it is not marked, and experimental designs lack ecological validity, then this stands to potentially impact the practical applications of a paradigm. In no other domain is this more important to acknowledge than in human clinical neuroimaging research, wherein reduced ecological validity could mean a loss in clinical utility. One way to improve the generalizability and representativeness of findings is to adopt a more “real-world” approach to the development and selection of experimental designs and neuroimaging techniques to investigate the clinically-relevant phenomena of interest. For example, some relatively recent developments to neuroimaging techniques such as functional near-infrared spectroscopy (fNIRS) make it possible to create experimental designs using naturalistic tasks that would otherwise not be possible within the confines of a conventional laboratory. Mental health, cognitive interventions, and the present challenges to investigating the brain during treatment are discussed, as well as how the ecological use of fNIRS might be helpful in bridging the explanatory gaps to understanding the cultivation of mental health.


Author(s):  
Tom Dening ◽  
Kuruvilla George

Globally increasing numbers of older people bring both challenges and opportunities for old age psychiatry services. This chapter outlines the history, underlying principles, and policy context for contemporary mental health services for older people. It discusses components of services, including community health teams, memory assessment services, consultation-liaison psychiatry, and in-patient mental health care, as well as newer types of service, such as crisis teams and outreach to care homes. Other recent developments include various models of case management and emphasis on post-diagnostic support. Equally important are issues of equality and access, and the chapter covers several key areas, such as age, gender, sexual orientation, religion and spirituality, and rurality. Major challenges to old age psychiatry come from limited resources and non-recognition of the distinct needs of older adults, as well as the demands of the growing older population, advances in science and technology, and the need to attract talented psychiatrists into this field.


2016 ◽  
Vol 23 (8) ◽  
pp. 701-709 ◽  
Author(s):  
Amanda K Gilmore ◽  
Sarah M Wilson ◽  
Nancy A Skopp ◽  
Janyce E Osenbach ◽  
Greg Reger

Introduction Technology-based mental health interventions are becoming increasingly common, and several have begun to target multiple outcomes in a single intervention. Recent developments in the treatment of co-occurring posttraumatic stress disorder and substance use disorder has led to the development and testing of technology-based interventions for these disorders. The current systematic review examined technology-based interventions designed to improve mental health outcomes among patients with co-occurring trauma symptoms and substance use. Methods Of 601 articles reviewed, 14 included a technology-based intervention for patients with these co-occurring problems. Results Seven of these studies provided preliminary evidence that technology-based interventions are likely to be efficacious in reducing either trauma symptoms or substance use. The seven remaining studies demonstrated that technology-based interventions for co-occurring trauma symptoms and substance use are feasible. Discussion This review suggests that technology-based interventions for co-occurring trauma symptoms and substance use are feasible, but more work is needed to assess efficacy using scientifically rigorous studies.


2018 ◽  
Vol 26 (2) ◽  
pp. 166-169 ◽  
Author(s):  
Pat Dudgeon ◽  
Christopher Holland

Objectives: Suicide is an Aboriginal and Torres Strait Islander (hereafter ‘Indigenous’) population health issue. Over 2015–2016, the Aboriginal and Torres Strait Islander Suicide Prevention Project (ATSISPEP) aimed to identify success factors in Indigenous suicide prevention. Conclusions: For non-Indigenous practitioners working with indigenous clients at risk of suicide, ATSISPEP identified important considerations to make treatment more effective. The start is acknowledging the differences in the historical, cultural, political, social and economic experiences of Indigenous peoples, and their greater exposure to trauma, psychological distress and risks to mental health. These mental health difficulties are specific and more prevalent amongst Indigenous peoples and communities due to the ongoing impacts of colonisation in Australia including a range of social determinants impacting on the well-being of Indigenous peoples today. Working effectively with Indigenous clients also includes being able to establish culturally safe work environments, and the ability of non-Indigenous practitioners to work in a culturally competent and trauma-informed manner. There are also considerations regarding time protocols and client follow-up. Further, postvention responses might be required. Supporting selective suicide prevention activity among younger people (and other groups at increased risk) and community-level work is an important complement to working with Indigenous individuals at risk of suicide.


2012 ◽  
Vol 9 (3) ◽  
pp. 64-66 ◽  
Author(s):  
Nasser Loza ◽  
Mohamed El Nawawi

This paper first briefly reviews the history of psychiatric services in Egypt. It then details the legislation in place during the last years of the Mubarak regime and goes on to set out recent developments, in particular the Code of Practice introduced for the Mental Health Act of 2009.


Author(s):  
Jakki Cowley

This chapter discusses mental health advocacy in the UK and how the history of mental health care has influenced current practice, as well as how the advocacy sector in general has shaped government policy and legislation. The emphasis is on England and Wales, although advocacy delivery in Scotland and Northern Ireland is also considered. The chapter first defines advocacy and outlines its history in the UK before analyzing recent developments in the country. It then examines the principles of advocacy (independence; empowerment; representation, information, support; accountability; confidentiality), together with different forms of advocacy in the UK and key legislation, including the Mental Capacity Act 2005 and the Mental Health Act 1983 in England and Wales. Finally, it looks at issues and challenges faced by mental health advocates with regard to ethics and values, such as conflicts of interest and duty, the nature of professional obligations and neutrality, and social justice.


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