Mental health

Author(s):  
Chantal Simon ◽  
Hazel Everitt ◽  
Françoise van Dorp ◽  
Matt Burkes

Mental health assessment Mental health symptoms and signs Psychological therapies Anxiety Other anxiety-type disorders Chronic stress Depression Drugs for treating depression Psychosis Schizophrenia and mania Acute delirium Dementia Eating disorders Other psychological conditions Assessing a patient with mental health problems in primary care can be challenging. Aims (may need >1 appointment to achieve):...

Author(s):  
Chantal Simon ◽  
Hazel Everitt ◽  
Françoise van Dorp ◽  
Nazia Hussain ◽  
Emma Nash ◽  
...  

This chapter in the Oxford Handbook of General Practice explores mental health in general practice. It covers mental health assessment, symptoms and signs, and psychological therapies. It discusses anxiety and anxiety-type disorders, chronic stress, depression, psychosis, schizophrenia, mania, acute delirium, dementia, and eating disorders.


2021 ◽  
pp. 136346152110597
Author(s):  
Lauren C. Ng ◽  
Jordan S. Solomon ◽  
Maithri Ameresekere ◽  
Judith Bass ◽  
David C. Henderson ◽  
...  

This study developed and validated a measure that captures variation in common local idioms of distress and mental health problems experienced by women in South Sudan, a country which has experienced over 50 years of violence, displacement, and political, social, and economic insecurity. This measure was developed during a randomized controlled trial of the Adolescent Girls Initiative (AGI) and used qualitative Free Listing (n = 102) and Key Informant interviews (n = 27). Internal reliability and convergent validity were assessed using data from 3,137 randomly selected women (ages 14–47) in 100 communities in South Sudan. Test-retest and inter-rater reliability were assessed using responses from 180 women (ages 15–58) who completed the measure once, and 129 of whom repeated the measure an average of 12 days (SD = 8.3) later. Concurrent validity was assessed through the ratings of 22 AGI leaders about the presence or absence of mental health symptoms in the 180 women in the test-retest sample. The study resulted in the development of the South Sudan Mental Health Assessment Scale, a 24-item measure assessing six idioms of distress. The scale consisted of one factor and had excellent internal, test-retest, and interrater reliability. The scale also demonstrated good convergent and concurrent validity and performed well psychometrically. Moreover, its development provides an example for other organizations, working in environments where mental health measures have not yet been developed and validated, to create and validate measures relevant to their populations. In this way, the role of mental health in development settings can be more rapidly assessed.


2010 ◽  
Vol 39 (4) ◽  
pp. 496-499 ◽  
Author(s):  
V. K. Sharma ◽  
M. Krishna ◽  
P. Lepping ◽  
V. Palanisamy ◽  
S. V. Kallumpuram ◽  
...  

2009 ◽  
Vol 5 (1) ◽  
pp. 7 ◽  
Author(s):  
Murali Krishna ◽  
Peter Lepping ◽  
Vimal K Sharma ◽  
John R M Copeland ◽  
Lorraine Lockwood ◽  
...  

2003 ◽  
Vol 27 (6) ◽  
pp. 221-224 ◽  
Author(s):  
Maggie Bruce

The Mental Health National Service Framework (NSF) states that primary care groups (PCGs) should work with primary care teams and specialist services to agree protocols for common mental health problems. The Primary Care Protocols for Common Mental Illnesses developed in Croydon were circulated by the Department of Health to all regional offices, as an example of good practice, and 20 health authorities and primary care organisations have requested final electronic versions to adapt for local use. The protocol dealing with eating disorders has been adapted by the Royal College of Psychiatrists Eating Disorders Special Interest Group and appears on the College's website. This paper describes how all the protocols were developed and how they can be accessed.


2016 ◽  
Vol 22 (2) ◽  
pp. 229-244 ◽  
Author(s):  
Emily Macleod ◽  
June Woolford ◽  
Linda Hobbs ◽  
Julien Gross ◽  
Harlene Hayne ◽  
...  

To obtain a child’s perspective during a mental health assessment, he or she is usually interviewed. Although researchers and clinicians generally agree that it is beneficial to hear a child’s account of his or her presenting issues, there is debate about whether children provide reliable or valid clinical information during these interviews. Here, we examined whether children provide clinically and diagnostically relevant information in a clinical setting. In all, 31 children aged 5–12-years undergoing mental health assessments were asked open-ended questions about their presenting problems during a semi-structured interview. We coded the information that children reported to determine whether it was clinically relevant and could be used to diagnose their problems and to formulate and plan treatment. We also coded children’s information to determine whether it was congruent with the children’s presenting problems and their eventual clinical diagnoses. Most of the information that children reported was clinically relevant and included information about behaviour, affect, temporal details, thoughts, people, the environment, and the child’s physical experiences. The information that children reported was also clinically valid; it was congruent with the problems that were discussed (84%) and also with the eventual diagnosis that the child received after a complete assessment (74%). We conclude that children can contribute relevant, clinically useful, valid information during clinical psychological assessments.


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