scholarly journals GPs’ views and experiences of managing patients with personality disorder: a qualitative interview study

BMJ Open ◽  
2019 ◽  
Vol 9 (2) ◽  
pp. e026616 ◽  
Author(s):  
Lydia French ◽  
Paul Moran ◽  
Nicola Wiles ◽  
David Kessler ◽  
Katrina M Turner
Keyword(s):  
Mental Health ◽  
Personality Disorder ◽  
Mental Health Services ◽  
Health Services ◽  
Waiting Times ◽  
Treatment Options ◽  
Poor Mental Health ◽  
Health Needs ◽  
Mental Health Needs ◽  
Qualitative Interview Study

ObjectiveThe aim of this study was to explore GPs’ views and experiences of managing patients with personality disorder (PD), and their views on the role of the Improving Access to Psychological Therapies (IAPT) programme as a support service.DesignIn-depth interviews, analysed thematically.ParticipantsFifteen GPs (7 women and 8 men) of varying age and clinical experience, working in practices that differed in terms of the socio-demographic characteristics of their patient populations.SettingTwelve general practices based in the West of England, UK.ResultsGPs described patients with PD as being challenging to work with and that this work required dedicated time and care. They described experiencing particular difficulty with monitoring their patient’s mental health, as well as having little knowledge about the efficacy or availability of treatments for their attenders with PD. They were aware that this patient population often experienced poor mental health and reported a propensity for them to fall into the gap between primary and secondary mental health services, leaving GPs with little choice but to improvise their own management plans, which occasionally involved funding third-sector treatment options. In terms of IAPT services’ role in managing these patients, GPs wanted shorter waiting times, better inter-agency communication, more highly trained therapists and more treatment options for patients with PD. They also wanted the service to be able to ‘hold’ patients with PD in treatment over a longer period than currently offered.ConclusionsFindings suggest that, overall, GPs did not consider National Health Service mental health services to offer an effective treatment for patients with PD. While they considered the IAPT programme to be a valuable service for patients with less complex mental health needs, such as depression and anxiety; they felt that the current service provision struggled to meet the needs of patients with more complex mental health needs, as exemplified by people with PD.

scholarly journals Current delivery of infant mental health services: are infant mental health needs being met?

2005 ◽  
Vol 13 (4) ◽  
pp. 393-398 ◽  
Author(s):  
Elspeth Macdonald ◽  
Heather Mohay ◽  
Debra Sorensen ◽  
Neil Alcorn ◽  
Brett McDermott ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Health Needs ◽  
Infant Mental Health ◽  
Mental Health Needs

Personality and Life Style Factors in Utilization of Mental Health Services

1980 ◽  
Vol 46 (2) ◽  
pp. 383-386 ◽  
Author(s):  
Marvin P. Dawkins ◽  
James A. Terry ◽  
Marva P. Dawkins
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Inner City ◽  
Life Style ◽  
Health Needs ◽  
Mental Health Needs ◽  
City Community ◽  
Racial Pride ◽  
Psychological Inventory

This study examined differences between users and nonusers of mental health services in an inner city community in terms of measures of personality and life style. Subjects were 30 users randomly selected from a list of self-referred outpatients at a neighborhood clinic and 30 nonusers from the same community. Measures of personality and life style were based on the Bipolar Psychological Inventory and the Attitudes, Interests and Opinions Life Style Inventory. Significant differences were found for 4 of the 15 personality measures and 2 of the 3 life style dimensions. Users were more dependent, unmotivated and socially withdrawn, while nonusers showed more tendency toward social deviancy and racial pride. Both groups scored relatively high on neurotic and psychopathic measures including defensiveness, psychic pain, impulsiveness and problem index (potential for psychotic reactions). It was concluded that both differences and similarities between users and nonusers should be given greater attention in planning to meet mental health needs of inner city residents.

scholarly journals Understanding Campus Culture and Student Coping Strategies for Mental Health Issues in Five Canadian Colleges and Universities

2017 ◽  
Vol 47 (3) ◽  
pp. 136-151 ◽  
Author(s):  
Dimitris Giamos ◽  
Alex Young Soo Lee ◽  
Amanda Suleiman ◽  
Heather Stuart ◽  
Shu-Ping Chen
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Coping Strategies ◽  
Health Needs ◽  
Campus Culture ◽  
Health Issues ◽  
Mental Health Needs ◽  
Student Mental Health ◽  
Mental Health Issues

This study aimed to better understand campus mental health culture and student mental health coping strategies, and to identify the mental health needs of students as well as gaps in mental health services within postsecondary education. A videovoice method was used to identify and document health-related issues and advocate for change. Forty-one interviews were conducted with campus stakeholders at five universities. Five themes involving mental health emerged from the campus interviews: the stigma of mental illness; campus culture related to mental health; mental health services available and barriers to mental health services on campus; accommodations for students’ mental health needs; and student mental health coping strategies. A documentary was developed to advocate for better mental health. We conclude that although Canadian campuses are raising awareness about mental health issues, there is not enough mental health infrastructure support on campuses; in particular, accessibility to campus mental health resources needs improvement.

scholarly journals Survey of services for adults with learning disabilities

1997 ◽  
Vol 21 (4) ◽  
pp. 197-199 ◽  
Author(s):  
Shaun Gravestock ◽  
Nick Bouras
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Quantitative Data ◽  
Health Needs ◽  
Questionnaire Data ◽  
Mental Health Needs ◽  
Adults With Learning Disabilities ◽  
Icd 10 ◽  
Learning Disabilties

Questionnaire data are presented from a national multi-professional survey. Only 12% of respondents had local quantitative data on adults with learning disabilties (LD) and mental health needs (MHN). More described local provision as part of specialist LD services than integrated with generic mental health services. LD services were rated as more accessible and more available than generic mental health services. Clinicians agreed about the important elements of psychiatric assessment, treatment and their preference for using the ICD–9 and ICD–10 diagnostic classifications. The planning, delivery and evaluation implications for psychiatric services for adults with LD are outlined.

Mental Health Service Needs in the Prison Boom: The Case of Children of Incarcerated Mothers

2015 ◽  
Vol 28 (5) ◽  
pp. 415-436 ◽  
Author(s):  
Jillian J. Turanovic ◽  
Nancy Rodriguez
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Mental Health Services ◽  
Health Service ◽  
Health Services ◽  
Health Needs ◽  
Mental Health Service Use ◽  
Incarcerated Mothers ◽  
Mental Health Needs ◽  
To Receive

This study identifies the factors related to mental health service use among children of incarcerated mothers. Data on 700 children collected from a diverse sample of mothers in Arizona are used, and a two-stage probit model with sample selection is estimated to assess the various child, mother, and caregiver characteristics associated with children’s use of mental health services. Results indicate that children involved in child protective services (CPS) and children cared for by grandparents are more likely to receive mental health services, whereas children of Native American mothers and children who have been exposed to violence are less likely to receive services for their mental health needs. These findings have important implications for correctional policy regarding the intake screening of female inmates and suggest that criminal justice agencies communicate more closely with CPS and community-based services to ensure children’s mental health needs are addressed while their mothers are in prison.

Classroom-Based Services for Adolescents With Mental Health Needs

2017 ◽  
pp. 269-288
Author(s):  
Lee Kern ◽  
Beth Custer ◽  
Imad Zaheer
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Secondary School ◽  
School Mental Health ◽  
Cost Effective ◽  
Health Needs ◽  
Mental Health Needs ◽  
School Settings ◽  
Systemic Barriers

The chapter “Classroom-Based Services for Adolescents With Mental Health Needs,” in School Mental Health Services for Adolescents, describes a classroom-based three-tiered framework of prevention and intervention that is efficient and cost-effective. A rationale is provided for why the three-tiered framework, typically applied at the school-wide level, is also a good fit for individual classrooms. Following the rationale, the chapter provides details of specific interventions across the three tiers that have solid or emerging evidence for effectiveness in secondary settings. For each intervention, a rationale is provided, followed by specific procedures and strategies for implementation, as well as research to support the effectiveness of the intervention. The chapter ends by discussing broader implementation issues in the form of individual barriers teachers face and larger systemic barriers in secondary school settings.

scholarly journals The homeless and the mental health services: a Liverpool study

1993 ◽  
Vol 17 (11) ◽  
pp. 649-651 ◽  
Author(s):  
J. Ferran ◽  
B. O'Shea ◽  
I. A. Davidson
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Psychiatric Disorder ◽  
Homeless People ◽  
Health Needs ◽  
Mental Health Needs ◽  
Mentally Disordered ◽  
Institutional Services ◽  
High Prevalence

It is well known that there is a high prevalence of psychiatric disorder among residents in hostels for the homeless (Timms & Fry, 1989), and staff in these hostels are looking after the mental health needs of these people sometimes with little help from the institutional services. Recent studies have emphasised the plight of schizophrenia sufferers (Marshall, 1993) while other subgroups of mentally disordered homeless people have received less attention.

scholarly journals United Arab Emirates (UAE)

2008 ◽  
Vol 5 (2) ◽  
pp. 38-40 ◽  
Author(s):  
Valsamma Eapen ◽  
Omer El-Rufaie
Keyword(s):  
Public Health ◽  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
United Arab Emirates ◽  
Rapid Change ◽  
Health Needs ◽  
Mental Health Needs ◽  
Current State ◽  
The World

This paper will focus on the current state of mental health services in the United Arab Emirates (UAE) and reflect on the various public health, socio-economic and psychosocial factors that have a major impact on the mental health needs of the population. It is to be borne in mind that the services described in this paper are in a state of rapid change, as the country is witnessing one of the fastest rates of development in the world.

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