scholarly journals Natural history of mental health competence from childhood to adolescence

2021 ◽  
pp. jech-2021-216761
Author(s):  
Meredith O'Connor ◽  
Sarah J Arnup ◽  
Fiona Mensah ◽  
Craig Olsson ◽  
Sharon Goldfeld ◽  
...  

BackgroundMental health competence (MHC) involves psychosocial capabilities such as regulating emotions, interacting well with peers and caring for others, and predicts a range of health and social outcomes. This study examines the course of MHC from childhood to adolescence and patterning by gender and disadvantage, in Australian and UK contexts.MethodsData: Longitudinal Study of Australian Children (n=4983) and the Millennium Cohort Study (n=18 296). Measures: A measure capturing key aspects of MHC was derived summing items from the parent-reported Strengths and Difficulties Questionnaire, assessed at 4–5 years, 6–7 years, 10–11 years and 14–15 years. Analysis: Proportions of children with high MHC (scores ≥23 of range 8–24) were estimated by age and country. Random-effects models were used to define MHC trajectories according to baseline MHC and change over time. Sociodemographic patterns were described.ResultsThe prevalence of high MHC steadily increased from 4 years to 15 years (from 13.6% to 15.8% and 20.6% to 26.2% in Australia and the UK, respectively). Examination of trajectories revealed that pathways of some children diverge from this normative MHC progression. For example, 7% and 9% of children in Australia and the UK, respectively, had a low starting point and decreased further in MHC by mid-adolescence. At all ages, and over time, MHC was lower for boys compared with girls and for children from disadvantaged compared with advantaged family backgrounds.ConclusionsApproaches to promoting MHC require a sustained focus from the early years through to adolescence, with more intensive approaches likely needed to support disadvantaged groups and boys.

2021 ◽  
pp. 002580242110454
Author(s):  
Laureen Adewusi ◽  
Isabel Mark ◽  
Paige Wells ◽  
Aileen O’Brien

Individuals repeatedly detained under Section 136 (S136) of the Mental Health Act account for a significant proportion of all detentions. This study provides a detailed analysis of those repeatedly detained (‘repeat attenders’) to a London Mental Health Trust, identifying key demographic profiles when compared to non-repeat attenders, describing core clinical characteristics and determining to what degree a past history of abuse might be associated with these. All detentions to the S136 suite at South West London and St George's Mental Health NHS Trust over a 5-year period (2015–2020) were examined. Data were collected retrospectively from electronic records. A total of 1767 patients had been detained, with 81 patients identified as being a ‘repeat attenders’ (having had > = 3 detentions to the S136 suite during the study period). Repeat attenders accounted for 400 detentions, 17.7% of all detentions. Repeat attenders included a higher proportion of females (49.4%, p = 0.0001), compared to non-repeat attenders, and a higher proportion of them were of white ethnicity (85.2%, p = 0.001). 52 (64%) patients reported being a victim of past abuse or trauma. Of repeat attenders who reported past abuse or trauma, a high proportion had diagnoses of personality disorders, with deliberate self-harm as the most common reason for detention. They were more commonly discharged home with community support, rather than considered for hospital admission. In light of these findings, this paper discusses support potential strategies for those most vulnerable to repeated S136 detention, thereby minimising the ever-growing number of S136 detentions in the UK.


2017 ◽  
Author(s):  
Joanna Chambers ◽  
Mary Guerriero Austrom ◽  
Ryan Harris ◽  
Danielle Patterson

This purpose of this review is to provide general guidelines to practicing psychiatrists and psychologists on cultural diversity in the discipline. Diversity and mental health is a complex topic in a complex discipline, and our goal is to contribute to an understanding of how cultural identity affects our work. This review does not explicitly state how to treat any one cultural group. Rather, it is a tool for psychiatrists and other mental health providers to begin a sensitive and helpful conversation with patients of all backgrounds and a way to explore their own cultural identities. As our nation becomes increasingly diverse, providers are expected to understand how a patient’s cultural identity impacts the presenting problem and, ultimately, treatment. In addition, an ever-present opportunity remains for mental health professionals to explore their own cultural identity and how it may be involved in conscious and unconscious biases, which, in turn, also impact how they interpret, treat, and manage care. We explore key aspects of diversity with the goal of cultivating a deeper level of insight and awareness among psychiatrists in training and those currently in practice when caring for patients with diverse backgrounds. The guidelines offer a starting point toward delivering culturally competent care and, coupled with a commitment to lifelong learning from psychiatrists and other mental health professionals, can help minimize the stigma of traditionally marginalized groups.  This review contains 7 tables, and 67 references.  Key words: aging, diversity, LGBTQ, psychiatry, race, religion 


Medical Law ◽  
2019 ◽  
pp. 351-419
Author(s):  
Emily Jackson

All books in this flagship series contain carefully selected substantial extracts from key cases, legislation, and academic debate, providing able students with a stand-alone resource. This chapter discusses mental health law in the UK. It begins with a brief history of mental health law and policy. This is followed by discussions of: admission to the mental health system; treatment of the mentally ill under the Mental Health Act 1983; Deprivation of Liberty Safeguards (DoLS) and Cheshire West, and Community Treatment Orders. It also looks at the implications of the Human Rights Act and the UN Convention on the Rights of Persons with Disabilities (UNCRPD) for mental health law. It also considers the conclusions of the Independent Review of the Mental Health Act 1983.


Author(s):  
Marguerite Regan ◽  
Jenny Edwards ◽  
Iris Elliott

This chapter examines to contribution of non-governmental organizations (NGOs) to meeting the mental health needs of individuals, families, and communities. After providing an overview of the history of mental health NGOs, and the current policy frameworks within which they work, it then examines the scope of mental health NGOs, and maps the main international networks and within the UK context. It examines the contribution of NGOs, the key challenges they face working within mental health, and concludes with the steps NGOs can take when striving for parity for mental health. It includes examples of international mental health NGOs throughout.


Author(s):  
Hannah Ishmael ◽  
Ego Ahaiwe Sowinski ◽  
Kelly Foster ◽  
Etienne Joseph ◽  
Nathan E. Richards

This chapter takes the concept of ‘living heritage’ as a starting point to show the ways in which focusing on tangibility and intangibility, the formal and the informal, can be used to stretch the concepts of archival practice. It highlights the cultural and intellectual traditions, tangible and intangible, found within the Caribbean, Africa, and across the Diaspora. Accordingly, the institutions, organisations, concepts, and practices discussed here have a ‘pre-history’ both internationally and in the UK — a prehistory inseparable from the development of the intellectual and cultural history of African and Caribbean communities in the Diaspora. Despite this, an archival science capable of dealing with these complexities has yet to be developed. The chapter thus considers the ways in which Black-led archival practices in the UK have historically sought to both disrupt and define heritage practices. It makes a claim for the active, political and cultural incursions, disruptions, and interventions in the heritage sector by Black-led archives and heritage practitioners.


1997 ◽  
Vol 31 (1) ◽  
pp. 95-104 ◽  
Author(s):  
Graham Meadows

Objective:To provide background information on the approach of area based funding models for mental health services, to describe the considerations which have come to bear in the development process of the Victorian model, to explore the impacts of different models, and to suggest courses for further development. Method:The history of this approach to funding in the UK and the USA is summarised, then an account is given of the development of the Victorian model. The position is put that the validation of such models is hampered by having only sparse relevant data. Suggestions are made for improving this situation. Results:The Victorian model has come to include adjustments for socioeconomic disadvantage, the age, sex and marital status structure of the population, and a variable discounting for estimated substitutive activity of the private sector. Different methods of combining these adjustments into a working formula can be seen to have very different impacts. Conclusions:The approach taken in development of this model can be expected to have major influence on funding within Victoria, but also more widely in Australia. The impacts of differing assumptions within these models are significant. Specifically targeted epidemiological research, and activity analysis of the private sector will be necessary to enhance the validity of models of this type.


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.


2021 ◽  
Author(s):  
◽  
Kay Hancock

<p>Ready to Read is a graded instructional reading series that has been provided free-of-charge since 1963 by the New Zealand government for students in the first three years of school. It has therefore been a key part of the reading experiences of New Zealand children for over fifty years. There is a commonly held belief that there is a distinction between instructional reading materials (the materials that are used to help children learn to read) and children’s literature – that the manipulation of text involved in developing instructional materials necessarily detracts from their literary appeal. The Ready to Read instructional reading series, however, was developed with the dual aims of helping children learn to read and want to read.  The series also reflects the vision of the Department of Education of “New Zealand materials for New Zealand students.” The Ready to Read materials were (and are) written and illustrated by New Zealanders, and trialled in New Zealand schools before publication, meaning that teachers and children have input into the materials. The materials include contributions by some of New Zealand’s leading writers for children, including Margaret Mahy and Joy Cowley. They have a unique status in the history of New Zealand children’s books as being among the first picture books for young New Zealand readers, and the very first that acknowledged Māori children as part of the reading audience. Moreover, as a “home-grown” reading series, seeking to reflect the interests and experiences of New Zealand children, the materials provide a unique insight into New Zealand society and changes in social attitudes, in particular the emergence of biculturalism.  While there is a significant body of research into the New Zealand School Journal, little attention has been paid to the Ready to Read materials (which are for younger readers). Price (2004) has written a short history of the early years of the Ready to Read series and McLachlan (1996) has investigated the visual representation of Māori in Ready to Read and the School Journal. This research seeks to fill this significant gap. This thesis explores how and why the series developed as it did from 1963-1988. It investigates the cultural and educational contexts, the literary aspects of the materials, and the beliefs about children as readers that underpinned its development.  The “home-grown” nature of the Ready to Read materials, their literary qualities, their depiction of children’s lives, and the place of the series in the early reading experiences of New Zealand children make it indisputably a significant aspect of New Zealand children’s literature. It is hoped that this examination of the first twenty-five years of the Ready to Read series will be of interest to a wide audience, including educators, publishers, and researchers, and that it may serve as a starting point for further investigation. While this research is of immediate significance to a New Zealand audience, it also has international relevance in its description of an approach to the development of meaningful, engaging instructional texts for beginning readers that is unparalleled in the world.</p>


2021 ◽  
Author(s):  
◽  
Kimberley Jane Stephenson

<p>Before 1940, few of the nation’s museums actively collected or displayed artefacts associated with the history of European settlement in New Zealand. Over the following three decades, an interest in ‘colonial history’ blossomed and collections grew rapidly. Faced with the challenge of displaying material associated with the homes of early settlers, museums adopted the period room as a strategy of display. The period room subsequently remained popular with museum professionals until the 1980s, when the type of history that it had traditionally been used to represent was increasingly brought into question. Filling a gap in the literature that surrounds museums and their practices in New Zealand, this thesis attempts to chart the meteoric rise and fall of the period room in New Zealand. Taking the two period rooms that were created for the New Zealand Centennial Exhibition in 1939 as its starting point, the thesis begins by considering the role that the centennials, jubilees and other milestones celebrated around New Zealand in the 1940s and 1950s played in the development of period rooms in this country, unpacking the factors that fuelled the popularity of this display mode among exhibition organisers and museum professionals. The thesis then charts the history of the period room in the context of three metropolitan museums – the Otago Early Settlers Museum, the Canterbury Museum, and the Dominion Museum – looking at the physical changes that were made to these displays over time, the attitudes that informed these changes, and the role that period rooms play in these institutions today.</p>


2021 ◽  
Vol 70 (4) ◽  
pp. 345-370
Author(s):  
Helio G. Rocha Neto ◽  
Cátia Maria Mathias ◽  
Antonio Egidio Nardi ◽  
Marleide Mota Gomes ◽  
Maria Tavares Cavalcanti

ABSTRACT Objective: To describe the history of creation, development, and topics covered by the Study Center of the Institute of Psychiatry of the Federal University of Rio de Janeiro (CE – IPUB/UFRJ) over its 70 years. Methods: Research in newspapers of the Hemeroteca Brasileira Digital, internal documents of IPUB/UFRJ, and interviews with eyewitnesses of the functioning of the CE. Results: The Study Center has been operating on an uninterrupted basis for 70 years, every week. 472 events have been identified since the founding of the CE, but numerous other meetings have taken place. The findings were described in three major groups: 1. Academic meetings in the first half of the 20th century and insertion of the CE in the history of IPUB; 2. Topics discussed and presentations; 3. Changes in periodicity and format. Conclusions: The CE produces cultural and scientific dissemination continuously since its foundation. The type and format of events have changed over time, adapting to the needs of their community, but always serving as an important beacon for the training of specialists in mental health, dissemination of research, and tendencies about psychiatry worldwide, Latin America, and Brazil.


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