How Parentally Abducted Children Fare: An Interim Report on Families who Recover Their Children

1993 ◽  
Vol 21 (3) ◽  
pp. 373-383 ◽  
Author(s):  
Rebecca L. Hegar ◽  
Geoffrey L. Greif
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Child Support ◽  
Interim Report ◽  
Legal Problem ◽  
Children's Adjustment ◽  
Children’S Adjustment ◽  
Parental Abduction

Parental abduction of children is a little-studied psychiatric and legal problem. Interviews were conducted with 69 parents whose children had been abducted and recovered, part of a larger group who responded to a written survey in 1989. Comparison of survey and follow up interview responses revealed a process of normalizing relationships with the abducting parent. At follow up, more cases showed a pattern that involved visits between the child and the former abductor, payment of child support, and decreased fear of another abduction. In 12 cases the child was living with the former abducting parent at follow up. Seventy-nine percent of the children had received mental health care since the abduction. Large proportions of the parents reported satisfaction with their children's adjustment in four areas of functioning.

scholarly journals Community mental health care after self-harm: A retrospective cohort study

2016 ◽  
Vol 51 (7) ◽  
pp. 727-735 ◽  
Author(s):  
Matthew J Spittal ◽  
Fiona Shand ◽  
Helen Christensen ◽  
Lisa Brophy ◽  
Jane Pirkis
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Community Mental Health ◽  
Health Services ◽  
Mental Health Care ◽  
Psychiatric Inpatient ◽  
Community Mental Health Services ◽  
Community Mental Health Care ◽  
Self Harm

Objective: Presentation to hospital after self-harm is an opportunity to treat underlying mental health problems. We aimed to describe the pattern of mental health contacts following hospital admission focusing on those with and without recent contact with community mental health services (connected and unconnected patients). Methods: We undertook a data linkage study of all individuals admitted as a general or psychiatric inpatient to hospital after self-harm in New South Wales, Australia, between 2005 and 2011. We identified the proportion of admissions where the patient received subsequent in-person community mental health care within 30 days of discharge and the factors associated with receipt of that care. Results: A total of 42,353 individuals were admitted to hospital for self-harm. In 41% of admissions, the patient had contact with a community mental health service after discharge. Patients connected with community mental health services had 5.33 (95% confidence interval = [5.09, 5.59]) times higher odds of follow-up care than unconnected patients. Other factors, such as increasing age and treatment as a psychiatric inpatient, were associated with lower odds of follow-up community care. Conclusion: Our study suggests that full advantage is not being taken of the opportunity to provide comprehensive mental health care for people who self-harm once they have been discharged from the inpatient setting. This is particularly the case for those who have not previously received community mental health care. There appears to be scope for system-level improvement in the way in which those who are treated for self-harm are followed up in the community.

Effectiveness of Prompt Mental Health Care: Preliminary results from a randomized controlled trial

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
M Knapstad ◽  
L V Lervik ◽  
S M M Saether ◽  
L E Aaroe ◽  
O R F Smith
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Randomized Controlled Trial ◽  
Mental Health Care ◽  
Controlled Trial ◽  
Sensitivity Analyses ◽  
Depression And Anxiety ◽  
Symptoms Of Depression ◽  
Randomized Controlled

Abstract Background Prompt Mental Health Care (PMHC) service is a Norwegian initiative, adapted from the English ‘Improved Access to Psychological Therapy’ (IAPT), aimed at improving access to primary care treatment for anxiety and depression. Thus far, both PMHC and IAPT have been evaluated by cohort studies only. Albeit yielding promising results, the extent to which these are attributable to the treatment thus remains unsettled. This study investigates the effectiveness of PMHC compared to treatment as usual (TAU) at six months follow-up. Methods Randomized controlled trial with parallel assignment in two PMHC sites from November 2015 to March 2018. Participants were 681 adults (aged ≥18 years) considered for admission to PMHC due to anxiety and/or mild to moderate depression. These were randomly assigned on a 70:30 ratio. Main outcomes were recovery rates and changes in symptoms of depression and anxiety between baseline and follow-up. Primary outcome data were available for 73%/67% in the PMHC/TAU group. Sensitivity analyses based on observed patterns of missingness were conducted. Results A reliable recovery rate of 58.5% was observed in the PMHC group and 31.9% in the TAU group, yielding a between-group effect size (ES) of 0.61 [95% CI 0.37-0.85, p<.001]. The differences in degree of improvement between PMHC and TAU yielded an ES of -0.88 [95% CI -1.23-0.43, p < 0.001] for symptoms of depression and -0.60 [95% CI -0.90-0.30, p < 0.001] for symptoms of anxiety in favour of PMHC. All sensitivity analyses pointed in the same direction with small variations in point estimates. Findings were slightly more robust for depressive than anxiety symptoms. Conclusions The PMHC treatment was substantially more effective than TAU in alleviating symptoms of anxiety and depression. This adaptation of IAPT is considered a viable supplement to existing health services to increase access of effective treatment for adults who suffer from anxiety and mild to moderate depression. Key messages This study is the first to evaluate the effectiveness of an IAPT-like treatment model in terms of a randomized controlled trial. Prompt Mental Health Care was substantially more effective than TAU in alleviating symptoms of depression and anxiety at 6-months follow-up.

Outcome of patients dropping out from community-based mental health care: a 6-year multiwave follow-up study

2007 ◽  
Vol 116 (s437) ◽  
pp. 42-52 ◽  
Author(s):  
M. Ruggeri ◽  
G. Salvi ◽  
C. Bonetto ◽  
A. Lasalvia ◽  
L. Allevi ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Dropping Out ◽  
Community Based ◽  
Follow Up Study

scholarly journals Étude de relance auprès des détenus fédéraux traités en milieu psychiatrique : description des antécédents, du séjour, des rechutes et des récidives

Criminologie ◽  
2005 ◽  
Vol 21 (2) ◽  
pp. 27-61 ◽  
Author(s):  
Sheilagh Hodgins ◽  
Mireille Cyr ◽  
Jean Paquet ◽  
Pierre Lamy
Keyword(s):  
Mental Health ◽  
Health Care ◽  
General Population ◽  
Mental Health Care ◽  
Criminal Recidivism ◽  
Severe Mental Disorders ◽  
Maximum Security ◽  
Penal Institutions ◽  
The Impact

While severe mental disorders have consistently been shown to be more prevalent among inmates of penal institutions than among the general population, the provision of mental health within jails, prisons and penitentiaries has always been, and continues to be, problematic. The present investigation was designed to examine the impact on patients of one organizational model of mental health care for penitentiary inmates. Ninety-nine men who were transferred from a penitentiary to a maximum security hospital for varying periods of time were followed for three years after discharge. Relapse and criminal recidivism were documented from official files. Interviews were conducted at the end of the follow-up period in order to examine subject's level of social functionning and mental state. Specific conclusions are drawn about the way in which mental health care was provided and the benefit which accrued to the patients.

Impact of socioeconomic position and distance on mental health care utilization by incident users of antidepressants. A Danish nationwide follow-up study

2017 ◽  
Vol 41 (S1) ◽  
pp. S341-S341
Author(s):  
A. Packness ◽  
F. Waldorff ◽  
L. Hastrup ◽  
E. Simonsen ◽  
M. Vestergaard ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Health Care Utilization ◽  
Mental Health Care ◽  
Psychiatric Services ◽  
Equal Access ◽  
Care Utilization ◽  
Follow Up Study ◽  
Mental Health Care Utilization

IntroductionEqual access to health care treatment is a highly prioritized goal in most OECD countries. Timely access has become a priority too; in Denmark now with a 4-week deadline from referral to diagnosis. When mental health services become more centralized and allocation of patients to treatment further away from home become more common, it could have a negative impact on the goal of equal access.ObjectiveTo determine the impact of socioeconomic position (SEP) and distance to provider on outpatient mental health care utilization among incident users of antidepressants.MethodA nationwide, Danish, register based, follow-up study on frequencies of contacts to out-patient psychiatric services, psychologist consultations supported by public funding and therapeutic talks by general practice.Preliminary resultsOutpatient-psychiatric services were reached more often by patients in low SEP measured by income, but their frequencies of visits were less. Contacts to psychologists were less than half for patients in low SEP and less frequent too. Mental health service by GP showed low SEP associated with low contact. No difference in use of emergency or inpatient psychiatric services was found. Distance to provider showed interaction with SEP and contact to psychologist and frequencies of contact to outpatient psychiatrists. When distance increased by 5 km, contact to psychologist fell by 11% among lowest income group and frequencies of visits to outpatient psychiatrist fell by 5%.Preliminary conclusionLower SEP is associated with lower mental health care utilization. Increased distance to provider increases inequity in mental health service utilization.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Tertiary Prevention in Mental Health Care: Effects of Group Meetings for Family Caregivers

1995 ◽  
Vol 29 (1) ◽  
pp. 139-145 ◽  
Author(s):  
Helen R. Winefield ◽  
Eileen J. Harvey
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Family Caregivers ◽  
Statistical Power ◽  
Peer Group ◽  
Chronic Schizophrenia ◽  
The Family ◽  
Preventive Mental Health

Several series of discussion groups were conducted for people caring for relatives who suffer from chronic schizophrenia. Groups aimed to provide information from both experts and fellow caregivers about the illness and about coping techniques, and to foster emotional support within the peer group. Owing to the small number of subjects, statistical power was inadequate to test effects quantitatively; however the responses of the family caregivers to structured follow-up questions indicated many gains from group attendance. Attendance and participation rates were high once subjects were engaged; positive outcomes were reported by the carers, and they actively sought feedback of their dissatisfactions with mental health services to the relevant decision-makers. The results are relevant both in the area of preventive mental health care for carers, and in promoting collaboration between carers and professionals.

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