Twice-Cursed?

1987 ◽  
Vol 14 (3) ◽  
pp. 251-267 ◽  
Author(s):  
ELLEN HOCHSTEDLER

A comparison of individual-level data on 379 cases involving mentally disordered defendants with aggregate data on criminal sanctions for all defendants in a single jurisdiction provides the basis for a tentative conclusion that mentally disordered defendants may well be “twice-cursed.” The research findings indicate that compared to the general population of defendenats, mentally disordered defendants receive more severe criminal sanctions, and are often subjected to both punishment and mental health treatment ordered on the authority of the criminal court.

Author(s):  
Matthew McKillop ◽  
John Dawson ◽  
George Szmukler

<p>In England and Wales, there are now two regimes under which an adult can be deprived of liberty when receiving mental health treatment: the regime established by the Mental Health Act 1983 (MHA), and the Deprivation of Liberty Safeguards (DOLS) authorisation regime established by the Mental Capacity Act 2005 (MCA). Where both regimes might apply to a mentally disordered person in hospital for mental health treatment, a major dividing line between them is the ability of the patient to “object” to being a mental health patient or to being given mental health treatment. If such an objection occurs, a hospitalised patient is ineligible for the DOLS regime and only the MHA regime may be used to authorise the deprivation of their liberty.</p>


Author(s):  
Stephan L. Buckingham ◽  
Wilfred G. Van Gorp

HIV-associated dementia is the most common neuropsychiatric problem found among persons infected with HIV. The authors review the research findings on HIV-associated dementia and discuss the pattern of cognitive changes characteristic of this disorder. An overview of the various organic mental disorders found in HIV-infected individuals and how they can be detected and differentiated from other neuropsychiatric illnesses, specifically HIV-associated dementia, is provided. This article provides the clinician with information necessary to detect HIV-associated dementia early, make a correct differential diagnosis, and provide the most effective mental health treatment services for this patient population.


2017 ◽  
Author(s):  
S. Michael Gaddis ◽  
Daniel Ramirez ◽  
Erik Hernandez

Scholars suggest that public mental health stigma operates at a meso-level and is associated with severity of symptoms, disclosure, self-esteem, and treatment-seeking behavior. However, the operationalization of public stigma nearly always comes from an individual-level generalization of what others believe. Using data from over 60,000 students on 75 U.S. college and university campuses between 2009-2015, we contextualize public stigma by creating a school-level measure of students’ individual-level endorsed mental health treatment stigma. We present multilevel logistic regression models for 21 different dependent variables. We find that even after controlling for individual-level stigma scores, school-level stigma is negatively associated with self-reports of suicidal ideation and self-injury, although not associated with screens for depression or anxiety. Moreover, school-level stigma is negatively associated with medication use, counseling and therapy visits, and to a lesser degree, informal support. We suggest that future research should continue to examine the contextual environment of public stigma, while policymakers may be able to implement changes to significantly reduce stigma at this level.


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