Alcohol misuse: screening and treatment in primary dental care

2012 ◽  
Vol 3 (2) ◽  
pp. 72-77 ◽  
Author(s):  
Zairah Roked ◽  
Simon Moore ◽  
Jonathan Shepherd

Unlike primary medical care, primary dental care services are used by patients on a regular, prevention-orientated basis. This provides the primary dental healthcare team with unique opportunities to intervene, particularly as asking patients about their levels of alcohol consumption is a routine component of medical history taking. Effective treatment options include motivational advice, information leaflets and, when necessary, referral to specialist mental health professionals in consultation with the patient’s medical practitioner.

2011 ◽  
Vol 20 (2) ◽  
pp. 163-169 ◽  
Author(s):  
A. Holzinger ◽  
H. Matschinger ◽  
M.C. Angermeyer

Aims.Several population studies on beliefs about depression carried out in western countries during the 1990s have shown that the public clearly favors psychotherapy over antidepressant medication. The present study examines whether this phenomenon still exists at the end of the first decade of the twenty-first century.Materials and Methods.In 2009, a telephone survey was conducted among the population of Vienna aged 16 years and older (n = 1205). A fully structured interview was administered which began with the presentation of a vignette depicting a case of depression fulfilling the diagnostic criteria of DSM-IV for a moderate depressive episode.Results.Psychotherapists were most frequently endorsed as source of professional help. Antidepressant medication still was more frequently advised against than recommended. Respondents familiar with the treatment of depression tended to be more ready to recommend to seek help from mental health professionals and to endorse various treatment options, particularly medication.Conclusion.At the end of the first decade of this century, there still exists a large gap between the public's beliefs and what mental health professionals consider appropriate for the treatment of depression. Therefore, further effort to improve the public's mental health literacy seems necessary.


2007 ◽  
Vol 41 (10) ◽  
pp. 830-835 ◽  
Author(s):  
Dan I. Lubman ◽  
Leanne Hides ◽  
Anthony F. Jorm ◽  
Amy J. Morgan

Objective: To examine whether health professionals who commonly deal with mental disorder are able to identify co-occurring alcohol misuse in young people presenting with depression. Method: Between September 2006 and January 2007, a survey examining beliefs regarding appropriate interventions for mental disorder in youth was sent to 1710 psychiatrists, 2000 general practitioners (GPs), 1628 mental health nurses, and 2000 psychologists in Australia. Participants within each professional group were randomly given one of four vignettes describing a young person with a DSM-IV mental disorder. Herein is reported data from the depression and depression with alcohol misuse vignettes. Results: A total of 305 psychiatrists, 258 GPs, 292 mental health nurses and 375 psychologists completed one of the depression vignettes. A diagnosis of mood disorder was identified by at least 83.8% of professionals, with no significant differences noted between professional groups. Rates of reported co-occurring substance use disorders were substantially lower, particularly among older professionals and psychologists. Conclusions: GPs, psychologists and mental health professionals do not readily identify co-occurring alcohol misuse in young people with depression. Given the substantially negative impact of co-occurring disorders, it is imperative that health-care professionals are appropriately trained to detect such disorders promptly, to ensure young people have access to effective, early intervention.


2019 ◽  
Vol 18 (6) ◽  
pp. 452-467 ◽  
Author(s):  
Stephen T. Fife ◽  
Lindsey G. Hawkins

Children who experience enuresis and encopresis can face many difficulties, including social isolation, shame, embarrassment, anxiety, and depression. Due to the prevalence of enuresis and encopresis, it is essential for mental health professionals to understand the common symptoms and available treatment options for enuresis and encopresis, particularly to assist parents struggling to help their children overcome these challenges. Despite this need, there is very little clinical literature that incorporates a systemic approach for families who have a child diagnosed with enuresis and encopresis. Furthermore, common treatment approaches may unwittingly reinforce children’s perception that these problems are rooted in their identity. In an effort to address these concerns, the present case study aims to illustrate how a narrative therapy approach was utilized to effectively treat a child with enuresis and encopresis. Narrative therapy can uniquely assist children and their parents by helping them externalize the problem, overcome the problem-saturated view of their lives, and create new experiences where the problem is nonexistent.


Author(s):  
Michael F. Shaughnessy ◽  
Mark Williams II ◽  
Carl Michael Carlson ◽  
Chia Jung Yeh

Research studies show that conduct disorder is a disruptive behavior disorder that might cause children to experience some challenges within their personal and social life. Very often children with this disorder might be feeling failure at school and exclusion from their peers and others. It might also affect their home, social, and school environments. These students with this disorder might present management and therapeutic challenges for counselors, psychologists, and mental health professionals. This chapter aims to provide an overview of conduct disorder, which might help school rehabilitation professionals and educators understand what risk factors, symptoms, diagnosis criteria, and treatment options can better understand this disorder, preventions, and interventions. This chapter will cursorily explore these realms with an overview of this disorder and offer some implementations and recommendations for school rehabilitation professionals.


1995 ◽  
Vol 19 (1) ◽  
pp. 24-27 ◽  
Author(s):  
Alan Lillywhite ◽  
Neil Morgan ◽  
Elizabeth Walter

As mental health care services move increasingly into the community with staff working in more isolated settings, violence against staff is becoming an increasing health and safety issue. Education and training of staff to cope with potentially violent situations is a priority, equally important is the design and physical layout of the room in which potentially violent patients are seen. This audit looked at the safety features present in consulting rooms used daily, for interviewing patients, by mental health professionals. The study identified rooms which were judged unsuitable for interviewing potentially aggressive patients in, and as a result, several recommendations for safety improvements to these rooms were made.


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