Motivational Interviewing: Enhancing Engagement in Treatment for Mental Health Problems

2002 ◽  
Vol 19 (3) ◽  
pp. 138-145 ◽  
Author(s):  
Amanda Baker ◽  
John Hambridge
Keyword(s):  
Mental Health ◽  
Substance Use ◽  
Motivational Interviewing ◽  
Mental Health Professionals ◽  
Mental Health Problems ◽  
Treatment Engagement ◽  
Health Problems ◽  
Substance Use Services ◽  
Drug Problems ◽  
Engagement In Treatment

AbstractMotivational interviewing has been employed extensively and successfully among people with alcohol and other drug problems in order to enhance involvement in treatment and to reduce substance use. Despite clear commonalities in motivating people with mental health problems to recognise their problem and adhere to treatment, motivational interviewing has not been widely adopted by mental health professionals, largely due to the separation of mental health versus substance use services. The existing evidence for the effectiveness of motivational interviewing in improving engagement in treatment for mental health problems is reviewed. It is recommended that, based on the evidence available, motivational interviewing should be applied to people with mental health problems as well as those with substance-related problems to enhance treatment engagement, retention and response. Guidelines for its application are suggested.

scholarly journals A Cognitive Development Chart for School-age Children and Adolescents

2019 ◽  
Author(s):  
André R. Simioni ◽  
Daniel S. Pine ◽  
João R. Sato ◽  
Pedro M. Pan ◽  
Rochele Paz Fonseca ◽  
...  
Keyword(s):  
Mental Health ◽  
Substance Use ◽  
Cognitive Development ◽  
High Risk ◽  
Children And Adolescents ◽  
Mental Health Professionals ◽  
Mental Health Problems ◽  
Health Problems ◽  
Predictive Utility

ABSTRACTObjectiveTo evaluate the reliability and predictive utility of a time-efficient cognitive development chart that seeks to identify children and adolescents with high-risk for multiple outcomes such as mental health problems, substance use, and educational difficulties.MethodWe analyzed data from the Brazilian High-Risk Cohort for Psychiatric Disorders (HRC), a longitudinal school-based study conducted from 2010-2011 to 2013-2014. Participants were 2,239 children and adolescents, 6 to 17 years of age, who completed the cognitive assessment at baseline. The task used to track cognitive development was the Two Choice Reaction Time task (<3 minutes of duration, computer-based), which assesses the accuracy and speed of perceptual decision-making. Mental health, substance use, and educational outcomes were assessed by validated standardized methods. Key variables were measured at baseline and 3-year follow-up. The predictive utility was assessed using static (deviations from the age-expected performance at baseline) and dynamic (deviations from the age-expected change in performance over time) indicators.ResultsThe reliability of the task parameter was high (intra-class correlation coefficient = 0.8). Static indicators of cognitive development significantly predicted concurrent mental, intellectual and educational difficulties, as well as incident and persistent educational difficulties and substance use in the 3-year follow-up. Dynamic indicators predicted persistent mental health problems.ConclusionPrimary-care and mental health professionals need a time-efficient tool for tracking deviations from age-expected cognitive development, which predicts multiple unwanted outcomes at the same time. If replicated, future results could support the generation of tools for tracking risk for mental health, substance use, and educational difficulties.

scholarly journals Mental health problems, benefits and tackling discrimination

2018 ◽  
Vol 42 (5) ◽  
pp. 200-205 ◽  
Author(s):  
Alexander Galloway ◽  
Billy Boland ◽  
Gareth Williams
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Clinical Evidence ◽  
Mental Health Problems ◽  
Mental Health Policy ◽  
Health Problems ◽  
Advisory Board ◽  
Policy Institute

SummaryPoverty is strongly associated with mental illness. Access to state benefits can be a lifeline for people with mental health problems in times of hardship and can assist them on their journey of recovery. However, benefit application processes can discriminate against those with mental illness and can result in individuals unjustly missing out on support. Clinical evidence from mental health professionals can ameliorate these challenges and ensure that people get access to financial help.Declaration of interestDr Billy Boland is on the advisory board of the Money and Mental Health Policy Institute.

scholarly journals High HIV/STI Test Acceptance Through a Behavioral Health Encounter in Latino Immigrants with Substance Use and Mental Health Problems

2019 ◽  
Vol 23 (4) ◽  
pp. 835-846
Author(s):  
Julie H. Levison ◽  
Margarita Alegría ◽  
Ye Wang ◽  
Sheri L. Markle ◽  
Larmiar Fuentes ◽  
...  
Keyword(s):  
Mental Health ◽  
Substance Use ◽  
Behavioral Health ◽  
Mental Health Problems ◽  
Health Problems ◽  
Latino Immigrants

Do Prostitution and Social Vulnerability Go Hand in Hand? Examining the Association Between Social Background and Prostitution Using Register Data

2020 ◽  
pp. 136078042096598
Author(s):  
Theresa Dyrvig Henriksen
Keyword(s):  
Mental Health ◽  
Social Vulnerability ◽  
Mental Health Problems ◽  
Strong Association ◽  
Social Background ◽  
Health Problems ◽  
Register Data ◽  
Childhood Environment ◽  
The Social ◽  
Drug Problems

This article provides new knowledge on the social background of women involved in indoor prostitution by integrating a novel data source in terms of administrative register data. Questions concerning dynamics of entry and whether sex-sellers have a more socially marginalised position than others have long been debated in research. Based on register data on 1128 female sex-sellers, the article takes an important step towards answering such questions by analysing and comparing the social background of sex-sellers and of a matched sample of Danish women (n = 73,320). The study includes descriptive insights into a number of indicators, including demographics, out-of-home placement, mental health problems, drug problems, incarceration, educational attainment and labour market attachment. Multivariate regression models are used to examine potential predictors of involvement in prostitution. The findings show that indoor sex-sellers often come from a socially marginalised background and experience multiple social vulnerabilities in both childhood and adulthood. Furthermore, the study shows strong associations between indicators of social vulnerability and selling sex. Especially indicators of an unstable childhood environment (e.g. out-of-home placements and mothers’ incarceration) and indicators of social marginalisation in adulthood (e.g. incarceration and mental health problems) have proven to have a strong association with involvement in prostitution as an adult.

Mental Health Problems following the 2005 Earthquake in Kashmir: Findings of Community-Run Clinics

2007 ◽  
Vol 22 (6) ◽  
pp. 541-545 ◽  
Author(s):  
Rakesh Kumar Chadda ◽  
Anil Malhotra ◽  
Nanaji Kaw ◽  
Jaspreet Singh ◽  
Hem Sethi
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Mental Health Problems ◽  
Psychiatric Morbidity ◽  
Health Problems ◽  
Stress Disorders ◽  
Adjustment Disorders ◽  
Stress Reactions ◽  
Physical Injuries ◽  
Common Mental Health Problems

AbstractIntroduction:Events such as earthquakes are followed by significant psychiatric morbidity due to the enormous damage caused to life, health, property, and other resources in the affected area. In October 2005, a devastating earthquake occurred in Kashmir in India. A team of mental health professionals visited the earthquake stricken area to provide mental health services five weeks after of the event.Methods:The team conducted clinics at >30 sites in different villages in the area. This paper describes the mental health problems encountered in those communities.Results:All patients seen in the clinics had their houses destroyed by the earthquake.Nearly one-fourth had suffered serious physical injuries and 12% had lost one of their family members. Common psychiatric diagnoses included adjustment disorders (39.6%), depressive episode (22.6%), and other stress disorders (21.8 %). Only 10 (3.3%) patients were found to suffer from posttraumatic stress disorder (PTSD), though PTSD-like symptoms were reported by more than two-thirds of the patients.Conclusions:Adjustment disorders, depression, other stress reactions, and PTSD-like symptoms were the common mental health problems five to six weeks following an earthquake.

scholarly journals Severe and enduring mental health problems within an established substance misuse treatment partnership

2014 ◽  
Vol 38 (5) ◽  
pp. 216-219 ◽  
Author(s):  
Kathryn Walsh ◽  
Alex Copello
Keyword(s):  
Mental Health ◽  
Substance Use ◽  
Suicide Risk ◽  
Substance Misuse ◽  
Mental Health Problems ◽  
Health Problems ◽  
Clinical Implications ◽  
The Past ◽  
Self Harm ◽  
Effective Service

Aims and methodThe study reports findings of an investigation into the presence of severe and enduring mental health problems within the four statutory and non-statutory teams of an established substance misuse treatment partnership.ResultsOf a total of 772 clients in the four teams surveyed, 69 (8.9%) were identified as having severe and enduring mental health problems and problem substance use in the past 12 months. Alcohol was the most prevalent substance used by this predominantly male group. Different rates were found across the four teams, with higher numbers in the non-statutory teams. The clients displayed significant levels of self-harm and suicide risk and were responsible for 131 acute service contacts over the past 12 months.Clinical implicationsClients with severe and enduring mental health problems engaged with substance misuse services display high levels of complex need. It is important to identify the best and most effective service response to this group.

scholarly journals Violent offenses associated with co-occurring substance use and mental health problems: Evidence from CJDATS

2009 ◽  
Vol 27 (1) ◽  
pp. 51-69 ◽  
Author(s):  
Stanley Sacks ◽  
Charles M. Cleland ◽  
Gerald Melnick ◽  
Patrick M. Flynn ◽  
Kevin Knight ◽  
...  
Keyword(s):  
Mental Health ◽  
Substance Use ◽  
Mental Health Problems ◽  
Health Problems ◽  
Violent Offenses
Sign in / Sign up

Export Citation Format

Share Document