scholarly journals Use of androgenic anabolic steroids by patients under treatment for substance use disorder: case series

2017 ◽  
Vol 66 (2) ◽  
pp. 120-123 ◽  
Author(s):  
Julio Mario Xerfan do Amaral ◽  
Marcelo Santos Cruz
Keyword(s):  
Mental Health ◽  
Substance Use ◽  
Case Studies ◽  
Substance Use Disorder ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Anabolic Steroids ◽  
Case Series ◽  
Structured Interview ◽  
Androgenic Anabolic Steroids

ABSTRACT The present study reports several case studies about the use of androgenic-anabolic steroids (AAS) by patients under treatment for substance use disorder (SUD). Ten subjects were interviewed, two women and eight men, ranging from 25 to 43 years old. Regarding treatment regime, eight subjects were inpatients and two, outpatients. ASSIST-WHO and MINI-SUD scales and a semi-structured interview were used as research instruments. Seven subjects reported the use of AAS within fewer than twelve months from the interview date. Mental health professionals did not previously question none of the subjects were about the use of AAS. We discuss the efficacy of the chosen instruments to assess AAS use.

Ratings of an Interview Outline for Evaluation of Disruptive Adolescents

1993 ◽  
Vol 72 (1) ◽  
pp. 146-146
Author(s):  
Garry McGiboney ◽  
Clifford Carter
Keyword(s):  
Mental Health ◽  
Graduate Students ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Structured Interview

Assessment by 13 mental health professionals and 25 graduate students in psychology suggested that a brief, carefully developed structured interview outline for intrapsychic information is judged useful in assessment of disruptive adolescents.

Review and Document the Process

2021 ◽  
pp. 170-191
Author(s):  
James C. Raines ◽  
Nic T. Dibble
Keyword(s):  
Mental Health ◽  
Decision Making ◽  
Case Studies ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Ethical Decision ◽  
Ethical Decision Making ◽  
Decision Making Process ◽  
Iatrogenic Effects

After reviewing and documenting the process, this chapter argues that it is unethical to stop the ethical decision-making process with implementation. The chapter recommends monitoring and evaluating the consequences of the ethical decision by engaging in post-decision activities. It uses two case studies where well-meaning mental health professionals inadvertently created iatrogenic effects for their clients. It details what went wrong in each case and how outcomes might have been improved. In these situations, mental health professionals are strongly encouraged to re-engage the ethical decision-making process on behalf of their clients, including apologizing for missteps previously made.

What to do about depression? Help-seeking and treatment recommendations of the public

2011 ◽  
Vol 20 (2) ◽  
pp. 163-169 ◽  
Author(s):  
A. Holzinger ◽  
H. Matschinger ◽  
M.C. Angermeyer
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Help Seeking ◽  
Treatment Options ◽  
Antidepressant Medication ◽  
Structured Interview ◽  
First Century ◽  
The Public ◽  
Treatment Of Depression

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.

Sexual Abuse of Children and Adults With Intellectual Disabilities

2019 ◽  
pp. 578-587
Author(s):  
Sanjeev Kumar Gupta
Keyword(s):  
Mental Health ◽  
Sexual Abuse ◽  
Intellectual Disabilities ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Negative Impact ◽  
Case Series ◽  
Intervention Strategies ◽  
Adults With Intellectual Disabilities ◽  
The Individual

This chapter describes the incidence of sexual abuse is often reported in children and adults, but these incidences are not uncommon in the individual with intellectual disabilities (IDs). This heinous behavior carries a negative impact not only on the individual but also on their family. The purpose of the chapter is threefold, first is to present a brief review of the available literature on sexual abuse in children and adults with IDs, second is to discuss preventive, supportive and intervention strategies for clinical practice and third is to report a case series, where five cases are described. The intent is to provide mental health professionals and clinicians' information about consequences of sexual abuse and strategies for prevention and intervention. These strategies have clinical utility and can be incorporated while dealing individual with IDs and their parents or caregivers.

scholarly journals Novel psychoactive substance use by mental health service consumers: an online survey of inpatient health professionals’ views and experiences

2018 ◽  
Vol 11 (1) ◽  
pp. 30-39 ◽  
Author(s):  
Elizabeth Hughes ◽  
Dan Bressington ◽  
Kathryn Sharratt ◽  
Richard Gray
Keyword(s):  
Mental Health ◽  
Substance Use ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Online Survey ◽  
Health Staff ◽  
Content Type ◽  
Inpatient Mental Health ◽  
Mental Health Settings ◽  
The Impact

Purpose There is evidence that novel psychoactive substances (NPS) are commonly used by people with severe mental illness. The purpose of this paper is to undertake a scoping survey to explore the inpatient mental health workers’ perceptions of NPS use by consumers. Design/methodology/approach A cross-sectional online survey of mental health professionals is used in the study. The participants were opportunistically recruited through social media and professional networks. Findings A total of 98 participants (of 175 who started the survey) were included in the analysis. All reported that some patients had used NPS prior to admission. Over 90 per cent of participants reported observing at least one adverse event relating to NPS use in the previous month. The majority of participants reported that patients had used NPS during their inpatient admission. Three quarters were not clear if their workplace had a policy about NPS. Most wanted access to specific NPS information and training. The participants reported that they lacked the necessary knowledge and skills to manage NPS use in the patients they worked with. Research limitations/implications Whilst the authors are cautious about the generalisability (due to methodological limitations), the findings provide useful insight into the perceptions of inpatient staff regarding the extent and impact of NPS use including concerns regarding the impact on mental and physical health, as well as ease of availability and a need for specific training and guidance. Practical implications Mental health professionals require access to reliable and up-to-date information on changing trends in substance use. Local policies need to include guidance on the safe clinical management of substance use and ensure that NPS information is included. Originality/value To the best of the authors’ knowledge, this is the first survey of the perceptions of mental health staff working in inpatient mental health settings regarding NPS. The findings suggest that NPS is a common phenomenon in inpatient mental health settings, and there is a need for more research on the impact of NPS on people with mental health problems.

An Interview Outline for the Evaluation of Disruptive Adolescents

1987 ◽  
Vol 60 (3_part_2) ◽  
pp. 1157-1158
Author(s):  
Garry Mc Giboney ◽  
Clifford Carter
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Structured Interview

A 71-item structured interview was developed as the result of a survey of 100 mental health professionals.

scholarly journals How Did The First COVID-19 Lockdown Affect Persons With Concurrent Mental Health and Substance Use Disorders in Norway? A Qualitative Study

2021 ◽  
Author(s):  
Marja Leonhardt ◽  
Morten Brodahl ◽  
Nicola Cogan ◽  
Lars Lien
Keyword(s):  
Mental Health ◽  
Substance Use ◽  
Qualitative Study ◽  
Everyday Life ◽  
Substance Use Disorders ◽  
Substance Use Disorder ◽  
Social Life ◽  
Well Being ◽  
Structured Interview ◽  
The Everyday

Abstract Background: The outbreak of COVID-19 with its severe social restrictions touched the daily life of most people. While everyday social life becomes difficult for citizens with economic and cultural capital, it becomes even worse for vulnerable groups such as persons with mental health and substance use disorders, who are particularly vulnerable to social exclusion. The aim of this study is to investigate how the first COVID-19 lockdown affected the everyday life and health of persons with co-occurring mental health and substance use disorders.Methods: This qualitative study reports data from 17 individual interviews and one focus group of five participants, all with a self-reported mental health and substance use disorder. Interviews were conducted based on a semi-structured interview guide in September and October 2020 in a medium-sized local authority in Norway. Data were analysed using thematic analysis. A reference group of people with varied knowledge and experiences of the phenomenon were involved in study design, recruitment, data generation and analysis.Results: The analysis identified four interrelated main themes, describing how the first lockdown affected the everyday life and health of persons suffering from a mental health and substance use disorder: 1) The COVID-19 outbreak as a perceived challenge, 2) A decline in mental health and well-being, 3) Increased substance use challenges, and 4) Diverse experiences with health and social services. The results show that people with a co-occurring disorder have challenges with digital tools and/or do not have the appropriate equipment. Further, participants were not concerned about becoming infected themselves, but infecting others.Conclusion:Persons with a mental health and substance use disorder face major challenges during the COVID-19 pandemic. There is a need to maintain continuous low-threshold services especially directed towards persons with co-occurring disorders during the pandemic. Furthermore, it is important to improve the digital skills of every service user or offer alternatives to digital consultations and meetings.

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