Assessment and Treatment of Older People with Depression in a Secondary Mental Health Trust

2012 ◽  
Vol 7 (3) ◽  
pp. 207-211
Author(s):  
Stephen Curran ◽  
Rebecca Spencer ◽  
Sonja Kruger ◽  
Andrew Byrne ◽  
Vijayalakshmi Saravanan ◽  
...  
Keyword(s):  
Mental Health ◽  
Older People ◽  
Assessment And Treatment ◽  
Health Trust

scholarly journals Bournewood: Law and capacity

1999 ◽  
Vol 23 (3) ◽  
pp. 177-177 ◽  
Author(s):  
M. Devakumar
Keyword(s):  
Mental Health ◽  
Community Mental Health ◽  
Mental Disorder ◽  
Common Law ◽  
Appeal Court ◽  
Assessment And Treatment ◽  
The Common ◽  
The Law ◽  
The Right ◽  
Health Trust

The Law Lords in June 1998 overturned the judgement in the matter of L. v. Bournewood. The Law Lords, on a majority decision, were of the opinion that a compliant incapacitated patient such as L. does not need the formal powers of the Mental Health Act and admission to hospital and subsequent assessment and treatment for mental disorder can be based on the common law principles of necessity. However, this position is quite contrary to the Appeal Court judges' view, “The right of a hospital to detain a patient for treatment for mental disorder is to be found in, and only in, the 1983 Act, whose provisions apply to the exclusion of the common law principle of necessity” (L. v. Bournewood Community Mental Health Trust, 1997).

Mental Health of Older People

1992 ◽  
Vol 37 (1) ◽  
pp. 53-54
Author(s):  
Steven H. Zarit
Keyword(s):  
Mental Health ◽  
Older People

Transitioning towards official clinical guidelines for the diagnostics and treatment of severe behavioural problems in children across Europe: current state and future directions.

2017 ◽  
Author(s):  
Alexandra-Raluca Gatej ◽  
Audri Lamers ◽  
Robert Vermeiren ◽  
Lieke van Domburgh
Keyword(s):  
Mental Health ◽  
Clinical Guidelines ◽  
Clinical Decision Making ◽  
Daily Practice ◽  
Clinical Decision ◽  
European Guidelines ◽  
Current State ◽  
Assessment And Treatment ◽  
Evidence Based Treatments ◽  
Multifactorial Approach

Severe behaviour problems (SBPs) in early childhood include oppositional and aggressive behaviours and predict negative mental health outcomes later in life. Although effective treatments for this group are available and numerous clinical practice guidelines have been developed to facilitate the incorporation of evidence-based treatments in clinical decision-making (NICE, 2013), many children with SBPs remain unresponsive to treatment (Lahey & Waldman, 2012). At present, it is unknown how many countries in Europe possess official clinical guidelines for SBPs diagnosis and treatment and what is their perceived utility. The aim was to create an inventory of clinical guidelines (and associated critical needs) for the diagnostics and treatment of SBPs in youth mental health across Europe according to academic experts and mental health clinicians’ opinions. To investigate the aim, two separate online semi-structured questionnaires were used, one directed at academics (N=28 academic experts; 23 countries), and the other at clinicians (N=124 clinicians; 24 countries). Three key results were highlighted. First, guidelines for SBPs are perceived as beneficial by both experts and clinicians. However, their implementation needs to be reinforced and content better adapted to daily practice. Improvements may include taking a multifactorial approach to assessment and treatment, involving the systems around the child, and multidisciplinary collaboration. Second, academic experts and clinicians support the need for further developing national / European guidelines. Finally, future guidelines should address current challenges identified by clinicians to be more applicable to daily practice.

scholarly journals Service innovations

2003 ◽  
Vol 27 (09) ◽  
pp. 346-348
Author(s):  
Chris Simpson ◽  
Prasanna De Silva
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Older People ◽  
High Quality ◽  
The Uk ◽  
Multi Disciplinary Team

The increase in older people in the UK will increase the need for mental health services to run efficient, high-quality services. Multi-disciplinary team assessments, although not new, provide a method of increasing the capacity to see referrals. Two similar systems of multi-disciplinary team assessments from North Yorkshire are reported with evidence of improvement in quality.

scholarly journals Loneliness during the COVID-19 Pandemic: A Comparison between Older and Younger People

2021 ◽  
Vol 18 (15) ◽  
pp. 7871
Author(s):  
Mostafa Saidur Rahim Khan ◽  
Yoshihiko Kadoya
Keyword(s):  
Mental Health ◽  
Older People ◽  
Subjective Health ◽  
Living Condition ◽  
Physical And Mental Health ◽  
Subjective Health Status ◽  
Policy Interventions ◽  
Mental Health Support ◽  
Health Support ◽  
Precautionary Measures

The precautionary measures and uncertainties surrounding the COVID-19 pandemic have serious psychological impacts on peoples’ mental health. We used longitudinal data from Hiroshima University to investigate loneliness before and during the pandemic among older and younger people in Japan. We provide evidence that loneliness among both older and younger people increased considerably during the pandemic. Although loneliness among younger people is more pervasive, the magnitude of increase in loneliness during the pandemic is higher among older people. Our logit regression analysis shows that age, subjective health status, and feelings of depression are strongly associated with loneliness before and during the pandemic. Moreover, household income and financial satisfaction are associated with loneliness among older people during the pandemic while gender, marital status, living condition, and depression are associated with loneliness among younger people during the pandemic. The evidence of increasing loneliness during the pandemic is concerning for a traditionally well-connected and culturally collectivist society such as Japan. As loneliness has a proven connection with both physical and mental health, we suggest immediate policy interventions to provide mental health support for lonely people so they feel more cared for, secure, and socially connected.

The ‘loneliness pandemic’: implications for gerontological nursing

2021 ◽  
Vol 30 (11) ◽  
pp. 652-655
Author(s):  
Carlos Laranjeira
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Older People ◽  
Chronic Diseases ◽  
Old Age ◽  
Social Isolation ◽  
Social Relationships ◽  
Vulnerable Groups ◽  
Negative Consequences ◽  
Gerontological Nursing

The COVID-19 pandemic compelled states to limit free movement, in order to protect at-risk and more vulnerable groups, particularly older adults. Due to old age or debilitating chronic diseases, this group is also more vulnerable to loneliness (perceived discrepancy between actual and desired social relationships) and social isolation (feeling that one does not belong to society). This forced isolation has negative consequences for the health of older people, particularly their mental health. This is an especially challenging time for gerontological nursing, but it is also an opportunity for professionals to combat age stereotypes reinforced with COVID-19, to urge the measurement of loneliness and social isolation, and to rethink how to further adjust interventions in times of crisis, such as considering technology-mediated interventions in these uncertain times.

scholarly journals Professional Sport and Initial Mental Health Public Disclosure Narratives

2020 ◽  
pp. 216747952097731
Author(s):  
Christopher Elsey ◽  
Peter Winter ◽  
Susan Jayne Litchfield ◽  
Sharon Ogweno ◽  
James Southwood
Keyword(s):  
Mental Health ◽  
Conversation Analysis ◽  
Help Seeking ◽  
Public Mental Health ◽  
Professional Sports ◽  
Public Disclosure ◽  
Health Concerns ◽  
Assessment And Treatment ◽  
The Media ◽  
Sporting Activities

The disclosure of absences from professional sporting activities to the media is a routine and generally unproblematic part of a sporting career. However, when the reason for the absence relates to mental health concerns, players can encounter difficulties in trying to define, describe and conceptualise their own issues while attempting to maintain privacy as they undergo assessment and treatment. Drawing on ethnomethodology and conversation analysis principles and methods, this paper explores first/initial public mental health disclosure narratives produced by players and sporting organizations across several professional sports via media interviews, press statements, and social media posts. The analysis focuses on (in)voluntary accounts produced by teams or players themselves during their careers and examines the different communication strategies they employ to categorise and explain their predicament. The analysis reveals how some players provide partial or proxy public disclosure announcements (due to a desire to mask issues or delayed help-seeking and assessment), whereas others prefer fuller disclosure of the problems experienced, including diagnoses and on-going treatment and therapy regimes. The paper outlines the consequences of these disclosure strategies and considers the implications they can have for a player’s wellbeing in these stressful circumstances.

scholarly journals Self-reported suboptimal sleep and receipt of sleep assessment and treatment among persons with and without a mental health condition in Australia: a cross sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Alexandra P. Metse ◽  
Caitlin Fehily ◽  
Tara Clinton-McHarg ◽  
Olivia Wynne ◽  
Sharon Lawn ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Physical Health ◽  
Health Condition ◽  
Community Dwelling ◽  
Mental Health Condition ◽  
Cross Sectional ◽  
Sleep Assessment ◽  
Assessment And Treatment ◽  
Sleep Parameters

Abstract Background Poor sleep and poor mental health go hand in hand and, together, can have an adverse impact on physical health. Given the already disproportionate physical health inequities experienced by people with a mental health condition worldwide, the need to consider and optimise sleep has been highlighted as a means of improving both physical and mental health status. Sleep recommendations recently developed by the United States’ National Sleep Foundation incorporate a range of sleep parameters and enable the identification of ‘suboptimal’ sleep. Among community-dwelling persons with and without a 12-month mental health condition in Australia, this study reports: [1] the prevalence of ‘suboptimal’ sleep and [2] rates of sleep assessment by a health care clinician/service and receipt of and desire for sleep treatment. Methods A descriptive study (N = 1265) was undertaken using self-report data derived from a cross-sectional telephone survey of Australian adults, undertaken in 2017. Results Fifteen per cent (n = 184) of participants identified as having a mental health condition in the past 12 months. Across most (7 of 8) sleep parameters, the prevalence of suboptimal sleep was higher among people with a mental health condition, compared to those without (all p < 0.05). The highest prevalence of suboptimal sleep for both groups was seen on measures of sleep duration (36–39% and 17–20% for people with and without a mental health condition, respectively). In terms of sleep assessment and treatment, people with a mental health condition were significantly more likely to: desire treatment (37% versus 16%), have been assessed (38% versus 12%) and have received treatment (30% versus 7%). Conclusions The prevalence of suboptimal sleep among persons with a mental health condition in Australia is significantly higher than those without such a condition, and rates of assessment and treatment are low for both groups, but higher for people with a mental health condition. Population health interventions, including those delivered as part of routine health care, addressing suboptimal sleep are needed.

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