scholarly journals Are the needs of people with mental health problems met?

2018 ◽  
Vol 3 (2) ◽  
Author(s):  
Foteini Tseliou ◽  
Michael Rosato ◽  
Dermot O'Reilly
Keyword(s):  
Mental Health ◽  
Northern Ireland ◽  
Mental Health Treatment ◽  
Mental Health Problems ◽  
Unmet Need ◽  
Population Level ◽  
Health Condition ◽  
Health Needs ◽  
Mental Health Needs ◽  
The Impact

BackgroundHigh levels of mental ill-health have resulted in increasing delays in the receipt of appropriate care. However, the size of the gap between mental health needs and the likelihood of receiving treatment has not been thoroughly investigated on a population-level within Northern Ireland. ObjectivesTo that end we investigated the link between self-reported mental ill-health and likelihood of being in receipt of treatment in a population cohort. MethodsThe 2011 Northern Ireland Census was linked to a population-wide prescribing database. The presence of a chronic mental health condition, as assessed through the Census self-reported mental health question, was compared to regular psychotropic medication use in the six and twelve months following the Census. Of the 23,803 individuals (aged 25 to 74) who reported chronic mental ill-health at the Census, 22% were not in receipt of medication over the following six months, with this being reduced down to 18.5% by the twelve month mark. FindingsAfter adjusting logistic regression models for socio-demographic factors, men (OR=0.56: 95%CI=0.52-0.60), those of non-white ethnicity (OR=0.38: 95%CI=0.26-0.54), never married (OR=0.67: 95%CI=0.61-0.82), unemployed (OR=0.65: 95%CI=0.53-0.81) and living in a rural area (OR=0.88: 95%CI=0.79-0.98) were less likely to receive regular medication, indicating mental health unmet need. ConclusionsA level of discord was observed between mental-ill health and medication receipt on a population level. Further focus on mental health needs and the impact of low prescribing rates on mental health patients could help ameliorate the current inequalities and reduce potential gaps in mental health treatment.

Victims’ Compensation as a Tool of Therapeutic Justice: Examining the Physical and Mental Health Needs of Victim Compensation Applicants and the Role of Health in Receiving Compensation

2016 ◽  
Vol 31 (5) ◽  
pp. 837-853
Author(s):  
Leah E. Daigle ◽  
Wendy P. Guastaferro ◽  
Andia Azimi
Keyword(s):  
Mental Health ◽  
Mental Health Problems ◽  
Health Problems ◽  
Health Condition ◽  
Health Needs ◽  
Mental Health Condition ◽  
Physical And Mental Health ◽  
Crime Victim ◽  
Mental Health Needs ◽  
Victim Compensation

Objective: Victims’ compensation programs are positioned to serve an important therapeutic role. Their use by persons with physical and mental health problems has not been investigated. This study evaluates the extent to which applicants have physical and mental health needs and whether receiving compensation is related to these needs. Methods: Data were part of a larger study designed to assess satisfaction with victim compensation in Georgia. The sample included 500 victim compensation applicants. Individuals were surveyed about their experiences applying for compensation as well as their current well-being. Descriptive and multivariate analyses investigated the link between physical and mental health problems and denial of victim compensation. Results: Applicants for crime victim compensation in Georgia experienced a range of physical and mental health problems. Almost half of applicants had been diagnosed with a mental health condition, and 60% had been diagnosed with at least 1 physical health condition. Co-occurring disorders were common. In addition, being denied compensation was significantly related to having a mental health condition and to the number of diagnosed mental health conditions. Conclusions: Crime victim applicants have clear physical and mental health needs. Being denied compensation benefits is related to having a mental health disorder. These results suggest that victim compensation programs can be an intervention point for victims and their families for either receipt of direct service or referral to needed services. In addition, changes in program administration may need to be made to alleviate disparity in award benefit related to mental health status.

scholarly journals Supporting the emotional needs of young people in care: a qualitative study of foster carer perspectives

BMJ Open ◽  
2020 ◽  
Vol 10 (3) ◽  
pp. e033317
Author(s):  
Rachel M Hiller ◽  
Sarah L Halligan ◽  
Richard Meiser-Stedman ◽  
Elizabeth Elliott ◽  
Emily Rutter-Eley
Keyword(s):  
Mental Health ◽  
Young People ◽  
Mental Health Problems ◽  
Well Being ◽  
Health Needs ◽  
Depth Information ◽  
Emotional Needs ◽  
Mental Health Systems ◽  
Mental Health Needs ◽  
Qualitative Focus Groups

ObjectivesYoung people who have been removed from their family home and placed in care have often experienced maltreatment and there is well-developed evidence of poor psychological outcomes. Once in care, foster carers often become the adult who provides day-to-day support, yet we know little about how they provide this support or the challenges to and facilitators of promoting better quality carer–child relationships. The aim of this study was to understand how carers support the emotional needs of the young people in their care and their views on barriers and opportunities for support.Design and participantsParticipants were 21 UK foster carers, recruited from a local authority in England. They were predominantly female (86%), aged 42–65 years old and ranged from those who were relatively new to the profession (<12 months’ experience) to those with over 30 years of experience as a carer. We ran three qualitative focus groups to gather in-depth information about their views on supporting their foster children’s emotional well-being. Participants also completed short questionnaires about their training experiences and sense of competence.ResultsOnly half of the sample strongly endorsed feeling competent in managing the emotional needs of their foster children. While all had completed extensive training, especially on attachment, diagnosis-specific training for mental health problems (eg, trauma-related distress, depression) was less common. Thematic analysis showed consistent themes around the significant barriers carers faced navigating social care and mental health systems, and mixed views around the best way to support young people, particularly those with complex mental health needs and in relation to reminders of their early experiences.ConclusionsFindings have important implications for practice and policy around carer training and support, as well as for how services support the mental health needs of young people in care.

Evaluating the impact of participatory art projects for people with mental health needs

2008 ◽  
Vol 16 (6) ◽  
pp. 638-648 ◽  
Author(s):  
Sue Hacking ◽  
Jenny Secker ◽  
Helen Spandler ◽  
Lyn Kent ◽  
Jo Shenton
Keyword(s):  
Mental Health ◽  
Health Needs ◽  
Mental Health Needs ◽  
Participatory Art ◽  
The Impact

Delivering Psychological Services to Refugees Resettled in the United States

2019 ◽  
pp. 165-183
Author(s):  
Johanna E. Nilsson ◽  
Sally Stratmann ◽  
Aurora Molitoris ◽  
Marcella A. Beaumont ◽  
Jessica Horine
Keyword(s):  
Mental Health ◽  
United States ◽  
Mental Health Professionals ◽  
Mental Health Treatment ◽  
Treatment Options ◽  
The United States ◽  
Psychological Services ◽  
Health Needs ◽  
Mental Health Needs ◽  
The Status

Approximately 25 million refugees have fled their homelands internationally, and about 3 million have been resettled in the United States. The mental health needs of a population that has fled oppression, violence, and instability are diverse. This chapter seeks to provide a holistic overview of these needs. The introduction covers what defines the status of a refugee, current resettlement policies, and pre- and post-migration experiences and concerns among refugees, including barriers to basic services. Effective mental health treatment options and areas of competence for mental health professionals working with these individuals are discussed, along with future considerations for best meeting the mental health needs of refugees.

scholarly journals Clinical decision making and the challenges of responding to mental health needs

2019 ◽  
Vol 11 (10) ◽  
pp. 434-439
Author(s):  
Trudy Hutchison ◽  
Carolyn Lees ◽  
Robyn Lotto ◽  
Alison White ◽  
Ron Harris
Keyword(s):  
Mental Health ◽  
Decision Making ◽  
Clinical Decision Making ◽  
Mental Health Problems ◽  
Clinical Decision ◽  
Health Needs ◽  
Mental Health Needs ◽  
Opportune Time ◽  
Key Issues ◽  
Specific Education

The paramedic service responds to emergency calls for a variety of reasons, many relating to mental health concerns. This qualitative study aims to explore the views and experiences of student paramedics in relation to clinical decision making for mental health calls. Focus groups were used to investigate the participants' perspectives. Thematic analysis was used to organise data and identify key issues. Findings suggested some disparity between what paramedic students were prepared for and the reality of public need. Clinical decision making in relation to those with mental health problems was significantly influenced by the current provision of mental health services and the lack of mental health-specific education for student paramedics. Current changes to the paramedic programme make this an opportune time for a review of curriculum content.

Assisting Carers to Respond to the Mental Health Needs of Children

2017 ◽  
Vol 42 (1) ◽  
pp. 30-37 ◽  
Author(s):  
Josh Fergeus ◽  
Cathy Humphreys ◽  
Carol Harvey ◽  
Helen Herrman
Keyword(s):  
Mental Health ◽  
Young People ◽  
Home Care ◽  
Mental Health Problems ◽  
Health Needs ◽  
Mental Health Needs ◽  
Children And Young People ◽  
Out Of Home Care ◽  
Effective Interventions ◽  
Developed World

Across the developed world, efforts are being made to identify and develop effective interventions that will reduce the prevalence and severity of mental health problems among children and young people in out-of-home care. Foster and kinship carers have been identified as critically important in this process. In order to develop an understanding of what interventions and/or supports assist carers in responding effectively to the mental health needs of the children and young people in their care, a scoping review was undertaken. Using the scoping study method, 1064 publications were identified, and 82 publications were selected for further analysis. The review shows that promising interventions that aim to improve the mental health of children and young people living in out-of-home care have been developed and trialled both in Australia and internationally. However, the review also highlights the lack of research specifically focused on the role of the carer.

More Than a Vacation: Exploring the Impact of Reentry for International Sojourners

2014 ◽  
Vol 36 (4) ◽  
pp. 315-327 ◽  
Author(s):  
Katie Kostohryz ◽  
Pamela Wells ◽  
Cristen Wathen ◽  
David Wilson
Keyword(s):  
Mental Health ◽  
Health Needs ◽  
Mental Health Counseling ◽  
Future Research ◽  
Mental Health Counselors ◽  
Grief And Loss ◽  
Mental Health Needs ◽  
Global Society ◽  
Health Counseling ◽  
The Impact

As our population becomes increasingly internationalized in today's global society, a need emerges for awareness, research, and support for the mental health needs of clients who have returned from sojourns abroad. This article describes how mental health counselors can become more aware of the reentry experience. It also explores such factors as expectations, transition, advocacy, and grief and loss. It diminishes the perception of sojourning as simply a vacation and discusses adjustments clients often have to make upon returning home. The article offers recommendations for working with clients who are finding reentry difficult, explores implications for the mental health counseling profession, and offers ideas for future research.

Rehabilitation Counseling with Dual Diagnosis Clients

1987 ◽  
Vol 18 (1) ◽  
pp. 35-37 ◽  
Author(s):  
Guy Walker
Keyword(s):  
Mental Health ◽  
Vocational Rehabilitation ◽  
Dual Diagnosis ◽  
Independent Living ◽  
Rehabilitation Counseling ◽  
Mentally Retarded ◽  
Health Needs ◽  
Mental Health Needs ◽  
The Impact

This article describes a philosophy and methodology for meeting the mental health needs of mentally retarded adults. It illustrates the impact such counseling can have in realizing the potential of such persons for independent living and vocational rehabilitation.

The Myth of Mental Illness Revisited: Language Matters

2016 ◽  
Vol 18 (2) ◽  
pp. 92-110
Author(s):  
Frederick A. Ernst
Keyword(s):  
Mental Health ◽  
Mental Health Treatment ◽  
Paradigm Shift ◽  
Health Needs ◽  
Mental Health Needs ◽  
The Public ◽  
Complete Rejection ◽  
Core Identity ◽  
Illness Model ◽  
Scientist Practitioner Model

The safety of the American public has been violated by a mental health treatment enterprise that is badly broken because it is based on a fundamentally flawed model of understanding distress and dysfunction. The system has generated language that has caused serious confusion among the public as well as the providers of mental health services. And language matters. Psychologists have drifted from their core identity and contributed significantly to this system by embracing the illness model as if it was their own. In their philosophical confusion feeding a myopic neuroscience zeitgeist, proponents of this flawed model and broken system have minimized the influence of psychological factors and emboldened a psychopharmaceutical industry that is now dangerously in control of the country’s mental health needs. Unless psychologists scrutinize the language on which they have become dependent and the practices dictated by that language, the broken system will be irreparable and the level of harm perpetrated on the American public will escalate from dangerous to perilous. Psychology is a unique basic science discipline among the mental health professions, and there is a faint pulse in the scientist–practitioner model of clinical psychology suggesting perhaps a glimmer of hope. Historians will not be kind to this era, and psychology will be found deeply culpable unless a major paradigm shift is achieved soon. Change cannot be accomplished without a complete rejection of the illness model and action to replace it in similar fashion to what is already under way in Great Britain.

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