A student for a Community-based Mental health Model for House Bound Long-term Mentally Disabled : focusing on the community residents of the Taegu-Kyungpuk area

1999 ◽  
Vol 29 (5) ◽  
pp. 1155
Author(s):  
Kyung Hee Lee
Keyword(s):  
Mental Health ◽  
Community Based ◽  
Mentally Disabled ◽  
Community Residents ◽  
Health Model

scholarly journals Implementation of stepped care for patients with chronic fatigue syndrome in community-based mental health care: outcomes at post-treatment and long-term follow-up

2019 ◽  
Vol 47 (5) ◽  
pp. 548-558 ◽  
Author(s):  
Anthonie Janse ◽  
Arno van Dam ◽  
Coby Pijpers ◽  
Jan F. Wiborg ◽  
Gijs Bleijenberg ◽  
...  
Keyword(s):  
Mental Health ◽  
Chronic Fatigue ◽  
Post Treatment ◽  
Stepped Care ◽  
Community Based ◽  
Fatigue Syndrome ◽  
Specialist Centre ◽  
Long Term Follow Up

AbstractBackground:Cognitive behavioural therapy (CBT) is an evidence-based treatment for chronic fatigue syndrome (CFS). Stepped care for CFS, consisting of a minimal intervention followed by face-to-face CBT, was found efficacious when tested in a CFS specialist centre. Stepped care implemented in a community-based mental health centre (MHC) has not yet been evaluated.Aims:(1) To test the effectiveness of stepped care for CFS implemented in a MHC at post-treatment and at long-term follow-up; and (2) compare post-treatment outcomes of implemented stepped care with treatment outcomes of a CFS specialist centre.Method:An uncontrolled study was used to test effectiveness of stepped care implemented in a MHC (n = 123). The outcomes of implemented care were compared with the outcomes of specialist care reported in previous studies (n = 583). Data on outcomes from implemented stepped care were gathered at post-treatment and at long-term follow-up. Mixed models were used as method of analysis.Results:Fatigue decreased and physical functioning increased significantly following implemented stepped care (both p < .001). The follow-up was completed by 94 patients (78%) within 1–6 years after treatment. Treatment effects were sustained to follow-up. Patients in the MHC showed less improvement directly following stepped care compared with patients in a CFS specialist centre (p < .01).Conclusion:Implemented stepped care for CFS is effective with sustained treatment gains at long-term follow-up. There is room for improvement when compared with outcomes of a CFS specialist centre. Some suggestions are made on how to improve stepped care.

scholarly journals Access to community-based mental healthcare and psychosocial support within a disaster context

2015 ◽  
Vol 12 (2) ◽  
pp. 44-47 ◽  
Author(s):  
Katherine P O'Hanlon ◽  
Boris Budosan
Keyword(s):  
Mental Health ◽  
Large Scale ◽  
Psychosocial Support ◽  
Mental Healthcare ◽  
Community Services ◽  
Community Based ◽  
Clear Vision ◽  
Mental Health Interventions ◽  
Mental Health Effects

After a large-scale humanitarian disaster, 30–50% of victims develop moderate or severe psychological distress. Rates of mild and moderate mental disorders increase by 5–10% and severe disorders by 1–2%. Those with such disorders need access to mental healthcare. Primary care clinics are appropriate due to their easy accessibility and the non-stigmatising environment. There is a consensus among experts that the mental health effects of disaster are best addressed by existing services, that is, through capacity building rather than by establishing parallel systems. Mental health interventions in emergencies should begin with a clear vision for the long-term advancement of community services.

Peer support in community settings: getting back to our roots

2017 ◽  
Vol 21 (3) ◽  
pp. 184-190 ◽  
Author(s):  
David Crepaz-Keay
Keyword(s):  
Mental Health ◽  
Peer Support ◽  
Community Settings ◽  
Community Based ◽  
Community Benefit ◽  
Content Type ◽  
Mental Health Foundation ◽  
The Impact

Purpose The purpose of this paper is to look at peer support in the context of broader communities. Design/methodology/approach It builds on the author’s experience working with the Mental Health Foundation of developing delivering and evaluating several self-management and peer support initiatives in a variety of settings with a range of different peer groups. It will consider what constitutes a peer and a community, and explore the notion of community solutions for community problems. Findings Peer support in community settings has the capacity to address social isolation, build skills and self-esteem and give individuals a better quality of life – it can also add value to whole communities and reframe the way entire groups are considered within them. It has the ability to be both more accessible and less stigmatising and thus reach more people. This also offers community based peer support as a contributor to preventing the deterioration of mental health and potentially reducing the impact of mental ill-health. Social implications The author needs to think more in terms of whole community and get better at improving how the author measures and articulates this community benefit. This will allow us to make better decisions about how best to apply resources for long term whole community gain. Peer support and peer leadership needs to be at the heart of this process. Originality/value This paper places a familiar approach in a different setting placing peer support firmly outside services and within comunities.

Generativity as a Positive Mental Health Outcome: The Long-term Impacts of Better Beginnings, Better Futures on Youth at Ages 18–19

2013 ◽  
Vol 32 (1) ◽  
pp. 155-169 ◽  
Author(s):  
Norah Love ◽  
Geoffrey Nelson ◽  
S. Mark Pancer ◽  
Colleen Loomis ◽  
Julian Hasford
Keyword(s):  
Mental Health ◽  
Health Outcome ◽  
Narrative Analysis ◽  
Positive Mental Health ◽  
Children And Youth ◽  
Narrative Approach ◽  
Long Term Outcomes ◽  
Community Based ◽  
Quasi Experimental

This study examined the long-term impacts of the Better Beginnings, Better Futures project, a universal, community-based prevention program. Generativity was studied as an indicator of positive mental health, using a narrative analysis of youths’ stories about turning points in their lives. A quasi-experimental design was used to compare youths aged 18–19 who participated in Better Beginnings when they were 4–8 (n = 62) and with youths from comparison communities who did not participate in Better Beginnings (n = 34). Significant differences between the 2 groups were found on 2 measures of generativity. The findings suggest the utility of adopting a narrative approach to evaluate the long-term outcomes of prevention programs for children and youth.

Quality of life of patients residing in long-term care psychiatric community settings

2011 ◽  
Vol 26 (S2) ◽  
pp. 584-584
Author(s):  
M. Stinga ◽  
E. Moti ◽  
E. Papageorgiou ◽  
T. Ioannou ◽  
V. Paraskevopoulou ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Mentally Ill ◽  
Residential Home ◽  
Community Based ◽  
Term Care ◽  
Community Based Rehabilitation ◽  
Sf 36

IntroductionIn the context of psychiatric reformation, the long-term mentally ill have moved from institutionalized care to outpatient-based mental health services and community-based rehabilitation settings.ObjectiveQuality of Life (QoL) constitutes a critical outcome of mental health programs and services and is a multidimensional subjective construct.AimExploring the perceived QoL of long-term psychiatric residents and, identifying possible associations between sociodemographic variables, psychiatric history, cognitive function (MMSE), physical comorbidity and type of residential care.Method104 patients residing for over six months, to community based rehabilitation settings subjected to the PHPO (5 sheltered apartments, 7 hostels, 2 boarding houses) were encountered. QoL of participants was assessed using the self-fulfilling, 36 item Short-Form Health Survey (SF-36) at a given point of time.ResultsThe majority of the residents expressed good levels of satisfaction in all subscales of the SF-36, with mean values of Physical Component Summary (PCS): 34.90 ± 13.92 (range: 0–50) and Mental Component Summary (MCS): 67.89 ± 20.09 (range: 25-100). Statistical significant differences were recorded concerning the PCS and age (p = 0.000), MMSE scores (p = 0.000), educational level (p = 0.017), marital status (p = 0.049) and type of residential home (p = 0.012). MCS was statistically significant associated with age (p = 0.032), MMSE scores (p = 0.007), socioeconomic status (p = 0.008) and type of residential home, too (p = 0.040). No differences were found concerning psychiatric diagnosis or physical comorbidity.ConclusionsCommunity care models provide subjective positive life satisfactions to the majority of the chronically mentally ill. Thus, besides the care giver's management, independent variables play an important role to perceived QoL.

scholarly journals Public Health Models of Mental Health Care for Elderly Populations

2002 ◽  
Vol 14 (1) ◽  
pp. 3-6 ◽  
Author(s):  
Martin G. Cole
Keyword(s):  
Mental Health ◽  
Long Term Care ◽  
Developed Countries ◽  
Clinical Services ◽  
Community Based ◽  
Term Care ◽  
The Past ◽  
Elderly Populations ◽  
Assessment And Treatment

During the past 30 years, the growth of geriatric psychiatry services has been dramatic. Indeed, the majority of developed countries can boast of an impressive range of hospital-based, community-based, and long-term-care programs (Reifler & Cohen, 1998). For the most part, these services are traditional clinical services: The client (or caretaker) identifies a problem and the mental health professional offers comprehensive assessment and treatment.

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