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Enduring Mental Illness (enduring + mental_illness)
Selected AbstractsNEW WAYS OF CONCEPTUALISING OCCUPATION BY DRAWING ON THE OCCUPATIONAL CHOICES OF PEOPLE WITH ENDURING MENTAL ILLNESSAUSTRALIAN OCCUPATIONAL THERAPY JOURNAL, Issue 3 2003M. Clare Taylor No abstract is available for this article. [source] Eating disorders in older women: Does late onset anorexia nervosa exist?INTERNATIONAL JOURNAL OF EATING DISORDERS, Issue 5 2010Samantha Scholtz MRCPsych Abstract Objective: The objective of this study is to determine whether eating disorders can present for the first time in older people. Method: This is a descriptive study of patients above the age of 50 years who have presented to a national eating disorder center within the last 10 years. Results: Thirty-two patients were identified; data were available for 26 of these patients and 11 agreed for further interview and questionnaire completion. There were no cases where the eating disorder had its onset late in life. Of the 11 interviewed, six participants retained a diagnosis of anorexia nervosa, four had Eating Disorder Not Otherwise Specified and only one was recovered. Comorbid depression was universal in those still suffering with an eating disorder diagnosis, and their level of social functioning was impaired. Discussion: Anorexia nervosa is a chronic and enduring mental illness that, although rare, can be found in older people. In our sample, we found no evidence of late-onset disorders; all described cases were lifelong. © 2009 by Wiley Periodicals, Inc. Int J Eat Disord 2010 [source] Hospital-based industrial therapy units and the people who work within them , an Irish case analysis using a soft-systems approachJOURNAL OF PSYCHIATRIC & MENTAL HEALTH NURSING, Issue 2 2006J. S. G. WELLS phd msc ba(hons) pgdip(ed.) rpn rnt Occupational training and employment is seen as a central concern in the delivery of community-orientated mental health services aimed at enhancing the quality of life of people with enduring mental illness. A range of schemes from sheltered to open employment now operates in a number of countries, with a concomitant growth of interest in their evaluation. At the same time, hospital-based workshops, often referred to as industrial therapy units (ITUs), have steadily declined because they are seen as outdated and less efficacious compared with community-located training and employment. However, whether the total disappearance of the traditional ITU is a positive development may be open to question. This paper reports on a study of five mental health hospital-based sheltered workshops located in one Health Board area in Ireland, which catered for the needs of people with enduring mental health problems. Utilizing a soft-systems methodological approach, it examined their role and significance to ,users' who spent occupational time in them, the staff who worked in them and the clinicians who referred users to them. [source] Clinical governance in practice: closing the loop with integrated audit systemsJOURNAL OF PSYCHIATRIC & MENTAL HEALTH NURSING, Issue 2 2006L. TAYLOR ba hons rmn Clinical governance has been acknowledged as the driving force behind National Health Service (NHS) reform since the government white paper outlined a new style of NHS in the UK in 1997. The framework of clinical governance ensures that NHS organizations are accountable for continually improving the quality of their services and safeguarding high standards of care by creating an environment in which excellence in clinical care will develop. A major component of a clinical governance framework requires utilizing audit procedures, which assess the effectiveness of current systems and ultimately direct continual quality improvement. This paper describes the audit component of a local clinical governance framework designed for a unit based within an NHS trust, which has utilized a multidisciplinary approach to assess the effectiveness of a newly commissioned service and its impact on the residents and staff. The unit is a 12-bedded, low-secure-intensive rehabilitation unit for clients with severe and enduring mental illness. Using recognized and standardized psychometric outcome measures, information was collected on clinical symptoms, social functioning, social behaviour, quality of life, relationship quality with named nurses and medication side-effects. Additionally, confidential staff measures were included to assess levels of burnout, identify expressed emotion and assess staff perception of models of illness. The paper includes a comprehensive account of how managerial commitment, teaching processes and application of technology ensured prompt data collection and maintained the momentum through the audit timescale. Data analysis and presentation of data in both clinical reviews and in senior management meetings within the unit are discussed. Findings highlight the full integration of the audit system into the processes of the unit. Clinically, the paper highlights the enhancement of the knowledge base of the client group and the influence on clinical decision-making processes and care delivery as a result of the audit. Brief clinical examples are given. In conclusion, the impact of the audit on unit strategy and organizational efficiency are discussed to highlight the importance of closing the audit loop and completing the cycle of clinical governance. The audit system has positive implications for replication in other services. [source] The experiences of children living with and caring for parents with mental illnessCHILD ABUSE REVIEW, Issue 2 2006Jo Aldridge Abstract This research provides a three-way perspective on the experiences and needs of children who are living with and caring for parents with severe and enduring mental illness. The views of children, parents and key workers were sought in order to provide deeper insight into the needs of families and the nature of interfamilial relationships, as well as the relationships between service users and providers. Child protection and medical research has long proposed a link between parental mental illness and the risk to children of abuse, neglect and developmental delay. The inevitability of risk associations is challenged by the research described here and outcomes for children of caring for parents with mental illness are discussed not simply in terms of risk to children but more broadly in respect of, for example, positive parent,child relationships. Copyright © 2006 John Wiley & Sons, Ltd. [source] Experiencing psychiatric diagnosis: client perspectives on being named mentally ill,JOURNAL OF PSYCHIATRIC & MENTAL HEALTH NURSING, Issue 6 2003Y. M. HAYNE rn phd In this article is reported result of a phenomenological study whereby privileged view was gained into the lives of persons who had experienced receiving a diagnosis which named ,severe and enduring mental illness'. Thematic analysis yielded the four essential themes of diagnosis as the experience of ,a knowledge that knows', ,destructive (gift) of difference', ,making visible the invisible' and ,making knowledge knowledgeable'. Each of the themes is discussed under its own heading in this paper as a means for describing the nature of ,experiencing psychiatric diagnosis'. Effort is made to provide glimpse into the ,lifeworld' of being diagnosed mentally ill, and the reader's attention is directed to a particular kind of power that exists in the medical language of diagnoses. Discernment is highlighted as most consequential to an ,action sensitive practice' and a case is made for care-providers in psychiatric-mental health care to be sensitized to how medical terminology is experienced and the need to strive for balance within the ,economy of power' contained in these specialized words. [source] | ||||||||||