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Mental Health Need (mental + health_need)

Distribution by Scientific Domains

Medical Sciences	66%
Humanities and Social Sciences	22%

Selected Abstracts

Understanding Inner City Child Mental Health Need and Trauma Exposure: Implications for Preparing Urban Service Providers

AMERICAN JOURNAL OF ORTHOPSYCHIATRY, Issue 2 2005
Mary M. McKay PhD
This article presents the results of a study documenting the complex mental health needs of 95 inner city youth consecutively referred for mental health care. An ecological perspective of mental health need guides the presentation of issues and stressors that occur at the level of the individual child; within the family, school, and community; and within the larger service system context. Findings related to the intersection between child mental health needs and trauma exposure are described. In addition, the level of service involvement of these children is presented. Results reveal low rates of ongoing service involvement despite multiple, complex presenting mental health issues and significant levels of trauma exposure. Implications for urban service delivery and recommendations to prepare service providers are drawn. [source]

Community in Distress: Mental Health Needs and Help-seekingin the Tamil Community in Toronto

INTERNATIONAL MIGRATION, Issue 5 2003
Morton Beiser
First page of article [source]

Screening the Mental Health Needs of Youths in Juvenile Detention

JUVENILE AND FAMILY COURT JOURNAL, Issue 2 2002
PHILIP D. NORDNESS
ABSTRACT There is an increasing number of juveniles coming into the justice system with a variety of mental health and substance abuse concerns. While the actual number of youths with mental health disorders in the juvenile justice system has been difficult to determine, it is estimated to be substantially higher than it is for youths in the general population. In addition, researchers have estimated that a high number of these juveniles experience co-morbid mental health disorders. The purpose of this study was to examine the number of youths who present symptoms of a mental health disorder at intake into a juvenile detention center in the Midwest. Two hundred-four youths were assessed with the Massachusetts Youth Screening Instrument-Second Version (MAYSI-2; Grisso & Barnum, 2000), a mental health screening instrument. At least 68% of the youths identified symptoms of a mental health disorder at intake. Given the significant number of youths who identified symptoms of a mental health disorder at intake into detention, the need to provide mental health services for juvenile detainees should not be ignored. [source]

Social deprivation and the outcomes of crisis resolution and home treatment for people with mental health problems: a historical cohort study

HEALTH & SOCIAL CARE IN THE COMMUNITY, Issue 5 2010
Richard Kingsford BA (Hons) MA DipSW MSc
Abstract The development of crisis resolution and home treatment (CRHT) teams has been central to the UK Government's objective of reducing reliance on hospital-based care and is supported by a growing body of evidence. However, there has been no research specifically exploring the relationship between social deprivation and CRHT teams, in spite of evidence of an association between social deprivation and increased pressure on inpatient services. This article reports a study which tested the hypothesis that social deprivation is associated with the outcome of CRHT interventions. Using a historical cohort study design, we examined a total of 260 accepted referrals to a CRHT. Social deprivation was measured by the Index of Multiple Deprivation (Office of the Deputy Prime Minister 2004) as a predictor of CRHT interventions outcomes. CRHT outcomes were dichotomised into successful and unsuccessful and were defined with reference to the CRHT operational policy. Univariate analysis found that people who lived in more socially deprived areas had a poorer outcome, as did older people and those referred from the enhanced community mental health team (CMHT). Logistic regression analysis found that age and referral source were independently associated with outcome. Analysis of the demographic data also suggested a non-significant trend towards men having less successful outcomes. Further analysis exploring the characteristics of the different referral sources to the CRHT found that those referred from the enhanced CMHT were significantly more likely to be from the most deprived area. This suggested a relationship between an enhanced level of mental health need, social deprivation and poor outcome of CRHT intervention. [source]

Understanding Inner City Child Mental Health Need and Trauma Exposure: Implications for Preparing Urban Service Providers

Employment Status, Depressive Symptoms, and the Mediating/Moderating Effects of Single Mothers' Coping Repertoire

PUBLIC HEALTH NURSING, Issue 6 2007
Joan Samuels-Dennis
ABSTRACT Objective: Single mothers, especially those on social assistance, report significantly more depressive symptoms than the general public. This article examines the relationships among employment status, stressful life events, and depressive symptoms among single mothers, with a special focus on the potential mediating and moderating roles of coping repertoire. Design: Cross-sectional survey design. Sample: Ninety-six single mothers (48 employed and 48 single mothers on social assistance) who were the primary caregiver for at least 1 child 4,18 years old. Measurements: Mailed questionnaires that included an adapted version of the Social Readjustment Rating Scale, the Coping Strategy Inventory, and the Beck Depression Inventory, 2nd ed. were completed by study participants. Results: Coping repertoire did not mediate the relationship between either employment status or stress exposure and depressive symptoms. Coping had an antagonistic and differential moderating effect on the association between employment status and depressive symptoms for employed single mothers and mothers receiving social assistance. Conclusion: Effective strategies aimed at promoting single mothers' mental health need to address both the severity of depressive symptoms found among single mothers, and the social-system factors that threaten single mothers' psychological well-being. The implications for practice and policy are discussed. [source]

Best practice from admission to discharge in acute inpatient care: considerations and standards from a whole system perspective

JOURNAL OF PSYCHIATRIC & MENTAL HEALTH NURSING, Issue 6 2005
A. JONES phd bn (hons) rmn
Effective mental health care and promotion involves numerous agencies and individuals. Hence, practice development for people with acute mental health needs requires a systemic (or whole system) perspective. Whilst a policy imperative, this is unfamiliar practice for many health and social care workers. In a previous paper published within this journal, the authors argued that admission to acute inpatient care may sometimes be occasioned by the need to contain worker anxiety within the whole system, rather than being clinically justified or necessary. In this paper the authors seek to follow up this premise with proposals for purposeful admission and standards to assure the quality throughout the patient journey, into and out of acute inpatient wards. [source]

Understanding Inner City Child Mental Health Need and Trauma Exposure: Implications for Preparing Urban Service Providers

Statutory health assessments for looked-after children: what do they achieve?

CHILD: CARE, HEALTH AND DEVELOPMENT, Issue 1 2003
C. M. Hill
Abstract Objective To examine the outcomes of statutory health assessment of children looked after by an English City Council. Design Retrospective longitudinal documentary analysis. Setting and participants Health records of all children looked after by Southampton City Council who had attended at least two statutory health assessments within a designated paediatric service from 1996 to 1999. Main variables studied Demographic characteristics of the children; physical and mental health problems identified at assessment and extent to which health recommendations were implemented. Results Twenty-seven boys and 22 girls aged 6 months,15 years were identified who had attended at least two assessments. One-hundred and four physical and mental health needs were identified at care entry requiring further assessment or intervention. More health problems were identified for girls than boys. At care entry 15/49 of the children were not fully immunized. At review, on average 14 months later, recommendations had only been implemented in just over half of children. Conclusions In common with previous studies this work confirms that the statutory health assessment identifies health need and health neglect that may otherwise go unrecognized. Whereas children's needs and problems were diverse, many continued to suffer health neglect in the system of public care designed to help them. In order to be effective, statutory health assessments must be a health promoting rather than disease screening exercise delivered by professionals skilled to address diverse health needs. Crucially, the heath assessment can only succeed as a tool for health advocacy if complementary to and integrated with local authority care and review. [source]