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Multiple Problems (multiple + problem)
Selected AbstractsPrediction of cardiovascular risk in people with diabetesDIABETIC MEDICINE, Issue 7 2003P. H. Winocour Abstract People with diabetes are at high risk of cardiovascular morbidity and mortality, especially if they have already developed vascular problems. For patients who are apparently free of vascular complications, risk tables are often used to assess the risk of cardiovascular events in the following years, and to decide on treatment with statins or anti-platelet therapy. These risk prediction tables include estimates of traditional cardiovascular risk factors and are based on populations, some of which only contained a very small number of people with diabetes. Multiple problems can be identified with these tables, and many seriously underestimate cardiovascular risk in people with diabetes. Possible ways of addressing this include using risk estimation tools based solely on diabetic populations, adding in additional traditional variables such as triglycerides or left ventricular hypertrophy, including novel cardiovascular risk factors, or intervening at a lower level of estimated risk in people with diabetes compared with non-diabetic subjects. Alternatively, estimates of individual risk could be abandoned and all people with diabetes could be treated with statins and other effective agents. Diabet. Med. 20, 515,527 (2003) [source] Psychiatric morbidity and people's experience of and response to social problems involving rightsHEALTH & SOCIAL CARE IN THE COMMUNITY, Issue 6 2010Nigel J. Balmer BSc PhD Abstract Psychiatric morbidity has been shown to be associated with the increased reporting of a range of social problems involving legal rights (,rights problems'). Using a validated measure of psychiatric morbidity, this paper explores the relationship between psychiatric morbidity and rights problems and discusses the implications for the delivery of health and legal services. New representative national survey data from the English and Welsh Civil and Social Justice Survey (CSJS) surveyed 3040 adults in 2007 to explore the relationship between GHQ-12 scores and the self reported incidence of and behaviour surrounding, rights problems. It was found that the prevalence of rights problems increased with psychiatric morbidity, as did the experience of multiple problems. It was also found the likelihood of inaction in the face of problems increased with psychiatric morbidity, while the likelihood of choosing to resolve problems without help decreased. Where advice was obtained, psychiatric morbidity was associated with a greater tendency to obtain a combination of ,legal' and ,general' support, rather than ,legal' advice alone. The results suggest that integrated and ,outreach' services are of particular importance to the effective support of those facing mental illness. [source] Assessment, intervention, and research with infants in out-of-home placementINFANT MENTAL HEALTH JOURNAL, Issue 5 2002Robert B. Clyman Infants constitute a large and increasing proportion of youth in out-of-home placement. These infants have very high rates of medical illnesses, developmental delays, and substantial risks for psychopathology. They receive varying amounts of services from a complex and poorly integrated service system that includes four principal service sectors: the child welfare, medical, early intervention, and mental health service sectors. These service systems are currently undergoing major changes in their policies, organization, and financing, such as the introduction of managed care into the child welfare system. In this article, we provide an overview of what is known about infants in out-of-home placement. We then summarize approaches to infant mental health assessment and intervention from a comprehensive perspective that addresses the infants' multiple problems and acknowledges that they need to receive services from multiple systems that are undergoing rapid change. We conclude by highlighting a number of critical areas in need of research. ©2002 Michigan Association for Infant Mental Health. [source] Multiple Justiciable Problems: Common Clusters and Their Social and Demographic IndicatorsJOURNAL OF EMPIRICAL LEGAL STUDIES, Issue 2 2004Pascoe Pleasence Justiciable problems do not always occur in isolation. However, little empirical research has examined multiple problems in depth by identifying common clusters of problems, their extent, and those who experience them. The Legal Services Research Centre's Periodic Survey of Justiciable Problems is a large-scale survey undertaken in England and Wales, documenting 5,611 respondents' experience of 21 discrete problem categories. Having assessed the overall incidence and overlap of problem types, hierarchical cluster analysis, based on each respondent's experience of these categories, was used to identify clusters. We then established social and demographic predictors of each cluster using mixed-effects Poisson regression and examined each problem type's likelihood of overlapping with further problems, both within and between identified clusters. We highlight policy implications of our findings, particularly concerning developing "joined-up" solutions to multiple "joined-up" problems. [source] Innovative Ways to Address the Mental Health and Medical Needs of Marginalized Patients: Collaborations Between Family Physicians, Family Therapists, and Family PsychologistsAMERICAN JOURNAL OF ORTHOPSYCHIATRY, Issue 3 2004Warren L. Holleman PhD This article describes an innovative program to meet the needs of homeless women, children, and families residing at a transitional living center in an urban setting. The program involves collaboration between medical and mental health professionals to address the multiple problems and unmet needs of this population. Recommendations for future work in expanding collaborative practice are discussed. [source] | ||||||||||