Psychiatric patients at greatest risk and in greatest need

2000 ◽  
Vol 177 (1) ◽  
pp. 33-37 ◽  
Author(s):  
Jonathan Bindman ◽  
Andrew Beck ◽  
Graham Thornicroft ◽  
Martin Knapp ◽  
George Szmukler
Keyword(s):  
Mental Health ◽  
Random Sample ◽  
Psychiatric Patients ◽  
Mental Health Provider ◽  
Health Provider ◽  
Care Programme ◽  
Factors Associated ◽  
Patients At Risk ◽  
Self Harm ◽  
Measures Of Risk

BackgroundMental health provider trusts in England were required in 1994 to establish local Supervision Registers of patients at risk.AimsTo identify the factors associated with registration, and obtain clinicians' views on its effectiveness.MethodAt a random sample of 14 trusts data were collected from case notes, keyworkers and responsible medical officers.ResultsA sample of 133 registered patients were more disabled and had more extensive histories of violence and self-harm than 126 comparison patients on the upper tier of the Care Programme Approach (CPA). Those registered were a heterogeneous group. For some there was little evidence of risk. In most cases clinicians did not believe registration had improved care.ConclusionsThe Supervision Register policy has not resulted in the identification of a well-defined group. Its effectiveness is limited by the lack of operationalised measures of risk.

scholarly journals Consultant psychiatrists' experiences of using supervised discharge Results of a national survey

2000 ◽  
Vol 24 (11) ◽  
pp. 412-415 ◽  
Author(s):  
Donna Franklin ◽  
Vanessa Pinfold ◽  
Jonathan Bindman ◽  
Graham Thornicroft
Keyword(s):  
Mental Health ◽  
Random Sample ◽  
National Survey ◽  
Medication Compliance ◽  
Mental Health Provider ◽  
Clinical Implications ◽  
Health Provider ◽  
Legal Power ◽  
Structured Questionnaire

Aims and MethodSupervised discharge orders (SDOs) enable a degree of compulsion to be exerted over patients in the community. We aimed to establish the level of, and reasons for, their use and consultants' perceptions of their effectiveness. All mental health provider NHS trusts in England were surveyed, and a random sample cohort of cases was identified. Community responsible medical officers (CRMOs) were surveyed using a semi-structured questionnaire.ResultsWe identified 596 cases subject to SDOs in 170 mental health provider trusts (100%) in England, involving 18% of consultant psychiatrists. Responses were obtained from the CRMOs of 185 patients (84%) from a sample of 221 cases. The SDO was described as helpful or very helpful in 77% of cases in which it had been in place for over 2 months. In 58% of cases the SDO was intended to improve medication compliance, and in 46% of these cases it was perceived to be effective in doing so.Clinical ImplicationsSDOs are not widely used in England. However, for those patients who are made subject to supervised discharge, the order appears to be effective and may improve medication compliance, despite the absence of the legal power to enforce treatment.

scholarly journals Suicide and the Air Force Mental Health Provider: Frequency and Impact

2006 ◽  
Vol 171 (9) ◽  
pp. 844-848
Author(s):  
Randon S. Welton ◽  
Lisa R. Blackman
Keyword(s):  
Mental Health ◽  
Air Force ◽  
Mental Health Provider ◽  
Health Provider

Community Mental Health Provider Reluctance to Provide Pharmacotherapy May Be a Barrier to Addressing Perinatal Depression: A Preliminary Study

2012 ◽  
Vol 84 (2) ◽  
pp. 169-174 ◽  
Author(s):  
Nancy Byatt ◽  
Kathleen Biebel ◽  
Gifty Debordes-Jackson ◽  
Rebecca S. Lundquist ◽  
Tiffany A. Moore Simas ◽  
...  
Keyword(s):  
Mental Health ◽  
Community Mental Health ◽  
Perinatal Depression ◽  
Mental Health Provider ◽  
Health Provider ◽  
Preliminary Study

scholarly journals Six-Month Prevalence of Mental Disorders and Service Contacts among Children and Youth in Ontario: Evidence from the 2014 Ontario Child Health Study

2019 ◽  
Vol 64 (4) ◽  
pp. 246-255 ◽  
Author(s):  
Katholiki Georgiades ◽  
Laura Duncan ◽  
Li Wang ◽  
Jinette Comeau ◽  
Michael H. Boyle ◽  
...  
Keyword(s):  
Mental Health ◽  
Child Health ◽  
Mental Disorders ◽  
Mental Disorder ◽  
Separation Anxiety ◽  
Children And Youth ◽  
Health Study ◽  
Mental Health Provider ◽  
Health Provider ◽  
Oppositional Defiant

Objectives: To present the 6-month prevalence and sociodemographic correlates of mental disorders and mental health–related service contacts in a sample of children (4 to 11 years) and youth (12 to 17 years) in Ontario. Methods: The 2014 Ontario Child Health Study is a provincially representative survey of 6537 families with children aged 4 to 17 years in Ontario. DSM-IV-TR mental disorders were assessed using the Mini International Neuropsychiatric Interview for Children and Adolescents (MINI-KID) and included mood (major depressive episode), anxiety (generalized anxiety, separation anxiety, social phobia, specific phobia), and behaviour disorders (attention-deficit/hyperactivity disorder, oppositional-defiant disorder, conduct disorder).The MINI-KID was administered independently to the primary caregiver and youth aged 12 to 17 years in the family’s home. Results: Past 6-month prevalence of any mental disorder ranged from 18.2% to 21.8% depending on age and informant. Behaviour disorders were the most common among children, and anxiety disorders were the most common among youth. Among children and youth with a parent-identified mental disorder, 25.6% of children and 33.7% of youth had contact with a mental health provider. However, 60% had contact with one or more of the providers or service settings assessed, most often through schools. Conclusions: Between 18% and 22% of children and youth in Ontario met criteria for a mental disorder but less than one-third had contact with a mental health provider. These findings provide support for strengthening prevention and early intervention efforts and enhancing service capacity to meet the mental health needs of children and youth in Ontario.

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