scholarly journals Shared experiences of mental health services in Verona and London

1995 ◽  
Vol 19 (6) ◽  
pp. 367-369
Author(s):  
Verena Perwanger ◽  
Michael Phelan
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Psychiatric Service ◽  
Psychiatric Research ◽  
The South ◽  
Shared Experiences ◽  
North East ◽  
The University ◽  
Community Team

Close links have developed between the Institute of Psychiatry at the University of Verona – a town in North-East Italy – and the Maudsley Hospital in South London. Reciprocal visits, exchanges and cooperation in clinical practice and research have led to interesting experiences and comparisons between the different cultural settings and mental health services. In 1993, one of us (MP) visited the South Verona Psychiatric Service for two weeks, and a year later VP spent six months attached to the South Camberwell Community Team and at PRISM (Psychiatric Research in Service Measurement), a research team at the Institute of Psychiatry. This paper records our impressions and observations during these visits. The two services are not representative of all services in the respective countries but the visits did give us the opportunity to consider details not revealed by formal comparative research studies.

Making sense of child and adolescent mental health services (CAMHS): An audit of the referral journey and the use of routine outcome measures (ROMS)

2021 ◽  
pp. 135910452199970
Author(s):  
Naomi Gibbons ◽  
Emma Harrison ◽  
Paul Stallard
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Outcome Measures ◽  
Adolescent Mental Health ◽  
Child And Adolescent ◽  
Completion Rates ◽  
Making Sense ◽  
North East ◽  
Over Time

Background: There is increased emphasis on the national reporting of Routine Outcome Measures (ROMS) as a way of improving Child and Adolescent Mental Health Services (CAMHS). This data needs to be viewed in context so that reasons for outcome completion rates are understood and monitored over time. Method: We undertook an in-depth prospective audit of consecutive referrals accepted into the Bath and North East Somerset, Swindon and Wiltshire (BSW) CAMHS service from November 2017 to January 2018 ( n = 1074) and April to September 2019 ( n = 1172). Results: Across both audits 90% of those offered an appointment were seen with three quarters completing baseline ROMS. One in three were not seen again with around 30% still being open to the service at the end of each audit. Of those closed to the service, paired ROMS were obtained for 46% to 60% of cases. There were few changes in referral problems or complexity factors over time. Conclusion: Understanding the referral journey and the reasons for attrition will help to put nationally collected data in context and can inform and monitor service transformation over time.

Living Arrangements of Individuals with Schizophrenia in Japan: Impact of Community-Based Mental Health Services

2006 ◽  
Vol 52 (1) ◽  
pp. 55-64 ◽  
Author(s):  
Iwao Oshima ◽  
Eri Kuno
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Living Arrangements ◽  
Psychiatric Service ◽  
Community Mental Health Services ◽  
Psychiatric Hospitals ◽  
Community Based ◽  
Age Cohorts ◽  
The Difference

Aims: In Japan psychiatric hospitals and family play the predominant roles in caring for people with serious mental illness. This study explored how the introduction of community-based care has changed this situation by examining living arrangements of individuals with schizophrenia who were treated in one of the most progressive systems in Japan (Kawasaki) compared with national norms. Methods: The proportion of clients with schizophrenia in the community versus hospital and living arrangements for those in the community were compared between the Kawasaki and national treated population, using data from the Kawasaki psychiatric service users survey in 1993 and two national surveys in 1993 and 1983. The variation in living arrangements was examined across five different age cohorts. Results: The estimated national population was 36.7, which was similar to 32.7 clients per 10,000 population in Kawasaki. Some 71% of the Kawasaki clients were treated in the community compared with 55% nationally. The difference between the Kawasaki and national populations was the largest among clients aged 40 to 59. The Kawasaki community clients had a higher proportion of clients living alone. Conclusions: The community mental health services available in Kawasaki appeared to reduce hospitalisation and help clients to live alone in the community.

Approaches to Delivering Child and Adolescent Mental Health Services: The South Australian Experience

1995 ◽  
Vol 29 (2) ◽  
pp. 230-237 ◽  
Author(s):  
Michael Gifford Sawyer ◽  
Robert John Kosky
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Children And Adolescents ◽  
Mental Health Problems ◽  
South Australia ◽  
Adolescent Mental Health ◽  
Child And Adolescent ◽  
The South ◽  
Number Of Children

Approximately 10% of children and adolescents experience mental health problems, however only a small proportion receive specialised help. Identifying approaches which can provide a balanced and effective service for the large number of children and adolescents with problems is currently a major challenge for child and adolescent mental health services in Australia. In South Australia, following a review in 1983, child and adolescent services were reorganised into two separate but closely related services. This paper draws on experience in South Australia over the last decade to identify approaches which can be employed in six key areas that significantly influence the effectiveness of child and adolescent mental health services. The paper also describes the specific features which were included in the South Australian child and adolescent mental health service to address these issues.

scholarly journals Prevalence and Pattern of Mental Illness among School Age Children Seen at the University of Port Harcourt Teaching Hospital: A Six Year Study

2020 ◽  
pp. 1-10
Author(s):  
A. K. Nkporbu ◽  
B. A. Alex-Hart
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Mental Health Services ◽  
Health Services ◽  
Teaching Hospital ◽  
Health Concern ◽  
School Age Children ◽  
School Age ◽  
Port Harcourt ◽  
The University

Background: A sound mental health in school age children is critical for good academic achievements and a better transition from childhood to adulthood. The increasing prevalence of mental illness in school age children, especially the adolescents, is of great public health concern globally. Aim: The aim of this study therefore was to determine the prevalence and pattern of mental health disorders among school age children seen at the University of Port Harcourt Teaching Hospital (UPTH). Methodology: Consent for the study was obtained from the research ethical committee of the hospital. Medical case notes of all patients aged 5 years to 18 years seen in the clinic by Consultant Child and adolescent Psychiatrists from 2015 to 2019 were retrieved and thoroughly reviewed. Data was analyzed using the SPSS version 20 statistical package and results presented using descriptive and analytical methods. Results: Out of 7,856 patients seen in the Neuropsychiatry Clinic within the period under review, 408 (5.2%) were children aged between 5 to 18 years. Male was higher with 232 (56.9%). The most prevalent mental illnesses were anxiety disorders, 58 (14.2%), depressive illnesses 46 (11.3%), schizophrenic illness 44 (10.8%), mental and behavioural abnormality secondary to substance abuse (MABD) 43 (10.5%), bipolar affective disorders 37 (9.1%), while conversion disorders was the least with 3 (0.7%). Conclusion: Mental disorders are common among school age children seen in UPTH and often impair the emotional wellbeing of this population. A detailed and well worked out plan of management is needed to provide optimal mental health services to children and adolescents. Well-coordinated mental health services should be inculcated into the School Health Programme in Nigeria.

scholarly journals Psychiatric Research in India

1982 ◽  
Vol 6 (06) ◽  
pp. 102-104 ◽  
Author(s):  
N. N. Wig
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Health Survey ◽  
Health Professionals ◽  
Survey Development ◽  
Early Years ◽  
Psychiatric Research ◽  
The Status

The progress of psychiatry in India during the last 35 years is indeed impressive. At the time of Independence in 1947, there were just a handful of Indian psychiatrists looking after some 20 odd mental hospitals scattered throughout the country. Colonel M. Taylor (1946), who reviewed the status of mental health services for the Bhore Committee on Health Survey Development in India, ruefully noted the gross inadequacy of mental health services. A major recommendation of the Committee (1946) was to start local training facilities for doctors and other health professionals in the field of mental health. The first landmark was the opening of the All India Institute of Mental Health at Bangalore in 1954. The role of Dr Mayer-Gross, who was closely associated with the development of this Institute in its early years, will be long remembered by many Indian psychiatrists.

scholarly journals Perspectives on Recruitment and Representativeness in Forensic Psychiatric Research

2021 ◽  
Vol 12 ◽  
Author(s):  
Sven H. Pedersen ◽  
Henrik Bergman ◽  
Johan Berlin ◽  
Thomas Hartvigsson
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Statistical Power ◽  
Evidence Base ◽  
Mental Health Research ◽  
Psychiatric Research ◽  
Forensic Mental Health ◽  
Research Participants ◽  
Forensic Psychiatric

Participant representativeness and statistical power are crucial elements of robust research with human participants, both of which relate to the successful recruitment of research participants. Nevertheless, such core features may often not be fully reported or duly considered in psychiatric research. Building on our experiences of collecting data in the context of forensic mental health services, we discuss issues regarding participant recruitment and representativeness in our field with its particular characteristics. A quick sampling and brief overview of the literature in four specialized forensic mental health journals is presented, demonstrating that published manuscripts rarely describe the data in sufficient detail for the reader to assess sample representativeness and statistical power. This lack of transparency leads not only to difficulties in interpreting the research; it also entails risks relating to the already meager evidence base of forensic mental health services being relevant only to a subset of patients. Accordingly, we provide suggestions for increased transparency in reporting and improved recruitment of research participants. We also discuss the balance of ethical considerations pertinent to the pursuit of increased participation rates in forensic mental health research.

scholarly journals Making community based comprehensive mental health services work

1996 ◽  
Vol 20 (2) ◽  
pp. 93-96 ◽  
Author(s):  
Karen White ◽  
Maresa Ness ◽  
Tom Craig ◽  
Gary McNamee
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Community Mental Health ◽  
Health Services ◽  
Mental Health Problems ◽  
Psychiatric Service ◽  
Community Mental Health Services ◽  
Health Problems ◽  
Community Based ◽  
Inner Setting

There hat boon until recently a dearth of descriptions of locally targeted community mental health services. Such a service, developed by changing a traditional psychiatric service in an inner setting, is described. The service addresses the needs of those with predominantly severe/enduring mental health problems, by increasingly using research based treatments in an ordinary district setting.

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