Community-Based Mental Health Services

Cost-Effectiveness of ADHD Treatments: Findings From the Multimodal Treatment Study of Children With ADHD

by Joe Albert Garcia

ETHNOMUSICKING: A VALUED MUSIC OCCUPATION OR AUDACIOUS ANTICS IN THE PURGA MUSIC MUSEUM

by Sandra Kirkwood

This paper appears was delivered at the Cultural Diversity in Music Education Conference held at the Sydney Conservatorium of Music on 11 January, 2010. It appears in the Conference Proceedings -- peer reviewed and accepted for publication 31 October, 2009.

Music history research of Indigenous and Scottish groups in Ipswich, Australia, reveals that people have had varying... more Music history research of Indigenous and Scottish groups in Ipswich, Australia, reveals that people have had varying levels of access and engagement in music making that is related to their music heritage and culture. There is no suitable terminology to describe this active cultural engagement, so I propose the term ‘ethnomusicking.’ In this paper I will outline my concept of ethnomusicking and discuss examples from participatory action research. The aim is to critically analyse the social significance of ethnomusicking and the role of the music museum curator in facilitating community-based education – particularly the design of programs for reconciliation and healing.

Implementation of crisis resolution/home treatment teams in England: national survey 2005 -2006

by Hugh Middleton

Crisis resolution/home treatment teams, gate-keeping and the role of the consultant psychiatrist

by Hugh Middleton

A Letter of Consequence: Referral Letters From General Practitioners to Secondary Mental Health Services

by Hugh Middleton

Unmet needs, quality of life and support networks of people with dementia living at home

by Claudia Miranda

People with dementia living alone: what are their needs and what kind of support are they receiving?

by Claudia Miranda

Background: In the U.K. about 141,460 people with dementia (PWD) live alone. They are at risk of social isolation and... more Background: In the U.K. about 141,460 people with dementia (PWD) live alone. They are at risk of social isolation and inadequate social and medical supervision. The aims of this study were to identify the needs of PWD living alone and to compare the needs of PWD living alone versus those living with others. It was predicted that PWD living alone would have significantly more unmet needs than those living with others.

Methods: 152 PWD were interviewed about their cognitive status and quality of life (QoL); and 128 informal carers were interviewed about the PWD's QoL, social networks, behavioral and psychological symptoms (BPSD), functional status, and services used. For 24 PWD no carer was available. Carers were also interviewed about their own symptoms of depression, anxiety, burden, and satisfaction. Researchers rated PWD's needs. One-third of the PWD (50) were living alone.

Results: PWD living alone had significantly more unmet needs (M = 3.9, s.d. 3.1) than those living with others (M = 2.0, s.d. 2.0) (U = 1578, p < 0.01) particularly in the areas of looking after home (χ2 = 17.23, p < 0.001), food (χ2 = 13.91, p < 0.002), self-care (χ2 = 10.23, p < 0.002) and accidental self-harm (χ2 = 16.51, p < 0.001). The most frequent unmet needs were daytime activities (27, 54.0%), company (26, 52.0%), psychological distress (22, 44.0%), eyesight/hearing (16, 32.0%), and accidental self-harm (16, 32.0%).

Conclusion: PWD living alone are a vulnerable group who are at increased risk for unmet social, environmental, psychological and medical needs. This study illustrates the need to identify these individuals and to make provisions among social service agencies to monitor their well-being regularly and provide a higher level of support when needs are identified.

The unmet needs of referrals to old age psychiatry liaison services

by Claudia Miranda

Dual job holding General Practitioners: The effect of patient shortage

by Geir Godager

Clinician's perspectives of the relocation of a regional child and adolescent mental health service from co-located to stand alone premises

by Candice Boyd

Introduction: Australia’s National Mental Health Strategy’s statement of rights and responsibilities states that... more Introduction: Australia’s National Mental Health Strategy’s statement of rights and responsibilities states that children and adolescents admitted to a mental health facility or community program have the right to be separated from adult patients and provided with programs suited to their developmental needs. However, in rural Australia, where a lack of healthcare services, financial constraints, greater service delivery areas and fewer mental healthcare specialists represent the norm, Child and Adolescent Mental Health Services (CAMHS) are sometimes co-located with adult mental health services. The aim of the present study was to evaluate the impact of a recent relocation of a regional CAMHS in Victoria from co-located to stand alone premises.

Method: Six CAMHS clinicians who had experienced service delivery at a co-located setting and the current stand-alone CAMHS setting were interviewed about their perceptions of the impact of the relocation on service delivery. An exploratory interviewing methodology was utilized due to the lack of previous research in this area. Interview data were transcribed and analysed according to interpretative phenomenological analysis techniques.

Results: Findings indicated a perception that the relocation was positive for clients due to the family-friendly environment at the new setting and separation of CAMHS from adult psychiatric services. However, the impact of the relocation on clinicians was marked by a perceived loss of social capital from adult psychiatric service clinicians.

Conclusion: These results provide increased understanding of the effects of service relocation and the influence of co-located versus stand-alone settings on mental health service delivery – an area where little prior research exists.

System integration and its influence on the quality of life of children with complex needs

by Dillon T. Browne

The Family Standpoint of Investigation: Examining the Correlates and Costs of Parental Stress in a Sample of Families Involved With Ontario Child Welfare

by Dillon T. Browne

An Impact Evaluation of the Texas Department of Mental Health and Mental Retardation Assertive Community Treatment (ACT) Program on Participant Use of State Hospitals

by Texas State PA Applied Research Projects

Kuhns, Melody Crain, "An Impact Evaluation of the Texas Department of Mental Health and Mental Retardation Assertive Community Treatment (ACT) Program on Participant Use of State Hospitals" (1998). Applied Research Projects, Texas State University-San Marcos. Paper 84.
http://ecommons.txstate.edu/arp/84

Human Rights and Community Mental Health

by Oliver Lewis

co-authored with Peter Bartlett, in "Oxford Textbook of Community Mental Health", edited by Graham Thornicroft, George Szmukler, Kim T Mueser and Robert E. Drake, Oxford University Press, 2011

Exclusion and Social Support - Agency in transnational biographies of depressive women of turkish origin

by Sina Motzek

Poster at the international conference "Social Support on the move - Transnational Social Work" in Mainz, 04., 05.10.2011 (Actualized Version)

In my PhD project i want to research on processes of social exclusion and the biographical development of agency in... more In my PhD project i want to research on processes of social exclusion and the biographical development of agency in the case of female depressive transmigrants of turkish origin. I assume that these women are on the one hand on risk to suffer from social exclusion, because of beeing effected by multiple discrimination categories. On the other hand i assume that with the possibility of accessing transnational social support, they have special conditions for developing ‚agency’ (Emirbayer/ Mische 1998) in coping with their depression and the experienced exclusion.

Continuity of care for people with psychotic illness: Its relationship to clinical and social functioning

by Connie Geyer

Catty J, White S, Clement S, Cowan N, Geyer C, Harvey K, Jones IR, McLaren S, Poole Z, Rose D and Wykes T (2011). International Journal of Social Psychiatry, doi: 10.1177/0020764011421440.

Continuity of care for people with non-psychotic disorders

by Connie Geyer

Catty J, Cowan N, Poole Z, Clement, S, Ellis G, Geyer C, Lissouba P, Molodynski A, White S and Burns T (2011). International Journal of Social Psychiatry, PMID: 21937475.

Attachment to the clinical team and its association with therapeutic relationships, social networks, and clinical well‐being

by Connie Geyer

Catty J, Cowan N, Poole Z, Ellis G, Geyer C, Lissouba P, White S and Burns T (2011). Psychology and Psychotherapy: Theory, Research and Practice, 84.

The Effect of Social Support and Coping Style On Mental Health, Tedium (burnout), and Job Duration among Sydney Community Youth Support Scheme Project Officers.

by Adam Bogacki

In the study reported here, 65 Sydney Community Youth Support Scheme (CYSS) project officers (76% of the population)... more In the study reported here, 65 Sydney Community Youth Support Scheme (CYSS) project officers (76% of the population) were interviewed and completed questionnaires which assessed psychiatric symptoms (GHQ-60), Tedium (a measure of burnout), employment duration, social support, coping, personality factors (Eysenck Personality Inventory, Form A), and sociodemographics. Eleven of these subjects were re-interviewed after (approx.) 6 months.

Results were that 33.8% of respondents had GHQ above threshold at the time of interview, 60% having been employed at CYSS for less than 1.33 years. Content analysis of GHQ, Tedium, and Neuroticism (EPI) scales showed significant item content overlap. N was therefore excluded from further analysis. It was shown that reduced models of Adequacy of Social Integration, part-time trade or technical college education, and experience in other youth unemployment schemes had most predictive power on Log10(GHQ+1); of Age and previous experience in residential child care work on Tedium; and of Age, non-work emotion focused coping, and Adequacy of Attachment on Log10(DAP+1).

It was concluded that burnout may be conceptualised as occupational stress and related to psychiatric dysfunction, but that ‘Tedium’ is not an adequate measure of the construct. Evaluation of support function adequacy appears to be a significant factor influencing distress and staff retention. Lack of significant coping effects on distress appears to reflect conceptual confusion in this area. A model integrating personal and social resources seems promising but needs testing.

The Effect of Social Support and Coping Style On Mental Health, Tedium (burnout), and Job Duration among Sydney Community Youth Support Scheme Project Officers.

by Adam Bogacki

In the study reported here, 65 Sydney Community Youth Support Scheme (CYSS) project officers (76% of the population)... more In the study reported here, 65 Sydney Community Youth Support Scheme (CYSS) project officers (76% of the population) were interviewed and completed questionnaires which assessed psychiatric symptoms (GHQ-60), Tedium (a measure of burnout), employment duration, social support, coping, personality factors (Eysenck Personality Inventory, Form A), and sociodemographics. Eleven of these subjects were re-interviewed after (approx.) 6 months.

Results were that 33.8% of respondents had GHQ above threshold at the time of interview, 60% having been employed at CYSS for less than 1.33 years. Content analysis of GHQ, Tedium, and Neuroticism (EPI) scales showed significant item content overlap. N was therefore excluded from further analysis. It was shown that reduced models of Adequacy of Social Integration, part-time trade or technical college education, and experience in other youth unemployment schemes had most predictive power on Log10(GHQ+1); of Age and previous experience in residential child care work on Tedium; and of Age, non-work emotion focused coping, and Adequacy of Attachment on Log10(DAP+1).

It was concluded that burnout may be conceptualised as occupational stress and related to psychiatric dysfunction, but that ‘Tedium’ is not an adequate measure of the construct. Evaluation of support function adequacy appears to be a significant factor influencing distress and staff retention. Lack of significant coping effects on distress appears to reflect conceptual confusion in this area. A model integrating personal and social resources seems promising but needs testing.