No description available.

No description available.

The purpose of this research study was to explore female service members, reservists, and veterans feelings regarding service related trauma and what they want clinicians to know regarding treatment. This was a qualitative study that used a snowball sample to interview seven women; data collected was transcribed from recordings, analyzed, and categorized into themes. Qualitative themes included vulnerability, connection to clinician, and mental health stigma. Potential changes endorsed included understanding gender roles, clinician’s ability to build better therapeutic relationships, and decreasing mental health stigma. Limitations included not being able to generalize the study as service members, reservists, and veterans were not looked at independently from one another. Recommendations for the social work profession include upholding the dignity and worth of each client, understanding client’s perceptions, and advocating for policy changes. Future research will be fundamental in understanding how to provide better mental health treatment to females in combat military roles.

Abstract The purpose of this study was to investigate treatment adherence among adolescents receiving mental health care, with a special focus on psychiatric inpatient treatment. Key goals were to derive a general definition of adherence suitable for this purpose and to assess adolescents’ adherence to medication and non-pharmacological treatments. This study had two phases; phase one involved conducting systematic literature reviews, and phase two was based on empirical research in which data were collected by analyzing notes on hospital patients. The aim of the reviews were to review current research evidence into treatment adherence in adolescents and factors relating adherence among adolescents receiving mental health care (original publication n=15 and original publication n=17). Phase two was part of a clinical follow-up project called STUDY-70 conducted at the Department of Psychiatry at Oulu University Hospital in Finland. This phase yielded two further original publications – papers III and IV. Paper III examined adherence among adolescents receiving psychiatric inpatient care (n=72), focusing on both medication and non-pharmacological treatments. Paper IV examined factors affecting treatment adherence among these 72 inpatient adolescents, including family- and clinic-related variables. The systematic reviews demonstrated that many different definitions of adherence have been used in the literature. A concept synthesis was applied to these definitions to establish a basis for empirical research. The main factors that were found to correlate positively with treatment adherence among adolescents were the patients’ own will to be treated and positive sentiments, but family also played an important role. Factors that correlated negatively with adherence included negative feelings, a lack of cooperation with treatment, and adverse mental symptoms. Adolescent who has received special support at school was found to favor treatment adherence, whereas involuntary treatment, self-mutilative behavior and a close maternal relationship were all linked to non-adherence. Treatment adherence is an ongoing process, and achieving high levels of adherence should be an important goal in all treatment processes. It is important for clinical staff to be aware of factors influencing adherence in order to support the provision of effective and high-quality care for adolescents. / Tiivistelmä Tutkimuksen tarkoituksena oli selvittää mielenterveyspalveluita käyttävien nuorien hoitoon sitoutumista ja erityisesti psykiatrisessa osastohoidossa olevan nuoren sitoutumista hoitoon. Keskeisinä tavoitteina oli kuvata hoitoon sitoutumisen määrittelyä ja arvioida nuoren sitoutumista lääke- ja ei-lääkinnälliseen hoitoon. Tutkimus sisälsi kaksi vaihetta: vaihe yksi systemaattiset kirjallisuuskatsaukset sekä vaihe kaksi empiirisen tutkimuksen, jossa tieto kerättiin analysoimalla potilasasiakirjoja. Systemaattisen kirjallisuuskatsauksen tarkoituksena oli selvittää nuoren hoitoon sitoutumista ja siihen yhteydessä olevia tekijöitä (alkuperäisjulkaisu I n=15, alkuperäisjulkaisu II n=17). Vaihe kaksi oli osa Oulun yliopistollisen sairaalan psykiatrian klinikan projektia, STUDY-70, joka tuotti kaksi osajulkaisua. Alkuperäisjulkaisun III tarkoituksena oli tutkia osastohoidossa olevan nuoren sitoutumista lääke- sekä ei lääkinnälliseen hoitoon (n=72). Alkuperäisjulkaisussa IV selvitettiin näiden nuoren sitoutumista hoitoon ja erityinen mielenkiinto tässä tutkimuksessa oli perhe- ja kliinisillä tekijöillä sitoutuminen (n=72). Systemaattisen kirjallisuuskatsauksen perusteella sitoutumisen määrittelyt vaihtelivat. Tästä huolimatta käsitteen määrittelyjen synteesi oli mahdollinen ja se loi pohjan empiiriselle tutkimukselle. Tämän tutkimuksen perusteella nuoren oma tahto ja positiivinen asenne olivat positiivisesti yhteydessä hoitoon sitoutumiseen. Myös perheen toiminta vaikutti hoitoon sitoutumiseen. Nuoren negatiiviset tunteet, yhteistyökyvyttömyys ja mielenterveysoireet vaikuttivat negatiivisesti sitoutumiseen. Lisäksi nuoren saamat erityispalvelut koulussa tukivat osastohoidossa olevan nuoren hoitoon sitoutumista. Vastentahtoinen hoito, viiltely sekä läheinen ja kestävä äitisuhde olivat yhteydessä sitoutumattomuuteen. Hoitoon sitoutuminen on kokonaisvaltainen prosessi ja yksi hoidon tavoitteista, joka voidaan saavuttaa. Hoitoon sitoutumisen edistämiseksi henkilökunnan tulee tiedostaa ne tekijät, jotka vaikuttavat hoitoon sitoutumiseen. Näin voidaan suunnitella ja toteuttaa laadukasta ja vaikuttavaa hoitoa.

No description available.

No description available.

People experiencing mental health illnesses such as posttraumatic stress disorder (PTSD) who do not receive mental health treatment services (MHTS) are at a higher risk of committing crimes. The research problem of this study was to fill the gap in the literature concerning gender, sex at birth, and gender identity differences as predictors of attitudes toward perceived stigma in help-seeking behavior (HSB) and use of MHTS. The sample size included 5,000 participants in the de-identified secondary data set of students from 26 universities and colleges across the United States. The Healthy Minds Study collected these data in 2016-2017 using the Patient Health Questionnaire. To address the research questions guiding the study, one-way ANOVA was used to test for differences in groups based on sexual orientation and gender identity for measures of perception of stigma, use of MHTS, and HSB regarding receiving mental health services. Between groups, MANOVA was used to assess differences in groups based on gender identity and sexual orientation on a linear combination of the dependent measures of perception of stigma in use of MHTS and HSB. There were directional differences between groups based on independent variables gender and sexual orientation on measures of the dependent variables perception of stigma in use of MHTS and of HSB. However, a closer examination of the results indicated that the effect size associated with the directional differences was weak. The results from this study may help clinicians to identify treatment challenges related to biological sex and gender identity and help to influence future interventions to better accommodate the contemporary population of men and women experiencing symptoms of PTSD.

The purpose of this study was to examine the relationship between family leisure involvement and family functioning among families with an adolescent in mental health treatment. The sample (N=181) was obtained by sampling parents and adolescents enrolled in mental health treatment at Heritage Schools. Of the 181 participants, 52 cases consisted of matched parent and youth responses, 24 cases consisted of just parent responses, and 53 cases consisted of just adolescent responses. It was hypothesized that there would be a relationship between family leisure involvement and family functioning among families with youth in mental health treatment, and that when comparing this sample to a sample of normative families there would be differences between their family functioning and family leisure involvement. Findings indicated significant differences across all family functioning variables and some differences in family leisure involvement variables between the two samples. Findings also indicated significant positive relationships between family leisure and family functioning variables from the parent and youth perspectives in the sample of families with youth in mental health treatment. Recommendations for further research and implications for practitioners are discussed.

Aim To explore Mental Health Care Practitioners and a Mental Health Care Directors perceptions of mental health care nurses obtaining prescription authority in eThekwini District KwaZulu-Natal. Methodology A qualitative design was used to gather data through individual interviews and a focus group interview. Purposive sampling was used to select the study setting (five (5) Out Patient Departments, two (2) Community Health Centres, one (1) tertiary educational institution, and one district office), potential participants were not sampled. Participants included; twenty six mental health care nurses (n=26), one (1) psychiatrist (n=1), four (4) medical officers (n=4) and one (n=1) mental health care director. Thematic analysis using the steps outlined by Braun and Clark (2006) was used to analyse the data. Results The majority of participants were not aware of policies or legislation allowing nurses to prescribe medication. Participating mental health care nurses from an education setting were more knowledgeable than other participants about current legislation and policy. Study findings indicate that nurses’ obtaining prescriptive authority is not on the provincial department of health agenda. In addition, participating ppsychiatrists and medical officers expressed reservations about nurses obtaining prescriptive authority, specifically independent prescriptive authority. Participating mental health nurses displayed ambivalence related to the pursuit of prescriptive authority. Conclusion and Recommendations The challenge for mental health nurses is suggested to be the achievement of a collaborative working relationship within the discipline of nursing, and between the discipline of nursing and medicine / psychiatry. It is suggested mental health care directors, and the SANC, be proactive, look to the future in advising the health minister about access and barriers to mental health care treatment. In addition, the SANC champion the nurse, specifically the mental health care nurse in obtaining prescriptive authority for schedule 5-6 psychotropic medications. Further research is required to generate more in-depth data, specifically research that explores mental health care nurses’ reluctance to pursue prescriptive authority. / Thesis (M.N.)-University of KwaZulu-Natal, Durban, 2014.

Mental health treatment in state prisons is revealed to be highly variable, under-funded, and systematically inadequate. Existing literature exposes this injustice but fails to provide a comprehensive proposal for reform. This paper attempts to fill that gap, outlining a cost-effective, evidence-based treatment proposal, directly addressing the deficits in care revealed through analysis of our current system. In addition, this paper provides historical overviews of the prison system and mental health treatment, utilizing theoretical perspectives to contextualize this proposal in the present state of affairs. Lastly, the evidence is provided to emphasize the potential economic and social benefits of improving mental health treatment in state prisons. Significant findings suggest a clear financial, legal, and moral incentive for states to address this issue, while the proposal provides a viable method of doing so.