Measuring outcome in child and adolescent mental health services: Consumers’ views of measures
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Background: Outcome measurement in child and adolescent mental health services in New Zealand became mandatory in 2005 and little is known about how this is perceived by service users. Aims: This study aimed to ascertain what service users think about routine outcome measurement in child and adolescent mental health services. Method: Nine semi-structured focus groups of child and adolescent service users ( n=34) and family members ( n=21) were held in different sites in New Zealand to determine their views on outcome measures. Results: Consumers supported outcome assessment with some provisos that have important implications for clinical services: the method of collecting information is critical to acceptance; assessment should be done in the context of an established relationship with the clinician; care is needed over the timing and context of assessment, access to information and feedback of results; and measures should be brief and holistic and their limitations recognised. Conclusion: Service users support outcome measures but their implementation requires care and consultation.Keywords:
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Objective To raise policy suggestions for publ ic health bureaus by analyzing the mental health service in Chengdu City in 2004.Methods We appl ied descri ptive methods to analyze the mental health service. Results The mental health resources in Chengdu City were insufficient and the util ization rate of health resources was low.Conclusions Strategies to improve this may include setting up mental health management sections;increasing the funds for health service;strengthening professionals training; exploiting the service field of relevant specialties and developing community mental health.
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Disengagement theory
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Objectie:To invest iga te the mental health service in liaoning provi nce.Methods:The mental health service guality was censused in all the 28 independ ent mental health services and 44 depend ent survey health services.Results:The re were differences between the independe nt and dependent health mental health se rvices in medical quality.Conclusion:T he mental health resources in our provin ce is insufficient,and its utilization is low efficiency.
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Purpose To examine the patterns and correlates of 12-month mental health service use among those who do not have a diagnosed mental health disorder during that period in the Kingdom of Saudi Arabia.Methods The Saudi National Mental Health Survey used the World Health Organization Composite International Diagnostic Interview to ascertain mental health conditions. To understand the reasons for help-seeking among respondents without a diagnosed mental health disorder (n = 1256), the patterns and the association of service use to sociodemographic and clinical factors were assessed.Results Those without a disorder diagnosed comprised 40% of service users accounting for over one-third (35.4%) of mental health service visits. The mean number of visits was higher in those with no indicator of need compared to other categories. General medical provider was the common source of treatment among those without a disorder. Respondents who were ever married were more likely to utilize mental health services, whereas those who reported lower income were less likely to receive treatment.Conclusion Although the majority of 12-month mental health services were provided to people with a diagnosed disorder or other indicators of need, the proportion of treatment utilized by those who did not is high and warrants further investigation.
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There is currently an incomplete picture of the long-term impact of homelessness on youth with mental health issues. There are also questions regarding homelessness as a predictor of mental health re-admissions.To examine the mental health service presentation profile of young people affected by homelessness and mental health issues.A retrospective analysis was conducted of the medical records of homeless (n = 29) and non-homeless (n = 32) youth who attended the YouthLink specialist mental health service in 2010. We tracked their pattern of mental health service admissions at five time points during a total period of 10 years, including 2 years prior to, and up to 8 years following the YouthLink presentation. A regression analysis was used to examine factors hypothesized to contribute to mental health re-admissions.Homeless youth had significantly more frequent presentations to inpatient and outpatient mental health services, and emergency departments for mental health reasons. They were 11 times more likely to be re-admitted to a mental health inpatient ward than non-homeless youth. Prior hospital admission was an independent predictor, increasing by a factor of 2.2 for every inpatient admission.The impact of homelessness on mental health issues is enduring, and is a long-term predictor of hospital re-admission.
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Objective:To get the information about freshmen's mental health status,to provide reference evidence for carrying out mental health education effectively,mental consultation and therapy as well.Methods:To survey the situation of 7709 freshmen's mental health by using UPI.Results:①Among the freshmen,9.82 percent of the students may have serious mental diseases,22.68 percent of them may have a little psychological problem,and 67.5percent of them are healthy.②The scale of female's mental problems is higher than male's,there are no distinct differences between male and female in general,but there are distinct differences among individuals.Conclusion:The mental health education should be started as soon as the students enter independent college.A timely mental health survey is also necessary and psychological consulting service should be provided for the students according to their characteristics.
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Background: Involvement of service users in mental health research, whether predicated on rights-based or instrumentalist arguments, is appropriately understood as a purposive social action likely to have both intended and unintended consequences. Despite rhetoric and some evidence that involvement is a good thing and confers benefits on the people involved, the impact on involved individuals remain underexplored.
Aims: To describe the impact of involvement in research on views about mental health services and service use.
Method: A cross-sectional survey of service users involved in mental health research across the UK. Data collected from 166 respondents using an online questionnaire were analysed using the framework approach and narratively synthesised.
Results: Involvement, through enabling ‘behind the scenes’ access shaped views of service users about services and service use. Increased awareness of challenges and shortcomings of service delivery shifted expectations, commonly empowering service users to proactively engage in treatment. However, for some respondents, disillusionment led to discontinuation of services.
Conclusions: Empowerment is a common outcome of involvement but a minority of service users may become critical and drop out of services. People considering involvement in research should be informed about the potential impact on their views and service use and be appropriately supported during involvement. The theory of user involvement needed to support robust examination of process and outcomes must encompass unintended consequences.
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Abstract A random sample of college sophomores was studied regarding their mental health status, mental health service use, and attitudes toward mental health professionals. Data were collected through home interviews and a search of the students' service records at the university. Mental health status was measured by the 22-item Midtown Mental Health Scale. Religious affiliation and performance satisfaction were both found to be significantly related to mental health status. Catholics had higher scores on the mental health symptom scale, while protestant scores were lower. This pattern was reversed in service use. Catholics used mental health services proportionately less than protestants, although this difference did not reach an acceptable level of significance. Performance satisfaction was negatively related to need for mental health services. The relationship between need and use of mental health services was significant only when students' self-report of use of counseling services outside the university system was included. Mental health professionals were seen as more caring, but less helpful than health professionals. “Impaired” students rated mental health professionals as significantly less caring for their patients than “well” students. Implications of these results are discussed.
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This article analyzes the basic situation and problem of mental health in China and introduces the mental healthservices in Australia. The author suggests that we should make law on mental health. Community service should become a trendof mental services. General hospitals should develop special department on mental health and education on mental health should beenhanced.
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Mental health service is an important system. An investigation of 257 employees leads to the fol-lowing conclusions. 1) The overall situation of mental health service system in universities remains well (M = 3.62) after management training (M = 2.85). 2) There are significant differences in the second-level indicators of service effects in mental health service system. 3) There are significant differences between genders and among service providers in universities. The paper concludes that the mental health service system oriented to mental promotion and student-centered principle should be established in universities to improve the mental health service.
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