Archive for the ‘mental health’ Category
Septiembre 08, 2009
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Childhood bullying and victimization appear to predict future psychiatric problems in both males and females although females appear more likely to be affected regardless of preexisting psychiatric problems, according to a report in the September issue of Archives of General Psychiatry, one of the JAMA/Archives journals. “Bullying can be defined as an aggressive act embodying an imbalance of power in which the victims cannot defend themselves accompanied by an element of repetition,” according to background information in the article. “Bullying and victimization are associated with poorer family functioning, interparental violence and parental maltreatment” and often result in troubled outcomes for both bullies and victims. Although there have been studies on the effects of bullying, “there are no previous populationbased studies that examined late adolescence or adulthood outcomes of childhood bullying among both males and females.” Andre Sourander, M.D., Ph.D., of Turku University Hospital, Turku, Finland, and colleagues studied associations between bullying and victimization in childhood (at age In total, 6 percent of 8yearold boys bullied others frequently, but were not victims themselves, while 6.4 percent of boys were frequently victims but not bullies. Additionally, 2.8 percent of boys were frequently both bullies and victims. Among girls, 3.6 percent were frequent victims of bullying, 0.6 percent were bullies and 0.2 percent were both bullies and victims. “Frequent victim status at age 8 years among females independently predicted psychiatric hospital treatment and use of antipsychotic, antidepressant and anxiolytic drugs” regardless of psychiatric problems at baseline, the authors write. “Among males, frequent bullyvictim and bullyonly statuses predicted use of antidepressant and anxiolytic drugs. Frequent bullyvictim status among males also predicted psychiatric hospital treatment and use of antipsychotics. However, when the analysis was controlled with total psychopathology score at age 8 years, frequent bully, victim or bullyvictim status did not predict any psychiatric outcomes among males.” Bullying behavior should be considered an indicator of the risk of a future psychiatric disorder, which may develop into a serious problem for those involved and for society in general, the authors note. “Developing prevention systems requires a knowledge of the biological, psychological and social mechanisms involved. As later psychological disorders have been found to be associated with individuals displaying childhood bullying behaviors, there is a need for the integration of mental health services into the school context,” the authors conclude. “It is important to inform policymakers, school professionals and the public about the potential shortterm and longterm consequences of bullying and victimization.” Arch Gen Psychiatry. 2009;66[9]10051012.
Julio 27, 2009
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The British Psychological Society has welcomed the publication, of New Horizons, the governments new plan for the development of mental health services. Dr John Hanna, director of the Policy Unit of the Societys Division of Clinical Psychology says “New Horizons promises to be the National Service Framework (NSF) the next 10year plan for mental health. “We welcome in particular its vision of fostering wellbeing rather than just treating mental ill health. We also welcome the use it makes of health economics and the developing evidence base about which treatments for mental health problems are most effective. “That evidence base shows that applied psychology has reached a position of parity with medicine, although that is not yet reflected in service delivery. We therefore disagree with the implication that the NSF has been fully implemented, particularly the NSF Standard 1 of preserving and enhancing mental willbeing as well as preventing and detecting emergent psychological distress. “Nevertheless, we look forward to tangible policy proposals that, alongside effective commissioning and investment, will make New Horizons vision a reality.”
Junio 18, 2009
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Mental health refers to our cognitive, and/or emotional wellbeing it is all about how we think, feel and behave. Mental health, if somebody has it, can also mean an absence of a mental disorder. Approximately 25% of people in the UK have a mental health problem during their lives. The USA is said to have the highest incidence of people diagnosed with mental health problems in the developed world. Your mental health can affect your daily life, relationships and even your physical health. Mental health also includes a persons ability to enjoy life to attain a balance between life activities and efforts to achieve psychological resilience. According to Medilexicons medical dictionary, mental health is “emotional, behavioral, and social maturity or normality; the absence of a mental or behavioral disorder; a state of psychological wellbeing in which one has achieved a satisfactory integration of ones instinctual drives acceptable to both oneself and ones social milieu; an appropriate balance of love, work, and leisure pursuits”. According to WHO (World Health Organization), mental health is “a state of wellbeing in which the individual realizes his or her own abilities, can cope with the normal stresses of life, can work productively and fruitfully, and is able to make a contribution to his or her community”. WHO stresses that mental health “is not just the absence of mental disorder”. WHO explains that especially in low and middleincome countries, mental health services are very underfunded both human and financial. Most resources are channeled into treating and caring for mentally ill patients, rather than on any integrated mental health system. Countries should integrate mental health into primary health care (general practice), provide mental health care in general hospitals, and improve communitybased mental health services, rather than just providing care in large psychiatric hospitals.Mental health problems (disorders) can affect anyoneExperts say we all have the potential for suffering from mental health problems, no matter how old we are, whether we are male or female, rich or poor, or ethnic group we belong to. In the UK over one quarter of a million people are admitted into psychiatric hospitals each year, and more than 4,000 people kill themselves. They come from all walks of life. Interesting related articles What is anxiety? What causes anxiety? What is dementia? What causes dementia? What is stress? What causes stress? What is insomnia? What causes insomnia? What is depression? What causes depression? What is schizophrenia? What is anorexia? What is bulimia? What is autism? What is ADHD According to the NIMH (National Institute of Mental Health, USA) mental disorders are “common in the USA and internationally”. Approximately 57.7 million Americans suffer from a mental disorder in a given year, that is approximately 26.2% of adults. However, the main burden of illness is concentrated in about 1 in 17 people (6%) who suffer from a serious mental illness. Approximately half of all people who suffer from a mental disorder probably suffer from another mental disorder at the same time, experts say. In the UK, Canada, the USA and much of the developed world, mental disorders are the leading cause of disability among people aged 15 to 44.What are mental illness, mental disorders and mental health problems? Mental illness is a term that is used to refer to a wide range of mental disorders that can be diagnosed by a health care professional. In this article, mental illness, mental disorders and mental health problems have the same meaning.What are the most common mental illnesses? The most common forms of mental illnesses areAnxiety disorders the most common group of mental illnesses. The sufferer has a severe fear or anxiety which is linked to certain objects or situations. Most people with an anxiety disorder will try to avoid exposure to whatever triggers their anxiety. Examples of anxiety disorders include PSTD (Posttraumatic stress disorder) this can occur after somebody has been through a traumatic event something horrible and scary that the person sees or that happens to them. During this type of event the person thinks that his/her life or other peoples lives are in danger. The sufferer may feel afraid or feel that he/she has no control over what is happening. Self help There are a lot people with mental health problems may do to improve their mental health. Alterations in lifestyle, which may include a better diet, lower alcohol and illegal drug consumption, exercise and getting enough sleep can make enormous differences to a mental health patients mental health. Lets have a closer look and some of these strategiesDiet and mental health Scientists, psychiatrists, and other health care professionals know that the brain is made up in large part of essential fatty acids, water and other nutrients. It is an accepted fact that food affects how people feel, think and behave. Most experts accept that dietary interventions could have an impact on a number of the mental health challenges society faces today. So, why is it that governments and public health authorities in developed economies invest so little in developing this knowledge? The evidence is growing and becoming more compelling that diet can play a significant role in the care and treatment of people with mental health problems, including depression, ADHD (attention deficit hyperactivity disorder) to name but a few. If experts are talking about an integrated approach which recognizes the interplay of biological, psychological, social and environmental factors with diet in the middle of it as being key and challenging the growing burden of mental health problems in developed nations, surely individuals can speed things up and do something about their diet themselves and improve their mental health. Interesting related article What is healthy eating? What is a good diet?It is estimated that in the UK people eat 4 kilograms of food additives each year. We are not sure what effect decades of such consumption may have on the brain. We dont know for one simple reason governments are reluctant to fund, conduct or publish rigorously controlled large scale studies which look at the effect of additives on human mental health. Changing farming practices have introduced higher levels of different types of fat into our diet. For example, chickens reach their ideal weight for slaughter twice as quickly today compared to three decades ago this has changed the nutritional profile of meat, according to a report by the Mental Health Foundation (UK). Three decades ago a typical chicken carcass used to be 2% fat today they are a whopping 22%. The omega3 fatty acid content in chicken meat has dropped while the omega6 fatty acids have risen. The same is happening to farmed fish.
Mayo 11, 2009
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While the issue of psychiatric problems of mothers affecting children is much discussed, mental health problems of fathers can be just as important for child outcomes. The issues are discussed in a Review published Online First and in an upcoming edition of The Lancet, written by Dr Paul Ramchandani and Dr Lamprini Psychogiou, Department of Psychiatry, University of Oxford, UK. The research was funded by the Wellcome Trust. Several reasons exist for this focus on mothers. In many societies, women are the primary care givers for children, and thus have a greater role than men in their childrens early development and socialisation. However, the role of men is sometimes underemphasised. In most countries and cultures, fathers have an active role in child care; moreover, fathers seem to have more influence on their childrens development than previously thought. Men differ from women in their distribution of psychiatric disorders, yet all the main categories of these disorders exist in men of parenting age and for most of them, peak onset is between 18 and 35 years of age. Depression affects about 36% of men, which is about half of its prevalence in women. Paternal depression during the postnatal period (measured at 8 weeks after birth) has been associated with a doubling of the chance of subsequent behavioural and emotional problems in childrenfrom 10% to nearly 20%. Also, adolescent offspring of depressed fathers have an increased risk of various psychological problems including depression and suicidal behaviour. Some 2% of men are affected by generalised anxiety disorder. Children whose parents have anxiety disorders have a twofold increased risk of developing anxiety disorders. Rates of substance abuse vary from 4% to 14% for alcohol abuse, and from 1% to 5% for substance abuse. Studies have shown consistent associations between paternal alcoholism and an increased risk of conduct disorder, and substance abuse and dependence in children, with a possible higher risk in the sons than in the daughters of affected fathers. Paternal alcoholism is also associated with an increased risk of mood disorders and depressive symptoms in adolescents, and increased academic underachievement, low selfesteem, and relational difficulties. Adolescents whose parents have bipolar disorder are up to 10 times more likely than adolescents with mentally health parents to develop bipolar disorder, and 34 times more likely to develop other psychiatric illness. The authors discuss the possibility of childtoparent effects, whereby child characteristics such as a difficult temperament can increase the risk of psychiatric disorder in the parents. However, disease transmission tends to go predominantly from parent to child, which tallies with evidence that improvements in maternal depression are followed by improvements in child mental health. A mixture of genetic and environmental factors contribute to parental psychiatric disorders. Parental disorders can affect the child environment eg, if a father loses his job, the socioeconomic hardship can result in an increased risk that his child will develop a psychiatric disorder. Parental disorders, such as depression, are associated with an increased risk of marital conflict and unhappiness, exposure to which, in turn, is associated with an increased risk of childhood behavioural problems. Boys seem to be more vulnerable than girls to the effects of their fathers depression, especially early during development. Similarly, sons of alcoholic fathers are at risk of developing conduct disorder, delinquency, and substance abuse. If a child has a difficult temperament, the risk of anxiety and depression in adults and children can increase. Children of mothers with depression are more likely to suffer it themselves if they are from a poor family. There is also interest in the effects of an absent father on a child. Research suggests that the presence of an antisocial father is associated with worse behavioural outcomes for children than if the antisocial father is absent. The authors say that research is needed in four areas. Studies should be undertaken on fathers to assess the relation between their psychiatric disorders and their childrens development; research is also needed to understand the mechanisms by which paternal psychiatric disorders affect families and children; the couple or marital relationship, which is often affected when one or the other partner has a psychiatric disorder, should be investigated; finally, more international and crosscultural research is needed to clarify those areas in which risk and transmission are similar, and those where they are different. The authors conclude “Recent findings have suggested that paternal psychiatric disorders can be associated with increased risk of adverse child outcomes, independent from maternal psychiatric wellbeing. In some children, the patterns of risk associated with paternal disorders are different from those associated with maternal disorders, with boys potentially at increased risk. Additional focus on the mental health of fathers is likely not only to benefit them, but to create an opportunity to help improve the lives of their children.” Link to Review
Abril 01, 2009
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∥ 2008 Advisory Board club and Kaiser relationship Foundation. All rights taciturn.
Marzo 30, 2009
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&ersatz; 2008 Advisory Board muster and Kaiser brood Foundation. All rights misanthropic.
Marzo 30, 2009
Filed Under (mental health) by admin
race in Wells and Mendip are being asked for their views about proposals to improve community mental form support to community in crisis. However, the effect of developing such services is expected to be a reduction in demand for inpatient beds on the Priory verdure Park range in Wells. In 2008 the Somerset Partnership NHS Foundation Trust invested closed £300,000 to ripe a new Crisis determination and roof Treatment maintenance for adults and older society. National and divisional evidence shows that the effect of developing new Crisis Intervention and digs Treatment services in the community will be to reduce demand for inpatient beds, as more clients receive the support they be Needy in their own homes. The Priory shape Park is the trendy locus of the 26 bed St Andrews Ward. The ward supports older persons with mental healthfulness hots water. besides on the post is the 25 bed Phoenix Ward. that facility supports adults with mental ill wellbeing. Both these facilities were built gone 15 years ago, and despite continuing improvements, they no longer meet the requirements of modern mental tone care facilities. Patients share four bedded bays, which no longer meet the standards of sequestration and dignity now expected from a modern inpatient psychiatric facility. The Partnership Trust is now asking geographical public, patients and their carers for their views on two key proposals They are To reduce the folio of beds on the Priory good condition Park scene from the accepted equable of 51 to 26 beds by 1 June 2009. The Trusts suggests that is achievable outofdoors reducing services to clients, being expenditure in its Crisis perseverance and habitation Treatment serviceability will inevitably reduce demand for inpatient beds on the wards. To invest closed £500,000 in the redesign and modernisation of St Andrews Ward, to fashion a redesigned facility which would provide separate wards, with separated rooms, for adults and for older inhabitants with mental ill stamina. Somerset Partnership s Medical Director, Jason Hepple, said “We would homologous town citizens to share their views about our backing plans and the proposals to modernise facilities on the Priory lustiness Park station. crash pad based crisis services could reduce the historic dependence we have had upon hospitalbased care. The move to more community support is including in with clients and is accepted as representing super clinical practice for modern mental hardihood services.” He added “Few folks would choose hospital as their preferred position for treatment, and shape professionals and national shape organization makers see the move to improved crisis support and treatment in the clients own parking lodge as having a better outcome for copious folk, particularly reducing the stigma and anxiety associated with short term admission to a psychiatric hospital. “There will still be a do out for inpatient hospital beds on the Priory shape Park scene. But we hunger to improve the accepted of accommodation and levels of confidentiality and dignity available for the smaller whole sum of patients who will still benefit from hospital admission.” Full details of the utility proposals and stake plans for the Priory pink Park habitat are available by script to Somerset Partnership NHS Foundation Trust or from their Web web spot at sompar.nhs.uk Public meetings Monday 2 February 2009, 6.00pm Bradfield Suite, The Old Deanery, Wells. BA5 2UG Thursday 12 February 2009, 2.00pm Parkes Room, Town Hall, mall station, Wells Somerset BA5 2RB. neighborhood persons can share their views on the proposals by chirography to the freepost address (No stamp appropriate) below Priory energy Park Consultation Comments should be sent to the Trust no following than 15 March 2009. Note ended the last three years, the Somerset Partnership NHS Foundation Trust has invested £1.3 million in new services to support society being treated at shelter. that has enabled a significant reduction in psychiatric beds transversely the county. Crisis intent and cabin Treatment services are benefiting patients by rapidly intervening, particularly right through evenings and weekends, should an adult or older self living in the community find they are experiencing serious psychological distress or are at risk of hidden harm. Somerset Partnership NHS Foundation Trust provides specialist inpatient and community mental wholeness services to the masses of Somerset. Mental constitution services are provided to children, adolescents, adults, older general public, and siblings with learning disabilities. The Trust is a fully integrated provider of salubriousness and social care. It achieved NHS Foundation Trust on the 1 May 2008 and national inspectors, the Healthcare Commission have rated the Trusts services the highest excellent rating for the last three years. The services provided by the Trust consist of Crisis determination and shanty Treatment Teams, Community Mental wellbeing Teams, specialist services, a range of psychological therapies, community support services, inpatient care and access to a variety of day activities and services.
Marzo 30, 2009
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Reprinted with kind permission from kaisernetwork.org. You can view the entire Kaiser Daily good condition rule Report, search the archives, or proof up for e hen tracks delivery at kaisernetwork.org/dailyreports/healthpolicy. The Kaiser Daily tone administration Report is published for kaisernetwork.org, a free maintenance of The Henry J. Kaiser offspring Foundation. &imitation; 2008 Advisory Board group and Kaiser kin Foundation. All rights shy.
Marzo 29, 2009
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&rubbings; 2008 Advisory Board community and Kaiser progeny Foundation. All rights ceremonious.
Marzo 28, 2009
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&reproduction; 2008 Advisory Board gang and Kaiser tribe Foundation. All rights gentle. |
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