Routine Outcomes Monitoring to Support Improving Care for Schizophrenia: Report from the VA Mental Health QUERI

In schizophrenia, treatments that improve outcomes have not been reliably disseminated. A major barrier to improving care has been a lack of routinely collected outcomes data that identify patients who are failing to improve or not receiving effective treatments. To support high quality care, the VA Mental Health QUERI used literature review, expert interviews, and a national panel process to increase consensus regarding outcomes monitoring instruments and strategies that support quality improvement. There was very good consensus in the domains of psychotic symptoms, side-effects, drugs and alcohol, depression, caregivers, vocational functioning, and community tenure. There are validated instruments and assessment strategies that are feasible for quality improvement in routine practice

Lessons from Peer Support Among Individuals with Mental Health Difficulties: A Review of the Literature

We conducted a comprehensive narrative review and used a systematic search strategy to identify studies related to peer support among adults with mental health difficulties. The purposes of this review were to describe the principles, effects and benefits of peer support documented in the published literature, to discuss challenging aspects of peer support and to investigate lessons from peer support. Fifty-one studies, including 8 review articles and 19 qualitative studies, met the inclusion criteria for this review. Most of the challenges for peer support were related to “role” and “relationship” issues; that is, how peer support providers relate to people who receive peer support and how peer support providers are treated in the system. The knowledge gained from peer support relationships, such as mutual responsibility and interdependence, might be a clue toward redefining the helper-helper relationship as well as the concepts of help and support

Youth and Nigeria’s Internal Security Management

One of the major challenges confronting Nigeria is insecurity which hinders national development. The problem of insecurity includes menace of ethnic militias across the country, insurgency in the north, militancy in the Niger Delta, kidnapping, armed robbery and cultism all over the country. The government and other partners recognise that national security is a precondition for maintaining the survival, growth and development of a State. It is also well known that the army of unemployed and idle youth population of the country is the major group perpetrating these security problems across the country. Given the realisation of the government that the problem of insecurity needs to be tackled as panacea to the socio-economic development of the country, several solutions have been applied. The option of youth empowerment is believed to possess the capacity of not only keeping the youth busy but putting food on their table and thereby making incentive to engage in actions that promote insecurity unattractive. The youth empowerment programmes including the Amnesty Programme, YouWin and N-Power, among others, were some of the programmes implemented. What is the impact of these programmes as a strategy of managing insecurity in the country? To what extent are these programmes impacting on the socio-political and economic development of the country? What are the challenges in the implementation of these programmes? This chapter attempts to provide answers to these questions. The data used in this chapter were collected largely from documentary materials and analysed using descriptive analysis