143 research outputs found
Correlates of psychological distress and major depressive disorder among African American men
Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/88155/1/lincoln_taylor_watkins_chatters2011.pd
Про особливості роботи з електронними інформаційними ресурсами
Щодо визначення напрямів зменшення трафіку передачі даних при збереженні обсягу переданої інформації.Об определении направлений уменьшения трафика передачи данных при сохранении объема передаваемой информации.As to determination of main directions in decreasing of data transmission traffic when the volume of transmitted information is saved
How do mental health services respond when child abuse or neglect become known? A literature review
Child abuse and neglect are strongly associated with many subsequent mental health problems. This review summarizes the research on how adult mental health services respond when child abuse or neglect become known. MEDLINE, PsycINFO, and Scopus were searched for studies with rates of responding in various ways to child abuse and neglect by mental health professionals. Thirteen studies were identified: seven case note reviews, three surveys of staff, and three sets of interviews with service users. Rates of inclusion of abuse or neglect in treatment plans ranged from 12% to 44%. Rates of referral to abuse‐related therapy ranged from 8% to 23%. Rates were lower for neglect than for abuse and were also lower for men and people with a diagnosis of psychosis. Two per cent or less of all cases were referred to legal authorities. The studies varied in focus and methodology, but all indicated inadequate clinical practice. The rates of abused or neglected people referred for therapy are actually lower than indicated by this review because most users of adult mental health services are not asked about abuse or neglect in the first place. The barriers to good practice, and the need for trauma‐informed services, are discussed
Are mental health staff getting better at asking about abuse andneglect?
This study ascertained the extent to which abuse and neglect are identified and recorded by
mental health services. A comprehensive audit of 250 randomly selected files from four
community mental health centres in Auckland, New Zealand was conducted, using similar
methodology to that of a 1997 audit in the same city so as to permit comparisons. Significant
increases, compared to the 1997 audit, were found in the rates of child sexual and physical
abuse, and adulthood sexual assault (but not adulthood physical assault) identified in the files.
Identification of physical and emotional neglect, however, was poor. Male service users were
asked less often than females; and male staff enquired less often than female staff. People
with a diagnosis indicative of psychosis, such as ‘schizophrenia’, tended to be asked less
often and had significantly lower rates of abuse/neglect identified. Despite the overall
improvement, mental health services are still missing significant amounts of childhood and
adulthood adversities, especially neglect. All services need clear policies that all service users
be asked about both abuse and neglect, whatever their gender or diagnosis, and that staff
receive training that address the barriers to asking and to responding therapeutically to
disclosures
Do adult mental health services identify child abuse and neglect? A systematic review
Child abuse and neglect play a causal role in many mental health problems. Knowing whether users of mental health services were abused or neglected as children could be considered essential for developing comprehensive formulations and effective treatment plans. In the present study we report the findings of a systematic review, using independent searches of three databases designed to discover how often mental health staff find out whether their clients were abused or neglected as children. Twenty-one relevant studies were identified. Most people who use mental health services are never asked about child abuse or neglect. The majority of cases of child abuse or neglect are not identified by mental health services. Only 28% of abuse or neglect cases identified by researchers are found in the clients’ files: emotional abuse, 44%; physical abuse, 33%; sexual abuse, 30%; emotional neglect, 17%; and physical neglect, 10%. Between 0% and 22% of mental health service users report being asked about child abuse. Men and people diagnosed with psychotic disorders are asked less than other people. Male staff ask less often than female staff. Some improvement over time was found. Policies compelling routine enquiry, training, and trauma-informed services are required
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