34 research outputs found
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