...Issue date: March 2009 Schizophrenia Core interventions in the treatment and management of schizophrenia in adults in primary and secondary care This is an update of NICE clinical guideline 1 NICE clinical guideline 82 Developed by the National Collaborating Centre for Mental Health NICE clinical guideline 82 Schizophrenia Ordering information You can download the following documents from www.nice.org.uk/CG82 • The NICE guideline (this document) – all the recommendations. • A quick reference guide – a summary of the recommendations for healthcare professionals. • ‘Understanding NICE guidance’ – a summary for patients and carers. • The full guideline – all the recommendations, details of how they were developed, and reviews of the evidence they were based on. For printed copies of the quick reference guide or ‘Understanding NICE guidance’, phone NICE publications on 0845 003 7783 or email publications@nice.org.uk and quote: • N1823 (quick reference guide) • N1824 (‘Understanding NICE guidance’). NICE clinical guidelines are recommendations about the treatment and care of people with specific diseases and conditions in the NHS in England and Wales. This guidance represents the view of NICE, which was arrived at after careful consideration of the evidence available. Healthcare professionals are expected to take it fully into account when exercising their clinical judgement. However, the guidance does not override the individual responsibility of healthcare professionals...
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...Infant Mental Health Critical Review Abstract In this critical review, the newspaper article being reviewed is Infant mental health: Giving children the best head start, is described and summarized. The topic being discussed is infant mental health and how they should be receiving satisfactory care from their caregivers at an early age. Infant mental health can be defined as a field that studies the parent caregiver relationships and inner lives of infants. In agreement with this article, five scholarly academic sources arguments and findings are observed. This paper shows a critical review of infant mental health; the brain’s plasticity through a critical period and the importance of supportive infant-caregiver relationships that produce positive experiences for infants and further their developmental capabilities ultimately, helping them grow better. It also highlights the reality that the society as a whole is involved in providing better environmental influences for infants in order to supply them with a better future. Recommendations for future research and unanswered questions in infant mental health are made in response to the need of support of caregivers and the society. The news article, Infant mental health: Giving children the best head start, emphasizes the importance of the first 1000 days of an infant’s life (2015). Adulthood is shaped and impacted by our early experiences (D’alton, 2015). Professor Kevin Nugent is an expert of early child development...
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...Health Promotion: A More Detailed Look at Health Promotion and Nursing Nayeli Luna Grand Canyon University August 18, 2013 Health Promotion: A More Detailed Look at Health Promotion and Nursing A vital part of nursing care involves the care of patient’s in all stages of health. This includes the concept of health promotion, which can be defined as the science and art of helping people change their lifestyle to move toward a state of optimal health (Edelman and Mandle, 2010). Health promotion is an important concept in nursing because it encompasses concepts that nursing is concerned with today (Edelman and Mandle, 2010). Today much of the nursing role is involved in health teaching as a form of health promotion. However, we will look at the three levels of health promotion prevention, describe the purpose of health promotion in nursing practice, explore nursing roles and responsibilities evolving in health promotion, and explore implementation methods for health promotion that incorporates areas of nursing. Three Levels of Health Promotion Primary Prevention Level According to the World Health Organization (WHO), health promotion can be defined as “the process of enabling people to increase control over, and to improve, their health.” (WHO, 2009). Health is reaching a state of complete physical, mental and social well-being, by an individual or group. In the primary prevention level, health promotion is focused on preventing or delaying onset of chronic disease (Edelman...
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...dollars every year. Yes, that’s right…. not hundreds of millions, but hundreds of billions of dollars. Illicit drug use alone accounts for 181 billion dollars per year in health care, productivity loss, crime, incarceration, and drug enforcement. Alcohol addiction accounts for approximately the same amount also. ("Molecules to Managed Care," 2008) So how do we deal with such an enormous problem? We can’t ignore problems of such a monumental financial impact to our country. We spend so much on damage control from the result of addiction and so very little on prevention. How can we turn this around to change these numbers and positively affect our society? Early intervention and treatment are the only way to combat these staggering numbers. In 2010 23 million Americans, age 12 or older, identified as having substance abuse issues and only 2.6 million received treatment at specialty facilities in 2009. Why are so few seeking treatment? Keywords: SBIRT, SAMHSA, abuse, addiction, ED, ONDCP, NIDA, ACA The business of drug Abuse There is an enormous amount of money spent in this country on dealing with the aftermath of substance abuse and addiction. What are we doing to prevent this disease? If we recognize that addiction to drugs and alcohol is a disease then what is our plan for prevention and early intervention? How does this disease start? Primary socialization first occurs during our childhood. It is when we learn the attitudes, values and actions appropriate to individuals...
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...This paper will address the interventions that social workers employ in the service of caregivers of people diagnosed with Serious and Persistent Mental Illnesses. It explores if certain demographics of the caregiver should guide the type of intervention social workers utilize when providing caregiver support. Introduction A. Caregiving. The act of caregiving is not unfamiliar, but the term “caregiving” is relatively new, with the first recorded use of the word in 1966 (Caregiving, 2010). Sixty-five million Americans, which comprise 29% of the United States (U.S.) population, have served as unpaid family caregivers to an adult or a child (Caregiving in the United States, 2009). Caregiving is multi-dimensional. For example, family caregiving,...
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...FOR NURSING PRACTICE: MENTAL HEALTH Mental Health Issues And Its Effects Upon The Individual, Their Carers, Family and Friends Summative Assessment 3299 Words 10th July 2013 Identifying and Discussing a Mental Health Condition and Diagnosis Schizophrenia is a widely recognized chronic and severe psychiatric disorder which according to the National Institute for Health and Care Excellence (NICE, 2009) guidelines, affects one per-cent of the UK population. Schizophrenia can be classified as an overall category for the mental illness; however, diagnostic tools such as the International Classification of Diseases (ICD-10) and the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) reveal the variations of the psychiatric disorder. This essay will explore and focus on one specific subtype of the mental illness. Paranoid Schizophrenia. According to T.Davies and T.Craig (2009, p45), Paranoid Schizophrenia is one of the most common subtypes of the psychotic illness which affects the individuals variation of emotion, thinking and behaviour. Through extensive research, this essay will uncover the definition of paranoid schizophrenia, its manifestations and possible causes. Key issues such as symptoms, epidemiology, prevalence, co-morbidity, prognosis, treatment and interventions will also be critically reviewed and discussed. Lastly, this essay will also analyse guidelines, policies and regulations that influence interventions and the effects of paranoid...
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...Introduction: Health outcomes refer to the changes in the health status of individuals or the population. The outcomes are attributed to multiple or planned interventions, whether or not the intention of the intervention was to alter the health status. These interventions include health services and programs including health promotion programs, government policies, laws and regulations, and consequent programs. Intervention may also include unintended or intended health outcomes of government policies in areas besides health. Health outcomes are evaluated by health indicators (World Health Organization, 1998). Health indicators are a single measure, represented quantitatively, that encapsulates an important aspect of health, such as the amount people suffering from a chronic disease. It also captures a variety of health determinants such as income, or the important aspects of the health care system, such as the proportion of patients who revisit the hospital for additional care following previous treatment (World Health Organization, 1998). These indicators can be used to describe a public health concern at a specific point in time. It can indicate periodic changes over time at the population or individual health level, describe differences in the population health, and examine the extent at which program objectives are being met. These indicators can possibly encompass illness or disease measurements which are commonly used in measuring health outcomes, such as health expectancy...
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...Safety and Mental Health are crucial elements in early development of children. As early care professionals is important that we are knowledgeable of the facts that are associated with safety and care of children as the effects of safety and the mental health of children can have a lifelong effect on them. The affect that it may have on them depending on the type of environment can be a positive impact which can lead to greatness or the a negative impact which can lead to a lifelong of pain an heartache that stem from not being a safe environment when not in the comfort of their home or not being properly diagnosed at early age because their early care professional was not knowledgeable of the signs to look for. In this paper I will discuss the difference between mental health and mental illness, along with the effects of a safe environment and the importance of the role of an early care professional. Young Children’s Mental Health Mental health is not just the absence of mental disorder. It is defined as a state of well-being in which every individual realizes his or her own potential, can cope with the normal stresses of life, can work productively and fruitfully, and is able to make a contribution to her or his community. Mental illness is when one is not able to cope with the daily life obstacles; usually one has to be medicated in order to cope with daily life. A person has been diagnosed by a medical professional with a mental illness and mental illness range from all...
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...Essay Topic – PsychoEducation is a fundamental part of routine care for people with mental illness, using current literature, discuss the use of psychoeducation in mental health care under the following headings; Opportunities for psychoeducation in clinical settings Role of the nurse/therapist in providing psychoeducation Effectiveness of psychoeducation in enhancing mental health outcomes for people with mental disorders The current therapeutic model for the treatment of mental health disorders embraces a combination of pharmacological and psychological interventions. Psychoeducational methods are employed in clinical procedures for all mental health disorders and are critical to integrated health care (Bedell, Hunter & Corrigan, 2009). Creamer and O'Donnell (2008) refer to psychoeducation as education, which is specially targeted to psychological health and aims to produce changes in an individual’s knowledge, attitudes, and skills to improve health outcomes. This study is aimed at discussing what psychoeducation is, its role in clinical settings, its efficacy and how nurses figure in employing techniques attributed to psychoeducation. The study draws from evidence-based literature, including meta-analyses and research papers in the field. It is common practice to inform patients with any chronic disorder to be informed about their illness, prognosis and treatment. For instance, patients with diabetes will be educated on their...
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...NUR2300: Burn Injuries Ali Almalki University: Date: Burn Injuries Burn injuries often have a significant impact on all aspects of the patient’s life, leaving them with a variety of psychosocial as well as physical handicaps. Extensive research evidence indicates that burn patients suffer profound social and psychological effects such as anxiety and depression, with long-term implications on the patient’s recovery and quality of life. Accordingly, it has been suggested that burn patients should undergo both long and short term systematic mental health care, in order to minimize and avert these psychopathological responses. Moreover, psychological interventions helps burn patients and staff to reduce burdensome as well as decline depressive symptoms. Notably, dissatisfaction tendencies with post-burn body image and appearance, have been pinpointed as a leading cause of psychological impacts, resulting to protracted recovery and impaired social life. According to Thombs et al. (2007) burn scars following a deep dermal injury are often cosmetically disfiguring and impel the scarred individual to deal with an alteration both in body image and appearance. The patient is also forced to adjust to significant impairments in motion and limitations of activities. However, according to Henry (2011), it is the disfigurement or change in appearance and body image that has a profound impact on the patient. Lau & Van Niekerk (2011) note that the alteration...
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...Individuals with Disabilities Education Act (IDEA) addresses the area of the development of infants and toddlers with disabilities. The thought behind this program was to reduce educational costs by providing early intervention services to children with disabilities before they reach school age. The intention was to encourage the collaboration of agencies that provide health, education, and human services. The neural circuits which are a part of the brain that creates the foundation for learning, behavior, and health, are most susceptible to change during the first three years of life. In order to intercept and encourage the effectiveness of intervention, early diagnosis and identification is critical. Extreme poverty, abuse and neglect, or severe maternal depression leads to damage that can have a life time effect in learning, behavior, and physical and mental health. Intervention in these areas can provide education and resources for proper nutrition, health and mental health screenings. Positive early experiences strengthens the brain while early social and emotional development provides a firm foundation for the building of cognitive and language skills. (Goode, Diefondorf, and Colgan, 2011). Recognizing early childhood is a distinct period prime for intervention, IDEA requires all states and localities to develop a system of services to target this age group. This requirement is to reduce the need of, or reduce the amount of, special education services, enhance the development...
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...4222-619 Understand mental health problems (CMH 302) Outcome 1. Know the main forms of mental ill health 1 The Diagnostic and Statistical Manual for Mental Disorders (DSM) is published by the American Psychiatric Association. It is a classification of mental disorders which offers a common language and classification of mental disorders. It is used by the medical profession, researchers, pharmaceutical companies and health insurers. The fifth edition was published in 2013. DSM 4 divided each psychiatric diagnosis into five dimensions or axes, each one relating to different aspects of disorder or disability. AXIS I: Clinical Disorders (all mental disorders except Personality Disorders and Mental Retardation) Axis II: Personality Disorders and Mental Retardation Axis III: General Medical Conditions (must be connected to a Mental Disorder) Axis IV: Psychosocial and Environmental Problems (for example limited social support network) Axis V: Global Assessment of Functioning (Psychological, social and job-related functions are evaluated on a continuum between mental health and extreme mental disorder) The fifth edition has simplified this classification into three sections rather than the multiaxial system, but there has been much criticism of the new edition with doubts been thrown as to its impartiality, resulting in a petition calling for an outside review of DSM 5. In Europe there is a tendency to favour the I.C.D. as a means of classifying mental illnesses. The International...
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............................................................................ 1 2.1. History ............................................................................................................................................... 1 2.2. Focus, involvement and aim ............................................................................................................. 1 2.3. Seat of pathology .............................................................................................................................. 2 2.4. Models .............................................................................................................................................. 2 2.5. Methods of evaluating interventions for long-term success ............................................................. 3 3. CONCLUSION .............................................................................................................. 3 REFERENCES .................................................................................................................... 4 Monica Fourie Student Number: 45918287 1. PYC4811 Assignment 1: Unique number - 657794 INTRODUCTION “Without a sense of caring, there can be no sense of community.” Anthony J. D'Angelo Since the beginning of time conflict and social problems have been part of all communities throughout the world and through millennia people have been trying to find ways to minimise the damage...
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...Benedictine University MPH 610 – D1B4 Health Policy Developing New Policies: Policy Proposal Suicide Prevention Week Eight N. De Shields Instructor Dr. Yasmin Dada-Jones ABSTRACT This policy proposal attempts to abate the increasing number of suicides in the United States, a survey from 2001 to 2009 list fatal self-injuries span world-wide demographics, male and female, age, ethnic disparity and economic disposition. From 1999 to 2007 the number of suicides in the United States increased from 10.46 to 11.26 per 100,000 people, between ages 10 to 24 it is the 3rd leading cause of death, 2nd leading cause in 24 to 35 year olds and the 10th from all age groups. Globally one in every 40 seconds, 800,000 a year, suicide is absolutely preventable, these are not accidents and 90% sought treatment for mental health prior. Thoughts and ideation are higher among young adults’ ages 18 to 25 years where the greatest attempts are made; among 18 and older 8.3 million report having suicidal thoughts, 2.2 million made plans, 1 in every 25 succeed in committing suicide. Between the ages 15 to 24 years old 100 to 200 attempts are made, 500,000 in the United States seek help in emergency rooms; an estimated 6.5 billion in non-fata, self-inflicted medical cost. The initiative seeks to apply ecological approaches normally dedicated to specialized populations; the approach will intrinsically identify suicide victims through venues and or genres. Public suicide prevention efforts could...
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...hirtransition, allowing the individual to continue living his or her life in a body congruent with his or her gender expression. The psychiatrist’s recommendation for SRS and hormonal treatment is imperative in the process and this paper will examine the ethical implications of the essential causal diagnosis of Gender Identity Disorder (GID) and the recommendation of surgical treatment in order for patients to fit into the Western gender binary. A brief examination of co-morbidity of mental disorders and their affect on consent and provider views on competence and capacity are also warranted. Adolescent transgendered patients under the age of eighteen experience more difficulties with the sex reassignment process due to emerging autonomy and complications with adolescent assent, consent, and parental permission.The physician's consent has more weight in the absence of parental permission and in many cases transgender foster children and homeless teens must rely on recommendations from physician and mental health professionals.A discussion of the use of puberty-blockers in...
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