The NHS Information Centre for Health and Social Care . Evidence-Based Practice in Social Work: Lessons from Judgment and Decision-Making Theory. We conducted a literature review of mental health services research publications over a five-year period (January 2005 to September 2009), using the PubMed Central database and the following search terms: mental health services, mixed methods, and qualitative methods. The NHS Information Centre CaMH. Hire a Writer to help you in Thesis & Dissertation If you are facing a struggle with choosing the right topic or how to write an effective quantitative research paper, the experts of Students assignment help can guide you. The Mental Health Foundation is the UK partner of eMEN, a collaborative e-mental health research project funded by the Interreg North West Europe Innovation Programme with a value of €5.36 million. The December, 2019 coronavirus disease outbreak has seen many countries ask people who have potentially come into contact with the infection to isolate themselves at home or in a dedicated quarantine facility. Both the Χ2 statistic and significant associations at the 5% level are reported. https://doi.org/10.1186/s12888-017-1391-2, DOI: https://doi.org/10.1186/s12888-017-1391-2. The above data sources were scrutinised to identify diagnoses and, where available, ICD 10 codes . The rates of detention, as a proportion of assessments, remained about the same. Descriptive statistics were created for the sociodemographic and clinical characteristics of the of the patients assessed. AMEND is the only large-scale study of Mental Health Act assessments in England in a quarter of a century. Soc Psychiatry Psychiatric Epidemiology. It is based on a systematic review of original data-based quantitative research published in peer-reviewed journals between 1872 and 2010, including a few sem … Evidence type … This paper provides a concise but comprehensive review of research on religion/spirituality (R/S) and both mental health and physical health. More in-depth exploration of the stigma and discrimination experienced by PMHP in low- and middle-income countries is needed. Work for example that, rightly or wrongly, is understood to be more cerebral, intensely intellectual, and creative. It will be important to enquire why the MHA 2007 may not have had the hoped for impact. Data from the Mental Health Minimum Data Set is difficult to compare with AMEND data as the former provides information on the number of adults of working age and people over the age of 65 years who spent time formally detained in an NHS hospital under the MHA . The total number of assessments in each four month period of data collection varied: 1034 in 2008, 1042 in 2009, 1242 in 2010 and 1010 in 2011 (n = 4415). 2000;176(5):479–84. PubMed The most common group was schizophrenia, schizotypal and delusional disorders (F20-F29), followed by mood/affective disorders (F30-F39), with much smaller numbers for other categories. This sample size had the power to detect a 10% difference in detention rates with 85% power and 5% significance. quantitative association or barriers studies or qualitative process studies) (see Table 1). Table 1 gives the breakdown of assessments at each site by the year and outcome of assessment, patient age and gender. 2003;9(5):349–58. Individuals may have impaired capacity or be at high risk. During the research process there may be revelations of sui The diagnosis of personality disorder then remains covert even though it is one of the main drivers of coercion when detaining a patient under the Act. Expected numbers of assessments per day were consistent with published data . What Employers Can … Public and government concern about limiting risks posed by dangerous individuals have even produced new categories of mental disorder, such as Dangerous Severe Personality Disorder, without any other theoretical or scientific pedigree [12, 13]. volume 17, Article number: 246 (2017) 2014;44(05):997–1004. However, more than one-third of all respondents said they have not done anything to cope with their feelings; only 7 percent had contacted a mental health professional. By the data year 2012–13, independent providers were responsible for the care of just over a quarter of people detained under the MHA. Terms and Conditions, These were proportions and percentages for categorical data; means and standard deviations for continuous data. View Article PubMed/NCBI Google Scholar 17. A similar pattern is seen for patients with diagnoses of disorders of psychological development (8/15 detained in 2008; 26/54 detained 2009–11; Χ2 = 0.126, p = 0.78) and patients with diagnoses of disorders usually occurring in childhood and adolescence (2/3 detained in 2008; 6/13 detained 2009–11; Χ2 = 0.410, p = 1). Of the remaining 205 (4.6%) other outcomes from the 4274 assessments, 12 (0.3%) were revokations of Community Treatment Orders. It follows the drive to study the impact of ‘new’ mental health legislation, as happened following the MHAs 1959  and 1983  and studies on legislative changes in other countries, especially those that led to a significant change in the delivery of mental health care . Look Out for These Regular Special Features . CAS Data was collected on Mental Health Act assessments rather than participants. Health consequences include burns and mental health effects, as well as risks from air pollutants in smoke. In these assessments, 48.7% of patients were already under a Section 2 (detention for assessment and possible treatment up to 28 days), Section 3 (detention for treatment up to six months), Section 4 (detention for assessment and possible treatment up to 72 h), Section 5 (s5(2)- a doctor’s emergency holding power for assessment under the Act for up to 72 h; s5(4)- a nurse’s emergency holding power for up to 6 h), Section 7 (Guardianship obliging the patient to reside in a particular place), Section 135 (warrants under the Act for assessments on private premises or to recover patients who are absent without leave) or Section 136 (police power to detain someone in immediate need of care or control and remove them to a place of safety, lasting up to 72 h) (see Table 2). Of the 4274, the result was informal admission in 319 (7.2%) assessments, informal community treatment in 442 (10.0%) assessments and no psychiatric intervention in 405 (9.2%) of assessments. the F code being allocated to a category of personality disorders). in qualitative research raises many similar issues to quantitative research and also some additional challenges. You can use it for research or reference. Choose one of them or come up with your own idea based on our tips, and you’ll succeed for sure! Approximately 70 cases were excluded from the analysis as the immediate outcome of the assessment was not clear from the notations from the database. Inclusion criteria were data-based studies on the relationship between mental health-related stigma and help-seeking for mental ill health that addressed one or more of subquestions (a)–(c) (i.e. EPEX, Rio and Jade) at participating Mental Health Trusts were also utilised to maximise the quality of data collection. This presentation provided an overview of mental health in non-metropolitan areas of the united states, looking at the critical issues facing rural residents and their systems of care. Community and Mental Health Team HaSCIC. This in turn means that adequately powered studies, collecting data on the appropriate range of individual, socio-political, professional, service- and practice-related variables will be required. Necessary debates: the need for controversy in mental health. p = 0.735). ‘I feel totally at one, totally alive and totally happy’: a psycho-social explanation of the physical activity and mental health relationship. In 62 assessments a diagnosis was given, but not classified as mental or behavioural. About 26 percent of Americans each year suffer from a mental health disorder like depression, anxiety, attention-deficit/hyperactivity disorder and anorexia. Amaddeo F, Barbui C, Tansella M. State of psychiatry in Italy 35 years after psychiatric reform. Qualitative camp writers, on the other hand, have argued for: qualitative research to explore the experiences of illness, and of nursing; the preservation of nursing‐only research; the relative irrelevance of physical explanations of mental illness, and holistic nursing practice in which clinical techniques are less important than interpersonal relationships. In-patients formally detained in hospitals under the Mental Health Act 1983 and patients subject to supervised community treatment: 1998–99 to 2008–09. statement and Journal of psychiatric and mental health nursing. Data entry was completed at all sites by the end of March 2012. 2 A MHA assessment was defined as any clinical encounter where an Approved Social Worker (ASW, as defined in the MHA 1983) or an Approved Mental Health Professional (AMHP, as defined in the MHA 2007) were involved or where at least one medical recommendation for detention had been completed, regardless of the outcome of the assessment (i.e. In the first three years post implementation, the 2007 Act did not facilitate the compulsory care of patients with PDs, sexual deviance and LDs. Yet the current research literature is inconclusive on whether the impact of social media is primarily negative or positive on mental health. California Privacy Statement, Published online: 12 Dec 2019. whether or not the service user was detained under the Act. There was also heterogeneity in the socio-economic and ethnic make up of the catchment populations and service delivery across the three sites, making the findings of AMEND nationally generalisable. 65.6% of assessments resulted in detention in 2008, 71.3% in 2009, 64.7% in 2010 and 63.5% in 2011. Mental health implications for sexually abused adults with mental retardation: Some clinical research findings. The datasets used and/or analysed during the current study available from the first author on reasonable request. Article Annals of Internal Medicine 1990 Jun;112:949-54.3. However, mental health research has lagged behind many other healthcare specialities in using qualitative methods within its evidence base. Variation in compulsory psychiatric inpatient admission in England: a cross-sectional, multilevel analysis. 2005;331:1467–9. Use the link below to share a full-text version of this article with your friends and colleagues. Sorted by Relevance . Throughout this paper, cases with missing entries in any variable under consideration are excluded from that analysis (i.e. Health and Quality of Life Outcomes 10 This article... Read Summary. SPSS Inc. SPSS statistics 19 brief guide. International Review of Psychiatry. Each of the two has its champions and ‘gurus’, and its detractors. Ethical approval was independently gained from the West Midlands Research Ethics Committee (WMREC Ref 08/H1208/44) and Birmingham City Council Ethics Committee. The paper offers a final result of a list of top 10 research priorities for digital technology in mental health care. There is increasing interest in promoting young people’s health by modifying the school environment. It was anticipated that about 675 assessments would occur over a three month period (average 2.5/day/trust) across the three sites. Review of Mental Health Research Report of the Strategic Review Group 2010 2 5.2 Developing therapy and promoting recovery 18 5.2.1 Exploiting established UK strengths to increase innovation in mental health research 18 5.2.2 This would help in any comparison of practice in differing jurisdictions, however, we acknowledge that there would be significant ethical, practical procedural challenges that would make such research very difficult to execute and complete. In 2006–07, 2007–08 and 2008–09 numbers detained were 46,539, 47,610 and 47,725 respectively . Genevieve Creighton, John L. Oliffe, Olivier Ferlatte, Joan Bottorff, Alex Broom, Emily K. Jenkins . 2011;343: d3736. 2009. Data were collected from local forms used for MHA assessment documentation and patient electronic databases. Legal and ethical issues can influence research methodology. Google Scholar. 2014;2(49):90. Extending the boundaries: Autoethnography as an emergent method in mental health nursing research. Schneiderman LJ, Jecker NS, Jonsen AR. Dangerous severe personality disorder. SPS, MP, TB, PT, SF, SD and MJC made substantial contributions to conception and design of the study. To those who ask whether research is relevant to mental health nursing, Liam Clarke says we first need to define what constitutes nursing, Journal of Psychiatric and Mental Health Nursing, https://doi.org/10.1046/j.1365-2850.2000.00255.x. Exercise Interventions for Mental Health: A Quantitative and Qualitative Review May 2006 Clinical Psychology Science and Practice 13(2):179 - 193 … 2014;49:1631–40. We focus on evaluation methods that characterize and quantify the overall impacts of an implementation strategy on various outcomes. Mental Health Aspects of Developmental Disabilities . • The defining characteristics of implementation research studies are Szmukler G, Bird A, Button E. Compulsory admissions in a London borough: I. 2013;20(5):442–7. Please check your email for instructions on resetting your password. Smoking should be banned for better mental health. There were no assessments or detentions of patients with sexual deviance. Br Med J. (S. A. A critical appraisal of national and local data. In recent years, two distinct, and apparently opposing, positions have arisen in debates concerned with mental health nursing research, education and practice. We do not know how representative the 2008 data was of assessments undertaken in previous years. People at higher risk of mental health challenges may also be those who are more attracted to prolonged research study and research-oriented and academic careers. Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The book provides a rich and comprehensive text, with contributions from specialized authors on a number of key themes and research methods relevant to qualitative research. Annual report, England, 2013. There was no significant change in the odds ratio of detention when comparing the 2008 assessments against the combined 2009, 2010 and 2011 data (OR = 1.025, Fisher‘s exact Χ Critical Public Health. 554-557, 10.1007/s10488-006-0072-0 Google Scholar Garcia-Campayo et al., 2008 Government data  shows that although NHS hospital detentions in England increased from 2008 to 9 (with the exception of 2011–12) to 2012–13 (25,185, 27,475, 26,937, 27,855 and 28,779 respectively), there was a sharper rise in detentions to independent hospitals from 2011 to 12 (2761, 2712, 2620, 3045 and 3445 respectively). Search across a wide variety of disciplines and sources: articles, theses, books, abstracts and court opinions. Cross-checks were made with the dataset of MHA assessments held by Social Services in order to maximise identification of all assessments. On 3rd November 2008 the Mental Health Act (MHA) 2007 was implemented in England and Wales, amending the MHA 1983 [1, 2]. https://nhsenglandfilestore.s3.amazonaws.com/mhmds/ment-heal-bull-thir-repo-m-h-m-d-04-09-rep.pdf, http://creativecommons.org/licenses/by/4.0/, http://creativecommons.org/publicdomain/zero/1.0/, https://doi.org/10.1186/s12888-017-1391-2, Social psychiatry, therapy and provision of mental health care. More in-depth exploration of the stigma and discrimination experienced by PMHP in low- and middle-income countries is needed. Writers associated with the quantitative camp have argued in favour of: experimental research where the aims are the investigation of the outcomes of nursing care; multidisciplinary rather than unidisciplinary research; a physiological explanation for mental illness; clinical practice which is evidence based, and skills based education. According to a new Pew Research survey, 69% of the U.S. adults have at least one social media account, 88% of U.S. adult users of social media are However, mental health research has lagged behind many other healthcare specialities in using qualitative methods within its evidence base. For example, although rates of detention have been rising for a number of years, the overall rate of admission for mental disorders has fallen as community-based alternatives have been provided; reduction of in-patient beds within the NHS has, however, been closely associated with an increasing rate of detention to NHS hospitals since the 1980s, especially when analysis includes a time lag of one year between bed provision and subsequent involuntary admissions . 2014. Decisions on how to apply quarantine should be based on the best available evidence. These changes were made in an effort to ensure that individuals with mental disorders such as learning disabilities (LDs) and personality disorders (PDs), who might have previously been thought of as ‘untreatable’, and those with sexual deviance (paraphilias were specifically excluded in the MHA 1983) were not denied treatment. Moore, S. A. This case study offers an overview of the quantitative research design used to examine mental health implications of sexual abuse within a clinical population of adults with intellectual disabilities. It provided a record of interviews and discussions with the patient, Nearest Relative and others, and with assessing doctors and other professional staff. Mental Health Bulletin Third Report from Mental Health Minimum Dataset (MHMDS) annual returns, 2004- 2009. Owen G, Richardson G, David A, Szmukler G, Hotopf M. Mental capacity to make decisions on treatment in people admitted to psychiatric hospitals: cross sectional study. NISW/Social Services Research Group. Ethics in Quantitative Research Psychiatric research is concerned with treatments and other interventions that could make a huge positive or negative difference to people’s lives. The editorial board of a journal wants to make sure their content will be useful to as many people as possible, so it’s not surprising that quantitative research dominates the academic literature. Violence affects 15–75% of women across the globe and has a significant impact on their health, well-being, and rights. Mental health stigma, therefore, continues to be a major issue that needs addressing. In this article, we will share 150 excellent nursing research topics with you. Methods: Eligible participants were recruited through a local mental health charity in the North West of England. We did a Review of the psychological impact of quarantine using three electronic databases. The AMEND study aimed to test the hypothesis that the implementation of these … Abortion and mental health: quantitative synthesis and analysis of research published 1995-2009. Department of Health Post-legislative assessment of the Mental Health Act 2007. 2011 Sep;199:180-6. Multiple mental and behavioural diagnoses were given in 174 assessments and the diagnosis was missing in 290 assessment records. ma ba hons rmn rgn dpsn (cpn), I have read and accept the Wiley Online Library Terms and Conditions of Use. All authors revised the manuscipt critically and read and approved the final version. This article discusses the methods and practices involved in quantitative evaluations of implementation research studies. The aim was to collect data on all MHA assessments during the study periods, however, assuming that complete data would be available for about 60% of assessments, this gave a tentative sample size of 405 assessments for each three month period. The Health and Social Care Information Centre, 2013. Articles in Qualitative Health Research examine an array of timely topics such as: experiencing illness giving care institutionalization substance abuse food, feeding and nutrition living with disabilities milestones and maturation monitoring health children's perspectives on health and illness. In 343 assessments, no diagnosis was recorded or no mental illness was found. The only other large-scale study of MHA assessments in England was published a quarter of a century ago and reported data collected in 1984 by the Social Services Research Group to monitor the implementation of the MHA 1983 . There was no significant change in the proportions of patients detained with PD, LD or disorders usually occurring in childhood and adolescence. We then provide a synthesis of evidence derived from qualitative research within the mental health sector, spanning four key areas: (1) recovery, (2) stigma, (3) employment, and (4) housing. The significantly wider prevalence of poor mental health in those doing research could be attributed to self-selection. Rigour in qualitative research raises many similar issues to quantitative research and The ICD–10 Classification of Mental and Behavioural Disorders: Clinical Descriptions and Diagnostic Guidelines: WHO; 1992. Burnard (2007): autoethnography or a realist account?. Mental Health Research. This article examines the role of qualitative methods within mental heath research, describes key methodological and analytical approaches and offers guidance on how to differentiate between poor and good quality qualitative research. mental health services research publi-cations over a five-year period (Janu-ary 2005 to September 2009), using the PubMed Central database and the following search terms: mental health services, mixed methods, and from the Ethical approval was independently gained from the West Midlands Research Ethics Committee (WMREC Ref 08/H1208/44) and Birmingham City Council Ethics Committee. A prospective, quantitative study of MHA assessments undertaken between July–October 2008–11 at three English sites. Article If you do not receive an email within 10 minutes, your email address may not be registered, How to keep up with the mental health act. There were no assessments of patients labelled as having disorders such as paedophilia, sadomasochism, voyeurism, sexual exhibitionism, fetishism, fetishistic transvestism, multiple disorders of sexual preference, other disorders of sexual preference, disorder of sexual preference not specified or labels akin to them that would fall under F65 (disorders of sexual preference). Published 25th November 2009. Given the small numbers of forensic detentions, all of which occurred after the 2007 Act was implemented, conclusions could not be drawn about whether there was shift between forensic and civil sections. Article A pilot study indicated that two to three MHA assessments occured every day in each participating Trust. Titles and abstracts were screened and full reports of potentially relevant studies were obtained. Qualitative and quantitative research: a question of synthesis?. 2001;322:866. Article Mental health is a complex subject, and research essays on it make the studying process more effective, as they let students investigate different types of mental disorders and their influence on people’s health. This research examines service user experiences and conceptualizations of stigma associated with mental health. This was a prospective study of MHA assessments before and after implementation of the MHA 2007 in England and Wales. Table 4 presents the numbers and proportions of assessed cases with PD, disorders of psychological development (including pervasive developmental disorders), disorders usually occurring in childhood and adolescence, mild to profound mental retardation and cases that would fall under a remnant category of ‘any other disorder or disability of the mind’ (usually coded as F99 ‘Unspecified mental disorder’ or ‘other’). Stigma towards people with mental health problems (PMHP) is known to have substantial negative impacts on their lives. The service user’s social situation, including details of accommodation, employment and family and social relationships, were also recorded on this section. detention, voluntary admission or no admission). Design: An in-depth qualitative study was conducted using thematic analysis to investigate the experiences of stigma in people with mental health problems. (2015). In recent decades, investigators in public health and health economics have intensified empirical research on the role of nature contact and the environment as a general health promoter, including mental health (11, 19–22). 2012;24(4):314–20. Original quantitative research – Obesity and healthy aging: social, functional and mental well-being among older Canadians We have archived this page and will not be updating it. This is because ethics and data protection law-related requirements prevent social care and mental health provider organisations passing patient identifiable details to research teams. The relationship between ethnicity and the detention has previously been reported . BMC Psychiatry The AMEND study only covered a limited period between 2008 and 2011. AMEND is the first study of a large cohort of patients assessed under the MHA, over four years around the implementation of the 2007 amendments to the 1983 Act, from several sites. Despite the importance, good quality research and interpretation of data in this area is difficult because of the large number of explanatory, confounding and biasing variables. The discussion included consideration of appropriate medical treatment, including options of alternative provision of care, any Advance Directives by the service user and the assessment of risk to the service user and others. For a minority of assessments where this process could not be followed, diagnosis was classified by information available (e.g. There were nine forensic detentions in the dataset (detention under sections 35, 36, 37, 37/41, 38, 47 or 48), all of which occurred after the changes to the MHA (2009 and 10). The pattern in the AMEND data of an increase in assessments and detentions from 2008 to 2010 and the subsequent decrease in 2011 is difficult to explain. World Health Organization. The AMEND study aimed to test the hypothesis that the implementation of these changes would lead to an increase in numbers or proportions of patients with these conditions who would be assessed and detained under the MHA 2007. Besides, such papers help to raise awareness and educate society about mental health issues, their causes, symptoms, possible risks, and the ways to help people suffering from them. Feeney A. Fisher’s Χ2 tests were carried out to test for associations between variables of interest to explore any differences between the detained population before (2008) and after (2009–11) the amendments to the Act. A series of diagnosis variables were therefore re-coded for some cases for the purposes of this paper, e.g. Our mental health affects our family, our job, how well we live and how soon we die. Decision making for health care professionals: use of decision trees within the community mental health setting. Correspondence to Google Scholar. E.g. We conclude this chapter with a review 1990; Humphreys MS, Kenney-Herbert JP, Cope RV. One law for the lion and the ox … A reply to Burnard and Hannigan. Therefore, continues to be more cerebral, intensely intellectual, and its detractors and can be conducted in preference. Was independently gained from the first author on reasonable request and promotion of well‐being in mental health in those research. 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