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Intervention

Using psychosocial interventions within a high-security hospital

Psychosocial interventions have been used for many years in caring for people with mental health problems. The few interventions that have a recognised evidence base are cognitive behavioural therapy (CBT), family interventions, and education programmes for patients and carers. Describes the process of implementing these interventions in a forensic setting and makes recommendations for future practice. Outlines the training provide to staff and the importance of adequate staffing levels.

Thu, 07/20/2017 - 15:11

Helping carers to care - the 10/66 dementia research group's randomized control trial of a caregiver intervention in Russia

Objectives: Dementia is a rapidly growing public health problem in low and middle income countries. There is an urgent need, in the absence of formal services, to develop interventions designed to improve the lives of people with dementia, and their families. This study tests the effectiveness of the 10/66 caregiver intervention among people with dementia, and their carers.

Design: A single blind parallel group randomized controlled trial (ISRCTN41039907).

Setting: Moscow.

Thu, 07/20/2017 - 15:10

Cognitive-behavioural therapy and motivational intervention for schizophrenia and substance misuse: 18-month outcomes of a randomised controlled trial

BACKGROUND: Comorbid substance misuse in people with schizophrenia is associated with poor clinical and social outcomes.

Thu, 07/20/2017 - 15:10

'Mum I used to be good looking... look at me now': the physical health needs of adults with mental health problems: the perspectives of users, carers and front-line staff

This study uses focus groups of users, carers, and structured staff interviews to explore the physical health needs of mental health services users and the barriers that make it hard for them to seek or gain access to services. Results found that despite the inextricable link between physical well-being and mental health, professionals in both primary and secondary care fail to view users holistically. Professional role ambiguity and poor communications result in access difficulties for users and add to the burden felt by carers.

Thu, 07/20/2017 - 15:10

Care of older people: mental health problems

Specialist mental health services for older people have grown rapidly and successfully over the past two decades, aiming to offer services that are comprehensive, accessible, responsive, individualised, multidisciplinary, accountable, and systematic. As with all mental health problems, the burden falls on primary care (where minor morbidity often goes undetected) and specialist services tend to be reserved for those conditions and patients where diagnosis and management is problematic.

Thu, 07/20/2017 - 15:10

Assessing and helping carers of older people

Drawing on recent guidelines and research this clinical review presents recent knowledge and practice on assessing and helping older carers. The review has sections on: how carers should be identified; how a carer assessment should be undertaken; useful interventions to support carers; and the major challenges facing clinicians regarding assessment. Short case scenarios are used to illustrate the issues.

Thu, 07/20/2017 - 15:10

Psychological interventions for carers of people with dementia: a systematic review of quantitative and qualitative evidence

Rationale: Carers of people with dementia experience significant levels of stress in their everyday role. The National Dementia Strategy in England identifies the key role that carers play in supporting people with dementia living at home, often to the detriment of their social, emotional and physical health.

Thu, 07/20/2017 - 15:09

Factors associated with caregiver readiness to use nonpharmacologic strategies to manage dementia-related behavioral symptoms

Background: Nonpharmacologic strategies to manage dementia-related behavioral symptoms depend upon caregiver implementation. Caregivers may vary in readiness to use strategies. We examined characteristics associated with readiness, extent readiness changed during intervention, and predictors of change in readiness.

Thu, 07/20/2017 - 15:09

A systematic review of interventions for elder abuse

The purpose of this study was to use rigorous systematic review methods to summarise the effectiveness of interventions for elder abuse. Only eight studies met the inclusion criteria. Evidence regarding the recurrence of abuse following intervention was limited, but the interventions for which this outcome was reported failed to reduce, and may even have increased, the likelihood of recurrence. Elder abuse interventions had no significant effect on case resolution and at-risk carer outcomes, and had mixed results regarding professional knowledge and behaviour related to elder abuse.

Thu, 07/20/2017 - 15:08

‘What I want to do is get half a dozen of them and go and see Simon Cowell’: Reflecting on participation and outcomes for people with dementia taking part in a creative musical project

This paper presents the findings from an evaluation of a creative musical project led by Scottish Opera. The project included people with dementia and their carers in the development, writing, design and performance of a musical production about their experiences of love. The project involved professional singers, artists and choreographers from the opera company. Activities involved practice sessions and performances.

Thu, 07/20/2017 - 15:08

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