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Article
Publication date: 1 January 2013

Elizabeth Barkham, Santhana Gunasekaran and Caroline Lovelock

The purpose of this paper is to offer a general review of care for individuals on the autism spectrum, including Asperger's syndrome within a medium secure setting.

757

Abstract

Purpose

The purpose of this paper is to offer a general review of care for individuals on the autism spectrum, including Asperger's syndrome within a medium secure setting.

Design/methodology/approach

The authors undertook a review of the current literature relating to pathways to care, offending characteristics and treatment interventions. They examined the available evidence and current practice.

Findings

Available evidence suggests offending characteristics of individuals with autism are different to those of mental disorders such as schizophrenia. Limited evidence in treatment interventions and in risk management for those with autism presents a challenge to clinicians. The heterogeneity makes a strong case for an individualised case formulation approach to treatment and risk management.

Originality/value

This paper offers an overview of the current evidence base relating to the treatment of individuals with autism spectrum disorders within medium secure settings.

Details

Journal of Intellectual Disabilities and Offending Behaviour, vol. 4 no. 1/2
Type: Research Article
ISSN: 2050-8824

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Article
Publication date: 14 December 2010

Lisle Scott and Elizabeth Kemp

Adults over the age of 65 who are diagnosable with personality disorder face numerous problems within current mental health service provision. These include a lack of diagnostic…

190

Abstract

Adults over the age of 65 who are diagnosable with personality disorder face numerous problems within current mental health service provision. These include a lack of diagnostic clarity and a lack of specialist personality disorder‐specific interventions. The authors present a pilot mini therapeutic community service for older adults diagnosable with personality disorder consistent with recommendations from NSF, NIMHE and NICE. Clinical experience suggests that positive outcomes demonstrated in similar services for adults of working age may be possible in this group and preliminary outcome results described in the article suggest a trend of clinical and functional improvement, and some economic benefits. This will need to be replicated and tested with a larger sample to confirm these findings.

Details

Mental Health Review Journal, vol. 15 no. 4
Type: Research Article
ISSN: 1361-9322

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Article
Publication date: 3 December 2018

Daniel Chen, Alex M. Torstrick, Robert Crupi, Joseph E. Schwartz, Ira Frankel and Elizabeth Brondolo

There is mixed evidence regarding the efficacy of low-intensity integrated care interventions in reducing the use of emergency services and costs of care. The purpose of this…

429

Abstract

Purpose

There is mixed evidence regarding the efficacy of low-intensity integrated care interventions in reducing the use of emergency services and costs of care. The purpose of this paper is to examine the effects of a low-intensity intervention formulated for older adults and delivered in an urban medical center serving low-income individuals.

Design/methodology/approach

The intervention included an initial evaluation of stress, psychiatric symptomatology and health habits; potential referrals for lifestyle management and psychiatric treatment; and training for physicians about the impact of lifestyle change in older adults. Participants included older adults (at or above 50 years of age) seen as outpatients in an urban medical center serving a low-income community (n=945). Participants were entered into the intervention at any point during this two-year period. Mixed models analyses examined all visits for all enrolled individuals over a two-year period, comparing visits before the individual received the initial intervention evaluation to those received after this evaluation. Outcomes included total health care costs incurred, average cost per visit, and emergency department (ED) usage within the facility.

Findings

The intervention was associated with reduced likelihood of emergency department use and reduced costs per visit following the intervention. These effects were seen across all participants.

Research limitations/implications

Limitations of the study include the lack of control group.

Practical implications

This program is easy to disseminate and could improve the quality of care and costs.

Originality/value

This study is among the few available to document a decrease in medical costs, as well as decreased ED utilization following a low-intensity integrated care intervention.

Details

Journal of Integrated Care, vol. 27 no. 1
Type: Research Article
ISSN: 1476-9018

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Article
Publication date: 1 April 1976

The Report of the Royal College of Physicians (London) and the British Cardiac Society issued in April last was the product of a joint working party, whose aim was to formulate…

126

Abstract

The Report of the Royal College of Physicians (London) and the British Cardiac Society issued in April last was the product of a joint working party, whose aim was to formulate the best possible advice which can at present be given to medical practitioners towards the prevention of coronary heart disease. It caused quite a stir, particularly its dietary recommendations, and the mass media made the most of it, more from inferences drawn from the measures recommended than from the report itself. Now that the sensation of it has gone and the dust has begun to settle, we can see the Report contains nothing that is new; it tells us what we have long known. Like the Horsemen of the Apocalypse, except that there are three of them, at least for the moment, the causative factors of the rising incidence of coronary heart disease, built into our affluent society, have been working their way at the heart of man for a good many years now.

Details

British Food Journal, vol. 78 no. 4
Type: Research Article
ISSN: 0007-070X

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Article
Publication date: 2 May 2024

Sydney Austin, Ahad Bandealy and Elizabeth Cawley

The purpose of this paper is to highlight current utilizations of advanced technology within the digital mental health platform Keel Mind.

513

Abstract

Purpose

The purpose of this paper is to highlight current utilizations of advanced technology within the digital mental health platform Keel Mind.

Design/methodology/approach

Keel Mind, based out of Ontario, Canada is a therapeutic delivery platform that dually functions to train clinicians and deliver virtual therapy to clients.

Findings

From personalizing client and therapist matching to using natural language processing (NLP) and artificial intelligence (AI)-driven features Keel Mind supports clinician decision-making to meet the growing mental health needs of the population. Keel Mind functions to provide accessible service, efficiently train high-quality clinicians and enhance clinical outcomes for clients. In a preliminary study within post-secondary students from Ontario, Canada, 90.1% of clients reported liking the platform, and 83.4% reported that they experienced positive mental health outcomes as a result of using Keel Mind.

Practical implications

Keel Mind is a leader within the rapidly developing field of telepsychology and aims to promote positive mental health outcomes worldwide.

Originality/value

This digital showcase is the first published piece of work highlighting the technological capabilities of Keel Mind as a digital therapeutic platform. The intention of this work is to highlight current uses of digital technology within the field of therapeutic practice and to promote technological growth within the field.

Details

Mental Health and Digital Technologies, vol. 1 no. 1
Type: Research Article
ISSN: 2976-8756

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Article
Publication date: 23 September 2013

Anna D. Williams, Elizabeth Bickford-Smith, Claire King and Alex Tagg

The Imago group was developed in 2010 as a step-down group for members of the Winterbourne Therapeutic Community (TC) who had completed their treatment. This paper aims to review…

121

Abstract

Purpose

The Imago group was developed in 2010 as a step-down group for members of the Winterbourne Therapeutic Community (TC) who had completed their treatment. This paper aims to review the usefulness of the group by reflecting on service user and staff feedback.

Design/methodology/approach

An opportunity sample of all current and ex-members of the Imago group (n=17) were approached and a mixed methods design was used to gain a wide collection of data. A self-report questionnaire was designed to access the opinions of members and staff about the Imago group. In total, 71 per cent of Imago members and 90 per cent of staff responded.

Findings

Results show that “staff being familiar”, “reconnecting with fellow ex-TC members” and alternating days were the top three most helpful aspects of the group, whereas “having at least 4 weeks away from the TC before attending the Imago Group”, “style of session” and “venue” were found to be the least helpful aspects.

Research limitations/implications

Limitations of the study centre round data collection. There were comprehension problems with the instructions for completing the quantitative scale and a small sample size meant that interpretations were tentative.

Originality/value

The Imago group is deemed a valuable part of the service for many of the service users (and staff), helping to aid recovery and re-integration into life after therapy. Elements of the group which were rated as least helpful require more thinking about.

Details

Mental Health Review Journal, vol. 18 no. 3
Type: Research Article
ISSN: 1361-9322

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