Mental Health Agenda Research Articles

Making the translation from research to its application: The Je ne sais pas of evidence-based practices.

Moving evidence-based treatments into practice settings is an important new direction for the field of children's mental health., but is fraught with many unknowns. This commentary discusses scientific conundrums that surround that transportability of research-based interventions, including issues of definition (e.g., differences among treatments, preventive interventions, services); diagnostic reification and the absence of markers; the value and status of combination treatments (including pharmacologic) for conceptualizing the evidence base; and differences between evidence-based practices and evidence-based treatments. Suggestions are made for a disciplined approach to advancing a yoked research and policy agenda for children's mental health.

Some National Service Frameworks are more equal than others: Implementing clinical governance for mental health in primary care groups and trusts

This paper reports the findings of a study concerned with the way in which Primary Care Groups (PCGs) and Primary Care Trusts (PCTs) engaged with the Mental Health National Service Framework (NSF) as part of their remit to implement clinical governance. A qualitative multiple case study is reported which used semi-structured interviews and documentary analysis in a purposive sample of 12 PCG-Ts in England. The study found a general awareness of and support for the Mental Health NSF among PCG-Ts. In some localities the NSF acted to reinforce existing local developments in primary care mental health. However, compared to the NSF for Coronary Heart Disease a number of difficulties in responding to the Mental Health NSF were identified. These related to the perceived clinical status and complexity of managing mental health problems at practice level (e.g. familiarity with and competence of General Practitioners (GPs) in managing the conditions), inter-agency working, clinical governance training and the feasibility of producing clear demonstrable mental health outcomes as part of performance management. While the NSF for mental health presents opportunities for establishing the principles of quality assurance and improvement in the area of mental health, it is in danger of being marginalized in the clinical governance agendas of new PCTs, because of an inability to compete on an equal footing with other clinical priorities. While the partial demedicalisation of mental health is increasingly recognised as desirable for policy and therapeutic reasons the corollary is that it is harder to implement non-medicalised forms of care through the essentially medicalised apparatus of clinical governance. In order to deal with the complexities and challenges posed by the mental health agenda targeted support and resources are needed to promote clinical governance developments within primary care organisations.

A national action agenda for children's mental health.

A national action agenda for children's mental health.

Fads, politics, and research: Keeping prevention on the mental health agenda.

Fads, politics, and research: Keeping prevention on the mental health agenda.

Meeting the mental health agenda in primary care

Meeting the mental health agenda in primary care

Mental Health Agenda Now Set for US Children

Mental Health Agenda Now Set for US Children

Mental Health Agenda Now Set for US Children

Mental Health Agenda Now Set for US Children

Fads, politics, and research: Keeping prevention on the mental health agenda.

Fads, politics, and research: Keeping prevention on the mental health agenda.

Primary Care and Mental Health

Change and continuity The rate of change in primary care has never been so fast. And yet in some essential themes, continuity stretches back even beyond Bevan. Witness recent patients’ associations’ responses to the NHS National Plan (Department of Health, 2000a) which, in common with many ‘listening exercises’ (eg Department of Health, 1996), have stressed the crucial importance to individuals and families of the GP consultation. We know from mental health service users that they share those priorities. Witness also the National Plan’s concerns regarding single-handed practice: again, rightly or wrongly, continuing a line of dialogue that stretches back some considerable time. While some fundamentals remain consistent, primary care services are changing at a dramatic rate. For professionals and managers working in mental health services much of this change may be invisible and sometimes it is alarming. Despite real willingness in some areas to work together, frequently we see a ‘culture gap’ between those people working in mental health and those in primary care. This may raise obstacles to collaboration, and lead to misunderstandings. ‘Registers’, ‘urgent’, and ‘patient’ are all words that can carry quite different meanings, associations and values for primary care and mental health professionals. New primary care organisations, PCGs and primary care teams (PCTs), may, as they become engaged with the mental health agenda, offer a way into energetic and focused dialogue that will start to close that culture gap. But most are working flat out, with minimal infrastructure, across the widest gamut of clinical and organisational issues, so we can’t expect a quick miracle! But perhaps awareness of some of the key change themes in primary care may help to facilitate understanding. General practice itself is changing and many practitioners in primary care are raising fundamental questions about its role. General practice care becomes ever more organised and, while opportunistically using demand-led consultations to achieve a range of health care targets, remains a key skill. Structured, proactive care is increasingly promoted. Thus the National Service Framework for coronary heart disease (CHD) requires that GPs establish registers of diagnosed patients and effective call and recall systems, and that they work to guidelines ensuring that appropriate advice and interventions are offered wherever needed (Department of Health, 2000b). The Framework for CHD illustrates another pertinent point – the increasing importance of the ‘team’ and the consequent growing role of GPs in managing and supervising care rather than providing it. In CHD, in many parts of the country, additional funding is allowing practice nurses and nurse practitioners to play an important role in developing basic care and more sophisticated multi-practice cardiac prevention clinics, working to agreed protocols with medical support. Similarly, some of the earlier Total Purchasing Pilots (TPPs) developed multidisciplinary interagency care-planning mechanisms for older people, carrying the concept of ‘team’ one stage further, and bringing it into practices. These examples suggest that we need to think carefully about the extra resources general practice may need to develop structured mental health care

The status of hypnosis as an empirically validated clinical intervention: A preamble to the special issue

In his introductory remarks to this Journal's special issue on the status of hypnosis as an empirically supported clinical intervention, the editor briefly describes the dawn of clinical hypnosis research, the logic of the natural science model, the importance of an inspired but tough-minded clinical science, and the auspicious confluence of practice and research purpose in this enterprise. The progenitor of this effort was indeed the Report of the Royal Commission coauthored by Benjamin Franklin and Antoine Lavoisier, among others, more than 215 years ago—a report noted as one of the most important documents in the history of human reason. The ethos and logic of this special issue is grounded on the legacy of that document. Eschewing the conflicting mental health agendas of managed-care, government, patient rights, and professional guild interests, this special issue seeks to present a frank, evenhanded, informed, and dispassionate assessment of what science knows and does not know about clinical hypnosis.

Furthering the mental health agenda

Congratulations on producing an exciting new magazine specifically devoted to mental health practice. The design, layout and content of theis first edition make one look forward to future productions.

Women with co-occurring addictive and mental disorders: An emerging profile of vulnerability.

The heterogeneity of those with co-occurring addictive and mental disorders has only recently begun to be recognized, and treatment strategies for different segments of this population are still being developed. This article reviews the literature on alcohol and drug problems in women, and on women with severe mental illness who are at high risk for substance abuse--as well as other forms of abuse and deprivation--due to poverty and victimization. As public health and mental health agendas are threatened by budget cuts, it is critical that initial gains in acknowledging and addressing their needs not be lost or abandoned.

A Research Agenda for Women's Mental Health

Since many of the major psychiatric illnesses are more prevalent in women than men, women have generally been adequately represented in studies of patients with mood, anxiety, and eating disorders. However, women with substance abuse disorders have received little research attention, and a number of recent studies show significant gender differences in the presentation and course of alcoholism. In addition, remarkably little research has been done on the psychiatric effects of the menopause in depressed women, despite the fact that the two conditions frequently coexist. The advantages of a biopsychosocial approach to women's mental health research are discussed.

Illusion and Well‐Being: Toward a New Agenda for Mental Health

Journal of Counseling & DevelopmentVolume 67, Issue 10 p. 590-591 Illusion and Well-Being: Toward a New Agenda for Mental Health CHRISTINE BATES, Corresponding Author CHRISTINE BATES doctoral students Department of Counseling at the University of Southern CaliforniaUniversity of Southern California, School of Education, Dept. of Counseling, WPH 503, Los Angeles, CA 90089-0031Search for more papers by this authorDARRYL STEVENS, DARRYL STEVENS doctoral students Department of Counseling at the University of Southern CaliforniaSearch for more papers by this author CHRISTINE BATES, Corresponding Author CHRISTINE BATES doctoral students Department of Counseling at the University of Southern CaliforniaUniversity of Southern California, School of Education, Dept. of Counseling, WPH 503, Los Angeles, CA 90089-0031Search for more papers by this authorDARRYL STEVENS, DARRYL STEVENS doctoral students Department of Counseling at the University of Southern CaliforniaSearch for more papers by this author First published: June 1989 https://doi.org/10.1002/j.1556-6676.1989.tb01337.xCitations: 4AboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinkedInRedditWechat No abstract is available for this article.Citing Literature Volume67, Issue10June 1989Pages 590-591 RelatedInformation

The challenge of double jeopardy. Toward a mental health agenda for aging women.

The challenge of double jeopardy. Toward a mental health agenda for aging women.

The challenge of double jeopardy: Toward a mental health agenda for aging women.

The challenge of double jeopardy: Toward a mental health agenda for aging women.

Primary Prevention and Public Mental Health Policy

OR public health professionals, the prevention of disease and the promotion of health are core concerns. The prevention of mental disorder has been an area that has geng 1 1 3 erated inflated claims about potential for success and sometimes highly acrimonious debate. Yet, data indi(ese9 cating that 1s% of the population suffers from mental disorder (1) and the contention (2) that we are facing a pandemic of mental disorder compel us to the realization that strategies to reduce its incidence must be part of public health policy. This paper will consider the current status of the primary prevention of mental disorders and its place in a public mental health agenda. However, in order to avoid what Leighton (3) referred to as the "Lord Ronald Syndrome" (getting on one's horse and riding off madly in all directions), the issue of prevention and public mental health policy has to be considered within the context of two other issues: the community mental health movement, and psychiatric epidemiology.