Social Workers and Involuntary Treatment in Mental Health

Abstract

Involuntary treatment is often a reality in mental health social work. The current research examined 330 mental health social workers' involvement in and opinions about involuntary treatment as part of their primary job functions. Varieties of involuntary intervention and typical frequency were investigated. The most often cited areas of involuntary treatment experience proved to be mandated outpatient counseling and emergency hospitalization. In general, participants reported a high level of support for the existence of involuntary intervention, both in "idea" and "implementation." The study also explored the attitudes social workers have about these sometimes "ethically-complex" social work interventions and how these attitudes may have changed over the life of their practice careers due to practice experience and personal growth, job changes, and exposure to the reality of mental illness...

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The Police and Mental Health

Abstract

With deinstitutionalization and the influx into the community of persons with severe mental illness, the police have become frontline professionals who manage these persons when they are in crisis. This article examines and comments on the issues raised by this phenomenon as it affects both the law enforcement and mental health systems. Two common-law principles provide the rationale for the police to take responsibility for persons with mental illness: their power and authority to protect the safety and welfare of the community, and their parens patriae obligations to protect individuals with disabilities. The police often fulfill the role of gatekeeper in deciding whether a person with mental illness who has come to their attention should enter the mental health system or the criminal justice system. Criminalization may result if this role is not performed appropriately. The authors describe a variety of mobile crisis teams composed of police, mental health professionals, or both...

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Family Interventions For Mental Disorders: Efficacy And Effectiveness

The physician Henry Richardson described the role of family care in the recovery from physical and mental health problems in 1948 (1). His landmark book entitled "Patients have families" was read by a group of psychiatrists and social anthropologists at the Palo Alto Research Institute in California and became the basis of the systemic approach to family interventions (see 2 for details of this historical perspective). Unlike Richardson, these psychoanalytically trained professionals postulated that family influence was an etiological factor in serious mental disorders, rather than a key factor on the road to recovery. For many years the family system was thought to be the root of all evil and families were accused of inadvertently abusing their offspring through a variety of subtle communication strategies, such as the double-bind or communication deviance. However, these pioneers of family treatment spent considerable time with families and attempted to help them correct...

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Do Workplace Physical Activity Interventions Improve Mental Health Outcomes?

Abstract

Background

Mental health is an important issue in the working population. Interventions to improve mental health have included physical activity.

Aims

To review evidence for the effectiveness of workplace physical activity interventions on mental health outcomes.

Methods

A literature search was conducted for studies published between 1990 and August 2013. Inclusion criteria were physical activity trials, working populations and mental health outcomes. Study quality was assessed using the Jadad scale.

Results

Of 3684 unique articles identified, 17 met all selection criteria, including 13 randomized controlled trials, 2 comparison trials and 2 controlled trials. Studies were grouped into two key intervention areas: physical activity and yoga exercise. Of eight high-quality trials, two provided strong evidence for a reduction in anxiety, one reported moderate evidence for an improvement in depression symptoms and one provided limited evidence on relieving stress. The remaining trials did not provide evidence on improved mental well-being.

Conclusions

Workplace...

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