Mental health correlates of criminal victimization: A random community survey.

Interviewed a representative sample of 2,004 women (aged 18 yrs and older) about victimization experiences and mental health problems. After classification of the women into victimization groups, the occurrence of 3 mental health problems was compared across type of crime. Rates of "nervous breakdowns," suicidal ideation, and suicide attempts were significantly higher for crime victims than for nonvictims. Victims of attempted rape, completed rape, and attempted sexual molestation had problems more frequently than did victims of attempted robbery, completed robbery, aggravated assault, or completed molestation. Problems were not mediated by income and were affected only marginally by age and race. Nearly 1 rape victim in 5 (19.2%) had attempted suicide, whereas only 2.2% of nonvictims had done so. Most sexual assault victims' mental health problems came after their victimization. Findings suggest that crime victims are at risk for the development of major mental health problems, some of which are life threatening in nature. (15 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Mental health teams in the community

This article describes how one community psychiatric nursing service established a forum to clarify the roles and professional boundaries for nurses working within a multidisciplinary team. The author describes the initiative within the context óf the wider issues surrounding mental health care in the community.     

Job stress in the Australian and international health and community services sector: A review of the literature.

We reviewed 25 international and 10 Australian studies published between 1999 and 2004 for evidence of individual and organizational impacts of stress in the health and community services (HCS) sector. Several HCS occupations showed high levels of distress compared to Australian population data. Results were consistent with the Job Demands-Resources model: High demands (e.g., workload, emotional) combined with low resources (e.g., control, rewards, support) were associated with adverse health (e.g., psychological, physical) and organizational impacts (e.g., reduced job satisfaction, sickness absence). Australian-specific issues included rural and remote work and the complex role of Aboriginal Health Workers. Strong associations between modifiable work factors and adverse outcomes provide a rationale for primary preventive policy development by occupational health and safety regulators and workers' compensation authorities. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A neglected lesbian health concern: cervical neoplasia

OBJECTIVE: The role of a deficiency of vitamin B1 in the development of alcoholic complaints is confined to the case of the Wernicke-Korsakov syndrome. Findings concerning a deficiency of thiamine in alcoholics in comparison with normal persons are contradictory and there are no differentiated tests in the case of delirium tremens. In this study the vitamin B1 absorption in patients with delirium tremens was of interest in connection with the presence or absence of hallucinations and autonomic symptoms. METHOD: Male patients (N = 70) with delirium tremens were compared with a group of 13 controls. The controls and patients were hospitalized in order to ensure abstinence from alcohol. The examination of the delirium patients was carried out with their consent after termination of the delirium tremens and again on discontinuance of drug therapy. In the case of 33 delirium patients the absorption of thiamine was tested again 4 weeks after the first examination. RESULTS: The absorption of vitamin B1 was in general only minimally lower in the case of the delirium patients in comparison with the nonalcoholics. The results showed, however, a considerably greater range of scattering of vitamin B1 absorption in the delirium patients. The absorption conditions showed marked improvement in the 4 weeks after delirium. The extent of absorption of vitamin B1 showed no influence on the duration of delirium. The patients with visual hallucinations, however, showed lower thiamine absorption than patients without such symptoms, whereas no dependence of autonomic symptoms on vitamin B1 absorption was seen. CONCLUSIONS: The disturbed absorption conditions in the delirium patients were obvious at the time of the examination as demonstrated by the wide range of absorption values. Improvement or near normal conditions were registered 4 weeks after the delirium. The absorption conditions had possibly already improved during the few days of alcohol abstinence in the course of the delirium treatment. The reduced vitamin B1 absorption of patients suffering from visual hallucination corresponds to observations of alcoholic hallucinosis.     

Mental health: A report of the Surgeon General--Executive summary.

This surgeon general's report is the first ever issued on mental health. Two messages are conveyed in the report: Mental health is fundamental to health, and mental disorders are real health conditions. The surgeon general's report summarizes the Office's detailed review of more than 3,000 research articles, plus 1st-person accounts from individuals who have been afflicted with mental disorders. Two main findings emerged from the research: (a) The efficacy of mental health treatments is well documented, and (b) a range of treatments exists for most mental disorders. On the basis of these findings, the Office of the Surgeon General recommends that people seek help if they have a mental health problem or think they have symptoms of a mental disorder. Themes covered in the report include adopting a public health perspective, accepting that mental disorders are disabling, and seeing mental health and mental illness as points on a continuum. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Clients'' health needs: nurses'' concern

The mucopolysaccharidoses (MPS) are rare inborn errors of metabolism. They are caused by defects in enzymes which are necessary for the degradation of mucopolysaccharides. An effective causal treatment is not available as yet. Nevertheless, it is the duty of the doctor, both from the medical and human aspect to assist MPS patients and their families physically and psychologically over many years. This task needs much empathy, working morale and knowledge of these diseases on the part of the medical adviser involved, but also demonstrates the limitations of active medical treatment. Since 10 years the "Austrian Society for Mucopolysaccharidoses" has tried to fill the gap between the MPS families' need for help and the still discouraging current medical treatment prospectives.     

Mental health consultation with campus ministers: A pilot program.

Monitored issues raised by 15 campus ministers as they participated in a 1-yr mental health consultation program sponsored by a university counseling center. Issues raised (e.g., sexuality, suicide and crisis intervention, assertion training) and strategies used by the group and its leaders in dealing with the issues are discussed. (7 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Mental health technology.

Discusses the acute need for the development of viable technologies in social-behavioral areas, e.g., mental health. Technology is defined as anything that increases the efficiency of some work process, and has the potential for being based on science. By examining the nature and historical development of established technologies, some of their problems can hopefully be avoided. The field of mental health is essentially pretechnological, although, as is true of other social-behavioral areas, potential scientific data bases and directions for technological development are not lacking. 8 such areas are identified and briefly discussed. (15 ref.) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Mental health values of professional therapists: A national interdisciplinary survey.

We conducted a national survey of clinical psychologists, marriage and family therapists, social workers, and psychiatrists to assess values pertinent to mental health and psychotherapy. The survey revealed considerable agreement among mental health professionals about this specific values domain. There was a strong relationship between their views of a value's importance for a positive, mentally healthy life-style and its usefulness in guiding psychotherapy. Differences in the characteristics of therapists were correlated with differences in their values. We also found factors related to value differences between professional groups. Implications for therapeutic philosophy and practice are considered, and the need for explicitness concerning values is emphasized. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Toward a viable community health psychology: Caveats from the experiences of the community mental health movement.

Discusses opportunities and pitfalls in the development of a health psychology, with particular reference to the community mental health movement and community psychology. Health psychology in its preventive rather than curative aspects is stressed. Health psychology should adopt a community or public health perspective rather than an individual disease or individual treatment model. (7 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Mental health and the workplace: An interchangeable partnership.

Mental health is an important component of occupational health. The National Institute for Occupational Safety and Health recognizes psychological disorders as one of the 10 leading work-related diseases and injuries (J. D. Millar, 1984). Job-related stress is receiving an increasing amount of public attention, and several studies indicate that stress-related conditions are among the most important health problems of the 1990s for people at work and outside of work. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Mental health policy: Observations from Europe.

Reviews policies and practices based on a study of 5 European countries (Switzerland, England, Denmark, Sweden, and the Netherlands) with respect to deinstitutionalization and community support and rehabilitation services, health and social security benefits, financing mechanisms, and care for the homeless and young adult chronic populations. Common trends in European mental health and social welfare policies are summarized. Relative to the US, the coordinated system of care in these countries is supported by a strong social welfare system allowing for community-based care administered by the mental health service system. (19 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Quality assurance: A challenge for community mental health centers.

Reviews the quality assurance requirements that are currently being applied to community mental health centers. The requirements were initially developed from an inpatient perspective. Application to an outpatient mental health area presents many problems, not the least of which is that no generally accepted standards exist for mental health care. Suggestions are presented regarding how a center might develop some quality assurance procedures, particularly utilization and peer review committees. (18 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Mental health care in the USSR.

The author received a scientist exchange grant from the National Institutes of Health and visited the USSR as a health-science representative in 1976. He reports that mental health services in the USSR are provided primarily by the medical profession through state mental hospitals and psychiatric sections in general hospitals and clinics. Drug therapy is the main treatment method, but psychotherapy is beginning to make some inroads. Family therapy settings are the newest additions to preventive mental health care. (PsycINFO Database Record (c) 2010 APA, all rights reserved)