Findings.
Young adults with psychosis were significantly less likely to be engaged in postsecondary education. No difference appeared for the extent of engagement, but performance and satisfaction were lower among participants with psychosis. Participants engaged in reflexive decision making to access postsecondary education and to maintain adequate academic performance. Strategies used by successful students with mental illness were identified.
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Confidentiality in child and adolescent mental health is a complex and often challenging matter. Not only do young people frequently present to services in situations of risk, they often prefer to keep information confidential from parents and/or other professionals. This article explores confidentiality in the context of child and adolescent mental health services (CAMHS), particularly when the clinician is having to make decisions on whether to maintain or to breach it. Login using your SSSFT NHS OpenAthens for full text. SSOTP - request a copy of the article from the library - www.sssft.nhs.uk/library
Open access. We review a case history of a young child who was admitted to an in-patient mental health unit due to extremely challenging behaviour and review the legal issues that had to be considered in ensuring that there was appropriate legal authority for the child's admission and treatment
Open access. Young people with complex or severe mental health needs sometimes require care and treatment in inpatient settings. There are risks for young people in this care context, and this study addressed the question: ‘What is known about the identification, assessment and management of risk in young people (aged 11–18) with complex mental health needs entering, using and exiting inpatient child and adolescent mental health services in the UK?’
Open access. Use of the Internet to deliver cognitive behavioural therapy, a frontline treatment for anxiety disorders, is emerging as an option to increase access to treatment among adolescents with anxiety disorders. This study examined the usability of the Internet-based component of Breathe, a CBT program designed for adolescents with mild to moderate anxiety and impairments.
In May and June, 2015, media outlets around the world reported a devastating new finding that shocked the public and public health researchers alike. The Telegraph, Guardian, and National Public Radio all published articles highlighting the fact that suicide had surpassed maternal mortality as the leading cause of death among girls aged 15–19 years globally. To read the full article, log in using your NHS OpenAthens details - Institution NHS England
The article offers information on obsessive compulsive disorder (OCD). Topics discussed include a brief description of the mental illness, the symptoms presented by individuals afflicted with the disorder such as obsession with certain activities and anxiety, and the recommended initiatives for addressing the illness which include cognitive behavioral therapy. To read the full article, log in using your NHS Athens
Open access. Psychotropic medications are frequently used to treat challenging behaviour in children with intellectual disabilities, despite a lack of evidence for their efficacy. This systematic review and meta-analysis aimed to determine the safety and efficacy of pharmacological interventions for challenging behaviour among children with intellectual disabilities.
NHS England’s National Clinical Director for Children, Young People and Transition to Adulthood reveals the progress is being made on transforming their mental health services
NHS England and the Department of Education have joined forces to launch a multimillion pound joint mental health pilot scheme for hundreds of schools.
The Mental Health Services and Schools Link Pilots will test a named single point of contact in 255 schools and in 22 pilot areas, meaning more joined up working between schools and health services. This has been backed by £3m of government funding.
Nurses hold children to administer treatment, prevent treatment interference and undertake clinical assessments, which can sometimes be invasive, as part of their regular duties. Clinical holding ensures this treatment or assessment is carried out safely, however, it has been reported that there is little training available in this area. This article explores the prevalent clinical holding techniques used by nursing staff when caring for children with behaviours that challenge. As an initial insight into what the researchers hope will become a more in-depth 2-year study, this investigation looks to explore current practice when holding children and the factors influencing this. It is hoped that this will inform the development of a training package offered to nurses when caring for these children. Thirteen semi-structured interviews took place with a small group of nurses, which were given thematic analysis. The overarching themes influencing holding practice were the nursing role itself along with intrinsic and external factors. To read the full article, log in using your NHS Athens
'As the review authors suggest, more research with well-designed trials is needed to better assess the benefits and harms of the treatment, preferably with some subgroup analyses to see if it is possible to identify those who might have better or worse outcomes.'
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