Journal articles on the topic 'Irish mental health services'
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Carrick, H., R. Purcell, and M. Byrne. "Embracing performance measurement in mental health services." Irish Journal of Psychological Medicine 30, no. 3 (May 24, 2013): 209–19. http://dx.doi.org/10.1017/ipm.2013.3.
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ObjectivesPerformance measurement (PM) is central to the current Irish health service policy. However, PM within the Irish mental health services has not been fully implemented. These services lack a national comprehensive suite of performance indicators (PIs). Those indicators that are measured do not tend to reflect the objectives of the managers and staff measuring them. To overcome these challenges, this article suggests a suite of measures and aims to provide a practical guide to PM for managers and staff.MethodA narrative review of a range of policy documents and articles, relevant to PM in the Irish mental health services, was undertaken.FindingsThe search produced a number of themes illustrating the limitations of the current set of PIs for Irish mental health services, in particular the need for comprehensive PIs, including structure, process and outcome PIs. This informed the development of a suite of proposed PIs for mental health services. A number of additional themes highlighted the criticisms associated with the top-down approach used to implement PM. Drawing from these themes, a bottom-up approach to PM is proposed.ConclusionAlthough this review was selective in nature, it illustrates how the concerns of clinicians and service managers can be integrated with the priorities of the Health Service Executive and the Department of Health. This presented the suite of PIs and the practical guide that provide useful PM tools. While also applicable at a national level, this paper provides guidance for service managers as to the process of establishing and implementing a suite of PIs within their own service.
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Hill, Shane, Niall Turner, Siobhan Barry, and Eadbhard O'Callaghan. "Client satisfaction among outpatients attending an Irish community mental health service." Irish Journal of Psychological Medicine 26, no. 3 (September 2009): 127–30. http://dx.doi.org/10.1017/s0790966700000422.
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AbstractObjectives: To assess patient satisfaction with mental health services. Client satisfaction with mental health services is attracting increasing attention and is now considered a key outcome variable in evaluating mental health services. The Quality Framework (Mental Health Commission (MHC)), and Vision for Change (VFC) support such evaluation. However, there are no published quantitative data from Irish users of a community mental health service.Method: We invited outpatients attending a Dublin community mental health service to complete a standardised self-report instrument (Client Satisfaction Questionnaire, CSQ-8) and provide qualitative feedback.Results: Of the seventy-nine respondents, 80% report they were ‘satisfied’ or ‘very satisfied’ with the service. However, they were critical of; access to, operation of, and communication with the mental health services.Conclusions: Although satisfied, when given the opportunity to comment, service users can be critical of aspects of the service they receive. Only using quantitative evaluation of outpatient client satisfaction levels may fail to capture important consumer suggestions for service development. Recent recommendations and upcoming changes would address a number of the criticisms of mental health services identified in this study.
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Mhaoláin, Áine Ni, and Brendan D. Kelly. "Ireland's Mental Health Act 2001: where are we now?" Psychiatric Bulletin 33, no. 5 (May 2009): 161–64. http://dx.doi.org/10.1192/pb.bp.108.019760.
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SummaryIreland's Mental Health Act 2001 was fully implemented in 2006 and aimed to bring Irish legislation more in line with international standards such as the European Convention on Human Rights and United Nations Principles for the Protection fo Persons with Mental Illness. the new legislation introduced several important reforms in relation to involuntary admission, independent reviews of involuntary detention, consent to treatment, and treatment of children and adolescents. Although the Mental Health Act 2001 focuses clearly on protecting the right to liberty, it also presents significant challenges in terms of service delivery and resources within Irish mental health services.
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Duggan, A., N. Murray, S. Buckley, and G. Lalevic. "Substance use amongst adult patients admitted to an irish acute mental health unit." European Psychiatry 64, S1 (April 2021): S566. http://dx.doi.org/10.1192/j.eurpsy.2021.1510.
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IntroductionComorbid substance misuse in mental illness presents a significant challenge to mental health services. It may lead to higher rates of relapse, hospital admissions and poorer treatment outcomes. Up to 47% of inpatients in Irish mental health units may experience substance misuse. Despite the Irish government’s ‘Vision for Change’ policy (2006), access to specialised services remains variable.ObjectivesEvaluate: -prevalence of substance misuse at an Irish mental health unit. -quality and detail of the recorded substance misuse history. -access to specialised services for patients experiencing substance misuse.MethodsA retrospective chart review of inpatients in a mental health unit over 12 months, was completed. Information recorded included: demographic details, diagnosis, substance use history; access to substance misuse services. Microsoft Excel was utilised for data input and analysis.Results267 patients were admitted over twelve months. Substance misuse was the primary diagnosis of 6% and the secondary diagnosis of 67%. 46% of patients reported current substance misuse, 52% reported historical substance misuse. Frequency and quantity of use was documented in 65% and 48% of cases respectively. 4% of patients with a substance misuse history were in current contact with addiction services.ConclusionsAlthough 46% of patients reported substance misuse, only 4% were in contact with specialised addiction services. This highlights a significant unmet need. There was variability in the quality of the recorded substance misuse history. In order to fully understand comorbid substance misuse, this be addressed. The addition of a more formatted substance misuse section, to admission proformas, may help to alleviate this issue.
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Féich, Pádraig Ó. "Towards a Recovery Orientated Mental Health Service." Mental Health: Global Challenges Journal 2, no. 1 (October 15, 2019): 28–29. http://dx.doi.org/10.32437/mhgcj.v2i1.46.
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Background: In 2006, in a policy document entitled a Vision for Change(Department of Health, 2006), Ireland undertook to move towards a modern,recovery orientated public mental health service characterised by holisticcare, individualised care planning, the provision of accessible support,increased involvement of service users in decisions about their treatmentand care and greater continuity of care across the mental health services.More than a decade on, it remained unclear to what extent Irish mentalhealth services had progressed towards the modern, recovery orientatedsystem outlined in A Vision for Change (Department of Health, 2006).
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Rowntree, R., N. McCarthy, and L. Feeney. "Changing prescribing patterns in an Irish community mental health service." Irish Journal of Psychological Medicine 37, no. 1 (November 6, 2017): 8–14. http://dx.doi.org/10.1017/ipm.2017.63.
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ObjectivesMedication is an important component of the treatment of many mental illnesses. Very little information is available about the particular medications that are being prescribed by community mental health services and how this has changed over time. We set out to obtain details of psychiatric medications being prescribed by one Irish community mental health service.MethodAll prescribing by the Cluain Mhuire Community Mental Health Service became electronic during 2004. Using Business Intelligence software, we obtained details of all psychiatric medications prescribed from 2005 to 2016. We compared numbers of prescriptions written in the first 6 years (2005–2010) with the following 6 (2011–2016).ResultsOlanzapine was the most commonly prescribed medication throughout but its use declined by one-quarter over the study period. Clozapine, quetiapine, aripiprazole and haloperidol prescribing increased. Prescriptions for mood stabilisers and antidepressants fell by 25%. Sedative prescriptions declined by almost 50%. Absolute numbers of prescriptions written for methylphenidate and pregabalin were small but increased dramatically over the time period.ConclusionsThis community mental health service prescribed less of most psychiatric medications in 2016, than had been the case in 2005. This is despite an increase in the numbers of patients seen over the same period. It is not clear if this pattern is echoed in other services.
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Rush, Gavin, and Declan Lyons. "Universal rights and mental illness in Ireland." Psychiatric Bulletin 28, no. 4 (April 2004): 114–16. http://dx.doi.org/10.1192/pb.28.4.114.
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The human rights group Amnesty International has recently expanded the range of rights it promotes to include the right of persons with mental illness to enjoy the best available mental health care. The Irish section of Amnesty has launched a report and promotional campaign on the rights of persons with mental illness, using internationally recognised norms of best practice reflected in international conventions that generate binding legal obligations of the Irish state. The report is critical of piecemeal reforms and inadequate resourcing of mental health services, and calls for a more comprehensive implementation of the recommendations of domestic and international reports.
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Wright, Brenda, and Vincent Russell. "Integrating mental health and primary care services: a challenge for psychiatric training in Ireland." Irish Journal of Psychological Medicine 24, no. 2 (June 2007): 71–74. http://dx.doi.org/10.1017/s0790966700010272.
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AbstractA Vision for Change, the report of the Expert Group on Mental Health Policy asserts as one of its key recommendations the enhancement and formalisation of links between specialist mental health services and primary care. As part of a higher training post in psychiatry a consultation-liaison service was provided by a senior registrar in three rural general practices. This paper describes the experience of this initiative from an educational perspective and discusses the broader implications for Irish psychiatric training. With an emerging emphasis on collaborative mental health care there needs to be an appreciation of the specific set of skills that psychiatry trainees must learn in order to be effective in primary care settings. The tandem development of the appropriate services and training in an Irish context will require dedicated funding and resources.
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Burke, Shane, and Patrick McKeon. "Suicide and the reluctance of young men to use mental health services." Irish Journal of Psychological Medicine 24, no. 2 (June 2007): 67–70. http://dx.doi.org/10.1017/s0790966700010260.
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AbstractYoung men are grossly over represented in Irish suicide statistics, yet this group is the least likely to use mental health services. This paper outlines why young men are reluctant to access mental health services, framing the problem in the context of risk factors for suicide such as binge drinking and social change. The paper argues that de-stigmatising mental illness and encouraging young men to seek help for emotional problems should be a priority for policymakers.
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Feeney, Larkin, and Mary Mooney. "Atypical antipsychotic monitoring in the Kilkenny Mental Health Services." Irish Journal of Psychological Medicine 22, no. 3 (September 2005): 101–2. http://dx.doi.org/10.1017/s0790966700009113.
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AbstractObjectives:To examine baseline testing and ongoing monitoring of cardiovascular and other risk factors in individuals prescribed atypical antipsychotic medications.Methods:We derived a list of baseline and ongoing monitoring tests from the literature (Weight, BMI, blood pressure, U&E, LFTs, glucose, HbA1C, FBC, TFTs, prolactin, lipids & ECG) and then reviewed a random sample of 80 records of patients prescribed atypical antipsychotics and currently attending an Irish public catchment area service, for evidence of testing.Results:Levels of testing for baseline tests ranged from 45% for blood pressure to 0% for BMI. Levels of ongoing monitoring tests ranged from 42.5% for U&E to 0% for BMI. Patients admitted to hospital were much more likely to have had testing.Conclusions:The need for baseline and ongoing monitoring of certain tests in patients prescribed atypical antipsychotics is increasingly accepted. Levels of such testing are currently quite low and need to increase.
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Ahmed, Mohamed, Brendan Dineen, Sinead O'Brien, and Philip A. Carney. "Sociodemographic profile and mental health needs of referrals to an Irish psychiatric service: a transcultural perspective." Irish Journal of Psychological Medicine 28, no. 3 (September 2011): 141–44. http://dx.doi.org/10.1017/s079096670001212x.
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AbstractObjectives: This study describes the social, demographic and clinical characteristics of all the new referrals in a mental health catchment area. This study aims to compare Irish and non-Irish service users in terms of their mental health needs and service utilization.Method: Case notes were reviewed retrospectively to investigate demographic, clinical and service utilization parameters among new referrals to the psychiatric services in Galway, Ireland over a six-month period.Results: One hundred and fifty-four new referrals, of whom 41 were non-Irish, presented over a six-month period. Results showed no difference between Irish and non-Irish service users in terms of socio-demographic variables. Alcohol problems and subsequent need for detoxification and counselling were significantly higher among service users from the new EU accession states with a significant impact on the duration of their hospital stay and the need for intensive psychiatric care.Conclusions: There is an urgent need for enhanced resources for the delivery of mental healthcare to immigrants. Service utilisation and mental health needs are not explained merely by illness-related aspects in immigrant service users. Social and cultural factors have to be recognised in order to prevent disadvantages in psychiatric care.
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Twomey, C., M. Byrne, and P. McHugh. "‘Show me the money’: improving the economic evaluation of mental health services." Irish Journal of Psychological Medicine 30, no. 3 (August 14, 2013): 163–70. http://dx.doi.org/10.1017/ipm.2013.41.
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BackgroundCompared with the United Kingdom, mental health services in Ireland are under-funded and under-developed. This may be partly due to the neglect of economic analyses concerning mental health services in Ireland, as few policy makers would invest in the sector without evidence that such investment represents ‘value-for-money’ economically.AimThe aim of this paper is to highlight how mental health services can conduct economic service evaluations that ultimately will drive the policy-making agenda and future governmental investment.MethodsA guide to the economic evaluation of mental health services, based on a narrative review of relevant policy documents and papers, in an Irish context.ResultsThree types of economic analyses that can be undertaken within mental health services are outlined: (a) cost-benefit analysis, (b) cost-utility analysis and (c) cost-minimisation analysis. In addition, a newly formulated questionnaire (i.e. the ‘EcoPsy 12’) is presented.ConclusionsEconomic evaluations of mental health services can provide re-assurances to policy-makers that (much-needed) investment in such services is economically viable.
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O’Neill, Eimear, Nabihah Abdul-Razak, Zulijana Anastasova, and Catherine O’Callaghan. "Case series: Psychosocial challenges of female youth within the Irish Travelling community." International Journal of Social Psychiatry 68, no. 3 (November 21, 2021): 681–85. http://dx.doi.org/10.1177/00207640211057795.
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Background: The Irish Travelling community are an ethnic minority group known for their distinct identity, traditions and language. Although this group has its roots in Ireland, they are marginalised and discriminated against by every part of Irish society. Irish Travellers are a group who are vulnerable to exclusion and experience health, economic and educational inequalities. Young female Irish Travellers in Ireland are highly susceptible to mental illnesses which makes the engagement of this ethnic group by healthcare services important. Aims: To review the cases of three female adolescents from the Irish Travelling community living in Ireland with a focus on their psycho-social difficulties. Complete a literature review, to complement and inform the three cases reviewed, on the socio-cultural and mental health challenges which effect adolescent females in the Irish Travelling community. Methods: Case series with literature search and review of relevant published articles using a keyword search of databases PubMed, PsycINFO and HSE protocols and reports. Hand searching of relevant references utilised. Informed signed consent obtained from each patient attending child and adolescent services in Ireland. Signed parental consent also obtained. Written consent obtained due to the use of patient history and assessments in the case series. Results: Adolescent females within the Irish Travelling community encounter particular difficulties within the moral constraints and expectations of this community. They encounter specific issues including mental illness, sexual stigma, domestic violence and limitations to the role of women. The three cases outlined give representative examples of the challenges faced by adolescent females within the Travelling community. Conclusions: Psychiatric services need to be aware of this vulnerable group and focus on the recognition of their needs within the context of their community.
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Cahill, Majella, and Anne Jackson. "Monitoring the physical health of individuals with serious mental illness." Irish Journal of Psychological Medicine 25, no. 3 (September 2008): 108–15. http://dx.doi.org/10.1017/s0790966700011125.
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AbstractDeveloping effective models of identifying and managing physical ill health amongst mental health service users has become an increasing concern for psychiatric service providers. This article sets out the general professional and Irish statutory obligations to provide physical health monitoring services for individuals with serious mental illness. Review and summary statements are provided in relation to the currently available guidelines on physical health monitoring.
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Blennerhassett, Richard, Lindsay Bamford, Anthony Whelan, Sarah Jamieson, and Jennifer Wilson O'Raghaillaigh. "Dialectical behaviour therapy in an Irish community mental health setting." Irish Journal of Psychological Medicine 26, no. 2 (June 2009): 59–63. http://dx.doi.org/10.1017/s0790966700000227.
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AbstractObjectives:Dialectical behaviour therapy (DBT) is a recommended treatment of patients with borderline personality disorder, yet there are few descriptions of the approach in public community mental health settings where the majority of such patients present. This study describes the development and evaluation of a DBT programme in an Irish setting.Methods:The DBT programme was run over a six month period. Participants were assessed at baseline and post intervention with the following instruments: The Structured Clinical Interview for DSM III R personality disorders (SCID II), the clinical Outcomes in Routine Evaluation (CORE) and the symptom checklist 90 Revised (SCL-90-Revised). Inpatient bed usage was determined from case note review.Results:Outcome data was available for eight subjects. Significant improvement (p < 0.005) was seen on all CORE subscales. SCL-90-R showed significant improvement (p < 0.05) on the global severity index and on the positive symptom distress index. A decrease in self harming behaviour was found. Subjects' inpatient bed days dropped from a mean of 58 in the year pre intervention to a mean of four days in the year post intervention. A novel finding was that 43% of subjects who originally fulfilled criteria for avoidant personality disorder no longer did so post intervention.Conclusions:The study found that DBT can be applied in a community mental health setting with benefits similar to more specialist settings. Significant difficulties were encountered in implementing the programme. The clinical implications are that specialist psychotherapy services need to be an integral part of psychiatric services to achieve better outcomes for patients with borderline personality disorder.
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Hughes, Martina, Michael Byrne, and Joy Synnott. "Prevalence of psychological distress in general practitioner adult attendees." Clinical Psychology Forum 1, no. 206 (February 2010): 33–38. http://dx.doi.org/10.53841/bpscpf.2010.1.206.33.
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One in three Irish GP practice adult attendees were found to have varying degrees of psychological distress. That 89 per cent were not receiving treatment for their mental health problems also highlights the need for improved primary care mental health services.
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Ramsay, Hugh, and Philip Dodd. "Mental health services for people with intellectual disability in Ireland: evidence, barriers and opportunities." Advances in Mental Health and Intellectual Disabilities 12, no. 3/4 (July 2, 2018): 105–13. http://dx.doi.org/10.1108/amhid-03-2018-0016.
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Purpose The purpose of this paper is to outline the historical background and policy context of mental health services for people with intellectual disability (ID) in Ireland. It then considers recent implementation and lessons from the Irish experience. Design/methodology/approach The policy background and research literature relevant to the development of mental health services for people with ID in Ireland was reviewed and discussed. Findings Mental health services in Ireland remain in a state of change, moving towards the implementation of specialist multi-disciplinary teams in the community, alongside previous models of care and service. Research limitations/implications This paper summarises recent advances and research regarding mental health services for people with ID in Ireland. Practical implications The paper illustrates the process of delivering changes to mental health services with practical implications for mental health services internationally. Originality/value This is the first paper in many years to summarise the development of mental health services for people with ID in Ireland. There has been considerable recent change and it is therefore important to provide a useful reference for the current status of services.
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Sheerin, Fintan K., and Roy McConkey. "Frontline care in Irish intellectual disability services." Journal of Intellectual Disabilities 12, no. 2 (June 2008): 127–41. http://dx.doi.org/10.1177/1744629508090984.
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Carr, Alan, Mairi Keenleyside, Mark Fitzhenry, Elizabeth Harte, Megan Daly White, Kevin O'Hanrahan, Jennifer Hayes, et al. "Personality disorders in an Irish mental health service: the Waterford Mental Health Survey." Irish Journal of Psychology 36, no. 1-4 (October 2, 2015): 3–11. http://dx.doi.org/10.1080/03033910.2016.1138873.
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McAuliffe, Aileen, Noirin E. Russell, and Joanne Fenton. "Psychological services for women giving birth in a large Irish tertiary referral maternity unit." Psychiatrist 35, no. 3 (March 2011): 92–94. http://dx.doi.org/10.1192/pb.bp.109.029165.
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Aims and methodTo investigate whether women were being asked about their current and previous mental health, and where risk factors for perinatal mental health problems were identified, to determine whether appropriate referral occurred. Individual case-note review was performed on women where present or past mental health problems were indicated.ResultsIn two-thirds of women where a history of mental health problems was indicated at the booking clinic this was not addressed in their obstetric case notes. Of the women who reported being depressed, nearly a third had no reference to this in their obstetric case notes and only 40% were referred to the Mental Health Liaison Clinic (MHLC). Two-thirds of the women who indicated a history of postnatal depression had no further comments documented in their obstetric case notes. One case of bipolar affective disorder and one case of puerperal psychosis were identified on booking questionnaires and neither had any comments documented in the obstetric case notes. In total 16% of women who reported a history of mental health problems were referred to the MHLC.Clinical implicationsMore robust procedures for the identification and management of perinatal mental health risk need to be implemented.
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Udoh, G. "Mental health profile of suicide victims in an Irish urban population." European Psychiatry 41, S1 (April 2017): S400. http://dx.doi.org/10.1016/j.eurpsy.2017.02.466.
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ObjectivesTo describe demographic and psychiatric characteristics of suicide victim cases.MethodRetrospective, case file psychological autopsy of deaths registered at the coroner's court, Dublin. Cases with a verdict of suicide and open verdicts registered in 2007, 2012 and 2013 were included.ResultsTwo hundred and five cases of suicide/open verdicts were registered the 3-year period. Seventy four percent (n = 152) were males. Mean age – 42.87 years old (STD = 15.44) with no significant difference between genders. Sixty-four percent (n = 132) were single at the time of death, while 32.2% had children. One hundred and ninety-eight had a stable accommodation; 37.5% (n = 77) living alone, and 36.6% (n = 75) actively employed.One hundred and twelve subjects (54.6%) suffered from mental illness; 53.6% – affective disorder; 15.2% – alcohol and substance misuse; 12.5% – psychotic disorder. Seventy-nine (70.5%) were not in contact with mental health services at the time of death; 32 (28.6%) were attending as outpatients. Illness onset was recorded for 68.7% cases (n = 77); 35.7% (n = 40) had a length of illness of more than 5 years. Psychiatric comorbidity was present in 29.5% (n = 33); 54.5% (n = 18) presented also alcohol/substance misuse.ConclusionSuicide victims were single, middle-aged male, suffered mental health difficulties, most frequently affective disorder. A small number of subjects an additional comorbid diagnosis. Few were in contact with outpatient services at the time of death. No significant differences in demographic characteristics were found between the group suffering from mental illness and the group with no mental illness.Disclosure of interestThe author has not supplied his/her declaration of competing interest.
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O'Keane, V., A. Jeffers, E. Moloney, and S. Barry. "Irish Psychiatric Association survey of psychiatric services in Ireland." Psychiatric Bulletin 28, no. 10 (October 2004): 364–67. http://dx.doi.org/10.1192/pb.28.10.364.
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Aims and MethodThe Irish Psychiatric Association conducted a national survey of psychiatric services in Ireland to examine clinical resources in relation to the relative affluence of catchment areas. A consultant psychiatrist from each catchment area was sent a postal survey form (August 2002) and the data received were cross-referenced with measures of relative affluence.ResultsThere was a 72% response rate. A negative relationship emerged between indices of need and both the number of acute beds and the number of consultant psychiatrists per head of the population.Clinical ImplicationsThe results of this survey indicate that clinical resources in mental health in Ireland are not concentrated in areas of greatest need, but paradoxically have been best developed in areas of greatest affluence.
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Russell, Vincent, Linda O’Rourke, and Kieran C. Murphy. "Undergraduate learning in psychiatry: can we prepare our future medical graduates better?" Irish Journal of Psychological Medicine 37, no. 2 (April 30, 2020): 73–76. http://dx.doi.org/10.1017/ipm.2020.16.
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Irish medical schools attract an increasingly diverse student population and produce graduates who will practise in many parts of the world. There are particular implications in this for the planning and delivery of the undergraduate psychiatry curriculum. In all countries, mental health services struggle for equitable resourcing, and mental health care within general medical services remains relatively neglected. The traditional undergraduate psychiatry offering has been justifiably criticised for being excessively oriented towards secondary care when the vast majority of medical graduates will pursue careers in primary care or in specialties other than psychiatry. Recently published articles in the Irish Journal of Psychological Medicine address the current challenges and opportunities in providing an undergraduate experience that better prepares students for the mental health aspects of medical practice in a global context. We summarise and discuss these contributions and the recent Royal College of Psychiatrists publication Choose Psychiatry: Guidance for Medical Schools.
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Ijaz, Atif, Helen Killaspy, Frank Holloway, Fiona Keogh, and Ena Lavelle. "Mental health rehabilitation services in Ireland: vision and reality." Irish Journal of Psychological Medicine 28, no. 2 (June 2011): 69–75. http://dx.doi.org/10.1017/s0790966700011460.
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AbstractObjectives: The Irish national mental health policy document, A Vision for Change, included recommendations to develop specialist rehabilitation mental health services. This survey was conducted as part of a multicentre study to investigate current provision of mental health rehabilitation services in Ireland and factors associated with better clinical outcomes for users of these services. The aim was to carry out a detailed national survey of specialist rehabilitation services in order to describe current service provision.Method: A structured questionnaire was sent to consultant rehabilitation psychiatrists in all mental health catchment areas of Ireland that had any rehabilitation services to gather data on various aspects of service provision.Results: Twenty-six of the 31 mental health areas of Ireland had some form of rehabilitation service. Sixteen teams working in 15 of these areas fulfilled A Vision for Change criteria to be defined as specialist rehabilitation services and all 16 responded to the survey. The overall response rate was 73% (19/26). Most services lacked a full multidisciplinary team. Only one service had an assertive outreach team with acceptable fidelity to the assertive outreach model. Urban services were less well resourced than rural services.Conclusion: This is the first national survey to describe the provision of mental health rehabilitation services in Ireland. Although there has been an increase in the provision of consultant-led specialist rehabilitation services nationally, these services lack multidisciplinary input. There also appears to be a lack of planned provision of the facilities required to provide comprehensive rehabilitation services with unequal distribution of resources between urban and rural areas. This has potential cost implications for local mental health services in relation to ‘out of area treatment’ placements and perhaps more importantly to the overall quality of patient care.
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O’Keeffe, B., and V. Russell. "Home treatment services for acute mental disorders: an all-Ireland survey." Irish Journal of Psychological Medicine 36, no. 1 (January 23, 2018): 7–17. http://dx.doi.org/10.1017/ipm.2017.83.
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ObjectivesTo determine the distribution, functioning and perceived impact of home-based treatment (HBT) teams for acute mental disorders on the island of Ireland.MethodsA 28-item questionnaire exploring the structure, staffing and operation of HBT teams was emailed to all clinical directors of mental health services in Ireland (n=26) and Northern Ireland (NI) (n=5). Quantitative data was analysed using the Survey Monkey package, while free-text responses to open questions were analysed for thematic content.ResultsIn total, 11 of 16 (68%) mental health services in Ireland and four of five (80%) in NI confirmed the presence of HBT teams. For 80% of respondents the primary function of HBT was as an alternative to inpatient admission. All NI respondents reported provision of a 24/7 HBT service. A 7 day a week service was reported by 82% of Republic of Ireland respondents. In total, 70% of respondents reported a gate-keeping role for their teams. Staffing levels and multidisciplinary representation varied widely. Most respondents perceived HBT as improving patient/carer experience and cost-effectiveness.ConclusionsOur findings suggest that the implementation of the HBT model in Ireland has not fulfilled the aspirations set out in mental health policy in both Irish jurisdictions. Many areas have no HBT services while wide variations in staffing levels and functioning persist. However, mental health services with established HBT teams appear convinced of their positive impact. An All-Ireland forum on HBT may help to define the model in an Irish context and standardise its future resourcing, operation and evaluation.
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Gavin, B., J. Lyne, and F. McNicholas. "Mental health and the COVID-19 pandemic: looking back and moving forward." Irish Journal of Psychological Medicine 37, no. 4 (December 2020): 247–49. http://dx.doi.org/10.1017/ipm.2020.128.
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AbstractCOVID-19 continues to exert unprecedented challenges for society and it is now well recognised that mental health is a key healthcare issue related to the pandemic. The current edition of the Irish Journal of Psychological Medicine focusses on the impact of COVID-19 on mental illness by combining historical review papers, current perspectives and original research. It is important that psychiatrists leading mental health services in Ireland continue to advocate for mental health supports for healthcare workers and their patients, while aiming to deliver services flexibly. As the pandemic evolves, it remains to be seen whether the necessary funding to deliver effective mental healthcare will be allocated to psychiatric services. Ongoing service evaluation and research is needed as the myriad impacts of the pandemic continue to evolve. In a time of severe budgetary constraints, ensuring optimum use of scare resources becomes an imperative.
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MAGUIRE, J., and D. RYAN. "Aggression and violence in mental health services: categorizing the experiences of Irish nurses." Journal of Psychiatric and Mental Health Nursing 14, no. 2 (April 2007): 120–27. http://dx.doi.org/10.1111/j.1365-2850.2007.01051.x.
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Kelly, Brendan D. "Mental Health Policy in Ireland 1984–2004: theory, overview and future directions." Irish Journal of Psychological Medicine 21, no. 2 (June 2004): 61–68. http://dx.doi.org/10.1017/s0790966700008326.
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Recent years have seen renewed emphasis on the importance of mental health policy as a key component of health and social policy at both national and international levels. In 2001 the European Commission produced a public health framework for mental health in the EU. In the same year, the World Health Organisation devoted its annual health report to mental health and called on countries to formulate, update and implement mental health policies. The EU and WHO initiatives both recognised that the challenges facing mental health policy makers are increasingly transnational in scope, related to issues such as rapid demographic change, increased transnational migration, the protection of human rights and the implementation of a growing number of international laws, directives and protocols in relation to mental health care.Significant progress has been made in the development of Irish mental health services over the past 40 years. Nevertheless, many challenges remain. The aims of this paper are to outline:• Prevailing theoretical perspectives on mental health policy• Mental health policy in Ireland since the last major policy revision in 1984• Relevant economic and demographic changes in Ireland since 1984• Relevant clinical, legislative and policy developments in relation to mental health• Future directions for mental health policy.Electronic literature searches were performed using Psyclit (American Psychological Association, 1887–2003), Medline (United States National Library of Medicine, 1985 – 2003), with broad search terms related to mental health policy. Additional books and papers were identified by tracking back through references and consulting with colleagues. Policy documents and selected literature on Irish psychiatric services were reviewed and related to recent literature on mental health policy.
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Mulligan, M., T. Maher, and J. V. Lucey. "A structured process for reviewing the operation of the Mental Health Act 2001 in an Irish mental health service." Irish Journal of Psychological Medicine 30, no. 2 (May 29, 2013): 131–34. http://dx.doi.org/10.1017/ipm.2013.18.
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This paper provides a description of a structured template which allows review of the operation of the Mental Health Act 2001 at St Patrick's Mental Health Services (incorporating St Patrick's University Hospital, St Edmundsbury Hospital and Willow Grove Adolescent Unit). These structured processes were implemented to ensure rigorous monitoring of all clinical governance activities associated with adherence to the Mental Health Act (MHA) 2001. The paper describes in detail the information contained in the St Patrick's Mental Health Services dashboard for 2012. The dashboard displays the key performance indicators that are monitored and the paper describes how these were reviewed by the Hospital's Clinical Governance Committee on a weekly basis for the three approved centres. The dashboard has also been used by the Clinical Governance Committee to provide ongoing education and engagement with staff in order to improve the operation of the MHA 2001. The use of this structured monitoring process has allowed the hospital to measure adherence to the MHA 2001 and also to measure activities that impact directly on the care and treatment of patients detained under the Act. The use of structured monitoring tools (i.e. the dashboard) to review the operation of the MHA 2001 allows for coherent observation of key events and issues which can cause concern in terms of the operation of the Act.
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Elimam, Ibrahim, Mary McCarthy, Roisin Cooney, and Alin Dumitrescu. "Anxiety levels among health care workers within Irish mental health services during COVID-19: a survey." BJPsych Open 7, S1 (June 2021): S247. http://dx.doi.org/10.1192/bjo.2021.660.
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AimsThe aim of this survey was to assess any fluctuations in anxiety levels experienced by mental health workers during the COVID-19 pandemic and the association between these changes and variables of information dissemination, risk management, and managerial support.MethodA survey was created to assess variables of information dissemination, risk management, and managerial support. The GAD-7 was employed as measure for anxiety during and pre the pandemic The survey was conducted online via an anonymised questionnaire and disseminated by management through the heads of various disciplines within the mental health work force, using the local email portal in the Cork region. It was made available for research participation for a period of one month(JULY).Following this stage, the reported data were analysed utilizing paired samples t-test, Pearson's correlations, and a hierarchical regression. Demographic variables were controlled for during analysis.Result102 mental health healthcare workers participated in the survey (81.2% Female, 18.8% Male). The mean GAD-7 total scores for Pre-COVID-19 doubled in the during COVID-19 condition. The largest effect can be seen on the GAD-7 facet of “feeling afraid as if something awful might happen” with pre-COVID-19 GAD-7 mean scores more than quadrupling during COVID-19 conditions.Managerial support had a moderate negative relationship with GAD-7 scores during the COVID-19 pandemic. Information dissemination total scores also had a moderate positive correlation with managerial support total scores and perceived risk/safety total scores. There was no correlation found between the GAD-7 total scores during COVID-19 pandemic and Information dissemination total scores nor Risk/safety total scores. Childcare was a concern for 64% of staff that it was applicable to; 45% of these staff considered altering work hours; 17% reported issues from management regarding these requests.ConclusionMental health workers have seen a dramatic increase in anxiety since the COVID-19 pandemic, particularly in the context of expecting something bad to happen. Managerial support appears to be a protective factor for increased anxiety levels in this population. Childcare has been a predominant concern and altering working hours to accommodate this has been problematic for almost 1 in 5 mental health workers. Staff satisfaction with information dissemination positively affects perceived managerial support and perceived risk management.This study is limited by the utilization of a novel self-created measure for examining variables specific to the COVID-19 pandemic and to the employment of a retrospective measure to obtain baseline anxiety scores of staff members before the pandemic.
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Copty, Mimi, and David L. Whitford. "Mental health in general practice: assessment of current state and future needs." Irish Journal of Psychological Medicine 22, no. 3 (September 2005): 83–86. http://dx.doi.org/10.1017/s079096670000906x.
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AbstractObjectives: To determine the extent of mental health services provided in the community in one Irish health board area. To examine the influence of postgraduate mental health training of GPs on provision of mental health services.Method: Questionnaire and focus group methods were employed to determine views on mental health service provision. Data analysis was with parametric and non-parametric tests of association including student's t and chi-squared tests. Thematic analysis of the focus groups was carried out.Results: Twenty-five per cent of patients attending general practice have mental health problems and over 95% of these problems are dealt with in primary care. Only 32% of GPs had received postgraduate training in psychological therapies. GPs with postgraduate training in psychological therapies were more likely to estimate a higher proportion of their patient population with mental health problems and less likely to refer to psychiatric services. A need for support from other health care professionals in primary care was also identified.Conclusion: The majority of patients with mental health problems are treated in primary care. Further training of GPs and increased resources would improve mental health care in primary care and lead to fewer referrals to psychiatric services.
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Haley, Clifford. "Irish Psychiatric Association survey of psychiatric services in Ireland." Psychiatric Bulletin 29, no. 2 (February 2005): 72. http://dx.doi.org/10.1192/pb.29.2.72-a.
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Kierans, Joanne, and Michael Byrne. "A potential model for primary care mental health services in Ireland." Irish Journal of Psychological Medicine 27, no. 3 (September 2010): 152–56. http://dx.doi.org/10.1017/s0790966700001361.
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AbstractObjectives:A high demand for the inclusion of psychosocial interventions for primary care mental health presentations has become more apparent in recent years. Current policies have proposed models of care highlighting principles required for a quality service. However, implementation has been slow to date. This article aims to inform the current debate relating to primary care service delivery models for mental health presentations and to contribute towards future planning initiatives.Method:A narrative review of a range of policies and selected articles relevant to primary care mental health in an Irish context.Results:The search produced four distinct themes: current service provision in Ireland; stakeholders' views; psychological care options; and potential service structures. Thereafter, a potential service delivery model is proposed. This formulated model employs a combination of elements from the reviewed themes to provide a clinically- and cost-effective, equitable and accessible service driven by service user and carer input.Conclusions:Although this review was selective in nature, the proposed potential model can complement future research agendas for more favourable primary care practice in Ireland. Recommendations are made for the planning of services including policy implementation procedures, training and communication.
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Corrigan, Mary, Michelle Curran, Shane Kirwan, Gráinne Donohue, and Brian Keogh. "The transition of a mental health facility to a COVID-19 isolation ward and unit to deliver remote inpatient mental health care." British Journal of Mental Health Nursing 11, no. 4 (November 2, 2022): 1–7. http://dx.doi.org/10.12968/bjmh.2022.0028.
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Throughout the COVID-19 pandemic, mental health services were confronted with significant challenges and mental health staff have not only had to provide a continued service for, often distressed, service users but have had to adapt practice and comply with the ever-changing public guidelines for containing the virus. There is a pressing need, therefore, to learn from the challenges that mental health services have faced and continue to face throughout different stages of the pandemic. While uncertainty is inevitable in pandemics, mental health nurses as a community can learn from individual experiences of adaptation. This article describes the unique and rapid transition of one Irish mental health facility to a COVID-19 isolation ward and unit for delivery of remote admission to a mental health service (home care admission). In order to capture this transitory experience, the areas discussed include preparation of the site, key challenges and the role of nursing staff, mental health service delivery, managing home care packages, the nurse management role and remote ward nursing. This discussion demonstrates how one mental health setting successfully evolved and met the challenges brought by the global pandemic through a combination of adaptability and flexibility in service delivery.
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Augustine, R. S., P. N. Kurian, and A. Michael. "Admission profile: towards community based services." Psychiatric Bulletin 16, no. 6 (June 1992): 336–37. http://dx.doi.org/10.1192/pb.16.6.336.
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This audit examined 65 consecutive admissions to a psychiatric hospital in the Irish Midlands over six months. The admissions came from a defined sector with a total population of 39,000. In the year prior to the study major changes in the delivery of psychiatric care in the sector were instituted. These changes included the introduction of admission guidelines and extra resources in the community. The general practitioners who see mental illness at first contact were informed of these changes. Attempts were made by the sector psychiatrist team to screen for appropriateness of admission with regard to the special groups such as alcoholics, the aged and the mentally handicapped.
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Brogan, Catherine Mary, and Michael Ryan. "Taking a coproduction approach to integrating recovery orientated care in Irish Mental Health Services." International Journal of Integrated Care 17, no. 5 (October 17, 2017): 501. http://dx.doi.org/10.5334/ijic.3821.
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Twomey, C., M. Byrne, and T. Leahy. "Steps towards effective teamworking in Community Mental Health Teams." Irish Journal of Psychological Medicine 31, no. 1 (December 5, 2013): 51–59. http://dx.doi.org/10.1017/ipm.2013.62.
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ObjectivesThis paper aims to show how effective teamworking can be achieved in Community Mental Health Teams (CMHTs), in the context of recovery-focused care.MethodsA narrative review of various governmental policy documents and selected papers relevant to teamworking and recovery-focused care within mental health services, in an Irish context.FindingsEffective teamworking within CMHTs is a prerequisite to the provision of quality, recovery-focused care. It requires the management of various environmental (e.g. adopting a ‘recovery’ model of mental health), structural (e.g. sharing of responsibilities and capabilities) and process (e.g. utilising a clear referral pathway) factors that influence teamworking, as CMHTs develop over time.ConclusionsCompletion by CMHT members of teamworking and other evaluative measures can assist teams in highlighting potential interventions that may improve recovery-focused team functioning and effectiveness.
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Hennessy, Liam. "A new way of working in Irish mental health: service user and family member engagement in the design and delivery of mental health services." International Journal of Integrated Care 17, no. 5 (October 17, 2017): 259. http://dx.doi.org/10.5334/ijic.3570.
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Mesabbah, Mohammed, and Amr Arisha. "Performance management of the public healthcare services in Ireland: a review." International Journal of Health Care Quality Assurance 29, no. 2 (March 14, 2016): 209–35. http://dx.doi.org/10.1108/ijhcqa-07-2014-0079.
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Purpose – Performance Management (PM) processes have become a potent part of strategic and service quality decisions in healthcare organisations. In 2005, the management of public healthcare in Ireland was amalgamated into a single integrated management body, named the Health Service Executive (HSE). Since then, the HSE has come up with a range of strategies for healthcare developments and reforms, and has developed a PM system as part of its strategic planning. The purpose of this paper is to review the application of PM in the Irish Healthcare system, with a particular focus on Irish Hospitals and Emergency Services. Design/methodology/approach – An extensive review of relevant HSE’s publications from 2005 to 2013 is conducted. Studies of the relevant literature related to the application of PM and of international best practices in healthcare performance systems are also presented. Findings – PM and performance measurement systems used by the HSE include many performance reports designed to monitor performance trends and strategic goals. Issues in the current PM system include inconsistency of measures and performance reporting, unclear strategy alignment, and deficiencies in reporting (e.g. feedback and corrective actions). Furthermore, PM processes have not been linked adequately into Irish public hospitals’ management systems. Research limitations/implications – The HSE delivers several services such as mental health, social inclusion, etc. This study focuses on the HSE’s PM framework, with a particular interest in acute hospitals and emergency services. Originality/value – This is the first comprehensive review of Irish healthcare PM since the introduction of the HSE. A critical analysis of the HSE reports identifies the shortcomings in its current PM system.
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Creed, Michael, and Harry Gijbels. "Making sense of sadness: eliciting illness meaning and experience of depression in rural Irish males." British Journal of General Practice 68, suppl 1 (June 2018): bjgp18X697121. http://dx.doi.org/10.3399/bjgp18x697121.
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BackgroundTo analyse and understand the illness experience of depression in rural Irish males. Secondary objectives are to identify their explanatory models of depression, inform mental health service provision in rural areas, and identify suitable interventions for future research.AimIsolation and rural masculinities are thought to predispose rural Irish males to depression. Despite high levels of depressive symptoms among men in rural areas, lack of awareness and a different language around depression, coupled with stoicism, social isolation, and feminized mental health services, results in reduced help-seeking, under-reporting and under-treatment of depression in this population.MethodA purposive sample, selected through the West Cork and Galway/Roscommon Mental Health Services, and General Practitioners, of fourteen men, aged between 25 and 64 years of age, were interviewed in their homes. Data was collected through face-to-face interviews, using the McGill Illness Narrative Interview schedule. These interviews were recorded, transcribed to text, and analysed using a thematic content analysis. Results were integrated using the model of qualitative description.ResultsMost of the fourteen men reported alcohol and social isolation as precipitating factors of their depression. Suicidal intent and a stubborn attitude were common. Recovery-promoting behaviours included good social and family support, peer-support groups, religious practice and, universally, physical work.ConclusionRural Irish men view their depression as a disconnection from community, masculinity can be engaged in a positive way to improve mental health, and a sense of belonging is key to recovery. Future research should focus on the development of interventions incorporating these findings, such as community farming initiatives.
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O'Mahony, Edmond, and Farukh Rahmani. "Staff attitudes to smoking in an Irish mental health service." Psychiatric Bulletin 28, no. 11 (November 2004): 425. http://dx.doi.org/10.1192/pb.28.11.425-a.
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Jabbar, F., M. Aziz, and B. D. Kelly. "Implementing the Mental Health Act 2001 in Ireland: views of Irish general practitioners." Irish Journal of Psychological Medicine 30, no. 4 (November 13, 2013): 255–59. http://dx.doi.org/10.1017/ipm.2013.57.
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ObjectivesThe Mental Health Act 2001 introduced important reforms of Irish mental health law and services. This paper aims to provide an evidence-based exploration of general practitioners’ views on the implementation of the Mental Health Act 2001.MethodsWe posted questionnaires to 1200 general practitioners in Ireland seeking their views on their experiences with the Mental Health Act 2001.ResultsEight hundred and twenty general practitioners (68.3%) responded. Among those who provided comments, a majority (75.2%) provided negative comments. The most commonly occurring themes related to difficulties with transport of patients to inpatient facilities, form filling, time requirements and administrative matters. Other negative comments related to general practitioner recommendations for involuntary admission, training, mental health tribunals, applications for involuntary admission and the position of children. Minorities provided neutral (18.0%) or positive comments (6.8%), chiefly related to user-friendliness, transparency and improved communication.ConclusionsGeneral practitioners highlight a need for greater training and clear guidelines in relation to the Mental Health Act 2001. Their forthright responses demonstrate deep engagement with the new legislation and eagerness to see the Mental Health Act 2001 realise its full potential to improve the involuntary admission process and protect human rights, in the best interests of patients.
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Carey, Teresa G., and John M. Owens. "Involuntary admissions to a district mental health service – implications for a new mental treatment act." Irish Journal of Psychological Medicine 10, no. 3 (October 1993): 139–44. http://dx.doi.org/10.1017/s079096670001257x.
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AbstractObjective: The aim of this study was to examine the working of the 1945 Irish Mental Treatment Act in relation to compulsory admission and detention and to establish issues that will need to be addressed in imminent new legislation. Method: A 3 year retrospective study was carried out on all compulsory admissions to the Cavan/Monaghan Psychiatric Service using case note material. The circumstances surrounding application for compulsory admission in one year of the study period were further investigated by delivery of a schedule to Relative-Applicants. Results: The study revealed rates of compulsory admission equivalent to other Irish regions but much higher than neighbouring jurisdictions. There was no evidence of deliberate abuse of the act. Indications emerged of excessive and inappropriate recourse to certification by some relatives and General Practitioners. Excessive length of detained stay and lack of specific procedures for informing patients of their rights were evident. Conclusions: A new Mental Treatment Act will need to place much greater emphasis on patients' civil rights while facilitating access to treatment.
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Fearon, Paul. "Opening up while locking down: how an Irish independent sector mental health service is responding to the COVID-19 crisis." Irish Journal of Psychological Medicine 37, no. 3 (May 27, 2020): 172–77. http://dx.doi.org/10.1017/ipm.2020.68.
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The COVID-19 pandemic poses a particular set of challenges for health services. Some of these are common across all services (e.g. strategies to minimise infections; timely testing for patients and staff; and sourcing appropriate personal protective equipment (PPE)) and some are specific to mental health services (e.g. how to access general medical services quickly; how to safely deliver a service that traditionally depends on intensive face to face contact; how to isolate someone who does not wish to do so; and how to source sufficient PPE in the face of competing demands for such equipment). This paper describes how St Patrick’s Mental Health Services (SPMHS) chose to address this unfolding and ever-changing crisis, how it developed its strategy early based on a clear set of objectives and how it adapted (and continues to adapt) to the constantly evolving COVID-19 landscape.
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Grant, Anne, Melinda Goodyear, Darryl Maybery, and Andrea Reupert. "Differences Between Irish and Australian Psychiatric Nurses' Family-Focused Practice in Adult Mental Health Services." Archives of Psychiatric Nursing 30, no. 2 (April 2016): 132–37. http://dx.doi.org/10.1016/j.apnu.2015.07.005.
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O'Brien, Oonagh, and Luke Tierney. "The Irish Dimension to Drug Use and HIV in Britain." Journal of Drug Issues 28, no. 1 (January 1998): 167–84. http://dx.doi.org/10.1177/002204269802800110.
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This paper focuses on the issues facing Irish drug users who have migrated to Britain. The main finding is that a number of changes in relation to drug use occur as a result of migration itself. These are both harm increasing and harm reducing, but a majority of respondents self-reported harm-increasing changes in drug use particularly in relation to HIV infection. Irish drug users have close networks of friends and relatives that they can access when they come to Britain. However, there is evidence that they are reluctant to approach services. When they did so Irish drug users traveled long distances in London to go to services that were known to work with their community. Together with the multiplicity of problems associated with migration that are described in this paper, the findings show that Irish drug users are a highly vulnerable group within the British drug-using population.
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Norton, Michael John. "Co-Production within Child and Adolescent Mental Health: A Systematic Review." International Journal of Environmental Research and Public Health 18, no. 22 (November 12, 2021): 11897. http://dx.doi.org/10.3390/ijerph182211897.
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Background: Mental health services are currently experiencing much systemic and organisational change. Many countries have adopted a recovery approach to service provision through the development of national policies and frameworks. Within an Irish context, co-production has been identified as one of the four pillars required for services to become recovery orientated. However, there is a paucity of literature relating to the concept within child and adolescent mental health services. This paper aims to synthesise the peer-reviewed evidence on co-production within such services. Methods: A PRISMA compliant systematic review was undertaken. This includes how the reviewer retrieved, shortlisted, and selected studies for inclusion in the review. It outlines the inclusion/exclusion criteria and how these were further developed through the PICO framework. Finally, the methods also outline how the reviewer assessed bias and quality, as well as the process of data synthesis. Results: Two studies were included in this review, both focusing on co-production, but in different contexts within child and adolescent mental health. Two themes were identified: ‘road less travelled’ and ‘co-producing equality’. These themes and the associated sub-themes describe how co-production works in these services. Discussion: These results highlight the paucity of quality literature in co-production within child and adolescent mental health. Both studies scored poorly in terms of quality. Resulting from this review, a number of actions relating to the therapeutic environment need to be taken into account for co-production to be further implemented. Other: The reviewer has not received any funding for this paper. A protocol was not created or registered for this review.
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Lyne, John. "Medline indexing success and future directions for Irish Journal of Psychological Medicine." Irish Journal of Psychological Medicine 35, no. 4 (December 2018): 273–74. http://dx.doi.org/10.1017/ipm.2018.43.
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Irish Journal of Psychological Medicine (IJPM) was recently accepted for indexing on Medline. This reflects the high scientific quality of articles published in the journal and highlights the excellent work by publishers, authors, reviewers and the journal editorial board who have contributed to the journal’s development over many years. IJPM remains committed to further progression through constant innovation and maintaining the excellent standard of publishing to date. We look forward to promoting our aims of improving knowledge and advocating for better mental health services by continuing to highlight key topics of current relevance to mental health.
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Rowley, Jo, Kathleen Ganter, and Carol Fitzpatrick. "Suicidal thoughts and acts in Irish adolescents." Irish Journal of Psychological Medicine 18, no. 3 (September 2001): 82–86. http://dx.doi.org/10.1017/s0790966700006443.
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AbstractObjectives: To determine the frequency of reported suicidal thoughts and acts in (a) a school-based sample of Irish adolescents, (b) adolescents attending a community child and family mental health service.Method: The study population consisted of: (a) 195 adolescents aged 13-15 years attending ten secondary schools throughout Ireland. The schools were selected to represent a wide social and cultural spread: and (b) 66 adolescents aged 13-15 years attending a community child mental health service. The measures used were the Child Behaviour Checklist completed by the parents of the adolescents and the Youth Self Report completed by the adolescents.Results: Within the school sample, the parents of 3% of adolescents reported that their child had talked of harming him/herself, but none reported acts of self-harm. Fifteen percent of the adolescents themselves reported that they had thoughts of harming or killing themselves, and 8% reported that they had tried to harm or kill themselves.Within the mental health clinic attenders sample, the parents of 33% of the adolescents reported that their child had talked of harming him/herself, and the parents of 27% reported that their child had tried to harm or kill themselves. Twenty-one percent of the adolescents themselves reported that they had thoughts of harming or killing themselves, and 21% percent reported that they had tried to do so. In both groups, adolescents with higher total problem, internalising and externalising scores on the questionnaires, indicating greater disturbance, were more likely to report thoughts and acts of self harm.Conclusions: Thoughts of suicide and acts of self harm are common in Irish adolescents and are not limited to those attending mental health services. Parents are frequently unaware of these thoughts. Further studies involving interviews with adolescents at risk are indicated to determine the significance of these thoughts and how adolescents deal with them.
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McDonald, Gary, and Brian Hallahan. "Recent advances in the biological treatment of mood disorders." Irish Journal of Psychological Medicine 26, no. 2 (June 2009): i—ix. http://dx.doi.org/10.1017/s0790966700000331.
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AbstractWelcome to the first module in our Continuing Professional Development Section (CPD). CPD is now a key element in the clinical activity of all health professionals and a cornerstone of good clinical governance throughout mental health services. This section of the Irish Journal of Psychological Medicine will provide CPD modules dedicated to key topics in mental health care. In order to assist learning and self-assessment, multiple choice questions will be provided at the end of each module.This module and its multiple choice questions are available online on the website of the Irish Journal of Psychological Medicine (www.ijpm.org). The CPD policy of the College of Psychiatry of Ireland indicates that psychiatrists who participate in suitable online learning which fits the criteria for CPD may claim CPD points under the Personal CPD category (up to a maximum of 5 points per year).We are confident that this CPD Section of the Irish Journal of Psychological Medicine will prove to be a valuable resource for consultant psychiatrists, psychiatric trainees and all journal readers. We welcome feedback from readers and, especially, any suggestions for topics to be covered in future CPD modules. Suggestions should be emailed to: psychological@medmedia.ie