Researching Childhood
Macdonald, W., Bradley, S., Bower, P., Kramer, T., Sibbald, B., Garralda, E., and Harrington, R. (2010) ‘Primary mental health workers in child and adolescent mental health services.’ Journal of Advanced Nursing, Vol: 46(1), pp.78-87
The article that will be critiqued is a study conducted to find out the process of implementation of primary mental health services. The author completed this study to develop understanding: about the advantages and disadvantages of services for children and adolescents. The motive for this study was down to previous research suggesting, 15-20% of children and adolescents suffer from emotional disorders (Fink et al, 2015). Macdonald et al (2010), alleged mental health care systems
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The anti-rational approach leaves only a slight room for criticism and reflection (Strimpel, 2008). The researchers followed the exploratory approach, as they previously carried out a study so they had already confirmed their outcome, however, this study looked further into it by asking participants what they think. The exporter approach allows flexibility in experiments, and confirmatory use pre-specified designs, and hypothesis (Kimmelman, Mogil & Dirnagl, 2014). Exploratory studies, support confirmatory, as it precisely produces’ methodologies to support the researcher 's hypothesis (Kimmelman, Mogil & Dirnagl, 2014). If the author carried out this study, they would have followed the rationalist approach to get the insider perspectives of others, rather than the outside facts of child services. Correspondingly, following exploratory approach as it provides new information the author had not previously researched, improving future outcomes for services, by offering new ideas for services.
The findings of the data were valid as it captured what their aims were (Hardicre, 2014), nevertheless, the participant 's knowledge limited them to answer current service provisions, therefore, the findings cannot be an accurate summary of what is available. Using semi-structured interviews were a suitable way of getting data from participants as they were able to answer ‘most’ of the questions to the best of their knowledge,
“Nearly 5 million children in the U.S. have some type of mental illness” (Goldberg). It is agreeable that there are many young children that deal with mental illness every day. Schools should be concerned for every student’s well being. Moreover, mental health is a part of a person’s overall “well being.” Therefore, schools need to make the mental health of students a stronger focus and implement plans to keep students mentally well and educated. To help create a positive, mental health aware environment where students feel open to seek help, high school students should be educated on how to be mentally healthy, be given a safe place to seek help, and be encouraged to monitor and maintain their mental health. Mental illness and mental health care need to be a more eminent priority in our society, starting with high schools.
Children’s mental illness affects approximately one fifth of youth worldwide, and although it is the children who experience symptoms directly, implications associated with mental illness can impact entire families (Richardson, Cobham, McDermott & Murray, 2013). As such, healthcare systems are being redesigned to include a focus on family-centeredness. In the case of children’s mental health specifically, family-centered coordinated care represents an understanding of treatment, not only derived from the child’s experience, but also from the parents’ and caregivers’ perspectives (Olin, Hemmelgarn, Madenwald, & Hoagwood, 2015). Unlike other interventions in children’s mental health, this treatment approach acknowledges the vital role that families play in promoting the health and wellbeing of children, and it serves to empower family members by including them in treatment practices and decision-making processes (McGinty, Worthington, & Dennison, 2008; Olin et al., 2015). Through this collaborative approach to children’s mental health, partnerships can be established among health care providers, patients, and families, who each contribute to continued stabilization (Johnson, 2000; McGinty et al., 2008). Moreover, family-centered coordinated care serves to link children and adolescents with appropriate treatment interventions, while correspondingly introducing families to resources that foster parental
158-159). “In reviewing the literature, the focus was on identifying the impact of parental mental health, the associated risks, the difficulties with the interface working, and proposed solutions” (Duffy et al., 2010, p. 159). Some of concerns expressed for the program to be effective were how mental health and child care services work together, communication between the two, role clarity, and the outcome hoped to be achieved by the development of this program was to provide holistic interventions which could not be provided by just one agency, earlier intervention which was more effective, to decrease staff stress, and to obtain a better outcome for the families involved (Duffy et al.,
Mental illness is increasingly being recognized as a challenge faced by many Canadians. The Mental Health Strategy for Canada estimates that ‘in any given year, one in five people in Canada experiences a mental health problem or illness’. (Bartram et al., 2012) The prevalence of mental illness is not exclusive to the Canadian population and it is estimated that these figures are rising. In 2004, the World Health Organization ranked major depression as third in terms of the overall burden of diseases in the world, (measured by Disability-Adjusted Life Years) and it is predicted to rise to second by 2030. (Langlois et al., 2011) One of the greatest concerns is that many in need of mental health services are not receiving treatment. Adolescence is a vulnerable period for the onset of mental illness and gender differences are evident in terms of prevalence and causation. Gender specific mental health services should be incorporated into the Canadian school system to promote mental health among adolescents, identify those who require individualized services and reduce the stigma associated with mental illness.
It is estimated that one in every five youth experience mental illnesses that interfere with their everyday routines (“NAMI”). Mental health in the United States is a growing epidemic that needs to be solved. Youth with mental illnesses may never know that they have one; screenings for mental health are not something a lot of people take advantage of. Schools are a place where youth develop the most. In order for this to happen, society needs to make schools feel welcoming and provide support for those who need help. While some people do not believe mental illnesses exist, schools should require mental health screenings in order to prevent future violent situations, educate their staff, and do more to make students feel comfortable.
There are two types of collecting data for research, which are qualitative and quantitative research. Qualitative research is used to gain a thorough explanation about a phenomena, and ‘is normally recognisable via the use of methods that include, at least, in-depth interview and group-moderation techniques’ (Bailey 2013)
One of the biggest criticisms that Managed Mental health has received is that because of the way the managed care system works in regards to reducing cost utilization, then Managed mental health care could limit access (Boyle & Callahan.1995). However, in reality, there is a belief and some empirical evidence that Medicaid managed behavioral health care for children enhances access to care and that patients are more likely to obtain services in a timely and appropriate manner than under financially restrictive, traditional fee-for-service care (Boyle & Callahan, 1995). Regardless of this, the Surgeon General 's 1999 comprehensive report on mental health noted the seriousness of the problem and estimated that 70% of children needing mental health services do not receive those (Mennen & Trickett, 2007). Therefore, focusing on
This report analyzes and evaluates the staffing practices of the Child and Adolescent Mental Health Associate I (CAMHA-I) position for the John L. Gildner Regional Institute for Children and Adolescents (JLG-RICA) and recommends ways to improve methods currently used.
These services are mainly psychotherapy and biomedical therapy. Psychotherapy is understanding your mind and illness, helping cope with feelings and symptoms, and changing behavior patterns that cause symptoms of the illness. When children don’t use the proper mental health services, they are at a greater risk for difficulties later in life such as substance abuse, suicide, or involvement with the correctional system (Turner). Therefore it is, important to not only attend psychotherapy but to also be on the proper medication when dealing any mental illness. In the American Psychiatric Association’s new DSM-5, fifteen new disorders are listed. Some mental health professionals fear that medication will now be given to those who would have earlier been seen as the “worried well” (Rubinstein, 2013). The key is to distinguish when one is mentally ill and needs assistance and when they are just going through a tough situation. Many psychologists have been through the same situation, and could help guide past that tough time in
The study demonstrated that mental health problems differentiate amongst race, gender and age (Whitted et al. 2012, p.193). The knowledge gained from this study, more research is needed to fill the gap between the lack awareness that the three categories (age, race, and gender) play a big role in the assessment of the child's mental health. The author states that a focus on treatments that are 'developmentally appropriate, culturally sensitive and gender specific' would really aid the children affected by being placed in the child welfare or the juvenile justice system (Whitted et al. 2012, p. 193). It was also stated that using a multisystems approach would be key (Whitted et al. 2012, p. 191). These children have a voice and it needs to start being heard. As a society, we are aware of the problems abuse and neglect have on a child and it is time we begin to help our future generations. The mental health of our future generations needs to be a
In order to fully capture the idea of the best treatment options for teenagers I had decided to interview a woman from Glenoaks Hospital, whose job is to work with teenagers who are suffering from mental illnesses. Her name is Alex Bielski; she has been employed at Glenoaks Hospital for a year, but has previously worked at Timberline Knolls, a residential treatment center. During the interview, she answered the questions based off of her experiences at Timberline Residential Treatment center since that is where the majority of her experience was gained. While working at Timberline knolls, she had twenty-four patients who she saw regularly. Often times her patients were already diagnosed with depression and mood disorders. Based off of Alex’s experience, her patients common cause for depression was because of family conflicts, bullying at school, and
I have collated evidence which describes the role of the practitioner in meeting the children’s care needs. The evidence can be found in my appendix. The evidence I have collate includes the information on compliance with legal requirements , meeting needs and supporting rights of the children, working in a team with other professional’s, working with families, training and development, inclusive practice/ attitudes and values, positive environment and care of themselves( the practitioner).
The authors and researchers of this article are discussing the advantage and disadvantage of medical, behavioral, and community models of the mental health system. The delivery of health care to patients and their families, including financial pressures are forces that require a transformation in primary healthcare service. To examine the role of management in the treatment of mental health problems, researchers have conducted a meta-analysis of 33 clinical trials from 145 articles on the integration of behavioral health and primary care in the treatment of depression.
The article titled, “Adolescents Should be Screened for Depression Too”, by Melissa Healy aims to address how vital it is for physicians to be readily available to diagnose and treat adolescents for depression. The occurrence of adolescent depression is more common than we are aware of and the consequences of adolescent depression may be significant if not addressed. The main point of the following critique is to analyze whether the popular press article by Healy (2016) provides readers with accurate information for why regular depression screening is important in primary healthcare settings. The popular press article does this by convincing readers that the practice of routine mental health screening is very effective and how primary
Pre-adolescence is a crucial stage in a child’s life because it is during this stage that kids can learn the coping mechanism that can prevent complications later on in life (Britton et al., 2014). Some children and adolescents may not have the opportunity to seek proper mental health care during their childhood. This may be due to parents overworking or simply not being able to afford quality mental health care services (Bucci et al., 2016). However, schools can serve children and adolescents as a