Mental disorders programs

The availability of medications that are effective in the treatment of mental disorders, and safe even after extended use, is essential for the success of programs directed to the improvement of mental health care. It is essential but not sufficient because such programs must - if they are to be successful - also include efforts to improve knowledge, skills, and attitudes of health workers involved in the provision of mental health care additional investment into mental health programs and a... 

Director Mood Anxiety Disorders Program Chief, Laboratory of Molecular Pathophysiology National Institute of Mental Health National Institutes of Health Building 1, Room 3B310,1 Center Drive Bethesda, Maryland 20892-0135... 

Section on Developmental Genetic Epidemiology, Mood and Anxiety Disorders Program, National Institute of Mental Health/NIH, Building 35, Room 1A201, 35 Convent Drive, MSC 3720, 20892-3720, Bethesda MD, USA kathleen.merikangas nih.gov... 

Mood and Anxiety Disorders Program National Institute of Mental Health Bethesda, MD... 

Drake RE, Mueser KT Brunette MF (2007). Management of persons with co-occurring severe mental illness and substance use disorder program implications. World Psychiatry, 6, 131-6... 

An important implication of this observation is the suggestion that early intervention in schizophrenia could substantially alter the natural course of the illness. To investigate this idea, early-intervention projects have been developed. In one, primary physicians were trained to recognize the early symptoms of a mental disorder and to arrange consultation with an intervention team who assessed and treated the disorder. If early symptoms were present, the functional psychotic disorder was treated with low doses of the appropriate medication, often for a relatively short period of time (i.e., several weeks), and then tapered when symptoms abated while psychosocial intervention was continued. In some patients, symptoms returned and medication was reinstituted. The psychosocial program, social skills training, and social casework were continued for some time, and all patients were monitored for at least 2 years. Epidemiological data established that over the lifetime of this project, 7.5 new cases would be expected for 100,000 patients (227, 228). 

Eaton WW, Kramer M, Anthony JC, Dryman A, Shapiro S, Locke BZ (1989) The incidence of specific DIS/DSM-III mental disorders Data from the NIMH Epidemiologic Catchment Area Program. Acta Psychiatr Scand 79 163-178. 

Most public-sector treatment occurs in free-standing, outpatient settings (i.e., nonresidential treatment programs). In many states, treatment programs serve both public-sector cHents and private pay clients (i.e., clients with medical insurance or their own financial resources). Many programs may have services for special populations, such as adolescents, women with children, and clients with mental disorders in addition to a substance use disorder. ... 

The problem is obvious. The most frequent co-occurring mental disorder among substance abuse clients is antisocial personality disorder, a condition that is basically untreatable by the methods available to most mental health professionals. If nearly 4 in 10 clients have this condition, alcohol and drug abuse counselors in public-sector treatment programs are going to have limited success simply because a large portion of their treatment population has antisocial personality disorder. 

This study is supported partly by the "Research on Psychiatric and Neurological Diseases and Mental Health" from the Japanese Health Sciences Foundation the Program for Promotion of Fundamental Studies in Health Sciences of the National histimte of Biomedical Innovation (NEBIO) "Research Grant (22-5) for Nervous and Mental Disorders" from the Ministry of Health, Labour and Welfare the Kato Memorial Trust for Nambyo Research and the Neuromuscular Disease Foundation. 

Greenberg, M. T., Domitrovich, C., Bumbarger, B. (1999). Preventing mental disorders in school-age children A review of the effectiveness of prevention programs. University Park, PA Pennsylvania State University, Prevention Research Center. 

Sponsoring Agency. The Children s and Communities Mental Health Services Improvement Act of 1992 authorized the Comprehensive Community Mental Health Services for Children and Their Families Program (ccmhp), which is administered by the Center for Mental Health Services/Substance Abuse and Mental Health Services Administration (samhsa). samhsa is mandated to improve the quality and availability of prevention, treatment, and rehabilitative services for mental illness and substance abuse in order to reduce illness, death, disability, and other societal cost caused by these problems (Substance Abuse and Mental Health Services Administration, 2002). The Center for Mental Health Services (CMHs), placed within samhsa, aims to improve the availability and accessibility of high-quality care for people affected by or at risk for mental disorders and works toward the development of an effective community-based mental health infrastructure for the nation (Substance Abuse and Mental Health Services Administration, 2002). 

CCMHP is the current federal program providing coordinated, community-based, family-centered, cultmally competent, accessible, and least restrictive services for children and adolescents with serious emotional, behavioral, or mental disorders accompanied by functional impairment. Development of these systems of care is based on the premise that the mental health needs of children, adolescents, and their families can be met in their home, school, and community environments (Substance Abuse and Mental Health Services Administration, 1999). A variety of community agencies are involved, including mental health, child welfare, education, and juvenile justice. Funded service systems are tailored to the needs of individual children and adolescents and include evaluation and diagnosis. 

Domitrovich, C. E., Greenberg, M. T. (2000). The study of implementation Current findings firom effective programs that prevent mental disorders in school-aged children. Journal of Educational and Psychological Consultation, 11,193-221. 

Narrow WE, Regier DA, Rae DS, et al (1993). Use of services by persons with mental and addictive disorders. Findings from the National Institute of Mental Health Epidemiologic Catchment Area Program. 

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