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The article discusses the orientation failures in medicine and psychiatry in Great Britain. Orientation failures refers to dislocations between the subject's cognition of time, space or person, and the relevant reference systems. The described orientation failures are determined by whether the subject chooses to orientate himself in relation to public or private reference systems.

Military-to-civilian community reintegration in Northern Irish (NI) veterans has not been previously examined. The existing reintegration studies indicate that post-military service life can be challenging for many veterans. The current exploratory study aimed to identify service-related predictors of community reintegration difficulties in a sample of 749 NI veterans. Data were collected through a cross-sectional self-report survey of UK Armed Forces veterans residing in NI. Service-related variables were examined as predictors of overall and subdomain-specific reintegration difficulties. Combat exposure, time spent deployed in NI, length of service, being medically discharged, and being physically injured during service were significant predictors of reintegration difficulties. Receiving a mental health diagnosis since discharge and having been medically discharged were the two strongest predictors. Further results and implications are also discussed. Post-service adjustment to civilian life is affected by service variables, with implications for military/post-military interventions aimed at mitigating difficult transition experiences. [ABSTRACT FROM AUTHOR]

Levels of debt and poor mental health are at an all-time high among UK families, while the gap between rich and poor has also widened. Exposure and susceptibility to advertising, belief that purchased products will lead to happiness (materialism), and poor mental well-being have been shown to be linked in previous research, but the role of children's socio-economic status has seldom been taken into account. A greater understanding of the effects of this dynamic among those without the ready money to purchase highly advertised and desired products is important, particularly given the connections with children's low self-esteem. This study aimed to (1) quantify differences in TV advertising exposure, materialism, and self-esteem between deprived and affluent children, (2) measure differences in susceptibility to the effect of TV advertising exposure on materialism between deprived and affluent children, and (3) measure differences in susceptibility to the effect of materialism on self-esteem between deprived and affluent children. It was found that children from deprived backgrounds were more materialistic than children from affluent homes, and that this was the result of both higher exposure to advertising and higher belief in the credibility of advertising. At the same time, we found that children from affluent backgrounds were more susceptible to advertising's reinforcing effect on materialism, whereas children from deprived background were more susceptible to materialism's detrimental effect on self-esteem. Two different dynamics appear to be at play in the two groups. This adds a new dimension to our understanding of the role of advertising in a society with high levels of inequality. [ABSTRACT FROM AUTHOR]

This article presents findings from an in-depth qualitative study focused exclusively on the first-hand experiences of small and micro businesses managers who have responded to employees with mental health difficulties. Despite growing policy focus on workplace mental health, empirical research evidence on management experiences of responding to mental health issues in a small or micro business context is rare. Drawing on in-depth interviews with 21 UK-based small and micro business managers who described 45 individual employee cases, we examine how managers traverse a support-performance continuum, and use a tension-based lens to analyse the tensions that managers experienced. We examine three key tensions for small and micro business managers that surfaced when responding to employees with mental health problems: (1) Individual vs Collective; (2) Confidence vs Caution; (3) Informal vs Formal. Our analysis exposes how managers handle tensions when managing at the nexus of support and performance and contributes a deeper understanding of the dynamics and challenges of managing mental health problems in small and micro businesses. [ABSTRACT FROM AUTHOR]

Evidence suggests that mental health interventions are more effective when they consider the whole context of schools; addressing the needs of all students, their families, and staff; otherwise known as a whole-school approach (WSA). The UK Government is piloting WSAs to transform mental health and wellbeing by locating educational mental health practitioners in educational settings across England. This study aims to develop a 'bottom-up' understanding of the contextual factors and mechanisms that underlie WSAs in Trailblazer schools in the North East and North Cumbria, to gain insight into the facilitators and barriers of delivering a WSA, and optimal evaluation methods. To undertake a realist evaluation, we included the generation of initial programme theories from existing academic literature and policy documents; 'theory gleaning' interviews with NHS/local authority stakeholders, Trailblazer staff and school senior leaders; refining and development of theories; and individual interviews and focus groups with pupils, parent/carers and school staff. The findings will enable Trailblazer partners to better understand how their WSAs to mental health contain the essential components for transformation in schools in the region. This will contribute to the embedding of continuous evaluation into regional Trailblazers' practice for participating schools, for subsequent annual waves and producing relevant findings for non-Trailblazer schools. Complementing the national evaluation of all 25 Wave 1 Trailblazer pilot sites, this study will generate an explanatory theoretical account of how to optimally design, implement and evaluate WSAs by exploring the contextual factors associated with implementation of WSAs. [ABSTRACT FROM AUTHOR]

The novel coronavirus disease 2019 (COVID-19) pandemic and associated mitigation strategies such as "lockdown" are having widespread adverse psychological effects, including increased levels of anxiety and depression. Most research using self-reported data highlights the pandemic's impact on the psychological well-being of females, whereas data for mental health emergency presentations may reflect the impact on male mental health more accurately. We analyzed records of male mental health emergencies occurring in the East Midlands of the United Kingdom during the first national "lockdown." We computed two binary logistic regression models to (a) compare male mental health emergencies occurring during "lockdown," 2020 (5,779) with those occurring in the same period in 2019 (N = 4,744) and (b) compare male (N = 5,779) and female (N = 7,695) mental health emergencies occurring during "lockdown." Comparisons considered the characteristics of mental health emergencies recorded by ambulance clinicians (Primary Impressions), and the socioeconomic characteristics of communities where emergencies use the Index of Multiple Deprivation. We found that during "lockdown," male emergencies were more likely to involve acute anxiety (odds ratio [OR]: 1.42) and less likely to involve intentional drug overdose (OR: 0.86) or attempted suicide (OR: 0.71) compared with 2019. Compared with females, male emergencies were more likely to involve acute behavioral disturbance (OR: 1.99) and less likely to involve anxiety (OR: 0.67), attempted suicide (OR: 0.83), or intentional drug overdose (OR: 0.76). Compared with 2019, and compared with females, males experiencing mental health emergencies during "lockdown" were more likely to present in areas of high deprivation. Understanding the presentation of male mental health emergencies could inform improved patient care pathways. [ABSTRACT FROM AUTHOR]

Background : Young people spend a large proportion of their time in school, which presents both risk and protective factors for their mental health. A supportive school culture can promote and protect good mental health by creating experiences of safety and belonging amongst staff and students. In this qualitative study, we seek to explore whether a participatory action research (PAR) approach is an effective way to promote and improve student mental health. Methods : Participatory action research is an approach in which people collaboratively research their own experience: the researched communities become co-researchers of their own experiences in a specific context. We will work with four secondary schools in the UK to develop PAR projects. In each school, a group of 2–4 staff and 6–8 students will work together to develop a shared understanding of their school culture and to introduce activities or changes to make the culture more supportive of student mental health. We will evaluate the effectiveness of the PAR approach through i) a review of school documents pertaining to mental health (e.g., policies and Ofsted reports), ii) interviews with staff members (n = 40), parents (n = 8) and students (n = 24–40) before and after the PAR intervention, iii) observations and reports of the PAR group meetings and iv) interviews with members of the PAR groups after the PAR intervention. Discussion : We anticipate that our research findings will advance knowledge on effective methods to develop a positive school culture that will contribute to the improvement of young people's mental health and well-being. We will seek to identify the mechanisms through which school culture can have a positive impact on mental health and develop a logic model and a school culture toolkit that can be utilised as a resource to inform public health interventions to promote mental health in a range of educational settings. [ABSTRACT FROM AUTHOR]

The article focuses on the need of proper health policy in Great Britain for the management of patients with psychiatric disorders in the community. To meet the need of patients with mental illness the role of the general practitioner has still to be agreed. Since the inception of the National Health Service of Great Britain, the matter has received sporadic attention.

The article presents the opinion of the author on the better treatment of psychiatric patients in the community and the need of good mental health service in Great Britain. According to the author about one-fifth of the work of general practice in the country is involved directly or indirectly with psychiatric problems. He says that most of these psychiatric problems are managed by general practitioners, without any referral to specialist psychiatric services.

U.K. Reserve Forces, principally the Territorial Army (TA), have been increasingly used since the end of the cold war , but there have been some concerns about their mental health problems and also possible unwillingness to remain in service. This article reports on the retention issues of 191 TA personnel who deployed to Iraq from 2003 to 2006. Qualitative data were thematically analyzed from three complementary studies. The authors found that, in 2003, negative aspects of Army organizational culture were reported as the prime reasons for TA personnel wishing to leave the military. In particular , Reservists reported their being unaccepted and underutilized. In contrast, by 2006, TA personnel were generally reporting being satisfied with their work as a Reservist and felt integrated with Regular colleagues. Those who stated they wanted to leave the military now reported it was primarily because of poor military family welfare support. These results suggest that although the British Army appears to have successfully managed the changing role and integration of the TA on operations, family welfare needs further consideration as an important influence on retention. Since the end of data collection for this study, new measures focusing on welfare have been introduced. Future work will assess the impact of these changes. [ABSTRACT FROM AUTHOR]

This article contextualizes some of the more specifically focused articles in this Special Issue of 'Women and Mental Health' by reviewing general historical and political currents structuring contemporary discussions around questions of models, treatment and provision for women within British mental health services. Wehighlight some particularities of the current British context (in relation to other national scenes) in terms of the forms and expressions of feminist activity around mental or emotional distress. While not absolute mirrors of each other, resonances between general trends in feminist debates and organizational forms within feminist mental health work give rise to a wide spectrum of sites of intervention. We discuss some of the conditions that gave rise to these forms of (visible) feminist intervention within mental health service provision, focusing particularly on women's counselling and therapy services, and we offer an analysis of the range and conceptual tensions within which such interventions may be situated, including contested perspectives on power and empowerment. We also consider ways in which women's political activity around mental health issues is likely not to be noticed as such, given women's prototypical positions as patients and practitioners. We end by identifying what we see as current challenges for feminist activism around distress and its links with the conditions of women's lives and oppression more generally, not only as instances of more general tensions and challenges within contemporary feminisms, but also as offering an arena of opportunity for broader alliance and coalition-building. [ABSTRACT FROM AUTHOR]

This article focuses on service provision for women who are involuntarily referred under the UK Mental Health Act (1983) into medium and high security care in England and Wales. We explore how physical and procedural security in such settings is prioritized over relational care (see also Fallon Report, Department of Health, 1999a and NHS Executive, 2000 - Tilt Report). Weare not arguing against the importance of protecting the public from the acts of dangerous members of our society. However, we are arguing that many of the women in our secure services are inappropriately placed and receive inappropriate forms of treatment and care. Rather than physical security, it is high relational care, which the women require. Further, we argue that current service provision often re-produces forms of violence and violation which have marked many of women's lives prior to their entry into the secure system. [ABSTRACT FROM AUTHOR]

Befriending schemes to support families with young children are now widespread in the United Kingdom. One such scheme, Newpin, which aims to prevent child abuse is described. Evaluation compared those recruited to befriend as well as those befriended. Assessments at baseline and 6 months' follow-up comprised interviews with mothers, developmental assessments of the children and observation of mother-child interaction using video tapes. All assessments were conducted in the home and similar measures were applied to a control sample in an area where a Newpin scheme was planned. Newpin recruits, whether befrienders or befriended had high rates of adverse early experiences, but depression was more common amongst those referred for befriending. Approximately a third did not sustain involvement in the scheme, but those that did were more likely to have had training as volunteers and mental health problems of more than 2 years' duration. [ABSTRACT FROM AUTHOR]

The article focuses on the role of family, mental health care practice and general practice to manage schizophrenia in Great Britain. In controlling the florid symptoms of schizophrenia, neuroleptic drugs have proven highly effective. Patients and their carers have got good assistatance from education about the nature of schizophrenia to recognize the signs and symptoms of the disorder as well as the patterns that emerge over time.

The article presents information on a study regarding the changing practices in the child psychiatry in Great Britain. It discusses the gap between child development and child psychiatry that occurred due to the rapid advancement in the child development researches. It also analyzes the fluctuating trends in the practice of child psychiatry with reference to other related disciplines.

This article presents information on a study on socio-psychiatric epidemiology in midtown Manhattan. Determination of frequencies of mental disorders has long been an extremely complex and refractory problem of men- suration in socio-psychiatric epidemiology. Such measurement at its 17th Century beginnings was essentially a census-type reckoning of admissions and discharges to mental institutions. .compiled for administrative purposes. By the end of the 18th Century, such institutional census counts escalated from a routine, bureaucratic bookkeeping chore, to become the empirical basis for professional inferences and speculations about nothing less complex than the social etiology of mental disturbance. The Schwabs note that this new interest was precipitated by the political revolutions in America and France and by England's Industrial Revolution. The enormously influential theory that the three social upheavals were responsible for an increase in the frequency of "mental derangement" emerged from these patient census data. But a number of more sophisticated, early 19th Century investigators, pointing out the in- adequacies of such head-count totals, suggested that "there had been only an apparent, not an actual, increase in the number of [hospitalizedj insane," or that they bore no correspondence to "the actual [hospitalized and unhospitalized] number of insane persons in Great Britain.

The article focuses on the Mental Health Act of 1983 and its amendments in Great Britain. In a meeting held by the Section of Psychiatry to debate the law and its future implications, Dr. Graham Robertson reviewed the pattern of hospital care for the mentally ill during the life of the 1959 Act. In response to increasing pressure regarding the difficulties of getting mentally abnormal offenders into hospital, have led to the setting up of the Butler Committee.