The British journal of psychiatry : the journal of mental science
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Multicenter Study
Mental health needs of young offenders in custody and in the community.
Research has revealed high levels of mental health needs in young offenders but many studies have been small, focusing on specific populations. ⋯ Needs for young offenders were high but often unmet. This emphasises the importance of structured needs assessment within custody and community settings in conjunction with a care programme approach that improves continuity of care.
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Multicenter Study
Processes of disengagement and engagement in assertive outreach patients: qualitative study.
Assertive outreach has been established to care for'difficult to engage' patients, yet little is known about how patients experience their disengagement with mainstream services and later engagement with outreach teams. ⋯ The findings underline the importance of a comprehensive care model, committed staff with sufficient time, and a focus on relationship issues in dealing with 'difficult to engage' patients.
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Multicenter Study
Effects of education and culture on the validity of the Geriatric Mental State and its AGECAT algorithm.
The Geriatric Mental State (GMS) is the most widely used psychiatric research assessment for older persons. Evidence for validity comes from the developed world. ⋯ Valid, comprehensive mental status assessment across cultures seems achievable in principle.
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Randomized Controlled Trial Multicenter Study Clinical Trial
Cost-effectiveness of computerised cognitive-behavioural therapy for anxiety and depression in primary care: randomised controlled trial.
Cognitive-behavioural therapy (CBT) is effective for treating anxiety and depression in primary care, but there is a shortage of therapists. Computer-delivered treatment may be a viable alternative. ⋯ Computer-delivered CBT has a high probability of being cost-effective, even if a modest value is placed on unit improvements in depression.
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Randomized Controlled Trial Multicenter Study Clinical Trial
Clinical efficacy of computerised cognitive-behavioural therapy for anxiety and depression in primary care: randomised controlled trial.
Preliminary results have demonstrated the clinical efficacy of computerised cognitive-behavioural therapy (CBT) in the treatment of anxiety and depression in primary care. ⋯ Computer-delivered CBT is a widely applicable treatment for anxiety and/or depression in general practice.