Modifications in service delivery and clinical treatment for women diagnosed with severe mental illness who are also the survivors of sexual abuse trauma

1994 ◽  
Vol 21 (4) ◽  
pp. 397-406 ◽  
Author(s):  
Maxine Harris
Author(s):  
Nomi Werbeloff ◽  
Johan Hilge Thygesen ◽  
Joseph F. Hayes ◽  
Essi M. Viding ◽  
Sonia Johnson ◽  
...  

2010 ◽  
Vol 31 (7) ◽  
pp. 456-460 ◽  
Author(s):  
Rebecca Bonugli ◽  
Margaret H. Brackley ◽  
Gail B. Williams ◽  
Janna Lesser

1996 ◽  
Vol 11 (2) ◽  
pp. 129-142 ◽  
Author(s):  
Sally Davies-Netzley ◽  
Michael S. Hurlburt ◽  
Richard L. Hough

Previous studies of childhood abuse levels among homeless women have typically focused either on single homeless women or female heads of families; almost none have focused specifically on homeless women with severe mental illness. This study explores rates of childhood physical and sexual abuse among 120 homeless women with severe mental illness. Correlates of experiencing childhood abuse are considered, including mental health outcomes and when women first become homeless. The prevalence of childhood abuse in this sample of women was substantially higher than among homeless women in general. The experience of childhood abuse was related to increased suicidality, and resulted in symptoms of posttraumatic stress disorder for some women. Women who had suffered abuse were also much more likely to become homeless during childhood and it is suggested that this is an important precursor to homelessness for many homeless women with chronic and severe mental illness.


2005 ◽  
Vol 29 (11) ◽  
pp. 1265-1279 ◽  
Author(s):  
Richard A. Van Dorn ◽  
Sarah Mustillo ◽  
Eric B. Elbogen ◽  
Shannon Dorsey ◽  
Jeffrey W. Swanson ◽  
...  

2000 ◽  
Vol 45 (4) ◽  
pp. 383-385 ◽  
Author(s):  
Lisa McMurray ◽  
Warren Steiner

Objective: To review the literature on the responses of individuals with severe mental illness (SMI) to natural disasters, to describe the impact of the 1998 Ice Storm on a group of SMI patients, and to describe the steps taken at a Canadian university teaching hospital to ensure the ongoing provision of mental health services throughout the crisis. Method: Published articles describing the impact of natural disasters on SMI populations, as well as service provision to these patients, are reviewed. Service use at the Montreal General Hospital (MGH) Department of Psychiatry is described. A questionnaire about the impact of the ice storm was administered to a group of patients in an assertive community treatment program. Results: Service use during this natural disaster was consistent with that described in the literature, in that these patients were no more likely to be admitted or to visit the emergency room during the crisis. Continuous mental health service delivery may have contributed to this positive outcome. This service delivery was provided by ensuring staff access to information, by securing the physical safety of both staff and patients, and by taking a flexible, outreach-oriented approach to service delivery. Conclusions: SMI patients who have ongoing access to psychiatric services in disaster situations tend to cope well. A flexible, proactive, assertive approach to service delivery during the crisis situation will help to ensure that needs for care will be met.


1996 ◽  
Vol 32 (4) ◽  
pp. 387-400 ◽  
Author(s):  
Stanley D. Rosenberg ◽  
Robert E. Drake ◽  
Kim Mueser

2020 ◽  
Author(s):  
Richard Stephen Mpango ◽  
Wilber Ssembajjwe ◽  
Godfrey Zari Rukundo ◽  
Carol Birungi ◽  
Allan Kalungi ◽  
...  

AbstractThis study established the prevalence of physical and psychiatric comorbidity and associated risk factors among 1,201 out-patients with severe mental illness (SMI) attending Butabika and Masaka hospitals in Uganda. Participants completed an assessment battery; structured, standardized and locally translated instruments. SMIs were established using the MINI International Neuropsychiatric Interview version 7.2. We used logistic regression to determine the association between physical and psychiatric comorbidity and risk factors. Prevalence of physical and psychiatric comorbidity was 13.1 %. Childhood sexual abuse (aOR 1.06, 95% CI 1.03 -1.10, P=0.001), sexual abuse in adulthood (aOR 2.22, 95% CI 1.60 - 3.08, P<0.001), childhood physical abuse (aOR 1.07, 95% CI 1.03 - 1.10, P<0.001) and physical abuse in adulthood (aOR 1.69, 95% CI 1.30 - 2.20, P<0.001) were associated with an increased risk of having comorbid psychiatric and physical disorders. Emerging healthcare models in Uganda should optimise care for people with physical and psychiatric comorbidity.


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