scholarly journals Effect of Work Performance on Global Functioning of Persons with Mental Illness Receiving Psychiatric Rehabilitation Services at a Tertiary Neuro-psychiatric, Super-Speciality Hospital at Bangalore, India: A Pilot Study

2014 ◽  
Vol 1 (1) ◽  
pp. 27-30 ◽  
Author(s):  
Sailaxmi Gandhi ◽  
Jagadisha Thirthalli ◽  
Poornima Bhola ◽  
B. P. Nirmala ◽  
Premalatha Chinnayya ◽  
...  
Keyword(s):  
Mental Illness ◽  
Pilot Study ◽  
Work Performance ◽  
Psychiatric Rehabilitation ◽  
Rehabilitation Services ◽  
Global Functioning

The Maine and Vermont Three-Decade Studies of Serious Mental Illness

1995 ◽  
Vol 167 (3) ◽  
pp. 331-338 ◽  
Author(s):  
Michael J. DeSisto ◽  
Courtenay M. Harding ◽  
Rodney V. McCormick ◽  
Takamaru Ashikaga ◽  
George W. Brooks
Keyword(s):  
Mental Illness ◽  
Serious Mental Illness ◽  
Psychiatric Rehabilitation ◽  
Global Functioning ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Matched Design ◽  
Outcome Differences

BackgroundThis study compared long-term outcome of serious mental illness in two states using a matched design to assess psychiatric rehabilitation programmes; Vermont subjects participated in a model psychiatric rehabilitation programme, while the Maine group received more traditional care.MethodMaine and Vermont subjects (n = 269) were matched by age, sex, diagnosis, and chronicity. Demographic, illness, and life history information were abstracted from hospital records by clinicians blind to outcome. DSM–III criteria were applied retrospectively. Outcome was assessed by clinicians blind to history.ResultsVermont subjects alive at follow-up (n = 180) were more productive (P < 0.0009), had fewer symptoms (P < 0.002), better community adjustment (P < 0.001) and global functioning (P < 0.0001) than Maine subjects (n = 119).ConclusionsOutcome differences may be due to Vermont's model programme and a policy of allowing an earlier opportunity for community life.

The relationship between violence, level of functioning, and treatment outcome in psychiatric inpatients

2014 ◽  
Vol 16 (4) ◽  
pp. 295-303 ◽  
Author(s):  
Irram Walji ◽  
Vincent Egan ◽  
Andres Fonseca ◽  
Adam Huxley
Keyword(s):  
Mental Illness ◽  
Psychiatric Rehabilitation ◽  
Mental Illnesses ◽  
Violent Behaviour ◽  
Global Functioning ◽  
Content Type ◽  
Significant Difference ◽  
History Of ◽  
History Of Violence ◽  
Over Time

Purpose – There is an association between the diagnosis of a mental illness and violent behaviour. Individuals diagnosed with severe and enduring mental health difficulties who display violent behaviour have inferior treatment outcomes when compared with those who do not engage in violent behaviour. Violent behaviour within care settings impacts on general functioning, adherence to treatment plans, and inhibits wider recovery goals. The paper aims to discuss these issues. Design/methodology/approach – This research studied 95 inpatients with a primary diagnosis of severe mental illness, with and without a history of violence, and compared how levels of global functioning and risk impacted on recovery. Patients were divided into two groups: those with and without a previous or current history of violence. The two groups were compared on measures of global functioning, symptomatology, and risk at baseline and 12-month follow up. Findings – Both violent and non-violent groups showed increased global functioning over time, with no significant difference between the groups. Neither group showed significant reductions in risk over time. Patients in the violent group had significantly fewer prior and current symptoms of mental ill-health than non-violent individuals. Research limitations/implications – Despite evidence suggesting that historical or current violence leads to impaired outcomes amongst people with diagnoses of mental illness, the findings of this study suggest a history of violent behaviour was not a predictor of poor progress within inpatient settings. Practical implications – Disconfirming previous hypotheses, the paper suggests that in itself, violent behaviour does not always significantly impair outcomes for individuals diagnosed with mental illnesses, and that many other variables contribute to meaningful recovery. Originality/value – Whilst there are previous studies investigating outcomes for inpatients diagnosed with mental illness who have violent histories, there is a dearth of research comparing equivalent groups in the same facility over the same time period. This study directly compared inpatients with or without a history of violence in the same psychiatric rehabilitation settings.

Explanatory models of mental illness among family caregivers of persons in psychiatric rehabilitation services: A pilot study

2019 ◽  
Vol 65 (7-8) ◽  
pp. 589-602
Author(s):  
Manila Mathews ◽  
Poornima Bhola ◽  
Hesi Herbert ◽  
Santosh K Chaturvedi
Keyword(s):  
Mental Illness ◽  
Family Caregivers ◽  
Psychiatric Rehabilitation ◽  
Tertiary Care ◽  
Structured Interview ◽  
Explanatory Models ◽  
Explanatory Model ◽  
Rehabilitation Services ◽  
Care Hospital ◽  
Term Care

Background: Understanding the explanatory models of family caregivers is particularly important in interdependent contexts like India, where they often play a significant role in the help-seeking behaviours, treatment decision-making and long-term care of those diagnosed with mental illness. Aims: This study was planned to explore the diversity of explanatory models among family caregivers at a centre for recovery-oriented rehabilitation services in South India. Methods: The sample for this study included 60 family caregivers of patients referred to Psychiatric Rehabilitation Services within a tertiary-care hospital for mental health and neurosciences. Bart’s Explanatory Model Inventory, including a semi-structured interview and a checklist, assessed the family caregivers’ explanatory model of distress on five domains: identity, cause, timeline, consequences and control/cure/treatment. Results: The results indicated the coexistence of multiple causal explanatory models including psychosocial, supernatural, situational and behavioural contributors. While 36.7% of the caregivers displayed two explanatory models, 33.3% of the caregivers held three explanatory models and 16.6% of the caregivers endorsed four explanatory models. Caregivers shared their concerns about varied consequences of mental illness but less than half of them were aware of the name of the psychiatric disorder. While they accessed various forms of treatments and adjunctive supports such as prayer, medication was the most frequently used treatment method. Conclusions: The findings have implications for collaborative goal setting in recovery-oriented services for persons with mental illness and their families.

Acceptability of Assisted Suicide in Patients With Severe and Persistent Mental Illness

GeroPsych ◽  
2020 ◽  
pp. 1-8
Author(s):  
Sophie Gloeckler ◽  
Manuel Trachsel
Keyword(s):  
Mental Illness ◽  
Pilot Study ◽  
Psychiatric Diagnosis ◽  
Assisted Suicide ◽  
Shared Values ◽  
Psychiatric Nurses ◽  
Attitudes And Beliefs ◽  
Future Studies ◽  
Persistent Mental Illness ◽  
Moral Attitudes

Abstract. In Switzerland, assisted suicide (AS) may be granted on the basis of a psychiatric diagnosis. This pilot study explored the moral attitudes and beliefs of nurses regarding these practices through a quantitative survey of 38 psychiatric nurses. The pilot study, which serves to inform hypothesis development and future studies, showed that participating nurses supported AS and valued the reduction of suffering in patients with severe persistent mental illness. Findings were compared with those from a previously published study presenting the same questions to psychiatrists. The key differences between nurses’ responses and psychiatrists’ may reflect differences in the burden of responsibility, while similarities might capture shared values worth considering when determining treatment efforts. More information is needed to determine whether these initial findings represent nurses’ views more broadly.

Can we measure need in the homeless mentally ill? Using the MRC Needs for Care Assessment in hostels for the homeless

1992 ◽  
Vol 22 (4) ◽  
pp. 1027-1034 ◽  
Author(s):  
Lorna I. Hogg ◽  
Max Marshall
Keyword(s):  
Mental Illness ◽  
Mentally Ill ◽  
Standardized Assessment ◽  
Rehabilitation Services ◽  
Chronic Mental Illness ◽  
Needs For Care ◽  
Homeless Mentally Ill ◽  
Care Assessment

SynopsisHostels for the homeless contain many who are disabled by chronic mental illness but have little access to rehabilitation services. One approach to solving this problem might be to measure the needs of hostel residents in a standardized way and use this information as a basis for planning interventions. This study attempted to use the MRC Needs for Care Assessment Schedule to measure the needs of 46 mentally ill residents of Oxford hostels. It aimed to determine if a standardized assessment could be used in these difficult settings and if the needs it identified could form a useful basis for planning future interventions. Although it was possible to use the schedule, and although the pattern of need identified appeared broadly to reflect conditions in the hostels, it was not felt that the information produced was of sufficient quality to assist in planning services. The authors postulate that underlying this deficiency is the failure of the schedule to take sufficient account of the views of staff and residents.

scholarly journals In-Home Telerehabilitation for Post-Knee Arthroplasty: A Pilot Study

2009 ◽  
Vol 1 (1) ◽  
pp. 9-16 ◽  
Author(s):  
Michel Tousignant ◽  
Patrick Boissy ◽  
Hélène Corriveau ◽  
Hélène Moffet ◽  
François Cabana
Keyword(s):  
Health Care ◽  
Pilot Study ◽  
Acute Care ◽  
Knee Arthroplasty ◽  
Health Care Professionals ◽  
Acute Care Hospital ◽  
Rehabilitation Services ◽  
Control Group ◽  
Care Hospital ◽  
Post Discharge

The purpose of this study was to investigate the efficacy of in-home telerehabilitation as an alternative to conventional rehabilitation services following knee arthroplasty. Five community-living elders who had knee arthroplasty were recruited prior to discharge from an acute care hospital. A pre/post-test design without a control group was used for this pilot study. Telerehabilitation sessions (16) were conducted by two trained physiotherapists from a service center to the patient’s home using H264 videoconference CODECs (Tandberg 550 MXP) connected at 512 Kb\s. Disability (range of motion, balance and lower body strength) and function (locomotor performance in walking and functional autonomy) were measured in face-to-face evaluations prior to and at the end of the treatments by a neutral evaluator. The satisfaction of the health care professional and patient was measured by questionnaire. Results are as follows. One participant was lost during follow-up. Clinical outcomes improved for all subjects and improvements were sustained two months post-discharge from in-home telerehabilitation. The satisfaction of the participants with in-home telerehabilitation services was very high. The satisfaction of the health care professionals with the technology and the communication experience during the therapy sessions was similar or slightly lower. In conclusion, telerehabilitation for post-knee arthroplasty is a realistic alternative for dispensing rehabilitation services for patients discharged from an acute care hospital.Keywords: Telerehabilitation, Physical Therapy, Total Knee Arthroplasty, Videoconferencing

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