Knowledge Takes up Space, a Family Affair

2017 ◽  
Vol 41 (S1) ◽  
pp. S641-S641
Author(s):  
L. Garcia Ayala ◽  
M. Gomez Revuelta ◽  
C. Martin Requena ◽  
M. Juncal Ruiz ◽  
O. Porta Olivares ◽  
...  
Keyword(s):  
Mental Health ◽  
Social Services ◽  
Home Visit ◽  
Hoarding Disorder ◽  
Atypical Case ◽  
Safety Risks ◽  
The Social ◽  
Complementary Nature ◽  
Competing Interest ◽  
First Time

IntroductionPrevious research suggests that hoarding aggregates in families and is associated with health, safety risks and family problems. Hoarding symptoms appear to be more common among first-degree relatives of people who hoard. A predominance of shared hoarding disorder has been observed among female relatives.ObjectivesWe present an atypical case report describing hoarding symptoms among first-degree male relatives who present two different subtypes of hoarding disorder.Materials and methodsWe report the case of a 38 years old male patient, attended for the first time by the mental health services at the age of 22, and being diagnosed of severe OCD at that moment. In the home visit paid by the social services, an excessive object hoarding was observed, including the presence of over 40,000 books.Moreover, they found a 38 years old man looking severely deteriorated; when they ask him about it, the patient's father admits to having been isolated in the house for almost 14 years. Hoarding history was gathered, through the acquisition of various objects by the patient's father, dating back to over 30 years ago.DiscussionThe harmonic coexistence for over a decade between two patients affected with a hoarding disorder with two different clinical setting subtypes was only made possible by the complementary nature of their symptoms.ConclusionThe hoarding disorders amongst more than one person living under the same roof are uncommon, can present themselves in both genders and can exhibit different symptoms.Disclosure of interestThe authors have not supplied their declaration of competing interest.

I Don't Recycle! An Organic Hoarding Disorder

2017 ◽  
Vol 41 (S1) ◽  
pp. S640-S641
Author(s):  
L. Garcia Ayala ◽  
M. Gomez Revuelta ◽  
C. Martin Requena ◽  
E. Saez de Adana Garcia de Acilu ◽  
O. Porta Olivares ◽  
...  
Keyword(s):  
Social Services ◽  
Home Visit ◽  
Treatment Options ◽  
Obsessive Compulsive ◽  
Hoarding Disorder ◽  
Compulsive Disorder ◽  
Dsm 5 ◽  
The Social ◽  
Competing Interest ◽  
Rule Out

IntroductionHoarding often occurs without the presence of obsessive-compulsive disorder (OCD), showing distinguishable neuropsychological and neurobiological correlates and a distinct comorbidity spectrum. Furthermore, it presents itself secondarily to other psychiatric and neurobiological disorders. Therefore hoarding disorder has been included as independent diagnosis in DSM-5.ObjectivesWe aim to expose the possible organic etiology of a hoarding disorder case with atypical presentation.Materials and methodsWe present a case of a 48 years old male patient who was brought to the hospital by the police after being reported for unhealthy conditions in his home. In the home visit paid by the Social Services an excessive hoarding of objects and trash was detected. A possible hoarding disorder was diagnosed in the psychiatric assessment. Among other diagnostic test, a brain CT was conducted, in which a frontal meningioma was identified. After surgical treatment, hoarding symptoms diminished significantly.DiscussionA significant part of the hoarding disorders are attributed to primary psychiatric disorders, resulting in potentially treatable organic pathology going unnoticed.ConclusionIt's important to rule out organic etiology before proceeding to make a definitive hoarding disorder diagnosis, optimizing that way the treatment options.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Social Work in Funeral Homes, a Unique Chinese Practice?

2018 ◽  
Vol 82 (3) ◽  
pp. 488-499
Author(s):  
Yunxian Huang ◽  
Weijia Tan ◽  
A. Ka Tat Tsang
Keyword(s):  
Mental Health ◽  
Social Work ◽  
Social Workers ◽  
Social Services ◽  
Funeral Home ◽  
The Social ◽  
New Ideas ◽  
Funeral Homes ◽  
Death Care ◽  
Further Development

Social workers were introduced to funeral homes in China amid the transition and expansion of both the funeral home industry and the social work profession and are proving to play a valuable, though under-researched role in serving not just clients but also communities and funeral home staff. Funeral home social work fills gaps in after-death care and mental health and is distinct from palliative, hospice, end-of-life, and bereavement social work. Based on the experiences of funeral homes that employ social workers, this article argues that this innovation may bring new ideas to bridge some of the service gaps in after-death care in China and globally. This article outlines the support that will be needed from funeral homes, social work service agencies, and educational and research institutes to facilitate further development of funeral home mental health and social services and to promote the professionalization of funeral home social workers in China.

Quality management and economic downturn. Post-modern topics of community psychiatry

2016 ◽  
Vol 33 (S1) ◽  
pp. S565-S565
Author(s):  
A. Zangrando ◽  
F. Babici ◽  
E. Pascolo-Fabrici ◽  
A. Riolo
Keyword(s):  
Mental Health ◽  
Quality Management ◽  
Community Psychiatry ◽  
Health Workers ◽  
Mental Health Workers ◽  
Economic Downturn ◽  
The Social ◽  
Competing Interest ◽  
Implicit And Explicit ◽  
Demand For Health

IntroductionThe reduction of the budget allocated to community psychiatry is part of financial needs in times of economic crisis. However, the community psychiatry is based on human resources rather than on technological devices and the economic downturn affects the quality of care in a field where the social and relational capital developed by mental health workers is fundamental. Some authors such as Serge Latouche propose to stem the economic decline with the concept of “degrowth”, a constructive idea but difficult to apply.ObjectiveWe would like to analyze whether the economic downturn has consequences only for the organization of psychiatric services or even for people with severe mental disorders. Another issue concerns the possibility that economic downturn increases the social exclusion of vulnerable people.ResultsPeople who live on social welfare or disability pension remain on the margins of society but also those supported by families feel increasingly marginalized with respect to the future.ConclusionsThe provision of mental health services may not meet the implicit and explicit wishes in the demand for health by citizens and society. It's therefore necessary to review the quality management within community psychiatry.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Referrals and outcomes of assessment for compulsory admission under the mental health act 1983 in Norfolk, England

2017 ◽  
Vol 41 (S1) ◽  
pp. S353-S353
Author(s):  
J.N. Beezhold ◽  
D. Fothergill ◽  
L. Jervis ◽  
G. Mosa ◽  
A. Pandey ◽  
...  
Keyword(s):  
Mental Health ◽  
Observational Study ◽  
Social Services ◽  
Living Alone ◽  
Compulsory Admission ◽  
Total Patient ◽  
Admission Rates ◽  
Mental Health Act ◽  
Competing Interest ◽  
Published Research

IntroductionA significant number of people are not detained in hospital following assessment under the Mental Health Act 1983 (MHA) for possible detention. However, since amendments in 2007, some studies show an increase in total patient detentions. There is currently a lack of published research describing both outcomes and their affecting variables.ObjectivesTo determine rates, outcomes and affecting variables of MHA assessments in Norfolk, 2001–2011.MethodsThis observational study involved data collection from all 11,509 referrals for detention assessment under the MHA. Data was collected by Norfolk Social Services from 2001–2011 including age, gender and marital status.ResultsFollowing assessment, 6903 (60.0%) were admitted; of those, 1157 (16.8%) were voluntary and 5746 (83.2%) were detained; 4606 (40%) were not admitted. Admission rates for males (50.4%) and females (49.5%) were similar. Detention rates increased with age: 37.6% of < 18s; 47.1% of 18–64s and 61.4% of 65+. A greater proportion of married (57.5%) and widowed patients (58.2%) were detained, compared with patients who were single (48%). Accommodation status showed 52% of those living with other were detained versus 43.9% of those with no fixed abode.ConclusionsThe finding that a higher proportion of married than single people, and of those living with others versus living alone, were detained following assessment is unexpected but significant and needs further investigation.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Non-Attendance at Initial Appointments in an Outpatient Mental Health Centre

2016 ◽  
Vol 33 (S1) ◽  
pp. S485-S485
Author(s):  
S. Ramos Perdigues ◽  
S. Gasque Llopis ◽  
S. Castillo Magaña ◽  
Y. Suesta Abad ◽  
M. Forner Martínez ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Social Services ◽  
Mental Health Problems ◽  
Mental Health Center ◽  
Health Centre ◽  
Outpatient Mental Health ◽  
Use Of Resources ◽  
Mental Health Centre ◽  
Competing Interest

IntroductionNon-attendance at initial appointments is an important problem in outpatient settings and has consequences, such as decreased efficient use of resources and delayed attention to patients who attend their visits, and that compromises quality of care.ObjectivesTo identify and describe the characteristics of patients who do not attend the first appointment in an adult outpatient mental health center, located in Barcelona.MethodRetrospective study. The sample was made up from all patients who had a first appointment during 2014 in our outpatient mental health centre. Socio-demographic and clinical data (type of first appointment, reason for consultation, origin of derivation, priority, history of mental health problems) were described. The results were analyzed using the SPSS statistical package.ResultsA total of 272 patients were included. Twenty-six per cent did not attend their first appointment; with mean age 39.75 years and 51.4% were male. Most frequent problems were anxiety (41.7%), depression (26.4%) and psycosis and behavioural problems (11.2%). The origin was primary care (83.3%), social services (4.2%) and emergencies (2.8%). Most of them were not preferent or urgent (86.1%). The 51.4% of non-attendees had history or psychiatric problems and 13.9% nowadays are patients of our mental health centre.ConclusionsIt is important to develop mechanisms that can reduce the incidence of first non-attended appointments. In our case, most of them are attended by primary care so we can establish better communication with our colleagues and try to contact to the patients prior to the date of the appointment.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Experiences from newly created trainee associations in Spain And Macedonia

2017 ◽  
Vol 41 (S1) ◽  
pp. 912-913
Author(s):  
N.I. Núñez Morales ◽  
N. Gomez-Coronado Suarez de Venegas ◽  
C. Gomez Sanchez-Lafuente ◽  
T. Gomez Alemany ◽  
G. Montero ◽  
...  
Keyword(s):  
Child And Adolescent Psychiatry ◽  
Psychiatric Training ◽  
Board Members ◽  
General Assembly ◽  
Full Member ◽  
European Forum ◽  
The Social ◽  
Working Groups ◽  
Competing Interest ◽  
First Time

Until July 2016, Spain was not member of European Forum of Psychiatric Trainees. Why? Because Spain did never have Association of Psychiatric trainees. In July 2015, 2 Spanish trainees were invited to attend EFPT meeting in Porto. There, they connect with other European trainees and with the help of MENTA group they starting the foundation of Spanish Psychiatric Trainees Society, now known as SERP. In just 1 year, SERP has increased in number of members and have successfully developed numerous initiatives such as the establishment of our founding documents, the constitution of a democratic board through an Elective General Assembly, the design and update of a website and profiles in the social networks and the organization of the 1st Meeting for National Psychiatric Trainees, which was held in Vitoria-Gasteiz on March 2015 and had as topic Research on psychiatric training period. Last July, Spain was accepted for first time in history as full member of EFPT and we are actively participating in several working groups, even chairing the Child and Adolescent Psychiatry one. This year, Spain is also participating in international exchanges, offering two destination for European trainees. We must acknowledge that during the foundation process, the support of the Spanish National Psychiatric Associations (SEP and SEPB) and EFPT (specially its ENTA group since the first meeting of some of our now board members in the Annual Forum in Porto in 2015), has been crucial.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Psykisk ohälsa, utsatthet och en legitimerande oro – diskursiva förståelser av flickor som placeras vid särskilda ungdomshem

2017 ◽  
Vol 23 (2) ◽  
Author(s):  
Maria Andersson Vogel
Keyword(s):  
Mental Health ◽  
Social Workers ◽  
Social Services ◽  
Mental Health Problems ◽  
Health Problems ◽  
The Other ◽  
Discourse Theory ◽  
Legal Systems ◽  
Secure Care ◽  
The Social

State-run secure accommodation has a double public function, which places it in the borderland between welfare and legal systems. However, girls in these facilities seldom show criminal beha- viour but often report severe mental health problems. Given this, it has been questioned whether this form of care is suitable for these girls. This article aims to investigate discourses about girls and secure care as they are manifested in interviews with social workers. The interviews are analysed as conversations, and therefore feature the researcher in the material. The analysis is inspired by Laclau and Mouffe’s Discourse Theory. The results show that a gendered dichotomy dominates the discourse about girls in contact with social services. Girls are constructed, in relation to boys, by concepts of mental health and vulnerability. This discourse is somewhat destabilized by the suburban girl who simultaneously is given meaning by discourses about the suburbs and their inhabitants as ”the Others”. Further, there seems to be a discursive battle concerning girls placed in secure care, who are constructed both as vulnerable girls and as antisocial in terms that tie them to the constructions of boys. Central to this battle is the social workers’ great concern over the girls’ actions and their consequences. The secure accommodation is discursively constructed on one hand as an institution imbued with meaning of being a horrible place, and on the other hand as a function with the possibility to stop, hold and protect. By emphasizing the connection between the social workers’ concern and the secure accommodation as a holding and protecting function, referring a girl discursively constructed as a vulnerable victim to this locked and discipli- ning form of care is legitimized.

College of Occupational Therapists: Social Services Committee Inquiry: Community Care with Special Reference to the Adult Mentally Ill and Mentally Handicapped

1984 ◽  
Vol 47 (12) ◽  
pp. 376-378
Keyword(s):  
Mental Health ◽  
Special Reference ◽  
Social Services ◽  
Mentally Ill ◽  
Community Care ◽  
Occupational Therapists ◽  
House Of Commons ◽  
Mentally Handicapped ◽  
The Social ◽  
Special Responsibility

The Social Services Committee of the House of Commons has invited professional bodies to submit evidence for its inquiry into ‘Community care, with special reference to the adult mentally ill and mentally handicapped’. The following submission was prepared by Diana Ridler (member of the Community Occupational Therapists Committee, with special responsibility for mental health) and Elizabeth Yates (member of the District Occupational Therapists Committee) on behalf of the College of Occupational Therapists.

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