Development of a preliminary tool to assess care-giving practices by family members with Schizophrenia: A report from India

2017 ◽  
Vol 41 (S1) ◽  
pp. S678-S678
Author(s):  
S. Das
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Family Members ◽  
Assessment Tools ◽  
Face Validity ◽  
Retest Reliability ◽  
Care Giving ◽  
Competing Interest ◽  
Test Retest Reliability

IntroductionCare-giving practices by family members have inherent value and importance in the provision of care for patients with schizophrenia. There is dearth of assessment tools that focus on practices followed by caregivers’ while dealing with their relatives with schizophrenia, especially from India.ObjectiveTo develop a tool for the assessment of ‘care-giving practices’ followed by family members while caring for their patients with schizophrenia.Aims(a) To construct a reliable and valid tool on ‘care-giving practices’ followed by family members while caring for their patients with schizophrenia; (b) To determine the various ‘good’ and ‘bad’ practices within this tool.MethodsInitial detailed literature (Pubmed, Goggle search with input by the caregivers generated a list of 24 commonly used practices; which was shortened to 17 statements whose face validity was tested by 14 mental health professionals. Hindi translation with ‘test-retest’ reliability was conducted. Finally, ‘Consensus based approach’ was adopted by the mental health professionals to arrive at objective (b) i.e. statements reflecting ‘good’ or ‘bad’ practice.ResultsFinal questionnaire comprised 15 statements with adequate face and content validity and high test-retest reliability (Cronbach's alpha = 0.747). 6 items reflected ‘good’ and 9 reflected ‘poor’ practice respectively with maximum score of 15; and categorization from ‘very poor’ to ‘very good’ practices.ConclusionThis preliminary yet simple and easy to use tool will give better understanding about how family members provide ‘care-giving’ practices for patients with schizophrenia. However, this needs further validation, replicability, and possible modifications in a multi-cultural, multi-linguistic country like India.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Attitude of person living with psychosis towards MH professionals: A qualitative study

2017 ◽  
Vol 41 (S1) ◽  
pp. s843-s843
Author(s):  
K. Vaiphei ◽  
P. Sreedaran ◽  
V. Sathyanarayanan
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Relationship Building ◽  
Negative Attitudes ◽  
Positive Attitudes ◽  
People With Mental Illness ◽  
Depth Interview ◽  
Competing Interest ◽  
The Relationship

AimsStudies investigating attitudes of people with mental illness are scarce. The aim of the present study was to investigate person living with psychosis on their attitudes and perception towards the mental health professionals in contact with mental health services.MethodsAn in-depth interview was used to explore their lived experiences and attitude towards mental health professionals.ResultsBoth negative and positive attitudes were prevalent among the patients. Most negative attitudes concerned on not giving time, the MHPs are most interested in financial gains. They felt attitude changes according to diagnosis, psychosis perceived as diagnosis with violence; they are more interested in protecting themselves, perception that treating symptoms and not cause of illness. On the contrary, they felt positive on the relationship and time given to them.Discussion and conclusions The PLWI's attitude to MHPs could be a product of the type of admission (forced upon), symptoms related or on the type of service settings. The present study is purely qualitative, single settings, could not be generalised. However it points on the need for sensitization of MHPs and relationship building oriented intervention.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Mental Health Systems Development in UAE

2016 ◽  
Vol 33 (S1) ◽  
pp. S488-S489 ◽  
Author(s):  
A. Haque
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Systems Development ◽  
Health Practice ◽  
Mental Health Systems ◽  
Mental Health Practice ◽  
Cultural Considerations ◽  
Federal Laws ◽  
Competing Interest

BackgroundThis paper examines the historical development of mental health services in the UAE including formation of federal laws associated with mental health and ministerial decrees. It also discusses cultural considerations in mental health practice in a society that is highly pluralistic and populated mainly by foreigners. The sharia aspects of mental health are also addressed.AimsThe aims of the paper are to familiarize readers in above areas and encourage further work in the area of mental health in UAE.MethodsThe research is based on literature review.ResultsAll federal laws and ministerial decrees are listed and local cultural considerations and sharia laws discussed, as they are unique to his country and region.ConclusionAlthough mental health is traditionally neglected in this country it is developing very fast and it is essential to keep track of and encourage such growth for the benefit of consumers and mental health professionals.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Benefits of “Decentered and Influential” Practices During Telehealth: Establishing, Slipping, and Re-Establishing Position in a Therapeutic Conversation

2021 ◽  
Vol 40 (2) ◽  
pp. 26-42
Author(s):  
Marie-Nathalie Beaudoin ◽  
Ronald Jean Estes
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Prior Experience ◽  
Family Members ◽  
Clinical Work ◽  
Viable Option ◽  
Therapeutic Services ◽  
Common Platform

Telehealth therapy has become a common platform to provide therapeutic services during the COVID-19 pandemic and is expected to remain a viable option for services. Most mental health professionals had little prior experience in using this modality and have been experimenting with various ways of ensuring respectful, collaborative and effective ways of offering their services. A Decentered and Influential position offers numerous benefits that support anchoring therapists in a mindset that is conducive to optimized therapeutic conversations especially with people from socio-cultural and generational backgrounds different from their own. The value of this therapeutic position is illustrated by clinical work with a teenager struggling with violence towards family members during the quarantine. A description of clinical work where the therapist slipped to a centered position, and the re-engagement of a Decentered and Influential position, is exemplified by a discussion and preventive suggestions.

Issues in Planned and Unplanned Disruptions in Clinical Practice

2017 ◽  
pp. 537-547
Author(s):  
A. Steven Frankel
Keyword(s):  
Mental Health ◽  
Clinical Practice ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Negative Impact ◽  
Family Members ◽  
Best Interests ◽  
Significant Negative Impact ◽  
Insurance Model

Disruptions in clinical practice that are not adequately planned for can have a significant negative impact on clients, family members, and colleagues. This chapter addresses the problem of unanticipated disruptions in clinical practice due to death, disability, and illness. Challenges associated with each of these situations are illustrated. Proactive and thoughtful ways of preparing for them are presented. Topics include the professional will (with descriptions of needed elements), approaches involving groups of cooperative colleagues, and a “quasi-insurance model” that was developed because many mental health professionals have not embraced the first two approaches. Recommendations for addressing these situations with our clients’ best interests in mind are presented.

scholarly journals Affirmative competence and practices of mental health professionals with LGB clients: An Ibero-American study

2017 ◽  
Vol 41 (S1) ◽  
pp. s906-s906
Author(s):  
H. Pereira
Keyword(s):  
Mental Health ◽  
Sexual Orientation ◽  
Marital Status ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Religious Beliefs ◽  
Professional Training ◽  
Political Orientation ◽  
Specific Training ◽  
Competing Interest

IntroductionThere are not many studies about affirmative competence and practices among mental health professionals working with lesbian, gay, and/or bisexual (LGB) clients.ObjectivesThe objectives of this research are to assess the levels of affirmative competence and practices of professionals in Ibero-American countries.AimWe aim to compare differences regarding gender, country of origin, religious beliefs, political orientation, sexual orientation, age, education, marital status, and possessing specific training related to working with LGB clients, in order to determine the predictive association of the variables under study.MethodsThe sample consists of 630 therapists from various countries various Ibero-American countries: 23% from Portugal, 23.2% from Brazil, 19.1% from Spain, 6.7% from Mexico, 6.7% from Argentina and 18.6% from other countries. Ages ranged from 19 to 75 years old, with a mean age of 41.46 years. The socio-demographic questionnaire, the Sexual Orientation Counselor Competency Scale, and the Affirmative Practice Questionnaire were the measures used.ResultsThe results show statistically significant differences when comparing marital status, sexual orientation, political orientation, religious beliefs, level of education, and specific training concerning LGB issues. Age, gender, and country of residence show no statistically significant differences. The linear regression model demonstrates that there is a significant predictive value between affirmative competence and practices with LGB clients.ConclusionsThis study indicates that mental health professionals should undergo some type of academic or professional training and/or possess experience in regards to working with LGB clients, in order to enhance their approach when working with this population.Disclosure of interestThe author has not supplied his/her declaration of competing interest.

Psychoeducational Family Intervention: Benefits and Obstacles Reported by Mental Health Professionals

2017 ◽  
Vol 41 (S1) ◽  
pp. S88-S88
Author(s):  
B. Pocai ◽  
M. Savorani ◽  
G. Borriello ◽  
V. Del Vecchio ◽  
G. Sampogna ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Large Scale ◽  
Ad Hoc ◽  
Family Intervention ◽  
Routine Care ◽  
Bipolar I Disorder ◽  
Health Centres ◽  
Competing Interest

IntroductionDespite several guidelines recommend the use of psychoeducational family interventions (PFIs) as add-on in the treatment of patients with bipolar I disorder (a), their implementation on a large scale remains limited (b).ObjectivesTo identify benefits and obstacles in implementing a PFI in the clinical routine care.MethodsThis was a multicentre, real-world, controlled, outpatient trial, carried out in 11 randomly recruited Italian mental health centres. Mental health professionals received a training on PFI and provided the intervention to patients with bipolar I disorder and their relatives. Difficulties and benefits in performing PFI were collected through an ad-hoc schedule, which was administered at baseline and 5 times during the different stages of the intervention.ResultsMental health professionals report significant improvements in the intervention-related benefits over time (T0 = 5.3 ± 2.0 vs. T5 = 7.9 ± 0.9; P < .0001), in particular in their professional skills (T0 = 6.5 ± 2.3 vs. T5 = 8.0 ± 0.8; P < .01). They also report to be more satisfied with their own work (T0 = 6.6 ± 2.3 vs. T5 = 8.0 ± 1.3; P < .05). The most relevant difficulties were related to the need to integrate the PFI with other work responsibilities and to the lack of time, which did not decrease overtime.ConclusionsPFIs are feasible in routine care for the treatment of patients with bipolar I disorder and their relatives, and main obstacles are related to the organization of mental health centres, and not to the characteristics of the intervention itself.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Cognitive-Behavioral Therapy for Hoarding Disorder

2017 ◽  
pp. 687-690
Author(s):  
Michael A. Tompkins
Keyword(s):  
Mental Health ◽  
Cognitive Behavioral Therapy ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Behavioral Therapy ◽  
Family Members ◽  
Psychological Problem ◽  
Cognitive Behavioral ◽  
Hoarding Disorder ◽  
Niche Area

Hoarding disorder is a fascinating psychological problem. Because it is a low-insight condition, few individuals seek treatment for the condition. The author of this chapter encourages mental health professionals who wish to develop a niche practice in the treatment of hoarding disorder to broaden their expertise to include not only cognitive-behavioral therapy but also consultations to family members and to agencies who work with people who hoard; to develop or to participate on hoarding taskforces in their communities; and to educate communities by making presentations to organizations who may serve people who hoard. Guidance is provided on the training needed to enter this practice niche, the business aspects of this type of practice, and the joys and challenges of this work. Resources are provided for those interested in pursuing this niche area of practice.

School-Based Mental Health Professionals’ Bullying Assessment Practices: A Call for Evidence-Based Bullying Assessment Guidelines

2014 ◽  
Vol 18 (1) ◽  
pp. 2156759X0001800
Author(s):  
Jamilia J. Blake ◽  
Courtney S. Banks ◽  
Brenda A. Patience ◽  
Emily M. Lund
Keyword(s):  
Mental Health ◽  
School Counselors ◽  
School Psychologists ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Assessment Tools ◽  
Assessment Practices ◽  
Evidence Based ◽  
School Based ◽  
Assessment Guidelines

A sample of 483 school-based mental health professionals completed a survey about the training they have received related to conducting bullying assessments in schools, competence in conducting an assessment of bullying, and the bullying assessment methods they used. Results indicate that school counselors were usually informed about incidents of bullying more frequently than school psychologists. Whereas the majority of school-based mental health professionals surveyed reported some level of competence in using assessment tools for bullying, few reported using empirically based instruments to assess for bullying. This article discusses results and implications, namely, the need to identify clinically meaningful tools for the assessment of bullying and the need to adopt more formal and empirically based methods of assessment in schools.

scholarly journals Adaptation and validation to the spanish context of the scale of self-stigma in relatives of people with mental illness

2019 ◽  
Vol 35 (3) ◽  
pp. 371-377 ◽  
Author(s):  
Rubén Trigueros ◽  
José Manuel Aguilar-Parra ◽  
Adolfo Javier Cangas ◽  
Luis Ortiz ◽  
Noelia Navarro
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Family Members ◽  
Validity And Reliability ◽  
Order Model ◽  
People With Mental Illness ◽  
Salud Mental ◽  
El Estigma

El estigma, y en particular el autoestigma en personas con trastorno mental grave (TMG), constituyen uno de los principales problemas que a los que se enfrentan los profesionales de la salud mental. Sin embargo, este problema no se encuentra únicamente en las personas que padecen esta enfermedad mental, sino que sus consecuencias afectan de igual manera a familiares allegados. Por ello, resulta necesario adaptar y validar al contexto español la Escala de Autoestigma en Familiares de Personas con Enfermedad Mental (AFPEM). En el estudio han participado 304 adultos (M=44.57; DT=15.29). Para analizar las propiedades psicométricas de la escala se han realizado diversos análisis. Los resultados del análisis factorial confirmatorio han ofrecido apoyo a la estructura del cuestionario tanto del 30 ítems, el de 10 ítems como el modelo de orden superior. La estructura de los modelos se mostró invariante respecto al género. Los valores de alpha de Cronbach fueron superiores a .70 en las diferentes subescalas. Los resultados de este estudio han proporcionado evidencias de validez y fiabilidad de la AFPEM, por lo que diversos profesionales de la salud mental dispondrán de un instrumento con el que evaluar el grado de autoestigma que tienen los familiares de personas con TMG. Stigma, and in particular self-stigma in people with severe mental disorder (GIST), is one of the main problems faced by mental health professionals. However, this problem is not only found in people who suffer from this mental illness, but its consequences affect family members in the same way. For this reason, it is necessary to adapt and validate in the Spanish context the Scale of Self-Stigma in Relatives of People with Mental Illness (AFPEM). The study involved 304 adults (M = 44.57, SD = 15.29). To analyze the psychometric properties of the scale, several analyzes have been carried out. The results of the confirmatory factorial analysis (CFA) have offered support to the questionnaire structure of 30 items, 10 items and the higher order model. The structure of the models was invariant respect to gender. Cronbach's alpha values ​​were greater than .70 in the different subscales. The results of this study have provided evidence of validity and reliability of the AFPEM, so that various mental health professionals will have an instrument with which assesses the degree of self-stigma that family members of people with SMI have.

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