Mental health care of the family – Reality and innovative projects in the Russian practice

2017 ◽  
Vol 41 (S1) ◽  
pp. S735-S735
Author(s):  
E. Gutkevich ◽  
V. Lebedeva ◽  
S. Vladimirova ◽  
A. Semke
Keyword(s):  
Mental Health ◽  
Mental Disorders ◽  
Mental Disorder ◽  
Independent Living ◽  
Family System ◽  
Risk Groups ◽  
Social Risk ◽  
Family Interactions ◽  
Social Risk Factors ◽  
The Family

IntroductionPsychosocial functional deficiency of persons with mental disorders covers the most important kinds of activity: work, education, independent living, and interactions with people, family interactions. Important aspect of rehabilitation practice is work with the family, relatives, and the nearest environment of patients due to decrease in the field of marriage or stable cohabitation.ObjectiveTo determine adaptive-preventive potential of the family in the area of mental health.Material and methodsThe analysis of multilevel characteristics of adaptation of 414 adult persons (patients with mental disorders and members of their families) with use of system approach and the methodical complex (“The Passport of Health of the Family”) has been carried out.ResultsWe define the adaptive-preventive potential of the family of mental patient as biological (genetic) and social-psychological opportunities of family system of the individual to compensate the limits of ontogenetic (life) cycle of the family of several generations caused by the illness of the family member. Novelty of the “Clinical-psychological model of anti-relapse behaviour based on interaction of mental patients, their families, persons from the general population and experts in the field of mental health” project consists of scientific justification of development of multilevel (individual, family, society) model of anti-relapse behavior.ConclusionThis multidisciplinary project is aimed at the persons entering into risk groups for development of mental disorder (for example, persons with sub-syndrome symptoms or with biological, and psychological or social risk factors) and the persons entering into risk groups for relapse of the existing mental disorder.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Knowledge and Understanding of Mental Disorders in Families of People with Mental Disorders

2020 ◽  
Vol 8 (T2) ◽  
pp. 136-140
Author(s):  
Rosalina Sandi ◽  
Sudirman Nasir ◽  
Apik Indarty Moedjiono ◽  
Erniwati Ibrahim
Keyword(s):  
Mental Health ◽  
Qualitative Research ◽  
Content Analysis ◽  
Mental Health Services ◽  
Mental Disorders ◽  
Health Services ◽  
Mental Disorder ◽  
Phenomenological Approach ◽  
South Sulawesi ◽  
The Family

BACKGROUND: Utilization barriers of mental health services are the lack of knowledge about mental health. AIM: This study aimed to identify the knowledge and understanding of the families of people with mental disorders about mental disorders. METHODS: This study is a qualitative research with phenomenological approach. Data were obtained by interview, unstructured observation, and documentation on seven informants in Puskesmas Larompong Luwu, South Sulawesi. Content analysis was used to identify topics or categories in the data. RESULTS: The family of people with mental disorders still has negative views about people with mental disorders. People with mental disorders are often called the term “lunatic,” insane, scary, and dangerous. In addition, people with mental disorders regarded as a person who has a disease that makes people uncomfortable because of behavior that is unnatural. Families have an understanding that the causes of mental disorders associated with the occult and mystical or supernatural events. The factors that cause families have minimal understanding of the appropriate handling for people with mental disorders. CONCLUSION: It was concluded that the knowledge and understanding of mental disorder which is owned by the family of people with mental disorders as the holder of a healing role in supporting people with mental disorders are lacking.

scholarly journals The Role of Family and Community in The Treatment of Mental Disorder Patients

2017 ◽  
Vol 4 (1) ◽  
pp. 001-005
Author(s):  
Tutut Pujianto ◽  
Retno Ardanari Agustin
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Mental Disorders ◽  
Mental Disorder ◽  
Daily Activities ◽  
Family Role ◽  
Health Treatment ◽  
The Family ◽  
The Individual

Mental health is an integral part of health, and a condition that affects the physical, mental, and  social  development  of  the  individual  optimally.  Mental  disorder  is  disturbances  in:  cognitive, volition, emotion (affective), and actions (psychomotor). Mental disorder is a collection of abnormal circumstances, whether physically related, or mentally. It is divided into two groups, namely: mental disorder  (neurosis)  and  mental  illness  (psychosis).  Mental  disorder  is  caused  by  some  of  the  above causes affected simultaneously or coincidence occurs. The purpose of this study was to increase the role of family and society in the treatment of mental disorder patients which was consequently could reduce the number of mental disorders patients This research used obsevational design with descriptive analy- sis. The subjects were family members who treat mental disorder patients as much as 16 respondents. The data collection was done in October 2012. The family role data grouped into appropriate and inappro- priate  category.  The  research  found  that  11  people  (68.75%)  in  the  category  of  inappropriate,  and appropriate by 5 people (31.25%), with average family role of 63.19%. The higher of inappropriate category was because 9 respondents (56.25%) in the age of elderly (> 50 years). This condition caused a decrease in the ability to perform daily activities, including health treatment. There were 4 patients who have been treated for 7-14 years, so the family feels accustomed to the condition of the patient. There were 8 people (50%) in productive age treated the patients, so it could not be done continuously. Based on these conditions, there should be efforts to increase knowledge and willingness of the patients and families, in caring for patients with mental disorders. The examples of such activities were to consult with the nearest health employees, and report to the health worker if there is a risky condition immedi- ately.

scholarly journals Gender Difference in Social Capital, Common Mental Disorders and Depression: ELSA-Brasil Study

Psych ◽  
2020 ◽  
Vol 2 (1) ◽  
pp. 85-96
Author(s):  
Ester Paiva Souto ◽  
Arlinda B. Moreno ◽  
Dóra Chor ◽  
Enirtes Caetano Prates Melo ◽  
Sandhi M. Barreto ◽  
...  
Keyword(s):  
Mental Health ◽  
Social Capital ◽  
Mental Disorders ◽  
Common Mental Disorders ◽  
Association Studies ◽  
Social Risk ◽  
Adult Health ◽  
Social Risk Factors ◽  
Logistic Regression Models ◽  
High Level

Association studies between social capital and health point out that a high level of social capital can act as a protector for mental health. The growing interest in social risk factors for mental health coincides with the development of social capital research. Higher levels of social capital available through social networks can act as a protector for mental health. This study investigates gender differences in the association between social capital and common mental disorders (CMD) and depression. We analyzed 15,052 participants in the baseline of the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil). CMD and depression were assessed by Clinical Interview Schedule-Revised (CIS-R) and social capital by the Resource Generator scale. We used Logistic regression models stratified by sex. Women with lower social capital in the social support dimension had a greater chance of presenting CMD (OR = 1.36; CI 95%: 1.16–1.60) and depression (OR = 2.07; CI 95%: 1.57–2.72) when compared to women with higher social capital. No association was identified among men, or among women in the “prestige and education” dimension. The differences found between the dimensions of social capital support its multidimensionality, as well as the differences found between sexes, confirm the need to approach gender in its association with mental health.

scholarly journals Can mental health related hospital visits be relied upon for suicide prevention?

2018 ◽  
Vol 3 (4) ◽  
Author(s):  
Kerstina Boctor ◽  
Douglas Harder ◽  
Liz Letwiniuk ◽  
Gene Marcoux ◽  
Kristi Langhorst ◽  
...  
Keyword(s):  
Mental Health ◽  
Risk Factors ◽  
Mental Disorder ◽  
Suicide Prevention ◽  
Social Risk ◽  
Social Risk Factors ◽  
Time Period ◽  
Health Related ◽  
History Of ◽  
Hospital Visits

IntroductionEven among people with mental disorders, relatively few die of suicide. However, a large proportion of people dying from suicide have seen a physician in the year before death. This raises the question whether focusing on hospital visits for suicide-related outcomes is a viable suicide prevention strategy. Objectives and ApproachOur objective was to examine whether a hospital visit for a mental disorder or prior suicide attempt preceded suicide death. We requested Saskatchewan’s provincial coroner for records of people dying of suicide in the Saskatoon Health Region catchment area for the years 2012 to 2016. The coroner’s list was linked with hospital and community mental health databases. Patient charts and medical abstracts in both settings were reviewed for risk factors. ResultsThere were 143 suicide deaths in the time period and the yearly incidence was higher in Saskatoon as compared with the national average. Only 38 percent were seen previously in any Saskatoon hospital for a mental disorder (11 percent for a self-harm diagnosis). The chart review confirmed several known psychological and social risk factors. Having a history of depression or psychosis and alcohol and/or drug use were common. Many decedents also had disadvantaged socio-economic backgrounds characterized by vulnerable housing and being on social assistance. Conclusion/ImplicationsWith only 38 percent of decedents being seen in hospital, community-based mental health care and data are important for suicide prevention. Suicide prevention efforts can be aided by facilitating the linkage of community and medical records to better track patients as they move between care settings.

Cognitive-Behavioural Family Interventions for Major Mental Disorders

1994 ◽  
Vol 11 (4) ◽  
pp. 213-222 ◽  
Author(s):  
Ian R.H. Falloon ◽  
John H. Coverdale
Keyword(s):  
Problem Solving ◽  
Mental Disorders ◽  
Mental Disorder ◽  
Family System ◽  
Future Research ◽  
Specific Information ◽  
Family Interventions ◽  
Cognitive Behavioural ◽  
The Family ◽  
And Function

Cognitive-behavioural family interventions for major mental disorder have undergone significant refinement over recent years. This paper reviews the current techniques for assessing mental disorder in the family. The initial task of the therapist is to undertake a comprehensive family assessment, including an assessment of their stress management. Specific information must be obtained about each family member's view of the presenting problems, interaction within the family system, and function in settings outside the family, as well as the family's effectiveness in problem solving and quality of life. Key goals of cognitive-behavioural family therapy are personal goal setting, education, and communication training that enhance the efficiency of family problem solving. The efficiency of cognitive-behavioural therapies in treating major mental disorders is also reviewed in relation to the family's ability to achieve specific goals in therapy and to modify the outcome of major mental illness. Particular attention is given to the strengths and weaknesses of the research, and to possible future research directions. Cognitive-behavioural family interventions are found to be effective in reducing clinical, social, and family morbidity.

scholarly journals Impact of arthritis on the perceived need and use of mental healthcare among Canadians with mental disorders: nationally representative cross-sectional study

BMJ Open ◽  
2020 ◽  
Vol 10 (12) ◽  
pp. e041371
Author(s):  
Alyssa Howren ◽  
J Antonio Aviña-Zubieta ◽  
Deborah Da Costa ◽  
Joseph H Puyat ◽  
Hui Xie ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Disorders ◽  
Mental Disorder ◽  
Clinical Care ◽  
Mental Healthcare ◽  
Cluster Sampling ◽  
Cross Sectional ◽  
Perceived Need ◽  
Mental Health Support ◽  
Health Support

ObjectiveTo evaluate the association between having arthritis and the perceived need for mental healthcare and use of mental health support among individuals with mental disorders.DesignA cross-sectional analysis using data from Canadian Community Health Survey—Mental Health (2012).SettingThe survey was administered across Canada’s 10 provinces using multistage cluster sampling.ParticipantsThe study sample consisted of individuals reporting depression, anxiety or bipolar disorder.Study variables and analysisThe explanatory variable was self-reported doctor-diagnosed arthritis, and outcomes were perceived need for mental healthcare and use of mental health support. We computed overall and gender-stratified multivariable binomial logistic regression models adjusted for age, gender, race/ethnicity, income and geographical region.ResultsAmong 1774 individuals with a mental disorder in the study sample, 436 (20.4%) reported having arthritis. Arthritis was associated with increased odds of having a perceived need for mental healthcare (adjusted OR (aOR) 1.71, 95% CI 1.06 to 2.77). In the gender-stratified models, this association was increased among men (aOR 2.69, 95% CI 1.32 to 5.49) but not women (aOR 1.48, 95% CI 0.78 to 2.82). Evaluation of the association between arthritis and use of mental health support resulted in an aOR of 1.50 (95% CI 0.89 to 2.51). Individuals with arthritis tended to use medications and professional services as opposed to non-professional support.ConclusionComorbid arthritis among individuals with a mental disorder was associated with an increased perceived need for mental healthcare, especially in men, underscoring the importance of understanding the role of masculinity in health seeking. Assessing the mental health of patients with arthritis continues to be essential for clinical care.

Tobacco smoking and mental disorders in Australian adolescents

2021 ◽  
pp. 000486742110096
Author(s):  
David Lawrence ◽  
Sarah E Johnson ◽  
Francis Mitrou ◽  
Sharon Lawn ◽  
Michael Sawyer
Keyword(s):  
Mental Health ◽  
Mental Disorders ◽  
Mental Disorder ◽  
Tobacco Smoking ◽  
Mental Health Problems ◽  
Health Problems ◽  
Major Depressive ◽  
Current Smoking ◽  
Self Harm ◽  
Current Tobacco

Objectives: This study aimed to (1) examine the strength of the association between mental disorders/mental health problems, risk behaviours and tobacco smoking among Australian adolescents, (2) compare rates of tobacco smoking among Australian adolescents with major depressive disorder, attention-deficit/hyperactivity disorder and/or conduct disorder in 2013/14 vs 1998, and (3) identify the extent to which an association between tobacco smoking and mental health problems among adolescents can be attributed to non-mental health risk factors. Methods: The study utilised data from the first (1998) and second (2013/14) child and adolescent components of the National Surveys of Mental Health and Wellbeing. Both surveys identified nationally representative samples of Australian young people aged 4–17 years, living in private dwellings. Information was collected from parents and 13- to 17-year-olds about mental disorders, mental health problems, risk behaviours and tobacco smoking. Results: In the 2013/14 survey, the rate of current tobacco smoking among those with a mental disorder was 20% compared to 5% in those without a mental disorder. Rates were highest for young people with conduct disorder (50%), major depressive disorder (24%) and anxiety disorders (19%). In 2013/14, 38% of current tobacco smokers had a mental disorder and 32% reported self-harm and/or suicidal ideation vs 10% and 5%, respectively, among adolescents who had never smoked. Females with mental disorders or reporting self-harm or suicidal ideation had higher rates of current smoking than males. Other significant factors associated with current smoking included school-related problems, binge eating and having had more than one sexual partner. Conclusion: While smoking rates in 13- to 17-year-olds with mental disorders had declined since 1998, the strength of the association between mental disorders and smoking had increased, especially among females. Our findings highlight the need to address the tobacco smoking among adolescents with mental disorders, particularly females.

scholarly journals Natural kinds of mental disorder

Synthese ◽  
2021 ◽  
Author(s):  
Sander Werkhoven
Keyword(s):  
Mental Health ◽  
Mental Disorders ◽  
Mental Disorder ◽  
Mental Health Problems ◽  
Natural Kinds ◽  
Health Problems ◽  
Abnormal Behaviour ◽  
Diagnostic Categories ◽  
Socially Constructed

AbstractAre mental disorders (autism, ADHD, schizophrenia) natural kinds or socially constructed categories? What is at stake if either of these views prove to be true? This paper offers a qualified defence for the view that there may be natural kinds of mental disorder, but also that the implications of this claim are generally overestimated. Especially concerns about over-inclusiveness of diagnostic categories and medicalisation of abnormal behaviour are not addressed by the debate. To arrive at these conclusions the paper opens with a discussion of kind formation in science, followed by an analysis of natural kinds. Seven principled and empirically informed objections to the possibility of natural kinds of mental disorder are considered and rejected. The paper ends with a reflection on diagnostics of mental health problems that don’t fall into natural kinds. Despite the defence of the possibility of natural kinds of mental disorder, this is likely to be the majority of cases.

scholarly journals Associations between common mental disorders and the Mental Illness Needs Index in community settings

2007 ◽  
Vol 191 (2) ◽  
pp. 158-163 ◽  
Author(s):  
David L. Fone ◽  
Frank Dunstan ◽  
Ann John ◽  
Keith Lloyd
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Mental Disorders ◽  
Mental Disorder ◽  
Small Area ◽  
Common Mental Disorders ◽  
Common Mental Disorder ◽  
Service Planning ◽  
Individual Risk ◽  
Community Settings

BackgroundThe relationship between the Mental Illness Needs Index (MINI) and the common mental disorders is not known.AimsTo investigate associations between the small-area MINI score and common mental disorder at individual level.MethodMental health status was measured using the Mental Health Inventory of the Short Form 36 instrument (SF-36). Data from the Caerphilly Health and Social Needs population survey were analysed in multilevel models of 10 653 individuals aged 18–74 years nested within the 2001 UK census geographies of 110 lower super output areas and 33 wards.ResultsThe MINI score was significantly associated with common mental disorder after adjusting for individual risk factors. This association was stronger at the smaller spatial scale of the lower super output area and for individuals who were permanently sick or disabled.ConclusionsThe MINI is potentially useful for small-area needs assessment and service planning for common mental disorder in community settings.

scholarly journals Actions of the nurse to the patient with a mental disorder

2021 ◽  
Vol 10 (1) ◽  
pp. e15510110385
Author(s):  
Aline de Sousa Rocha ◽  
Benedita Maryjose Gleyk Gomes ◽  
Roberta Sousa Meneses ◽  
Marcos Antonio Silva Batista ◽  
Rosane Cristina Mendes Gonçalves ◽  
...  
Keyword(s):  
Mental Disorders ◽  
Mental Disorder ◽  
Nursing Care ◽  
Temporal Analysis ◽  
Social Reintegration ◽  
The Family ◽  
The World ◽  
The Individual ◽  
Provision Of Care ◽  
The Relationship

The psychiatric reform that took place in Brazil carries characteristics of other movements that occurred in other parts of the world. The idea common to all movements is the struggle for the rights of the individual in mental suffering, seeking mainly the rupture of the mental model. These changes led to several transformations in the care scenario, for all professions directly linked to the patient. Nursing in turn has experienced and experiences significant changes in the provision of care. The aim of this study is to talk about nursing care for patients affected by mental disorder, making a temporal analysis of how this care occurred and how it presents itself in the current mental health conjuncture. The methodology is of the literature review type, which occurred through research in the databases BIREME, Lilacs, Scielo, BDENF and VHL. For this, the descriptors: nursing care for people with disorders were selected; nursing care for patients with mental disorders. In view of the results, it was evidenced that nurses are an important part of caring for patients with mental disorders, noting that these make up a multidisciplinary team and highlighting that care goes far beyond just caring for the patient, but that it consists mainly in the relationship with the patient's family, in bonding, in the work that aims at social reintegration and often also the family reinsertion of the individual. Profession that needs to undergo constant updates, but has experienced numerous transformations throughout this period of Reformation.

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