Attitudes Towards Psychiatry Among Physiotherapy Students in Poland – pilot Study

2017 ◽  
Vol 41 (S1) ◽  
pp. S616-S616
Author(s):  
A.R. Szczegielniak ◽  
J. Szczegielniak
Keyword(s):  
Pilot Study ◽  
Physical Therapy ◽  
Media Coverage ◽  
Physical Therapists ◽  
Psychiatric Patients ◽  
Mental Healthcare ◽  
Healthcare Services ◽  
Healthcare Facilities ◽  
Competing Interest ◽  
Physiotherapy Students

Poor knowledge regarding mental health in general population in Poland, along with media coverage limited to repetition of harmful stereotypes towards patients treated at psychiatric wards and reinforcement of discriminative attitudes, results in an unfair evaluation and stigmatization of mental healthcare services. As a consequence, psychiatry, in comparison to many other medical fields, is unpopular among physiotherapy students, even though there is a compulsory subject in the university curriculum that covers, in theory, all the important knowledge that healthcare worker should possess in this regards. Young physical therapists are not taught about specific needs of the psychiatric patients. After graduation, they are lacking all basic skills on how to communicate with the patient. Being devoid of a direct contact with people suffering from mental disorders, physical therapists do not feel comfortable placed in the mental healthcare facilities. The aim of the study was to assess the extent of a basic psychiatric knowledge and general attitudes towards mentally ill of the physiotherapy students. The group consisted of 147 students. The pilot study has been limited to those studying physical therapy within borders of the Opole voivodship. Authors’ questionnaire has been developed in order to reach the aim and answers were gathered between January and June 2016. The results will be used to develop questionnaire suitable to share with physiotherapy students within the whole country and, consequently, formulate recommendations on necessary changes that must be introduced to the physical therapy curriculum in Poland by Polish Society of Physiotherapy (Psychiatry Section).Disclosure of interestThe authors have not supplied their declaration of competing interest.

Mental Health Improvement Through Physical Therapy: Polish Perspective

2016 ◽  
Vol 33 (S1) ◽  
pp. S487-S488
Author(s):  
A.R. Szczegielniak ◽  
J. Szczegielniak
Keyword(s):  
Mental Health ◽  
Media Coverage ◽  
Physical Therapists ◽  
Psychiatric Patients ◽  
Well Being ◽  
Health Improvement ◽  
Physical Medicine ◽  
Anxiety Management ◽  
Care Workers ◽  
Competing Interest

Among people suffering from mental conditions increased prevalence of diabetes, cardiovascular disease, hypertension and respiratory disease is observed, with considerably higher levels of morbidity and mortality. Still, mental conditions are neglected and not treated equally to other medical states in Poland. It is commonly believed that psychiatric patients are violent and unpredictable, even though they are more likely to be a victim of violence themselves. This attitude, reinforced by media coverage and observed also among health care workers, results in unwillingness to have any relations with mental patients due to fear of them being aggressive. Connection between physical well-being and mental health is well known. Physical therapists have necessary knowledge and skills to support development of individual independence, anxiety management and lifestyle control in order to keep patients healthier. It can be done by specially designed treatment programmes consisting of exercises, manual techniques and physical medicine procedures. Lack of understanding of this valuable connection results in insufficient emphasis on the presence of physiotherapist in the multidisciplinary therapeutic team on psychiatric wards nationwide. The study focuses on summary of the current situation in Poland and starts discussion on possible areas of improvements.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Interventions to promote psychiatric patients’ compliance to mental health treatment: A systematic review

2014 ◽  
Vol 19 (1) ◽  
Author(s):  
Mosidi B. Serobatse ◽  
Emmerentia Du Plessis ◽  
Magdalena P. Koen
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Mental Health Professionals ◽  
Mental Health Treatment ◽  
Psychiatric Patients ◽  
Research Question ◽  
Mental Healthcare ◽  
Healthcare Services ◽  
Current Evidence ◽  
Health Treatment

Background: Non-compliance to treatment remains one of the greatest challenges in mental healthcare services, and how to improve this remains a problem.Aim: The aim of this study was to critically synthesise the best available evidence from literature regarding interventions to promote psychiatric patients’ compliance to mental health treatment. The interventions can be made available for mental health professionals to use in clinical practice.Method: A systematic review was chosen as a design to identify primary studies that answered the following research question: What is the current evidence on interventions to promote psychiatric patients’ compliance to mental health treatment? Selected electronic databases were thoroughly searched. Studies were critically appraised and identifid as answeringthe research questions. Evidence extraction, analysis and synthesis were then conducted by means of evidence class rating and grading of strength prescribed in the American Dietetic Association’s manual.Results: The systematic review identifid several interventions that can improve patients’ compliance in mental health treatment, for example adherence therapy and motivational interviewing techniques during in-hospital stay.Conclusions: Conclusions were drawn and recommendations formulated for nursing practice, education and research.Agtergrond: Geen-samewerking met behandeling bly steeds een van die grootste uitdagings in geestesgesondheidsorgdienste, en genoegsame kennis oor hoe om dit te verbeter, is steeds ’n probleem.Doelwit: Die doel van hierdie studie was om die beskikbare bewyse vanuit literatuur aangaande intervensies ter bevordering van psigiatriese pasiënte se samewerking met geestesgesondheidsbehandeling krities te sintetiseer. Hierdie intervensies kan aan professionele gesondheidsorgpersoneel beskikbaar gestel word ter bevordering van psigiatriese pasiënte se samewerking met geestesgesondheidsbehandeling.Metode: ’n Sistematiese literatuuroorsig is gekies as die ontwerp om primêre studieste identifieer wat die volgende navorsingsvraag beantwoord: Wat is die huidige kennis ten opsigte van intervensies wat psigiatriese pasiënte se samewerking met geestesgesondheidsbehandeling bevorder?Resultate: Studies is ingesluit vir kritiese gehalte-beoordeling ten opsigte van metodologie, en is uiteindelik geïdentifieer as bronne van bewyse wat die literatuuroorsigvraag toepaslik beantwoord. Bewysonttrekking, -analise en -sintese is gedoen deur middel van die beoordeling van bewysklas en -gradering van bewyssterkte, soos voorgeskryf in die American Dietetic Association se handleiding. Die sistemiese literatuuroorsig het aangedui datdaar heelparty intervensies is wat psigiatriese pasiënte se samewerking met behandeling kan verbeter, byvoorbeeld samewerkingsterapie en motiveringsonderhoudstegnieke.Gevolgtrekking: Gevolgtrekkings is gemaak en aanbevelings is geformuleer vir die verpleegpraktyk, verpleegonderrig en navorsing in verpleging.

scholarly journals Healthcare Facilities and Services: Correlates to the Clinical Nursing Care for Patients with Psycho-Behavioral Pathologies in Lanao Del Sur

2018 ◽  
Vol 33 (1) ◽  
Author(s):  
Omira Abdulbasit ◽  
 Ms. Anieraida H. Hassim ◽  
Randy Ian F. Gallego
Keyword(s):  
Nursing Care ◽  
Clinical Care ◽  
Pearson Correlation ◽  
Mental Healthcare ◽  
Healthcare Services ◽  
Psychological Needs ◽  
Staff Nurses ◽  
Healthcare Facilities ◽  
Correlational Design ◽  
Clinical Nursing

Mental health, for some time has been a facet downplayed to be of lesser importance due to its very mystical nature causing it to be habitually ignored. Albeit the case, mental illness and its similar disturbances can become so significantly serious that it can encroach on and impair the day-to-day activities of its stricken victims. This study examined the extent of preliminary clinical care provided by nurses to clients with unique psychological needs. It used the descriptive-correlational design through a validated and reliability-tested instrument responded by 113 staff nurses from six hospitals around Lanao del Sur. It involved the statistical analysis of data using frequency, weighted mean, and Pearson correlation. In addition, a triangulation procedure was also employed to incorporate qualitative narrative comments of the respondents through follow-up informant interviews and journal writing.  The survey revealed that hospitals in the study locale do not have personnel with qualified specializations to attend to the needs of clients with psycho-behavioral manifestations. Moreover, the institutions did not have adequate physical facilities and equipment to aid in the appropriate diagnosis and management of mental conditions. It also showed that the availability of mental healthcare services, facilities, and personnel were significantly correlated to the extent of preliminary clinical nursing care. Hence, it can be regarded that these factors have a strong bearing and influence on the quality and extent of clinical care received by patients.

Experiences of Persons Living with Severe and Persistent Mental Illness

2019 ◽  
Vol 21 (1) ◽  
Author(s):  
Dalena Van Rooyen ◽  
Kegan Topper ◽  
Nontembeko Grycelda Shasha ◽  
Juanita Strümpher
Keyword(s):  
Mental Health ◽  
South Africa ◽  
Mental Illness ◽  
Rural Communities ◽  
Primary Healthcare ◽  
Mental Healthcare ◽  
Healthcare Services ◽  
Eastern Cape ◽  
Healthcare Facilities ◽  
Persistent Mental Illness

The mental healthcare needs of individuals suffering from mental illness, especially those with severe and persistent mental illness, are neglected and often misunderstood in South African rural communities. The purpose of the study was to explore and describe experiences of persons living with severe and persistent mental illness and those of their families in respect of mental health services provided by primary healthcare facilities in rural Eastern Cape, South Africa. A qualitative, descriptive, exploratory research design was utilised. Convenience sampling was used to select primary healthcare facilities in the rural Emalahleni sub-district of the Chris Hani Health District in the Eastern Cape. Purposive sampling was used to recruit persons living with severe and persistent mental illness (n = 18) and their family members (n = 11). A total of 29 in-depth, unstructured individual interviews were conducted using an audio recorder. Tesch’s thematic analysis was used to identify themes from the data. Two central themes emerged from the data, namely the challenges in accessing primary healthcare services, and the inadequate provision of mental healthcare. Primary healthcare in rural South Africa needs to be better prioritised by national government to deal with mental healthcare. Improvements in infrastructural and staff capacity are needed to improve access and availability of mental healthcare services in rural communities. Nursing education programmes should better integrate mental healthcare into curricula, especially rural mental healthcare. Cost-effective, evidence-based, culturally-sensitive mental health innovations focusing on the mental health needs throughout the person’s life course should be implemented.

scholarly journals The ecopsychosocial provision for psychiatric environments

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
E Chrysikou
Keyword(s):  
Evaluation System ◽  
Psychiatric Patients ◽  
Social Activity ◽  
Space Syntax ◽  
Mental Healthcare ◽  
Healthcare Provision ◽  
Healthcare Facilities ◽  
Therapeutic Environment ◽  
Social Logic ◽  
The Uk

Abstract Environment affects quality of care. Yet there are very few evaluation methods to address such issues. The SCP model is a user-inclusive, multi-paramentric method for the planning, design and evaluation of psychiatric facilities. Its application to psychiatric wards indicated hiatus between top-down (designers, building commissioning authorities) vs bottom up (patients and staff) understanding of what constitutes a therapeutic environment. That generated the need to investigate the socio-spatial context of psychiatric wards. This research aimed to promote our understanding of psychiatric space in relation to social interaction. Two acute wards in the UK provided the locus. Each was evaluated using the SCP model institutional vs domestic checklist, open-ended interviews with 10 staff and 12 patients and auditing of the spaces. Then, a Space Syntax analysis using depthmap was employed to model social activity inside the wards. The SCP model analysis indicated that the wards, one of them new and purpose built and the other part of an old psychiatric campus soon to be replaced, demonstrated strong institutional features, even compared to previous samples using the same tools. The juxtaposition with space syntax demonstrated that areas mapped as integrated, i.e., socio-friendly, were areas where antisocial behaviours were observed. This could be interpreted by Goffman's theory on total institutions, as institutional spaces might be the context of reverse socio-spatial norms according to Hillier's social logic of space. Thus, institutional spaces could still house mental health provision. Integrated approaches for evaluating healthcare facilities for fit for purpose and social integration need to become part of a healthcare evaluation system. Healthcare provision should be evaluated for ecopsychosocially supportive environments. Key messages The project raised the question of the appropriateness of mental healthcare environments. The spaces for the treatment and care of psychiatric patients might not be fit for their social re-integration.

scholarly journals Challenging healthcare discrimination

2010 ◽  
Vol 16 (1) ◽  
pp. 60-62 ◽  
Author(s):  
Peter Byrne
Keyword(s):  
Healthcare Professionals ◽  
Mental Health Problems ◽  
Psychiatric Patients ◽  
Mental Healthcare ◽  
Healthcare Services ◽  
Government Funding ◽  
Psychiatric Services ◽  
Stigma By Association ◽  
Value Judgements ◽  
Education And Society

SummaryStigma-discrimination against people with mental health problems is more prevalent and damaging than the weaker ‘stigma by association’ experienced by mental healthcare professionals. Not only are patients reluctant to seek psychiatric help, but they are shunned by society and discriminated against by general healthcare services when they do. Other clinicians see psychiatric services as a last resort and government funding of these services is disproportionately low. Psychiatrists must engage in anti-stigma activities. I suggest ways in which, both in the clinical arena and in the wider context of education and society, psychiatrists can challenge clinicians' and the public's value judgements of psychiatric patients.

Therapists' Perspectives on the Management and Delivery of Occupational Therapy and Physical Therapy Services

2005 ◽  
Vol 18 (2) ◽  
pp. 9-13 ◽  
Author(s):  
Annette Rivard ◽  
Vivien Hollis ◽  
Johanna Darrah ◽  
Helen Madill ◽  
Sharon Warren
Keyword(s):  
Decision Making ◽  
Physical Therapy ◽  
Professional Competence ◽  
Physical Therapists ◽  
Occupational Therapists ◽  
Healthcare Services ◽  
Interdisciplinary Management ◽  
Healthcare Resources ◽  
Therapy Services ◽  
The Impact

The impact of restructuring healthcare services on the day-to-day practice of occupational therapists and physical therapists was examined. Four main issues emerged: Limited understanding of scopes of practice; absence of a rehabilitation perspective at decision-making tables; lack of a career ladder; and barriers to the maintenance and enhancement of professional competence. This article describes the reported impact of these issues on patient care specifically and on the healthcare system in general. Recommendations for an improved structure within an interdisciplinary management paradigm that would ensure effective and efficient use of healthcare resources are provided.

scholarly journals Exploring patterns in psychiatric outpatients’ preferences for involvement in decision-making: a latent class analysis approach

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ingunn Mundal ◽  
Mariela Loreto Lara-Cabrera ◽  
Moisés Betancort ◽  
Carlos De las Cuevas
Keyword(s):  
Decision Making ◽  
Depressive Disorder ◽  
Latent Class ◽  
Psychiatric Patients ◽  
Mental Healthcare ◽  
Psychological Reactance ◽  
Psychiatric Outpatients ◽  
Public And Private ◽  
Level Of Education ◽  
Healthcare Settings

Abstract Background Shared decision-making (SDM), a collaborative approach that includes and respects patients’ preferences for involvement in decision-making about their treatment, is increasingly advocated. However, in the practice of clinical psychiatry, implementing SDM seems difficult to accomplish. Although the number of studies related to psychiatric patients’ preferences for involvement is increasing, studies have largely focused on understanding patients in public mental healthcare settings. Thus, investigating patient preferences for involvement in both public and private settings is of particular importance in psychiatric research. The objectives of this study were to identify different latent class typologies of patient preferences for involvement in the decision-making process, and to investigate how patient characteristics predict these typologies in mental healthcare settings. Methods We conducted latent class analysis (LCA) to identify groups of psychiatric outpatients with similar preferences for involvement in decision-making to estimate the probability that each patient belonged to a certain class based on sociodemographic, clinical and health belief variables. Results The LCA included 224 consecutive psychiatric outpatients’ preferences for involvement in treatment decisions in public and private psychiatric settings. The LCA identified three distinct preference typologies, two collaborative and one passive, accounting for 78% of the variance. Class 1 (26%) included collaborative men aged 34–44 years with an average level of education who were treated by public services for a depressive disorder, had high psychological reactance, believed they controlled their disease and had a pharmacophobic attitude. Class 2 (29%) included collaborative women younger than 33 years with an average level of education, who were treated by public services for an anxiety disorder, had low psychological reactance or health control belief and had an unconcerned attitude toward medication. Class 3 (45%) included passive women older than 55 years with lower education levels who had a depressive disorder, had low psychological reactance, attributed the control of their disease to their psychiatrists and had a pharmacophilic attitude. Conclusions Our findings highlight how psychiatric patients vary in pattern of preferences for treatment involvement regarding demographic variables and health status, providing insight into understanding the pattern of preferences and comprising a significant advance in mental healthcare research.

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