scholarly journals Do financial incentives increase treatment adherence in people with severe mental illness? A systematic review

2010 ◽  
Vol 19 (3) ◽  
pp. 233-242 ◽  
Author(s):  
Alexandra Burton ◽  
Stamatina Marougka ◽  
Stefan Priebe
Keyword(s):  
Systematic Review ◽  
Mental Illness ◽  
Severe Mental Illness ◽  
Treatment Adherence ◽  
Antipsychotic Medication ◽  
Financial Incentives ◽  
Psychiatric Treatment ◽  
Focus Group Study ◽  
Improve Treatment ◽  
Severely Mentally Ill

SUMMARYAim – To identify whether financial or material incentives improve treatment adherence in people with severe mental illness. Method – A systematic review of studies published between 1950 and 2008 was conducted. EMBASE, MEDLINE, EBM, AMED and PsycINFO were searched. Studies were included if a financial or material incentive was offered and if the sample had a severe mental illness. Results – Fourteen articles were identified; three studies on adherence to psychiatric treatment and one on physical exercise. Ten articles used incentives for adherence to substance misuse treatment programmes. In all studies, financial incentives were associated with an increase in adherence; however the effect was not always maintained once the incentive was withdrawn. Conclusion – While existing research suggests that financial incentives may improve treatment adherence in severely mentally ill populations, very few studies focus on psychiatric treatment. Further research may address the long term effectiveness of incentives on adherence in this population.Declaration of Interest: The authors on this paper were supported by funds from the Wellcome Trust. All authors worked on a Wellcome Trust funded qualitative focus group study exploring stakeholder views on offering patients financial incentives to adhere to antipsychotic medication. Priebe is also lead applicant on a National Institute of Health Research (England) (NIHR) awarded grant to conduct a clinical trial on the use of financial incentives to achieve maintenance antipsychotic medication adherence.

Motivation for psychiatric treatment in patients with severe mental illness: Disagreement between patients and clinicians

2013 ◽  
Author(s):  
Eline C. Jochems ◽  
Sylvia C. M. Scheffer ◽  
Hugo J. Dulvenvoorden ◽  
Arno van Dam ◽  
Christina M. van der Feltz-Cornelis ◽  
...  
Keyword(s):  
Mental Illness ◽  
Severe Mental Illness ◽  
Psychiatric Treatment

scholarly journals The experiences of family caregivers of people with severe mental illness in the Middle East: A systematic review and meta-synthesis of qualitative data

PLoS ONE ◽  
2021 ◽  
Vol 16 (7) ◽  
pp. e0254351
Author(s):  
Aisha Hamed Alyafei ◽  
Taghrid Alqunaibet ◽  
Hassan Mansour ◽  
Afia Ali ◽  
Jo Billings
Keyword(s):  
Systematic Review ◽  
Mental Illness ◽  
Middle East ◽  
Severe Mental Illness ◽  
Family Caregivers ◽  
Critical Role ◽  
Geographical Area ◽  
Well Being ◽  
Negative Consequences ◽  
Middle East Countries

Background There is a wealth of literature exploring the experiences of family caregivers of people with severe mental illness (SMI) in western countries, however, this topic has been neglected in the Middle East, despite families being the main source of caregiving in this context. The purpose of this review was to conduct a systematic review and qualitative meta-synthesis to explore the experiences of family caregivers living in countries in the Middle East caring for a relative with severe mental illness. Methods A systematic review and meta-synthesis were conducted, to comprehensively gain a thorough and detailed overview of what is known about family caregivers’ experiences from published qualitative research in the Middle East geographical area from inception to May 2021. The review protocol was pre-registered with PROSPERO (Ref: CRD42020165519). Results The review identified twelve qualitative studies that explored caregivers’ experiences of caring for relatives with SMI in Middle East countries. Family caregivers’ experiences were captured under seven overarching themes. The participants across all studies reported negative consequences of providing care, increased burden and emotional distress. Many experienced issues with family/marital relationships and stigmatizing attitudes and behaviours from their communities. Caregivers expressed the need for increased support which was perceived to have a critical role in improving family caregivers’ experiences. Conclusions The meta-synthesis revealed many challenges and issues that affect caregivers of people with SMI in the Middle East. Family caregivers experienced distress and burden, and reported significant impact on their psychological well-being. Their experiences highlight the urgent need to provide more support for family caregivers in Middle East countries.

scholarly journals Volunteering in the care of people with severe mental illness: a systematic review

2012 ◽  
Vol 12 (1) ◽  
Author(s):  
Claudia Hallett ◽  
Günter Klug ◽  
Christoph Lauber ◽  
Stefan Priebe
Keyword(s):  
Systematic Review ◽  
Mental Illness ◽  
Severe Mental Illness

scholarly journals Economic burden of caregiving for persons with severe mental illness in sub-Saharan Africa: A systematic review

PLoS ONE ◽  
2018 ◽  
Vol 13 (8) ◽  
pp. e0199830 ◽  
Author(s):  
Rebecca Addo ◽  
Samuel Agyei Agyemang ◽  
Yesim Tozan ◽  
Justice Nonvignon
Keyword(s):  
Systematic Review ◽  
Mental Illness ◽  
Severe Mental Illness ◽  
Economic Burden ◽  
Sub Saharan Africa ◽  
Sub Saharan

When Non-Compliance Carries the Day: Evaluating the Effectiveness of an Employment Program for the Severely Mentally Ill

2021 ◽  
pp. 0193841X2110496
Author(s):  
Alberto Martini ◽  
Enrico Rettore ◽  
Gian Paolo Barbetta ◽  
Fabio Sandrolini
Keyword(s):  
Mental Illness ◽  
Severe Mental Illness ◽  
Mentally Ill ◽  
Mental Disease ◽  
Empirical Studies ◽  
Experimental Period ◽  
Employment Rate ◽  
Severely Mentally Ill ◽  
Employment Rates ◽  
The Impact

Background: Mental disease is increasing worldwide and people who suffer from it show lower employment rates and lower earnings. Various approaches have been tried to increase the employment rate of people with mental disease. In the US, empirical studies show that individual placement and support(IPS)—a rapid transition to the job market, with some external assistance—is effective in increasing the employment rate of the mentally ill. Europe lacks such evidence. Purpose: The study assesses the impact of an IPS-like program undertaken in Italy on the employment rate of people with severe mental illness. Methods: The analysis is based on a RCT that tests whether offering people with severe mental illness the support of a “job coach” increases their chances of being employed. Moreover, using a battery of tests—one of which is made available by the RCT itself—we show that the large non-compliance with the protocol showed by the RCT is ignorable. This motivates estimating the impact of carrying out a traineeship during the experimental period on employment using non-experimental methods. Results and Conclusions: The study finds that the availability of a coach boosts the patients’ chances of finding a traineeship during the experimental period; moreover, undertaking a traineeship almost doubles the likelihood of being at work one year later. JEL CODES: J78, J48, J38

scholarly journals High risk of metabolic syndrome among black South African women with severe mental illness

2017 ◽  
Vol 23 ◽  
Author(s):  
Shamima Saloojee ◽  
Jonathan K. Burns ◽  
Ayesha A. Motala
Keyword(s):  
Metabolic Syndrome ◽  
Mental Illness ◽  
Severe Mental Illness ◽  
South African ◽  
Antipsychotic Medication ◽  
Matched Control ◽  
Control Group ◽  
Men And Women ◽  
Matched Control Group ◽  
Black South African

Background: There is an increased prevalence of metabolic syndrome (MetS) in individuals with severe mental illness (SMI) globally. The prevalence of MetS is higher in black women compared to black men from South Africa.Aim: To compare the prevalence of MetS between black South African men and women with SMI taking antipsychotic medication. Further, this prevalence was compared to the prevalence in a matched control group of black South African men and women without SMI. Setting: A general hospital psychiatric unit.Methods: A cross-sectional study was undertaken to compare the prevalence of MetS in a group of multi-ethnic participants with SMI treated with antipsychotic medication and a matched control group without SMI, applying the 2009 Joint Interim Statement (JIS) criteria. Here, we included only the black African participants to compare MetS prevalence between men and women.Results: There were 232 participants in the group with SMI (male 155 and female 77) and without SMI (male 156 and female 76). The prevalence of MetS was more than three times higher in women with SMI compared to men with SMI (37.7% vs. 10.3%, p < 0.001). There was no significant difference in the prevalence of MetS in men or women between the groups with and without SMI. In multivariate logistic regression analysis, female gender (odds ratio [OR] 7.66), advancing age (OR 1.08) and longer duration of illness (OR = 1.15) were significant risk factors for MetS in SMI.Conclusion: In black South Africans with SMI on antipsychotic medication, there is a higher prevalence and risk for MetS in women compared to men.

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