Supplemental Material for A 1-Year Prospective Study of Employment in People With Severe Mental Illnesses Receiving Public Sector Psychiatric Services in India

2021 ◽  
Vol 296 ◽  
pp. 113673
Author(s):  
Chitra Khare ◽  
Kim T. Mueser ◽  
Madhumita Bahaley ◽  
Sigal Vax ◽  
Susan R. McGurk

2021 ◽  
Author(s):  
Sudha Mishra ◽  
Sujita Kumar Kar

Abstract Background: Still, in a larger part of the world, people with mental illnesses first consult general practitioners (non-psychiatrist practitioners) to treat their mental illness. Many such patients seek psychiatric consultation with reluctance after being referred by general practitioners due to stigma. The study aimed to assess the attitude of general medical practitioners towards consultation-liaison psychiatric services.Methods: In this cross-sectional survey, a total of 61 general medical practitioners, specialists, and subspecialist physicians, surgeons from a city of North India were evaluated in a questionnaire which was designed based on previous studies and observations to assess their attitudes towards liaison psychiatric services.Findings: Nearly 98% of the general practitioners deal with the patient of psychiatric illness, out of which nearly 30% treat the patient of their own. Nearly 88% of practitioners referring a patient to psychiatrists. More than 90% of general practitioners reported psychiatric problems are associated with medical illness. More than 40%prescribe psychotropic medication, out of which benzodiazepine is the most commonly prescribed one. Depression is commonly encountered in general medical practice. More than 70% of practitioners are not comfortable prescribing psychotropic medications. About 16.39% of general practitioners faced difficulty in referring patients to a psychiatrist for various reasons. Conclusion: General practitioners treat many patients with psychiatric illness though they are not comfortable prescribing psychotropic medications.


1995 ◽  
Vol 166 (6) ◽  
pp. 802-805 ◽  
Author(s):  
Sube Banerjee ◽  
Kiki O'Neill-Byrne ◽  
Tim Exworthy ◽  
Janet Parrott

BackgroundContracting in psychiatric services from the NHS into prisons has been advocated to improve the care of the mentally disordered in custody. The Belmarsh Scheme is such a service.MethodA prospective study investigating the characteristics of a six-month cohort of remand prisoners requiring transfer to hospital and evaluating the service's effectiveness.ResultsFifty-three (4.3%; 95% CL 3.2% to 5.6%) of the 1229 new remands required transfer to hospital; all were accepted. The transfer group contained a higher proportion of black men (51%) than all other remands (30%) (difference 21%; 95% CL 8% to 35%, P = 0.002). Transfer times were lower than those reported for a neighbouring prison.ConclusionsThe Belmarsh Scheme secured in-patient psychiatric care rapidly for all those identified as needing it.


2011 ◽  
Vol 26 (S2) ◽  
pp. 45-45 ◽  
Author(s):  
M. Ballbè ◽  
G. Nieva ◽  
S. Mondon ◽  
C. Pinet ◽  
E. Bruguera ◽  
...  

IntroductionMortality and morbidity due to smoking in people with mental illnesses are higher than in the general population. However, smoking continues to be allowed in psychiatric premises of many countries despite being prohibited in workplaces including health care services.ObjectiveTo describe tobacco control strategies undertaken in psychiatric inpatient services and day centers in Catalonia.AimsTo study tobacco control strategies in psychiatric services in order to identify unmet needs.MethodsA cross-sectional study including all psychiatric services offering public service in Catalonia (n = 192). The managers answered an on-line questionnaire with 24 items grouped in four dimensions: staff's training & commitment, clinical intervention, management of smoking areas, and communication of smoke-free policies.Results186 of the managers (96.9%) responded to the questionnaire. Results showed low levels of implementation of tobacco control strategies, especially in the training and intervention dimensions. 41.0% of the services usually intervened in their patients’ tobacco use but an overall 65.9% didn’t have pharmacotherapy for smoking cessation available. 47.3% of the managers stated that their staff had not enough knowledge on smoking cessation interventions. 38.9% of the services had smoking indoor areas. Day Centers showed the lowest implementation of tobacco control measures while services belonging to the Network of Smoke-free Hospitals showed the highest implementation.ConclusionsCurrent Spanish partial law has failed to promote a desirable tobacco control in psychiatric services. There is a need to extend tobacco control policies, specifically in terms of smoking intervention and training, together with a higher availability of resources.


2012 ◽  
Vol 63 (2) ◽  
pp. 135-141 ◽  
Author(s):  
Martha Shumway ◽  
Jennifer Alvidrez ◽  
Mark Leary ◽  
Deborah Sherwood ◽  
Eric Woodard ◽  
...  

Author(s):  
T. K. Piskareva ◽  
S. N. Enikolopov

The review examines the mental illnesses most commonly found in individuals with gender identity disorders. The applicability of Meyer’s Minority Stress Model (1995) to explanation of the observed comorbidity is analyzed. In conclusion the need for increased attention to persons with gender identity disorders from psychological and psychiatric services is stated.


2002 ◽  
Vol 181 (4) ◽  
pp. 331-338 ◽  
Author(s):  
Alberto Rossi ◽  
Francesco Amaddeo ◽  
Giulia Bisoffi ◽  
Mirella Ruggeri ◽  
Graham Thornicroft ◽  
...  

BackgroundFew studies have investigated factors which predict inappropriate terminations (drop-out) of clinical contact with mental health services.AimsTo identify patient and treatment characteristics associated with dropping out of contact with community-based psychiatric services (CPS).MethodA 3-month cohort of patients attending the CPS was followed up for 2 years, to identify drop-outs.ResultsWe identified 495 patients who had had at least one psychiatric contact of whom 261 had complete ratings for the Global Assessment of Functioning and the Verona Service Satisfaction Scale. In the year after the index contact, 70 terminated contact with the CPS; of these, 44 were rated as having inappropriate terminations (the ‘drop-out’ group) and 26 had appropriate terminations of contact. Drop-outs were younger, less likely to be married and their previous length of contact with services was shorter. No drop-outs had a diagnosis of schizophrenia. Multivariate analysis revealed predictors of dropping out.ConclusionsIn a CPS targeted to patients with severe mental illnesses, those who drop out of care are younger patients without psychoses who are generally satisfied with their treatment.


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