Expanding Our Perspectives on Interventions, Models of Delivery, and Clinical Care

2018 ◽  
pp. 211-236
Author(s):  
Alan E. Kazdin
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Low Cost ◽  
Clinical Care ◽  
Stepped Care ◽  
The Novel ◽  
Physical And Mental Health ◽  
Base Level

This chapter considers topics that can assist in reducing the burdens of mental illness beyond the novel models of delivery discussed previously. The topics include the utility of expanding our interventions to include “weak” interventions that are low cost but highly scalable, providing special attention to those whose burdens are particularly great, promoting interventions that can affect both physical and mental health, targeting transmechanisms and early pathways leading to multiple disorders, and improving the base level of health in society. Stepped care is discussed in relation to sequencing interventions as well as models of delivery.

Socio Demographic and Clinical Profile of Indoor Female Patients of RINPAS

2017 ◽  
Vol 8 (1) ◽  
pp. 33
Author(s):  
Rajni Suri ◽  
Anshu Suri ◽  
Neelam Kumari ◽  
Amool R. Singh ◽  
Manisha Kiran
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Mentally Ill ◽  
Mental Health Problems ◽  
Demographic Data ◽  
Relevant Information ◽  
Health Problems ◽  
High Rate ◽  
Physical And Mental Health ◽  
Cross Sectional

The role of women is very crucial in our society. She cares for her parents, partner, children and other relatives. She performs all types of duties in family and also in the society without any expectations. Because of playing many roles, women often face many challenges in their life including both physical and mental. Mental health problems affect women and men equally, but some problems are more common among women including both physical and mental health problems. Aim of the study - The present study is aimed to describe and compare the clinical and socio-demographic correlates of female mentally ill patients. Methods and Materials: The study includes 180 female mentally ill patients based on cross sectional design and the sample for the study was drawn purposively. A semi structured socio-demographic data sheet was prepared to collect relevant information as per the need of the study. Result: The present study reveals that the socio-demographic factors contribute a vital role in mental illness. Findings also showed that majority of patients had mental problems in the age range of 20-30 have high rate. Illiterate and primary level of education and daily wage working women as well as low and middle socio-economic status women are more prone to have mental illness. Other factors like marital status, type of family and religion etc also important factors for mental illness. Keywords: Socio demographic profile, female, psychiatric patient

scholarly journals Food for thought: the importance of nutritional well-being during COVID-19

2021 ◽  
pp. 1-6
Author(s):  
L. Burke-Furey ◽  
F. McNicholas
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Life Expectancy ◽  
Nutritional Status ◽  
Crucial Role ◽  
Well Being ◽  
Physical And Mental Health ◽  
Balanced Diet ◽  
Current Experience ◽  
Roll Out

Individuals with mental illness have poorer physical health, nutritional status, and lowered life expectancy. Optimising their physical and nutritional status has become an increasingly important therapeutic goal. Current experience with COVID-19 has further emphasised the susceptibility to physical illness and poorer outcomes amongst individuals with mental illness and those who are nutritionally compromised. Although life as we knew it has been suspended until the widespread roll-out of a vaccine, individuals can take immediate action to improve physical and mental health by attending to and optimising their nutritional well-being. Clinicians within mental health services have a crucial role to play in assisting such change, and reminding their patients of the importance of pursuing a healthy and balanced diet.

scholarly journals Prevalence and determinants of tobacco use amongst South African adults with mental illness in the Eastern Cape

2021 ◽  
Vol 27 ◽  
Author(s):  
Linda K. Tindimwebwa ◽  
Anthony I. Ajayi ◽  
Oladele V. Adeniyi
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
General Population ◽  
Tobacco Use ◽  
Depressive Disorders ◽  
Smoking Prevention ◽  
Eastern Cape ◽  
Physical And Mental Health ◽  
Cross Sectional ◽  
Tobacco Products

Background: Given the physical and mental health consequences of tobacco use amongst individuals with mental illness, it was imperative to assess the burden of tobacco use in this population.Aim: This study examined the patterns and factors associated with tobacco use in individuals attending the outpatient unit.Setting: Cecilia Makiwane Hospital Mental Health Department in Eastern Cape province, South Africa.Methods: Lifetime (ever use) use and current use of any tobacco products were examined in a cross-sectional study of 390 individuals between March and June 2020. A logistic regression was fitted to determine the correlates of lifetime and current use of any tobacco products.Results: The rates of ever use and current use of tobacco products were 59.4% and 44.6%, respectively. Of the participants interviewed, lifetime tobacco use was more prevalent amongst individuals with schizophrenia (67.9%) and cannabis-induced disorders (97.3%) and lower in those with major depressive disorders (36.1%) and bipolar and related disorders (43.5%). Men were six times more likely to have ever used or currently use tobacco products in comparison to women. Also, those who had a salaried job or owned a business were over three times more likely to have ever used or currently use tobacco products compared with those receiving government social grants.Conclusions: The prevalence of tobacco use in this study was significantly higher than the general population in the Eastern Cape. Therefore, smoking prevention and cessation interventions targeted at the general population should target this often neglected sub-population in the region.

scholarly journals Physical, cognitive and mental health impacts of COVID-19 following hospitalisation: a multi-centre prospective cohort study

2021 ◽  
Author(s):  
Rachael Andrea Evans ◽  
Hamish McAuley ◽  
Ewen M Harrison ◽  
Aarti Shikotra ◽  
Amisha Singapuri ◽  
...  
Keyword(s):  
Mental Health ◽  
Clinical Care ◽  
Acute Illness ◽  
Physical And Mental Health ◽  
White Ethnicity ◽  
Reactive Protein ◽  
Active Approach ◽  
Health Related ◽  
Biochemical Testing ◽  
The Impact

Background The impact of COVID-19 on physical and mental health, and employment following hospitalisation is poorly understood. Methods PHOSP-COVID is a multi-centre, UK, observational study of adults discharged from hospital with a clinical diagnosis of COVID-19 involving an assessment between two- and seven-months later including detailed symptom, physiological and biochemical testing. Multivariable logistic regression was performed for patient-perceived recovery with age, sex, ethnicity, body mass index (BMI), co-morbidities, and severity of acute illness as co-variates. Cluster analysis was performed using outcomes for breathlessness, fatigue, mental health, cognition and physical function. Findings We report findings of 1077 patients discharged in 2020, from the assessment undertaken a median 5 [IQR4 to 6] months later: 36% female, mean age 58 [SD 13] years, 69% white ethnicity, 27% mechanical ventilation, and 50% had at least two co-morbidities. At follow-up only 29% felt fully recovered, 20% had a new disability, and 19% experienced a health-related change in occupation. Factors associated with failure to recover were female, middle-age, white ethnicity, two or more co-morbidities, and more severe acute illness. The magnitude of the persistent health burden was substantial and weakly related to acute severity. Four clusters were identified with different severities of mental and physical health impairment: 1) Very severe (17%), 2) Severe (21%), 3) Moderate with cognitive impairment (17%), 4) Mild (46%), with 3%, 7%, 36% and 43% feeling fully recovered, respectively. Persistent systemic inflammation determined by C-reactive protein was related to cluster severity, but not acute illness severity. Interpretation We identified factors related to recovery from a hospital admission with COVID-19 and four different phenotypes relating to the severity of physical, mental, and cognitive health five months later. The implications for clinical care include the potential to stratify care and the need for a pro-active approach with wide-access to COVID-19 holistic clinical services. Funding: UKRI and NIHR

Health of Mind and Body

2019 ◽  
pp. 89-104
Author(s):  
Andrew E. Clark ◽  
Sarah Flèche ◽  
Richard Layard ◽  
Nattavudh Powdthavee ◽  
George Ward
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Life Satisfaction ◽  
Physical Illness ◽  
Physical And Mental Health ◽  
Mind And Body ◽  
External Causes

This chapter argues that both physical and mental health are hugely important for an enjoyable life. Illnesses of either type can be devastating. But the chapter asserts that mental illness explains more of the misery in society than physical illness does, and more than either poverty or unemployment. It also explains more of the variation in life-satisfaction. Moreover, mental illness in one generation is frequently transmitted to the next. But many existing studies of life-satisfaction ignore mental illness. Implicitly they assume that misery and mental illness are the same thing. However, the chapter argues that this is quite wrong. Many things can cause low life-satisfaction, some of them directly and others indirectly by causing mental illness. But there are also sources of mental illness that are uncorrelated with any of the obvious external causes like poverty, unemployment, separation, or bereavement.

scholarly journals Impact of Coronavirus Disease 2019 (COVID-19) Outbreak Quarantine, Isolation, and Lockdown Policies on Mental Health and Suicide

2021 ◽  
Vol 12 ◽  
Author(s):  
Balasankar Ganesan ◽  
Adel Al-Jumaily ◽  
Kenneth N. K. Fong ◽  
Palak Prasad ◽  
Surendra Kumar Meena ◽  
...  
Keyword(s):  
Mental Health ◽  
Social Stigma ◽  
Alcohol Withdrawal Syndrome ◽  
The Novel ◽  
Health Issues ◽  
Physical And Mental Health ◽  
Mental Health Issues ◽  
Huge Impact ◽  
Coronavirus Infection ◽  
Novel Coronavirus

The novel coronavirus disease (COVID-19) pandemic has made a huge impact on people's physical and mental health, and it remains a cause of death for many all over the world. To prevent the spread of coronavirus infection, different types of public health measures (social isolation, quarantine, lockdowns, and curfews) have been imposed by governments. However, mental health experts warn that the prolonged lockdown, quarantine, or isolation will create a “second pandemic” with severe mental health issues and suicides. The quarantined or isolated people may suffer from various issues such as physical inactivity, mental health, economic and social problems. As with the SARS outbreak in 2003, many suicide cases have been reported in connection with this current COVID-19 pandemic lockdown due to various factors such as social stigma, alcohol withdrawal syndrome, fear of COVID infection, loneliness, and other mental health issues. This paper provides an overview of risk factors that can cause suicide and outlines possible solutions to prevent suicide in this current COVID-19 pandemic.

From Podium to Pen and Paper: 72 Hour Hold as Commentary, Critique, and Catharsis

2016 ◽  
Author(s):  
Osizwe Raena Jamila Harwell
Keyword(s):  
Mental Health ◽  
Bipolar Disorder ◽  
Mental Illness ◽  
Health Disparities ◽  
Direct Relationship ◽  
Black Communities ◽  
The Novel ◽  
Major Work ◽  
Political Commentary ◽  
National Alliance

Chapter four considers the direct relationship between Campbell’s final novel, 72 Hour Hold, and her activist work with the NAMI-Urban LA. The novel is examined for Campbell’s recurring themes and for its socio-political commentary and emphasis on mental health disparities, coping with mental illness, and advocacy in black communities. It eventually becomes the top recommended reading for the National Alliance of Mental Illness. Campbell’s fictional account, and last major work before her death, bears striking resemblance to her own life and the challenges that emerged with her daughter Maia, upon the onset of bipolar disorder. 72-Hour Hold strategically extends the reach of Campbell’s activism by exposing the racial, economic, and social layers of mental illness to a broad audience.

Physical activity as an intervention in severe mental illness

2021 ◽  
pp. 1-10
Author(s):  
Aaron A. Kandola ◽  
David P. J. Osborn
Keyword(s):  
Mental Health ◽  
Physical Activity ◽  
Mental Illness ◽  
Physical Health ◽  
Severe Mental Illness ◽  
Routine Practice ◽  
Physical And Mental Health ◽  
Increased Risk ◽  
Physical Health Problems ◽  
Health Complications

SUMMARY Physical activity is a modifiable risk factor for several physical and mental health conditions. It is well established that people with severe mental illness have increased risk of physical health complications, particularly cardiovascular disease. They are also more likely to be physically inactive, contributing to the elevated cardiovascular and metabolic risks, which are further compounded by antipsychotic medication use. Interventions involving physical activity are a relatively low risk and accessible way of reducing physical health problems and weight in people with severe mental illness. They also have wider benefits for mental health symptoms and quality of life. However, many barriers still exist to the widespread implementation of physical activity interventions in the treatment of severe mental illness. A more concerted effort is needed to facilitate their translation into routine practice and to increase adherence to activity interventions.

A Confederacy of Dunces: mental illness in the life and work of John Kennedy Toole

2013 ◽  
Vol 19 (6) ◽  
pp. 467-469
Author(s):  
Abhijit Pal
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Paranoid Schizophrenia ◽  
Pulitzer Prize ◽  
The Novel ◽  
Societal Values ◽  
Mental Illness Attitudes ◽  
The 1960S ◽  
Illness Attitudes ◽  
The Relationship

SummaryThis article examines the life and work of John Kennedy Toole, focusing on his 1981 Pulitzer Prize winning novel A Confederacy of Dunces. Toole finished the novel in 1966 and, after failing to rework his manuscript to his editor's satisfaction, he shelved the project. Following this, he displayed symptoms typical of paranoid schizophrenia and he took his own life at the age of 31. In his novel, Toole parodies both psychoanalysis and the practice of psychiatry at the time, with a strong overlap with the emerging perspectives critical of psychiatry popularised by figures such as Szasz, Laing and Foucault. Toole's life and work have relevance for psychiatrists interested in the relationship between creativity and mental illness, attitudes towards psychiatry in the 1960s, and the interplay between societal values and judgements of mental health.

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