Treatment non-adherence pattern among persons with neuropsychiatric disorders: A study from a rural community mental health centre in India

2021 ◽  
pp. 002076402110084
Author(s):  
Sudhir Babu Sriramulu ◽  
Aravind Raj Elangovan ◽  
Mohan Isaac ◽  
Janaki Raman Kalyanasundaram
Keyword(s):  
Mental Health ◽  
Community Mental Health ◽  
Health Services ◽  
Treatment Adherence ◽  
Rural Community ◽  
Health Centre ◽  
Neuropsychiatric Disorders ◽  
Community Mental Health Centre ◽  
Mental Health Centre ◽  
Adherence Pattern

Background: Treatment gap causes significant loss to individuals, families, societies and the nation. Treatment adherence enhancement is a major challenge in psychiatric disorders. Globally, the community mental health services are obligated to minimize the treatment and adherence gap. In recent years’ retrospective studies are gaining importance to measure the trend of mental health service utilization, cost effectiveness, resources allocation and similar aspects. Aim: To explore the treatment adherence pattern of persons with neuropsychiatric illness from a rural community mental health centre. Method: Five hundred and ninety-six medical records of persons with neuropsychiatric disorders who registered for outpatient treatment between 2015 and 2017 at Sakalawara Rural mental health centre of National Institute of Mental Health and Neuro Sciences, Bangalore, India, were reviewed to understand their adherence pattern Results: Out of 596 patients, 68 (11.4%) were referred to tertiary care mental health and District Mental Health Programme (DMHP) services. Out of the remaining 528 patients, 29.7% were regular to mental health services over a period of 12 months and above; majority of the patients (36.2%) dropped out of their treatment after their first contact and 34.1% discontinued their follow up visits over a period of first week to 12 months. Conclusion: Community based mental health centres too face challenges of and problems related to treatment non-adherence. Persons with neuropsychiatric disorders require continuity of care through regular home visits, out-reach services and innovative methods which will enhance treatment adherence.

The Role of the Occupational Therapist in a Community Mental Health Centre in Greece

1986 ◽  
Vol 49 (12) ◽  
pp. 389-391 ◽  
Author(s):  
I Tsipra ◽  
P Voutsina ◽  
E Charitaki ◽  
V Tomaras ◽  
A Kapsali ◽  
...  
Keyword(s):  
Mental Health ◽  
Community Mental Health ◽  
Health Centre ◽  
Occupational Therapist ◽  
Community Mental Health Centre ◽  
Rehabilitation Unit ◽  
Care Programme ◽  
Mental Health Centre ◽  
Schizophrenic Patients

This article deals with a developing rehabilitation unit for mentally ill people, mostly chronic schizophrenic patients, which has been integrated into the Community Mental Health Centre of two Athenian boroughs. The unit includes a day care programme, a vocational training workshop and a social therapeutic club. All these programmes have been developed for the first time in Greece at a certain community level. The authors describe the rationale and the structure of the rehabilitation unit and the role of the occupational therapist.

Multidisciplinary or Nondisciplinary: Evaluation of Staff Functioning in a Community Mental Health Centre

1984 ◽  
Vol 18 (2) ◽  
pp. 172-178 ◽  
Author(s):  
Jerzy Krupnski ◽  
Lenora Lippmann
Keyword(s):  
Mental Health ◽  
Community Mental Health ◽  
Health Centre ◽  
Community Mental Health Centre ◽  
Staff Members ◽  
Active Involvement ◽  
Leading Role ◽  
Mental Health Centre ◽  
Community Roles

This paper describes the staffing aspects of an experimental community mental health centre (Melville Clinic). The different components of staff roles of members of a team consisting of different health professionals, crystallised during the three-year period with a shift from a ‘nondisciplinary’ to a ‘multidisciplinary’ approach, with preservation of ‘generalised’ and ‘specialised’, ‘clinical’ and ‘community’ roles of all staff members. The decision-making in the centre oscillated between group decisions by all staff members, and the acceptance of the leading role of the psychiatrist with the active Involvement of the test of the staff. This paper provides a model for multidisciplinary teamwork in community mental health centres.

Self-Referrals to a Community Mental Health Centre: A Three Year Study

1985 ◽  
Vol 147 (5) ◽  
pp. 540-544 ◽  
Author(s):  
Francoise M. Hutton
Keyword(s):  
Mental Health ◽  
Community Mental Health ◽  
Health Centre ◽  
Direct Access ◽  
Appropriate Use ◽  
Short Term ◽  
Community Mental Health Centre ◽  
Psychiatric Disturbance ◽  
Mental Health Centre

The records of all 53 clients who referred themselves to a community mental health centre in the first three years of its existence were studied retrospectively. These showed increasing and generally appropriate use of direct access for the relief of serious, often long-standing emotional distress. Self-referrals were much more often men than women, and some clients would probably not have been reached in any other way. The service seemed to reduce the local GPs' burden, at least subjectively. However, no-one presented with acute psychiatric disturbance or immediately impending breakdown. Any prevention achieved seems likely to be long-term rather than short-term.

Assessment of coping with stress in patients with schizophrenic in a Community Mental Health Centre, in Turkey

2020 ◽  
pp. 1-16
Author(s):  
Gulay Tasdemir Yigitoglu ◽  
Gulseren Keskin
Keyword(s):  
Mental Health ◽  
Community Mental Health ◽  
Health Centre ◽  
Demographic Variables ◽  
Community Mental Health Centre ◽  
Coping With Stress ◽  
Cross Sectional ◽  
Coping Methods ◽  
Mental Health Centre ◽  
Emotional Social Support

Abstract Objective: To assess schizophrenia patients’ approach toward coping with stress in terms of demographic variables. Methods: The cross-sectional descriptive study was conducted at the State Hospital Community Mental Health Centre, Turkey, from November 1, 2013, to April 30, 2014, and comprised patients diagnosed with schizophrenia. Data was collected using Sociodemographic Information Form, and the Coping Assessment Questionnaire Inventory. It was analysed using SPSS 18.  Results: Of the 53 patients, 14(26.4%) were females, and 39(73.5%) were males. The overall mean age was 38±10.66 years. Highest mean score was recorded for the emotion-focussed coping subscale which was 63.49±10.64. Female patients used emotional social support, focussing on problems and venting emotions techniques (p<0.05). Patients who did not use alcohol received higher scores from religious coping subscales, while patients who used alcohol scored higher from substance use and dysfunctional coping subscales (p<0.05). Conclusion: Most schizophrenia patients were found to be using emotion-focussed coping methods. Continuous....

Monitoring performance in a community mental health centre

1995 ◽  
Vol 8 (6) ◽  
pp. 38-41 ◽  
Author(s):  
Derek Milne ◽  
Simon Eminson ◽  
Heather Wood ◽  
Lillian Hamilton ◽  
Kevin Gibson
Keyword(s):  
Mental Health ◽  
Community Mental Health ◽  
Health Centre ◽  
Community Mental Health Centre ◽  
Mental Health Centre ◽  
Monitoring Performance
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