Eventful past, stagnant present, and hopeful future: A time order analysis of experiences of homeless women with chronic mental illness residing in shelter care homes

2021 ◽  
pp. 002076402110601
Author(s):  
Febna Moorkath ◽  
Mysore Narasimha Vranda ◽  
Channaveerachari Naveen Kumar
Keyword(s):  
Mental Illness ◽  
Psychiatric Rehabilitation ◽  
Homeless Women ◽  
Care Homes ◽  
Chronic Mental Illness ◽  
Voluntary Organizations ◽  
Current Trends ◽  
Past Experiences ◽  
Pathways To Homelessness ◽  
Present Life

Background: In developing countries like India, many women with mental illness are residing in shelter care homes (SCHs) without their wish. SCHs are residential facilities provided to the socially and economically backward women for free of cost. These facilities are funded by government or voluntary organizations. Aim: To understand the living experiences of homeless women with chronic mental illness (HWCMI) admitted in SCHs. Method: This article highlights learning from a qualitative study, 17 HWCMI participated in the research. Along with their past experiences, present life, and expectations in the future, other socio-demographic details also recorded. Qualitative data were analyzed using thematic analysis approach with the Atlas ti-8 software. Findings: Three main themes were emerged from the analysis such as ‘Eventful past’, ‘Stagnant present’, and ‘Hopeful future’. The theme ‘Eventful past’ shows clear pathways to homelessness. ‘Stagnant present’ reflects upon trapped present life and their concerns and care-related aspects. The final theme, ‘hopeful future’, depicts strong hope in future and readiness for changing their living situations. The findings are discussed in the background of current trends in psychiatric rehabilitation and what is lacking in the Indian context. Conclusion: This study attempts to unveil the gender-specific and person-centric explanations of experiences associated with the combination of homelessness and mental illness.

scholarly journals Counseling of Patients with Severe Psychiatric Conditions and Referral to Smoking Cessations Programs

2021 ◽  
Vol 2 (3) ◽  
pp. 164-166
Author(s):  
Mariwan Husni ◽  
Mazin Burhan ◽  
Mohamed Mazin
Keyword(s):  
Mental Illness ◽  
Smoking Cessation ◽  
General Population ◽  
Smoking Status ◽  
Psychiatric Rehabilitation ◽  
Smoking Cessation Program ◽  
Chronic Mental Illness ◽  
Quit Smoking ◽  
Number Of Patients ◽  
Clinical Records

Background: Cigarette smoking and Nicotine dependence are highly prevalent in patients with severe and chronic mental illness. Psychiatric patients consume more cigarettes than general population. Smokers with chronic mental illness can quit smoking with appropriate intervention by smoking cessations programs. These patients can benefit from pharmacotherapy, but consideration should be given for possible interaction with patients’ psychiatric medications. Tobacco use and dependence need to be formally documents on electronic medical records and be offered a referral to smoking cessations programs. Method: All patients in a community rehabilitation service ward in Northwest London were interviewed to identify the type, quantity, and duration of their tobacco. Their electronic clinical records were reviewed to confirm their age, ICD 10 Primary Diagnosis, ICD10 Tobacco dependence diagnosis, medications they take, record of ECG tests and presence of cardiopulmonary problems. Then their records were checked if they were given advice regarding their smoking habit, desire to quit smoking and agreement to be referred to a smoking cessation program. Results and Discussion: Half of the total number of patients in the community psychiatric rehabilitation were cigarette smokers. Majority of the smokers had history of polysubstance abuse. Recording of current smoking status were not regularly update. Patients who had recorded status of being a smoker were all referred to a smoking cessation program and majority had counseling by the healthcare professionals in their unit. Attending the smoking cessation program in those patients have as good outcomes as general population. Conclusions: A substantial number of patients in psychiatric rehabilitation units smoke cigarettes. If their smoking status is accurately documented, they would be referred to a formal smoking cessation program.

scholarly journals Lives without Roots: Institutionalized Homeless Women with Chronic Mental Illness

2018 ◽  
Vol 40 (5) ◽  
pp. 476-481 ◽  
Author(s):  
Febna Moorkath ◽  
Mysore Narasimha Vranda ◽  
Channaveerachari Naveenkumar
Keyword(s):  
Mental Illness ◽  
Homeless Women ◽  
Chronic Mental Illness

Review of Resident's Guide to Treatment of People with Chronic Mental Illness.

1993 ◽  
Vol 38 (12) ◽  
pp. 1337-1337
Author(s):  
Terri Gullickson ◽  
Pamela Ramser
Keyword(s):  
Mental Illness ◽  
Chronic Mental Illness

Social Networks and Chronic Mental Illness: A Test of Four Perspectives

1997 ◽  
Vol 44 (2) ◽  
pp. 200-216 ◽  
Author(s):  
Sarah Rosenfield ◽  
Suzanne Wenzel
Keyword(s):  
Social Networks ◽  
Mental Illness ◽  
Chronic Mental Illness

Can we measure need in the homeless mentally ill? Using the MRC Needs for Care Assessment in hostels for the homeless

1992 ◽  
Vol 22 (4) ◽  
pp. 1027-1034 ◽  
Author(s):  
Lorna I. Hogg ◽  
Max Marshall
Keyword(s):  
Mental Illness ◽  
Mentally Ill ◽  
Standardized Assessment ◽  
Rehabilitation Services ◽  
Chronic Mental Illness ◽  
Needs For Care ◽  
Homeless Mentally Ill ◽  
Care Assessment

SynopsisHostels for the homeless contain many who are disabled by chronic mental illness but have little access to rehabilitation services. One approach to solving this problem might be to measure the needs of hostel residents in a standardized way and use this information as a basis for planning interventions. This study attempted to use the MRC Needs for Care Assessment Schedule to measure the needs of 46 mentally ill residents of Oxford hostels. It aimed to determine if a standardized assessment could be used in these difficult settings and if the needs it identified could form a useful basis for planning future interventions. Although it was possible to use the schedule, and although the pattern of need identified appeared broadly to reflect conditions in the hostels, it was not felt that the information produced was of sufficient quality to assist in planning services. The authors postulate that underlying this deficiency is the failure of the schedule to take sufficient account of the views of staff and residents.

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