scholarly journals Development of a Supported Education Program for Students with Severe Mental Disorders in India

2020 ◽  
pp. 025371762097156
Author(s):  
Sadananda Reddy Annapally ◽  
Aarti Jagannathan ◽  
Thomas Kishore ◽  
Muralidhar Daliboyina ◽  
Channaveerachari Naveen Kumar
Keyword(s):  
Mental Health ◽  
Mental Disorders ◽  
Mental Health Professionals ◽  
Education System ◽  
Education Program ◽  
Educational Aspirations ◽  
Realist Review ◽  
Well Being ◽  
Severe Mental Disorders ◽  
Supported Education

Background: The onset of severe mental disorders (SMDs) is during adolescence or young adulthood, which affects the well-being and the educational aspirations of the students. Models of supported education practiced in the West are not culturally suitable for Indian students or the Indian education system. This study aimed to develop a Supported Education Program (SEP) for students with SMDs to help them with academic reintegration in an Indian context. Methods and Material: To develop the SEP, a realist review was done, followed by an in-depth interview with eight mental health professionals (MHP) and nine lecturers, using a validated interview script. After each interview, interim analysis and modifications were done to improve the rigor of the interview. After all interviews, the SEP was circulated for a second round of iteration for consensual validation by four mental health experts. The outcome of the entire process was the final version of SEP for students with SMDs. Results: The final SEP had two broad themes and 18 subthemes from the qualitative thematic analysis: theme 1 included issues and strategies relevant to the client or caregivers, and theme 2 was pertinent to the education system. Conclusion: The SEP developed and validated for people with SMDs has distinctive components: one for the individual and caregiver and the other for the educational system.

scholarly journals Factors influencing medication adherence among patients with severe mental disorders from the perspective of mental health professionals

2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Mengjie Deng ◽  
Shuyi Zhai ◽  
Xuan Ouyang ◽  
Zhening Liu ◽  
Brendan Ross
Keyword(s):  
Mental Health ◽  
Medication Adherence ◽  
Mental Disorders ◽  
Qualitative Study ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Hunan Province ◽  
Severe Mental Disorders ◽  
Qualitative Approaches ◽  
Factors Influencing

Abstract Background Medication adherence is a common issue influenced by various factors among patients with severe mental disorders worldwide. However, most literature to date has been primarily quantitative and has focused on medication adherence issue from the perspective of patients or their caregivers. Moreover, research focused on medication adherence issue in China is scarce. Present study aims to explore the influential factors of medication adherence among patients with severe mental disorders form the perspective of mental health professionals in Hunan Province, China. Methods A qualitative study was performed in Hunan Province, China with 31 mental health professionals recruited from October to November 2017. And semi-structured interviews or focus group interviews were conducted along with audio recordings of all interviews. Interview transcripts were then coded and analyzed in Nvivo software with standard qualitative approaches. Results Three major themes influencing medication adherence among patients with severe mental disorders were identified as: (1) attitudes towards mental disorder/treatment; (2) inadequate aftercare; (3) resource shortages. Conclusions This qualitative study identified the factors influencing medication adherence among patients with severe mental disorders in China. As a locally driven research study, it provides practical advice on medication adherence promotion for mental health workers and suggests culturally tailored models that improve the management of patients with severe mental disorders in order to reduce economic burden on individual and societal level.

scholarly journals Promotion of Human Rights in Mental Health – Youth’s Perspective

2017 ◽  
Vol 5 (1) ◽  
Author(s):  
Yamini Gowda P.C ◽  
Sandra Sunitha Lobo
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Human Rights ◽  
Mental Disorders ◽  
Mental Health Care ◽  
Mental Health Professionals ◽  
Health Sector ◽  
Well Being ◽  
Health Facilities ◽  
Quality Health Care

There exists a global human rights emergency in mental health. The stigma, myths and misconceptions associated with mental disorders negatively affect the lives of people with mental disorders leading to denial of even the most basic human rights. Worldwide, people with mental disabilities experience an ambit of human rights violations. They are denied access to basic mental health care and treatment. They are not only discriminated against and stigmatized but are also subjected to abuse in both mental health facilities and the community. Several violations in community-based mental health care go unreported. Victims of discrimination are particularly vulnerable to restrictions in economic, social and cultural rights that make it difficult to be integrated into mainstream society. A sense of alienation can affect a person’s dignity and self-esteem, which is detrimental to one’s well-being. A qualitative approach was employed to understand the role of youth in promoting and protecting human rights in mental health. A Focus Group Discussion was done on a sample of 10 respondents who willing first BA students of Psychology – 2 males and 8 females aged 18–20 years. Results were analyzed using narratives. The objectives were to understand the threats to dignity in mental health care and ways to promote it. It was expressed that mental health inequalities lie even outside the health sector and thus inter-sectoral action is required to redress the issue. It was advocated to raise mental health issues on the agenda of political, religious and community arenas. Health facilities ought to be person-centred, privacy maintained, equitable and equal. The study has implications for mental health professionals to be more humane and ethical in practice and improve quality health care. Besides, mental health literacy should be imparted at various levels of education.

Does the use of coercion improve the outcome of patients with severe mental disorders?

2016 ◽  
Vol 33 (S1) ◽  
pp. S22-S22
Author(s):  
M. Luciano
Keyword(s):  
Mental Health ◽  
Mental Disorders ◽  
Mental Health Professionals ◽  
Psychiatric Symptoms ◽  
Negative Impact ◽  
Good Clinical Practice ◽  
Severe Mental Disorders ◽  
Coercive Measures ◽  
Competing Interest ◽  
Negative Feelings

Coercive measures have always been part of the psychiatric armamentarium; however, the clinical and ethical dilemma between the use of a “therapeutic” coercion and the loss of patients’ dignity is one of the most controversial issues in mental health practice. According to International guidelines, coercive measures should be adopted only when all the other less restrictive approaches failed and should be considered as the “last restrictive alternative”. Although coercive measures are frequently used to manage patients’ aggressive behaviors and self-harm, refusal of medication and impulsivity, their effect on patients’ outcome is not clear. In fact, the use of coercive measures can reduce patients’ aggressiveness and improve psychiatric symptoms, but can also have a negative impact in terms of therapeutic relationship, engagement with mental health services and self-stigma, arising negative feelings on patients and on mental health professionals. International attempts have been made to improve and harmonize the use of involuntary treatments. Recommendations of good clinical practice on the use of coercive involountary treatments and forced medications have been proposed by the EUNOMIA consortium, and the effect of coercion on the outcome of patients with severe mental disorders have been described. Results of this study will be reported as well as lessons learnt from other international experiences.Disclosure of interestThe author has not supplied his declaration of competing interest.

A descriptive study of the prevalence of psychological distress and mental disorders in the Canadian population: comparison between low-income and non-low-income populations

2010 ◽  
Vol 30 (3) ◽  
pp. 148-149 ◽  
Author(s):  
J. Caron ◽  
A. Liu
Keyword(s):  
Mental Health ◽  
Substance Abuse ◽  
Psychological Distress ◽  
Mental Disorders ◽  
Low Income ◽  
Well Being ◽  
Descriptive Study ◽  
Canadian Community Health Survey ◽  
Vulnerable Groups ◽  
High Psychological Distress

Objective This descriptive study compares rates of high psychological distress and mental disorders between low-income and non-low-income populations in Canada. Methods Data were collected through the Canadian Community Health Survey – Mental Health and Well-being (CCHS 1.2), which surveyed 36 984 Canadians aged 15 or over; 17.9% (n = 6620) was classified within the low-income population using the Low Income Measure. The K-10 was used to measure psychological distress and the CIDI for assessing mental disorders. Results One out of 5 Canadians reported high psychological distress, and 1 out of 10 reported at least one of the five mental disorders surveyed or substance abuse. Women, single, separated or divorced respondents, non-immigrants and Aboriginal Canadians were more likely to report suffering from psychological distress or from mental disorders and substance abuse. Rates of reported psychological distress and of mental disorders and substance abuse were much higher in low-income populations, and these differences were statistically consistent in most of the sociodemographic strata. Conclusion This study helps determine the vulnerable groups in mental health for which prevention and promotion programs could be designed.

Attachment, Well-Being, and Religious Participation Among People with Severe Mental Disorders

2004 ◽  
Vol 7 (2) ◽  
pp. 13-25 ◽  
Author(s):  
Michele A. Schottenbauer ◽  
Roger D. Fallot ◽  
Christine L. Tyrrell
Keyword(s):  
Mental Disorders ◽  
Well Being ◽  
Religious Participation ◽  
Severe Mental Disorders

Quality of service and commitment to tobacco dependence treatment for individuals living with mental disorders in France: A pilot study

2021 ◽  
pp. 002076402110429
Author(s):  
João M Castaldelli-Maia ◽  
Priscila D Gonçalves ◽  
Danielle R Lima ◽  
Helena F Moura ◽  
Gisèle Apter
Keyword(s):  
Mental Health ◽  
Quality Of Service ◽  
Pilot Study ◽  
Mental Disorders ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Tobacco Dependence ◽  
Treatment Quality ◽  
Tobacco Treatment

Background: There are remarkably high smoking rates in patients living with mental disorders (PLWMD), and the absence of a specific treatment policy for smoking cessation for these patients worldwide. The present study aimed to (i) investigate the quality of service and commitment to tobacco dependence treatment, and (ii) produce high-quality French versions of the Index of Tobacco Treatment Quality (ITTQ) and Tobacco Treatment Commitment Scale (TTCS). Methods: ITTQ and TTCS were used to assess French mental health professionals ( n = 80). Both scales were translated from their original language following standard procedures (i.e. forward translation). Descriptive analysis for total score, each factor and item were calculated for the entire sample, followed by subgroup analysis by gender, and role of the practitioner. Results: Nurses presented higher levels of both treatment commitment and treatment quality in their mental health care units, compared to psychiatrists, and residents. Overall, counseling offering was low and there was a perception that it is unfair to take tobacco away from PLWMD. In the other hand, there were high levels of smoking assessment and perceptions that nicotine dependence should be included in drug treatment programs. Conclusions: There is a gap in tobacco treatment implementation for French PLWMD. The present pilot study alerts about the problem, and should stimulate larger studies validating such measures for wide use with French-speaking mental health professionals. French nurses presented higher levels of both treatment commitment and quality, and could be in a leadership position for such implementation. Encouraging the implementation of tobacco counseling within conventional mental health treatment is critical to improve cessation rates among this population. There is a potential for the sustainability of tobacco treatment interventions since the levels of commitment observed here were higher than in previous studies conducted abroad.

scholarly journals Public recognition of mental disorders and beliefs about treatment: changes in Australia over 16 years

2012 ◽  
Vol 200 (5) ◽  
pp. 419-425 ◽  
Author(s):  
Nicola J. Reavley ◽  
Anthony F. Jorm
Keyword(s):  
Mental Health ◽  
Health Literacy ◽  
Mental Disorders ◽  
Mental Health Professionals ◽  
National Survey ◽  
Health Professionals ◽  
Mental Health Literacy ◽  
Public Recognition ◽  
Similar Survey ◽  
Treatment Changes

BackgroundA 1995 Australian national survey of mental health literacy showed poor recognition of disorders and beliefs about treatment that differed from those of health professionals. A similar survey carried out in 2003/4 showed some improvements over 8 years.AimsTo investigate whether recognition of mental disorders and beliefs about treatment have changed over a 16-year period.MethodA national survey of 6019 adults was carried out in 2011 using the same questions as the 1995 and 2003/4 surveys.ResultsResults showed improved recognition of depression and more positive ratings for a range of interventions, including help from mental health professionals and antidepressants.ConclusionsAlthough beliefs about effective medications and interventions have moved closer to those of health professionals since the previous surveys, there is still potential for mental health literacy gains in the areas of recognition and treatment beliefs for mental disorders. This is particularly the case for schizophrenia.

scholarly journals Características sociodemográficas de las personas admitidas en un centro hospitalario psiquiátrico alemán: un estudio retrospectivo.

2020 ◽  
pp. 4-10
Author(s):  
Blanca Patricia Silva-Barrera ◽  
Rocio Juliá-Sanchis ◽  
Andrés Montoyo-Guijarro ◽  
Rosa Requena-Morales
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Substance Abuse ◽  
Retrospective Study ◽  
Mental Disorders ◽  
Psychiatric Hospital ◽  
Psychiatric Symptoms ◽  
Clinical History ◽  
Severe Mental Disorders ◽  
Salud Mental

Resumen En los últimos años se han suscitado cambios en la salud mental de las personas, debido a las diversas problemáticas sociodemográficas actuales. Se requiere de la exploración de los acontecimientos que causan síntomas psiquiátricos en las personas con necesidad de ingreso y hospitalización. Es por eso que se realizó este estudio retrospectivo sobre 1.593 historias clínicas del hospital psiquiátrico Main-Kinzig-Kreis Schlüchtern en Alemania durante el período 2000-2014 en pacientes de 18 a 69 años. Se identificó como motivo de ingreso a un 37.16% de personas como pacientes con síntomas agudos, una relación con consumos de sustancias provocadas por adicciones en un 41.62% y el trastorno depresivo en un 28.75%. Se detecta la descompensación de trastornos mentales graves en 27.05%, en donde el 34.71% de los pacientes fueron derivadas desde otros dispositivos asistenciales y el 32.89% decidió ingresar por sí mismo. El perfil del paciente ingresado es de ser hombre entre 41-50 años, casado o con pareja, derivado por recurso asistencial relacionado con la descompensación de un trastorno mental grave. Abstract In recent years, changes have occurred in people's mental health due to various current socio- demographic issues. The exploration of the events that cause psychiatric symptoms in people who need admission and hospitalization is required. That is why this retrospective study was conducted on 1.593 clinical history from the Main-Kinzig-Kreis Schlüchtern psychiatric hospital in Germany during the period 2000-2014 in patients aged 18 to 69. A total of 37.16% of the patients were identified as having acute symptoms, 41.62% as having substance abuse due to addiction and 28.75% as having a depressive disorder. Decompensation of severe mental disorders was detected in 27.05%, where 34.71% of the patients were referred from other care devices and 32.89% decided to be admitted on their own. The profile of the admitted patient is a man between 41-50 years old, married or with a partner, referred to the psychiatric hospital for health care resources due to a decompensation of some serious mental disorder.

scholarly journals Do carers care for themselves? A population-based study

2019 ◽  
Vol 4 (3) ◽  
Author(s):  
Foteini Tseliou ◽  
Mark Atkinson ◽  
Shantini Paranjothy ◽  
Pauline Ashfield-Watt
Keyword(s):  
Mental Health ◽  
Mental Disorders ◽  
Health Behaviour ◽  
Dietary Habits ◽  
Common Mental Disorders ◽  
Smoking Status ◽  
Health Behaviours ◽  
Well Being ◽  
Self Report ◽  
Informal Carer

Background Informal caregiving has become an integral part of many societies, however there is increasing concern about the well-being of carers and how they manage their care-related responsibilities in conjunction with their health and mental health. Previous studies have reported mixed results with some proposing that carers are intrinsically healthier. Aims To explore the association between different levels of caregiving and health behaviours and mental health status. Methods Data were collected through HealthWise Wales (HWW) and linked to healthcare records (N=27,455). These included self-reported data on level of caring responsibilities (0;1-19;20-49;50+ hours per week), whether or not they left employment due to their caring role, mental health using the short Mental Health Inventory (MHI-5) and health behaviour data on smoking status, physical activity and dietary habits. Data on current diagnosis of Anxiety and Depression were drawn from linked healthcare records. Separate logistic regression models adjusted for age, gender and socio-economic status were fitted to assess the association between intensity of caring responsibility and each mental health and health behaviour outcome. Results Of the 14,451 HWW participants who had complete records, 3,856 (26.7%) reported being an informal carer. Intense carers (20-49 hours per week) were more likely to be physically inactive (OR:1.27, 95%CI:1.04-1.56), smoke cigarettes (OR:1.49, 95%CI:1.11-2.00) and eat unhealthily (OR:1.48, 95%CI:1.13-1.93). They were more also likely to self-report (OR:1.87, 95%CI:1.51-2.32) or have a diagnosis of depression or anxiety (OR:1.57, 95%CI:1.26-1.97). Other levels of caregiving intensity also demonstrated the above associations. Carers who had given up work to care were more likely to be smokers and have common mental disorders. Conclusion Being an informal carer is associated with unhealthy behaviours and common mental disorders, with a gradient effect dependent on the level of caregiving activity. New interventions that can support carers to improve their health and wellbeing are urgently needed.

scholarly journals An Overview of International Literature on School Interventions to Promote Mental Health and Well-being in Children and Adolescents

2015 ◽  
Vol 11 (1) ◽  
pp. 16-20 ◽  
Author(s):  
Mauro Giovanni Carta ◽  
Teresa Di Fiandra ◽  
Lorenzo Rampazzo ◽  
Paolo Contu ◽  
Antonio Preti
Keyword(s):  
Mental Health ◽  
Mental Disorders ◽  
Children And Adolescents ◽  
Mental Health Problems ◽  
Well Being ◽  
Childhood And Adolescence ◽  
International Literature ◽  
Special Issue ◽  
School Interventions ◽  
Health And Wellbeing

Introduction:Mental disorders are the largest cause of the burden of disease in the world. Most of the burden affecting adult life has its onset during childhood and adolescence. The European Pact for Mental Health and Wellbeing calls for immediate action and investments in the mental health of children and adolescents. Schools may be the ideal location for promoting health and delivering healthcare services, since schools are a location where young people usually spend their daytime and socialize, schools are easily accessible to families, can provide non-stigmatizing health actions, and form links with the community.Aims and Goals of this Special Issue:This issue is developed within the framework of the Joint Action on Mental Health promoted by the European Commission. This special issue presents a set of systematic reviews on the evidence of the international literature on school interventions for the promotion of the mental health and wellbeing of children and adolescents. It is focused on five topical main areas: promoting general health and wellbeing; programs targeting specific mental disorders and conditions and integration of adolescents with mental health problems; Bullying; Sport; Alcohol and Drugs. An additional paper on the results of the largest epidemiological study conducted in some European countries on the prevalence and relative risk factors of mental disorders in school-age completes the issue.Conclusion:These reviews are a first contribution to address future European research and interventions, in particular about the multiple ways through which European policies could support the schooling and wellbeing of children and adolescents.

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