scholarly journals Methodology for Development of a Community Level Intervention Module for Physical Illness in Persons with Mental Illness (CLIPMI)

2020 ◽  
Vol 42 (6_suppl) ◽  
pp. S94-S98
Author(s):  
Ramanujam Govindan ◽  
Thara Rangaswamy ◽  
Sujit John ◽  
Sunitha Kandasamy

Background and Objectives: Medical illnesses seen in persons with psychiatric disorders are important but often ignored causes of increased morbidity and mortality. Hence, a community level intervention program addressing the issue is proposed. Materials and Methods: Patients with severe mental illnesses will be identified by a door-to-door survey and assessed for comorbid physical illnesses like anemia, hypertension, diabetes, and so on. They will then be randomized into two groups. The treatment as usual (TAU) group will not receive intervention from the trained community level workers, while the Intervention group will receive it. Results: The two groups will be compared for the prevalence and severity of comorbid physical illnesses. The expected outcome is compared to the TAU group, the intervention group will have a greater reduction in the morbidity due to physical illnesses and improved mental health. Conclusion: If successful, the module can be incorporated into the community level mental health delivery system of the District Mental Health Program (DMHP).

2013 ◽  
Vol 14 (2) ◽  
pp. 84-88
Author(s):  
Thomas J. Blakely ◽  
Gregory M. Dziadosz

This article describes the process of the merger of two mental health agencies with a primary care physical health provider to establish within the merged structure an integrated behavioral and physical health delivery system. The purpose of this article is to share our experience with those administrators and staff of agencies planning an integration initiative of behavioral and physical health services.


1978 ◽  
Vol 13 (1) ◽  
pp. 29-35 ◽  
Author(s):  
C. E. Climent ◽  
M. V. Arango ◽  
R. Plutchik ◽  
C. A. Le�n

2019 ◽  
Vol 3 (1) ◽  
pp. 7-11
Author(s):  
Ahmad Guntur Alfianto ◽  
Ayu Safitri

AbstrakUsaha Kesehatan Sekolah Jiwa (UKSJ) merupakan suatu layanan kesehatan jiwa berbasis sekolah. Program UKSJ terdiri dari pengkajian terjadi tanda gejala gangguan jiwa, pendidikan kesehatan dan yang terakhir empowerment. Tujuan dari UKSJ iyalah meningkatkan pengetahuan dan perilaku siswa tentang gangguan jiwa. TujuanMenganalisis pengaruh UKSJ terhadap efikasi diri dalam mencari bantuan tanda gejala psikosis awal. Metode Penelitiananalisis eksperimen dengan pendekatan quasi experiment dan tekhnik total sampling pada siswa SMK di Bantur dengan menggunakan kuesioner General self efficacy (GSE). Hasilanalisis uji t berpasangan menunjukkan adanya perbedaan yang bermakna pada kelompok intervensi nilai (p=0.000) dan tidak ada perbedaan yang bermakna pada kelompok control (pedidikan kesehatan dengan leaflet) dengan nilai (p=0.805).Kesimpulan Terdapat pengaruh Usaha Kesehatan Sekolah Jiwa (UKSJ) terhadap efikasi diri remaja dalam mencari bantuan tanda gejala psikosis awal dan tidak terdapat penegaruh pada kelompok kontrol.Kata Kunci :Usaha Kesehatan Sekolah Jiwa, pengetahuan, mencari bantuan, tanda gejala psikosis awal.  AbstractSchool Mental Health (SMH) is a school-based mental health service. The School Mental Health program consists of assessing mental symptoms, health education and empowerment at the school. The purpose of SMH is to improve students' knowledge and behavior about mental disorders. The purpose of the study is to analyze the effect of SMH on Self efficacy in help seeking for adolescents with the symptoms of early psychosis. Research Methods is:  Analytical experiments with a quasi-experimental approach and sample techniques by using total sampling at 108 the students of Vocational High Schools (SMK) in Bantur Malang. The instruments using General Self Efficacy (GSE). The results of paired T test analysis showed an influence on the intervention group (School Mental Health) value (p = 0.000) and no influence on the control group (leaflet health education) with a value (p = 0, 805). Conclusion:  There is an effect of School Mental Health on Self efficacy in help seeking in adolescents with early psychosis symptoms of and there is no effect on the control group.    Keywords : School Mental Health, self efficacy, help seeking, early psychosis symptoms


2004 ◽  
Vol 19 (1) ◽  
pp. 79-85 ◽  
Author(s):  
Louis M. Najarian

AbstractThis paper describes a unique situation in which disaster intervention following a massive earthquake led to significant, uninterrupted, psychosocial benefits to the entire country, and an intervention program that continues to evolve. The mental health program initially provided service to the victims, and then, training to local professionals during which personnel simultaneously conducted clinical research. Members of the mental health team made a life-long commitment to the country, and continue their activities to expand its impact on public health policy. The difficult history and life circumstances of the Armenian people provided the opportunity for disaster interventions to have extensive psychosocial benefits.


2018 ◽  
Vol 5 (suppl_1) ◽  
pp. S14-S14 ◽  
Author(s):  
Kathryn Dalton ◽  
Kathy Ruble ◽  
Alexandra DeLone ◽  
Pam Frankenfield ◽  
Destiny Walker ◽  
...  

Abstract Background Animal-assisted interventions (AAI), the use of animals as a complementary therapy in holistic patient care, has shown many positive outcomes. However, therapy animals can serve as mechanical vectors of hospital-associated infections (HAI), e.g., methicillin-resistant Staphylococcus aureus (MRSA). This pilot study assessed for transmission of HAIs among therapy animals, patients, and the hospital environment. We tested the effectiveness of a novel decolonization protocol for therapy dogs to reduce the risk of transmission of HAIs and enhance AAI program sustainability. Our hypothesis was that HAI transmission occurs from positive child to child, with the dog as an intermediary fomite. Methods Before and after child–animal interaction, we sampled patients, dogs, and the environment, and collected vital statistics and survey data from patients. MRSA was detected in samples by culture and molecular testing. Therapy dog handlers performed normal pre-visit practices for 2 control visits, then switched to a decolonization protocol (chlorhexidine-based shampoo prior to the visit, and chlorhexidine wipes on the fur during the visit) for 2 intervention visits. Results We evaluated 45 children and 4 therapy dogs over 13 visits. Children had decreased blood pressure and heart rate, and reported improved mental health scores post visit. MRSA conversion was identified from 10.2% of the children and 38.5% of the dogs, while 93% of the environmental samples were MRSA positive both pre and post. Patients that interacted closely with the dog had 8.01 times higher odds (95% CI 1.1–15.2) of MRSA conversion compared with patients who barely interacted with the dog. When stratified by intervention group, the MRSA conversation odds ratio of close interaction was 0.93 (95% CI 0.1–10.8) when the dog was decolonized versus 9.72 (0.9–99) when not decolonized. Conclusion This study showed the potential for AAI visits to improve physiological and mental health of pediatric outpatients. A risk of HAI exposure to patients from interaction with the dog was found, but this effect was nullified by the decolonization procedure. Future research is needed to increase the safety of this valuable alternative therapy. Disclosures All authors: No reported disclosures.


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