Triaging Psychiatric Care: Risk Assessment Construction and Validation for Washington’s Involuntary Treatment and Forensic Commitment Populations

2016 ◽  
Vol 61 (15) ◽  
pp. 1682-1700 ◽  
Author(s):  
Alex Kigerl ◽  
Zachary Hamilton
Keyword(s):  
Mental Health ◽  
Risk Assessment ◽  
Mental Illness ◽  
Psychiatric Care ◽  
Predictive Performance ◽  
Involuntary Treatment ◽  
Forensic Patients ◽  
Mental Health Patients ◽  
Competency Evaluation ◽  
Static Risk

There is a growing need in Washington to triage patients being considered for inpatient treatment. There has previously been no risk assessment normed to persons with mental illness in the State of Washington. The Static Risk Assessment (SRA) is used in Washington to assess risk among offenders under State Department of Corrections supervision. The present study sought to create and validate a new risk assessment, the SRA for Mental Health Patients (SRA-MHP), for two mental health populations in Washington. A sample of 16,289 patients involuntarily committed due to being deemed dangerous or gravely disabled, as well as a sample of 8,713 forensic patients undergoing a competency evaluation to stand trial after being charged with a crime, was gathered to assess the utility in applying the SRA-MHP to persons with mental illness. Results indicate that the SRA-MHP has high predictive performance for these samples.

scholarly journals Experience of stigma among Chinese mental health patients in Hong Kong

2004 ◽  
Vol 28 (12) ◽  
pp. 451-454 ◽  
Author(s):  
K. F. Chung ◽  
M. C. Wong
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Hong Kong ◽  
Mental Health Professionals ◽  
Health Care Professionals ◽  
Mental Health Problems ◽  
Chinese People ◽  
The People ◽  
Mental Health Patients ◽  
Stigma Of Mental Illness

Aims and MethodThe study was intended to rectify the lack of data on how Chinese people experience the stigma of mental illness. A questionnaire on perceived stigmatisation, experiences of rejection and ways of coping with stigma was completed by 193 persons attending a psychiatric out-patient clinic in Hong Kong.ResultsMost of the participants were aware of the stigma associated with mental illness, but experiences of rejection were relatively less frequent. Eleven per cent of the respondents indicated that they were neglected by health care professionals and 8% had been avoided by family members. The most frequently reported coping method was maintaining secrecy about the illness.Clinical ImplicationsIn China, people with mental health problems experience stigma in various degrees. However, some of the people surveyed expressed feelings of relief that others were supportive and sympathetic towards their illness. Mental health professionals should maintain optimism in helping their patients to cope with the stigma.

scholarly journals Licensing and Physician Mental Health: Problems and Possibilities

2007 ◽  
Vol 93 (2) ◽  
pp. 6-11
Author(s):  
Herbert Hendin ◽  
Charles Reynolds ◽  
Dan Fox ◽  
Steven I. Altchuler ◽  
Phillip Rodgers ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Medical Care ◽  
Help Seeking ◽  
Psychiatric Care ◽  
Mental Health Problems ◽  
Health Related ◽  
Seeking Help ◽  
Medical License

ABSTRACT A number of factors appear to discourage physicians from seeking help for mental illness. This reluctance may be exacerbated by fears – well-founded or imagined – that by seeking help, physicians may put their medical license in jeopardy. To examine this risk, an analysis of all state medical board (SMB) license applications was followed by a seven-item survey mailed to SMB executive directors, and 70 percent responded. Follow up interviews were conducted with a sample of those not responding and also with a small group of directors whose responses were problematic. Thirteen of the 35 SMBs responding indicated that the diagnosis of mental illness by itself was sufficient for sanctioning physicians. The same states indicated that they treat physicians receiving psychiatric care differently than they do physicians receiving medical care. In follow-up interviews all 13 indicated that without evidence of impairment or misrepresentation any such sanctioning was likely to be temporary. A significant percentage (37 percent) of states sanction or have the ability to sanction physicians on the basis of information revealed on the licensing application about the presence of a psychiatric condition rather than on the basis of impairment. The same percentage state they treat physicians receiving psychiatric care differently than they do those receiving medical care. Physicians’ perceptions of this apparent discrimination is likely to play a role in their reluctance to seek help for mental health-related conditions. Suggestions are made for how SMBs and state physician health programs and state and county medical societies might collaborate in ways that while protecting patients decreases barriers to physicians help seeking.

scholarly journals Contact with recovered peers: buffering disempowering service experiences and promoting personal recovery in serious mental illness

BJPsych Open ◽  
2019 ◽  
Vol 5 (6) ◽  
Author(s):  
Bronte McLeod ◽  
Denny Meyer ◽  
Greg Murray ◽  
Fiona Foley ◽  
Nev Jones ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Serious Mental Illness ◽  
Self Efficacy ◽  
Process Models ◽  
Future Research ◽  
Involuntary Treatment ◽  
Personal Recovery ◽  
Treatment Experience ◽  
Stigma Of Mental Illness

Background Mental health patients can experience involuntary treatment as disempowering and stigmatising, and contact with recovered peers is cited as important for countering stigma and fostering agency and autonomy integral to recovery. Aims To advance understanding of the interaction between involuntary treatment and contact with recovered peers, and explore hypothesised relationships to mechanisms of self-evaluation relevant to recovery. Method Eighty-nine adults diagnosed with serious mental illness completed items to assess involuntary treatment experience and the extent of prior contact with recovered peers, the Internalised Stigma of Mental Illness Scale, the Self-efficacy for Personal Recovery Scale, the Questionnaire about the Process of Recovery and relevant demographic and clinical scales. Results Contact with recovered peers was found to moderate the effects of involuntary treatment on internalised stigma. Sequential conditional process models (i.e. moderated mediation) then demonstrated that conditional internalised stigma (i.e. moderated by contact with recovered peers) mediated the indirect effect of involuntary treatment on recovery-specific self-efficacy, which in turn influenced recovery. Compared with those with low contact with recovered peers, recovery scores were 3.54 points higher for those with high contact. Conclusions Although study methods limit causative conclusions, findings are consistent with proposals that contact with recovered peers may be helpful for this patient group, and suggest this may be particularly relevant for those with involuntary treatment experience. Directions for future research, to further clarify measurement and conceptual tensions relating to the study of (dis)empowering experiences in mental health services, are discussed in detail.

scholarly journals Civil and forensic patients in secure psychiatric settings: A comparison

2017 ◽  
Vol 41 (3) ◽  
pp. 156-159 ◽  
Author(s):  
Nuwan Galappathie ◽  
Sobia Tamim Khan ◽  
Amina Hussain
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Clinical Implications ◽  
Treatment Needs ◽  
Forensic Patients ◽  
Adult Services ◽  
Frequent Episodes ◽  
Self Harm ◽  
Male Patients ◽  
The Uk

Aims and methodTo evaluate differences between male patients in secure psychiatric settings in the UK based on whether they are detained under civil or forensic sections of the Mental Health Act 1983. A cohort of patients discharged from a secure psychiatric hospital were evaluated for length of stay and frequency of risk-related incidents.ResultsOverall, 84 patients were included in the study: 52 in the forensic group and 32 in the civil group. Civil patients had more frequent incidents of aggression, sex offending, fire-setting and vulnerability, whereas forensic patients had more frequent episodes of self-harm.Clinical implicationsSecure hospitals should ensure treatment programmes are tailored to each patient's needs. Civil patients require greater emphasis on treatment of their mental illness, whereas forensic patients have additional offence-related treatment needs. Regular liaison between forensic and general adult services is essential to help ensure patients can return to appropriate settings at the earliest opportunity in their recovery.

scholarly journals The new French mental health law regarding psychiatric involuntary treatment

2016 ◽  
Vol 13 (1) ◽  
pp. 13-15 ◽  
Author(s):  
Jean Louis Senon ◽  
Carol Jonas ◽  
Michel Botbol
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Health Law ◽  
Involuntary Treatment ◽  
Mental Health Law ◽  
Need For Treatment ◽  
Patients Rights ◽  
Legal Procedures

The French Republic has had four laws governing the detention of people with a mental illness. The first dates from 1838 and remained in place until 1990. The most recent one was issued on 27 September 2013; it confirmed the role of the judge and strengthened the legal procedures. This new French mental health law is an attempt to find a balance between the protection of patients' rights and the need for treatment.

scholarly journals Advances in the Basicneeds Mental Health Services and Development Model of Mental Illness in Rural China

2016 ◽  
Vol 5 (1) ◽  
pp. 8 ◽  
Author(s):  
Shao Chen ◽  
Yunshu Zhang ◽  
Jinghua Cao ◽  
Keqing Li
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Mental Health Services ◽  
Health Services ◽  
Rural Areas ◽  
Rural China ◽  
Development Model ◽  
Ability To Work ◽  
Charitable Organization ◽  
Mental Health Patients

Basicneeds Foundation as an international charitable organization，after years of efforts，it explores a suitable for the development of mental health services and the development model and developed countries.It makes the majority of mental health patients recover their health, social function and the ability to work has been restored.Since 2012, carried out in China, also made a lot of results.This article starts from Basicneeds’s five modules, which were summarized in China Baoding Shunping rural areas, for mental illness research progress.At the same time, the Basicneeds group also hopes to improve its model, making it more suitable for the situation in China, and in more places be promoted.

scholarly journals Preliminary evaluation of supervised discharge order in the South and West Region

1998 ◽  
Vol 22 (7) ◽  
pp. 421-423 ◽  
Author(s):  
Damian Mohan ◽  
Chris Thompson ◽  
Mark A. Mullee
Keyword(s):  
Mental Health ◽  
Mentally Ill ◽  
Preliminary Evaluation ◽  
The South ◽  
Mental Impairment ◽  
Forensic Patients ◽  
Mental Health Act ◽  
West Region ◽  
After Care ◽  
Mental Health Patients

Six months after the introduction of the Mental Health (Patients in the Community) Act 1995, this study shows that the new legislation has been implemented in its first six months of existence. Lack of resources and increased paperwork are identified by some doctors as reasons for their reluctance to proceed with implementation of supervised discharge. Patients who were placed on supervised discharge were found to be mostly young, mentally ill patients previously detained under Section 3 of the Mental Health Act 1983, as yet, the 1995 Act does not appear to have been implemented in the after care of ‘forensic’ patients or those with mental impairment.

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