“The Day I Die Is The Day I Will Find My Peace”: Narratives of Family, Marriage, and Violence Among Women Living With Serious Mental Illness in India

2021 ◽  
pp. 107780122110120
Author(s):  
Anindita Bhattacharya
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Illness ◽  
Serious Mental Illness ◽  
The Self ◽  
Familial Relationships ◽  
Self In Relation ◽  
Urban City ◽  
Psychiatric Institution ◽  
Depth Interviews

In India, there is limited research on the nature of familial relationships and domestic violence that women living with serious mental illness (SMI) experience. Using the self-in-relation theory and through 34 in-depth interviews, I explored narratives related to family, marriage, and violence in familial relationships among women living with SMI at a psychiatric institution in an urban city in India. These narratives are critical because they highlight how the presence of mental illness exacerbates the violence women experience. Informed by participants’ narratives, I offer specific recommendations on creating gender-sensitive mental health care that is mindful of women’s social realities.

scholarly journals Evaluating agency-led adaptions to an evidence-based lifestyle intervention for adults with serious mental illness

2020 ◽  
Vol 1 ◽  
pp. 263348952094320
Author(s):  
Kelly A Aschbrenner ◽  
Gary R Bond ◽  
Sarah I Pratt ◽  
Kenneth Jue ◽  
Gail Williams ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Illness ◽  
Mental Health Care ◽  
Serious Mental Illness ◽  
Real World ◽  
Evidence Based ◽  
Cardiovascular Risk Reduction ◽  
Evidence Based Practices ◽  
Practical Advantage

Background: Limited empirical evidence exists on the impact of adaptations that occur in implementing evidence-based practices (EBPs) in real-world practice settings. The purpose of this study was to measure and evaluate adaptations to an EBP (InSHAPE) for obesity in persons with serious mental illness in a national implementation in mental health care settings. Methods: We conducted telephone interviews with InSHAPE provider teams at 37 (95%) of 39 study sites during 24-month follow-up of a cluster randomized trial of implementation strategies for InSHAPE at behavioral health organizations. Our team rated adaptations as fidelity-consistent or fidelity-inconsistent. Multilevel regression models were used to estimate the relationship between adaptations and implementation and participant outcomes. Results: Of 37 sites interviewed, 28 sites (76%) made adaptations to InSHAPE ( M = 2.1, SD = 1.3). Sixteen sites (43%) made fidelity-consistent adaptations, while 22 (60%) made fidelity-inconsistent adaptations. The number of fidelity-inconsistent adaptations was negatively associated with InSHAPE fidelity scores (β = −4.29; p < .05). A greater number of adaptations were associated with significantly higher odds of participant-level cardiovascular risk reduction (odds ratio [ OR] = 1.40; confidence interval [CI] = [1.08, 1.80]; p < .05). With respect to the type of adaptation, we found a significant positive association between the number of fidelity-inconsistent adaptations and cardiovascular risk reduction ( OR = 1.59; CI = [1.01, 2.51]; p < .05). This was largely explained by the fidelity-inconsistent adaptation of holding exercise sessions at the mental health agency versus a fitness facility in the community (a core form of InSHAPE) ( OR = 2.52; 95% CI = [1.11, 5.70]; p < .05). Conclusions: This research suggests that adaptations to an evidence-based lifestyle program were common during implementation in real-world mental health practice settings even when fidelity was monitored and reinforced through implementation interventions. Results suggest that adaptations, including those that are fidelity-inconsistent, can be positively associated with improved participant outcomes when they provide a potential practical advantage while maintaining the core function of the intervention. Plain language abstract: Treatments that have been proven to work in research studies are not always one-size-fits-all. In real-world clinical settings where people receive mental health care, sometimes there are good reasons to change certain things about a treatment. For example, a particular treatment might not fit well in a specific clinic or cultural context, or it might not meet the needs of specific patient groups. We studied adaptations to an evidence-based practice (InSHAPE) targeting obesity in persons with serious mental illness made by teams implementing the program in routine mental health care settings. We learned that adaptations to InSHAPE were common, and that an adaptation that model experts initially viewed as inconsistent with fidelity to the model turned out to have a positive impact on participant health outcomes. The results of this study may encourage researchers and model experts to work collaboratively with mental health agencies and clinicians implementing evidence-based practices to consider allowing for and guiding adaptations that provide a potential practical advantage while maintaining the core purpose of the intervention.

Deinstitutionalization and The Homeless Mentally Ill

2020 ◽  
Vol 3 (01) ◽  
pp. 1-3
Author(s):  
Sarada Menon ◽  
Jayakumar Menon ◽  
P. Poornachandrika
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Illness ◽  
Special Needs ◽  
Serious Mental Illness ◽  
Mentally Ill ◽  
Critical Evaluation ◽  
Homeless Mentally Ill ◽  
Public Body ◽  
Oxford Dictionary

According to the Oxford dictionary “Institution” is an important public body, a home providing care for people with special needs and ‘institutionalise’ is placing such persons in a residential institution. In the context of the topic being discussed, institution is a home for persons with special needs and similarly institutionalisation is placing the persons with serious mental illness, whether acute, subacute or chronic. Deinstitutionalisation is increasingly being projected as the most needed reform in the mental health care by many experts in our country, but the implications of this merit’s critical evaluation.

scholarly journals Glucose Control and Medication Adherence Among Veterans With Diabetes and Serious Mental Illness: Does Collocation of Primary Care and Mental Health Care Matter?

Diabetes Care ◽  
2014 ◽  
Vol 37 (8) ◽  
pp. 2261-2267 ◽  
Author(s):  
Judith A. Long ◽  
Andrew Wang ◽  
Elina L. Medvedeva ◽  
Susan V. Eisen ◽  
Adam J. Gordon ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Health Care ◽  
Mental Illness ◽  
Medication Adherence ◽  
Mental Health Care ◽  
Serious Mental Illness ◽  
Glucose Control

Perceived Barriers to Medical Care and Mental Health Care Among Veterans With Serious Mental Illness

2008 ◽  
Vol 59 (8) ◽  
pp. 921-924 ◽  
Author(s):  
Amy L. Drapalski ◽  
Jaime Milford ◽  
Richard W. Goldberg ◽  
Clayton H. Brown ◽  
Lisa B. Dixon
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Illness ◽  
Mental Health Care ◽  
Medical Care ◽  
Serious Mental Illness ◽  
Perceived Barriers

scholarly journals Social Determinants of Health for People With Serious Mental Illness After Transitioning to the Community

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 32-33
Author(s):  
Kathy Kellett ◽  
Kaleigh Ligus ◽  
Kristin Baker ◽  
Julie Robison
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Health Care ◽  
Mental Illness ◽  
Serious Mental Illness ◽  
Social Determinants ◽  
Community Context ◽  
Improve Quality ◽  
Social Community

Abstract Approximately 10 million, or 6 percent, of the U.S. population experience serious mental illness (SMI) (NAMI, 2019). Social determinants of health (SDOH) associated with this population can provide important information for targeted innovations with the potential to reduce disease burden and improve quality of life. Using secondary data from Connecticut’s Money Follows the Person Rebalancing Demonstration, this research compares people age 50+ who transitioned out of an institution onto the Medicaid HCBS Mental Health Waiver (MHW) (n= 271) to those receiving Mental Health services through the Medicaid State Plan (MHSP) (n=278). Analyses examine SDOH in both groups and are organized around five broad domains: Finances; education; social/community context, health/health care, and neighborhood/built environment. MHSP participants were significantly more likely to report not having enough money at the end of the month at 6 (42% vs. 21%), 12 (37% vs. 20%), and 24 (37% vs. 17%) months. Significantly more MHSP than MHW participants did not like where they lived at 6 (12% vs. 1%) and 24 (24% vs. 5%) months. Significantly more MHSP than MHW participants were unhappy with the help they received in the community at 6 (22% vs. 8%), 12 (23% vs. 7%), and 24 (19% vs. 5%) months. Groups did not differ by education, social/community context, health/health care, feelings of safety where they live, or on post-transition hospitalizations, ED use or reinstitutionalization. To improve quality of life in the community, MHSP participants could benefit from greater assistance with finances, housing, and community services.

scholarly journals Deinstitutionalization and The Homeless Mentally Ill

2020 ◽  
Vol 3 (01) ◽  
pp. 1-3
Author(s):  
Sarada Menon1 ◽  
Jayakumar Menon ◽  
P. Poornachandrika
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Illness ◽  
Special Needs ◽  
Serious Mental Illness ◽  
Mentally Ill ◽  
Critical Evaluation ◽  
Homeless Mentally Ill ◽  
Public Body ◽  
Oxford Dictionary

According to the Oxford dictionary “Institution” is an important public body, a home providing care for people with special needs and ‘institutionalise’ is placing such persons in a residential institution. In the context of the topic being discussed, institution is a home for persons with special needs and similarly institutionalisation is placing the persons with serious mental illness, whether acute, subacute or chronic. Deinstitutionalisation is increasingly being projected as the most needed reform in the mental health care by many experts in our country, but the implications of this merit’s critical evaluation.

Sign in / Sign up

Export Citation Format

Share Document