scholarly journals Community rehabilitation orders with additional requirements of psychiatric treatment

2002 ◽  
Vol 8 (4) ◽  
pp. 281-288 ◽  
Author(s):  
Tom Clark ◽  
Jeremy Kenney-Herbert ◽  
Martin S. Humphreys

It is not uncommon for people with mental illness to be convicted of a criminal offence. The relationship between the two is not necessarily simple. It may be diffuse and subtle, perhaps relating to the disinhibiting effect of severe mental illness or associated factors such as poor social integration, unemployment, lack of close and intimate relationships or substance misuse.


2018 ◽  
Vol 9 (2) ◽  
pp. 215
Author(s):  
Zaraida Aviles Saez ◽  
Rosalía Cara Rodríguez ◽  
Luisa María López Trinidad

Resumen: La comunicación con las personas diagnosticadas de patologías mentales es un punto fundamental para ayudar a conseguir su reinserción social. Enfermería es la figura que mantiene un contacto más estrecho con estos pacientes cuando se encuentran ingresados en centros sanitarios. El diálogo con estos pacientes es sumamente complejo, lo que hace necesario realizar investigaciones y formación que aborden la mejor forma de relacionarnos con ellos. Este estudio tiene por objetivo demostrar la im­portancia que tiene la comunicación con el paciente psiquiátrico respecto a la relación con el personal de Enfermería y su evolución. Los resultados muestran que los profesionales y estudiantes de Enfermería necesitan formación específica para saber cómo enfrentar un diálogo con personas con enfermedades mentales. La escucha activa, el idioma, la comunicación no verbal y la cercanía en la relación son claves para una comunicación efectiva.Palabras clave: Comunicación; enfermedad mental; Enfermería; relación.Abstract: Communication with people diagnosed with mental pathologies is a fundamental point to help achieve their social reintegration. Nursing is the figure that maintains a closer contact with these patients when they are admitted to health centers. The dialogue with these patients is extremely complex, which makes it necessary to conduct research and training that addresses the best way to relate to them. The purpose of this study is to demonstrate the importance of communication with the psychiatric patient regarding the relationship with the nursing staff and their evolution. The results show that nursing professionals and students need specific training to know how to face a dialogue with people with mental illness. Active listening, language, non-verbal communication and closeness in the relationship are key to effective communication.Keywords: Communication; mental illness; nursing; relationship.



2016 ◽  
Vol 27 (1) ◽  
pp. 84-93 ◽  
Author(s):  
L. Picco ◽  
E. Abdin ◽  
S. Pang ◽  
J. A. Vaingankar ◽  
A. Jeyagurunathan ◽  
...  

Aims.The ability to recognise a mental illness has important implications as it can aid in timely and appropriate help-seeking, and ultimately improve outcomes for people with mental illness. This study aims to explore the association between recognition and help-seeking preferences and stigmatising attitudes, for alcohol abuse, dementia, depression, obsessive-compulsive disorder (OCD) and schizophrenia, using a vignette-based approach.Methods.This was a population-based, cross-sectional survey conducted among Singapore Residents (n = 3006) aged 18–65 years. All respondents were asked what they think is wrong with the person in the vignette and who they should seek help from. Respondents were also administered the Personal and Perceived sub scales of the Depression Stigma Scale and the Social Distance Scale. Weighted frequencies and percentages were calculated for categorical variables. A series of multiple logistic and linear regression models were performed separately by vignette to generate odd ratios and 95% confidence intervals for the relationship between help-seeking preference, and recognition and beta coefficients and 95% confidence intervals for the relationship between stigma and recognition.Results.Correct recognition was associated with less preference to seek help from family and friends for depression and schizophrenia. Recognition was also associated with increased odds of endorsing seeking help from a psychiatric hospital for dementia, depression and schizophrenia, while there was also an increased preference to seek help from a psychologist and psychiatrist for depression. Recognition was associated with less personal and perceived stigma for OCD and less personal stigma for schizophrenia, however, increased odds of social distancing for dementia.Conclusion.The ability to correctly recognise a mental illness was associated with less preference to seek help from informal sources, whilst increased preference to seek help from mental health professionals and services and less personal and perceived stigma. These findings re-emphasise the need to improve mental health literacy and reinforce the potential benefits recognition can have to individuals and the wider community in Singapore.



Author(s):  
Lauren Mizock ◽  
Zlatka Russinova

Chapter 1 reviews the history of psychiatric treatment of people with mental illness in the United States and Western Europe, highlighting past perspectives in care, such as ancient trephination and exorcism during the demonology era, humorism in early Greek and Roman thought, a return to demonological perspectives in the Middle Ages, as well as mesmerism and psychoanalysis in the 19th and 20th centuries. The 20th-century biological perspective is described, including the use of insulin shock therapy, electroconvulsive therapy, and lobotomy. Next, the development of more humane treatment approaches is discussed, such as the moral treatment movement of the 1800s. The ex-patient’s movement of the 1970s is reviewed, leading up to the contemporary recovery-oriented and psychosocial rehabilitation models of care. The impact of stigma on the acceptance of serious mental illness is explored throughout this history. Discussion questions, activities, and diagrams are also included.



2019 ◽  
Vol 44 (2) ◽  
pp. 100-107
Author(s):  
Liz Richardson

Mental health courts have been established in four Australian jurisdictions to provide a targeted response to people with mental illness and cognitive impairments coming through the courts. This article provides an up-to-date overview of Australian mental health courts, discusses the evidence base underpinning them and identifies three important emerging directions for their future operation. These are the need for a contextualised understanding of the relationship between mental illness and offending, the importance of trauma-informed approaches and the role that peer support workers can play in mental health courts.



2016 ◽  
Vol 22 (1) ◽  
pp. 40-50 ◽  
Author(s):  
Lisa Xi Zheng ◽  
John P. Keegan ◽  
David Rosenthal ◽  
William Talley ◽  
Celeste A. Hunter

The purpose of this study was to test the usefulness of the attribution model (Corrigan, Markowitz, Watson, Rowan & Kubiak, 2003; Weiner, 1995) in a Chinese cultural context to explain Chinese college students’ perceptions of discrimination toward people with mental illness. A total of 293 college students (male = 142; female = 151; age from 18 to 22) completed an Attribution Questionnaire (AQ) after reading vignettes, consisting of a male who either used illicit drugs or had a traumatic brain injury. Data were analysed using a hierarchical regression to determine the amount of variance accounted for in discriminatory behaviours by the attribution model. The results showed, when controlling for all other factors, that controllability and the three emotions (pity, anger, and fear) were found to be significant predictors of discrimination. The relationship between controllability, responsibility, and discrimination was not consistent with the attribution model since responsibility did not mediate the controllability of cause. These results provide support for the idea that disability attributions are culturally influenced.



2019 ◽  
Vol 2019 ◽  
pp. 1-9 ◽  
Author(s):  
Etsedingl Hadera ◽  
Endalamaw Salelew ◽  
Eshetu Girma ◽  
Sandra Dehning ◽  
Kristina Adorjan ◽  
...  

Background. Many people with mental illness perceive and experience stigma caused by other people’s knowledge, attitudes, and behavior. The stigma can lead to patients’ impoverishment, social marginalization, poor adherence to medication, and low quality of life, worsen the disease, decrease health-seeking behavior, and have a negative impact on socioeconomic well-being. Therefore, this study aimed to explore these issues. Objective. To assess the magnitude and associated factors of perceived stigma among adults with mental illness in an Ethiopian setting. Methods. A facility-based, cross-sectional study design with a consecutive sampling technique was employed from September 1 to 30, 2012. Data for perceived stigma were assessed by using the perceived devaluation-discrimination (PDD) scale from new or returning patients. The data was analyzed by using the Statistical Package for the Social Sciences (SPSS) version 20. The results were described with the frequency table, graph, mean, and standard deviation. Bivariate analysis was used to get candidate variables for multivariate logistic regression analysis. Variables with a P value of < 0.05 at multivariate analysis were considered statistically associated with perceived stigma. Results. A total of 384 participants were interviewed and the response rate was 100%. The prevalence of high and low perceived stigma was 51% and 44%, respectively. Having substance use history (AOR=0.6, 95% CI: 0.4–0.9) and family support (AOR=2.5, 95% CI: 1.5–4.3) and medication side effects (AOR=0.6, 95% CI: 0.5–0.8) were associated statistically with higher perceived stigma of people with mental illness. Conclusion. Perceived stigma is a major problem of adults with mental illness in this outpatient setting in Ethiopia. Patients who had substance use and family support and medication side effects were more likely to have high perceived stigma. Therefore, screening and management of substance use, social support, and medication side effect should be strengthened for people with mental illness.



2012 ◽  
Vol 200 (6) ◽  
pp. 485-490 ◽  
Author(s):  
Lisa A. Page ◽  
Shakoor Hajat ◽  
R. Sari Kovats ◽  
Louise M. Howard

BackgroundClimate change is expected to have significant effects on human health, partly through an increase in extreme events such as heatwaves. People with mental illness may be at particular risk.AimsTo estimate risk conferred by high ambient temperature on patients with psychosis, dementia and substance misuse.MethodWe applied time-series regression analysis to data from a nationally representative primary care cohort study. Relative risk of death per 1° increase in temperature was calculated above a threshold.ResultsPatients with mental illness showed an overall increase in risk of death of 4.9% (95% CI 2.0–7.8) per 1° increase in temperature above the 93rd percentile of the annual temperature distribution. Younger patients and those with a primary diagnosis of substance misuse demonstrated greatest mortality risk.ConclusionsThe increased risk of death during hot weather in patients with psychosis, dementia and substance misuse has implications for public health strategies during heatwaves.



2017 ◽  
Vol 26 (9) ◽  
pp. 2471-2478 ◽  
Author(s):  
Piotr Świtaj ◽  
Paweł Grygiel ◽  
Anna Chrostek ◽  
Izabela Nowak ◽  
Jacek Wciórka ◽  
...  

Abstract Purpose To elucidate the mechanism through which internalized stigma reduces the quality of life (QoL) of people with mental illness by exploring the mediating roles of self-esteem and sense of coherence (SOC). Methods A cross-sectional analysis of 229 patients diagnosed with schizophrenia or affective disorders was undertaken to test a sequential mediation model assuming that more severe internalized stigma is related to lower self-esteem, which is associated with weaker SOC, which in turn relates to worse QoL. Results The proposed model was supported by the data. A sequential indirect effect from internalized stigma to QoL via self-esteem and SOC turned out to be significant [beta = −0.06, SE = 0.02; 95% CI (−0.11, −0.03)]. Support was also found for simple mediation models with either self-esteem or SOC as single mediators between internalized stigma and QoL. Conclusions Self-esteem and SOC are personal resources that should be considered as potential targets of interventions aiming to prevent the harmful consequences of internalized stigma for the QoL of people receiving psychiatric treatment.



2010 ◽  
Vol 57 (6) ◽  
pp. 574-579 ◽  
Author(s):  
Takashi Yamauchi ◽  
Tsuneo Semba ◽  
Anju Sudo ◽  
Nobuko Takahashi ◽  
Hirofumi Nakamura ◽  
...  

Background: Nursing students’ attitudes towards people with mental illness can be influenced by training experience. Aim: To examine the relationship between the attitudes of nursing students towards people with mental illness and the psychiatric training imparted to the students by using textual data and conducting frequency analysis. Methods: We identified the words/phrases which were considered to represent the attitudes towards people with mental illness at pre-training (T1) and post-training (T2) stages from reports written by 76 Japanese nursing students, and examined the differences in the frequencies of the words/phrases used at T1 and T2. Results: With regard to the students’ attitudes towards people with mental illness, generally, the frequencies of words/phrases that had somewhat negative to strongly negative nuances were high at T1, whereas those of the words/phrases that had somewhat positive or neutral nuances were high at T2. Also, analysis showed that words/phrases such as ‘scary’ were used more frequently at T1, whereas words/phrases such as ‘not scary’ were used more often at T2. Conclusion: The students’ attitudes may change favourably owing to, at least in part, psychiatric training.



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