scholarly journals Role of psychiatric hospitals during a pandemic: introducing the Munich Psychiatric COVID-19 Pandemic Contingency Plan

BJPsych Open ◽  
2021 ◽  
Vol 7 (2) ◽  
Author(s):  
Kristina Adorjan ◽  
Oliver Pogarell ◽  
Dorothee Streb ◽  
Frank Padberg ◽  
Christian Erdmann ◽  
...  
Keyword(s):  
Mental Illness ◽  
Mental Disorders ◽  
General Medicine ◽  
Mental Healthcare ◽  
Psychiatric Hospitals ◽  
University Hospital ◽  
Contingency Plan ◽  
People With Mental Illness ◽  
Core Mission ◽  
Medical Healthcare

Background Psychiatry is facing major challenges during the current coronavirus disease 2019 (COVID)-19 pandemic. These challenges involve its actual and perceived role within the medical system, in particular how psychiatric hospitals can maintain their core mission of attending to people with mental illness while at the same time providing relief to overstretched general medicine services. Although psychiatric disorders comprise the leading cause of the global burden of disease, mental healthcare has been deemphasised in the wake of the onslaught of the pandemic: to make room for emergency care, psychiatric wards have been downsized, clinics closed, psychiatric support systems discontinued and so on. To deal with this pressing issue, we developed a pandemic contingency plan with the aim to contain, decelerate and, preferably, avoid transmission of COVID-19 and to enable and maintain medical healthcare for patients with mental disorders. Aims To describe our plan as an example of how a psychiatric hospital can share in providing acute care in a healthcare system facing an acute and highly infectious pandemic like COVID-19 and at the same time provide support for people with mental illness, with or without a COVID-19 infection. Method This was a descriptive study. Results The plan was based on the German national pandemic strategy and several legal recommendations and was implemented step by step on the basis of the local COVID-19 situation. In addition, mid- and long-term plans were developed for coping with the aftermath of the pandemic. Conclusions The plan enabled the University Hospital to maintain medical healthcare for patients with mental disorders. It has offered the necessary flexibility to adapt its implementation to the first and second waves of the COVID-19 pandemic in Germany. The plan is designed to serve as an easily adaptable blueprint for psychiatric hospitals around the world.

scholarly journals Challange and Fighting Social Stigma in Patient With Schizophrenia in Indonesia.

2018 ◽  
Vol 2 (01) ◽  
pp. 76-77
Author(s):  
Amar Akbar ◽  
Imam Zainuri ◽  
Lilik Ma'rifatul Azizah ◽  
Kyle Dornhofer
Keyword(s):  
Mental Illness ◽  
Mental Disorders ◽  
Design Methodology ◽  
Antipsychotic Drugs ◽  
Social Stigma ◽  
Physical Restraint ◽  
Social Intervention ◽  
Literature Study ◽  
Government Program ◽  
People With Mental Illness

Purpose - This article aims to give an opinion on the cause of still the case of pasung in Indonesia, physical restraint and reduction in people with mental illness (called pasung in indonesia), still found in indonesia, government program ” indonesia free of pasung” still can not erase indonesia from pasung. Design/methodology/approach -The approach to literature study causes the escape especially social stigma that occurs to make the case of the pipe still continues to exist Findings -The findings of many literature studies suggest that social stigma is a cause of social restraint in patients with severe psychiatric disorders Originality/value -The value of this study envolve Empowering people with mental disorders through social intervention can reduce the side effects of antipsychotic drugs and simultaneously help self-stigma in people with mental disorders

Diagnostic review and revision

2015 ◽  
Author(s):  
Sohrab Zahedi
Keyword(s):  
Mental Illness ◽  
Psychiatric Hospitals ◽  
Mass Incarceration ◽  
The United States ◽  
Psychiatric Diagnoses ◽  
Psychiatric Condition ◽  
Correctional Setting ◽  
People With Mental Illness ◽  
Fluctuating Course ◽  
One Year

The criminalization of people with mental illness is a sad commentary on the United States’ mental health system. Yet, the phenomenon presents the field of psychiatry with an opportunity that is now scarce in civil society: lengths of sentence in terms of weeks to years that allow for in-depth observation and treatment of the inmate with mental illness. A few days in a hospital fails to provide the needed opportunity for a detailed and accurate evaluation. Today, people with mental illness account for more than one million annual arrests and many among these individuals will spend weeks to months in jail before being either transferred to a prison for sentences beyond one year or released back into the community. At its core, psychiatric diagnosis relies on the subjective complaints of the patient and objective signs noted on examination. Considering the chronic and fluctuating course of most psychiatric diagnoses, a thorough assessment also requires a review of past documented behaviors. When someone is hospitalized for a psychiatric condition, the first goal is often observation, followed by diagnosis, and then treatment. Psychiatric hospitals are being greatly constrained in the amount of time available for observation and accurate diagnosis; the correctional setting, as an unintended consequence of mass incarceration, provides an extended opportunity to achieve improved diagnostic accuracy. This chapter reflects on the diagnostic opportunities that a jail or a prison setting affords.

Stigma associated with mental illness and its treatment in the Arab culture: A systematic review

2018 ◽  
Vol 64 (6) ◽  
pp. 597-609 ◽  
Author(s):  
Monica Zolezzi ◽  
Maha Alamri ◽  
Shahd Shaar ◽  
Daniel Rainkie
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Qualitative Methodology ◽  
Data Extraction ◽  
Mental Healthcare ◽  
Quantitative Methodology ◽  
Arab Population ◽  
Manual Search ◽  
People With Mental Illness ◽  
Mental Health Treatments

Background: Mental health has not had the same public profile as physical health. This has contributed to the stigma associated with mental illness and to its treatments. Research investigating how the traditions and values amongst those with an Arab heritage contribute to stigmatizing beliefs, attitudes or actions in the provision of mental healthcare has not been widely reported. Aim: To systematically review the literature and summarize the findings of studies reporting stigmatizing beliefs, actions and attitudes toward treatment of people with mental illness in the Arab population. Methods: PubMed, Ovid, Psycharticles and Embase were used to identify original studies of non-institutionalized Arab adults or children reporting findings relevant to stigma toward mental illness. A manual search of the bibliography of all selected original studies was also undertaken. Independent data extraction was performed by two reviewers, who then met to compare data and reach consensus. Findings were classified as stigmatizing beliefs, actions or attitudes toward mental health treatments. Results: A total of 33 articles were retrieved for full review. Those utilizing qualitative methodology provided insight into the many ways mental illness is viewed and defined among those with an Arab heritage. Among the studies using quantitative methodology, most compared stigmatizing beliefs, attitudes toward mental health treatments or stigmatizing actions among different Arab populations, some also investigated correlations between characteristics of the Arab population tested with stigmatizing beliefs, actions and attitudes toward mental health treatments. Findings from studies undertaken in Qatar reported greater stigmatizing beliefs, actions or attitudes toward mental health treatments among Qatari versus non-Qatari Arabs. Conclusion: A large diversity in the stigmatizing beliefs, actions and attitudes toward treatment of mental illness within the Arab population were identified. The influence of cultural variations on stigma should be explored further and used to tailor anti-stigma interventions in this population.

scholarly journals The Mental Capacity Act and mental healthcare in prison: opportunities and challenges

2012 ◽  
Vol 36 (7) ◽  
pp. 241-243 ◽  
Author(s):  
Sharon Davies ◽  
Claire Dimond
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Mental Healthcare ◽  
Legal Framework ◽  
Mental Capacity ◽  
Best Interests ◽  
People With Mental Illness ◽  
Mental Capacity Act 2005 ◽  
Mental Capacity Act ◽  
The Uk

SummaryThe UK Mental Health Act 1983 does not apply in prison. The legal framework for the care and treatment of people with mental illness in prison is provided by the Mental Capacity Act 2005. We raise dilemmas about its use. We highlight how assessing best interests and defining harm involves making challenging judgements. How best interests and harm are interpreted has a potentially significant impact on clinical practice within a prison context.

scholarly journals Biogenetic explanations and public acceptance of mental illness: Systematic review of population studies

2011 ◽  
Vol 199 (5) ◽  
pp. 367-372 ◽  
Author(s):  
Matthias C. Angermeyer ◽  
Anita Holzinger ◽  
Mauro G. Carta ◽  
Georg Schomerus
Keyword(s):  
Systematic Review ◽  
Mental Illness ◽  
Mental Disorders ◽  
Mental Disorder ◽  
Mentally Ill ◽  
General Public ◽  
Causal Attributions ◽  
Population Studies ◽  
Public Acceptance ◽  
People With Mental Illness

BackgroundBiological or genetic models of mental illness are commonly expected to increase tolerance towards people with mental illness, by reducing notions of responsibility and blame.AimsTo investigate whether biogenetic causal attributions of mental illness among the general public are associated with more tolerant attitudes, whether such attributions are related to lower perceptions of guilt and responsibility, to what extent notions of responsibility are associated with rejection of people who are mentally ill, and how prevalent notions of responsibility are among the general public with regard to different mental disorders.MethodA systematic review was conducted of representative population studies examining attitudes towards people with mental illness and beliefs about such disorders.ResultsWe identified 33 studies relevant to this review. Generally, biogenetic causal attributions were not associated with more tolerant attitudes; they were related to stronger rejection in most studies examining schizophrenia. No published study reported on associations of biogenetic causal attributions and perceived responsibility. The stereotype of self-responsibility was unrelated to rejection in most studies. Public images of mental disorder are generally dominated by the stereotypes of unpredictability and dangerousness, whereas responsibility is less relevant.ConclusionsBiogenetic causal models are an inappropriate means of reducing rejection of people with mental illness.

scholarly journals Rehabilitasi Psikososial Untuk Mewujudkan Orang dengan Gangguan Jiwa Bermartabat di Wilayah Kerja Puskesmas Sunggal Medan

2022 ◽  
Vol 1 (1) ◽  
pp. 55-62
Author(s):  
Jenny Marlindawani Purba ◽  
Sri Eka Wahyuni ◽  
Mahnum Lailan Nasution ◽  
Evi Karota Bukit
Keyword(s):  
Mental Illness ◽  
Mental Disorders ◽  
Community Health ◽  
Health Center ◽  
Positive Impact ◽  
Community Health Center ◽  
Psychotic Symptoms ◽  
Community Mental Health Service ◽  
Liquid Soap ◽  
People With Mental Illness

ABSTRAKPeningkatan kasus COVID 19 dan penerapan pemberlakuan pembatasan kegiatan masyarakat di Kota Medan mengakibatkan kegiatan pelayanan kesehatan jiwa masyarakat terhenti. Salah satu prioritas masalah di wilayah kerja Puskesmas Sunggal adalah gangguan jiwa. Situasi saat ini banyak penderita yang tidak teratur minum obat, tidak kontrol ke puskesmas atau rumah sakit, mengalami kekambuhan dan tidak mematuhi protokol kesehatan bila keluar rumah serta tidak produktif. Kegiatan ini bertujuan untuk meningkatkan fungsi sosial dan keterampilan orang dengan gangguan jiwa. Target khusus yang ingin dicapai adalah perubahan perilaku dari ODGJ dan keluarga di wilayah kerja Puskesmas Sunggal Medan. Metode yang digunakan adalah ceramah, diskusi dan tanya jawab, home visit, pengembangan bakat dan minat pasien berupa pelatihan dan pendampingan pembuatan sabun cair. Hasil yang diperoleh dari kegiatan ini adalah 12 orang dari 15 ODGJ (80%) dapat mengontrol gejala pskotik, kontrol teratur ke puskesmas sebelum obat habis dan mempunyai keterampilan membuat sabun cair serta mampu mengembangkan keterampilan lainnya sesuai dengan minat dan bakat masing-masing. Rehabilitasi psikosoial memberikan dampak positif bagi peningkatan fungsi kognitif, psikomotor dan afektif orang dengan gangguan jiwa. Keberhasilan program ini membutuhkan partisipasi aktif dari semua pihak. Kata Kunci : Rehabilitasi, psikososial, orang dengan gangguan jiwa, bermartabat  ABSTRACTThe increase in cases of COVID 19 and the implementation of restrictions on community activities in the city of Medan resulted in community mental health service activities being stopped. One of the priority problems in the work area of the Sunggal Health Center is mental disorders. The current situation was people with mental illness did not regularly take medication, did not go to the community health center or hospital to see the Doctor, experience relapses and did not comply with health protocols when leaving the house, and was unproductive. The activity aims to improve the social functioning and skills of people with mental disorders. The specific target to be achieved is to change the behavior of ODGJ and their families in the working area of the Sunggal Community Health Center, Medan. The methods used were lectures, discussions and questions and answers, home visits, identifying talents and interests of patients in the form of training and assistance in making liquid soap. The results of the activities were 12 from 15 of people with mental illness (80@) can control psychotic symptoms, regularly visit "the puskesmas" before the drugs run out and have the skills to make liquid soap, and are able to develop other skills according to their respective interests and talents. Psychosocial rehabilitation has a positive impact on improving the cognitive, psychomotor, and affective functions of people with mental disorders. The success of this program requires the active participation of all parties. Keywords: rehabilitation, psychosocial, people with mental illness, dignity

scholarly journals Assessment of pharmacy student attitudes and beliefs toward patients with mental illnesses on inpatient psychiatric units

2020 ◽  
Vol 10 (1) ◽  
pp. 1-5
Author(s):  
Lauren A. Diefenderfer ◽  
Courtney Iuppa ◽  
Carrie Kriz ◽  
Leigh Anne Nelson
Keyword(s):  
Mental Illness ◽  
Student Attitudes ◽  
Pharmacy Practice ◽  
Psychiatric Hospitals ◽  
Primary Objective ◽  
Mental Illnesses ◽  
Pharmacy Students ◽  
Survey Study ◽  
People With Mental Illness ◽  
Multicenter Survey

Abstract Introduction People with mental illness continue to face stigma, despite these illnesses being common. Previous studies have demonstrated reduced stigma in pharmacy students after various exposures and education, although results have been mixed. The primary objective of this study was to evaluate the effects of an advanced pharmacy practice experience (APPE) in psychiatric pharmacy on students' stigma toward patients with mental illness using the Opening Minds Stigma Scale for Healthcare Providers (OMS-HC) at 2 psychiatric hospitals. Methods This was a prospective, multicenter survey study of pharmacy students on an APPE rotation at an inpatient psychiatric hospital conducted during 3 academic years. Prior to starting and upon completion of their rotation, participants completed the OMS-HC and provided demographic and rotation information. Results A total of 26 students participated in the prerotation survey, with 88.5% (n = 23) completing the postrotation survey. The primary outcome showed a significant decrease in total OMS-HC score (Z = −2.376, P = .017), indicating a decreased level of stigma at rotation completion. Analysis of the OMS-HC subscales for attitudes toward people with mental illness and attitudes toward self-disclosure of a mental illness also yielded significant decreases (Z = −2.425, P = .015; Z = −2.462, P = .014, respectively). Discussion This study showed that APPE rotations at inpatient psychiatric hospitals may help reduce stigma among pharmacy students. Pharmacy schools should consider increasing access to and encouraging completion of psychiatric pharmacy rotations to help reduce stigma prior to graduation.

scholarly journals Fractured minds to flourishing minds

2021 ◽  
Author(s):  
◽  
Rebecca Wallace
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
New Zealand ◽  
Mental Healthcare ◽  
Psychiatric Hospitals ◽  
Mental Illnesses ◽  
High Rate ◽  
Youth Suicide ◽  
Health And Wellbeing ◽  
Self Harm

<p>Youth suicide and self-harm are major public health concerns worldwide. The high rate of youth suicide and intentional self-harm in New Zealand, illustrates that there is a large amount of youth experiencing severe mental illness, as mental illness corresponds to suicidal/harmful behavior. Although more youth are seeking and receiving help, a large portion who are suffering are unwilling to engage in services, due to stigma surrounding mental health. Characteristics of the built environment can effect wellbeing and therefore architecture holds significant implications for the mental health of individuals.  Inpatient environments are an effective intervention for the treatment of a range of severe mental illnesses, however there is a definitive lack of acute inpatient facilities for youth in New Zealand. A shift in the way mental healthcare services are provided has meant that large psychiatric hospitals have been closed or downsized and compulsory inpatient treatment has given way to voluntary engagement with community mental health services. This has not eliminated the need for inpatient care and there still remains a need for these highly specialized environments. These current specialized environments are generally not designed to benefit the mental health and wellbeing of patients, but are just regarded as settings in which recovery takes place.  This thesis aims to explore how architecture can act therapeutically to support the wellbeing of individuals suffering mental illness. It looks at how architecture can retain the dignity of these patients, and challenge conventional norms of prior mental healthcare environments. This thesis aims to integrate Maori and Pacific models of health and wellbeing in order to allow improved care and treatment for Maori and Pacific groups. It responds to the lack and unsuccessful architectural responses for youth in New Zealand and in particular, the central region and aims to design a new mental health inpatient and outpatient facility specifically for youth suffering mental illness.</p>

Sign in / Sign up

Export Citation Format

Share Document