Relatives and Patients as Partners in the Management of Schizophrenia

1990 ◽  
Vol 156 (5) ◽  
pp. 654-660 ◽  
Author(s):  
Jo Smith ◽  
Max Birchwood
Keyword(s):  
Clinical Practice ◽  
Service Provision ◽  
Expressed Emotion ◽  
Family Management ◽  
Clinical Services ◽  
Clinical Context ◽  
The Family ◽  
Therapeutic Programme ◽  
Made In

Considerable advances have been made in the family management of schizophrenia but there remains a major challenge for the psychiatric services to integrate these innovations into clinical practice. A number of important issues need to be considered in developing routine clinical services: the problem of engaging families in a therapeutic programme; the utility of the concept of ‘expressed emotion’; and procedures for clinical practice. The latter include the needs of low-EE families; maintaining quality of intervention in a clinical context; responding to the multiplicity of needs of the patient and family; and integrating family interventions with ongoing rehabilitation practice. A model of service provision is described.

scholarly journals Services for self-harm: progress and promise?

2020 ◽  
Vol 217 (6) ◽  
pp. 663-664
Author(s):  
Nav Kapur
Keyword(s):  
Quality Of Care ◽  
Quality Assessment ◽  
Service Provision ◽  
Clinical Services ◽  
High Quality ◽  
Self Harm ◽  
The Uk ◽  
Improve Access ◽  
Made In

SummaryThis editorial considers whether the quality of care for people who present to clinical services in the UK following self-harm has improved or stagnated. Some real progress has been made in the areas of service provision and research, and self-harm has never had a higher priority in policy terms. However, major gaps remain. We need to enhance people's experience of services and improve access to high-quality assessment and aftercare.

scholarly journals Quality of Life in Schizophrenia and Bipolar Affective Disorder

2015 ◽  
Vol 3 (1) ◽  
Author(s):  
Pratima
Keyword(s):  
Quality Of Life ◽  
Bipolar Disorder ◽  
Affective Disorder ◽  
Expressed Emotion ◽  
Bipolar Affective Disorder ◽  
Poor Quality ◽  
Living Environment ◽  
The Family ◽  
Bipolar Patients

Family caregivers of persons with bipolar disorder and schizophrenia experience high level of burden and compromised quality of life. A considerable amount of burden on the caregivers often leads to display of certain attitudes towards persons with severe mental illness called expressed emotion, which then leads to poor quality of patients as well. Although numerous studies dealing with these issues separately are present, but studies dealing with relationship, using mixed methodology, among these issues are scarce. The aim of the present study was to understand how actually the construct of quality of life in different demographic conditions affect life conditions of schizophrenic and bipolar patients and determining relapse. The present study was designed mainly to assess the quality of life on patients and the families of a particular group of patients namely those with schizophrenia and bipolar disorder. The objectives if the present research were to study: (i) the quality of life of patients with Schizophrenia and Bipolar Affective disorder. (ii) the quality of life of caregivers of patients with Schizophrenia and Bipolar Affective disorder. Patients with disorders such as schizophrenia and bipolar affective disorder are more likely to relapse when there is high expressed emotion present in their living environment. The stress from the remarks and attitudes of the family is overwhelming because they feel like the cause of the problems. The patient then falls into the cycle of relapse. The only way to escape this vortex for the family is to go through therapy together to prevent the relapse. But before that it becomes necessary to understand that what is the reason behind such attitude towards a family member who is mentally ill, what is the cause of burden and what all changes the caregivers’ and the patients’ quality of life come across.

Family Characteristics and Child Welfare Services: Does the Assessment Drive Service Provision?

2002 ◽  
Vol 83 (5) ◽  
pp. 499-507 ◽  
Author(s):  
Scottye J. Cash ◽  
Marianne Berry
Keyword(s):  
Child Welfare ◽  
Service Provision ◽  
Family Characteristics ◽  
Child Welfare Services ◽  
Clinical Services ◽  
Family Needs ◽  
Assessment Practice ◽  
Welfare Services ◽  
Process Study ◽  
The Family

A process study was performed on a program that was designed to prevent ineffective foster placement, to determine the match between family problems identified during assessment and subsequent services provided to the family. The individualization and “fit” of services to specific family needs is the foundation of assessment practice, but little research has documented the extent to which fit occurs. This study of 115 families and their services found that fit is best when concrete, rather than clinical, services are provided, but that parenting issues continue to drive the provision of all services.

scholarly journals Idea on the Clinical Services of Primary Care Physicians

2018 ◽  
Vol 1 (3) ◽  
pp. 99
Author(s):  
Adi Heru Sutomo ◽  
Fitriana Fitriana
Keyword(s):  
Primary Care ◽  
Primary Care Physicians ◽  
Direct Contact ◽  
Health Problems ◽  
Primary Care Doctor ◽  
Clinical Services ◽  
The Family ◽  
Patient Health ◽  
Primary Care Doctors

The increasing needs and health problems that exist in the community and the more critical the community-related health problems that require the ability of a primary care doctor able to handle existing health problems in the community. Primary care doctor complies with Alma Ata Declaration in 1978 as the backbone of health that makes direct contact with the community, so it is essential for a primary care doctor to involve the patient or the patient as part of the team. Patient experience information or patients given to primary care doctors is expected to further improve the quality of patient health services as individuals and is part of the family and society or community....................

scholarly journals The Flexural Strength of Traditional and Modern Acrylic Prosthetic Bases

2020 ◽  
Vol 57 (3) ◽  
pp. 111-116
Author(s):  
Liviu Gavrila-Ardelean ◽  
Mihaela Gavrila-Ardelean
Keyword(s):  
Clinical Practice ◽  
Clinical Utility ◽  
Scientific Literature ◽  
Mechanical Test ◽  
Test Machine ◽  
Statistical Correlations ◽  
Dental Acrylic ◽  
Prosthesis Material ◽  
Made In

The aim of this paper is to investigate the resistance to flexure of traditional and modern dental acrylic prosthetic bases. The practical utility of the laboratory studies carried out in this research is to apply the physical properties of plastic in medical technology, for improved clinical practice. The clinical utility of this research on prosthetic acrylic bases resistance is reflected in the quality of life of patients, the quality of mastication and durability of the prosthesis. Material and methods: experimental research, using a mechanical test machine. The results were analysed through quantitative methodes. Statistical correlations were made in the final experimental part. In conclusion, the values obtained in our experiments are comparable with those found in scientific literature. This fact enables us to recommend the use of the injection molding technique in clinical practice in our country, as well as the abandonment of the traditional manual stuffingpressing process.

Family functioning, expressed emotion and quality of life in adolescents with early onset schizophrenia spectrum and affective psychotic disorders

2021 ◽  
Vol 11 ◽  
Author(s):  
Stavroula Ropi ◽  
Gerasimos Kolaitis ◽  
Foivos Zaravinos-Tsakos ◽  
Christos Androutsos ◽  
Vaios Dafoulis ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Family Functioning ◽  
Expressed Emotion ◽  
Psychotic Disorders ◽  
Clinical Sample ◽  
Family Assessment ◽  
Family Assessment Device ◽  
Schizophrenia Spectrum ◽  
The Family

Background: Quality of family functioning and levels of parental expressed emotion (criticism, hostility, or emotional overinvolvement) are prospectively associated with the course and outcome of a range of childhood psychiatric disorders. Aims: This study examined family functioning, expressed emotion, and quality of life, in a clinical sample of 40 adolescents presenting with schizophrenia spectrum or affective psychotic disorders. Methods: Expressed emotion, family functioning, and quality of life were measured using the family questionnaire, family assessment device, and the KIDSCREEN 27, respectively. Results: Parents scored high on both parts of the family questionnaire, the critical comments and emotional over-involvement. Higher expressed emotion was associated with more emotional difficulties of both parents, especially depressive features. Economic difficulties of the family were found to be negatively associated with the adolescents’ psychological wellbeing. Conclusion: Overall, the study points out the need for appropriate family interventions, which will assist the caregivers in developing communication and problem-solving strategies and will contribute to the reduction of high levels of hostile or critical expressed emotion and emotional over-involvement within the family.

scholarly journals DC ELECTRIC PUMP MODIFIED AS AN INTELLIGENT ACTUATOR

2019 ◽  
Vol 15 (28) ◽  
Author(s):  
Alex Esteban Barbosa Torres
Keyword(s):  
Low Cost ◽  
Signal Transmission ◽  
Industrial Sector ◽  
Open Architecture ◽  
Raspberry Pi ◽  
Electric Pump ◽  
Cost System ◽  
The Family ◽  
Made In

Introduction: This paper describes the research – developed in 2007 by ORCA and SciBas – that modifies an actuator device (AD) – DC electric pump – making it Smart.  Problem: There are currently no intelligent ADs of open architecture with the possibility of being easily manipulated in didactic plants. Objective: To identify and implement circuits to control an AD with signals. Methodology: The AD is developed following the family-standard IEEE 1452: implementing communication interfaces that characterize intelligent transducers connected to systems based on microprocessors, instruments and networks. The integration is made in a configuration platform that displays, records and manipulates AD information through a PC. Results: Obtaining a low-cost system based on Raspberry Pi - as an intelligent core - where the following are integrated: a PSOC 4 microcontroller to interact with the signals of the actuator, a circuit to manage the energy between the pump and the microcontroller, and an integrated signal that goes to a processor Originality: Modify a DC electric pump -as part of a didactic plant system- to have an intelligent AD architecture. The checking of filling and flow rates indicate advantages over traditional instrumentation: noise immunity, effective isolation of circuits from sources, work sequences, effective storage of actuator information, simple calibration, ease of signal transmission and remote control, and the possibility of intelligent presentations. Limitations: In non-didactic plants it is necessary to extend the research to the industrial sector and increase the quality of the elements.

scholarly journals Testing the Feasibility of a Nursing Intervention Focusing on Family Management for Caregivers of Children with Autism

2021 ◽  
Author(s):  
Thi Lan Anh Mai ◽  
Nujjaree Chaimongkol
Keyword(s):  
Children With Autism ◽  
Nursing Intervention ◽  
Management Style ◽  
Family Management ◽  
Family Quality Of Life ◽  
Post Intervention ◽  
Management Intervention ◽  
Quality Of Life Scale ◽  
The Family

Objective: This pilot study aimed to investigate the feasibility and effects of a nursing intervention focusing on family management for caregivers of children with autism.Material and Methods: Five primary caregivers of children with autism, who visited a hospital in Vietnam were recruited by convenience sampling. All participants were parents, with mean age of 33.40 (+5.46) years, who attended weekly family-management intervention for four consecutive weeks. The intervention was adapted from the Building on Family Strengths program and guided by the Family Management Style Framework. The Beach Center Family Quality of Life Scale and the Caregiver's Strain Questionnaire were used to measure outcomes at three-point times, namely, baseline (week 0), post-intervention (week 4), and follow-up (week 8). Descriptive statistics and Friedman test were used in data analysis .Results: The age of children with autism was from 4-8 years old (M=5.60). The findings revealed that the participants attended all implementation sessions without dropping out. Significant positive changes in the quality of family life and the burden of the caregivers were found among the participants after receiving the intervention.Conclusion: The family-management intervention was feasible and beneficial to family caregivers of children with autism in Vietnam. Future studies should explore the effectiveness of this intervention in randomized controlled trials with a larger sample size. This intervention would be more appropriate as integral component in the services for family and children with autism.

An Overview of Facilities Providing Clinical Services for Persons Who Stutter in Kuwait

2016 ◽  
Vol 1 (4) ◽  
pp. 79-95
Author(s):  
Latifa Alsalmi ◽  
Robert Mayo
Keyword(s):  
Special Education ◽  
Department Heads ◽  
Clinical Services ◽  
Medical Settings ◽  
Non Profit ◽  
Future Studies ◽  
Language Services ◽  
Medical Centers ◽  
Clinical Directors

Presently, no clear picture is available about the facilities providing clinical services for persons who stutter (PWS) in Kuwait. This information is crucial for any awareness program to be established in the future. The purpose of this study was to identify clinical facilities and speech-language personnel that provide services for PWS in Kuwait. Participants consisted of 21 clinical directors of governmental medical centers, non-profit clinics, and private clinics as well as department heads of governmental school clinics where speech-language services were provided. Participants were interviewed regarding the availability of speech-language services within their centers and whether or not PWS receive services. The results revealed that four out of five governmental medical centers with a total of 32 speech-language pathologists (SLPs) provided services for PWS. Additionally, 12 schools of special education were found to have 62 SLPs on their staff providing fluency services for students. Finally, two stand-alone private clinics and one non-profit clinic provided services for PWS. Results indicated an overall shortage of SLPs in the country, especially in medical settings. This study sets the foundation for a series of future studies investigating the type and quality of stuttering services provided by the identified facilities in Kuwait.

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