scholarly journals British psychiatric morbidity survey

1998 ◽  
Vol 173 (1) ◽  
pp. 4-7 ◽  
Author(s):  
Rachel Jenkins ◽  
Paul Bebbington ◽  
Traolach S. Brugha ◽  
Mike Farrell ◽  
Glyn Lewis ◽  
...  
Keyword(s):  
Mental Illness ◽  
Great Britain ◽  
Mental Disorders ◽  
Mental Health Problems ◽  
Psychiatric Morbidity ◽  
Social Climate ◽  
Family Burden ◽  
Department Of Health ◽  
Health Burden

There is mounting evidence of the massive global health burden of mental illness (Murray & Lopez, 1996; Jenkins, 1997). Within Great Britain, the Department of Health's overall objectives for mental illness were summarised as follows (Department of Health, 1993):(a) To reduce the incidence and prevalence of mental disorders.(b) To reduce the mortality associated with mental disorders.(c) To reduce the extent and severity of other problems associated with mental disorders, for example:(i) poor physical health;(ii) impaired social functioning;(iii) poor social circumstances;(iv) family burden.(d) To ensure appropriate services and interventions are provided.(e) To reverse the public's negative perception of mental illness, for example:(i) counter fear, ignorance and stigma;(ii) create a more positive social climate in which to seek help;(iii) improve quality of life for people with mental health problems.(f) To research causes, consequences and care of specific mental disorders.

scholarly journals Impact of mental illness on in-patient hospital costs for somatic disorders and associated factors

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
M Michel ◽  
A J Hammami ◽  
K Chevreul
Keyword(s):  
Primary Care ◽  
Health Promotion ◽  
Mental Illness ◽  
Mental Disorders ◽  
Economic Burden ◽  
Mentally Ill ◽  
Hospital Costs ◽  
Healthcare Systems ◽  
Interaction Terms

Abstract Background People suffering from mental disorders are in poorer somatic health that the general population. This is due in part to poor quality of care in primary care settings, which can in turn have a major impact on hospitals and healthcare systems, in particular in terms of costs. Our objective was to assess the economic burden of acute care admissions for somatic diseases in patients with a mental illness compared to other patients and analyse the factors associated with it. Methods An exhaustive study using French hospital discharge databases was carried out between 2009 and 2013. Total acute hospital costs were calculated from the all payer perspective (statutory health insurance, private health insurances and patient out-of pocket payments). A multivariate regression modelled the association between mental illness and hospital costs while adjusting for other explanatory variables, with and without interaction terms. Results 37,458,810 admissions were included in the analysis. 1,163,972 patients (6.54%) were identified as being mentally ill. Mean total hospital costs at five years per patient were €8,114. Costs per mentally ill patient were on average 34% higher than for a non-mentally patient (€10,637 vs. €7,949). A longitudinal analysis of costs showed a widening of the gap between the two groups as time went by, from 1.60% in 2009 to 10.51% in 2013. In the multivariate model, mental disorders were significantly associated with increased costs, and interaction terms found an increased impact of mental illness on costs in deprived patients. Conclusions Improving quality of primary care and health promotion in people with a mental illness both for their own sake and to decrease the economic burden on the healthcare system, is of vital importance. Key messages There is a significant increase in hospital costs for somatic care in patients with a mental illness compared to other patients, in particular in patients who are also deprived. It is necessary to improve primary care and health promotion in mentally ill patients, for their sake and for the sake of healthcare systems.

scholarly journals Prevalence of mental disorders in prisons in the UK: a systematic review and meta-analysis

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S283-S284
Author(s):  
Nivedita Rebbapragada ◽  
Vivek Furtado ◽  
George William Hawker-Bond
Keyword(s):  
General Population ◽  
Mental Disorders ◽  
Mental Health Problems ◽  
Prison Population ◽  
Psychiatric Morbidity ◽  
Revolving Door ◽  
Health Concern ◽  
Pooled Prevalence ◽  
Prevalence Estimates ◽  
The Uk

AimsTo report pooled prevalence of all mental disorders among the general prison population in the United Kingdom (UK). This includes individuals in Young Offender Institutions (YOI), youth custody and adult prisons across all categories. A secondary aim explores possible sources of heterogeneity by performing subgroup and meta-regression analysis across certain covariates (e.g. sex of prisoner). We hypothesise that contemporary estimates of mental disorders are higher than the general population.BackgroundPrevalence of mental health problems among prisoners are considerably higher than the general population; this poses an important public health concern. Individuals who require diversion to appropriate psychiatric services are becoming embroiled in the revolving door of the criminal justice system. However, there are no up-to-date reviews assessing prevalence of mental disorders across the general prison population in the UK. This study aims to address this gap.MethodWe conducted a systematic search of PsycINFO (1923 – October 2019), MEDLINE (1946 – October 2019), EMBASE (1947 – October 2019) and Web of Science (all years) of articles reporting prevalence of mental disorders in UK prison populations (PROSPERO registration number: CRD42019132685). The Joanna Briggs Institute (JBI) Appraisal Checklist for Studies Reporting Prevalence Data assessed study quality and bias. Pooled prevalence of each mental disorder was calculated using Stata statistical software 16.0 via the metaprop command. Forest plots present prevalence estimates with study weights and associated 95% confidence intervals (CI). Overall, 20 studies satisfied inclusion criteria, comprising of 12,335 prisoners across England, Wales and Scotland.ResultWe identified higher rates of neurotic disorders (28.9%, 95% CI 0.71–74.7%), personality disorders (23.5%, 95% CI 13.6–35.2%), alcohol (22.7%, 95% CI 12.2–35.1%) and drug dependence (26.7%, 95% CI 15.0–40.4%). The lowest prevalence rates included schizophrenia (2.42%, 95% CI 0.78–4.84%), panic disorders (3.88%, 95% CI 3.17% – 4.64%), adjustment disorders (3.83%, 95% CI 1.19–7.84%) and intellectual disability (2.90%, 95% CI 0.90–5.80%). Meta-regressions for psychotic disorder and personality disorder revealed no significant differences across study year, sample size and gender.ConclusionOur prevalence estimates of mental disorders in prisons are higher than the general English population. However, we should acknowledge the influence of considerable heterogeneity. These findings demonstrate the need to quantify current prevalence of mental disorders amongst prisoners in the UK. We recommend for the government to consider performing an up-to-date census of psychiatric morbidity to facilitate service provision.

Mental health disorders and alcohol misuse among UK military veterans and the general population: a comparison study

2020 ◽  
pp. 1-11
Author(s):  
Rebecca Rhead ◽  
Deirdre MacManus ◽  
Margaret Jones ◽  
Neil Greenberg ◽  
Nicola T Fear ◽  
...  
Keyword(s):  
Mental Health ◽  
General Population ◽  
Mental Disorders ◽  
Alcohol Misuse ◽  
Mental Health Problems ◽  
Negative Impact ◽  
Psychiatric Morbidity ◽  
Military Health ◽  
Male Veterans ◽  
Increased Risk

Abstract Background For a small minority of personnel, military service can have a negative impact on their mental health. Yet no studies have assessed how the mental health of UK veterans (who served during the recent operations in Afghanistan or Iraq) compares to non-veterans, to determine if they are at a disadvantage. We examine the prevalence of mental disorders and alcohol misuse in UK veterans compared to non-veterans. Methods Veteran data were taken from the third phase of the King's Centre for Military Health Research cohort study (n = 2917). These data were compared with data on non-veterans taken from two large general population surveys: 2014 Adult Psychiatric Morbidity Survey (n = 5871) and wave 6 of the UK Household Longitudinal Study (UKHLS, n = 22 760). Results We found that, overall, UK veterans who served at the time of recent military operations were more likely to report a significantly higher prevalence of common mental disorders (CMD) (23% v. 16%), post-traumatic stress disorder (PTSD) (8% v. 5%) and alcohol misuse (11% v. 6%) than non-veterans. Stratifying by gender showed that the negative impact of being a veteran on mental health and alcohol misuse was restricted to male veterans. Being ill or disabled was associated with a higher prevalence of CMD and PTSD for both veterans and non-veterans. Conclusion Whilst the same sociodemographic groups within the veteran and non-veteran populations seemed to have an increased risk of mental health problems (e.g. those who were unemployed), male veterans, in particular, appear to be at a distinct disadvantage compared to those who have never served.

scholarly journals Screening for psychiatric morbidity in police custody: results from the HELP-PC project

2013 ◽  
Vol 37 (12) ◽  
pp. 389-394 ◽  
Author(s):  
Iain McKinnon ◽  
Samir Srivastava ◽  
Gurpreet Kaler ◽  
Don Grubin
Keyword(s):  
At Risk ◽  
Mental Illness ◽  
Mental Disorders ◽  
Alcohol Withdrawal ◽  
Crack Cocaine ◽  
Psychiatric Morbidity ◽  
Clinical Implications ◽  
Police Custody ◽  
Moderate Depression ◽  
Screening Procedures

Aims and methodTo ascertain the efficacy of custody health screening for mental disorders. We assessed a sample of detainees for the presence of mental disorders and the need for an appropriate adult. The assessments were carried out using pragmatic interviews and examinations supported by structured tools. Where possible, we attributed a probable clinical diagnosis based on the information available to us. The need for an appropriate adult was judged based on this information and capacity assessments.ResultsExisting screening procedures missed a quarter of cases of severe mental illness and moderate depression; they also failed to detect about a half of those at risk of alcohol withdrawal and 70% of those at risk of withdrawal from crack cocaine. The need for an appropriate adult was not recognised in more than half of cases.Clinical implicationsConsideration should be given to modifying police screening procedures for mental and associated disorders so that detainees receive the appropriate attention.

QOL in primary care of elderly mentally ill and their caregivers’ well-being

2011 ◽  
Vol 26 (S2) ◽  
pp. 859-859
Author(s):  
N. Tataru ◽  
A. Dicker
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Primary Care ◽  
Mental Disorders ◽  
Mental Health Problems ◽  
Well Being ◽  
The Elderly ◽  
Care Staff ◽  
Care Of Elderly

It is difficult to talk about quality of life of elderly with mental disorders. Thus, there appeared serious ethical challenges for psychiatry: to cut mental health costs and to provide care to as many as possible through all duration of their diseases, from the onset to the end-of-life. The psychiatrists have to face these challenges and treat the elderly with or without mental disorders from primary care to residential one, assuring them the best quality of life as it is possible. The goal of medical policy is to optimize the patients’ and their caregivers’ well-being. Multiple loses in old age are important in decreasing of quality of life and increasing of mental health problems in the elderly. They have more social and medical problems, which include depression and suicide. Caring for a family member with dementia can be both challenging and stressful. Primary care-staff need to develop the skills to detect and manage signs of caregivers stress. Health care professionals can promote well-being of the caregivers not only the patients’ well-being, educate them how to access help and manage their stress effectively. Recognition of the importance of the role of caregivers and finding the effective ways of supporting them, respecting their personal perception of the quality of this offer, improve the quality of primary care of elderly patients with mental disorders and also improve the quality of life of their relative or caregivers.

Recovery heroes from the past: Charles Dickens (1859:2003): “it was the best of times it was the worst of times”

2018 ◽  
Vol 22 (2) ◽  
pp. 78-84
Author(s):  
Gail Longworth ◽  
Jerome Carson
Keyword(s):  
Mental Illness ◽  
Charles Dickens ◽  
Design Methodology ◽  
Mental Health Problems ◽  
Historical Record ◽  
Content Type ◽  
The Past ◽  
Personal Resilience ◽  
Practical Implications

Purpose The purpose of this paper is to provide a profile of the novelist Charles Dickens. Design/methodology/approach Several biographies and articles about the life of Charles Dickens were examined, to see if there was evidence that he experienced mental health problems. Findings While Dickens has been acclaimed for his ability to authentically portray the living conditions of the poor in the nineteenth-century Britain, there is comparatively little historical record of the fact that he may have experienced bipolar disorder. This paper suggests that he displayed many of the characteristic symptoms of bipolar. Research limitations/implications The story of Dickens’ own childhood is an amazing example of personal resilience. It no doubt enhanced the quality of his writing, but it may also have “sown the seeds” of a later mental illness. Practical implications So much attention has been focused on the colourful characters from Dickens’ novels, but little on the problems of the man himself. Social implications The story of Charles Dickens is as fascinating as any of the fictional characters he created, if not even more intriguing. His story confirms the link between writers, creativity and mood disorders. Originality/value Given the huge attention and worldwide acclaim paid to the books of Charles Dickens, which have inspired numerous films as well as musicals, it is surprising how little attention has been paid to the author himself and his struggles with mental illness.

scholarly journals To travel is to live: embracing the emerging field of travel psychiatry

2020 ◽  
pp. 1-3
Author(s):  
Gerard Flaherty ◽  
Shang Yuin Chai ◽  
Brian Hallahan
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Mental Disorders ◽  
Mental Health Problems ◽  
Travel Medicine ◽  
Health Problems ◽  
International Travel ◽  
Clear Understanding ◽  
Healthcare Practitioner ◽  
Travel Experience

Summary For a person with mental illness, travelling abroad can be challenging but it can be easier when the traveller and healthcare practitioner have a clear understanding of the likely impact of travel on the illness and of the illness on the travel experience. Travel may also precipitate first presentations of mental illness or unmask previously undiagnosed mental disorders. We propose that mental health problems should receive greater recognition in travel medicine and that psychiatrists should collaborate more closely with travel medicine clinicians to ensure that their patients benefit from the opportunities afforded by international travel.

scholarly journals Definitions and Operationalization of Mental Health Problems, Wellbeing and Participation Constructs in Children with NDD: Distinctions and Clarifications

2021 ◽  
Vol 18 (4) ◽  
pp. 1656 ◽  
Author(s):  
Mats Granlund ◽  
Christine Imms ◽  
Gillian King ◽  
Anna Karin Andersson ◽  
Lilly Augustine ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Mental Disorders ◽  
Mental Health Problems ◽  
Health Problems ◽  
Future Research ◽  
Conceptual Clarity ◽  
Low Levels ◽  
The Difference ◽  
The Relationship

Children with impairments are known to experience more restricted participation than other children. It also appears that low levels of participation are related to a higher prevalence of mental health problems in children with neurodevelopmental disorders (NDD). The purpose of this conceptual paper is to describe and define the constructs mental health problems, mental health, and participation to ensure that future research investigating participation as a means to mental health in children and adolescents with NDD is founded on conceptual clarity. We first discuss the difference between two aspects of mental health problems, namely mental disorder and mental illness. This discussion serves to highlight three areas of conceptual difficulty and their consequences for understanding the mental health of children with NDD that we then consider in the article: (1) how to define mental health problems, (2) how to define and assess mental health problems and mental health, i.e., wellbeing as separate constructs, and (3) how to describe the relationship between participation and wellbeing. We then discuss the implications of our propositions for measurement and the use of participation interventions as a means to enhance mental health (defined as wellbeing). Conclusions: Mental disorders include both diagnoses related to impairments in the developmental period, i.e., NDD and diagnoses related to mental illness. These two types of mental disorders must be separated. Children with NDD, just like other people, may exhibit aspects of both mental health problems and wellbeing simultaneously. Measures of wellbeing defined as a continuum from flourishing to languishing for children with NDD need to be designed and evaluated. Wellbeing can lead to further participation and act to protect from mental health problems.

Psychiatric Disorders Run in Families. Children of Parents With Serious Mental Disorders: A Case History

2017 ◽  
Vol 41 (S1) ◽  
pp. S219-S219
Author(s):  
M.D. Ortega Garcia ◽  
M.V. Marti Garnica ◽  
S. Garcia Marin ◽  
C. Martinez Martinez ◽  
R. Gomez Martinez ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Mental Disorders ◽  
Social Services ◽  
Family Environment ◽  
Mental Health Problems ◽  
Mental Health Center ◽  
Pediatric Population ◽  
Psychosocial Care ◽  
High Risk Group

Aims/methodPublications and studies have shown that the existence of serious mental disorders in parents is a risk in the development of children and is more common the existence of mental illness in them than in the general pediatric population. This work aims to reflect in depth on the study of the influence of psychotic parents on child development through a review of a clinical study. We present the case of 14 years old adolescent who is being treated in a mental health center, whose parents suffers from a severe mental illness. We also defend the importance of a preventive approach or treatment that impinges on the child and family environment.Results/conclusionsA way of community work, in coordination with the different teams (social services, educational services, etc.) allows more efficient and appropriate treatment, using various resources. When risk factors for developing mental health problems in childhood, family history and especially the existence of one or both parents of mentally pathology type schizophrenia or other psychoses are studied become important. It seems essential to address as a priority to the social group have called “high-risk group of psychosis’, and in particular to the” sons of patients diagnosed with psychosis”, both for its size and the severity and chronicity of psychopathology if developing means for early psychosocial care does not occur.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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