scholarly journals An inner city home treatment service for acute psychiatric patients

1989 ◽  
Vol 13 (12) ◽  
pp. 667-669 ◽  
Author(s):  
Christine Dean ◽  
Elaine Gadd
Keyword(s):  
Inner City ◽  
Independent Living ◽  
Employment Status ◽  
Hospital Care ◽  
Psychiatric Illness ◽  
Psychiatric Patients ◽  
Self Esteem ◽  
Home Treatment ◽  
Acute Episode ◽  
Treatment Service

Over the last ten years it has been shown that it is possible to treat the majority of patients with acute psychiatric illness in their own homes. Home treatment has been shown to produce a superior outcome to hospital care on measures of symptomatology, subsequent independent living and employment status (Hoult, 1986) self-esteem (Stein & Test, 1980) and may decrease the need for re-admission. Additionally, home treatment decreases the burden felt by the relatives (Pai & Kapur, 1982) and may enable them to cope better with the patient after the acute episode.

Self-esteem and Independent Living Skills of Adults with Visual Impairments

1995 ◽  
Vol 89 (6) ◽  
pp. 531-540 ◽  
Author(s):  
J.D. Beach ◽  
J.M. Robinet ◽  
J. Hakim-Larson
Keyword(s):  
Educational Level ◽  
Independent Living ◽  
Employment Status ◽  
Visual Impairments ◽  
Self Esteem ◽  
Self Report ◽  
Motivation To Learn ◽  
Independent Living Skills ◽  
Living Skills

This report of a study of 36 adults with visual impairments found that self-esteem was related to three self-report measures of skills: dependence on others, difficulty, and motivation to learn. Relationships were found between educational level and self-esteem, educational level and the three measures of skills, and employment status and motivation to learn.

scholarly journals Role of the duty psychiatrist

1992 ◽  
Vol 16 (4) ◽  
pp. 218-219 ◽  
Author(s):  
Judith E. Nicholls
Keyword(s):  
Hospital Admission ◽  
Patient Care ◽  
Psychiatric Illness ◽  
Home Treatment ◽  
Psychiatric Services ◽  
Living Alone ◽  
Treatment Service ◽  
Physical Problems ◽  
At Home

Recent changes in psychiatric services have produced a movement away from large hospitals to management within the community. A successful home treatment service with 24-hour cover has been described for severe acute psychiatric illness, though hospital admission was not entirely avoided (Dean et al, 1990). It is difficult to manage violent patients or those who will not comply with medication at home. If relatives are not supportive hospital admission will be required. Although living alone is not a contraindication to treatment at home, those who require constant supervision because they are, for example, suicidal need to be admitted. Concurrent physical problems may also necessitate hospital admission. Any future services must therefore include some in-patient care.

scholarly journals Senior registrar training in home treatment

1994 ◽  
Vol 18 (7) ◽  
pp. 408-409
Author(s):  
Marcellino Smyth ◽  
Pat Bracken
Keyword(s):  
Professional Development ◽  
Inner City ◽  
Hospital Admission ◽  
Psychiatric Illness ◽  
Home Treatment ◽  
Training Experience ◽  
Senior Registrar ◽  
Challenges And Opportunities ◽  
Registrar Training

We offer an account of training experience within an inner city service dedicated to home treatment as an alternative to hospital admission for acute psychiatric illness. The Ladywood service in Birmingham is described and the challenges and opportunities for trainees outlined. A dominantly institutional based training seemed to us deficient, after this exposure. We regarded home treatment very positively and felt that it enriched our professional development in both clinical and conceptual terms.

scholarly journals Psychiatric patients at general hospital emergency departments

2020 ◽  
Vol 31 (1) ◽  
pp. 7-14
Author(s):  
Shafquat Waheed ◽  
Md Golam Rabbani ◽  
Abdullah Al Mamun ◽  
Jhunu Shamsun Nahar ◽  
Khaleda Begum ◽  
...  
Keyword(s):  
Emergency Departments ◽  
Psychiatric Illness ◽  
Single Case ◽  
Psychiatric Patients ◽  
Conversion Disorder ◽  
Income Group ◽  
College Hospital ◽  
Cross Sectional ◽  
Total Study Population ◽  
Medical College

A cross-sectional descriptive type of study on 357 patients was carried out in the emergency departments of Dhaka Medical College Hospital (DMCH) and Shahid Sohrawardy Medical College (SSMCH), Dhaka in 2011 to find out the incidence and socio-demographic characteristics of psychiatric morbidities among the patients attended there. The patients were interviewed using GHQ-28 and SCID-I, All GHQ-28 screen positive and 25% of screen negative respondents (total 158) were assessed by SCID-I. Among them 42 (11.76% of all 357 cases) respondents were found with some form of psychiatric illness. Diagnosis of psychiatric illness was significantly higher in those scored 4 or more in GHQ-28. More psychiatric cases were found among 18-25 years age group (50%), male gender (54.76%), urban population (69.05%), Muslims (85.71%), being single (54.76%), patients with secondary level of education (45.24%), housewives (26.19%), members of nuclear families (78.57%), and members of lower-income group. Among these 42 psychiatric cases, 22 were assessed by a psychiatrist who was blind about GHQ-28 score and SCID-I diagnosis. Out of these psychiatrically ill 42 cases, Major Depressive Disorder was in 9 (2.52% of the total study population of 357), Conversion Disorder was in 8 (2.24%) and Anxiety Disorder was in 7 (1.96%) respondents. There were two cases of Bipolar I Disorder and a single case of extrapyramidal side effects (EPSEs) with schizophrenia. Psychiatric illnesses are important issues at the emergency departments which require special attention. Bang J Psychiatry June 2017; 31(1): 7-14

The Reporting of Recent Stress in the Lives of Psychiatric Patients

1970 ◽  
Vol 117 (541) ◽  
pp. 635-643 ◽  
Author(s):  
Richard W. Hudgens ◽  
Eli Robins ◽  
W. Bradford Delong
Keyword(s):  
Life Events ◽  
Psychiatric Illness ◽  
Psychiatric Patients ◽  
Causative Role ◽  
Causal Connection ◽  
Specific Question ◽  
Interpersonal Conflicts ◽  
Positive Evidence ◽  
Medically Ill ◽  
Psychiatric Illnesses

Physicians and patients frequently assume a causal connection between life events and subsequent episodes of psychiatric illness. It seems to ‘make sense’ that an illness which is to some extent manifested by disordered emotions could be caused in part by emotion-producing events. But plausibility alone is no proof of the truth of such an assumption. Realizing this, several investigators have conducted systematic studies of the interrelationships of life events and illnesses, both psychiatric and medical. Such work has been reported by Adamson and Schmale (1), Holmes, et al. (3, 7, 9, 10) Brown and Birley (2) Clayton, et al. (4) Morrison, et al. (11) Murphy, et al. (12, 13) and Hudgens, et al. (8). These authors differed regarding the specific question of whether illnesses may be caused by emotion-producing stress. The first six of the above papers presented positive evidence for such a cause-effect relationship. The last four papers reported that psychiatric patients had significantly more interpersonal conflicts than did well persons or medically ill persons, at least while their psychiatric illnesses were in progress; but the latter authors were unable to find evidence that any type of stress, interpersonal or otherwise, played a causative role in the illnesses. Disagreements among all these workers may be traced to differences in both theoretical approach and methodology.

scholarly journals Internalized Stigma of Mental Illness and Its Relation with Self- Esteem and Social Support among Psychiatric Patients

2019 ◽  
Vol 1 (3) ◽  
pp. 11
Author(s):  
Amany A. Mohamed
Keyword(s):  
Social Support ◽  
Mental Illness ◽  
Mentally Ill ◽  
Addiction Treatment ◽  
Psychiatric Patients ◽  
Self Esteem ◽  
Internalized Stigma ◽  
Convenience Sample ◽  
Stigma Score ◽  
Stigma Of Mental Illness

Context: Mentally ill patients challenging dual difficulties that are illness and stigma. Internalized stigma viewed as maladaptive psychosocial phenomena that can affect all aspects of mentally ill patient life. Aim: The current study emerged aiming to assess internalized stigma of mental illness and its relation with self-esteem and social support among psychiatric patients. Methods: Descriptive research design used to achieve the aim of this study. A convenience sample of one hundred hospitalized psychiatric patients recruited for the study from inpatient units of Mental Health and Addiction Treatment Hospital in Minia governorate. The data collection tools included socio-demographic and clinical data questionnaire, Internalized Stigma of Mental Illness Scale, Rosenberg's Self Esteem Scale, and Multidimensional Scale of Perceived Social Support. Results: The findings show that less than half of patients have a severe level of total internalized stigma score. There is a highly significant correlation between overall internalized stigma score and its all subscales with self-esteem and social support. Conclusions: Internalized stigma level was high among psychiatric patients. A significant negative correlation found between total internalized stigma score with self-esteem and social support of the studied patients. The study recommended further studies regarding educational interventions to raise awareness and decrease internalized stigma among patient with mental illness. Besides, providing support for patient and families of mentally ill patients to promote their capacity to manage and cope with stigma. 

scholarly journals Impact of ethnicity, unemployment and economy on mental disorders : A study from Western Nepal

2014 ◽  
Vol 4 (1) ◽  
pp. 306-315
Author(s):  
Indrajit Banerjee ◽  
Indraneel Banerjee ◽  
Bedanta Roy ◽  
Brijesh Sathian ◽  
Shovit Kadkha ◽  
...  
Keyword(s):  
Mental Health ◽  
Psychiatric Illness ◽  
Family Income ◽  
Mental Health Problems ◽  
Psychiatric Patients ◽  
Population Based ◽  
Ethnic Variation ◽  
Cross Sectional ◽  
Economic Class ◽  
Specific Objective

Background: The causes of mental health problems and ethnic variation are poorlyunderstood. The main objective of the study was to find out about psychiatricdiseases which frequently occur in Western Nepal for which hospitalization isrequired. The specific objective was to research about theeconomic condition ofthe psychiatric patients and the prevalence of common psychiatric disorderwitnessed among hospitalized patients who belong to diverse ethnic and culturalgroups in Western Nepal. Materials and Methods: It was a cross sectional studywhich was conducted in between 1st October 2009 and 31th March 2010 between at Manipalteaching hospital, Pokhara, Nepal. Odds ratios and adjusted odds ratio andtheir 95% confidence intervals (95% CI) were calculated. p < 0.05 wasconsidered as statistically significant. Results: Out of 240 cases the commonestcases of psychiatric disorders include Schizophrenia, Schizotypal and DelusionDisorders 36.3%, Mood Disorders 27.9%, Neurotic, stress-related and somatoformdisorders 15.8%. Study based on ethnicity revealed that the majority ofpatients were Dalit [n= 72] followed by Brahmin [n = 66], Chettri [n = 46],Newar [n = 19], Gurung [n = 17], others [n = 13] and Magar and Pun [n = 7].Most of the patients were <40yrs [n=191] unemployed [n=199], monthly familyincome <10000 NPR/month [n= 187], students [n = 102] housewives [n = 74,], job holders [n= 17]. Study showed that Mental and Behavioural disorder due toPsychoactive Substance abuse, Schizophrenia, Schizotypal and Delusion DisordersMood (Affective) Disorders, Neurotic, stress-related and somatoform disorderswere prevalent among unemployed patients [OR 8.170(CI 1.062, 62.853)], [OR3.033(CI 1.334, 6.897)], [OR 0.413(CI 0.199, 0.856)[OR 0.228(CI 0.089,0.583)]as compared to employed patients(p=0.001). Conclusion: Schizophrenia was the commonestpsychiatric disorder among the low socio-economic class of like Dalits. The study showed that culture based differences concerning mental health is furthermediated by poverty, unemployment and dearth of family income which leads tohigh prevalence of psychiatric illness among Nepalese population. Based on thefinding of the study, interventions should target these factors to minimise theload of various psychiatric illness among poor Dalit Nepalese population.DOI: http://dx.doi.org/10.3126/nje.v4i1.10132Nepal Journal of Epidemiology 2014;4 (1): 306-315Keywords:Culture, Ethnicity,Nepal, Psychiatry

scholarly journals NURSES’ PERCEPTIONS ON THE READMISSION OF PSYCHIATRIC PATIENTS ONE YEAR AFTER DISCHARGE

2016 ◽  
Vol 16 (1) ◽  
pp. 89-102 ◽  
Author(s):  
T. Nxasana ◽  
G. Thupayagale-Tshweneagae
Keyword(s):  
Family Support ◽  
Psychiatric Illness ◽  
Psychiatric Patients ◽  
Cultural Interpretation ◽  
Factors Associated ◽  
Nurses Perceptions ◽  
One Year ◽  
The Many ◽  
The Impact ◽  
Depth Interviews

A qualitative study using in-depth interviews with 10 nurses working with psychiatric patients was conducted in 2012. The purpose of this study was to investigate the nurses’ perceptions on the readmission of psychiatric patients within one year of discharge from Prince Mshiyeni Memorial Hospital. Tesch’s method of data analysis was used to identify the nurses’ perceptions on the readmissions of psychiatric patients one year after discharge. The results of this study affirmed the reasons known in literature about factors associated with re-admissions, which include lack of family support, poor adherence to medications and substance and alcohol use. However, a unique finding of the study was the cultural interpretation of psychiatric illness that led to poor compliance. The study concluded that cultural interpretation of mental illness is among the many causes of readmission of psychiatric patients and may be an overarching factor. The study recommends that a study be done on exploring the cultural interpretations of psychiatric illness and the impact of those interpretations on the readmission of psychiatric patients.

Portraits of Joy: The Lived Experiences of Young Adults With Autism Expressed Through Photovoice

2021 ◽  
Vol 75 (Supplement_2) ◽  
pp. 7512505155p1-7512505155p1
Author(s):  
Paula J. Thompson-Costello ◽  
Mackenzie Traub ◽  
Eleanor Sweeney ◽  
Mallory Schrier ◽  
Hannah R. Dau
Keyword(s):  
Young Adults ◽  
Lived Experience ◽  
Social Relationships ◽  
Living Arrangements ◽  
Independent Living ◽  
Employment Status ◽  
Community Based ◽  
Adults With Autism ◽  
Challenges And Opportunities ◽  
Young Adults With Autism

Abstract Date Presented Accepted for AOTA INSPIRE 2021 but unable to be presented due to online event limitations. For young adults and adults with autism, the outcomes related to independence, social relationships, employment status, and living arrangements have been poor. This session will share research using PhotoVoice to explore the lived experience of young adults with autism in a community-based independent-living residence. Challenges and opportunities for independence as seen through photos and reflections on the OT role will be shared. Primary Author and Speaker: Paula J. Thompson-Costello Additional Authors and Speakers: Mackenzie Traub, Eleanor Sweeney, Mallory Schrier, and Hannah R. Dau

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