scholarly journals Facilities and services for patients who have chronic persisting severe disabilities resulting from mental illness

1993 ◽  
Vol 17 (9) ◽  
pp. 567-568 ◽  
Keyword(s):  
Mental Illness ◽  
Severe Mental Illness ◽  
Royal College ◽  
Executive Committee ◽  
Mental Hospital ◽  
Working Party ◽  
Severe Disabilities ◽  
Persistent Mental Illness ◽  
General Psychiatry ◽  
Official Policy

A Working Party Report on behalf of the Executive Committee of the General Psychiatry Section of the Royal College of PsychiatristsSince the early 1960s, it has been official policy to develop locally based alternatives to the mental hospital for the care of people suffering from persistent severe mental illness. This Working Party Report identifies the major shortcomings of the implementation of this policy for people with persistent mental illness and sets out a number of recommendations to redress these deficiencies.

scholarly journals Report of the General Psychiatry Section Working Party on Post-Natal Mental Illness

1992 ◽  
Vol 16 (8) ◽  
pp. 519-522 ◽  
Keyword(s):  
Mental Illness ◽  
Royal College ◽  
Working Party ◽  
Adolescent Psychiatrist ◽  
Senior Lecturer ◽  
Consultant Psychiatrist ◽  
Research Fellow ◽  
General Psychiatry ◽  
Senior Research Fellow ◽  
Senior Research

The Working Party was formed under the aegis of the General Psychiatry Section of the Royal College of Psychiatrists, with the following membership: Professor John Cox – Keele University (Chairman); Dr Channi Kumar – Institute of Psychiatry, London; Dr Margaret Oates – Senior Lecturer, Consultant, University of Nottingham; Dr David Foreman – Consultant Child and Adolescent Psychiatrist, Senior Research Fellow, Keele University, Staffordshire; and Dr Helen Anderson – Consultant Psychiatrist, Bellsdyke Hospital, Larbert (Secretary).

scholarly journals Severe persistent mental illness

1992 ◽  
Vol 16 (12) ◽  
pp. 743-745 ◽  
Author(s):  
Peter F. Liddle
Keyword(s):  
Mental Illness ◽  
Mental Hospital ◽  
Community Care ◽  
Community Setting ◽  
Detailed Examination ◽  
Mental Illnesses ◽  
Persistent Mental Illness ◽  
Realistic Appraisal

Many patients with persistent mental illnesses enjoy a better life in a community setting than would be possible in a long stay mental hospital. Furthermore, the available evidence indicates that most such patients get better while living in the community. Unfortunately, community care has not served all patients well. Much of the difficulty can be attributed to lack of resources. However, there is also a tendency by planners to underestimate the severity of patients' disabilities. A realistic appraisal demands a detailed examination of the problems of patients whose needs have not been met by community care. One important issue is that of patients who fall through the net of community care and another is that of patients who have not but nonetheless have not survived in the community. This paper addresses the question of the needs of this latter group.

An Evaluation of the Outcomes of a Court Outreach Program for People with Severe and Persistent Mental Illness Who Are Legally Involved

2010 ◽  
Vol 29 (S5) ◽  
pp. 157-172
Author(s):  
Tim Aubry ◽  
John Sylvestre ◽  
Jaclynne Smith ◽  
Donna Pettey ◽  
Marnie Smith
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Severe Mental Illness ◽  
Outreach Program ◽  
Client Outcomes ◽  
Mental Health Symptoms ◽  
Health Symptoms ◽  
Persistent Mental Illness ◽  
Individualized Services

The current study evaluated the outcomes of an outreach program that provides individualized services to people with severe mental illness who are legally involved. Client outcomes included increased community ability and reduced homelessness for a group of 45 clients still receiving services from the program, and increased community ability and diminished severity of mental health symptoms for 50 clients who had been discharged from the program. Only 2 of the 50 discharged clients (4%) were found to be incarcerated at termination; 1 other client (2%) was detained at termination through the Ontario Review Board.

Estimating the cost impact of three case management programmes for treating people with severe mental illness

1998 ◽  
Vol 173 (S36) ◽  
pp. 26-32 ◽  
Author(s):  
Teh-Wei Hu ◽  
Jeanette M. Jerrell
Keyword(s):  
Health Care ◽  
Mental Illness ◽  
Case Management ◽  
Severe Mental Illness ◽  
Mental Health Professionals ◽  
Public Funding ◽  
Persistent Mental Illness ◽  
Treatment Services ◽  
Frequent Use ◽  
Management Approaches

The treatment of people with severe and persistent mental illness entails long-term intervention and may be very costly, primarily due to their frequent use of acute and subacute treatment services or because of prolonged stays in health care institutions. Given the rising costs of health care and the decreasing public funding for treating people with severe mental illness, mental health professionals are adopting case management approaches to provide more efficient care to these individuals.

Geriatric Psychiatry Subspecialization in Canada: Past, Present, and Future

1998 ◽  
Vol 43 (7) ◽  
pp. 681-687 ◽  
Author(s):  
JK Le Clair ◽  
J Sadavoy
Keyword(s):  
Mental Illness ◽  
Severe Mental Illness ◽  
Royal College ◽  
Older Persons ◽  
Relevant Literature ◽  
Geriatric Psychiatry ◽  
Therapeutic Options ◽  
Body Of Knowledge ◽  
Future Challenges ◽  
Further Development

Objective: To describe the development, future challenges, and directions of geriatric psychiatry in Canada. Method: This review and description of geriatric psychiatry was developed in the context of the criteria established by the Royal College of Physicians and Surgeons of Canada for subspecialization applications. Information from key informants, both nationally and internationally, was combined with a review of relevant literature in the field. Results and Conclusions: Canada has provided important contributions to the field of geriatric psychiatry in Canada and abroad. The increased needs of older persons with severe mental illness and their families, combined with a significant body of knowledge and therapeutic options, provide an important foundation for further development. Subspecialization in geriatric psychiatry as part of the overall development of psychiatry in Canada is proposed as critical to meeting the challenges of our aging population.

scholarly journals Family care for persons with severe mental illness: experiences and perspectives of caregivers in Uganda

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
F. Verity ◽  
A. Turiho ◽  
B. B. Mutamba ◽  
D. Cappo
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Severe Mental Illness ◽  
Low Income ◽  
Mental Hospital ◽  
Belief Systems ◽  
Hospital Readmissions ◽  
Family Care ◽  
The Family ◽  
The Impact

Abstract Background In low-income settings with limited social protection supports, by necessity, families are a key resource for care and support. Paradoxically, the quality of family care for people living with Severe Mental Illness (PLSMI) has been linked to support for recovery, hospital overstay and preventable hospital readmissions. This study explored the care experiences of family members of PLSMI with patients at the national mental hospital in Kampala, Uganda, a low income country. This study was undertaken to inform the development of YouBelongHome (YBH), a community mental health intervention implemented by YouBelong Uganda (YBU), a registered NGO in Uganda. Methods Qualitative data was analysed from 10 focus groups with carers of ready to discharge patients on convalescent wards in Butabika National Referral Mental Hospital (BNRMH), Kampala. This is a subset of data from a mixed methods baseline study for YouBelong Uganda, undertaken in 2017 to explore hospital readmissions and community supports for PLSMI from the Wakiso and Kampala districts, Uganda. Results Three interrelated themes emerge in the qualitative analysis: a range of direct, practical care provided by the caregiver of the PLSMI, emotional family dynamics, and the social and cultural context of care. The family care giving role is multidimensional, challenging, and changing. It includes protection of the PLSMI from harm and abuse, in the context of stigma and discrimination, and challenging behaviours that may result from poor access to and use of evidence-based medicines. There is reliance on traditional healers and faith healers reflecting alternative belief systems and health seeking behaviour rather than medicalised care. Transport to attend health facilities impedes access to help outside the family care system. Underpinning these experiences is the impact of low economic resources. Conclusions Family support can be a key resource and an active agent in mental health recovery for PLSMI in Uganda. Implementing practical family-oriented mental health interventions necessitates a culturally aware practice. This should be based in understandings of dynamic family relationships, cultural understanding of severe mental illness that places it in a spiritual context, different family forms, caregiving practices and challenges as well as community attitudes. In the Ugandan context, limited (mental) health system infrastructure and access to medications and service access impediments, such as economic and transport barriers, accentuate these complexities.

Projection and Introjection

2014 ◽  
Author(s):  
R.D. Hinshelwood
Keyword(s):  
Mental Illness ◽  
Severe Mental Illness ◽  
Mentally Ill ◽  
Mental Hospital ◽  
Community Care ◽  
Moral Agent ◽  
Ethical Principles ◽  
Organizational Dynamics ◽  
Dynamic Approach ◽  
Personal Functioning

Psychiatry straddles a medical approach to the mentally ill, and a dynamic approach to the experiences of severely disturbed people. One consequence of this is that ethical principles apply in different ways. The understanding of processes known as introjection, projection, and splitting seriously disrupt the functioning of a person and his ability to make adequate, responsible decisions. Severe mental illness can be regarded as the disruption of a moral agent, and in a sense treatment has to focus on the resumption of those functions that enable the person to take responsibility again. This chapter explores the ethics of the person’s loss of his personal functioning. Paternalism does not have a free rein, and needs to be carefully used as it supplants autonomy. Over-extended paternalistic care leads to excessive depletion of the patient, and was apparent in the old mental hospital as it still is in contemporary community care as specific organizational dynamics.

Estimating the number of adults with severe and persistent mental illness who have complex, multi-agency needs

2016 ◽  
Vol 51 (8) ◽  
pp. 799-809 ◽  
Author(s):  
Harvey Whiteford ◽  
Bill Buckingham ◽  
Meredith Harris ◽  
Sandra Diminic ◽  
Emily Stockings ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Anxiety Disorders ◽  
Severe Mental Illness ◽  
Psychotic Disorders ◽  
High Impact ◽  
Service Needs ◽  
Income Support ◽  
Health And Wellbeing ◽  
Persistent Mental Illness

Objective: A population health approach to mental health service planning requires estimates that align interventions with the needs of people with mental illness. The primary objective was to estimate the number of people in Australia living with severe and persistent mental illness who have complex, multi-agency needs. The secondary objective was to describe the possible service needs of individuals with severe mental illness. Methods: We disaggregated the estimated 12-month prevalence of adults with severe mental illness into needs-based sub-groups, using multiple data sources. Possible service needs of 1825 adults with psychotic disorders and 334 adults with severe past-year affective and/or anxiety disorders were described using data from the 2010 Survey of High Impact Psychosis and 2007 National Survey of Mental Health and Wellbeing, respectively. Results: Using best available data, we estimated that 3.3% of adults experience a severe mental illness each year, of whom one-third (1.1% of adults) experience a persistent mental illness that requires ongoing services to address residual disability. Among those with severe and persistent mental illness, one-third of adults (0.4% or 59,000 adults in 2015) have complex needs requiring multi-agency support to maximise their health, housing, social participation and personal functioning. Survey of High Impact Psychosis data indicated that among adults with psychotic disorders, use of accommodation (40%), non-government (30%) services and receipt of income support (85%) services were common, as were possible needs for support with socialising, personal care and employment. National Survey of Mental Health and Wellbeing data indicated that among individuals with severe affective and anxiety disorders, receipt of income support (37%) was common (information on accommodation and non-government support services was not available), as were possible needs for financial management and employment support. Conclusion: Agreed indicators of complex, multi-agency needs are required to refine these estimates. Closer alignment of information collected about possible service needs across epidemiological surveys is needed.

scholarly journals Book Review: Counseling for people with severe mental illness - Theory and case study. Young, K.W., Commercial Press (Hong Kong), 2013

2016 ◽  
Vol 1 (1) ◽  
pp. 68
Author(s):  
Lan-ying Zhu ◽  
Man C.M. Tsui ◽  
Da Li
Keyword(s):  
Mental Illness ◽  
Severe Mental Illness ◽  
Social Exclusion ◽  
Royal College ◽  
Social Stigma ◽  
Short Term ◽  
Commercial Press

<p>Globally, severe mental illness (SMI) causes both short-term and long-term disabilities (Royal College of Psychiatrists, 2009). In China, there are about 16 million people with SMI (Phillips et al., 2009).<strong> </strong>Secondary handicaps due to social stigma are common which result in severe deprivation of community re-integration (Social Exclusion Unit, 2004). Such alarming situations further highlight the pressing needs of developing culturally sensitive counseling strategies and practices.</p>

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