scholarly journals Caregiver burden and distress following the patient's discharge from psychiatric hospital

2017 ◽  
Vol 41 (2) ◽  
pp. 87-91 ◽  
Author(s):  
Veronica Ranieri ◽  
Kevin Madigan ◽  
Eric Roche ◽  
David McGuinness ◽  
Emma Bainbridge ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Psychological Distress ◽  
Psychiatric Hospital ◽  
Caregiver Burden ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Legal Status ◽  
Family Members ◽  
Clinical Implications

Aims and methodCaring for someone with a mental illness is increasingly occurring within the community. As a result, family members who fulfil a caregiving role may experience substantial levels of burden and psychological distress. This study investigates the level of burden and psychological distress reported by caregivers after the patient's admission.ResultsThis study found that the overall level of burden and psychological distress experienced by caregivers did not differ according to the patient's legal status. However, the caregivers of those who were voluntarily admitted supervised the person to a significantly greater extent than the caregivers of those who were involuntarily admitted. Approximately 15% of caregivers revealed high levels of psychological distress.Clinical implicationsThis study may emphasise a need for mental health professionals to examine the circumstances of caregivers, particularly of those caring for patients who are voluntarily admitted, a year after the patient's admission.

scholarly journals ‘We've got another one for you!’ Liaison psychiatry's experience of stigma towards patients with mental illness and mental health professionals

2012 ◽  
Vol 36 (12) ◽  
pp. 450-454 ◽  
Author(s):  
Jim Bolton
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Patient Care ◽  
General Hospital ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Clinical Implications ◽  
Liaison Psychiatry ◽  
Clinical Communication ◽  
The Impact

Aims and methodTo assess stigmatising attitudes towards mental illness and psychiatric professionals experienced by UK liaison psychiatry staff. A questionnaire asked about the impact of these events on patient care and for suggestions for tackling stigma in the general hospital.ResultsOut of 72 multidisciplinary respondents, over three-quarters had experienced stigmatising attitudes towards mental illness by general hospital colleagues at least monthly. Two-thirds reported instances where stigmatisation had an adverse impact on patient care, and over a quarter reported stigmatising attitudes towards mental health professionals. Suggestions for combating stigma included educational initiatives, clear clinical communication, and the provision of high-quality liaison services.Clinical implicationsLiaison psychiatry is well placed to both recognise and combat stigma in the general hospital. This can help to ensure that patient care is comprehensive, safe and respectful.

scholarly journals Terrorism and mental illness: a pragmatic approach for the clinician

2018 ◽  
Vol 25 (2) ◽  
pp. 101-109 ◽  
Author(s):  
Cyrus S.H. Ho ◽  
Tian Ci Quek ◽  
Roger C.M. Ho ◽  
Carol C. Choo
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Complex Problem ◽  
Clinical Implications ◽  
List Type ◽  
Contemporary Society ◽  
Pragmatic Approach

SUMMARYTerrorism is a complex problem that is highly relevant in contemporary society, underscoring the need for greater understanding as well as cross-disciplinary and international research in this area. Controversies surround potential associations between mental illness and terrorism, many due to the limited and conflicting existing research, and mental health professionals’ duties to their patients versus society and the state. In this article, we review the literature, discuss clinical implications and the role of psychiatrists in anti-terrorism efforts. We also propose a simplified framework that may be incorporated into clinical practice to screen for potential terrorist tendencies.LEARNING OBJECTIVES•Understand the landscape and recent advances in the research of terrorism•Appreciate the importance and role of mental health professionals in preventing patients from engaging in terrorist activities•Understand how to assess risk of patients engaging in terrorist activitiesDECLARATION OF INTERESTNone.

scholarly journals Adaptation and validation to the spanish context of the scale of self-stigma in relatives of people with mental illness

2019 ◽  
Vol 35 (3) ◽  
pp. 371-377 ◽  
Author(s):  
Rubén Trigueros ◽  
José Manuel Aguilar-Parra ◽  
Adolfo Javier Cangas ◽  
Luis Ortiz ◽  
Noelia Navarro
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Family Members ◽  
Validity And Reliability ◽  
Order Model ◽  
People With Mental Illness ◽  
Salud Mental ◽  
El Estigma

El estigma, y en particular el autoestigma en personas con trastorno mental grave (TMG), constituyen uno de los principales problemas que a los que se enfrentan los profesionales de la salud mental. Sin embargo, este problema no se encuentra únicamente en las personas que padecen esta enfermedad mental, sino que sus consecuencias afectan de igual manera a familiares allegados. Por ello, resulta necesario adaptar y validar al contexto español la Escala de Autoestigma en Familiares de Personas con Enfermedad Mental (AFPEM). En el estudio han participado 304 adultos (M=44.57; DT=15.29). Para analizar las propiedades psicométricas de la escala se han realizado diversos análisis. Los resultados del análisis factorial confirmatorio han ofrecido apoyo a la estructura del cuestionario tanto del 30 ítems, el de 10 ítems como el modelo de orden superior. La estructura de los modelos se mostró invariante respecto al género. Los valores de alpha de Cronbach fueron superiores a .70 en las diferentes subescalas. Los resultados de este estudio han proporcionado evidencias de validez y fiabilidad de la AFPEM, por lo que diversos profesionales de la salud mental dispondrán de un instrumento con el que evaluar el grado de autoestigma que tienen los familiares de personas con TMG. Stigma, and in particular self-stigma in people with severe mental disorder (GIST), is one of the main problems faced by mental health professionals. However, this problem is not only found in people who suffer from this mental illness, but its consequences affect family members in the same way. For this reason, it is necessary to adapt and validate in the Spanish context the Scale of Self-Stigma in Relatives of People with Mental Illness (AFPEM). The study involved 304 adults (M = 44.57, SD = 15.29). To analyze the psychometric properties of the scale, several analyzes have been carried out. The results of the confirmatory factorial analysis (CFA) have offered support to the questionnaire structure of 30 items, 10 items and the higher order model. The structure of the models was invariant respect to gender. Cronbach's alpha values ​​were greater than .70 in the different subscales. The results of this study have provided evidence of validity and reliability of the AFPEM, so that various mental health professionals will have an instrument with which assesses the degree of self-stigma that family members of people with SMI have.

scholarly journals Mental health problems, benefits and tackling discrimination

2018 ◽  
Vol 42 (5) ◽  
pp. 200-205 ◽  
Author(s):  
Alexander Galloway ◽  
Billy Boland ◽  
Gareth Williams
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Clinical Evidence ◽  
Mental Health Problems ◽  
Mental Health Policy ◽  
Health Problems ◽  
Advisory Board ◽  
Policy Institute

SummaryPoverty is strongly associated with mental illness. Access to state benefits can be a lifeline for people with mental health problems in times of hardship and can assist them on their journey of recovery. However, benefit application processes can discriminate against those with mental illness and can result in individuals unjustly missing out on support. Clinical evidence from mental health professionals can ameliorate these challenges and ensure that people get access to financial help.Declaration of interestDr Billy Boland is on the advisory board of the Money and Mental Health Policy Institute.

Introduction to This Guide

2017 ◽  
pp. 3-6
Author(s):  
Kari M. Eddington ◽  
Timothy J. Strauman ◽  
Angela Z. Vieth ◽  
Gregory G. Kolden
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Cognitive Therapy ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Self Regulation ◽  
System Therapy ◽  
Treatment Of Depression ◽  
Single Approach

Depression is one of the most common forms of mental illness, and mental health professionals in a variety of practice settings have witnessed its debilitating effects. Many pathways can lead to depression, and no single approach to treatment is successful for all clients. Chapter 1 provides an overview of self-system therapy (SST), a treatment approach that targets deficits in self-regulation. Research has shown that SST is as effective overall as cognitive therapy and that it leads to better outcomes for a subset of depressed clients who struggle with self-regulation. Suggestions are given for how the Therapist Guide and Client Workbook should be used for the treatment of depression.

scholarly journals Resilience and associative stigma among mental health professionals in a tertiary psychiatric hospital: a cross-sectional study in Singapore

BMJ Open ◽  
2019 ◽  
Vol 9 (12) ◽  
pp. e033762 ◽  
Author(s):  
Sherilyn Chang ◽  
Louisa Picco ◽  
Edimansyah Abdin ◽  
Qi Yuan ◽  
Siow Ann Chong ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Family Member ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Health Workers ◽  
Close Friend ◽  
Allied Health Professionals ◽  
Cross Sectional ◽  
Associative Stigma

ObjectivesThe mental health profession exposes healthcare workers to unique stressors such as associative stigma (stigmatisation that is extended from the stigmatised patients to psychiatric professionals and is based on affiliation with an individual with mental illness). Enhancing resilience, or the ability to ‘bounce back’ from adversity, is found to be useful in reducing occupational stress and its negative effects. In view of the high burnout rates reported among mental health professionals, this study aimed to examine resilience in this group of professionals and to explore the association between resilience and associative stigma.DesignObservational study—cross-sectional design.SettingTertiary psychiatry hospital in Singapore.ParticipantsThe study was conducted among 470 mental health professionals (doctors, nurses and allied health professionals) working in the hospital.MeasuresResilience was assessed using the Brief Resilience Scale (BRS) and participants completed questionnaires that examined associative stigma. Participants provided their sociodemographic information, length of service, and information on whether they knew of a close friend or family member who had a mental illness.ResultsMean resilience score for the overall sample was 3.59 (SD=0.64). Older age (β=0.012, 95% CI 0.004 to 0.019, p=0.003) and having known a family member or close friend with a mental illness (β=0.155, 95% CI 0.019 to 0.290, p=0.025) predicted higher BRS score. Associative stigma remained significantly associated with resilience score after controlling for sociodemographic factors whereby higher associative stigma predicted lower resilience scores.ConclusionThe present finding suggests that resilience building programmes among mental health workers should target those of the younger age group, and that addressing the issue of associative stigma is essential.

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