Conclusions

1995 ◽  
Vol 167 (S28) ◽  
pp. 78-79
Author(s):  
John Tsiantis

The intervention carried out at the Leros PIKPA asylum with the assistance of European Community funds has proved beyond all doubt that financial resources, essential as they may be, are not in themselves sufficient to ensure the success of an effort to reform a custodial care structure. It might seem a unique opportunity for a country to receive financial support to improve its public mental health care system, especially during a period of economic recession, and one might have expected that, if the financial resources were sufficient, reform would be relatively easy. However, our experience has shown that this is not the case and that much time and effort are needed. Emphasis needs also to be placed on a number of factors that we have found to be of decisive importance.

1982 ◽  
Vol 10 (1) ◽  
pp. 45-56 ◽  
Author(s):  
Robert D. Miller ◽  
Paul B. Fiddleman

An examination of 200 involuntarily committed adult psychiatric patients to a state mental hospital revealed that 82% were evaluated by psychiatrists and 18% by non-psychiatric physicians. Seventy-eight percent of the evaluations were done in one of the facilities belonging to the public mental health care system. Ninety-four point five percent of the psychiatric evaluations provided adequate evidence of mental illness and dangerousness, as compared to 55.6% of the non-psychiatric evaluations. Only 9% of the evaluations provided necessary medical information as requested on the form. These data are contrasted with other studies which have been highly critical of the performance of physicians in the commitment process.


2006 ◽  
Vol 144 (2-3) ◽  
pp. 167-175 ◽  
Author(s):  
David P. Folsom ◽  
Laurie Lindamer ◽  
Lori P. Montross ◽  
William Hawthorne ◽  
Shahrokh Golshan ◽  
...  

2021 ◽  
Vol 51 (2) ◽  
pp. 293-303
Author(s):  
Anthony L Pillay ◽  
Anne L Kramers-Olen

The COVID-19 pandemic heralded challenges that were both significant and unfamiliar, placing inordinate burdens on health care systems, economies, and the collective psyche of citizens. The pandemic underscored the tenuous intersections between public mental health care, politics, economics, and psychosocial capital. In South Africa, the inadequacies of the public health system have been laid bare, and the disproportionate privileges of the private health care system exposed. This article critically considers government responses to the COVID-19 pandemic, the psychosocial correlates of lockdown, politics, corruption, and public mental health policy in South Africa.


Author(s):  
Alisa K Lincoln ◽  
Mara Eyllon ◽  
Christopher Prener ◽  
Suzanne Garverich ◽  
John Griffith ◽  
...  

2016 ◽  
Vol 44 (6) ◽  
pp. 691-704 ◽  
Author(s):  
John Rose ◽  
Lisa Nelson ◽  
Rebecca Hardiman

Background: Cognitions are starting to receive more prominence as important when examining a number of factors including the topography of challenging behaviour. This study examined the relationships between maternal stress, challenging behaviour (aggressive and self-injurious behaviours) and parental cognitions and specifically whether maternal cognitions mediated the effect of challenging behaviour on parenting stress. Method: 46 mothers of children and young adults with ID completed questionnaires regarding their child's challenging behaviour, maternal cognitions and stress. Results: Significant correlations were found between challenging behaviour and maternal stress. The overall mediation models for aggression and self-injurious behaviour were significant. The Challenging Behaviour Perception Questionnaire: Consequences client subscale was the only independent significant mediator for both behaviours. Conclusions: Cognitions do play an important part in mediating the relationship between challenging behaviour and stress. Further research is needed to examine the similarities and differences between the mediation models for aggression and self-injurious behaviour.


2014 ◽  
Vol 24 (4) ◽  
pp. 370-374 ◽  
Author(s):  
Dalena van Rooyen ◽  
Kegan Topper ◽  
David Morton ◽  
Joanitha Strümpher ◽  
Isabell Schierenbeck ◽  
...  

2016 ◽  
Vol 51 (2) ◽  
pp. 119-123 ◽  
Author(s):  
Nicholas Myles ◽  
Matthew Large ◽  
Hannah Myles ◽  
Robert Adams ◽  
Dennis Liu ◽  
...  

Objective: There have been substantial changes in workforce and employment patterns in Australia over the past 50 years as a result of economic globalisation. This has resulted in substantial reduction in employment in the manufacturing industry often with large-scale job losses in concentrated sectors and communities. Large-scale job loss events receive significant community attention. To what extent these mass unemployment events contribute to increased psychological distress, mental illness and suicide in affected individuals warrants further consideration. Methods: Here we undertake a narrative review of published job loss literature. We discuss the impact that large-scale job loss events in the manufacturing sector may have on population mental health, with particular reference to contemporary trends in the Australian economy. We also provide a commentary on the expected outcomes of future job loss events in this context and the implications for Australian public mental health care services. Results and conclusion: Job loss due to plant closure results in a doubling of psychological distress that peaks 9 months following the unemployment event. The link between job loss and increased rates of mental illness and suicide is less clear. The threat of impending job loss and the social context in which job loss occurs has a significant bearing on psychological outcomes. The implications for Australian public mental health services are discussed.


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