scholarly journals Psychiatric services in Algeria

2017 ◽  
Vol 14 (1) ◽  
pp. 10-12 ◽  
Author(s):  
Zoubir Benmebarek

The paper describes the current provision of psychiatric services in Algeria – in particular, in-patient and out-patient facilities, child psychiatry and human resources. Education, training, associations and research in the field of mental health are also briefly presented. The challenges that must dealt with to improve psychiatric care and to comply with international standards are listed, by way of conclusion.

2015 ◽  
Vol 39 (1) ◽  
pp. 45-47 ◽  
Author(s):  
Jeremy Holmes

SummaryA personal bereavement from suicide prompts a critique of current mental healthcare. Fragmentation, lack of long-term attachment to a tenured professional, the dearth of family therapy, and professional ambivalence are identified as weaknesses in current provision. Implicit is the case for change in UK psychiatric services, both structural (need for long-term therapies) and cultural (need for a mentalising rather than protocol-driven, ‘choice’-led ethos).


2012 ◽  
Vol 2012 ◽  
pp. 1-5 ◽  
Author(s):  
Vincent I. O. Agyapong

Objective. To investigate the preferences of psychiatric patients regarding attendance for their continuing mental health care once stable from a primary care setting as opposed to a specialized psychiatric service setting. Methods. 150 consecutive psychiatric patients attending outpatient review in a community mental health centre in Dublin were approached and asked to complete a semistructured questionnaire designed to assess the objectives of the study. Results. 145 patients completed the questionnaire giving a response rate of 97%. Ninety-eight patients (68%) preferred attending a specialized psychiatry service even when stabilised on their treatment. The common reason given by patients in this category was fear of substandard quality of psychiatric care from their general practitioners (GPs) (67 patients, 68.4%). Twenty-nine patients (20%) preferred to attend their GP for continuing mental health care. The reasons given by these patients included confidence in GPs, providing same level of care as psychiatrist for mental illness (18 patients or 62%), and the advantage of managing both mental and physical health by GPs (13 patients, 45%). Conclusion. Most patients who attend specialised psychiatric services preferred to continue attending specialized psychiatric services even if they become mentally stable than primary care, with most reasons revolving around fears of inadequate psychiatric care from GPs.


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Maria Benedetta Gambacorti-Passerini ◽  
Katia Daniele ◽  
Lucia Zannini

In our perspective, a reflection on education and caring in the psychiatric services cannot ignore their past, where spaces and times of care were completely different from those that characterize the healthcare system today. Many signs, traces, implicit and explicit fragments of that past can be found in current services. According to an “archeological” approach, we believe that those spaces have not been completely overcome and somehow, they are still part of our way of caring in psychiatric services. Hence, what traces of the past are left in those services? How and where can we find them? What should we preserve from the past and what should we overcome? In our work, we will try to find some of the traces and stories that could have contributed to shaping education and care in present day Italian psychiatric services. These developed as isolated spaces and places of confinement and oppression and are transforming into open places and healing spaces, aimed at promoting mental health.


2001 ◽  
Vol 25 (1) ◽  
pp. 5-7 ◽  
Author(s):  
Sherine Mikhail ◽  
Akintunde Akinkunmi ◽  
Norman Poythress

In the UK the notion of diverting people suffering from mental disorders from the criminal justice system to treatment within the health service is not new (Home Office, 1990), nor is the concept of a court-based psychiatric assessment and liaison service (Joseph & Potter, 1990; James & Hamilton, 1991; Joseph, 1992). Similarly, the concept of 'specialist'courts is not a novelty in the USA (Bean, 1998; Schwartz & Schwartz, 1998). We report on the first specialist mental health court in the USA and propose a modification of the current provision of psychiatric services to courts in England and Wales by combining elements of the mental health court with current court diversion practice.


Author(s):  
Allison K. Zoromski ◽  
Steven W. Evans ◽  
Heather Davis Gahagan ◽  
Verenea J. Serrano ◽  
Alex S. Holdaway

Ethical and contextual challenges that psychiatric professionals encounter when working with school professionals are discussed in an effort to maximize effective and ethical psychiatric care. Given the interdisciplinary environment and contextual issues inherent in providing psychiatric services to students; strategies for collaborative interdisciplinary communication are discussed. Several unique issues regarding confidentiality and informed consent when providing mental health services to patients are described. A variety of assessment issues are considered, including issues regarding special education classification, computerized scoring systems, risk assessments, communication of assessment results and recommendations to school professionals. Issues related to coordination and sequencing of treatments and communication about medication are also reviewed.


Curationis ◽  
1997 ◽  
Vol 20 (2) ◽  
Author(s):  
L. R. Uys ◽  
L. Thanjekwayo ◽  
L. Volkywan

In this study the expectations of consumers of public sector psychiatric care in South Africa were identified, and formulated in the form of 13 standards, each with a set of criteria. During this phase input from the literature was incorporated, and expectations were validated with different groups of consumers, so that rural/urban, ethnicity and regional differences were taken into account. Based on the comprehensive set of standards and criteria, four instruments were developed to measure attainment of these standards. These included a questionnaire to consumers and one to the Director of Mental Health. It also included two schedules to be filled in by observers during site visits to hospital units and clinics. The observer teams included community members and consumers. The content validity of the instruments was established by setting out the items measuring each criterium, and validating that with a group of experts.


2005 ◽  
Vol 39 (3) ◽  
pp. 175-179 ◽  
Author(s):  
Alex C.N. Holmes ◽  
Mark A. Hodge ◽  
Gail Bradley ◽  
Alan Bluhm ◽  
Jane Hodges ◽  
...  

Objectives: The objective of this study was to determine the relationship between accommodation history and management outcome in patients with psychosis. Method: Demographic information, diagnosis and an accommodation history were taken from patients with psychosis accepted for case management by the Inner West Area Mental Health Service over a 12-month period. The patients were followed up 2 years later to determine their continuity of care and discharge outcome. Results: One hundred 42 patients completed the assessments. Forty-eight percent of patients had spent at least 1 day in a homeless setting in the previous 12 months. Twentytwo percent of patients had long-term (between 2 and 12 months) and six percent chronic (more than 12 months) homelessness. The duration of previous homelessness was significantly inversely correlated with the length of engagement with the service, continuity of psychiatric care at discharge or likelihood of transfer to primary care. Previous interstate mobility was significantly associated with discontinuity of care at discharge. Conclusions: A history of homelessness is common in patients with psychosis using inner urban mental health services and is associated with poorer engagement with psychiatric services.


2021 ◽  
Vol 12 (3) ◽  
pp. 485-505
Author(s):  
Kim Silow Kallenberg

This is an ethnographic and an autoethnographic study based on qualitative interviews as well as memories and experiences of the author. It focuses on two men that were childhood friends of the author and who both died prematurely. Marcus died in November 2013 while he was under psychiatric care due to auditory hallucinations and anxiety. Noel died little over a year later, in January 2015, from an overdose of heroin. The aim of the article is to analyse the narratives of women and is concerned with understanding the loss of a son, a brother, or a former boyfriend or friend due to substance abuse or mental health problems. The empirical cases analysed in this text are women’s understandings of the deaths of Marcus and Noel – two young men who were close to them in different ways. Their narratives about the men, their memories, and their rationalisations for what happened to them are analysed.   The analysis shows that when the women talk about, and try to explain, the male lives that led up to the death, a limited number of narratives are available. Narratives about absent and/or abusive fathers, narratives about mothers who fail in providing the expected care, and narratives about shortcomings in psychiatric services and community support are dominant in the analysed material. In relation to these available narratives, the story follows the making of a protest masculinity in which elements such as rock star dreams, violence, drug use, and talk of legalising drugs have a place. Together they form an overarching narrative about protest masculinity; i.e. ways to act in reaction to a perceived alienation or subordination by acting out in ways associated with masculinity.


2010 ◽  
Vol 22 (4) ◽  
pp. 582-588 ◽  
Author(s):  
Brian Draper ◽  
Lee-Fay Low

ABSTRACTBackground: Few studies have specifically examined mental health service delivery to persons aged over 84 years, often described as the “old” old. Our aim was to compare mental health service provision in Australia to persons aged 85 years and over with the “young” old and other age groups. We hypothesized that the “old” old would differ from the “young” old (65–84 years) by diagnostic category, rates of specialist psychiatric hospital admission, and use of Medicare funded psychiatric consultations in the community.Methods: Mental health service delivery data for 2001–02 to 2005–06 was obtained from Medicare Australia on consultant psychiatrist office-based, home visit and private hospital services subsidized by the national healthcare program and the National Hospital Morbidity database for separations (admitted episodes of patient care) from all public and most private hospitals in Australia on measures of age, gender, psychiatric diagnosis, location and type of psychiatric care.Results: Use of specialist psychiatric services in the community per annum per 1000 persons declined with age in men and women from 137.28 and 191.87 respectively in those aged 20–64 years to 11.84 and 14.76 respectively in those over 84 years. However, men and women over 84 years received psychiatric home visits at 377% and 472% respectively of the rates of persons under 65. The annual hospital separation rate per 1000 persons for specialist psychiatric care was lowest in those aged over 84 (3.98) but for inpatient non-specialized psychiatric care was highest in those over 84 (21.20). Depression was the most common diagnosis in specialized psychiatric hospitalization in those aged over 84 while organic disorders predominated in non-specialized care in each age group over 64 years with the highest rates in those aged over 84.Conclusion: Mental health service delivery to persons aged over 84 is distinctly different to that provided to other aged groups being largely provided in non-specialist hospital and residential settings.


Author(s):  
Brennan D. Peterson ◽  
Joyce West ◽  
Harold Alan Pincus ◽  
Jessica Kohout ◽  
Georgine M. Pion ◽  
...  

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