Survey Description of Stress of Parents Bereaved from a Child Killed in a Traffic Accident. A Retrospective Study of a Victim Support Group

2001 ◽  
Vol 42 (2) ◽  
pp. 171-185 ◽  
Author(s):  
Daniel J. Spooren ◽  
Hilde Henderick ◽  
Constantin Jannes

Objectives: To assess parents' views of the care and support received at the time of the child's accident. To examine the presence of traumatic grief and general psychiatric distress among parents. Methods: Data were obtained from a self-help group of parents who lost a child in a traffic accident. Eighty-five parents responded to a survey including items about circumstances of the death, satisfaction with death handling and standardized questionnaires. Results: Parents reported insufficient satisfaction with services immediately following the death of their child. Even after considerable time they continued to show strong symptoms of traumatic grief and high levels of general psychiatric distress. Conclusion: Confrontation with the death of a child killed in a vehicular crash increases the risk of prolonged psychiatric distress in bereaved parents. A closer immediate follow-up is needed, and long-term support should be provided when needed.

2021 ◽  
Author(s):  
Shibley Rahman ◽  
Kit Byatt

Abstract Delirium is a common presentation in older inpatients with coronavirus disease 2019 (COVID-19), and a risk factor for cognitive decline at discharge. The glaring gaps in the service provision in delirium care, regardless of aetiology, after a hospital admission pre-existed the pandemic, but the pandemic arguably offers an opportunity now to address them. Whilst a delirium episode in itself is not a long-term condition, the context of it may well be, and therefore patients might benefit from personalised care and support planning. There is no reason to believe that the delirium following COVID-19 is fundamentally different from any other delirium. We propose that the needs of older patients who have experienced delirium including from COVID-19 could be addressed through a new model of post-acute delirium care that combines early supported discharge, including discharge-to-assess, with community-based follow-up to assess for persistent delirium and early new long-term cognitive impairment. Such a drive could be structurally integrated with existing memory clinic services. To succeed, such an ambition has to be flexible, adaptable and person-centred. To understand the impact on resource and service utilisation, techniques of quality improvement should be implemented, and appropriate metrics reflecting both process and outcome will be essential to underpin robust and sustainable business cases to support implementation of delirium care as a long-term solution.


1985 ◽  
Vol 15 (4) ◽  
pp. 353-373 ◽  
Author(s):  
Dennis Klass

This article is an attempt to describe the Compassionate Friends (TCF), and self-help group, as an effective intervention in the severe bereavement after the death of a child. The research method is participant observation. Three decisions form the framework of the description: the decision to attend the group, the decision to affiliate, and the decision to transform oneself into a helper within the group. The decision to attend seems to be rooted in a variety of expectations, supported by a variety of experiences with professional interventions or with other self-help groups. Affiliation has, first, a cathectic dimension that entails a unity with those whose lives have also been shattered, an appropriate object on which to attach the energy formerly given to the child, and a sense of family in a supportive community. Second, affiliation has an experiential dimension that is an attempt to develop an existential stance in a problematic world based on solutions to concrete problems that are shared among the members. The decision to become a helper is key to the TCF process, for it is the concept that helping others is the best way to help the self that allows the cathectic dimension to become complete in reinvestment and allows the experiential dimension to change from using the experience of others to sharing one's own experience. As time progresses, some members move to formal organizational leadership while others tend to become less regular in attendance, though they do so with some ambivalence. The article ends with the claim that analysis of other interventions using schemas similar to those used in this study could be done.


2017 ◽  
Vol 08 (03) ◽  
pp. 395-400
Author(s):  
Basavaraj Shrinivasa ◽  
Navaneetham Janardhana ◽  
Bergai Parthsarathy Nirmala

ABSTRACT Background: Treatment gap for mental health care in low- and middle-income (LAMI) countries is very large, and building workforce using the locally available resources is very much essential in reducing this gap. The current study is a preliminary work toward this direction. Materials and Methods: A single group pre- and post-design was considered for assessing the feasibility of Mental Health Orientation (MHO) Program for Self-Help Group members. Assessment of participants’ MHO using Orientation Towards Mental Illness (OMI) scale was undertaken at three levels: baseline assessment before the intervention, after completing 2 days orientation program, and 6 weeks later. Results: Analysis of data resulted in statistically significant mean scores in the domains of areas of causation (F[1.41, 40.7] = 21.7, P < 0.000, ηp 2 = 0.428), perception of abnormality (F[1.27, 36.8] = 15.8, P< 0.000, ηp 2 = 0.353), treatment (F[1.42, 41.3] = 34.8, P < 0.000, ηp 2 = 0.546), and after effect (F[1.36,39.4] = 26.7, P < 0.000, ηp 2 = 0.480). Although the overall mean scores of all the domains of OMI were found to be statistically significantly different, there was no significant difference in the mean scores between post and follow-up assessments on areas of causation (µd = 1.27, P = 0.440) and treatment (µd = 1.00, P = 0.156). Conclusion: Overall, the findings of our study demonstrate that brief MHO program can exert a beneficial effect on bringing about significant change in the orientation of the participants toward mental illness but need to be refreshed over time to make the impact of the program stay longer.


1997 ◽  
Vol 11 (3) ◽  
pp. 198-207 ◽  
Author(s):  
Jeffrey S. Nevid ◽  
Rafael A. Javier

Purpose. The purpose of this study was to compare a culturally specific, multicomponent behavioral smoking cessation program for Hispanic smokers with a low-intensity, enhanced self-help control condition. Design. Participants who completed pretreatment assessment were randomly assigned to treatment conditions. Smoking status was evaluated at posttreatment, 6-month follow-up, and 12-month follow-up intervals. Setting. The study was based in predominantly Hispanic neighborhoods in Queens, New York. Participants. Ninety-three Hispanic smokers participated: 48 men and 45 women. Intervention. The multicomponent treatment involved a clinic-based group program that incorporated a culturally specific component consisting of videotaped presentations of culturally laden smoking-related vignettes. The self-help control program was enhanced by the use of an introductory group session and follow-up supportive telephone calls. Measures. Smoking outcomes were based on cotinine-validated abstinence and self-reported smoking rates. Predictors of abstinence were examined, including sociodemographic variables, smoking history, nicotine dependence, acculturation, partner interactions, reasons for quitting, self-efficacy, and linguistic competence. Results. Significant group differences in cotinine-validated abstinence rates in favor of the multicomponent group were obtained, but only at posttreatment. With missing data included and coded for nonabstinence, validated abstinence rates at posttreatment were 21% for the multicomponent group and 6% for the self-help group. At the 6-month follow-up, the rates were 13% for the multicomponent group and 9% for the self-help group. By the 12-month follow-up, the rates declined to 8% and 7% for the multicomponent and self-help groups, respectively. A dose-response relationship between attendance at group sessions and abstinence status was shown at posttreatment and 6-month follow-up intervals. Conclusions. The results of the present study failed to show any long-term benefit from use of a clinic-based, culturally specific multicomponent smoking cessation intervention for Hispanic smokers relative to a minimal-contact, enhanced self-help control.


2020 ◽  
Vol 11 (SPL4) ◽  
pp. 2117-2123
Author(s):  
Ann Merrin George ◽  
Leena K C

Reproductive tract infections (RTIs) are silent epidemics and put a heavy toll on women in developing countries. Women, because of their ignorance and socio-cultural inhibitions, hardly seek treatment for RTIs. Women self-help groups (SHGs) if adequately trained, can play an active role in creating awareness and promote healthy behaviours among women. The present study aimed to evaluate the Effectiveness of STAR (Self-help group Training to Alleviate Reproductive tract infection) program on knowledge, practices, skills and health-seeking behaviours on RTIs among self-help group women in the reproductive age group. A quasi-experimental (non-equivalent control group) study with repeated follow-up was done among 63 women belonging to the selected SHG units. Women in the intervention group (n=33) underwent a training program on RTIs and had regular monthly follow-up for 6months, and the comparison group (n=30) only had a routine follow-up. Post-test observations were conducted at the end of three months and six months. The data were analyzed using repeated-measures ANOVA using SPSS package version 16. There was a significant difference in the knowledge, practice, skill and health-seeking behaviour scores at different points of time (P<0.001). However, the between-group pairwise comparison revealed that the training program was effective in improving the mean knowledge (P=0.001), skill (P=0.014) and health-seeking behaviour (P=0.034) scores and had no effect on the practice score (P=0.74). The STAR program was found to be effective in improving the knowledge, skill and health-seeking behaviours of the self-help group women.


2020 ◽  
Vol 29 (10) ◽  
pp. 1557-1563 ◽  
Author(s):  
Sungwon Yoon ◽  
Teck Beng Chua ◽  
Iain Beehuat Tan ◽  
David Matchar ◽  
Marcus Eng Hock Ong ◽  
...  

2007 ◽  
Vol 9 (2) ◽  
pp. 281-289 ◽  
Author(s):  
Hebert Severson ◽  
Judy Andrews ◽  
Edward Lichtenstein ◽  
Brian Danaher ◽  
Laura Akers

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