scholarly journals Working disability evaluation of mentally ill persons in times of socioeconomic crisis

2011 ◽  
Vol 64 (1-2) ◽  
pp. 41-45
Author(s):  
Olivera Skakic ◽  
Ljiljana Trajanovic

Introduction. Mental disorders reduce social functioning of ill persons in general and often cause permanent work disability. Psychiatric services try to solve individual professional or financial status in economic crisis conditions. The possible causes of disability in psychiatric patients, besides illness, are psychosocial factors. The aim of this research was to determine the number of mentally ill persons as well as morbidity structure changes in work disability evaluation in the last five years. Material and methods. The research included 617 psychiatric patients referred for work disability evaluation in this five-year period (2004-2008). The data contained gender, age, psychiatric diagnosis and the suggested level of disability. Results and conclusion. In the morbidity structure, a significant increase was found in the group of patients with psychoactive substance abuse, in whom the likelihood of permanent work disability was frequent. A significant decrease was observed in the group of patients with mental retardation. The number of patients with schizophrenia was similar in the study period. The patients with mood disorders, neurotic, stress-related and somatoform disorders were present in a relatively high number. The evaluation and suggestion for permanent work disability increased statistically significantly, while the number of patients in need for material security decreased in the period of socioeconomic crisis. Disability trend in the population of mentally ill patients is still not favourable, and therefore, their work disability monitoring is an adequate parameter which identifies work inefficacy and unemployment as an important factor of a poor life quality in psychiatric patients.

Author(s):  
Bastian Droegemueller ◽  
Corinna Mielke ◽  
Reinhold Haux ◽  
Alexander Diehl

Mental disorders are widespread among the world’s population and place a high burden on both the people affected and the economy. In this area of health care and prevention major deficits can be found. Health-enabling technologies are being developed in order to provide support in the therapy and diagnostics of mental disorders. However, it is not clear whether patients are open to these technologies and what they expect from a suitable usage. The main goal of this study is to find out what opinions, hopes and fears mentally ill persons have towards a supporting treatment with health-enabling technologies. Personal interviews were conducted with psychiatric patients for that purpose. The evaluation of the interview data revealed a predominantly positive mindset of the participants. In addition to the general question according to the acceptance, requirements and expectations for the use of health-enabling technologies were acquired. In this context the concern of an invasion of privacy was exposed as a major barrier.


1983 ◽  
Vol 53 (1) ◽  
pp. 95-100 ◽  
Author(s):  
P. M. Valliant ◽  
D. Cooper ◽  
P. Simpson-Housley ◽  
B. Hall ◽  
D. Farmsworth

A total of 118 persons, 44 male and 74 female, from a Northern Ontario community with a local psychiatric hospital were administered a community mental health attitude scale. The groups were relatives of discharged and current psychiatric patients, citizens with no psychiatric relatives, mental health professionals, and psychiatric patients. Significant differences were noted for educational level, age, and community mental health ideology. Analysis suggests that group membership could be predicted with 67% success for patients and 87% for others. Citizens from the community leaned toward a denial of social freedom and recognition for mentally-ill persons and toward treating them as disparate from the rest of the community.


2020 ◽  
Vol 11 (04) ◽  
pp. 593-596
Author(s):  
Prakash B. Behere ◽  
Amit B. Nagdive ◽  
Aniruddh P. Behere ◽  
Richa Yadav ◽  
Rouchelle Fernandes

Abstract Objectives Can undergraduate medical students (UGs) adopt a village model to identify mentally ill persons in an adopted village successfully? Materials and Methods UGs during their first year adopt a village, and each student adopts seven families in the villages. During the visit, they look after immunization, tobacco and alcohol abuse, nutrition, hygiene, and sanitation. They help in identifying the health needs (including mental health) of the adopted family. The Indian Psychiatric Survey Schedule containing 15 questions covering most of the psychiatric illnesses were used by UGs to identify mental illness in the community. Persons identified as suffering from mental illness were referred to a consultant psychiatrist for confirmation of diagnosis and further management. Statistical Analysis  Calculated by percentage of expected mentally ill persons based on prevalence of mental illness in the rural community and is compared with actual number of patients with mental illness identified by the UGs. True-positive, false-positive, and true predictive values were derived. Results In Umri village, UGs were able to identify 269 persons as true positives and 25 as false positives, whereas in Kurzadi village, UGs were able to identify 221 persons as true positives and 35 as false positives. It suggests UGs were able to identify mental illnesses with a good positive predictive value. In Umri village, out of 294 mentally ill patients, it gave a true positive value of 91.49% and a false positive value of 8.5%, whereas in Kurzadi village, out of the 256 mentally ill patients, it gave a true positive value of 86.3% and a false positive value of 13.67%. Conclusion The ratio of psychiatrists in India is approximately 0.30 per 100,000 population due to which psychiatrists alone cannot cover the mental health problems of India. Therefore, we need a different model to cover mental illness in India, which is discussed in this article.


2011 ◽  
Vol 16 (5) ◽  
pp. 5-7
Author(s):  
Lee Ensalada

Abstract Illness behavior refers to the ways in which symptoms are perceived, understood, acted upon, and communicated and include facial grimacing, holding or supporting the affected body part, limping, using a cane, and stooping while walking. Illness behavior can be unconscious or conscious: In the former, the person is unaware of the mental processes and content that are significant in determining behavior; conscious illness behavior may be voluntary and conscious (the two are not necessarily associated). The first broad category of inappropriate illness behavior is defensiveness, which is characterized by denial or minimization of symptoms. The second category includes somatoform disorders, factitious disorders, and malingering and is characterized by exaggerating, fabricating, or denying symptoms; minimizing capabilities or positive traits; or misattributing actual deficits to a false cause. Evaluators can detect the presence of inappropriate illness behaviors based on evidence of consistency in the history or examination; the likelihood that the reported symptoms make medical sense and fit a reasonable disease pattern; understanding of the patient's current situation, personal and social history, and emotional predispositions; emotional reactions to symptoms; evaluation of nonphysiological findings; results obtained using standardized test instruments; and tests of dissimulation, such as symptom validity testing. Unsupported and insupportable conclusions regarding inappropriate illness behavior represent substandard practice in view of the importance of these conclusions for the assessment of impairment or disability.


1991 ◽  
Vol 46 (11) ◽  
pp. 1129-1138 ◽  
Author(s):  
Deborah L. Dennis ◽  
John C. Buckner ◽  
Frank R. Lipton ◽  
Irene S. Levine

Author(s):  
Jan Borowicz

The author examines body politics in Nazi cinema and propaganda movies (medical short films and materials filmed in the Polish Ghettos) in terms of constructing the visual identity of a nation in opposition to the allegedly non-normative bodies of Jews and mentally ill persons. The author connects the visual material with notions of biopolitics (Foucault, Agamben, Esposito).


1972 ◽  
Vol 31 (2) ◽  
pp. 483-486 ◽  
Author(s):  
John Fracchia ◽  
Charles Sheppard ◽  
Joseph Pintyr ◽  
James Crovello ◽  
Sidney Merlis

The relationship between authoritarian attitudes, which reflect the belief that mentally ill persons comprise an inferior class requiring coercive handling, and personal adjustment was examined for 77 female psychiatric aides at a large state mental hospital. Correlations and analysis of variance suggested the lack of a systematic association between the two variables.


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