Outcomes for Psychiatric Patients following First Admission: Relationships with Voluntary and Involuntary Treatment and Ethnicity

2001 ◽  
Vol 88 (3_suppl) ◽  
pp. 1012-1014 ◽  
Author(s):  
Kimberlyn Gray Houston ◽  
Marco Mariotto ◽  
J. Ray Hays
Keyword(s):  
Sex Differences ◽  
Ethnic Differences ◽  
Mentally Ill ◽  
Psychiatric Patients ◽  
Involuntary Treatment ◽  
Psychiatric Admission ◽  
Severely Mentally Ill ◽  
Desirable Outcome ◽  
Admission Status ◽  
Male Patients

Research suggests that there are ethnic differences in hospitalization outcomes for severely mentally ill patients. This study examined ethnic and sex differences in admission status, rapid readmission, and discharge placement of 487 patients on their first psychiatric admission. There were sex differences in admission status with significantly more male patients being involuntarily admitted than female patients. Ethnic differences in placement at discharge were not supported, but involuntarily admitted patients were over-represented in the less desirable outcome categories.

Sex Differences in Service Usage in Long-Term Psychiatric Care

1991 ◽  
Vol 158 (S10) ◽  
pp. 75-79 ◽  
Author(s):  
Rachel E. Perkins ◽  
Len A. Rowland
Keyword(s):  
Sex Differences ◽  
Mentally Ill ◽  
Psychiatric Care ◽  
Psychiatric Patients ◽  
Care Service ◽  
Continuing Care ◽  
Service Usage ◽  
Men And Women ◽  
Female Patients

There is a paucity of research concerning service usage and needs of female long-term psychiatric patients. A series of studies comparing the provisions for chronically mentally ill men and women in a south London community-focused rehabilitation and continuing care service indicate marked differences in the services received by men and women, and raise questions concerning whether the needs of female patients are adequately served. As a group the women had been in contact with services for longer, had received less intensive input from services, and it appeared that the services had been less responsive to their changing needs. Among those in high contact with the services, the functioning of men and women did not differ, yet women were over-represented in workshops designed for those functioning at a lower level. Women over 45 years of age seemed to be particularly badly served by the organised activities offered.

scholarly journals Substance Use Disorder in Hospitalized Severely Mentally Ill Psychiatric Patients: Prevalence, Correlates, and Subgroups

2000 ◽  
Vol 26 (1) ◽  
pp. 179-192 ◽  
Author(s):  
K. T. Mueser ◽  
P. R. Yarnold ◽  
S. D. Rosenberg ◽  
C. Swett ◽  
K. M. Miles ◽  
...  
Keyword(s):  
Substance Use ◽  
Substance Use Disorder ◽  
Mentally Ill ◽  
Psychiatric Patients ◽  
Severely Mentally Ill

Attitudes of Psychiatric Patients and their Relatives to Involuntary Treatment

1991 ◽  
Vol 25 (2) ◽  
pp. 231-237 ◽  
Author(s):  
Nicholas H.S. Adams ◽  
R. Julian Hafner
Keyword(s):  
Mental Illness ◽  
Psychiatric Hospital ◽  
Mentally Ill ◽  
Psychiatric Symptoms ◽  
Psychiatric Patients ◽  
South Australia ◽  
Involuntary Treatment ◽  
Psychiatric Outpatient ◽  
Handicapped People ◽  
Negative Statements

In 1979 a Guardianship Board assumed responsibility in South Australia for the welfare of those mentally ill or handicapped people unable to look after their own health or safety, or to manage their own affairs. This study examines the attitudes to guardianship and involuntary treatment of 79 patients referred to the Board from a psychiatric hospital, all of whom were under guardianship at the time of the study. Forty-seven of their relatives took part in the project, which included measures of patients' psychiatric symptoms and relatives' punitiveness. Although almost 70% of patients objected to Guardianship in principle, they made more positive than negative statements about it. Nearly 60% rated involuntary treatment, including medication, as helpful. Patients reported a level of psychiatric symptoms less than half of that of a psychiatric outpatient sample. Relatives were strongly in favour of Guardianship, stating frequently that it allowed an improved relationship between themselves and the patient. Patients who believed that they were suffering from a mental illness were comparatively happy about being under Guardianship, and a belief that the patient was mentally ill was significantly associated with reduced ex-trapunitiveness in relatives.

A Hostel for Mentally Ill Patients Run by a Psychiatric Hospital

1967 ◽  
Vol 113 (495) ◽  
pp. 167-171 ◽  
Author(s):  
D. Lindsay Walker
Keyword(s):  
Psychiatric Hospital ◽  
Mentally Ill ◽  
Psychiatric Patients ◽  
Day Hospital ◽  
Private House ◽  
Male Patients ◽  
The City

In 1961 I decided to start a hostel for discharged male psychiatric patients. There was available a private house in the City of Gloucester near to the Day Hospital. This had been purchased in 1953 and was being used as an overspill annexe for long-stay male patients.

Patient or Prisoner? Forced Treatment for the Severely Mentally Ill: Life-Long Implications for Patients Who Have Been Treated Against Their Will

2018 ◽  
Vol 20 (1) ◽  
pp. 56-68
Author(s):  
Karin Tochkov ◽  
Nichole Williams
Keyword(s):  
Mental Health ◽  
Mentally Ill ◽  
Mental Health Treatment ◽  
Well Being ◽  
The United States ◽  
Psychological Consequences ◽  
Involuntary Treatment ◽  
Health Treatment ◽  
Current State ◽  
Severely Mentally Ill

The purpose of this article is to discuss the current state of involuntary mental health treatment in the United States. Specifically, an exploration of the risk factors for commitment and potential physical and psychological consequences for involuntary treatment is presented. In addition, recommendations for protecting patient rights are discussed with the end goal being the greatest well-being for patients.

Politics of Mental Health: Circles or Spirals

1983 ◽  
Vol 17 (1) ◽  
pp. 50-56 ◽  
Author(s):  
G. L. Lipton
Keyword(s):  
Mental Health ◽  
Mentally Ill ◽  
Community Education ◽  
Psychiatric Patients ◽  
Public Attitudes ◽  
Hard Core ◽  
Chronically Ill ◽  
Care Community ◽  
Severely Mentally Ill ◽  
Health Circles

A brief reference to history suggests that there is a recurrent alternation of providing service to the indigent disturbed through asylum, general hospital and community. Despite modern knowledge about mental health, public attitudes remain seriously prejudiced against this group of mentally ill, and political decisions reflect these attitudes. Many developments for the emotionally disturbed deny the needs of the most disturbed. This paper considers the alienation of the severely mentally ill, the fear about the mentally ill, the guilt about their care, community education about the mentally ill, the development of advocacy on their own behalf by the mentally ill, and therapeutic advances in their care. The paper, although pessimistic about the future, concludes with the hope that the combination of modern humanism, modern communication technology and therapeutic advances may lead to an improvement in the lives of ‘hard core’ chronically ill psychiatric patients.

Efficacy of a short-term psychoeducational intervention for persistent non-organic insomnia in severely mentally ill patients. A pilot study

2006 ◽  
Vol 21 (7) ◽  
pp. 460-462 ◽  
Author(s):  
Bruno Biancosino ◽  
Denis Rocchi ◽  
Silvia Donà ◽  
Vasiliki Kotrotsiou ◽  
Luciana Marmai ◽  
...  
Keyword(s):  
Mentally Ill ◽  
Psychiatric Patients ◽  
Sleep Onset ◽  
Psychoeducational Intervention ◽  
Pharmacological Intervention ◽  
Sleep Onset Latency ◽  
Onset Latency ◽  
Short Term ◽  
Severely Mentally Ill ◽  
Time Awake

AbstractInsomnia in psychiatric patients is frequently underestimated in clinical practice. Usually drugs are prescribed for the treatment of this disorder but non-pharmacological intervention can be successfully used. The present study aimed at evaluating the efficacy of a two-session psychoeducational intervention in improving persistent non-organic insomnia and reducing the administration of PRN therapy in severely mentally ill patients.A pre-post study was performed on 36 psychiatric patients admitted to a residential psychiatric unit. The Nocturnal Sleep Onset Scale (NSOS) and Daytime Sleepiness Scale (DSS), the sleep onset latency, the time awake after sleep onset and the numbers of awakenings were gathered 2 weeks before the intervention (T0), immediately prior the intervention (T1), 2 weeks after the last session of the intervention (T2) and a 3-month follow-up (T3). The total number of administrations of PRN therapy from T0 toT1 and from T1 to T2 were also examined. A significant reduction was shown on the NSOS, the sleep onset latency and in the time awake after sleep onset from T1 to T2 and from T1 to T3, while no significant difference was found between T0 and T1. A significant decrease on the mean number of administrations of PRN therapy was also found between 15 days before the intervention (T0–T1) and 15 days after intervention (T1–T2). The initial results of this study seems to suggest the possible efficacy of a short-term psychoeducational intervention on improving persistent non-organic insomnia in severely mentally ill patients. Further control studies are necessary to confirm these findings.

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