scholarly journals Family Burden of Schizophrenia in Pasung During COVID-19 Pandemic: A Scoping Review

2020 ◽  
Vol 5 (2) ◽  
pp. 185
Author(s):  
Shofi Khaqul Ilmy ◽  
Noorhamdani Noorhamdani ◽  
Heni Dwi Windarwati

Introduction: The long-term care in schizophrenia patients can cause care burdens, which will relate to the family's decision to do pasung. The perceived burden will be even heavier because of the COVID-19 pandemic. This review aims to identify the family care burden affecting pasung in schizophrenic patients during the COVID-19 pandemic. Methods: This scoping review was conducted by searching four databases, namely ProQuest, Science Direct, and EBSCO, and Google Scholar in the past ten years. This study uses the PRISMA 2009 protocol in filtering articles from the database. Researchers summarize based on the significance value for quantitative research, based on themes’ qualitative research, and discussed factors mentioned which may influence the family. Thus, we obtained 15 articles for final review. Results: The results obtained that the subjective burden felt by the family is a feeling of worry and sadness due to the patient's aggressive behavior and the safety of the patient, family, and environment. The objective burdens most felt by families are financial burdens, both medical costs, transportation to reach mental health services, and the cost of daily living. The COVID-19 pandemic will affect both types of care burdens, thereby affecting the quality of care for families with schizophrenia patients in pasung. Conclusion: Schizophrenia patients are one of the populations that are vulnerable to COVID-19. Nurse plays a role in the ability to overcome the burden of schizophrenia care and improve adaptation to the current pandemic to create optimal mental health in the community.

BMJ Open ◽  
2018 ◽  
Vol 8 (2) ◽  
pp. e018729 ◽  
Author(s):  
Francesca Solmi ◽  
Mariya Melnychuk ◽  
Stephen Morris

ObjectiveIn the UK, families of disabled children are entitled to receive disability benefits to help meet costs associated with caring for their child. Evidence of actual costs incurred is scant, especially for mental health disability. In this study, we aimed to quantify the cost of mental and physical health disability in childhood and adolescence to families in the UK using the concept of compensating variation (CV).DesignRepeated cross-sectional survey.SettingThe UK general populationParticipants85 212 children drawn from 8 waves of the Family Resources Survey.OutcomesUsing propensity score matching we matched families with a disabled child to similar families without a disabled child and calculated the extra income the former require to achieve the same living standards as the latter, that is, their CV. We calculated the additional costs specifically associated with several definitions of mental health and physical health disability.ResultsFamilies of a child with any mental health disability, regardless of the presence of physical health comorbidity, needed an additional £49.31 (95% CI: 21.95 to 76.67) and, for more severe disabilities, an additional £57.56 (95% CI: 17.69 to 97.44) per week to achieve the same living standards of families without a disabled child. This difference was greater for more deprived families, who needed between £59.28 (95% CI: 41.38 to 77.18) and £81.26 (95% CI: 53.35 to 109.38) more per week depending on the extent of mental health disability. Families of children with physical health disabilities, with or without mental health disabilities, required an additional £35.86 (95% CI: 13.77 to 57.96) per week, with economically deprived families requiring an extra £42.18 (95% CI: 26.38 to 57.97) per week.ConclusionsMental and physical health disabilities among children and adolescents were associated with high additional costs for the family, especially for those from deprived economic backgrounds. Means testing could help achieve a more equitable redistribution of disability benefit.


2019 ◽  
Vol 9 (9) ◽  
pp. 73
Author(s):  
Marcos Hirata Soares ◽  
Adriano Luiz da Costa Farinasso ◽  
Fernanda Pâmela Machado ◽  
Layla Karina Ferrari Ramos ◽  
Cristiane De Souza Gonçalves

Background and objective: The need to measure treatment outcomes in mental health services from the perspective of users and family members has been highlighted in the literature as a fundamental aspect to improve the care provided. The objective of this study was to measure the treatment outcome provided by a Brazilian Psychosocial Care Center from the perspective of outpatients and their family members.Methods: A correlational study was performed with 84 outpatients and 40 family members, between 2015 and 2016, interviewing them using the Satisfaction (SATIS-BR), Perception of Change (PCS), Independent Living Skills (ILSS) and Family Burden (FBIS-BR) scales.Results: There was a high index of satisfaction with the mental health service, with a mean of 4.23 for the users interviewed and 4.36 for the family members. The perception of change presented a mean of 2.58 for the patients and 2.19 for the family members. The independent living ability presented a mean of 2.52.Conclusions: The high indices of satisfaction suggest successes, as well as points to be improved in the mental health policy implemented in the municipality. However, reintegration into the labor market was presented as an aspect with a need for investments through health and labor policies, since it was related to the subjective burden.


Author(s):  
Alice Park ◽  
Alison Booth ◽  
Adwoa J Parker ◽  
Arabella Scantlebury ◽  
Kath Wright ◽  
...  

Abstract Police routinely encounter individuals experiencing mental distress, despite being ill-equipped to do so. Mental health triage aims to address these concerns. A range of approaches to triage has been introduced; however, no overview exists. We conducted a systematic scoping review of mental health triage co-responding schemes. Eleven databases were searched to identify the literature; each scheme was charted and described. Thirty-three studies describing 47 schemes were included. Intervention details were generally poorly reported, however, differences in personnel, training and information sharing were identified. There are multiple schemes in practice based on the co-responding model. Robust research into the cost and effectiveness of mental health triage is needed.


2009 ◽  
Vol 18 (1) ◽  
pp. 34-39 ◽  
Author(s):  
Patrizia Guarnieri

SummaryInserting adults with psychic problems into families has recently been practiced in various European countries and also in Italy, where some mental health departments support such families. Beyond the well known story of Gheel, the etero and omofamily care of psychiatric patients has a forgotten history. Methods – On the basis of unexplored and exceptionally rich sources from the archives of the asylums in Florence, as well as of the Province di Florence, which funded assistance to the mentally ill – this research focuses on the subsidized “domestic custody” of hundreds of psychiatric patients, who had already been institutionalized. Beginning in 1866, outboarding was supported by the provincial administration in Florence with the collaboration of the asylum medical direction. Results – In the late 19th C. and in the early 20th C. prestigious psychiatrists sought alternatives to the institutionalisation. These alternatives involved varied participants in a community (the patients and their families, the administrators and the medical specialists, the neighborhood and the police). The families played a special role that historians of the psychiatry exclusively dedicated to the insane asylums have not really seen. Conclusions – The role of the families in the interaction with the psychiatric staff is not, even on a historiographical level, simply an additional and marginal chapter of the practices and of the culture of the mental health. These archival evidence contradicts some common places on the past of the Italian psychiatry before 1978, and provokes new reflections of possible relevance to the present.


2018 ◽  
Vol 7 (1) ◽  
pp. 17
Author(s):  
Vevi Suryenti Putri ◽  
Trimusarofah Trimusarofah

Schizophrenic patients 70% have hallucinations. Nursing in caring for patients with hallucinations namely performance strategy execution for individual or family. Family’s performance strategy is one nursing interventions for patients who are rarely hallucinated to the family. This study aimed to determine is there any affect of family’s performance strategy execution toward the ability of family caring hallucinations patients. This is a quantitative research; it used pre experiment method and used one group pretest and posttest design. Samples were 20 respondents. This study was conducted from July 25th – August 10th 2017, data were collected using instruments in the form of interview and observation sheets. Data analized by using t-test. The average ability of families before being given family’s performance strategy with average score (3.75) to be (5.75) after being given family’s performance strategy. There is different of family’s performance strategy execution toward the ability of family caring for hallucinations patients at Jambi city with p-value 0.00 (<0.05). it conclude that there is the effect of family’s performance strategy execuation toward the ability of family caring for hallucinations patients.


2016 ◽  
Vol 47 (2) ◽  
pp. 13-21 ◽  
Author(s):  
D. Trompetter ◽  
M. Bussin ◽  
R. Nienaber

Following the global economic collapse, executives are significantly more demanding in understanding the Return on Investment of employee-related programmes including expatriate programmes. Expatriates are defined as employees who are recruited to provide a service in a country which is not the country of residence, typically for at least three years. Expatriate programmes carry high risk; even more so when the family accompanies the employee. The cost of an expatriate assignment is, on average, three times higher than that of a local; yet the failure rate is estimated to be up to 40%. Despite the cost, expatriate resources are critical to embed culture, policies and transfer of skills to a host country environment. The objective of this study was to identify the relationship between the adjustments of the expatriate’s family in the hostcountry on the performance of expatriates. The study was conducted using a quantitative research approach. A convenience sample was used and 81 expatriates completed the questionnaire. The results confirmed home to work spillover and that expatriates would value more organisational support for families in the new location. The length of stay in the host location was linked to higher levels of performance – the longer the assignment, the better the performance levels of the expatriate. Human Resources Practitioners can develop support programmes to ensure that expatriates and families are equipped to enhance their adjustment period and consequently positively impact the expatriate’s performance whilst on assignment.


Author(s):  
Suja Chungathil Mathew ◽  
Thereza Mathias

Mental disorders are the second leading cause of disease burden in terms of Years Lived with Disability (YLDs) and the sixth leading cause of Disability-Adjusted Life-Years (DALYs) in the world in 2017. Mental disorders can lead to extreme physical, psychological, social and financial burden among the caregivers. Family is a basic unit of caring for the mentally ill. Empowering the family caregivers on caring their mentally ill client at home is an effective strategy in rehabilitation as the mental health facilities are limited in India. Home based care is known to reduce burden among the caregivers. Homecare includes various components that help in caring and managing clients with Activities of Daily Living (ADL), supervision and administration of medication, recreation and leisure activity, stress management, regular follow up with mental health professional, social skill training, management of psychiatric emergencies, management of potentially harmful behaviours such as suicide and anger management. The outcome of the home care of mentally ill   depends on the willingness and cooperation of the family and continuous support and monitoring by the mental health team. It is cost-effective and implies the shift of responsibility not only on the hospital but on the family caregivers and the health professionals in the community.


Sign in / Sign up

Export Citation Format

Share Document