scholarly journals Level of compliance and factors associated with non-compliance to treatment among the mentally ill patients

2012 ◽  
Vol 10 (2) ◽  
pp. 113-117 ◽  
Author(s):  
S Lama ◽  
K V Lakshmi ◽  
P M Shyangwa ◽  
P Parajuli
Keyword(s):  
Mental Illness ◽  
Mentally Ill ◽  
Mental Illnesses ◽  
Psychiatric Ward ◽  
Psychiatric Medication ◽  
Drug Compliance ◽  
Treatment Access ◽  
Related Factors ◽  
Factors Associated ◽  
Compliance To Treatment

Background: Mental illnesses are treatable and need medication and other therapies i.e. counseling, psychotherapy etc for the better outcome. Poor adherence to psychiatric medication regimens is a major obstacle to the effective care of persons who have chronic mental illness.Objectives: The study aims to identify the level of compliance and factors associated with non-compliance to treatment regimen.Methods: This was a hospital based cross sectional study carried out in psychiatric ward and OPD at B.P.Koirala Institute of Health Sciences, Dharan Nepal. A total of 150 patients were included as study samples using purposive sampling technique. Data was collected using self developed, pre tested, semi structured Pro forma by interview method.Results: Half of the patients showed average compliance. Thirty seven percentages of patients had good compliance and only 13% showed poor compliance. There was no association between drug compliance and demographic variables (p> 0.05). Drug compliance was significantly associated with factors such as drug related aspects, treatment access related factors, quality of interaction with treating team, family support, attitude towards mental illness and relatives' insight towards mental illness (p<0.05 ).Conclusion: The findings of the study highlighted the various factors such as drug related, social support, and treatment access related factors are influencing the drug compliance among the mentally ill patients.DOI: http://dx.doi.org/10.3126/hren.v10i2.6577 Health Renaissance 2012; Vol 10 (No.2); 113-117 

Canadian Undergraduates’ Perspectives on Medical Assistance in Dying (MAiD): A Quantitative Study

2021 ◽  
pp. 082585972110507
Author(s):  
Erin Hawrelak ◽  
Lori Harper ◽  
John R. Reddon ◽  
Russell A. Powell
Keyword(s):  
Mental Illness ◽  
Undergraduate Students ◽  
Mentally Ill ◽  
Life Experiences ◽  
Medical Condition ◽  
Mental Illnesses ◽  
Medical Assistance ◽  
Factors Associated ◽  
Medical Assistance In Dying ◽  
Religion And Ethnicity

Background and Objectives: In 2016, Medical Assistance in Dying (MAiD) became legal in Canada for those suffering a grievous and untreatable medical condition. Currently, it is not available to minors or to those with an untreatable mental illness, although it is likely the scope of MAiD will be widened to include persons with severe and untreatable mental illnesses. However, little is known about the factors predicting acceptance or rejection of MAiD for persons with either a grievous medical condition or an untreatable mental illness. Methods: A survey was administered to 438 undergraduate students to examine factors associated with their acceptance or rejection of MAiD. The survey included four different scenarios: a young or old person with an untreatable medical condition, and a young or old person with an untreatable mental illness. Demographic questions (age, sex, religion, etc), personality measures, and an attitude towards euthanasia scale were also administered, as well as questions assessing participants’ general understanding of MAiD and their life experiences with death and suicide. Results/Conclusion: Overall, most of the Canadian undergraduate participants accepted MAiD for both terminally ill and mentally ill patients; however, different variables, such as age, religion, and ethnicity, predicted the acceptance or rejection of MAiD for each scenario.

Offenders with Mental Illness in Prison

2016 ◽  
Author(s):  
Sarah M. Manchak ◽  
Robert D. Morgan
Keyword(s):  
Mental Illness ◽  
Mentally Ill ◽  
Justice System ◽  
Mental Illnesses ◽  
Future Research ◽  
Mentally Disordered Offenders ◽  
Prison Management ◽  
Mentally Disordered ◽  
Prison Environment ◽  
Offenders With Mental Illness

This essay describes trends in the number of mentally disordered offenders in prison and the unique challenges posed by them in terms of prison management and service delivery. The essay first explores why persons with mental illnesses are overrepresented in the criminal justice system, then discusses efforts to rehabilitate this population should not take place within the prison environment (and, if they do, what changes in current practices are necessary to adapt to the prison setting). How the challenges posed by mentally ill inmates are managed is also covered, with critical discussions of these strategies. Finally, an analysis of the changes that are needed to improve conditions for inmates with mental illness in prisons is presented, with a description of one promising program for treating these offenders. Suggestions for future research with this population that will help inform and improve prison conditions for offenders with mental illness are also provided.

scholarly journals Tensions and Paradoxes of Stigma: Discussing Stigma in Mental Health Rehabilitation

2020 ◽  
Vol 17 (16) ◽  
pp. 5943
Author(s):  
Jenny Paananen ◽  
Camilla Lindholm ◽  
Melisa Stevanovic ◽  
Elina Weiste
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Mental Health Professionals ◽  
Mentally Ill ◽  
Media Coverage ◽  
Mental Health Problems ◽  
Mental Illnesses ◽  
Rehabilitation Centers ◽  
Health Rehabilitation ◽  
Mental Health Rehabilitation

Mental illness remains as one of the most stigmatizing conditions in contemporary western societies. This study sheds light on how mental health professionals and rehabilitants perceive stigmatization. The qualitative study is based on stimulated focus group interviews conducted in five Finnish mental health rehabilitation centers that follow the Clubhouse model. The findings were analyzed through inductive content analysis. Both the mental health rehabilitants and the professionals perceived stigmatization as a phenomenon that concerns the majority of rehabilitants. However, whereas the professionals viewed stigma as something that is inflicted upon the mentally ill from the outside, the rehabilitants perceived stigma as something that the mentally ill themselves can influence by advancing their own confidence, shame management, and recovery. Improvements in treatment, along with media coverage, were seen as the factors that reduce stigmatization, but the same conceptualization did not hold for serious mental illnesses. As the average Clubhouse client was thought to be a person with serious mental illness, the rehabilitation context designed to normalize attitudes toward mental health problems was paradoxically perceived to enforce the concept of inevitable stigma. Therefore, it is important for professionals in rehabilitation communities to be reflexively aware of these tensions when supporting the rehabilitants.

The Relationship Between Insight and Internalized Stigma in Persons With Sever Mental Illness

2016 ◽  
Vol 33 (S1) ◽  
pp. S453-S453
Author(s):  
D. Szczesniak ◽  
I. Wojciechowska ◽  
M. Kłapciński ◽  
E. Zwyrtek ◽  
J. Rymaszewska
Keyword(s):  
Mental Illness ◽  
Psychotic Disorders ◽  
Cross Sectional Study ◽  
Mental Illnesses ◽  
Internalized Stigma ◽  
Related Factors ◽  
Cross Sectional ◽  
Stigma Of Mental Illness ◽  
The Relationship ◽  
Insight Into

IntroductionStigma is a multistage process that makes person marked by the stigma to be perceived as diminished or even as “not fully human”. The internalized stigmatization is seen as one of the levels of stigma to be present in persons with mental illness. A new perspective to mediation models between internalized stigma and illness-related factors is needed.AimTo assess the relationship between insight in mental illness and internalized stigma, as well to verify the knowledge of illness-related factors on the phenomenon of internalized stigma among patients with severe mental illnesses.MethodsA cross-sectional study design conducted among participants of both sexes between 18 years old and 65 years old with diagnosis of psychotic disorders (F20–29) and mood disorders (F30–39), who after reading the information about the study, give their written consent to participate. Among used methods were: a questionnaire of Internalized Stigma of Mental Illness (ISMI) by Ritsher [Boyed] et al. translated into Polish version and self-prepared interviews. Insight into mental illness was assessed using the Positive and Negative Syndrome Scale.ResultsThe preliminary results showed patients with the insight into the mental illness have significantly higher scores on the ISMI scale. Moreover, inpatient participants and those with the diagnosis of depression were characterized by higher level of stereotype endorsement compared with outpatients and psychotic patients.ConclusionsThe obtained results may contribute in the clinical and therapeutic fields, assuming that insight and the type of treatment are strongly linked with the process of recovery and the internalized stigma.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Insanity in a Sea of Islands: Mobility and Mental Health in Aotearoa New Zealand’s Pacific Sphere

2021 ◽  
Author(s):  
Jacqueline Leckie
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Mentally Ill ◽  
Pacific Islands ◽  
South Pacific ◽  
Mental Illnesses ◽  
Historical Evidence ◽  
The Pacific

This article builds upon the fragmentary historical evidence of mental illness and mental health within South Pacific societies to explore the nexus with migration and mobility. The focus is on the Pacific territories that were under Aotearoa New Zealand’s jurisdiction. The article explores concepts of mental health and mobility within Pacific societies that became entangled with European concepts to designate insanity. The paper then discusses how mental illnesses were exacerbated or induced through migration and travel across the Pacific. The last section explores the transfer of mentally ill patients from some Pacific islands to Aotearoa. This article is based upon the 2018 J. D. Stout Lecture at Victoria University of Wellington.

Between Sanity and Madness

2019 ◽  
Author(s):  
Allan V. Horwitz
Keyword(s):  
Mental Illness ◽  
Mentally Ill ◽  
Ancient Greece ◽  
Mental Illnesses

Between Sanity and Madness: Mental Illness from Ancient Greece to the Neuroscientific Era traces the extensive array of answers that various groups have provided to questions about the nature of mental illness and its boundaries with sanity. What distinguishes mental illnesses from other sorts of devalued conditions and from normality? Should medical, religious, psychological, legal, or no authority at all respond to the mentally ill? Why do some people become mad? What treatments might help them recover? Despite general agreement across societies regarding definitions about the pole of madness, huge disparities exist on where dividing lines should be placed between it and sanity and even if there is any clear demarcation at all. Various groups have provided answers to these puzzles that are both widely divergent and surprisingly similar to current understandings.

Serious Mental Illness and Health-Related Factors Associated with Regional Emergency Department Utilization

2020 ◽  
Vol 23 (6) ◽  
pp. 430-437
Author(s):  
Kristen M.J. Azar ◽  
John P. Petersen ◽  
Zijun Shen ◽  
Catherine Nasrallah ◽  
Jacqueline Pesa ◽  
...  
Keyword(s):  
Emergency Department ◽  
Mental Illness ◽  
Serious Mental Illness ◽  
Emergency Department Utilization ◽  
Related Factors ◽  
Factors Associated ◽  
Health Related

POLICE OFFICERS' KNOWLEDGE OF, AND ATTITUDES TOWARDS, MENTAL ILLNESS AND THE MENTALLY ILL INDIVIDUALS

2021 ◽  
Author(s):  
Nahal Salimi ◽  
◽  
Bryan Gere ◽  
Sharo Shafaie ◽  
◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Police Officers ◽  
Mentally Ill ◽  
Direct Interaction ◽  
Law Enforcement Officers ◽  
The United States ◽  
Mental Illnesses ◽  
Community Attitudes ◽  
Mental Health Awareness

"Police officers are some of the first professionals that might have direct interaction with individuals with mental illnesses. Statistics show that from 2017 to 2020 about 3986 individuals in the United States were fatally shot by police officers (Statista, 2021). These reports indicate that at least 25% and as many as 50% of all fatal shootings involved individuals with untreated severe mental illness. The purpose of this pilot study was to test the effectiveness of a five-day psycho-educational mental health awareness training in enhancing law enforcement officers’ knowledge about mental illness, and their perceptions towards mentally ill individuals using a pretest-posttest design. The Community Attitudes Towards the Mentally Ill (CAMI) scale was used to measure participants’four mental health attitudinal domains - authoritarianism, benevolence, social restrictiveness, and community mental health ideology. The results indicate that at the completion of the training there was an increase in participants’ confidence about their knowledge of the mentally ill individuals and mental illness conditions. However, the results also indicate a slight decrease in participants' mental illness social restrictiveness sentiment after the completion of the training. Additionally, the results also show a correlation between demographic variables and some of the domains. Implications for practice are discussed."

Therapeutic Day Programs in the Treatment of Adolescents with Mental Illness

2000 ◽  
Vol 34 (2) ◽  
pp. 264-270 ◽  
Author(s):  
Robert P. Weir ◽  
Susan R. Bidwell
Keyword(s):  
Mental Illness ◽  
Database Search ◽  
Mental Illnesses ◽  
Treatment Modalities ◽  
Successful Outcome ◽  
Control Group ◽  
Quality Research ◽  
Factors Associated ◽  
Day Programs

Objectives: This study aims to assess the effectiveness of day programs against other treatment modalities in adolescents with mental illnesses (including substance abuse). It also aims to identify patient and program factors associated with favourable outcomes for adolescents with mental illness treated in therapeutic day programs. Method: An extensive database search of published literature was conducted, supplemented by hand-searching of references of retrieved articles, and a search by author. There was no restriction by study design. Relevant studies were identified and appraised using standardised criteria. Results: Of the 231 studies identified in the search, 26 were relevant to this review. The majority of studies identified day programs as effective. There was a lack of adequate comparisons between day programs and other organisational arrangements. Conclusions: The quality of the studies identified was low. Twenty-two of the 26 studies did not have an adequate control group. Higher-quality research is required in the evaluation of the effectiveness of day programs, and the identification of other factors promoting successful outcome in the treatment of adolescent mental illness.

A Tendency in Therapeutics

2016 ◽  
pp. 255-260
Author(s):  
Donald W. Winnicott
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Medical Students ◽  
Mentally Ill ◽  
Emotional Development ◽  
Mental Hospital ◽  
Mental Illnesses ◽  
Hospital Treatment ◽  
Sharp Line ◽  
Modern Psychiatry

In this essay, Winnicott deals with the theory that mental illnesses are disorders of emotional development and that there is no sharp line between mental health and mental illness. He stresses the importance of medical students being informed correctly about the relation of mental illness—both neurosis and psychosis—to normal emotional development. Winnicott states his belief that the best trend in modern psychiatry is inviting mentally ill people to ask for mental hospital treatment early in their illness.

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