Perception of nurses towards aggressive behaviour among person with mental illness in psychiatry unit of a tertiary care hospital

Background: Integrating mental health services into primary care is the most viable way of closing the treatment gap and ensuring that people get the mental health care they need. Government of Karnataka initiated the Manochaitanya programme to ensure that mental health services at all primary health care centers, community health centers and taluk hospitals on every Tuesday. Its required to know the patient satisfaction in this programme.Methods: This study was conducted over a period of two years, cross-sectionally seen 102 cases from 9 PHC’s that runs psychiatric clinics every Tuesday. This population was compared with 107 from Tertiary care center. All were assessed by the Psychiatrist using ICD-10 clinically after the informed consent. After 3 follow ups they were assessed with semi structured proforma, Indian Disability Evaluation and Assessment Scale (IDEAS), Global Assessment of Functioning (GAF), Patient Satisfaction Questionnaire Short Form (PSQ-18) instruments.Results: The Patient satisfaction was found to be higher in PHCs 83.07±8.72 compared to tertiary subjects 75.27±9.51 (p<0.05). Severe mental illness was higher 48.96% in PHCs as compared to tertiary care center common mental illness 23.36%. Subjects from tertiary care centres report higher GAF score (65%) higher among tertiary care subjects than their PHC counterparts (35%).Conclusions: The patients receiving treatment in PHC’s reported more satisfaction than those who receive treatment in tertiary care center. Higher disability scores on IDEAS in PHC’s than tertiary Center due reporting of more cases of severe mental illness in PHC’s. Married patients have shown higher satisfaction as compared to single/ Divorced/ Separated patients. Alcohol Dependence Syndrome was found to be more in tertiary care hospital than in PHC’s.

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ATTITUDE TOWARDS PSYCHIATRY AMONG NON-PSYCHIATRIC POSTGRADUATES IN A TERTIARY CARE TEACHING HOSPITAL

10.36106/gjra/0313929 ◽

2021 ◽

pp. 204-207

Author(s):

Swati Singh ◽

Arun Narayan Pradeep ◽

Vadivambal Dinakaran ◽

Arul Saravanan ◽

M. Thirunavukarasu

Keyword(s):

Mental Health ◽

Mental Illness ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Negative Attitude ◽

Mental Illnesses ◽

Care Hospital ◽

Cross Sectional ◽

Major Barrier ◽

Validated Questionnaire

It is a universal phenomenon that the stigma attached to mental illness and mentally ill is a major barrier in providing mental health services. Among doctors, the stigmatisation can further lead to decline in treating mental illness and compromises in patient care. Mental illnesses go unnoticed and unattended to most of the time. AIM-To study the attitude towards mental illness and psychiatry in non-psychiatric postgraduates in a tertiary care hospital. Materials and methods- This is a “Cross - sectional study” that was carried out among non-psychiatric post graduates in a tertiary care hospital using validated questionnaire among all non-psychiatric postgraduates Results- Out of 235 non-psychiatric postgraduate's only 200 postgraduates have lled questionnaire. Out of which 88 were male and 112 were females and 168 were from the clinical branch and 32 were from the non-clinical branch. Data analyse was by using SPSS. Total scores were high on MICA -4 (56.99±9.59) which represent negative attitude towards psychiatry. The majority of postgraduates have shown little interest in psychiatry in their MBBS programme and believe that functioning in a psychiatric setup is not respectful and have been reluctant to disclose their mental illness in front of friends and colleagues. On otherhand, they accepted that mental illness could be a treated and that people with psychiatric illness must have the right to live with dignity and not to be mistreated. Conclusion- The present study shows the negative perception of non-psychiatric medical post graduates. It shows the urgent need to revise the curriculum and correct the negative attitudes of non-psychiatric post graduates towards mental illness and to instil and impart the importance of mental health among students right from undergraduate days. This would help in providing people with mental illness a holistic care for their problems.

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Pathway to care among psychiatric patients attending a Tertiary care hospital in Kathmandu Valley

Journal of Psychiatrists Association of Nepal ◽

10.3126/jpan.v7i2.24611 ◽

2018 ◽

Vol 7 (2) ◽

pp. 31-35 ◽

Cited By ~ 1

Author(s):

N. Rai ◽

P. Pokhrel ◽

P.P. Sharma ◽

M. Basnet ◽

B. Dahal ◽

...

Keyword(s):

Mental Illness ◽

Tertiary Care Hospital ◽

Psychiatric Patients ◽

Tertiary Care ◽

Family Members ◽

Kathmandu Valley ◽

Equal Proportion ◽

Care Hospital ◽

Common Diagnosis ◽

Pathway To Care

Introduction: Mental illness accounts for 14% of all disability adjusted life years (DALYs) lost worldwide and is one of the major contributors to the global burden of disease. In spite of this much of burden and disability there is a huge gap between the treatment and help seeking behavior. Though, the mental illness is a common problem, due to stigma and lack of knowledge they prefer to visit alternative sources like faith healers, traditional practitioners and quacks. Very few of them seek psychiatrists help. So, this pathway to care study aims to provide some descriptive insight into the pathways to care among the psychiatric patients attending the tertiary care hospital in Kathmandu valley. Material and Method: A cross-sectional study among 66 patients seeking psychiatric outpatient services in Kist medical College, Imadole, Lalitpur, Nepal which is a Teriatry hospital from the period of 1st August – 31st October, 2018. Semi structured proforma developed by department of Psychiatry which covered the socio-demographic profile and WHO (1987) collaborative “pathway study” encounter form as a guiding tool was used to collect the data. Results: Out of 66 enrolled patients, 60.6% were in the age group of 21-40. Almost equal proportion of male (51.5%) and female (48.5%) visited psychiatric services. Majority of the patients were married (81.8%), Chhetri (25.8%) by caste and Hindu (81.8%) by religion. Majority of the patients were from outside valley (51.5), educated upto primary level (31.8%) and housewife by occupation (28.8%). The most common diagnosis was Depression (16.7%) and Alcohol Dependence syndrome (16.7%). Majority (45.5 %) of the patients had visited faith healer before visiting to Psychiatrists. 57.6 % patient visited psychiatrists within 2.5 months duration and majority of them were initiated to visit psychiatrists by family members/ relatives. Conclusion: Faith healers were the most common first contact for psychiatric patients. Despite of that majority of the patients had visited psychiatrists within 2.5 months duration. In most of the cases family members/ relatives were the one to initiate for psychiatric consultation.

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Pattern and Type of Aggressive Behavior in Patients with Severe Mental Illness as Perceived by the Caregivers and the Coping Strategies Used by Them in a Tertiary Care Hospital

Archives of Psychiatric Nursing ◽

10.1016/j.apnu.2015.10.002 ◽

2016 ◽

Vol 30 (1) ◽

pp. 62-69 ◽

Cited By ~ 6

Author(s):

Abin Varghese ◽

Deeepika C. Khakha ◽

Rakesh Kumar Chadda

Keyword(s):

Mental Illness ◽

Severe Mental Illness ◽

Aggressive Behavior ◽

Coping Strategies ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Care Hospital

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Family Support and Stigma among Patients Attending a Tertiary Care Hospital in Bangladesh

BIRDEM Medical Journal ◽

10.3329/birdem.v7i2.32454 ◽

2017 ◽

Vol 7 (2) ◽

pp. 148-154

Author(s):

Nasim Jahan ◽

Mohammad Muntasir Maruf ◽

Bushra Sultana ◽

Samira Humaira Habib ◽

Muhammad Zillur Rahman Khan ◽

...

Keyword(s):

Mental Illness ◽

Family Support ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Community Based Participatory Research ◽

Mental Illness Stigma ◽

Care Hospital ◽

Cross Sectional ◽

Major Barrier ◽

Related Disorder

Background: Mental illness stigma continues to be a major barrier for individuals with mental illness.Methods: This study was a descriptive cross-sectional study conducted among the mentally ill patients attending Out Patient Department (OPD) in a tertiary care hospital of Dhaka city of Bangladesh, during the period from May 2013 to November 2013. The objective of the study was to assess the family support and stigma among the respondents. A total of 151 patients of 18 to 60 years attending in the OPD, National Institute of Mental Health (NIMH), Dhaka were selected purposefully to conduct the study. An informed consent was taken from the patients or care givers. Information about socio-demographic and psychosocial data was collected using the questionnaire designed by the researcher based on Factors Influencing Neuroleptic Medication Taking Scale (FNIMTS). Diagnoses of mental illness were done according to Diagnostic and Statistical Manual of Mental Disorders Text Revision (DSM-IV-TR) by psychiatrists.Results: The commonest diagnoses among the respondents were the schizophrenias (56.3%), bipolar mood disorders (23.8%) and substance related disorder (6.6%). Most were insightful into their mental illness (89.4%). Most of the respondents rated their perception of family support as good (66.2%). Most of the respondents believed that they would be treated differently if people knew they had a mental illness (57.6%) or on drugs for mental illness (54.3%). Among the presently employed respondents (21.85%) most (57.75%) were uncomfortable with the idea of telling employer about mental illness or being on drugs for it.Conclusion: A bridge for communication between people with mental illness, their families, and health care practitioners, may be a useful framework for guiding efforts to reduce stigma. Community-based participatory research principles and lived experiences are crucial elements in stigma reduction endeavors.Birdem Med J 2017; 7(2): 148-154

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