scholarly journals Challenges of Providing Home Care for a Family Member with Serious Chronic Mental Illness: A Qualitative Enquiry

2020 ◽  
Vol 17 (22) ◽  
pp. 8440
Author(s):  
Kebogile Elizabeth Mokwena ◽  
Amukelane Ngoveni
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Mental Disorders ◽  
Home Care ◽  
South African ◽  
Family Members ◽  
Financial Difficulties ◽  
Adequate Care ◽  
Social Difficulties ◽  
At Home

The South African Mental Health Act of 2002 advocates the de-institutionalization of treatment of patients with mental disorders, so that the mental health care users or patients are treated in their communities. Although this approach is often used to discharge patients from hospital, no feasibility assessments are conducted to ascertain adequate care for these patients. The objective of the study was to explore the experiences of family members who provide home care for patients with serious mental disorders. A qualitative explorative design was used to interview 20 primary caregivers whose family members were readmitted to a public psychiatric hospital in Pretoria. Data were analysed using NVivo version 11. The findings are that caring for patients with serious mental illness at home is difficult, sometimes unbearable, because the families have to deal with violence perpetrated by the patients, safety concerns, financial difficulties and emotional turmoil, and wish that the patients would be kept in institutions. The absence of required skills and resources to care for the mentally ill at home exposes the patients and their families to emotional, financial and social difficulties, and results in unfavourable outcomes for both the patients and their families.

scholarly journals Gambaran Strategi Koping Keluarga dalam Merawat Anggota Keluarga yang Menderita Gangguan Jiwa Bera

1970 ◽  
Vol 4 (1) ◽  
Author(s):  
Yelsi Wanti ◽  
Efri Widianti ◽  
Nita Fitria
Keyword(s):  
Mental Illness ◽  
Mental Disorders ◽  
Coping Strategies ◽  
Family Members ◽  
Severe Mental Disorders ◽  
Family Coping ◽  
Ways Of Coping ◽  
The Family ◽  
The Impact ◽  
At Home

Keluarga yang merawat anggota keluarga dengan gangguan jiwa sering mengalami stres karena perilaku anggota keluarga yang mengalami gangguan jiwa dan stigma yang melekat pada keluarga. Keluarga akan melakukan strategi koping untuk mengatasi stres yang dialami. Tujuan Penelitian ini adalah untuk mengidentifikasi strategi koping keluarga dalam merawat anggota keluarga yang menderita gangguan jiwa berat di rumah di Desa Sukamaju dan Desa Kersamanah Kecamatan Kersamanah Kabupaten Garut. Jenis penelitian ini adalah deskriptif kuantitatif dengan jumlah responden sebanyak 43 orang anggota keluarga yang merawat pasien gangguan jiwa berat, diambil dengan total sampling. Data penelitian diambil menggunakan kuesioner dari instrumen baku Ways Of Coping (WOC) dan analisis data yang digunakan dalam bentuk persentase. Hasil penelitian menunjukkan sebagian dari responden yaitu 20 orang (47%) lebih cenderung menggunakan emotional focused coping, sebagian kecil responden yaitu 13 orang (30%) cenderung menggunakan problem focused coping dan sebagian kecil responden lainnya yaitu 10 orang (23%) dominan menggunakan problem focused coping dan emotional focused coping secara bersamaan. Simpulan dari penelitian ini menunjukkan bahwa keluarga dalam merawat pasien gangguan jiwa berat di rumah melakukan usaha untuk menghadapi stres dengan cara mengatur respon emosionalnya untuk menyesuaikan diri dari dampak yang ditimbulkan oleh pasien. Hasil penelitian ini diharapkan dapat memberikan masukan bagi perawat di puskesmas setempat untuk memberikan konsultasi dan konseling bagi keluarga dalam merawat pasien gangguan jiwa berat di rumah.Kata kunci: Gangguan jiwa berat, keluarga, strategi koping. Describe Of Family Coping Strategies In CaringFamily Members Suffering From Severe Mental DisordersAbstractFamilies who care for family members with mental illness often stresor due to the behavior of family members with mental illness and the stigma attached to the family. The family will do the coping strategies to overcome the stres experienced. The study purpose is to identify family coping strategies in caring for family members who suffer from severe mental disorders at home in Sukamaju and Kersamanah Villages in District of Garut. This design of study is quantitative descriptive with the number of respondents about 43 family members who care for patients with severe mental disorders, using total sampling. The data were taken using a questionnaire of raw instrument Ways Of Coping (WOC) and data analysis used form of a percentage. The results showed the majority of respondents, 20 people (47%) were more likely to use emotional focused coping, a small portion 13 respondents (30%) tend to use problem focused coping and a small portion 10 respondents (23%) predominantly use problem focused coping and emotional focused coping simultaneously. The conclusions of this study indicate that the family in caring for patients with severe mental disorders at home to make efforts to deal with stres by regulating the emotional response to adjust from the impact caused by the patient. The results of this study are expected to provide input for a nurse at a Health care to provide consultation and counseling for families in caring for patients with disorders severe mental at home.Keywords: Coping strategies, family, severe mental disorders.

Mental Disorders in Married Couples (Assortative Mating)

1964 ◽  
Vol 110 (468) ◽  
pp. 683-697 ◽  
Author(s):  
Johannes Nielsen
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Mental Disorders ◽  
Assortative Mating ◽  
Family Members ◽  
Married Couples ◽  
Relationship Of

Family psychiatry has the primary aim of studying the inter-relationship of mental health and disorder within families and using this knowledge in the treatment and prophylaxis of mental illness in the different family members.

scholarly journals Associations between common mental disorders and the Mental Illness Needs Index in community settings

2007 ◽  
Vol 191 (2) ◽  
pp. 158-163 ◽  
Author(s):  
David L. Fone ◽  
Frank Dunstan ◽  
Ann John ◽  
Keith Lloyd
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Mental Disorders ◽  
Mental Disorder ◽  
Small Area ◽  
Common Mental Disorders ◽  
Common Mental Disorder ◽  
Service Planning ◽  
Individual Risk ◽  
Community Settings

BackgroundThe relationship between the Mental Illness Needs Index (MINI) and the common mental disorders is not known.AimsTo investigate associations between the small-area MINI score and common mental disorder at individual level.MethodMental health status was measured using the Mental Health Inventory of the Short Form 36 instrument (SF-36). Data from the Caerphilly Health and Social Needs population survey were analysed in multilevel models of 10 653 individuals aged 18–74 years nested within the 2001 UK census geographies of 110 lower super output areas and 33 wards.ResultsThe MINI score was significantly associated with common mental disorder after adjusting for individual risk factors. This association was stronger at the smaller spatial scale of the lower super output area and for individuals who were permanently sick or disabled.ConclusionsThe MINI is potentially useful for small-area needs assessment and service planning for common mental disorder in community settings.

scholarly journals Empathy, Burnout, and Attitudes towards Mental Illness among Spanish Mental Health Nurses

2022 ◽  
Vol 19 (2) ◽  
pp. 692
Author(s):  
Daniel Román-Sánchez ◽  
Juan Carlos Paramio-Cuevas ◽  
Olga Paloma-Castro ◽  
José Luis Palazón-Fernández ◽  
Isabel Lepiani-Díaz ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Mental Disorders ◽  
Protective Factor ◽  
Maslach Burnout Inventory ◽  
Personal Accomplishment ◽  
Snowball Sampling ◽  
Cross Sectional ◽  
Mental Health Nurses ◽  
Positive Attitudes

Mental health nurses, together with psychiatrists, are the healthcare professionals who display the highest levels of empathy and the best attitudes towards patients with mental disorders. However, burnout is a common problem among these professionals. The aim of our study is to describe the association between empathy, burnout, and attitudes towards patients with mental disorders among mental health nurses in Spain. A descriptive cross-sectional design was used involving a sample of 750 specialist nurses working in mental health facilities in Spain. An intentional, non-probability, non-discriminative, exponential snowball sampling method was used. The Jefferson Scale of Empathy, the Maslach Burnout Inventory, and the Community Attitudes towards Mental Illness Inventory were used to measure the study variables. A positive correlation was observed between empathy and all the study variables, with the exception of the personal accomplishment dimension of burnout and the social restrictiveness and authoritarianism dimensions of attitudes towards mental illness, where a negative relation was observed. Our findings suggest that empathy is associated with an increase in positive attitudes towards patients with mental disorders, decreasing associated stigma, but did not act as a protective factor against burnout in the study sample.

scholarly journals Sistem Informasi Manajemen Pos Pelayanan TerpaduKesehatan Jiwa di Desa Bongkot

2020 ◽  
Vol 5 (1) ◽  
Author(s):  
Athi Linda Yani ◽  
Mohamad Ali Murtadho
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Information System ◽  
Mental Disorders ◽  
Community Service ◽  
Management Information System ◽  
Management Information ◽  
Service Program ◽  
Efficiency And Effectiveness

Bongkot village has many people suffering from mental disorders. There are around fifty people suffering from mental disorders. Prediction of mental disorders at table three is usually done through interviews. Cadres need to fill out the form provided on the Towards Healthy Soul Card (KMSJ) at the interview. The form needs to be filled out based on the results of the interview to predict whether the interviewee has a mental illness or not. If the results of the interview are predicted to have a mental disorder, the cadre will recommend appropriate follow-up. This process is certainly prone to mistakes because it only depends on cadre knowledge. Predictions will certainly affect the recommendations given. in this community service program, the authors propose to apply Information Technology (IT) to reduce the risk of such errors. The system is named the Mental Health Posyandu Management Information System (SIM). The system is expected to be able to improve the efficiency and effectiveness of services at the posyandu, the output of this service produces an online-based application related to the service of mental health posyandu with the address www. poskeswa.com.

The effects of a community mental health intervention project upon family caregivers of persons with suspected mental illness in the Chinese cultural context

2017 ◽  
Vol 61 (6) ◽  
pp. 1067-1082 ◽  
Author(s):  
Petrus Ng ◽  
Daniel KW Young ◽  
Jiayan Pan ◽  
King-Keung Law
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Community Mental Health ◽  
Family Caregivers ◽  
Family Caregiving ◽  
Cultural Context ◽  
Mental Health Problems ◽  
Family Members ◽  
Health Intervention ◽  
Mental Health Intervention

Family members play an important role in caregiving with more emphasis on early intervention for people suffering from mental illness. Using both quantitative and qualitative methods, this study examines the effects of a community mental health intervention project (CoMHIP) on burdens of caregivers who have family members with suspected mental illness. Results showed that family caregivers’ burden and psychological stress level had been reduced ( p < .001). The caregivers subjectively experienced a significant reduction in stress regarding the caregiving subscales, supervision, tension, worrying and urging after seeking CoMHIP service. Findings for the study have implications on social work interventions regarding family caregiving of people with suspected mental health problems.

A brief history of the criminalization of mental illness

CNS Spectrums ◽  
2020 ◽  
Vol 25 (5) ◽  
pp. 638-650 ◽  
Author(s):  
Joel A. Dvoskin ◽  
James L. Knoll ◽  
Mollie Silva
Keyword(s):  
Mental Health ◽  
United States ◽  
Mental Illness ◽  
Community Mental Health ◽  
Mental Disorders ◽  
The United States ◽  
Mental Illnesses ◽  
The People ◽  
History Of ◽  
Serious Mental Illnesses

This article traces the history of the way in which mental disorders were viewed and treated, from before the birth of Christ to the present day. Special attention is paid to the process of deinstitutionalization in the United States and the failure to create an adequately robust community mental health system to care for the people who, in a previous era, might have experienced lifelong hospitalization. As a result, far too many people with serious mental illnesses are living in jails and prisons that are ill-suited and unprepared to meet their needs.

Police Violence among Adults Diagnosed with Mental Disorders

2020 ◽  
Vol 45 (2) ◽  
pp. 81-89
Author(s):  
Hyun-Jin Jun ◽  
Jordan E DeVylder ◽  
Lisa Fedina
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
General Population ◽  
Mental Disorders ◽  
Severe Mental Illness ◽  
Violence Exposure ◽  
Health Conditions ◽  
Psychotic Symptoms ◽  
Police Violence ◽  
Mental Health Conditions

Abstract Police violence is reportedly common among those diagnosed with mental disorders characterized by the presence of psychotic symptoms or pronounced emotional lability. Despite the perception that people with mental illness are disproportionately mistreated by the police, there is relatively little empirical research on this topic. A cross-sectional general population survey was administered online in 2017 to 1,000 adults in two eastern U.S. cities to examine the relationship between police violence exposure, mental disorders, and crime involvement. Results from hierarchical logistic regression and mediation analyses revealed that a range of mental health conditions are broadly associated with elevated risk for police violence exposure. Individuals with severe mental illness are more likely than the general population to be physically victimized by police, regardless of their involvement in criminal activities. Most of the excess risk of police violence exposure related to common psychiatric diagnoses was explained by confounding factors including crime involvement. However, crime involvement may necessitate more police contact, but does not necessarily justify victimization or excessive force (particularly sexual and psychological violence). Findings support the need for adequate training for police officers on how to safely interact with people with mental health conditions, particularly severe mental illness.

Mind Matters: a psychoeducation programme for individuals with intellectual disabilities and co-morbid diagnoses of mental disorder

2017 ◽  
Vol 8 (1) ◽  
pp. 34-40 ◽  
Author(s):  
Sarah Ashworth ◽  
Krista Jansen ◽  
Lydia Bullock ◽  
Paul Mooney
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Intellectual Disability ◽  
Personality Disorder ◽  
Mental Disorders ◽  
Mental Disorder ◽  
Intellectual Disabilities ◽  
Psychological Intervention ◽  
Content Type ◽  
Group Members

Purpose The purpose of this paper is to describe a feasibility study into the development and pilot of a psychoeducational group for people with intellectual disability and co-morbid mental disorder (including mental illness and personality disorder) within forensic settings. Design/methodology/approach “Mind Matters”, a psychoeducational programme for people with an intellectual disability and co-morbid mental disorders is a group based programme in a medium secure hospital, adapted and developed to be suitable for people with intellectual disability therapist multidisciplinary approach was key to its development. An open group on a 16-bedded ward for individuals with mild to moderate intellectual disability and co-morbid mental illness was delivered over a six-week period. Findings The group was positively received in pilot by participants and members of the clinical teams. Attendance and engagement of participants were key measures of the success of the programme. In addition to the apparent increased social skills and motivation to engage with future psychological intervention. Practical implications The authors believe that this approach benefitted both the group members and staff on ward, reinforcing strategies for maintaining positive mental health. It also stimulated engagement, discussion about mental disorders including mental illness, personality disorder and intellectual disabilities. Originality/value This paper shows how a psychoeducational approach to mental disorder and mental health in individuals with an intellectual disability is possible, beneficial and well received.

Supporting families managing parental mental illness: Challenges and resources

2018 ◽  
Vol 53 (5-6) ◽  
pp. 361-370 ◽  
Author(s):  
Michelle D Sherman ◽  
Stephanie A Hooker
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Family Medicine ◽  
Health Care Providers ◽  
Mental Health Problems ◽  
Family Members ◽  
The United States ◽  
Parental Mental Illness ◽  
Care Providers ◽  
Treatment Needs

Over five million children in the United States have a parent living with a serious mental illness. These offspring are at higher risk for developing mental health problems themselves due to a complex interplay of biological, psychological, and psychosocial factors. Life with a parent with psychiatric symptoms can be scary, confusing, overwhelming, and sad; children often blame themselves for their parent’s problems, find their parent’s behavior embarrassing, and struggle to explain the illness to their friends. Unfortunately, these children’s needs and experiences are often ignored by overwhelmed parents, worried family members and relatives, separate mental health systems of care for adults and children that often fail to coordinate care, and even well-intentioned health-care providers. Family medicine teams have an opportunity to detect and support these families in unique ways. We offer four recommendations for family medicine teams to help families managing parental mental illness including assessing functioning, treatment needs, and impacts on each family member; educating all family members about mental illness; instilling hope, noting the range of effective treatments for mental illness; and encouraging the use of supports and referral options. Providers can leverage family members’ strengths, work with community-based resources, and offer continuity to these families, as they struggle with an oftentimes chronic, relapsing disease that has ripple effects throughout the family system.

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