scholarly journals Pasung of Schizophrenic patients in Pekanbaru City

2021 ◽  
Vol 9 (T3) ◽  
pp. 96-98
Author(s):  
Richie Futrawan ◽  
Mustafa M. Amin ◽  
Elmeida Effendy
Keyword(s):  
Mental Health ◽  
Mental Disorders ◽  
Medical Treatment ◽  
Mental Hospital ◽  
Drop Out ◽  
Severe Mental Disorders ◽  
The Family ◽  
Incarcerated Men ◽  
Schizophrenic Patients ◽  
Different Characteristics

BACKGROUND: Pasung is an act using a block of wood on someone’s hands and/or feet, tied or chained, exiled in a separate place in the house or in the forest. Mental disorders are still a serious mental health problem in Indonesia. There are still many schizophrenics who do not receive medical treatment or who drop out of medical treatment and eventually put in a Pasung. CASE REPORT: We found several cases of patients with schizophrenia who were incarcerated, men aged 43 years and 40 years. They were diagnosed with schizophrenia with different characteristics of the disorder, different treatments, and in the end the Pasung became the last alternative completed by the family. CONCLUSION: Ignorance of the family and surrounding community over the early detection and forced treatment at the Mental Hospital (asylum), causing patients not handled properly. It is only culturally known by the family to handle it, Pasung that is to prevent people with severe mental disorders from endangering themselves and others.

scholarly journals Características sociodemográficas de las personas admitidas en un centro hospitalario psiquiátrico alemán: un estudio retrospectivo.

2020 ◽  
pp. 4-10
Author(s):  
Blanca Patricia Silva-Barrera ◽  
Rocio Juliá-Sanchis ◽  
Andrés Montoyo-Guijarro ◽  
Rosa Requena-Morales
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Substance Abuse ◽  
Retrospective Study ◽  
Mental Disorders ◽  
Psychiatric Hospital ◽  
Psychiatric Symptoms ◽  
Clinical History ◽  
Severe Mental Disorders ◽  
Salud Mental

Resumen En los últimos años se han suscitado cambios en la salud mental de las personas, debido a las diversas problemáticas sociodemográficas actuales. Se requiere de la exploración de los acontecimientos que causan síntomas psiquiátricos en las personas con necesidad de ingreso y hospitalización. Es por eso que se realizó este estudio retrospectivo sobre 1.593 historias clínicas del hospital psiquiátrico Main-Kinzig-Kreis Schlüchtern en Alemania durante el período 2000-2014 en pacientes de 18 a 69 años. Se identificó como motivo de ingreso a un 37.16% de personas como pacientes con síntomas agudos, una relación con consumos de sustancias provocadas por adicciones en un 41.62% y el trastorno depresivo en un 28.75%. Se detecta la descompensación de trastornos mentales graves en 27.05%, en donde el 34.71% de los pacientes fueron derivadas desde otros dispositivos asistenciales y el 32.89% decidió ingresar por sí mismo. El perfil del paciente ingresado es de ser hombre entre 41-50 años, casado o con pareja, derivado por recurso asistencial relacionado con la descompensación de un trastorno mental grave. Abstract In recent years, changes have occurred in people's mental health due to various current socio- demographic issues. The exploration of the events that cause psychiatric symptoms in people who need admission and hospitalization is required. That is why this retrospective study was conducted on 1.593 clinical history from the Main-Kinzig-Kreis Schlüchtern psychiatric hospital in Germany during the period 2000-2014 in patients aged 18 to 69. A total of 37.16% of the patients were identified as having acute symptoms, 41.62% as having substance abuse due to addiction and 28.75% as having a depressive disorder. Decompensation of severe mental disorders was detected in 27.05%, where 34.71% of the patients were referred from other care devices and 32.89% decided to be admitted on their own. The profile of the admitted patient is a man between 41-50 years old, married or with a partner, referred to the psychiatric hospital for health care resources due to a decompensation of some serious mental disorder.

Determinants of Treatment Adherence among Patients with Severe Mental Disorders at the Kedungmundu Primary Health Center in Semarang City

2020 ◽  
Vol 3 (2) ◽  
pp. 1-7
Author(s):  
Deviani Saskia Putri ◽  
Ayun Sriatmi ◽  
Eka Yunila Fatmasari
Keyword(s):  
Mental Health ◽  
Mental Disorders ◽  
Health Center ◽  
Treatment Adherence ◽  
Health Workers ◽  
Distribution Analysis ◽  
Primary Health Center ◽  
Severe Mental Disorders ◽  
Cross Sectional ◽  
Primary Health

Background: Treatment adherence among patients with severe mental disorders is needed to avoid drop-outs, relapses, and shackling. Kedungmundu Primary Health Center in Semarang City is known to have a low treatment adherence to patients with severe mental disorders. This study aimed to determine the factors associated with treatment adherence among patients with severe mental disorders.Methods: A quantitative study with a cross-sectional approach. The samples were 73 patients with severe mental disorders at The Kedungmundu Primary Health Center. Data were collected using questionnaires and analyzed using frequency distribution analysis and Spearman Rank Correlation Test.Results: The results indicated that knowledge (p = 0,000; r = 0,715), attitudes (p = 0,000; r = 0,839), family support (p = 0,000; r = 0,427), assessment of health workers (p = 0,000; r = 0,456), and the need for health services (p = 0,000; r = 0,716) have a positive correlation with treatment adherence among severe mental disorders patients.Conclusion: Kedungmundu Primary Health Center is suggested to provide psychoeducation to patients and families, improve the implementation of mental health programs, and empower mental health cadres.

scholarly journals Knowledge and Understanding of Mental Disorders in Families of People with Mental Disorders

2020 ◽  
Vol 8 (T2) ◽  
pp. 136-140
Author(s):  
Rosalina Sandi ◽  
Sudirman Nasir ◽  
Apik Indarty Moedjiono ◽  
Erniwati Ibrahim
Keyword(s):  
Mental Health ◽  
Qualitative Research ◽  
Content Analysis ◽  
Mental Health Services ◽  
Mental Disorders ◽  
Health Services ◽  
Mental Disorder ◽  
Phenomenological Approach ◽  
South Sulawesi ◽  
The Family

BACKGROUND: Utilization barriers of mental health services are the lack of knowledge about mental health. AIM: This study aimed to identify the knowledge and understanding of the families of people with mental disorders about mental disorders. METHODS: This study is a qualitative research with phenomenological approach. Data were obtained by interview, unstructured observation, and documentation on seven informants in Puskesmas Larompong Luwu, South Sulawesi. Content analysis was used to identify topics or categories in the data. RESULTS: The family of people with mental disorders still has negative views about people with mental disorders. People with mental disorders are often called the term “lunatic,” insane, scary, and dangerous. In addition, people with mental disorders regarded as a person who has a disease that makes people uncomfortable because of behavior that is unnatural. Families have an understanding that the causes of mental disorders associated with the occult and mystical or supernatural events. The factors that cause families have minimal understanding of the appropriate handling for people with mental disorders. CONCLUSION: It was concluded that the knowledge and understanding of mental disorder which is owned by the family of people with mental disorders as the holder of a healing role in supporting people with mental disorders are lacking.

scholarly journals Determinants of Treatment Adherence among Patients with Severe Mental Disorders at the Kedungmundu Primary Health Center in Semarang City

2020 ◽  
Vol 3 (2) ◽  
pp. 1-7
Author(s):  
Deviani Saskia Putri ◽  
Ayun Sriatmi ◽  
Eka Yunila Fatmasari
Keyword(s):  
Mental Health ◽  
Mental Disorders ◽  
Health Center ◽  
Treatment Adherence ◽  
Health Workers ◽  
Distribution Analysis ◽  
Primary Health Center ◽  
Severe Mental Disorders ◽  
Cross Sectional ◽  
Primary Health

Background: Treatment adherence among patients with severe mental disorders is needed to avoid drop-outs, relapses, and shackling. Kedungmundu Primary Health Center in Semarang City is known to have a low treatment adherence to patients with severe mental disorders. This study aimed to determine the factors associated with treatment adherence among patients with severe mental disorders.Methods: A quantitative study with a cross-sectional approach. The samples were 73 patients with severe mental disorders at The Kedungmundu Primary Health Center. Data were collected using questionnaires and analyzed using frequency distribution analysis and Spearman Rank Correlation Test.Results: The results indicated that knowledge (p = 0,000; r = 0,715), attitudes (p = 0,000; r = 0,839), family support (p = 0,000; r = 0,427), assessment of health workers (p = 0,000; r = 0,456), and the need for health services (p = 0,000; r = 0,716) have a positive correlation with treatment adherence among severe mental disorders patients.Conclusion: Kedungmundu Primary Health Center is suggested to provide psychoeducation to patients and families, improve the implementation of mental health programs, and empower mental health cadres.

scholarly journals The Role of Family and Community in The Treatment of Mental Disorder Patients

2017 ◽  
Vol 4 (1) ◽  
pp. 001-005
Author(s):  
Tutut Pujianto ◽  
Retno Ardanari Agustin
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Mental Disorders ◽  
Mental Disorder ◽  
Daily Activities ◽  
Family Role ◽  
Health Treatment ◽  
The Family ◽  
The Individual

Mental health is an integral part of health, and a condition that affects the physical, mental, and  social  development  of  the  individual  optimally.  Mental  disorder  is  disturbances  in:  cognitive, volition, emotion (affective), and actions (psychomotor). Mental disorder is a collection of abnormal circumstances, whether physically related, or mentally. It is divided into two groups, namely: mental disorder  (neurosis)  and  mental  illness  (psychosis).  Mental  disorder  is  caused  by  some  of  the  above causes affected simultaneously or coincidence occurs. The purpose of this study was to increase the role of family and society in the treatment of mental disorder patients which was consequently could reduce the number of mental disorders patients This research used obsevational design with descriptive analy- sis. The subjects were family members who treat mental disorder patients as much as 16 respondents. The data collection was done in October 2012. The family role data grouped into appropriate and inappro- priate  category.  The  research  found  that  11  people  (68.75%)  in  the  category  of  inappropriate,  and appropriate by 5 people (31.25%), with average family role of 63.19%. The higher of inappropriate category was because 9 respondents (56.25%) in the age of elderly (> 50 years). This condition caused a decrease in the ability to perform daily activities, including health treatment. There were 4 patients who have been treated for 7-14 years, so the family feels accustomed to the condition of the patient. There were 8 people (50%) in productive age treated the patients, so it could not be done continuously. Based on these conditions, there should be efforts to increase knowledge and willingness of the patients and families, in caring for patients with mental disorders. The examples of such activities were to consult with the nearest health employees, and report to the health worker if there is a risky condition immedi- ately.

scholarly journals Perceived facilitators of and barriers to mental health treatment engagement among decision-making competent adolescents in Greece

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
E. Tsamadou ◽  
P. Voultsos ◽  
A. Emmanouilidis ◽  
G. Ampatzoglou
Keyword(s):  
Mental Health ◽  
Decision Making ◽  
Mental Disorders ◽  
Mental Health Problems ◽  
Well Being ◽  
Drop Out ◽  
Attrition Rate ◽  
Negative Experiences ◽  
Wide Range

Abstract Background A subset of adolescents with mental disorders are likely to have decision-making capacity that facilitates their therapy engagement. However, there are high rates of drop-out in mental health settings. Aim This study aims to identify perceived barriers to or facilitators of mental health care engagement among adolescents with decision-making competence in Greece. Methods A qualitative study was conducted using semi-structured interviews of adolescents with a wide range of mental health problems. In addition, two psychometric assessment measures were used to define who to include or exclude from the study sample. Results Positive attitudes and experiences with therapy were reported as strong (“major”) facilitators of therapy engagement for adolescents with mental disorders, whereas negative experiences with therapy were reported as strong barriers to it. Furthermore, and most importantly, a “good” adolescent-therapist relationship was reported as a strong facilitator, whereas negative experiences of participants with their therapist were reported as strong barriers. Moreover, goals such as getting rid of symptoms, improving personal well-being, and improving social skills and relationships (especially with peers) emerged as strong facilitators of therapy engagement. Importantly, the early remission of symptoms emerged from the study as a strong barrier to therapy engagement for participants. Among the weaker (“minor”) perceived facilitators were goals such as confessing to a trustworthy person, becoming able to achieve personal expectations and life goals, enhancing independence and self-esteem, and developing a positive self-image. The (active or supportive) role of family emerged as a facilitator. The stigma related to mental health emerged as both a (“minor”) facilitator of and barrier to therapy engagement for participants. Friends were reported as having a role ranging from neutral to mildly supportive. Conclusion A number of more or less strong barriers and facilitators were identified that, for the most part, were consistent with prior literature. However, the authors identified some nuances that are of clinical importance. For instance, adolescents are most likely to terminate the treatment prematurely if they experience early symptom remission. Highlighting the role of therapy in achieving their goals or improving their families’ well-being might be used by therapists to reduce the attrition rate.

scholarly journals Factors influencing medication adherence among patients with severe mental disorders from the perspective of mental health professionals

2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Mengjie Deng ◽  
Shuyi Zhai ◽  
Xuan Ouyang ◽  
Zhening Liu ◽  
Brendan Ross
Keyword(s):  
Mental Health ◽  
Medication Adherence ◽  
Mental Disorders ◽  
Qualitative Study ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Hunan Province ◽  
Severe Mental Disorders ◽  
Qualitative Approaches ◽  
Factors Influencing

Abstract Background Medication adherence is a common issue influenced by various factors among patients with severe mental disorders worldwide. However, most literature to date has been primarily quantitative and has focused on medication adherence issue from the perspective of patients or their caregivers. Moreover, research focused on medication adherence issue in China is scarce. Present study aims to explore the influential factors of medication adherence among patients with severe mental disorders form the perspective of mental health professionals in Hunan Province, China. Methods A qualitative study was performed in Hunan Province, China with 31 mental health professionals recruited from October to November 2017. And semi-structured interviews or focus group interviews were conducted along with audio recordings of all interviews. Interview transcripts were then coded and analyzed in Nvivo software with standard qualitative approaches. Results Three major themes influencing medication adherence among patients with severe mental disorders were identified as: (1) attitudes towards mental disorder/treatment; (2) inadequate aftercare; (3) resource shortages. Conclusions This qualitative study identified the factors influencing medication adherence among patients with severe mental disorders in China. As a locally driven research study, it provides practical advice on medication adherence promotion for mental health workers and suggests culturally tailored models that improve the management of patients with severe mental disorders in order to reduce economic burden on individual and societal level.

scholarly journals EKSPRESI EMOSI KELUARGA YANG MERAWAT PASIEN SKIZOFRENIA

2020 ◽  
Vol 6 (2) ◽  
pp. 117-122
Author(s):  
Jek Amidos Pardede
Keyword(s):  
Mental Hospital ◽  
Family Members ◽  
Sampling Technique ◽  
Emotional Expressions ◽  
Validity And Reliability ◽  
Cross Sectional ◽  
The Family ◽  
Schizophrenic Patients ◽  
Expression Of Emotions ◽  
The Individual

Expression of emotions in the family can be an expression that reflects the high expression of negative emotions. Expressions of high emotion show an attitude that is full of criticism and hatred. It arises when parents or other family members assume that the disorder is influenced by internal factors and must be controlled by the individual. This study aims to determine the emotional expression of the family of schizophrenic patients in the mental hospital. Prof. dr. Muhammad Ildrem Medan. The research design used was descriptive with a cross-sectional approach. The population in this study were all families who have family members with outpatient schizophrenia patients at Prof. dr. Muhammad Ildrem Mental Hospital in Medan as many as 900 people. The sample of this research is 90 families. The sampling technique uses purposive sampling. The data collection tool used a questionnaire of 18 statements that had been tested for validity and reliability. The results showed the majority of respondents who treated patients had low emotional expressions, and the majority of respondents who treated more than one patient had high emotional expressions. Therefore, this research is expected to give attention to the families of sick family members to assist them in healing their illnesses.

Long-term mental health care for people with severe mental disorders – the importance of workplace rehabilitation

2013 ◽  
Vol 10 (02) ◽  
pp. 87-94
Author(s):  
J. Boardman
Keyword(s):  
Mental Health ◽  
Mental Disorders ◽  
Mental Health Problems ◽  
Health Problems ◽  
Personal Recovery ◽  
Severe Mental Disorders ◽  
Individual Placement And Support ◽  
Meaningful Activity ◽  
Workplace Rehabilitation

SummaryWork and meaningful activity have historically played a key role in rehabilitation services for people with severe mental health problems and continues to do so today. People with long-term and severe mental disorders have low rates of employment. In the last 30 years the increasing emphasis on raising the sights of mental health services to focus on personal recovery and the importance given to social justice and to combating social exclusion has led to a focus on gaining open employment. Individual Placement and Support (IPS) has emerged as an important and evidence-based scheme for getting people with severe mental health problems into open employment. Despite the strong and consistent evidence for the effectiveness of IPS, these schemes are not widely implemented. This paper summarises the background to, and research on, IPS and possible barriers to its wider implementation.

scholarly journals New mental health legislation in Japan

1991 ◽  
Vol 15 (9) ◽  
pp. 559-561 ◽  
Author(s):  
Tsutomu Sakuta
Keyword(s):  
Mental Health ◽  
Medical Treatment ◽  
Mental Hospital ◽  
Mental Hygiene ◽  
Well Being ◽  
Mentally Disordered ◽  
Social Rehabilitation ◽  
Mental Health Legislation ◽  
Health Legislation

In Japan the Mentally Disordered Persons Supervision and Protection Law (1901) and the Mental Hospital Law (1919) used to be the main laws for mentally disordered people. Subsequently, the Mental Hygiene Law came into force in 1950 but was criticised as it had restrained admitted patients and the provisions for procedures for the release of patients were inadequate. The purpose of the old law was to give medical treatment and custody to mentally disordered persons and to maintain and improve the mental health of the nation. In the revised law, enacted in July 1988, acceleration of social rehabilitation of mentally disordered persons and promotion of their well-being were added.

Sign in / Sign up

Export Citation Format

Share Document