Chronic Mental Illness and Dumping Patients

2017 ◽  
pp. 40-57
Author(s):  
Jyoti Mishra Pandey ◽  
Preeti Mishra ◽  
Shobit Garg ◽  
Bholeshwar Parshad Mshra
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Family Environment ◽  
Personal Hygiene ◽  
Chronic Mental Illness ◽  
Supportive Psychotherapy ◽  
Psychological Burden ◽  
Number Of Patients ◽  
The Government ◽  
Chronically Ill Patients

Patients with mental illness don't take care of themselves, are dependent not only for medicine intake but also for their day to day requirements including their personal hygiene. All these issues and many more put a heavy psychological burden on the families. When they become overburdened with these responsibilities and problems they find it easy to dump patients in the mental institutes. There are very few mental health institutes in India but the number of patients with chronic mental illness is very high. The common problems are poor social environment, hostile family environment, unaffordable prices of medicines Few efforts like proper psycho-education, frequent phonic follow-ups from the professionals, proper guidance, family therapy, supportive psychotherapy etc. can be done. The government should also take some steps to manage the chronically ill patients like following strict rules to avoid dumping patients in the mental health institutes. Proper vocational training and job perspective should be planned for these populations so that they can be less dependent on their families.

The Role of the Mental Health Counselor in the Psychiatric Liaison Service of the General Hospital

1974 ◽  
Vol 5 (1) ◽  
pp. 1-16 ◽  
Author(s):  
Bernard R. Shochet
Keyword(s):  
Mental Health ◽  
General Hospital ◽  
Case Reports ◽  
Hospital Setting ◽  
Acute Illness ◽  
Supportive Psychotherapy ◽  
Psychosocial Services ◽  
Mental Health Counselor ◽  
Number Of Patients ◽  
Health Counselor

A substantial number of patients admitted to the medical and surgical services of the general hospital experience significant and obvious psychological difficulties associated with their acute illness. This is more likely to be recognized overtly on a medical than on a surgical service; on both, a significant number of patients need psychological services during their acute illness and convalescence. The mental health counselor serves an important function on the medical and surgical units: screening new admissions and identifying those patients in need of psychosocial services, providing supportive psychotherapy to selected patients and consulting with the nursing staff and house staff concerning day to day management. By participating in walking rounds with the medical staff, the counselor is also able to facilitate the request and use of formal psychiatric consultative services. As demonstrated through statistics and case reports, the mental health counselor, trained to operate in the general hospital setting, makes a valuable contribution in the care of medical and surgical patients in the general hospital.

scholarly journals Counseling of Patients with Severe Psychiatric Conditions and Referral to Smoking Cessations Programs

2021 ◽  
Vol 2 (3) ◽  
pp. 164-166
Author(s):  
Mariwan Husni ◽  
Mazin Burhan ◽  
Mohamed Mazin
Keyword(s):  
Mental Illness ◽  
Smoking Cessation ◽  
General Population ◽  
Smoking Status ◽  
Psychiatric Rehabilitation ◽  
Smoking Cessation Program ◽  
Chronic Mental Illness ◽  
Quit Smoking ◽  
Number Of Patients ◽  
Clinical Records

Background: Cigarette smoking and Nicotine dependence are highly prevalent in patients with severe and chronic mental illness. Psychiatric patients consume more cigarettes than general population. Smokers with chronic mental illness can quit smoking with appropriate intervention by smoking cessations programs. These patients can benefit from pharmacotherapy, but consideration should be given for possible interaction with patients’ psychiatric medications. Tobacco use and dependence need to be formally documents on electronic medical records and be offered a referral to smoking cessations programs. Method: All patients in a community rehabilitation service ward in Northwest London were interviewed to identify the type, quantity, and duration of their tobacco. Their electronic clinical records were reviewed to confirm their age, ICD 10 Primary Diagnosis, ICD10 Tobacco dependence diagnosis, medications they take, record of ECG tests and presence of cardiopulmonary problems. Then their records were checked if they were given advice regarding their smoking habit, desire to quit smoking and agreement to be referred to a smoking cessation program. Results and Discussion: Half of the total number of patients in the community psychiatric rehabilitation were cigarette smokers. Majority of the smokers had history of polysubstance abuse. Recording of current smoking status were not regularly update. Patients who had recorded status of being a smoker were all referred to a smoking cessation program and majority had counseling by the healthcare professionals in their unit. Attending the smoking cessation program in those patients have as good outcomes as general population. Conclusions: A substantial number of patients in psychiatric rehabilitation units smoke cigarettes. If their smoking status is accurately documented, they would be referred to a formal smoking cessation program.

scholarly journals Invited commentary on The mental health of prisoners

2003 ◽  
Vol 9 (3) ◽  
pp. 200-201
Author(s):  
Tony Maden
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
National Health Service ◽  
Health Service ◽  
Task Force ◽  
Mentally Disordered Offenders ◽  
Home Office ◽  
Mentally Disordered ◽  
Department Of Health ◽  
The Government

Psychiatrists have always been concerned about the mental health of prisoners. If they did not devote much energy to their treatment, it was only because they had more-pressing problems, including how to squeeze ten patients into nine beds. In any case, it was someone else's job to look after prisoners. Luke Birmingham's article (Birmingham, 2003, this issue) could not be more timely, as this situation has now changed. With the publication of The Future Organisation of Prison Healthcare (Prison Service & NHS Executive Working Group, 1999), and the creation of a joint Department of Health and Home Office task force, the Government has made it clear that the problem of mentally disordered offenders belongs to the National Health Service (NHS). There is a plan, there is a partnership and there are targets. Can those of us who have been worrying about prisoners with mental illness sit back and relax, as the solution unfolds?

Legal Aspects of Chronic Mental Illness

2017 ◽  
pp. 225-235
Author(s):  
Raveesh B. N. ◽  
Barre Vijaya Prasad ◽  
Meghamala S. Tavaragi
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Mental Disorders ◽  
Mental Disorder ◽  
Paradigm Shift ◽  
Legal Aspects ◽  
Chronic Mental Illness ◽  
New Perspective

People with a chronic mental illness or disability have been identified as a group suffering multiple disadvantages. Law interacts with mental disorder to protect society from the dangerous consequences of mental disorder. The legal interaction with mental disorder includes both civil and criminal issues. A paradigm shift has given a new perspective to the care of mental disorders and has led to the review of mental health legislations worldwide in general, India in particular. This chapter will discuss the interaction of law and psychiatry, rights of persons with mental disorder and the gap in implementation of these laws.

Mental Health in an Indian Rural Community

1971 ◽  
Vol 118 (546) ◽  
pp. 499-503 ◽  
Author(s):  
M. N. Elnagar ◽  
Promila Maitra ◽  
M. N. Rao
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Rural Areas ◽  
Incidence Rates ◽  
Expert Committee ◽  
Industrial Workers ◽  
Working Definition ◽  
The Government ◽  
Definition Of ◽  
Made In

The difficulties of organizing mental health services in developing countries are made all the greater by inadequacy of information about the extent of illness and disability. Some beginnings have been made in India, particularly under the sponsorship of the All India Institute of Mental Health, Bangalore. The Mental Health Advisory Committee of the Government of India (1966) suggested a probable prevalence of mental illness of 20 per 1,000 population in general, 18 per mille for semi-rural and 14 per mille for rural areas. These figures are much lower than the 72 per 1,000 suggested by Sethi et al. (1967). Ganguli (1968) estimated a prevalence rate of 140 per 1,000 in industrial workers near Delhi. Incidence rates have been much less studied than prevalences (Lin and Standley, 1962). A WHO Expert Committee on mental health convened in 1960 suggested as a working definition of a case of mental illness:

Psychiatric Disorders Run in Families. Children of Parents With Serious Mental Disorders: A Case History

2017 ◽  
Vol 41 (S1) ◽  
pp. S219-S219
Author(s):  
M.D. Ortega Garcia ◽  
M.V. Marti Garnica ◽  
S. Garcia Marin ◽  
C. Martinez Martinez ◽  
R. Gomez Martinez ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Mental Disorders ◽  
Social Services ◽  
Family Environment ◽  
Mental Health Problems ◽  
Mental Health Center ◽  
Pediatric Population ◽  
Psychosocial Care ◽  
High Risk Group

Aims/methodPublications and studies have shown that the existence of serious mental disorders in parents is a risk in the development of children and is more common the existence of mental illness in them than in the general pediatric population. This work aims to reflect in depth on the study of the influence of psychotic parents on child development through a review of a clinical study. We present the case of 14 years old adolescent who is being treated in a mental health center, whose parents suffers from a severe mental illness. We also defend the importance of a preventive approach or treatment that impinges on the child and family environment.Results/conclusionsA way of community work, in coordination with the different teams (social services, educational services, etc.) allows more efficient and appropriate treatment, using various resources. When risk factors for developing mental health problems in childhood, family history and especially the existence of one or both parents of mentally pathology type schizophrenia or other psychoses are studied become important. It seems essential to address as a priority to the social group have called “high-risk group of psychosis’, and in particular to the” sons of patients diagnosed with psychosis”, both for its size and the severity and chronicity of psychopathology if developing means for early psychosocial care does not occur.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Chronic Mental Illness and the Changing Scope of Intervention Strategies, Diagnosis, and Treatment in Child and Adolescent Population

2019 ◽  
pp. 556-567
Author(s):  
Bhavuk Garg ◽  
Prerna Khanna ◽  
Amit Khanna
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Mental Health Problems ◽  
Significant Proportion ◽  
Treatment Strategies ◽  
Child And Adolescent ◽  
Health Problems ◽  
Diagnosis And Treatment ◽  
Chronic Mental Illness ◽  
Adolescent Population

A significant proportion of the Child and Adolescent population suffer from a psychological or psychiatric disorder. It is estimated that at least 20% of the child and adolescent population is affected mental health problems and largely this is undetected. Some of the mental health problems are severe and disabling and tend to be chronic in nature. Childhood forms an important phase in the development period of life during which one develops physically, emotionally, socially, intellectually and morally. Chronic and severe mental health problems in children impact the overall development of the child thereby leading to significant and lifelong disability. The scope of this chapter has been narrowed to include two important chronic mental illness in children mainly Schizophrenia and Bipolar Mood Disorder. The Authors will discuss the clinical features, course, outcome and treatment strategies. Special issues in children are also discussed in terms of diagnosis and treatment.

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