Serious mental illness and palliative care

2018 ◽  
pp. 32-57
Author(s):  
Julia Kasl-Godley ◽  
Kimberly E. Hiroto
Keyword(s):  
Mental Illness ◽  
Palliative Care ◽  
Serious Mental Illness

Help Me Understand: Providing Palliative Care to Individuals With Serious Mental Illness

2021 ◽  
pp. 104990912110107
Author(s):  
Kate L. M. Hinrichs ◽  
Cindy B. Woolverton ◽  
Jordana L. Meyerson
Keyword(s):  
Mental Illness ◽  
Palliative Care ◽  
End Of Life ◽  
Serious Mental Illness ◽  
End Of Life Care ◽  
Psychosocial Support ◽  
Life Care ◽  
Case Examples ◽  
Increased Risk ◽  
Palliative Care Teams

Individuals with serious mental illness (SMI) have shortened life expectancy with increased risk of developing comorbid medical illnesses. They might have difficulty accessing care and can be lost to follow-up due to complex socioeconomic factors, placing them at greater risk of dying from chronic or undiagnosed conditions. This, in combination with stigma associated with SMI, can result in lower quality end-of-life care. Interdisciplinary palliative care teams are in a unique position to lend assistance to those with SMI given their expertise in serious illness communication, values-based care, and psychosocial support. However, palliative care teams might be unfamiliar with the hallmark features of the various SMI diagnoses. Consequently, recognizing and managing exacerbations of SMI while delivering concurrent palliative or end-of-life care can feel challenging. The goal of this narrative review is to describe the benefits of providing palliative care to individuals with SMI with concrete suggestions for communication and use of recovery-oriented language in the treatment of individuals with SMI. The salient features of 3 SMI diagnoses—Bipolar Disorders, Major Depressive Disorder, and Schizophrenia—are outlined through case examples. Recommendations for working with individuals who have SMI and other life-limiting illness are provided, including strategies to effectively manage SMI exacerbations.

A qualitative study: health professionals’ perceptions toward psychiatric palliative care for people with serious mental illness

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Donna S. Baird
Keyword(s):  
Mental Illness ◽  
Palliative Care ◽  
Supportive Care ◽  
Treatment Option ◽  
Serious Mental Illness ◽  
Health Professionals ◽  
Health Care Professionals ◽  
Standard Of Care ◽  
Care Model ◽  
Content Type

Purpose People with mental disorders experience higher rates of disability and mortality disproportionately than the general population. Until recently, psychiatric palliative care (PPC) for people with serious mental illness (SMI) was not explored as a treatment option. This paper aims to explore the feasibility of PPC as a supportive care model for people with serious mental illness. Design/methodology/approach Fifteen health-care professionals’ in the USA and Europe participated in semi-structured phone interviews regarding PPC for people with SMI. The Qualitative Analysis Guide of Leuven (QUAGOL) was used to conduct thematic analysis of the data. Findings PPC was identified as a supportive care model that could improve quality of life and enhance patient autonomy for people with SMI. While PPC was endorsed as a possible new standard of care, it is imperative that the model be piloted to determine its efficacy as a viable treatment option among adults. Originality/value There are limited studies that investigate the perceptions of health professionals’ regarding the use of PPC as a treatment option for people with SMI.

scholarly journals Ethico-legal issues in relation to end-of-life care and institutional mental health

2006 ◽  
Vol 30 (3) ◽  
pp. 286 ◽  
Author(s):  
Pam D McGrath ◽  
Kim Forrester
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Palliative Care ◽  
End Of Life ◽  
Serious Mental Illness ◽  
End Of Life Care ◽  
Legal Issues ◽  
Life Care ◽  
Health Institution ◽  
Mental Health Institution

Objectives: In view of the fact that there is a higher mortality rate for individuals with serious mental illness and that people with mental illness suffer excess mortality due to physical illness, the lack of attention to end-of-life care for patients with a serious mental illness needs addressing. This article seeks to put these issues on the agenda by beginning to explore important ethico-legal issues at the interface of palliative care and institutional mental health. Methods: Data were collected from eight qualitative interviews conducted with mental health professionals at The Park, Centre for Mental Health, Queensland. The interviews were recorded verbatim, coded and thematically analysed. Results: The findings highlight the inherent tension at the interface of compassionate, patientcentred end-of-life care and the participants? perception of the legal restraints imposed by virtue of being in a mental health institution. This article examines the participants? perceptions of the legal restraints curtailing the provision of palliative care in a mental health institution and considers these findings within an understanding of the limitations imposed by law. Our hope and expectation in undertaking this exploration is to clarify the legal limitations that operate to restrict the type of end-of-life care that can be offered to mental health patients, in order to provide an informed basis for practice.

End-of-life care for patients with mental illness and personality disorders

2015 ◽  
pp. 618-627 ◽  
Author(s):  
Betty D. Morgan
Keyword(s):  
Decision Making ◽  
Mental Illness ◽  
Palliative Care ◽  
Personality Disorders ◽  
End Of Life ◽  
Serious Mental Illness ◽  
Mentally Ill ◽  
End Of Life Care ◽  
Ethical Issues ◽  
Life Care

This chapter examines what is known about palliative care and the mentally ill, including those with serious mental illness (SMI) and personality disorders (PDs). Special issues related to communication and treatment are presented as well as strategies for care for this population. Ethical issues including capacity and competency for decision-making as it relates to those with SMI and end-of-life care are also discussed. Collaboration and consultation between providers is essential in providing end-of-life care for those with SMI.

Fostering Resilience in Response to Terrorism: For Psychologists Working With Adults With Serious Mental Illness

2002 ◽  
Author(s):  
B. Christopher Frueh ◽  
◽  
Ronald F. Levant ◽  
Stevan E. Hobfoll ◽  
Laura Barbanel
Keyword(s):  
Mental Illness ◽  
Serious Mental Illness
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