scholarly journals Assess the Psychosocial Problem Faced by the Primary Caregivers of Mentally Challenged Children

Author(s):  
Achal Jiwane ◽  
Ragini Joshi ◽  
Divyani Kanholkar ◽  
Shreya Kapgate ◽  
Deeplata Mendhe

Background: It is estimated that up to 20% of children worldwide suffer from debilitating mental illness. Learning disabilities, ADHD, depression, psychosis, pervasive developmental disorders, attachment disorders, anxiety, and conduct disorder are all serious mental illnesses. Living with such children can be extremely stressful for the family's caregiver. Recognizing the difficulties of living with these children is critical in assisting or supporting caregivers in providing appropriate care for their children. For family members, the onset and long-term presence of mental illness can be a stressful event or a crisis. Interactions with mental health professionals have been found to have an impact on these families' transition from crisis to recovery. Families who meet with a mental health professional regularly have a better chance of recovering from the crisis and dealing with the situation. Objectives: Assess the psychosocial problem faced by the primary caregivers of mentally challenged children. Materials and Methods: Descriptive research study was to assess psychosocial problems faced by primary caregiver’s children who are mentally challenged. Selected parents who are mentally challenged children of community area. In this study total number of 50 samples to fulfill the inclusion criteria were selected. Likert scale was developed to assess psychosocial problems. Expected Result: This study is a plan to assess the psychosocial problem faced by primary care children who are mentally challenged. Hence it is expected to identify the psychosocial problem of parents with mentally challenged children.

Author(s):  
Jenny Paananen ◽  
Camilla Lindholm ◽  
Melisa Stevanovic ◽  
Elina Weiste

Mental illness remains as one of the most stigmatizing conditions in contemporary western societies. This study sheds light on how mental health professionals and rehabilitants perceive stigmatization. The qualitative study is based on stimulated focus group interviews conducted in five Finnish mental health rehabilitation centers that follow the Clubhouse model. The findings were analyzed through inductive content analysis. Both the mental health rehabilitants and the professionals perceived stigmatization as a phenomenon that concerns the majority of rehabilitants. However, whereas the professionals viewed stigma as something that is inflicted upon the mentally ill from the outside, the rehabilitants perceived stigma as something that the mentally ill themselves can influence by advancing their own confidence, shame management, and recovery. Improvements in treatment, along with media coverage, were seen as the factors that reduce stigmatization, but the same conceptualization did not hold for serious mental illnesses. As the average Clubhouse client was thought to be a person with serious mental illness, the rehabilitation context designed to normalize attitudes toward mental health problems was paradoxically perceived to enforce the concept of inevitable stigma. Therefore, it is important for professionals in rehabilitation communities to be reflexively aware of these tensions when supporting the rehabilitants.


1999 ◽  
Vol 33 (4) ◽  
pp. 583-589 ◽  
Author(s):  
Raymond Nairn

Objective: The aim of this study is to determine whether mental illnesses are depicted in less negative ways in print media when psychiatrists rather than lay persons are the source of information. Method: Seven items from a special report on mental health, four derived from lay sources and three from psychiatrists, were subjected to a discourse analysis informed by knowledge of media practices. Results: The psychiatrists were clearly distinguished and deployed as experts in contrast to lay sources. Two of the psychiatrists presented mental illnesses in less negative ways than in the other items. These more positive depictions were undermined by the devices that the journalists used to give authority to the portrayals of mental illness and by the need to create ‘newsworthy’ items. Conclusion: If psychiatrists and other mental health professionals are to have a positive effect on how media depict mental illness, they will have to develop closer relationships with journalists and a better appreciation of media priorities and practices.


2019 ◽  
Author(s):  
◽  
Saira Mehmood ◽  

This research examines the experiences of individuals diagnosed with chronic mental illnesses and how they navigated the mental healthcare system in New Orleans, Louisiana. To realize the main research objective, I analyzed how individuals with chronic mental illnesses perceive mental illness and stigma; the services individuals use to address their mental health needs and the barriers they face in this process; who individuals disclose their mental illness to and under what contexts; and how individuals diagnosed with mental illness and their caregivers understand and embody recovery. Situated between medical anthropology and urban anthropology, it examines the challenges individuals diagnosed with chronic mental illness and caregivers encounter in utilizing mental health services. Using critical race theory and studies on whiteness, I analyze the intersectional identities of individuals to understand how various axes of identities such as race, gender, age, and religion affect how people utilize mental health services, conceptualize stigma, how this is related to disclosure, and what recovery means to them. While I use stigma scales to measure various types of stigma, I triangulate this data with observations from participant-observation and interviews to reconceptualize stigma in what Tyler and Slater (2018) argue for approaching the social and political dynamics of stigma and acknowledging history. I do this through the use of stigma syndemics. Central to this is the role of mental health professionals and other key stakeholders, and how they interact with individuals utilizing community mental health services. I examine how past experiences such as trauma and incarceration limit access to housing programs, employment, and how this affects recovery. Lastly, I argue that for effective advocacy on mental health to occur, synergistic activism through coalition building needs to transpire between all the entities that affect individuals who have mental illnesses.


Author(s):  
Shyun Ping Tiong ◽  
Starry Rajkumari ◽  
NurFariesha Farhanna binti Rasidi ◽  
Olga Viktorovna Poplavskaya

Introduction In a globalizing world the need for humans to understand one another is fundamental. Transcultural Psychiatry aims to bridge the differences due to culture, norms and values, especially in a controversial topic such as the paranormal between doctors and patients. Objectives To study the beliefs of Eastern and Western populations on the subject of religion, the paranormal and its relation to mental health. Methods The study was conducted targeting citizens of Eastern and Western countries (target sample size 200). A survey and 2 case studies were distributed, aimed to determine respondents level of belief in cultural superstitions and practices, views on mental disorders and opinions on treatment. A chi-square statistical test (significance set at 0.05) was performed to test validity. Results Results are tabulated in Table 1. In the case studies, P-value =4.68x10 -6 proves a strong relationship between East/West populations and their viewpoints on mental illness vs. possession. There is a strong relationship (p=3.37x10 -5) between respondents beliefs in spiritual healing and its effectiveness in treating mental illness. Table 1 East West Total respondents (226) 58% 42% Identified as religious 74% 26% Strong belief in paranormal 85% 15% Effectiveness of spiritual healing 55% 45% Preferred methods of treatment Mental health professionals 54% 46% Religious healer/psychic 90% 10% Conclusions The study revealed that Eastern populations are far more superstitious and religious than their Western conterparts, and also have higher belief in the effectiveness of spiritual healing to treat mental disorders. This difference demonstrates the importance of integrating culture into diagnosis and treatment of mental illnesses, and further explore methods for more inclusive treatment plans.


2019 ◽  
Vol 34 (4) ◽  
pp. 1071-1074
Author(s):  
Yoana Negrova

Maintaining good mental health in childhood is an important element of healthcare for each country. Efforts to protect child health are being are being carried out not only by medical, health and social care specialists, but also by the people who make up the social circle of the child. During this period, parenting techniques, as well as their behavior and attitude towards the child, play a vital role. Especially important is the support and assistance that parents and relatives give to the child in communicating with him. When unacceptable parenting practices, that degrade the child's personality, are undertaken, family counseling is needed to reduce the psycho-emotional stress and harassment applied to the child's psyche. To a great extent, worrying, depressive, neurotic and psychotic conditions are due to an inadequate family and social environment. The lack of conditions for development and proper social functioning of the child causes emotional imbalance, which the child can hardly cope with.In the case of untimely taken measures during school-age, psychotic disorders can cause many problems, the overcoming of which necessitates the inclusion of professionals from different fields. Child psychiatrists, clinical psychologists, psychologists, occupational therapists, social workers and educators form a multidisciplinary team that adequately takes decisions with regard to information received from parents, relatives and institutions. Mental health professionals have definedmanifestations of themental diseases as: emotional disorders, phobias, anxiety states and depression, aggression and antisocial behavior, hyperkinetic disorders, developmental disorders, primarily affecting children with autism and those with pervasive developmental disorders. The multidisciplinary team also takes action to implement the decisions taken to improve the quality of life of people experiencing difficulties in their personal development. Often in school age in people who do not have pathological changes in mental development, the social environment is this important factor that determines their behavior by which they are graded in society. Lack of attention by parents, excessive rigidity, strictness, hyperprotection, family conflicts and problems, school and social difficulties, predispose to a negative behavioral change. Behavioral anomalies are indicative of the low percentage of pupils with mental health problems attending mass schools. They self-exclude themselves from school and society as a whole because of the inability to meet the expectations of the environment. The individuals fall into social isolation as it predisposes them to participate in antisocial actions. This is a major reason for imprisonment, social degradation and marginalization.Teacherswithinschoolsarewellplacedtoobservechildrenday-to-dayandidentifybehaviourwhichsuggeststhatthechildmaybesufferingfrom a mentalhealthproblemorbeatrisk of developingone.


Somatechnics ◽  
2019 ◽  
Vol 9 (2-3) ◽  
pp. 291-309
Author(s):  
Francis Russell

This paper looks to make a contribution to the critical project of psychiatrist Joanna Moncrieff, by elucidating her account of ‘drug-centred’ psychiatry, and its relation to critical and cultural theory. Moncrieff's ‘drug-centred’ approach to psychiatry challenges the dominant view of mental illness, and psychopharmacology, as necessitating a strictly biological ontology. Against the mainstream view that mental illnesses have biological causes, and that medications like ‘anti-depressants’ target specific biological abnormalities, Moncrieff looks to connect pharmacotherapy for mental illness to human experience, and to issues of social justice and emancipation. However, Moncrieff's project is complicated by her framing of psychopharmacological politics in classical Marxist notions of ideology and false consciousness. Accordingly, she articulates a political project that would open up psychiatry to the subjugated knowledge of mental health sufferers, whilst also characterising those sufferers as beholden to ideology, and as being effectively without knowledge. Accordingly, in order to contribute to Moncrieff's project, and to help introduce her work to a broader humanities readership, this paper elucidates her account of ‘drug-centred psychiatry’, whilst also connecting her critique of biopsychiatry to notions of biologism, biopolitics, and bio-citizenship. This is done in order to re-describe the subject of mental health discourse, so as to better reveal their capacities and agency. As a result, this paper contends that, once reframed, Moncrieff's work helps us to see value in attending to human experience when considering pharmacotherapy for mental illness.


PEDIATRICS ◽  
2000 ◽  
Vol 106 (Supplement_3) ◽  
pp. 930-936 ◽  
Author(s):  
Thomas K. McInerny ◽  
Peter G. Szilagyi ◽  
George E. Childs ◽  
Richard C. Wasserman ◽  
Kelly J. Kelleher

Objective. Nearly 14% of children in the United States are uninsured. We compared the prevalence of psychosocial problems and mental health services received by insured and uninsured children in primary care practices. Methods. The Child Behavior Study was a cohort study conducted by Pediatric Research in Office Settings and the Ambulatory Sentinel Practice Network. Four hundred one primary care clinicians enrolled an average sample of 55 consecutive children (4–15 years old) per clinician. Results. Of the 13 401 visits to clinicians with 3 or more uninsured patients, 12 518 were by insured children (93.4%) and 883 were by uninsured children (6.6%). A higher percentage of adolescents, Hispanic children, those with unmarried parents, and those with less educated parents were uninsured. According to clinicians, uninsured children and insured children had similar rates of psychosocial problems (19%) and severe psychosocial problems (2%). For children with a clinician-identified psychosocial problem, we found no differences in clinician-reported counseling, medication use, or referral to mental health professionals. Conclusions. Among children served in primary care practices, uninsured children have similar prevalence of clinician-identified psychosocial and mental health problems compared with insured children. Within their practices, clinicians managed uninsured children much the same way as insured children.psychosocial problems, uninsured children, pediatrics, family medicine, primary care.


2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Aditi Rana

Mental illness is a growing reality of our times. Usually in a typical Indian family, the parents act as the primary caregivers for the child suffering from mental disorder. For adult sufferers, it can also be siblings or offspring, and  at times even spouse or partner. Research on the experiences of families of mentally ill people has been minimal in the Indian context. This study aims to shift the focus from the mentally ill patients to the suffering of the caregivers and families of the patient keeping in mind the interconnected well being of the family in a collectivist culture. Following a qualitative approach, narratives have been taken from the family members of mentally ill (narratives of 8 families with mentally ill person) and also the mental health professionals (two) through semi structured interviews. The findings suggest that the family members suffer from a significant amount of stress accompanied by burden. Also, they feel secluded from the society and experience a lack of assistance to deal with the mentally ill member of the family.


2004 ◽  
Vol 28 (12) ◽  
pp. 451-454 ◽  
Author(s):  
K. F. Chung ◽  
M. C. Wong

Aims and MethodThe study was intended to rectify the lack of data on how Chinese people experience the stigma of mental illness. A questionnaire on perceived stigmatisation, experiences of rejection and ways of coping with stigma was completed by 193 persons attending a psychiatric out-patient clinic in Hong Kong.ResultsMost of the participants were aware of the stigma associated with mental illness, but experiences of rejection were relatively less frequent. Eleven per cent of the respondents indicated that they were neglected by health care professionals and 8% had been avoided by family members. The most frequently reported coping method was maintaining secrecy about the illness.Clinical ImplicationsIn China, people with mental health problems experience stigma in various degrees. However, some of the people surveyed expressed feelings of relief that others were supportive and sympathetic towards their illness. Mental health professionals should maintain optimism in helping their patients to cope with the stigma.


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