scholarly journals A survey of mental disorder in the long-term, rough sleeping, homeless population of inner Dublin

2018 ◽  
Vol 36 (1) ◽  
pp. 19-22
Author(s):  
F. Hynes ◽  
K. Kilbride ◽  
J. Fenton
Keyword(s):  
Mental Illness ◽  
Mental Disorder ◽  
Severe Mental Illness ◽  
Dual Diagnosis ◽  
Substance Misuse ◽  
Homeless Population ◽  
Clinical Methods ◽  
Health And Social Care ◽  
Case Basis

ObjectivesHomelessness causes huge distress to a vulnerable population and great concern to wider society. The aim of this study was to reflect the prevalence of mental disorder within a subset of the homeless population in Dublin.MethodLong-term rough sleepers in Dublin were identified by the relevant non-statutory agency (Dublin Simon Community’s Rough Sleepers Team). The authors attempted to assess all the identified individuals employing traditional clinical methods.ResultsWe managed to assess 16 of the 22 identified individuals. We detected no formal disorder in ~30%, severe mental illness in ~30% and either alcohol or substance misuse in another ~30%. We detected dual diagnosis (co-occurrence of severe mental illness and alcohol or substance misuse) in 10%.ConclusionMost but not all long-term rough sleepers in Dublin had a formal mental disorder identified. Just under one-third had a severe mental illness. This suggests that individualised patient centred health and social care will be required on a case by case basis in the long-term rough sleeping population.

Mother–infant interaction in post-partum women with schizophrenia and affective disorders

1999 ◽  
Vol 29 (4) ◽  
pp. 991-995 ◽  
Author(s):  
D. RIORDAN ◽  
L. APPLEBY ◽  
B. FARAGHER
Keyword(s):  
Mental Illness ◽  
Mental Disorder ◽  
Severe Mental Illness ◽  
Affective Disorders ◽  
Research Evidence ◽  
Rating Scale ◽  
Post Partum ◽  
Parenting Skills

Background. Psychiatric mother and baby units are increasingly asked to assess parenting in people with severe mental illness, particularly schizophrenia, but little research evidence exists on which to base assessments.Method. Mother–infant interaction was assessed in 26 women who had recovered from the acute phase of severe post-partum mental disorder, a validated rating scale based on direct observation was used.Results. Women with schizophrenia showed greater interaction deficits than those with affective disorders, being more remote, insensitive, intrusive and self-absorbed. The 4-month-old infants of women with schizophrenia were more avoidant, and the overall quality of mother–infant interaction in schizophrenia was poorer.Conclusion. The long-term significance of these preliminary findings is not known but they raise concerns about the parenting capacity of women with schizophrenia and suggest the need for an intervention to improve parenting skills in this group.

scholarly journals Dual diagnosis: management within a psychosocial context

2004 ◽  
Vol 10 (5) ◽  
pp. 352-360 ◽  
Author(s):  
Mohammed T. Abou-Saleh
Keyword(s):  
Mental Illness ◽  
Severe Mental Illness ◽  
Dual Diagnosis ◽  
Substance Misuse ◽  
Psychosocial Interventions ◽  
Behavioural Therapy ◽  
Implementation Barriers ◽  
Cognitive Behavioural ◽  
Recent Developments ◽  
The Uk

Recent developments in UK government policy have highlighted the unmet needs of people with dual diagnosis (comorbidity of substance misuse and psychiatric disorder, particularly severe mental illness). Advances in assessment techniques and diagnostic practice have informed the treatment of comorbidity and improved its outcome. There is growing evidence for the effectiveness of psychosocial interventions such as motivational interviewing and cognitive–behavioural therapy, mostly from US studies. However, within the secondary care provided by addiction and general psychiatric services there are serious implementation barriers related to service organisation, staffing levels, training and – most importantly – the difficulties of engaging people with severe mental illness and comorbid substance misuse in treatment. The evidence for the effectiveness of psychosocial treatments and models of service is reviewed and challenges for optimal practice in the UK are highlighted.

scholarly journals Cost Analysis of a High Support Housing Initiative for Persons with Severe Mental Illness and Long-Term Psychiatric Hospitalization

2018 ◽  
Vol 63 (7) ◽  
pp. 492-500 ◽  
Author(s):  
David Rudoler ◽  
Claire de Oliveira ◽  
Binu Jacob ◽  
Melonie Hopkins ◽  
Paul Kurdyak
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Cost Saving ◽  
Cost Analysis ◽  
Severe Mental Illness ◽  
Inpatient Care ◽  
Cost Savings ◽  
Support Housing ◽  
High Support

Objective: The objective of this article was to conduct a cost analysis comparing the costs of a supportive housing intervention to inpatient care for clients with severe mental illness who were designated alternative-level care while inpatient at the Centre for Addiction and Mental Health in Toronto. The intervention, called the High Support Housing Initiative, was implemented in 2013 through a collaboration between 15 agencies in the Toronto area. Method: The perspective of this cost analysis was that of the Ontario Ministry of Health and Long-Term Care. We compared the cost of inpatient mental health care to high-support housing. Cost data were derived from a variety of sources, including health administrative data, expenditures reported by housing providers, and document analysis. Results: The High Support Housing Initiative was cost saving relative to inpatient care. The average cost savings per diem were between $140 and $160. This amounts to an annual cost savings of approximately $51,000 to $58,000. When tested through sensitivity analysis, the intervention remained cost saving in most scenarios; however, the result was highly sensitive to health system costs for clients of the High Support Housing Initiative program. Conclusions: This study suggests the High Support Housing Initiative is potentially cost saving relative to inpatient hospitalization at the Centre for Addiction and Mental Health.

Poverty transitions in severe mental illness: longitudinal analysis of social drift in China, 1994–2015

2021 ◽  
pp. 1-9
Author(s):  
Yue-Hui Yu ◽  
Wei Luo ◽  
Bo Liu ◽  
Wei-Hong Kuang ◽  
Larry Davidson ◽  
...  
Keyword(s):  
Mental Illness ◽  
Severe Mental Illness ◽  
Poverty Rate ◽  
International Classification Of Disease ◽  
Fast Change ◽  
The Social ◽  
Poverty Transitions ◽  
Icd 10 ◽  
Persistent Poverty

Abstract Background Although poverty associated with severe mental illness (SMI) has been documented in many studies, little long-term evidence of social drift exists. This study aimed to unravel the poverty transitions among persons with SMI in a fast change community in China. Methods Two mental health surveys, using the International Classification of Disease (ICD-10), were conducted in the same six townships of Xinjin county, Chengdu, China in 1994 and 2015. A total of 308 persons with SMI identified in 1994 were followed up in 2015. The profiles of poverty transitions were identified and regression modelling methods were applied to determine the predictive factors of poverty transitions. Results The poverty rate of persons with SMI increased from 39.9% to 49.4% in 1994 and 2015. A larger proportion of them had fallen into poverty (27.3%) rather than moved out of it (17.8%). Those persons with SMI who had lost work ability, had physical illness and more severe mental disabilities in 1994, as well as those who had experienced negative changes on these factors were more likely to live in persistent poverty or fall into poverty. Higher education level and medical treatment were major protective factors of falling into poverty. Conclusions This study shows long-term evidence on the social drift of persons with SMI during the period of rapid social development in China. Further targeted poverty alleviation interventions should be crucial for improving treatment and mental recovery and alleviating poverty related to SMI.

scholarly journals Severe mental illness and substance misuse

BMJ ◽  
1999 ◽  
Vol 318 (7177) ◽  
pp. 137-138 ◽  
Author(s):  
T. Weaver ◽  
A. Renton ◽  
G. Stimson ◽  
P. Tyrer
Keyword(s):  
Mental Illness ◽  
Severe Mental Illness ◽  
Substance Misuse
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