scholarly journals Strengthening the Ability of General Hospital Neurology Departments to Treat Neuropsychiatric Diseases and Mental Disorders

2018 ◽  
Vol 4 (3-4) ◽  
pp. 208-214
Author(s):  
Wei Zhu ◽  
Weidong Pan
Keyword(s):  
Internal Medicine ◽  
Mental Disorders ◽  
Integrative Medicine ◽  
Health Centers ◽  
Diagnosis And Treatment ◽  
Current Status ◽  
General Hospitals ◽  
Neuropsychiatric Diseases ◽  
Mental Diseases ◽  
Mental Health Centers

Due to the “stigma” of neuropsychological and psychogenic disorders in China, patients with psychological and affective disorders mostly prefer to go to general hospitals or integrative medicine hospitals, while the majority of patients with mental disorders in the department of internal medicine are treated in the department of neurology. At present, there are few physicians with the ability to diagnose and treat neuropsychiatric diseases properly in the neurological department of general hospitals in China, and the diagnosis and treatment experience of mental diseases is insufficient. At the same time, the diagnosis and treatment of comorbid patients with internal diseases and mental disorders are more complicated. The psychology departments in general hospitals or mental health centers also have a limited ability to diagnose and treat comorbid diseases relating to internal medicine and mental disorders together. Therefore, this article reviews the current status of diagnosis and treatment of neuropsychiatric and mental disorders in general hospitals or integrative medicine hospitals.

scholarly journals Specialized Outpatient: Community Mental Health Centers (CMHCs)

2021 ◽  
Author(s):  
Vandad Sharifi ◽  
Ahmad Hajebi ◽  
Behzad Damar ◽  
Atefeh Mohammadjafari
Keyword(s):  
Mental Health ◽  
Community Mental Health ◽  
Mental Disorders ◽  
Health Services ◽  
Collaborative Care ◽  
Service Planning ◽  
Health Centers ◽  
Community Mental Health Centers ◽  
Severe Mental Disorders ◽  
Mental Health Centers

Objective: The Iranian Mental Health Survey (IranMHS) in 2011 has demonstrated that almost 1 out of 4 adult individuals suffer from psychiatric disorders; however, more than two-thirds are left unrecognized and untreated and many of the services have poor quality of care. In this paper we present our experience in developing and employing community-based mental health services through community mental health centers (CMHCs), which has been incorporated in Iran's comprehensive mental and social health services (the Seraj program). Method: The service model of the CMHCs was developed though an evidence-based service planning approach and was then incorporated as the specialized outpatient services model into the Seraj program in 2015. Results: The CMHCs in the Seraj program provide mental health care to patients with common mental and severe mental disorders in a defined catchment area. The services include the collaborative care, the aftercare, and day rehabilitation. The collaborative care model works with primary care providers in the health centers to provide detection and treatment of common mental illnesses. In the aftercare, services are offered to patients with severe mental disorders following discharge from the hospital and include telephone follow-ups and home visits. Day rehabilitation is mostly focused on providing psychoeducation and skill trainings. During the first 4 years of implementation in 2 pilot areas, more than 6200 patients (10% having severe mental disorders) received care at CMHCs. Conclusion: The main challenge of the implementation of the CMHC component in the Seraj program is to secure funds and employ skilled personnel. We need to incorporate Seraj in the existing national health system, and if successful, it can fill the treatment gap that has been so huge in the country.

Epidemiologic Survey of Changes Trend of Mental Disorders Among the Women Referring to Health Centers in Semnan in 2005-2007

2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1
Author(s):  
A. Shahbazinodeh ◽  
M. Sadat Hashemi ◽  
B. Behnam
Keyword(s):  
Mental Health ◽  
Mental Disorders ◽  
Married Women ◽  
Health Centers ◽  
Mental Condition ◽  
Current Status ◽  
Rural Regions ◽  
Epidemiologic Survey ◽  
High Prevalence ◽  
Anxiety Depression

Aims:The epidemiology of mental disorders plays a significant role in the identification of the current status of mental health in society. As women play important role in protecting the mental health of the members of family and society. Therefore the aim of this study was epidemiologic survey of changes trend of mental disorders among the women in urban and rural regions in Semnan.Method:In this study mental condition of the married women has been studied. To do this a questionnaire (Scle-90-R) counting questions about anxiety, depression and etc., via interview was completed by questionnaires. Sampling was done in the form of stratification in which population affiliated each health center considered as a stratification and appropriate with volume, a share from total sampling was allocated to it. A at the end of, 970 cases contributed with us data were analyzed by using spss10 frequency tables and statistical graphs.Results:In this research91.7% (893cases) were urban and 8.3% (81cases) were rural. With the age mean 25.8±5 years were studied. The survey was shown that aggression, depression and psychosis have been increased individuals during the study. However anxiety, compulsive, inter personal sensitivity, somatic complains, paranoid and phobia have been decreased.Conclusion:Considering the high prevalence of the above disorders, setting up the psychiatric and psychological sections for women is necessary in the health centers.

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