Social Deprivation Amongst Short Stay Psychiatric Patients

1980 ◽  
Vol 136 (1) ◽  
pp. 46-52 ◽  
Author(s):  
Lorna Ebringer ◽  
J. R. W. Christie-Brown
Keyword(s):  
Social Deprivation ◽  
Psychiatric Patients ◽  
Living Alone ◽  
Day Hospital ◽  
Short Stay ◽  
Two Samples ◽  
One Year ◽  
Community Supports

SummaryTwo samples of newly admitted psychiatric patients were examined. Of 558 patients admitted during one year, 76 (13.7 per cent) came in from transitory accommodation or no fixed abode; of 456 patients discharged 131 (28.7 per cent) either changed address during their stay in hospital or left without known accommodation. Of 102 patients in the wards and day hospital on one day, 29 (28.4 per cent) came in from transitory accommodation or no fixed abode, 66 (64.7 per cent) were unemployed, 51 (50 per cent) were living alone. Of the 74 inpatients 30 (40.5 per cent) were homeless and 27 (36.5 per cent) had no visitors. These results indicate that many patients have lost their community supports by the time they reach hospital.

Psychosocial Assessment on a Short-Stay Inpatient Psychiatric Unit

1984 ◽  
Vol 55 (1) ◽  
pp. 43-47 ◽  
Author(s):  
Richard C. Erickson
Keyword(s):  
Functional Assessment ◽  
Preliminary Data ◽  
Psychiatric Patients ◽  
Cognitive Behavioral ◽  
Psychosocial Assessment ◽  
Short Stay ◽  
Community Supports ◽  
Routine Assessment ◽  
Inpatient Psychiatric Unit ◽  
Chronic Psychiatric Patients

The Community Supports and Skills Checklist, used as a routine assessment device on a short-stay inpatient unit, is described and preliminary data reported. The checklist forms one basis for making a functional assessment of chronic psychiatric patients and for deciding on which cognitive-behavioral rehabilitation approaches to undertake.

Treatment of Severe Psychiatric Illness in a Day Hospital

1989 ◽  
Vol 154 (3) ◽  
pp. 341-347 ◽  
Author(s):  
Francis Creed ◽  
Philip Anthony ◽  
Ken Godbert ◽  
Peter Huxley
Keyword(s):  
Psychiatric Illness ◽  
Psychiatric Symptoms ◽  
Day Treatment ◽  
Psychiatric Patients ◽  
Patient Admission ◽  
Random Allocation ◽  
Day Hospital ◽  
One Year ◽  
Seriously Ill Patients ◽  
Seriously Ill

Severity of psychiatric illness was assessed using standardised clinical and social measures in 69 in-patients and 41 day patients admitted consecutively from the community. Day and in-patients differed little in terms of psychiatric symptoms and social disability, especially if compulsory admissions were excluded. Protection of self or others was a common reason for in-patient admission given by clinicians, who were otherwise prepared to treat seriously ill patients in the day hospital. Very few of the day patients had to be transferred to the in-patient facility, and at three months and one year the two groups showed similar improvements. It is concluded that day treatment is feasible for some seriously ill psychiatric patients, but a random-allocation study is required to assess more completely the efficacy of day treatment, and define the characteristics of those who require in-patient admission.

scholarly journals Patients’ subjective initial response and the outcome of inpatient and day hospital treatment

2011 ◽  
Vol 26 (7) ◽  
pp. 408-413 ◽  
Author(s):  
S. Priebe ◽  
K. Barnicot ◽  
R. McCabe ◽  
A. Kiejna ◽  
P. Nawka ◽  
...  
Keyword(s):  
Psychiatric Treatment ◽  
Day Treatment ◽  
Psychiatric Patients ◽  
Complex Interventions ◽  
Initial Response ◽  
Hospital Treatment ◽  
Day Hospital ◽  
Social Disability ◽  
One Year ◽  
Acute Psychiatric Treatment

AbstractObjectiveThis study aimed to establish whether psychiatric patients’ subjective initial response (SIR) to hospital and day hospital treatment predicts outcomes over a one-year follow-up period.MethodWe analysed data from 765 patients who were randomised to acute psychiatric treatment in a hospital or day hospital. SIR was assessed on day 3 after admission. Outcomes were psychiatric symptom levels and social disability at discharge, and at 3 and 12 months after discharge.ResultsAfter controlling for socio-demographic and clinical characteristics, a more positive SIR was significantly associated with lower symptom levels at discharge and 3 months after discharge and lower social disability at 3 months and 12 months after discharge.ConclusionSIR can predict outcomes of complex interventions over a one-year period. Patients’ initial views of acute hospital and day treatment should be elicited and considered as important.

scholarly journals NURSES’ PERCEPTIONS ON THE READMISSION OF PSYCHIATRIC PATIENTS ONE YEAR AFTER DISCHARGE

2016 ◽  
Vol 16 (1) ◽  
pp. 89-102 ◽  
Author(s):  
T. Nxasana ◽  
G. Thupayagale-Tshweneagae
Keyword(s):  
Family Support ◽  
Psychiatric Illness ◽  
Psychiatric Patients ◽  
Cultural Interpretation ◽  
Factors Associated ◽  
Nurses Perceptions ◽  
One Year ◽  
The Many ◽  
The Impact ◽  
Depth Interviews

A qualitative study using in-depth interviews with 10 nurses working with psychiatric patients was conducted in 2012. The purpose of this study was to investigate the nurses’ perceptions on the readmission of psychiatric patients within one year of discharge from Prince Mshiyeni Memorial Hospital. Tesch’s method of data analysis was used to identify the nurses’ perceptions on the readmissions of psychiatric patients one year after discharge. The results of this study affirmed the reasons known in literature about factors associated with re-admissions, which include lack of family support, poor adherence to medications and substance and alcohol use. However, a unique finding of the study was the cultural interpretation of psychiatric illness that led to poor compliance. The study concluded that cultural interpretation of mental illness is among the many causes of readmission of psychiatric patients and may be an overarching factor. The study recommends that a study be done on exploring the cultural interpretations of psychiatric illness and the impact of those interpretations on the readmission of psychiatric patients.

scholarly journals Assessment of the Therapeutic Evolution of Psychiatric Patients through Rorschach Psychodiagnosis

2021 ◽  
Vol 37 ◽  
Author(s):  
Patrícia Costa ◽  
Sónia Remondes-Costa ◽  
Cláudia Milheiro
Keyword(s):  
Clinical Sample ◽  
Psychiatric Patients ◽  
Patient Evaluation ◽  
Day Hospital ◽  
Rorschach Test ◽  
Intervention Model ◽  
Exclusion Criteria ◽  
Personality Functioning ◽  
The North ◽  
Psychotherapeutic Interventions

Abstract The present work aims to constitute an important contribution to the scientific proof of the effectiveness of psychiatric and psychotherapeutic interventions, through the Rorschach test. A clinical sample of 10 psychiatric patients, admitted and followed at the Day Hospital of a psychiatric hospital in the North of Portugal, where the psychoanalytic orientation intervention model is followed. The data were collected in two moments: upon admission, a sociodemographic and clinical questionnaire and Rorschach's projective proof were applied; after three months of treatment, Rorschach was re-applied, followed by a survey of exclusion criteria and patient evaluation on the therapeutic program.The comparative analysis of the data showed a slight therapeutic evolution and personality functioning.

scholarly journals Psychological Well-Being of Female-Headed Households Based on Age Stratification: A Nationwide Cross-Sectional Study in South Korea

2020 ◽  
Vol 17 (18) ◽  
pp. 6445
Author(s):  
Min Kwon ◽  
HyungSeon Kim
Keyword(s):  
Musculoskeletal Pain ◽  
Low Income ◽  
Social Deprivation ◽  
Well Being ◽  
Living Alone ◽  
Age Group ◽  
Psychological Well Being ◽  
Negatively Associated ◽  
Female Headed Households ◽  
Age Stratification

The female-headed household is a new vulnerable group associated with health inequality. The purpose of this study was to analyze psychological well-being and related factors among Korean female-headed households based on age stratification. This was a secondary analysis of data extracted from the fifth Korean Working Conditions Survey (2017), which included a total of 9084 female-headed households. Their psychological well-being was measured by the WHO-5 well-being index. A total of 39.8% of female-headed household workers were psychologically unhealthy. Among them, 2.2% of those aged 15–30 years old, 8.1% aged 30–50 years old, and 29.5% over aged 50 years old were unhealthy. In the age group of 15–30 years old, depression/anxiety was negatively associated with psychological well-being. In the age group of 30–50 years old, living alone, musculoskeletal pain, fatigue, and depression/anxiety were negatively associated with psychological well-being. In the age group over 50 years old, low education level, living alone, low income, musculoskeletal pain, fatigue, and depression/anxiety were negatively associated with psychological well-being. The psychological well-being perceived by female households is complex and goes beyond economic poverty and dependent burdens. Therefore, a multidimensional support strategy should be included in the concept of social deprivation, and a preventive approach is needed to establish a support system.

Intensive Psychotherapy for Acute Psychiatric Patients in a Day Hospital Setting in Israel

1972 ◽  
Vol 121 (565) ◽  
pp. 635-639 ◽  
Author(s):  
Y. Fried ◽  
F. Brüll
Keyword(s):  
Psychiatric Patients ◽  
Hospital Setting ◽  
Health Clinic ◽  
Day Hospital ◽  
Professional Literature ◽  
Sick Fund ◽  
Day Hospitals ◽  
Type Of Institution ◽  
Autonomous Service ◽  
Intensive Psychotherapy

The psychiatric services in the field of community psychiatry in Israel have developed in a number of directions over the past decade. Following the establishment by the Workers' Sick Fund (Kupat Holim) of a Rehabilitation Unit for chronic psychiatric patients (Wijsenbeek and Lindner (53)) and the opening of a Day Hospital for acute cases in conjunction with a psychiatric hospital (Ramot and Jaffe (45)), a Day Hospital was established in October 1968, at the Out-Patient Mental Health Clinic (Ramat Chen), to serve acute psychiatric patients. This represented the first attempt of its kind in Israel. The professional literature on Day Hospitals, which in the main describes a ‘half-way out’ type of hospital (Farndale (16); Epps and Hanes (14); Kramer (32)), also reports the existence of a ‘half-way in’ type of institution, operating as an autonomous service catering to a particular geographical region, without being attached directly to a mental hospital. This kind of Day Hospital, specifically designed for acute cases, has not yet been tried in Israel.

scholarly journals Diabetes Screening Through Community Pharmacies in England: A Cost-Effectiveness Study

Pharmacy ◽  
2019 ◽  
Vol 7 (1) ◽  
pp. 30 ◽  
Author(s):  
David Wright ◽  
Richard Little ◽  
David Turner ◽  
Tracey Thornley
Keyword(s):  
Cost Effectiveness ◽  
Social Deprivation ◽  
Geographical Location ◽  
Community Pharmacies ◽  
Diabetes Screening ◽  
Tree Model ◽  
Patients With Diabetes ◽  
One Year ◽  
The Cost ◽  
Mixed Ethnicity

Community pharmacies are commonly used to screen for patients with diabetes. The aim of this paper is to estimate the cost per test and cost per appropriately referred patient from a pharmacy perspective using a one-year decision tree model. One-way sensitivity analysis was performed to estimate the effect of geographical location and patient self-referral rate. Data was used from 164 patients screened and located in an area with average social deprivation and largely white European inhabitants and 172 patients in an area with higher social deprivation (lower than average ability to access society’s resources) and a mixed ethnicity population in England. The diabetes screening consisted of initial risk assessment via questionnaire followed by HbA1c test for those identified as high risk. The cost per person screened was estimated as £28.65. The cost per appropriately referred patient with type 2 diabetes was estimated to range from £7638 to £11,297 in deprived mixed ethnicity and non-deprived areas respectively. This increased to £12,730 and £18,828, respectively, if only 60% of patients referred chose to inform their general practitioner (GP). The cost per test and identification rates through community pharmacies was similar to that reported through medical practices. Locating services in areas of suspected greater diabetes prevalence and increasing the proportion of patients who follow pharmacist advice to attend their medical practice improves cost-effectiveness.

scholarly journals Nonsuicidal self-injury and identity formation in Indian clinical and nonclinical samples: A comparative study

2020 ◽  
pp. 002076402094361
Author(s):  
Amarendra Gandhi ◽  
Koen Luyckx ◽  
Alka Adhikari ◽  
Dhruv Parmar ◽  
Avinash De Sousa ◽  
...  
Keyword(s):  
Identity Formation ◽  
Structural Equation ◽  
Clinical Sample ◽  
Psychiatric Patients ◽  
Self Report ◽  
Equation Modeling ◽  
Mental Health Issue ◽  
Self Injury ◽  
Two Samples ◽  
Nonsuicidal Self Injury

Background: Nonsuicidal self-injury (NSSI) is being increasingly identified as an important emerging mental health issue in the West. Yet, NSSI has not been adequately studied in clinical and nonclinical contexts in countries like India. Aim: The aim of this study was to compare different features of NSSI between clinical and nonclinical samples in India. We also explored if the strength of the association between NSSI and disturbances in identity formation – a risk factor that can increase vulnerability to NSSI – was similar in the two samples mentioned above. Method: For the clinical sample, data regarding NSSI and identity formation were collected from 100 psychiatric patients (47.0% females, mean age = 34.76 years, SD = 12.76, 17–70 years) from an outpatient/inpatient psychiatric department of a large tertiary hospital in Mumbai, India. Nonclinical data were collected from 120 young adults studying in a medical college in Mumbai, India (51.7% females, mean age = 19.7 years, SD = 2.16, 17–28 years). Information regarding NSSI and identity were collected using self-report questionnaires. Results: Lifetime prevalence of NSSI in the clinical and nonclinical samples was found to be around 17% and 21%, respectively. Although the prevalence of NSSI did not significantly differ between the two samples, some features of NSSI did differ between the two groups. Finally, multigroup Bayesian structural equation modeling indicated that irrespective of the type of the sample (i.e. clinical or nonclinical), consolidated and disturbed identity significantly (negative and positive, respectively) predicted lifetime NSSI. Additionally, the association between the aforementioned identity variables and NSSI did not significantly differ between the two samples. Conclusion: The findings of these studies highlight the need for exploring issues related to identity formation in individuals who engage in NSSI irrespective of whether they suffer from a psychiatric disorder or not.

Description and Evaluation of a Short-Stay Admission Ward

1980 ◽  
Vol 136 (3) ◽  
pp. 205-215 ◽  
Author(s):  
Peter Kennedy ◽  
Fiona Hird
Keyword(s):  
General Practitioners ◽  
Patient Experience ◽  
Readmission Rate ◽  
Psychiatric Ward ◽  
Short Stay ◽  
Admission Ward ◽  
Clinical Methods ◽  
The Family ◽  
Acute Psychiatric Ward ◽  
One Year

SummaryDuration of stay for unselected admissions to an acute psychiatric ward was reduced to an average of 11 days. The clinical methods by which this was achieved are described. Comparing patients randomly allocated to this experimental ward and other admission wards: (i) the readmission rate to the experimental ward was higher but readmissions were briefer so that total in-patient experience per patient over the course of one year remained substantially lower; (ii) symptom levels and burden on the family had improved equally at three weeks and at four months after discharge; (iii) experimental ward patients made fewer demands on their general practitioners and reported fewer parasuicides. Beds can be released for other purposes in this way.

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