scholarly journals Challenges to welcoming people with mental illnesses into faith communities

2020 ◽  
Vol 217 (5) ◽  
pp. 595-596
Author(s):  
Patrick W. Corrigan

SummaryFaith communities are important to the psychiatric care of people with mental illness. I distinguish the effects of two principles of becoming welcoming communities: compassion, in which the community accommodates members with mental illnesses so they are fully included, and dignity, which rests on the essential worth of everyone.

2021 ◽  
Vol 131 (1) ◽  
pp. 56-61
Author(s):  
Iryna Hora ◽  
Valeriy Kolesnyk ◽  
Oleg Batiuk

Abstract Introduction. People with mental illness can be restricted in certain constitutional rights only in the manner and within the limits that are established by the laws of a particular country. Such restrictions of the rights and interests of persons with mental health defects are possible only by court decision and to the quantities that are determined by the nature of the disease and the degree of public danger of the diseased. Defining a list of such restrictions and criteria for their application is one of the complex problems of public practice. Aim. The essence of the problem is revealed and the grounds, possibilities and procedure for interfering in the sphere of rights and interests of persons suffering from certain mental illnesses are indicated in the given research, based on results of the analysis of legislative acts and practice of rendering of psychiatric help to patients in Ukraine. Methodological framework. The authors of the article have applied scientific theoretical methods, which are analysis, synthesis, concretization, generalization, analogy, as well as empirical method of studying the normative sources, the methodical documentation, and method of system approach for forming conclusions to reveal the essence of the problem. Results. Interference in the sphere of personal rights and interests of human is possible only in the manner that is determined for this by the legislation of the country. Such are the requirements regarding the restriction of certain rights of persons who show signs of mental illness or suffer from certain mental illnesses. Restrictions of the rights of people suffering from mental illness have long been applied in society and it is based on the stigmatization of mental illness. However, certain restrictions for such persons are important primarily for the protection of their personal interests and the interests of society in general and other people, who are located near them. This relates to the application, in the court manner, of coercive measures of a medical nature not as a form of punishment, but as a system of treatment, medical-prevention and rehabilitation measures, the provision of psychiatric care in accordance with the general principles of treatment. Separate problems are the issues of provision of the rights of persons with mental disorders, who belong to the category of witnesses, victims, plaintiffs, defendants. Here the legislation of Ukraine and departmental documents, by which the issues of protection of the rights of the person with defects of mental health have been regulated, has certain inconsistencies or insufficient clarity of the wording of regulations. Conclusion. Standards and principles of the providing of psychiatric care in Ukraine are in line with modern European approaches. Judicial manner for making decisions on temporary restriction of the rights of individuals with psychiatric disorders serves as a guarantee of fairness in the application of legal requirements, and the restrictions themselves must be exclusive and minimal in nature. The disadvantage is that there are no rules for conducting psychiatric assessment of victims, witnesses, plaintiffs, defendants today in Ukraine. At the same time, all these measures require the awareness-building among the population and the education of humane treatment of those whose mental sphere of life needs help.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Mayssa Rekhis ◽  
Sami Ouanes ◽  
Abir Ben Hamouda ◽  
Rym Rafrafi

Purpose This study aims to assess the awareness about the rights of people with mental illness in the main psychiatric hospital in Tunisia among the service users, the family members and the staff. Design/methodology/approach The Convention of Rights of People with Disabilities mandates that State Parties initiate and maintain campaigns and human rights training to promote understanding of the rights of people with mental illnesses, considered as a main factor for their fulfillment. Service users, family members and staff evaluated, through a survey, the importance of ten rights for persons with mental illness, stated in the convention. Findings Disparities were found in the perception of the different rights by and between the three groups. The highest levels of awareness were associated with the freedom from torture or degrading treatment and the right to live with dignity and respect, whereas the lower importance were assigned to the right to participation in recovery plans, to give consent and to exercise legal capacity. Originality/value The lack of awareness and the poor perception of rights of people with mental illness is one of the barriers to their achievement. More training and awareness raising is necessary.


2008 ◽  
Vol 27 (2) ◽  
pp. 21-36 ◽  
Author(s):  
Ann Bates ◽  
Vivien Kemp ◽  
Mohan Isaac

The physical health of individuals with long-term mental illnesses has long been of concern. In Western Australia, the overall mortality rate from preventable causes of people living with mental illness was reported to be 2.5 times greater than that of the general population. A trial peer support service was initiated to assist people with mental illness to attend to their physical health needs. This paper presents the planning, implementation, and results of this collaborative initiative involving nongovernment agencies, the public mental health service, consumers of mental health services, and the University of Western Australia.


2010 ◽  
Vol 16 (1) ◽  
pp. 53-59 ◽  
Author(s):  
Graham Thornicroft ◽  
Diana Rose ◽  
Nisha Mehta

SummaryThis article discusses the evidence that experiences of stigmatisation and discrimination among people with mental illnesses are common and may be severe. Furthermore, there are growing concerns that people with mental illness receive second-class physical healthcare. Beyond this, some aspects of psychiatric practice are reported as being insensitive, disrespectful or even disabling. We consider whether such claims are justified and what psychiatrists can do, directly and indirectly, to reduce stigma and discrimination and improve our practice.


2020 ◽  
Vol 10 (1) ◽  
pp. 1-5
Author(s):  
Lauren A. Diefenderfer ◽  
Courtney Iuppa ◽  
Carrie Kriz ◽  
Leigh Anne Nelson

Abstract Introduction People with mental illness continue to face stigma, despite these illnesses being common. Previous studies have demonstrated reduced stigma in pharmacy students after various exposures and education, although results have been mixed. The primary objective of this study was to evaluate the effects of an advanced pharmacy practice experience (APPE) in psychiatric pharmacy on students' stigma toward patients with mental illness using the Opening Minds Stigma Scale for Healthcare Providers (OMS-HC) at 2 psychiatric hospitals. Methods This was a prospective, multicenter survey study of pharmacy students on an APPE rotation at an inpatient psychiatric hospital conducted during 3 academic years. Prior to starting and upon completion of their rotation, participants completed the OMS-HC and provided demographic and rotation information. Results A total of 26 students participated in the prerotation survey, with 88.5% (n = 23) completing the postrotation survey. The primary outcome showed a significant decrease in total OMS-HC score (Z = −2.376, P = .017), indicating a decreased level of stigma at rotation completion. Analysis of the OMS-HC subscales for attitudes toward people with mental illness and attitudes toward self-disclosure of a mental illness also yielded significant decreases (Z = −2.425, P = .015; Z = −2.462, P = .014, respectively). Discussion This study showed that APPE rotations at inpatient psychiatric hospitals may help reduce stigma among pharmacy students. Pharmacy schools should consider increasing access to and encouraging completion of psychiatric pharmacy rotations to help reduce stigma prior to graduation.


2019 ◽  
Author(s):  
Dalila Talevi ◽  
Alberto Collazzoni ◽  
Alessandro Rossi ◽  
Paolo Stratta ◽  
Monica Mazza ◽  
...  

Abstract Background. Interpersonal violence has increased as a health concern especially in the psychiatry practice over the last decades; nevertheless, most patients with stable mental illness do not present an increased risk of violence and a mental disorder is not a necessary or sufficient cause of violent behaviors. People with mental illness endorse more often a number of risk factors for violence that could confound this association, such as young age and male gender. The aim of this study was to investigate the effect of age, gender, and diagnosis on reported levels of interpersonal violence in a sample of people with severe mental illnesses. Methods. The sample was composed of 160 inpatients: 73 with psychosis, 53 with mood disorder and 34 with personality disorder. All patients enrolled in the study were assessed for experiences of victimization and perpetration of interpersonal violence using the Karolinska Interpersonal Violence Scale interview. Demographic variables were also collected. Results. Violence negatively correlated with age. Compared to males, females were exposed to higher degree of violence (for both victimizations in childhood and adulthood), whereas males were more involved in the perpetration of violence (only for perpetration in childhood). Among diagnoses, personality disorders are associated with higher levels of interpersonal violence. An interaction effect of gender and diagnosis was also observed for expression of violence in adulthood. Distinct patterns of interpersonal violence did emerge for the diagnostic entities with mood disorder showing a victimization pattern, personality disorders a perpetration pattern and psychoses a less defined pattern. Conclusions. The main finding is that psychoses, mood disorders and personality disorders have different patterns of violent experiences when combined with age and gender. This study offers a step towards a better understanding of the extent to which gender and age could affect violent behaviors. Moreover, study findings may increase the comprehension of the reason why some mental disorders, compared to others, are more associated with the risk of victimization or perpetration of violence. These patterns could have pathophysiological or pathoplastic meaning addressing clinical and diagnostic trajectories interacting with other intervening risk factors.


2005 ◽  
Vol 21 (2) ◽  
Author(s):  
Inger Plaisier ◽  
Jeanne G.M. de Bruijn ◽  
Johannes H. Smit

Determinants of the ability to work among persons with mental illness Determinants of the ability to work among persons with mental illness The rates of inability to work due to mental illness are high in the Netherlands. Not all employees with mental illness are unable to work. This article explores the factors that contribute to the ability to work for people with mental illness. For this research, we retrospectively reviewed notes of 135 patients of a Dutch policlinic outpatients department of a mental hospital. Results show that, apart from personal factors like young age, good physical health and, surprisingly, social phobia as diagnosis, also some work factors influence the ability to work among persons with mental illness. Particularly, reactions at work by colleagues affect the ability to work, and the importance of this factor increases when the age of the employees with mental illness rises. Exclusion and disaffiliation because of disability to work, due to processes of modernisation, is an undesirable hazard. Diversity theory could be an explanation for the importance of reactions at work, considering people with mental illnesses as a minority in a workplace, and could be a link for the development of policy at both the organizational and individual level.


2015 ◽  
pp. 14-19
Author(s):  
Anindya Das ◽  
Mohan Rao ◽  
Mercian Daniel

Worldwide research has provided evidence of premature death in people with mental illness (as compared to the general population). Moreover, in recent decades, the mortality gap between the preceding two groups has not shown any decline even in countries with the most accessible/responsive health systems. This essay considers mortality to be influenced by a multiplicity of factors, many of which, in addition, influence the rate of occurrence and recovery from mental illnesses. The essay examines these factors and analyses them through the lens of structural discrimination (defined as institutional and social structures that perpetuate norms, practices and behavior that deny opportunities/rights to others, often members of a minority). The implications for India in this regard are also reflected upon.


2021 ◽  
pp. 136346152110150
Author(s):  
Laura Asher ◽  
Ribka Birhanu ◽  
Yonas Baheretibeb ◽  
Abebaw Fekadu

In Ethiopia, traditional and spiritual treatments, such as holy water, are used by people with mental disorders instead of, or alongside, psychiatric services. Collaborations between traditional and psychiatric providers may increase access to evidence-based treatments and address human rights abuses. This study aimed to explore the perspectives of holy water attendants on a novel collaboration between holy water and psychiatric care, at St Mary’s Clinic, Entoto, Ethiopia, and to characterize the users of this service. Semi-structured interviews were conducted with 14 holy water attendants, who run group houses for holy water residents and are paid by family members. A thematic analysis was conducted. Socio-demographic and clinical data were extracted from the records of all service users who had attended the clinic. A total of 174 individuals have attended the clinic in the three years since it opened. The majority were diagnosed with schizophrenia. Holy water attendants provide a partial gatekeeping role to psychiatric care, selecting which of their clients they think will benefit and, for these individuals, facilitating attendance to the clinic and antipsychotic medication adherence. Psychiatric care was felt to be compatible with holy water by some, but not all, attendants. However, family members often had the “final say” in individuals attending the clinic, in some cases putting up strong resistance to using psychiatric care. A novel collaboration is acceptable to some holy water attendants and may increase access to psychiatric care amongst people with mental illness living at a holy water site in Ethiopia.


2020 ◽  
pp. 103985622097529
Author(s):  
Justin J Chapman ◽  
Emily Hielscher ◽  
Sue Patterson ◽  
Nicola Reavley ◽  
Wendy J Brown ◽  
...  

Objectives: People with mental illness may be vulnerable to decline in mental health and reduced physical activity because of the COVID-19 pandemic and associated restrictions. The aim of this study was to inform the design of physical activity interventions for implementation under these conditions to improve/maintain well-being and physical activity in this population. Methods: People with mental illness who had participated in a physical activity program prior to the pandemic were invited to complete a survey about the impact of COVID-19 on mental health and physical activity and their preferences for engaging in a physical activity program under pandemic-related restrictions. Results: More than half the 59 respondents reported worse mental health and lower physical activity during the pandemic. The preferred format for a physical activity program was one-on-one exercise instruction in-person in a park. Program components endorsed as helpful included incentivization, provision of exercise equipment and fitness devices, and daily exercise programs. About a third of the participants reported limitations in using technology for a physical activity program. Conclusions: In-person exercise support is preferred by people with mental illnesses during pandemic-related restrictions. Enablement strategies such as providing equipment and self-monitoring devices should be utilized; assistance may be needed to incorporate the use of technology in exercise programs.


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