scholarly journals A psychiatric clinic for the single homeless in a primary care setting in Inner London

1990 ◽  
Vol 14 (5) ◽  
pp. 270-271 ◽  
Author(s):  
P. L. A. Joseph ◽  
J. A. Bridgewater ◽  
S. S. Ramsden ◽  
D. J. El Kabir
Keyword(s):  
Mental Illness ◽  
Mentally Ill ◽  
Care Setting ◽  
Direct Evidence ◽  
Primary Care Setting ◽  
Psychiatric Morbidity ◽  
Psychiatric Hospitals ◽  
Psychiatric Clinic ◽  
The Uk ◽  
Reception Centre

It is well recognised that there is an increased psychiatric morbidity, in particular psychosis, personality disorder and substance abuse, among the single homeless (Lodge Patch et al, 1971). The reasons for this are complex. There is evidence that these people are mentally ill before becoming homeless and that their illness may be a cause of their homelessness. In a study of newly presenting patients at the DHSS Reception Centre in Camberwell, London, Tidmarsh & Wood found that 87% of those with mental illness had been staying recently with their families just before their first hospital admission, suggesting that mental illness may have led to homelessness in these patients (Tidmarsh & Wood, 1972). Although direct evidence is scant in the UK, it is felt that the closure of long-stay psychiatric hospitals could lead to some of their in-patients becoming homeless.

scholarly journals Setting the bar: athletes and vulnerability to mental illness

2012 ◽  
Vol 200 (2) ◽  
pp. 95-96 ◽  
Author(s):  
Lynette Hughes ◽  
Gerard Leavey
Keyword(s):  
Risk Factors ◽  
Primary Care ◽  
Mental Illness ◽  
Care Setting ◽  
Primary Care Setting ◽  
Sport Activity ◽  
Health Benefit ◽  
Diagnosis And Treatment ◽  
Negative Side ◽  
Elite Level

SummaryWhereas physical sport activity is generally considered a health benefit, extreme exercise may be harmful. Of particular concern in this regard is the considerable variation between doctors in the primary care setting and those working within the sports setting around the diagnosis and treatment of athletes presenting with similar symptoms. Known risk factors for athletes are herein presented to raise awareness of the negative side of sport and to bring attention to the psychological outcomes and needs of athletes. The need for research into the incidence and aetiology of mental illness within elite level sport is also raised.

scholarly journals After the madhouses: the emotional politics of psychiatry and community care in the UK tabloid press 1980–1995

2021 ◽  
pp. medhum-2020-012117
Author(s):  
Leah Sidi
Keyword(s):  
Mental Illness ◽  
Mentally Ill ◽  
Community Care ◽  
Term Care ◽  
Hospital Patients ◽  
Emotional Politics ◽  
The Uk ◽  
Gendered Stereotypes ◽  
Tabloid Press

The deinstitutionalisation of mental hospital patients made its way into UK statutory law in 1990 in the form of the NHS and the Community Care Act. The Act ushered in the final stage of asylum closures moving the responsibility for the long-term care of mentally ill individuals out of the NHS and into the hands of local authorities. This article examines the reaction to the passing of the Act in two major tabloid presses, The Sun and The Daily Mirror, in order to reveal how community care changed the emotional terrain of tabloid storytelling on mental health. Reviewing an archive of 15 years of tabloid reporting on mental illness, I argue that the generation of ‘objects of feeling’ in the tabloid media is dependent on the availability of recognisable and stable symbols. Tabloid reporting of mental illness before 1990 reveals the dominance of the image of the asylum in popular understandings of mental illness. Here the asylum is used to generate objects of hatred and disgust for the reader, even as it performs a straightforward othering and distancing function. In these articles, the image of the asylum and its implicit separation of different types of madness into categories also do normative gender work as mental illness is represented along predictable gendered stereotypes. By performing the abolition of asylums, the 1990 Act appears to have triggered a dislodging of these narrative norms in the tabloid press. After 1990, ‘asylum stories’ are replaced with ‘community care stories’ which contain more contradictory and confusing clusters of feeling. These stories rest less heavily on gendered binaries while also demonstrating a near-frantic desire on the part of the mass media for a return of institutional containment. Here, clusters of feeling becoming briefly ‘unstuck’ from their previous organisations, creating a moment of affective flux.

scholarly journals Exploring primary care responses to domestic violence and abuse (DVA): operationalisation of a national initiative

2019 ◽  
Vol 21 (2) ◽  
pp. 144-154 ◽  
Author(s):  
Julie McGarry ◽  
Basharat Hussain ◽  
Kim Watts
Keyword(s):  
Primary Care ◽  
Domestic Violence ◽  
Care Setting ◽  
Primary Care Setting ◽  
Local Level ◽  
Team Approach ◽  
Content Type ◽  
The Uk ◽  
The Impact ◽  
Domestic Violence And Abuse

Purpose In the UK, the Identification and Referral to Improve Safety (IRIS) initiative has been developed for use within primary care to support women survivors of domestic violence and abuse (DVA). However, while evaluated nationally, less is known regarding impact of implementation at a local level. The purpose of this paper is to explore the effectiveness of IRIS within one locality in the UK. Design/methodology/approach A qualitative study using interviews/focus groups with primary care teams and women who had experienced DVA in one primary care setting in the UK. Interviews with 18 participants from five professional categories including: general practitioners, practice nurses, practice managers, assistant practice managers and practice receptionists. Focus group discussion/interview with seven women who had accessed IRIS. Data were collected between November 2016 and March 2017. Findings Five main themes were identified for professionals: Team role approach to training, Professional confidence, Clear pathway for referral and support, Focussed support, Somewhere to meet that is a “safe haven”. For women the following themes were identified: Longevity of DVA; Lifeline; Face to face talking to someone; Support and understood where I was coming from; A place of safety. Practical implications IRIS played a significant role in helping primary care professionals to respond effectively. For women IRIS was more proactive and holistic than traditional approaches. Originality/value This study was designed to assess the impact that a local level implementation of the national IRIS initiative had on both providers and users of the service simultaneously. The study identifies that a “whole team approach” in the primary care setting is critical to the effectiveness of DVA initiatives.

scholarly journals Letter from Australia: mental healthcare in Victoria

2011 ◽  
Vol 17 (1) ◽  
pp. 2-4 ◽  
Author(s):  
David J. Castle
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Substance Use ◽  
Intellectual Disability ◽  
Mentally Ill ◽  
Mental Healthcare ◽  
Psychiatric Hospitals ◽  
Mental Illnesses ◽  
Government Agencies ◽  
The Past

SummaryMental health services in the state of Victoria, Australia, have undergone enormous change over the past 15 years, with the closure of all stand-alone psychiatric hospitals and a shift of resources and services into the community. Although successful overall, various areas cause concern, including pressure on acute beds, a paucity of alternative residential options, and suboptimal integration of government and non-government agencies concerned with the care of people with mental illnesses. Certain groups, notably those with complex symptom sets such as substance use and mental illness, intellectual disability and forensic problems, remain poorly catered for by the system. Finally, community stigma and lack of work inclusion for mentally ill individuals are ongoing challenges.

PSYCHIATRIC MORBIDITY AMONG THE ELDERLY IN A PRIMARY CARE SETTING—REPORT FROM A SURVEY IN SÃO PAULO, BRAZIL

1997 ◽  
Vol 12 (7) ◽  
pp. 728-736 ◽  
Author(s):  
OSVALDO P. ALMEIDA ◽  
ORESTES V. FORLENZA ◽  
NEREIDA K. COSTA LIMA ◽  
VALÉRIA BIGLIANI ◽  
SILVIA M. ARCURI ◽  
...  
Keyword(s):  
Primary Care ◽  
Care Setting ◽  
Primary Care Setting ◽  
Psychiatric Morbidity ◽  
The Elderly ◽  
Sao Paulo ◽  
São Paulo
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