scholarly journals Readmissions of long-stay psychiatric patients to the acute services from hostels in the community

1993 ◽  
Vol 17 (9) ◽  
pp. 524-525 ◽  
Author(s):  
Rosie Shepperd
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Disorders ◽  
Psychiatric Patients ◽  
Psychiatric Services ◽  
Social Aspects ◽  
Community Mental Health Care ◽  
Alternative Vision ◽  
The Social ◽  
The 19Th Century

The asylum movement was developed in the 19th century to provide care and cure for people with mental disorders. In the 20th century the old vision of asylum was abandoned, but no new alternative vision of community mental health care has taken its place. A divide between acute psychiatric services and provision for the social aspects of care has been described by Murphy (1991).

Treatment of Mental Disorders in Psychiatric Services

1997 ◽  
Vol 12 (S2) ◽  
pp. 51s-55s
Author(s):  
D Widlöcher
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Disorders ◽  
Psychiatric Services ◽  
Phase Ii Studies ◽  
Care Policies ◽  
Health Care Policies ◽  
New Methodologies ◽  
Evaluation Policies ◽  
Economic Constraints

SummaryHealth care policies are subject to scientific and economic constraints. It is necessary to develop research and evaluation policies, particularly in mental health services. In the area of drug treatment, new methodologies in phase II studies, and a true research program of phase IV, are needed. Furthermore, evaluation of practices needs new scientific programs. This last point is also relevant for psychotherapies. Comparative studies about criteria of indications must be developed.

scholarly journals Continuing Care for Mentally Stable Psychiatric Patients in Primary Care: Patients' Preferences and Views

2012 ◽  
Vol 2012 ◽  
pp. 1-5 ◽  
Author(s):  
Vincent I. O. Agyapong
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Health Care ◽  
Mental Health Care ◽  
Psychiatric Care ◽  
Psychiatric Patients ◽  
Psychiatric Service ◽  
Health Centre ◽  
Psychiatric Services ◽  
Community Mental Health Centre

Objective. To investigate the preferences of psychiatric patients regarding attendance for their continuing mental health care once stable from a primary care setting as opposed to a specialized psychiatric service setting. Methods. 150 consecutive psychiatric patients attending outpatient review in a community mental health centre in Dublin were approached and asked to complete a semistructured questionnaire designed to assess the objectives of the study. Results. 145 patients completed the questionnaire giving a response rate of 97%. Ninety-eight patients (68%) preferred attending a specialized psychiatry service even when stabilised on their treatment. The common reason given by patients in this category was fear of substandard quality of psychiatric care from their general practitioners (GPs) (67 patients, 68.4%). Twenty-nine patients (20%) preferred to attend their GP for continuing mental health care. The reasons given by these patients included confidence in GPs, providing same level of care as psychiatrist for mental illness (18 patients or 62%), and the advantage of managing both mental and physical health by GPs (13 patients, 45%). Conclusion. Most patients who attend specialised psychiatric services preferred to continue attending specialized psychiatric services even if they become mentally stable than primary care, with most reasons revolving around fears of inadequate psychiatric care from GPs.

scholarly journals Why Do Patients with Mental Disorders Default Treatment? A Qualitative Enquiry in Rural Kwazulu-Natal, South Africa

Healthcare ◽  
2021 ◽  
Vol 9 (4) ◽  
pp. 461
Author(s):  
Kebogile Elizabeth Mokwena ◽  
Jabulile Ndlovu
Keyword(s):  
Mental Health ◽  
South Africa ◽  
Health Care ◽  
Rural Communities ◽  
Mental Disorders ◽  
Mental Health Care ◽  
Psychiatric Treatment ◽  
Psychiatric Patients ◽  
Treatment Default ◽  
Kwazulu Natal

Although treatment default by psychiatric patients or mental health care users is a global challenge, this behavior is reported to be higher in South Africa. The Manguzi District Hospital in rural Kwa-Zulu Natal Province, South Africa, experiences high rates of treatment default by psychiatric patients. The objective of this study was to determine the reasons for treatment defaulting at Manguzi Hospital, KwaZulu-Natal Province, South Africa. An explorative qualitative design, using in-depth interviews, was conducted with mental health care users who had defaulted out-patient psychiatric treatment. Twenty-one mental health care users were interviewed before data saturation was reached. Nvivo version 11 was used to analyze the qualitative data. Major themes that emerged confirmed that social factors are key contributions to treatment defaulting, and these include denial of the mental disorders; belief that they are cured; lack of, or disintegration of social support; preference for traditional medicine; and flaws in the health care system. Social determinants of treatment outcomes for mental disorders require tailor-made support systems for patients in these rural communities, which include increase in health literacy and attention to the cultural understanding of mental disorders.

Early psychosis initiative in Japan

2019 ◽  
pp. 109-116
Author(s):  
Masafumi Mizuno ◽  
Naomi Inoue ◽  
Takahiro Nemoto ◽  
Naohisa Tsujino ◽  
Naoyuki Katagiri ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Disorders ◽  
Mental Health Problems ◽  
Social Stigma ◽  
Psychiatric Services ◽  
Duration Of Untreated Psychosis ◽  
Community Based ◽  
Long Duration ◽  
The Social ◽  
Primary Care Specialty

Psychiatric services in Japan have been dominantly hospital-based, and the largest task for psychiatry in Japan today remains the deinstitutionalization of patients, rather than early intervention. Individuals with mental health problems and their families are often reluctant to seek help for various reasons, including a lack of knowledge regarding the features and treatability of mental disorders. These obstacles may explain the long duration of untreated psychosis (DUP) and the social stigma of mental disorders in Japan. The concept of an at-risk mental state (ARMS)/prodromal state might not yet be widely recognized among Japanese psychiatrists. Competency in treating and diagnosing mild and moderate disorders should be integrated into training for the primary care specialty, and building the community-based network for early detection is the key strategy in Japan.

scholarly journals Community Mental Health Care in Serbia: Development and Perspectives

10.17816/cp77 ◽  
2021 ◽  
Vol 2 (2) ◽  
pp. 81-85
Author(s):  
Dusica Lecic-Tosevski ◽  
Maja Milosavljevic
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Community Mental Health ◽  
Mental Disorders ◽  
Mental Health Care ◽  
Health Care Professionals ◽  
Health Centre ◽  
Psychiatric Hospitals ◽  
Primary Health Care System ◽  
Community Mental Health Care

Community mental health care was developed in Serbia in 1982 at the Belgrade Institute of mental health. Treatment was provided through the primary health care system, with each health centre having its own mental health care team. However, in the process of psychiatric reform and deinstitutionalization, dedicated community centres had to be established, in accordance with the National Strategy for the Development of Mental Health Care. The first community-based mental health centre opened in the southern area of Serbia in 2005 and subsequently, other centres were established. The centres are organized independently of psychiatric hospitals and are located in local, self-government units, providing psychosocial treatment and the continuation of mental health care. In relation to the ongoing reform of psychiatry in the country, there are positive and negative issues. There are 41.41 beds per 100,000 of the population in psychiatric hospitals and 18.33 beds per 100,000 of the population in the psychiatric departments of general hospitals. Day hospitals, established throughout the country, provide patients with good quality care. Mental health care professionals are educated to a high standard and integrative, person-centred treatment is applied in most services. However, the level of stigma directed towards those with mental illness is still high and constitutes a barrier to treatment. Well-developed screening and early detection programmes to identify persons requiring mental health care are lacking, as are the records of patients with mental disorders. The future goal is to further reduce the number of beds in psychiatric hospitals, establish new community mental health care services throughout the country and ensure the prevention of mental disorders, as well as mental health promotion.

Psychometric Properties of the German Version of the Scale to Assess the Therapeutic Relationship in Community Mental Health Care (D-STAR)

2012 ◽  
Vol 28 (4) ◽  
pp. 255-261 ◽  
Author(s):  
Sabine Loos ◽  
Reinhold Kilian ◽  
Thomas Becker ◽  
Birgit Janssen ◽  
Harald Freyberger ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Community Mental Health ◽  
Mental Health Care ◽  
Psychometric Properties ◽  
Therapeutic Relationship ◽  
Internal Consistency ◽  
Convergent Validity ◽  
Community Mental Health Care ◽  
German Version

Objective: There are presently no instruments available in German language to assess the therapeutic relationship in psychiatric care. This study validates the German version of the Scale to Assess the Therapeutic Relationship in Community Mental Health Care (D-STAR). Method: 460 persons with severe mental illness and 154 clinicians who had participated in a multicenter RCT testing a discharge planning intervention completed the D-STAR. Psychometric properties were established via item analysis, analyses of missing values, internal consistency, and confirmatory factor analysis. Furthermore, convergent validity was scrutinized via calculating correlations of the D-STAR scales with two measures of treatment satisfaction. Results: As in the original English version, fit indices of a 3-factor model of the therapeutic relationship were only moderate. However, the feasibility and internal consistency of the D-STAR was good, and correlations with other measures suggested reasonable convergent validity. Conclusions: The psychometric properties of the D-STAR are acceptable. Its use can be recommended in German-speaking countries to assess the therapeutic relationship in both routine care and research.

Telepsychiatry for the Rohingya refugees (Preprint)

2018 ◽  
Author(s):  
Tanjir Rashid Soron
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Service ◽  
Health Service ◽  
Mental Health Care ◽  
Social Networking Sites ◽  
Health Workers ◽  
Mobile Apps ◽  
The Social ◽  
Health Need

UNSTRUCTURED Though health and shelter are two basic human rights, millions of refugees around the world are deprived of these basic needs. Moreover, the mental health need is one of least priority issues for the refugees. Bangladesh a developing country in the Southeast Asia where the health system is fragile and the sudden influx of thousands of Rohingya put the system in a more critical situation. It is beyond the capacity of the country to provide the minimum mental health care using existing resource. However, the refuges need immediate and extensive mental health care as the trauma, torture and being uprooted from homeland makes them vulnerable for various mental. Telepsychiatry (using technology for mental health service) opened a new window to provide mental health service for them. Mobile phone opened several options to reach to the refugees, screen them with mobile apps, connect them with self-help apps and system, track their symptoms, provide distance intervention and train the frontline health workers about the primary psychological supports. The social networking sites give the opportunity to connect the refugees with experts, create peer support group and provide interventions. Bangladesh can explore and can use the telepsychiatry to provide mental health service to the rohingya people.

Religious advisors’ role in mental health care in the European Study of the Epidemiology of Mental Disorders survey

2009 ◽  
Vol 45 (10) ◽  
pp. 989-998 ◽  
Author(s):  
Viviane Kovess-Masfety ◽  
◽  
Anne Dezetter ◽  
Ron de Graaf ◽  
Joseph Maria Haro ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Disorders ◽  
Mental Health Care ◽  
European Study
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