scholarly journals The Health Service Ombudsman

1994 ◽  
Vol 18 (11) ◽  
pp. 694-695
Author(s):  
R.A. Oswald

“We have no credibility”. That was the response of a woman with a mental illness who put a complaint to the Health Service Ombudsman. Unlike many – not just patients but also a significant number of NHS staff – she had heard that the Ombudsman could carry out a completely independent investigation of complaints although she was not clear about the extent of his jurisdiction. Some people feel intimidated when trying to take on what they see as a powerful and defensive NHS and others experience a sense of despair that because of their illness their concerns have no validity. Those providing care and treatment generally do the best they can to attain high professional standards but delivery does not always match expectations and the outcome can be a complaint. Services for the mentally ill are not immune from shortcomings and, if local management fails to satisfy the complainant, the Ombudsman can step in.

2020 ◽  
Author(s):  
Berhanu Yeshanew ◽  
Zegeye Yohannis ◽  
Shegaye Shumet ◽  
Dessie Abebaw ◽  
Asmare Belete

Abstract Background: Mental illness affects cognition, emotion, and behavior of an individual. It accounts for 13% of the global burden of diseases. About 76% and 85% of people in low and middle-income countries with severe mental illness did not receive treatment due to fear of expected discrimination and stigma to diagnosed people with mental illness. There are no published works on the attitude of the community in this study area. This study aimed to assess the attitude and its’ predictors towards mental illness among residents of Mertule Mariam town, Ethiopia 2017. Methods: Community-based cross-sectional study was conducted from May to June 2017. Data were collected from 964 participants using Community Attitude to Mental Illness Inventory (CAMI). Data were entered using epi-info version 7 and exported to SPSS version 20. Descriptive and binary logistic regression analyses were employed to identify the associated factors to attitude. Result: The response rate was 98.2% with the sex distribution of 58.5% (554) males. The attitudes of the community were more authoritarian (52.8%), less benevolent (52.3%), more socially restrictive (38.8%) and positive to mental health service (59.2%). Age [AOR=2.50, CI 1.56-4.23, P-value= 0.001], educational level, occupational status, getting information about mental illness, and knowing someone who has mental illness have been significantly associated to authoritarianism. Age (18-24) [AOR=3.08(1.5-6.3) p-value=0.002], educational status, occupational status and getting information about mental illness were the significant variables for benevolence subscale. Age, marital status, getting information about mental illness [AOR=0.02, CI 0.05-0.75, P-value <0.05], sources of information were significant variables for social restrictiveness subscale. Marital status, occupational status, history of mental illness, relationship with mentally ill, and involved in caring for mentally ill [1.85(1.28-2.65)**] were significantly associated factors for community mental health ideology. Conclusion and recommendation: The findings of this study showed that the attitude of residents of Mertule Mariam town was more authoritarian (undermining), less benevolent, less socially restrictive (less socially avoidant) and more positive for mental health service. The positive attitude of the participant was associated with getting information about mental illness. Using mass media and health institutions to disseminate information about mental health is essential to improve the attitude of the community.


1993 ◽  
Vol 17 (10) ◽  
pp. 582-585 ◽  
Author(s):  
Som D. Soni ◽  
Rafeek F. Mahmood ◽  
Anant Shah

Research into delivery of psychiatric care has shown that the chronic mentally ill (CMI) patients continue to pose major difficulties not only in terms of economic cost to patients, their families and the state but also in the ability of authorities to provide adequate facilities in the community. The latter is especially important now because of rapid discharge of patients into the community from long-stay wards of mental hospitals, often with little rehabilitative preparation and even less consideration of the effects of the environment into which they are relocated. Although follow-up in some cases has been of exceptionally high quality, a majority have filtered through the network into inadequate residence; this surely is unacceptable. The high prevalence of mental illness among the homeless and the difficulties of providing care for them by an inflexible health service have been highlighted by a recent report of the Royal College of Psychiatrists (Bhugra et al, 1991). This paper attempts to define the possible adverse consequences of the recent reorganisation of National Health Service (NHS) on the care of the chronic mentally ill.


1982 ◽  
Vol 10 (3) ◽  
pp. 363-371
Author(s):  
Mona Wasow

On June 10, 1982, a forum was presented in Milwaukee that dealt with the mental health commitment laws. There are terrible confusions among professionals today about what mental illness is, what competency means, what constitutes “dangerousness,” and how to apply civil rights in a truly meaningful way to those in desperate need of help. We are in need of some modifications of our mental health commitment laws, which are presently confounded with ideologies and ignorances about mental illness and “due process,” and often stand in the way of providing help for acutely mentally ill people. That these issues are complex is obvious, but if more energy were put into problem solving, and less into winning highly value-laden debates, we might come up with some solutions toward getting better care and treatment for the mentally ill.


1975 ◽  
Vol 127 (3) ◽  
pp. 276-285 ◽  
Author(s):  
David Hawks

SummaryThe implementation of a policy of ‘community care’ is seen to involve a number of assumptions, some of which are rarely examined. These can be roughly categorized as involving the nature of mental illness, the nature of community, the course and treatment of mental illness, the proper scope of psychiatry, the burden on the community and the efficacy of social work. Data bearing on these assumptions are reviewed, and the conclusion is offered that they are far from being uncontentious.It is suggested that the movement toward community care has many of the attributes of a moral enterprise which, unless substantiated by benefits to the patient or his family, may be the latest diversion of the psychiatric conscience from the care and treatment of the chronic mentally ill.


2021 ◽  
Vol 10 (1) ◽  
pp. 62-71
Author(s):  
S. Adhikari ◽  
A. Jha

Introduction: Mental health is an integral component of overall health. Various factors along with stigma affect knowledge, perspectives and behavior of the people ultimately affecting help seeking and treatment. The patient and their caregivers are directly involved in overall management and outcome. Hence ascertaining those aspects among them is important and so are aims of this study. Material And Method: A cross sectional comparative study was carried out among 160 participants (80 patients and 80 caregivers) visiting neuropsychiatry outpatient department of a tertiary care hospital. Data was collected through semi-structured proforma and Attitude towards mental illness questionnaire (modified). Data were analysed by using SPSS version 25 and Microsoft excel. Results: The socio-demographic profiles between both groups were similar. About 75% from both the groups had good knowledge about mental illness. Almost 60% from both groups had positive perception/attitude regarding mentally ill and mental illness with an only significant difference in relation to rights to mentally ill. More than 70% from both groups had positive attitude regarding help-seeking with only significant difference in view about people with mental illness seeking help from psychiatrist. About 50% from both groups had positive attitude regarding care and treatment. Conclusion: With good knowledge and positive attitude/perception regarding mental illness, self-stigma persisted regarding some domains. Despite positive attitudes for help-seeking, ambivalent views regarding care and treatment into both groups necessitate easy accessibility and upgrading of mental health services.


2019 ◽  
Vol 30 (2) ◽  
pp. 205-226 ◽  
Author(s):  
Malin Appelquist ◽  
Louise Brådvik ◽  
Ingemar Ottosson ◽  
Marie Åsberg

General hospital care and treatment of mentally ill patients in a Swedish town was studied in records for 503 patients, 1896–1905. Restraint was extremely rare; 65% left the hospital as healthy or improved. Non-psychotic and alcoholic patients spent fewer days in hospital than patients with psychosis or dementia. There was no evidence of a social status bias. For 36% of the patients a certificate for mental hospital care was issued, with additional information. The cause of illness was stated as unknown for 42% of these patients; adverse circumstances were recorded for 18%. Heredity for mental illness was found in 50% of the patients, particularly in those with mania. Patients with a higher social status were underrepresented.


2017 ◽  
Vol 8 (1) ◽  
pp. 33
Author(s):  
Rajni Suri ◽  
Anshu Suri ◽  
Neelam Kumari ◽  
Amool R. Singh ◽  
Manisha Kiran

The role of women is very crucial in our society. She cares for her parents, partner, children and other relatives. She performs all types of duties in family and also in the society without any expectations. Because of playing many roles, women often face many challenges in their life including both physical and mental. Mental health problems affect women and men equally, but some problems are more common among women including both physical and mental health problems. Aim of the study - The present study is aimed to describe and compare the clinical and socio-demographic correlates of female mentally ill patients. Methods and Materials: The study includes 180 female mentally ill patients based on cross sectional design and the sample for the study was drawn purposively. A semi structured socio-demographic data sheet was prepared to collect relevant information as per the need of the study. Result: The present study reveals that the socio-demographic factors contribute a vital role in mental illness. Findings also showed that majority of patients had mental problems in the age range of 20-30 have high rate. Illiterate and primary level of education and daily wage working women as well as low and middle socio-economic status women are more prone to have mental illness. Other factors like marital status, type of family and religion etc also important factors for mental illness. Keywords: Socio demographic profile, female, psychiatric patient


2017 ◽  
Author(s):  
Brett Gregory Mercier ◽  
Azim Shariff ◽  
Adam Norris

Objective: We test whether prejudice can influence lay attributions of mental illness to perpetrators of violence. Specifically, we examine whether people with negative attitudes towards Muslims perceive Muslim mass shooters as less mentally ill than non-Muslim shooters. Method: Study 1 compares attributions of mental illness to Muslim and non-Muslim perpetrators of recent mass shootings. Studies 2 and 3 experimentally test whether a mass shooter described in a news article is seen as less mentally ill when described as being a Muslim, compared to when described as a Christian (Study 2) and to when religion is not mentioned (Study 3). Study 4 tests whether a Muslim shooter is seen as less mentally ill than a Christian shooter, even when both shooters have symptoms of mental illness. Results: In all studies, Muslim shooters were seen as less mentally ill than non-Muslim shooters, but only by those with negative views towards Muslims. Conclusion: Those with anti-Muslim prejudices perceive Muslim mass shooters as less mentally ill, likely to maintain culpability and fit narratives about terrorism. This may reinforce anti-Muslim attitudes by leading those with anti-Muslim prejudice to overestimate the amount of violence inspired by groups like ISIS relative to extremist groups from other ideologies.


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