Journal articles on the topic 'Mentally ill Victoria Interviews'
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1
Perera, Carlyle, and Beth Wilson. "The treatment and care of mentally ill offenders in Victoria, Australia." Psychiatry, Psychology and Law 3, no. 1 (April 1996): 47–61. http://dx.doi.org/10.1080/13218719609524874.
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Ali, Shagufta Hamid, Altaf Ghanni Bhatti, and Abid Ghafoor Chaudhry. "Cultural Perception Regarding Mental Illness: A Case Study of Domestic Carers in Jalalpur Pirwala, District Multan." Global Social Sciences Review VI, no. III (September 29, 2021): 159–67. http://dx.doi.org/10.31703/gssr.2021(vi-iii).17.
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Culture guides the individuals to live their lives according to the beliefs set by the people of that culture. In order to know about the cause of any illness, the combination of knowledge and culture is considered to be a powerful tool. The study aimed to see the cultural perceptions about mental illness in Jalalpur Pirwala. This study focused on the carers of mentally ill persons by observing their perceptions regarding the mentally ill person of their families. The subject of the research was 18-60 years old mentally ill persons. Data collection methods included observation, unstructured interviews with practitioners (spiritual healers/bhoopa), and in-depth interviews were conducted with caretakers of mentally ill persons, selected through snowball sampling. Findings showed that cultural beliefs regarding mental illness are related to supernatural or divine phenomena in which causes of mental illness are Allah’s will or punishment, witching, black magic, evil eye, curse or women’s fault.
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Castle, David J. "Letter from Australia: mental healthcare in Victoria." Advances in Psychiatric Treatment 17, no. 1 (January 2011): 2–4. http://dx.doi.org/10.1192/apt.bp.110.008375.
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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.
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Becker, T., S. Kilian, R. Kilian, C. Lahmeyer, and S. Krumm. "Family Needs, Children and Parenthood in People with Mental Illness." European Psychiatry 24, S1 (January 2009): 1. http://dx.doi.org/10.1016/s0924-9338(09)70281-0.
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Objective:Given that parental mental diseases affect the whole family system, a family centered support and help system seems appropriate for families with a mentally ill mother/father. However, the majority of mental health services do not integrate interventions for the family system into psychiatric treatment programs.Aims:To introduce a counselling and support service for families with a mentally ill parent (FIPS) that has been established at a psychiatric hospital serving a large catchments area. Preliminary results of a qualitative study that focused on the clients’ family background as well as on their reasons for utilising the service and service satisfaction will be presented.Methods:Factors that impact the family system are considered and brought to a concept for counselling and support service for families with a mentally ill parent. Problem-focused interviews with 14 clients (mentally ill parents and relatives) of the counselling service for families were subjected to content analysis.Results:Most clients came to the counselling centre because of worries that the parent's mental illness might negatively affect children's well-being. Mentally ill mothers described their daily lives as utterly burdensome and also reported strong feelings of guilt towards their children. The concept of FIPS includes psychoeducation, social therapy, case management and family therapy. Clients assessed the counselling service as helpful and reported some significant changes.
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Redubla, RPm, Cristina Marie, and Ginbert Permejo Cuaton. "A PHENOMENOLOGICAL STUDY ON THE EXPERIENCES OF CARERS OF THE MENTALLY ILL ON A MENTAL HEALTH FACILITY IN THE PHILIPPINES." International Journal of Research -GRANTHAALAYAH 7, no. 3 (March 31, 2019): 38–47. http://dx.doi.org/10.29121/granthaalayah.v7.i3.2019.941.
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In the Philippines, mental illness remains a stigmatized, under-researched topic. Few studies on mental health are available, and at present, there is scant literature concerning the experiences of people living with and giving care to mentally ill peoples. This qualitative study aims to help families, mental health professionals, and the general community, gain an understanding of the experiences of caregivers and the challenges they face in sustaining their roles. Phenomenological method was employed for this research to explore the experiences of caregivers of the mentally ill patients in a Mental Health Facility in Leyte, Philippines. The primary data were collected through in-depth interviews with carers/caregivers/relatives of five (5) mentally ill persons. Library and internet desk research in its related literature were also employed. General findings of the study showed that caring for a mentally ill is burdensome. Data analysis revealed four superordinate themes under the experiences of caregivers, these consists of 1) caregiving difficulties, 2) various emotional reactions, 3) attitude towards the situation, and 4) positive caregiving experiences. Several support programs and services such as provision of mental health education and counseling regarding facts about the illness, its treatment and management, and leniency on watcher requirements during hospital admission are recommended to facilitate better caregiving experience of carers of the mentally ill.
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Dam, Kristianna, and Elisabeth OC Hall. "Childhood experiences pursue adulthood for better and worse: a qualitative study of adults' experiences after growing up with a severely mentally ill parent in a small-scale society." Journal of Research in Nursing 25, no. 6-7 (September 2020): 579–91. http://dx.doi.org/10.1177/1744987120942272.
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Background Growing up with a severely mentally ill parent can impact on subsequent adult life, and it can be extra challenging in a society with a small population, known as a small-scale society. Life in a small-scale society is characterised by multiple close relationships, lack of anonymity and a conservative attitude towards normal behaviour. Aims To look at the impact of growing up with a mentally ill parent on adult life in a small-scale society. Methods Data from semistructured interviews with 11 adult children of severely mentally ill parents were reanalysed and subjected to secondary analysis. Results The additional analysis resulted in four central themes: ‘becoming open and courageous’, ‘seeking and giving help’, ‘feeling uncertain and different’ and ‘being resilient and sensitive’. These were conflated into an overarching theme: ‘childhood experiences track into adulthood for better and worse’. The themes elucidate a diverse big picture and encompass positive and challenging features of adult life in a small-scale society. Conclusions The study ends with recommendations for the early establishment of collaboration and family-focused interventions with mentally ill parents and their children.
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Balajadia, Kathleen Jose G., Christine C. Carlos, Dawnald Russel L. De la Cruz, and Angel Grace F. Bingcang. "Nursing Students’ Stigma on Mental Hospital Exposure: A Phenomenological Study." Abstract Proceedings International Scholars Conference 6, no. 1 (October 29, 2018): 115. http://dx.doi.org/10.35974/isc.v6i1.1421.
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Exposure to mentally ill clients is challenging because of the fear attached to it. Oftentimes, the mentally ill are viewed as dangerous, unpredictable, and bizarre, which brings fear to other individuals, including health professionals. Professional care providers suffer from common fears and apprehension upon contact with the patient. Professional stigma, which refers to the nursing students’ fears towards exposure to mentally ill patients, was explored in this study. The study utilized a phenomenological research design. Semi-structured interviews were conducted among ten nursing students from a university in Cavite and triangulation of the data using interviews with clinical instructors and blockmates was employed. Thematic analysis was done using Colaizzi’s approach. Findings showed that mental illness was considered as a poor coping mechanism that results in mental dysfunction, disturbance of a normal pattern of thinking, and a point of struggle to adjust to the society for acceptance. Themes that emerged regarding fear before mental health exposure were fear of physical harm or violence, transference, and inadequacy in delivery of care. However, after exposure, the fears were observed to be minimal. Based on the findings of the study, it was recommended that schools of nursing which expose their students in the psychiatric ward must include briefing and debriefing of students. Clinical instructors should orient nursing students prior to exposure to the mental ward to desensitize them. In addition, emphasis on the importance of increasing awareness on how stigma affects society and the mentally ill must be given importance in order to provide efficient nursing care.
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Sibiya, Maureen Nokuthula, Vasanthrie Naidoo, and Avela Mjajubana. "Experiences of Family Members of Persons With Mental Illness: A Qualitative Inquiry." Global Journal of Health Science 11, no. 9 (July 10, 2019): 78. http://dx.doi.org/10.5539/gjhs.v11n9p78.
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The shortage of skilled and experienced health workers, lack of facilities, limited psychiatric care and inaccessible mental health care services in the uMsunduzi Municipality in Northern KwaZulu-Natal are causes of concern. With limited access to health services and resources, family members have no choice, but to take care of mentally ill relatives. These underlying problems have warranted the need to explore the experiences of family members living with mentally ill relatives. A qualitative, exploratory, descriptive design was used to collect data by in-depth one-on-one interviews and findings were analyzed using Tesch’s method of data analysis. This study showed that the uMsunduzi Municipality needed assistance with resources to support family members living with their mentally ill relatives and family members’ lack of knowledge and experience emerged as a major factor that influenced the care, treatment and rehabilitation of their mentally ill relatives. Compounded by inadequate mental health facilities and infrastructure as well as the implications of the non-implementation of the acts, policies, processes and procedures in the uMsunduzi Municipality; this study recommends the need to enhance community education of all health professionals, providing relevant training in mental illness management. A shared decision-making process is vital, so that a collaborative partnership between family members and health professionals across KZN is established. This will in turn enhance the lived experiences of family members and mentally ill patients.
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Chorna, V. V., V. M. Makhniuk, S. S. Khliestova, and N. I. Gumeniuk. "Assessment of the quality of medical services to relatives of the mentally ill who are in inpatient treatment." Biomedical and Biosocial Anthropology, no. 38 (September 30, 2020): 5–11. http://dx.doi.org/10.31393/bba38-2020-01.
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The mental state of the mentally ill is one of the most important factors in the treatment of the patient by a medical professional. But aggression, high-pitched communication, indifference of a doctor or health care worker can negatively affect the outcome of treatment and recovery of a patient with mental and behavioral disorders. The problem of modern medical deontology in Ukraine is the stigmatization of health workers to patients with mental disorders, which lead to self-stigmatization of both patients and their families. The purpose of the study is to enable the relatives of mentally ill people undergoing long-term inpatient treatment, to determine the quality of medical services in a psychoneurological hospital, to identify ethical and deontological shortcomings in the doctor’s relationship with relatives of mentally ill person, to determine the level of self-stigmatization in relatives of the patient by medical staff. The analysis of domestic and foreign scientific sources, bibliosemantic, analytical and statistical research methods were used in the work. A questionnaire was conducted (using a specially designed questionnaire) with elements of interviews of 92 respondents (relatives of mentally ill patients who were treated at a psychoneurological hospital in Vinnytsia). The results were processed using the licensed standardized package "Statistica 6.1". The need to comply with state building codes for health care facilities in accordance with European requirements has been proven. This will eliminate the feeling of hopelessness during hospitalization in public psychoneurological hospitals, which are a great trauma for relatives of patients. It has been shown that in order to prevent stigmatization of relatives of patients in psychoneurological hospitals, it is necessary to conduct trainings and interviews after training, which will determine the degree of stigmatization and subsequent preventive measures. It is shown that for relatives of mentally ill on the basis of psychoneurological hospitals it is necessary to equip rooms for psychodiagnostics and further psychocorrection. Development of affordable correctional programs for relatives of patients will reduce maladaptation and improve life satisfaction.
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Elmquist, L., M. Henriksen, and J. Nordgaard. "Why do mentally ill, homeless people use substances?" European Psychiatry 64, S1 (April 2021): S235. http://dx.doi.org/10.1192/j.eurpsy.2021.628.
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IntroductionIn the Danish social welfare system, few people are homeless solely for economic reasons. In fact, 38% of homeless people suffer from both substance use and a psychiatric disorder, making diagnostic assessment and treatment difficult. This patient group, with dual diagnoses, often fail to receive effective treatment, and the consequences are far reaching and detrimental. A more comprehensive grasp of the history and patterns of substance use in these patients may contribute to improve their treatment.ObjectivesTo identify the role and patterns of substance use in mentally ill, homeless people.Methods50 homeless, mentally ill patients are examined in comprehensive interviews, exploring the relationship between substance use, homelessness, and suffering from a mental disorder. The data are analyzed quantitatively as well as qualitatively using thematic analysis.ResultsPreliminary results indicate that substance use in mentally ill homeless patients is a complex phenomenon. On the one hand, substance use seems to contribute to keep the patient homeless and makes it difficult for the patient to get the necessary psychiatric help. On the other hand, substance use also appear to play an important part in coping with life on the streets by offering some kind of social contact and some relief from a desperate situation.ConclusionsIt seems that the triad of substance use, mental illness, and homelessness somehow reinforce each other and simultaneously locks the situation. New approaches for disentangling this locked situation and avoiding this ‘Bermuda triangle’ is needed.
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Perehinets, Ihor, Edward Mamary, and Valerie Rose. "Conducting HIV Prevention Programs for the Severely Mentally Ill." Californian Journal of Health Promotion 4, no. 2 (June 1, 2006): 76–80. http://dx.doi.org/10.32398/cjhp.v4i2.1935.
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Recent studies have shown that the severely mentally ill (SMI) are at higher risk for HIV infection than the general population. At the same time, the number of HIV prevention programs available for this priority population is extremely low. The purpose of this study was to identify the extent to which community-based organizations conduct HIV prevention for severely mentally ill people. Telephone interviews with HIV prevention program managers in San Francisco were conducted over two weeks in 2003. Of the 21 agencies funded by the San Francisco Department of Public Health, only three agencies included severely mentally ill people as a priority population for their prevention efforts. However, 16 agencies reported that they provided prevention services to the SMI, even though they were not considered a priority risk population. Three providers reported no SMI among the population they served. Additional studies are also needed to examine the capacity building elements that are necessary for HIV prevention program providers to plan, design, and implement prevention programs tailored for SMI individuals.
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Dharwadkar, Nitin. "Effectiveness of an Assertive Outreach Community Treatment Program." Australian & New Zealand Journal of Psychiatry 28, no. 2 (June 1994): 244–49. http://dx.doi.org/10.1080/00048679409075635.
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The purpose of this paper is to describe an Adult Community Treatment (ACT) program in Dandenong, Victoria, and its effect upon admission rates and time in hospital for 50 of the serviceapos;s most disturbed patients. The implementation of the program was associated with a reduction in the annual re-admission rate from 38% (1989–90) to 21% (1990–91); the total length of hospital stay was also significantly reduced. The results support the value of community support programs in the management of the seriously mentally ill.
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Jun, Won Hee, Eun Ju Cho, and Eun Joung Choi. "Self-Care Experiences of Family Members of Mentally Ill Patients." Journal of Korean Academy of psychiatric and Mental Health Nursing 31, no. 4 (December 31, 2022): 458–68. http://dx.doi.org/10.12934/jkpmhn.2022.31.4.458.
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Purpose: The purpose of this study is to find out the meaning of self-care experiences of family members of mentally ill patients and describe its essential structure.Methods: The Giorgi's phenomenological research methodology was used. Six families participated in this study. In-depth individual interviews were used to collect data from October to December in 2021.Results: Five clusters of themes were identified. They were “Selfless life”, “Life on shaky grounds”, “Attempts to escape from the suffering”, “Moving forward on self-care path”, and “Happiness blooming in being together”.Conclusion: The findings suggest that mental health care professionals should provide educational programs to enable families of patients with mental illness to recognize the necessity for self-care and discover ways to take care of themselves. In addition, it is necessary to develop policies to expand patient management services at mental health welfare centers so that families of patients with mental illness can secure time for self-care.
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Agenagnew, Liyew, and Chalachew kassaw. "The Lifetime Prevalence and Factors Associated with Relapse Among Mentally Ill Patients at Jimma University Medical Center, Ethiopia: Cross Sectional Study." Journal of Psychosocial Rehabilitation and Mental Health 7, no. 3 (July 20, 2020): 211–20. http://dx.doi.org/10.1007/s40737-020-00176-7.
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AbstractRelapse is a condition of getting back to illness after the recovery from illness. It results in stigma, high cost of treatments, and a decline in functionality both for patients and their families. It is common in mentally ill patients therefore this study attempted to assess lifetime prevalence and factors associated with relapse in a patient with mental illness. Institutional based cross-sectional study design was employed and simple random sampling techniques were used to select 178 study participants. Data were collected through face to face interviews by using a single item question to measure relapse. Data were entered by using Epi-data 3.1 software and exported to the statistical package for social science 22.0 software for analysis. Bivariate logistic regression analysis was conducted to see the association between dependent and independent variables and to identify significant variables associated with the outcome variable at P < 0.05 multivariable logistic regression analysis was done. One hundred seventy-eight mentally ill patients have participated in the study that yields a response rate of 100%. From all 125 (70.2%) of them had relapsed. Non adherance (AOR = 6.35, 95% CI, 2.524–15.852, P < 0.001), high disablity score (AOR = 3.728, 95% CI, 1.434–9.687, P = 0.007) and having single admission history (AOR = 0.196, 95% CI, 0.050–0.761 P = 0.019) were factors which indepedently associated with relapse of mentally ill patients. This study found more than two-thirds of patients had relapsed. Adherence to medication, functional disability, and having single admission were variables that predict the relapse of mentally ill patients.
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Misnawati Misnawati, Petrus Poerwadi, Apritha Apritha, Anwarsani Anwarsani, and Siti Rahmawati. "Kajian Semiotik Pertunjukan Dalam Performa Drama “Balada Sakit Jiwa”." PROSIDING SEMINAR NASIONAL PENDIDIKAN, BAHASA, SASTRA, SENI, DAN BUDAYA 1, no. 1 (May 22, 2022): 110–24. http://dx.doi.org/10.55606/mateandrau.v1i1.148.
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Performance Semiotics in Dramatic Performance is a study of the semiotics of theater or stage performances related to the theory of signs and sign systems in the performing arts called theater. Theater semiotics tries to understand the components of theater and establishes the assumption that everything within the framework of theater is a sign or sign. Theatrical performances are essentially a series of sign systems.
This study aims to: (1) reveal the process of creating and presenting the performance art of the Mental Ill Ballad Drama, (2) reveal signs related to the activities of the Mentally Ill Ballad Drama performance actors, (3) reveal signs related to the appearance of the Mentally Ill Ballad Drama performance actors Jiwa, (4) reveals signs related to the spatial aspect or place of the performance of the Mentally Ill Ballad and (5) reveals signs related to the non-verbal acoustic aspects of the Mentally Ill Ballad's performance.
This research was carried out at the Campus of the Indonesian Language and Literature Education Study Program, Department of Language and Arts Education, FKIP, Palangka Raya University, Central Kalimantan Province. The object of research is students who practice theater and perform theater. This study involved (1) lecturers who taught the Drama/Theatre Performance course, (2) drama/theatre arts workers, and (3) students who practiced and performed plays/theatre. Data collection techniques in this field research are observation, recording, recording, and interviews. The collected data will be analyzed using the theory of Performance Semiotics.
The performance semiotics contained in the performance of the drama Balada Illness, are: (1) signs related to the process of creating and presenting performing arts, (2) signs related to actor activities, (3) signs related to actor appearances, (4) signs related to spatial aspects, and (5) signs related to non-verbal acoustics.
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Randolph, Mary E., Steven D. Pinkerton, Anton M. Somlai, Jeffrey A. Kelly, Timothy L. McAuliffe, Richard H. Gibson, and Kristin Hackl. "Seriously Mentally Ill Women’s Safer Sex Behaviors and the Theory of Reasoned Action." Health Education & Behavior 36, no. 5 (May 20, 2009): 948–58. http://dx.doi.org/10.1177/1090198108324597.
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Seriously mentally ill women at risk for HIV infection ( n = 96) participated in structured interviews assessing sexual and substance-use behavior over a 3-month period. The majority of the women (63.5%) did not use condoms. Consistent with the theory of reasoned action, attitudes toward condom use and perceived social norms about safer sex were associated with safer sex intentions. Supplementing variables from the theory of reasoned action with safer sex self-efficacy explained additional variance in safer sex intentions. Greater safer sex intentions were related to both greater condom use and less frequent unprotected intercourse. In addition, less frequent sex after drug use and a less fatalistic outlook were associated with less frequent unprotected intercourse. Life circumstances specific to this population are particularly important to examine to improve the effectiveness of risk reduction interventions for seriously mentally ill women.
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Akhtar, Razia, and Anna Madill. "Being a South Asian Muslim woman and mentally ill in the UK." QMiP Bulletin 1, no. 4 (October 2007): 25–29. http://dx.doi.org/10.53841/bpsqmip.2007.1.4.25.
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Razia Akhtar graduated with a first-class degree in psychology from the University of Leeds this summer. I was lucky enough to supervise her project which was a grounded theory analysis of interviews Razia conducted with South Asian Muslim women who attended a day centre at which she volunteered. I asked Razia to write a summary of her project for the newsletter as her research was of such a high standard and provides a unique insight into an important issue. If you are a new graduate who conducted a qualitative project, or a supervisor who has been impressed by qualitative research conducted by an undergraduate student, we would be interested to see a similar summary of the work.
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Moore, E., R. A. Ball, and L. Kuipers. "Expressed Emotion in Staff Working with the Long-Term Adult Mentally Ill." British Journal of Psychiatry 161, no. 6 (December 1992): 802–8. http://dx.doi.org/10.1192/bjp.161.6.802.
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Staff-patient relationships in long-term settings were examined in 35 staff and 61 patients. Measures were also taken of the staff's general health, their coping style in relation to work events, and job satisfaction. A range of ratings of EE was evident in staff descriptions of patients under their care. Strain and criticism in the relationship were not associated with identified stressors in the workplace, or the general health of the carer. When patients were grouped according to high-EE and low-EE interviews, there were no significant differences in their symptoms. Criticism was associated with other patient characteristics, including aggressive and attention-seeking behaviour, underactivity, and limited social interaction. The findings have implications for staff training and for the maintenance of optimal staff-patient relationships in services supporting severely disabled patients.
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Middelboe, Thomas. "Prospective study of clinical and social outcome of stay in small group homes for people with mental illness." British Journal of Psychiatry 171, no. 3 (September 1997): 251–55. http://dx.doi.org/10.1192/bjp.171.3.251.
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BackgroundSmall group homes operating according to the principles of supported housing have, during the past five years, become a cornerstone of the housing services for the long-term mentally ill in Copenhagen.MethodDuring a 2.5-year period, 47 long-term mentally ill persons were examined at the time of entry to a group home programme. Residents' psychopathology, social integration, mastery and quality of life were measured by structured interviews, including the Present State Examination (PSE–10); and their social functioning was recorded by interview with the staff. Forty-four of the residents were re-examined at follow-up after a mean of 1.1 years using the same instruments. Data on hospitalisation were obtained through the Danish Psychiatric Case Register.ResultsEighty-three per cent of the residents remained in the programme during the first year. They showed a significant improvement in subjective quality of life, PSE total score, social integration, functioning and hospitalisation index. The number of reciprocal supportive contacts in the social network increased. Lower baseline PSE total score was associated with adherence to the programme, and the improvement in quality of life during their stay was predicted by reduction in symptoms and improvement in social integration.ConclusionsA rehabilitation strategy of supplementing standard psychiatric treatment with a programme of small supportive group homes improves the quality of life, psychosocial functioning and community tenure of the long-term mentally ill.
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Faruqui, R. "Mental illness and moral panic: a qualitative study of perceptions of a lnk between violent crime and mental illness." European Psychiatry 26, S2 (March 2011): 529. http://dx.doi.org/10.1016/s0924-9338(11)72236-2.
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IntroductionThe crime committed by mentally ill offenders has continued to attract higher degrees of media interest and concerns over public safety.ObjectivesTo explore study participants’ views over public perceptions of mental illness, and psychiatric illness and violent crime link.AimsTo study public percetions of mental illness.MethodsThe study was coducted using a qualitative research design, using audi-taped, semi-structured interviews of 8 University students and healthcare professionals. Qualitative research themes and categories were obtained through qualitative data analysis of interview transcripts.ResultsQualitative categories were obtained using open, axial, and selective coding of transcribed data. The analysis identified a public fear of mental illness displaying in rejection of mentally ill and through expressive communication using stigmatizing language. The study identified that the public sources of knowledge about mental illness are derived from family and peer contact and also through media exposure rather than formal learning opportunities in schools.The study highlights the need for a public policy debate on harmful effects of social stigma of mental illness and further need for ongoing attempts to educate general public and policy makers. Three major categories emerged through this process are:.1.Negative media portrayal of mental illness2.Sufferer stigma and caraer burden3.Mental illness and Moral PanicThe study identified that an atmosphere of moral panic exists against mental illness and that this moral panic is reflected in media coverage of crime by mentally ill offenders.ConclusionsStudy confirms negative public perceptions and stigma of mental illness.
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Davis, William B. "Music Therapy in Victorian England." Journal of British Music Therapy 2, no. 1 (June 1988): 10–16. http://dx.doi.org/10.1177/135945758800200103.
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The purpose of this article was to trace the growth and development of the Guild of St. Cecilia. This late nineteenth century organisation was founded by Frederick Kill Harford in London to provide music therapy to hospitalised patients. All information was derived from letters written by Harford and editorials that appeared in British medical and music periodicals. Initially, the Guild enjoyed great success and was endorsed by important people such as Florence Nightingale and Sir Richard Quain, physician to Queen Victoria. The Rev. Harford was astute in his observations that the effects of music must be tested to find the most beneficial ways for it to be used as therapy. He envisaged an association that would provide live and transmitted music via telephone to London's hospitals. Ultimately, due to the lack of support from the press, limited financial resources and Harford's ill health the organisation failed to prosper. Despite this, the Guild of St. Cecilia remains important because it kept alive the idea that music could be used therapeutically to benefit physically and mentally ill people.
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Stephens, B. Joyce. "Suicidal Women and Their Relationships with Their Parents." OMEGA - Journal of Death and Dying 16, no. 4 (June 1986): 289–300. http://dx.doi.org/10.2190/u0b4-pg9n-299a-wq21.
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This study examines the families-of-origin of suicidal females, with particular focus on their parents. The data are drawn from fifty female suicide attempters and include life history materials, diaries and letters, interviews with therapists, and material from group counseling sessions. Five parental characteristics are identified and described-non-nurturing parents, absent parents, abusive parents, mentally ill parents, and alcoholic parents. These characteristics are described and examples presented. Their relationship to the individuals' suicidal behaviors is discussed.
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de GIROLAMO, GIOVANNI, ANGELO PICARDI, GIOVANNI SANTONE, IAN FALLOON, PIERLUIGI MOROSINI, ANGELO FIORITTI, and ROCCO MICCIOLO. "The severely mentally ill in residential facilities: a national survey in Italy." Psychological Medicine 35, no. 3 (October 5, 2004): 421–31. http://dx.doi.org/10.1017/s0033291704003502.
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Objective. In Italy, Residential Facilities (RFs) have completely replaced Mental Hospitals (MHs) for the residential care of mentally ill patients. We studied all patients resident in 265 randomly sampled Italian RFs (20% of the total).Method. Structured interviews focusing on each patient were conducted by trained research assistants with the manager and staff of each RF. Patients were rated with the HoNOS and the GAF, and comprehensive information about their sociodemographic and clinical status and care history were gathered.Results. Of the 2962 patients living in the sampled facilities, most were males (63·2%) who had never married, more than 70% were over 40 years; 85% on a pension, most commonly because of psychiatric disability. A substantial proportion (39·8%) had never worked and very few were currently employed (2·5%); 45% of the sample was totally inactive, not even assisting with domestic activities in the facility. Two-thirds had a diagnosis of schizophrenia; co-morbid or primary substance abuse were uncommon. Twenty-one per cent had a history of severe interpersonal violence, but violent episodes in the RFs were infrequent. The managers judged almost three-quarters appropriately placed in their facilities and considered that very few had short-term prospects of discharge.Conclusions. Italian RFs cater for a large patient population of severely mentally ill requiring residential care. Discharge to independent accommodation is uncommon. Future studies should attempt to clarify how to match residential programmes with patients' disabilities.
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Kaba, Evridiki, Aikaterini Triantafyllou, Georgia Fasoi, Martha Kelesi, and Areti Stavropoulou. "Investigating Nurses’ Views on Care of Mentally Ill Patients with Skin Injuries." International Journal of Environmental Research and Public Health 17, no. 20 (October 19, 2020): 7610. http://dx.doi.org/10.3390/ijerph17207610.
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Background: Individuals with mental illness are at increased risk of skin injuries. The role of nurses in skin injury prevention and management is crucial and therefore their views on wound care may provide useful information for improving the quality of the care provided. Aim: To investigate nurses’ views on care of mentally ill patients with skin injuries. Method: A qualitative research design based on the principles of grounded theory approach was followed. Unstructured interviews were conducted with seven nurses working in psychiatric wards with frequent skin injuries. Data were analyzed using the constant comparative method of analysis. Results: Two main themes were emerged from data analysis. The first main theme, namely factors affecting the care of patients with skin injuries, included seven categories: (a) shortage of hospital supplies, equipment and services (b) staff shortages, (c) lack of knowledge, (d) nurses’ resistance to change, (e) difficulty in collaborating with patients, (f) patients’ physical conditions and (g) nurses’ attitudes as an obstacle to care. The second main theme, namely nurses’ suggestions for optimizing care, included five categories: (a) need for additional staff, (b) need for increasing hospital supplies and equipment availability, (c) need for training (d) need of changing nurses’ attitudes towards care and (e) need of changing the patients’ approach to collaboration. Conclusion: The care of mentally ill patients with skin injuries is affected by multidimensional factors that have a direct impact on the quality of nurses’ work and patients’ hospitalization. Specific efforts are needed to overcome the obstacles that hinder the care provided and to improve clinical practice.
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Mabunda, Nkhensani F., Mutshinyalo L. Mangena-Netshikweta, Rachel T. Lebese, and Foluke C. Olaniyi. "Family Perspectives Related to Caring for Mental Health Care Users: A Case Study in the Long-Term Mental Health Institutions of Limpopo Province, South Africa." International Journal of Environmental Research and Public Health 19, no. 17 (August 24, 2022): 10511. http://dx.doi.org/10.3390/ijerph191710511.
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Family involvement in long-term mental health care is a significant therapeutic aspect in managing mentally ill patients. This study aimed to determine the perspectives of family members about caring for mental health care users at selected long-term mental health institutions in Limpopo Province. A qualitative explorative and contextual descriptive design was used. Purposive sampling was used to select family members with mental health care users admitted in long-term health institutions in Limpopo Province. Data were collected with in-depth individual interviews aided by an audio recorder and field notes. Data were qualitatively analysed. Trustworthiness and ethical considerations were ensured. Two themes yielded from the interviews: Perspectives of family members about their involvement in the care of mental health care users and difficulties in caring for mental health care users at home when granted leave of absence or discharged. Sub-themes: Caring for mental health care users leads to an understanding of mental illness; Lack of skill and inability to monitor mental health care users at home; Mental health care users abuse substances during leave of absence which makes family reluctant to request them for visit; Caring for mental health care users at home viewed as a difficult task and stigma from the community. The challenges experienced by family members contribute to poor interaction with mentally ill patients. We recommend that family members of mental health care users be educated about mental illnesses and encouraged to participate in the care of the patients.
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Paananen, Jenny, Camilla Lindholm, Melisa Stevanovic, and Elina Weiste. "Tensions and Paradoxes of Stigma: Discussing Stigma in Mental Health Rehabilitation." International Journal of Environmental Research and Public Health 17, no. 16 (August 16, 2020): 5943. http://dx.doi.org/10.3390/ijerph17165943.
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Mental illness remains as one of the most stigmatizing conditions in contemporary western societies. This study sheds light on how mental health professionals and rehabilitants perceive stigmatization. The qualitative study is based on stimulated focus group interviews conducted in five Finnish mental health rehabilitation centers that follow the Clubhouse model. The findings were analyzed through inductive content analysis. Both the mental health rehabilitants and the professionals perceived stigmatization as a phenomenon that concerns the majority of rehabilitants. However, whereas the professionals viewed stigma as something that is inflicted upon the mentally ill from the outside, the rehabilitants perceived stigma as something that the mentally ill themselves can influence by advancing their own confidence, shame management, and recovery. Improvements in treatment, along with media coverage, were seen as the factors that reduce stigmatization, but the same conceptualization did not hold for serious mental illnesses. As the average Clubhouse client was thought to be a person with serious mental illness, the rehabilitation context designed to normalize attitudes toward mental health problems was paradoxically perceived to enforce the concept of inevitable stigma. Therefore, it is important for professionals in rehabilitation communities to be reflexively aware of these tensions when supporting the rehabilitants.
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John Zagar, Robert, Agata Karolina Zagar, Kenneth G. Busch, James Garbarino, Terry Ferrari, John Russell Hughes, Gordon Patzer, et al. "Finding High Risk Persons with Internet Tests to Manage Risk—A Literature Review with Policy Implications to Avoid Violent Tragedies, Save Lives and Money." Review of European Studies 8, no. 1 (February 24, 2016): 212. http://dx.doi.org/10.5539/res.v8n1p212.
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<p>The goal is to share policy implications of sensitive, specific internet-based tests in place of current approaches to lowering violence, namely fewer mass murders, suicides, homicides. When used, internet-based tests save lives and money. From 2009-2015, a Chicago field test had 324 fewer homicides (saving $2,089,848,548, <em>ROI</em>=6.42). In 60 yrs., conventional approaches for high risk persons (e.g.,. inappropriately releasing poor, severely mentally ill) led to unnecessary expense including yearly: (a) 300 mass murders (59% demonstrating psychiatric conditions); (b) 1-6% having costly personnel challenges; (c) 2,100,000 “revolving door” Emergency-Room (ER) psychiatric admissions (41,149 suicides, 90% mentally ill); (d) 10,000,000 prisoners (14,146 homicides, 20% psychiatric challenges). Current metrics fail [success rates from 25%-73%: (1) for background checks (25%); (2) interviews (<em>M</em>=46%); (3) physical exams (<em>M</em>=49%); (4) other tests (<em>M</em>=73%)]. Internet-based tests are simultaneously sensitive (97%), specific (97%), non-discriminatory, objective, inexpensive, $100/test, require 2-4 hrs.</p>
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McCauley, Mary, Ayesha Rasheeda Avais, Ritu Agrawal, Shumaila Saleem, Shamsa Zafar, and Nynke van den Broek. "‘Good health means being mentally, socially, emotionally and physically fit’: women’s understanding of health and ill health during and after pregnancy in India and Pakistan: a qualitative study." BMJ Open 10, no. 1 (January 2020): e028760. http://dx.doi.org/10.1136/bmjopen-2018-028760.
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ObjectiveTo explore what women consider health and ill health to be, in general, and during and after pregnancy. Women’s views on how to approach screening for mental ill health and social morbidities were also explored.SettingsPublic hospitals in New Delhi, India and Islamabad, Pakistan.Participants130 women attending for routine antenatal or postnatal care at the study healthcare facilities.InterventionsData collection was conducted using focus group discussions and key informant interviews. Transcribed interviews were coded by topic and grouped into categories. Thematic framework analysis identified emerging themes.ResultsWomen are aware that maternal health is multidimensional and linked to the health of the baby. Concepts of good health included: nutritious diet, ideal weight, absence of disease and a supportive family environment. Ill health consisted of physical symptoms and medical disease, stress/tension, domestic violence and alcohol abuse in the family. Reported barriers to routine enquiry regarding mental and social ill health included a small number of women’s perceptions that these issues are ‘personal’, that healthcare providers do not have the time and/or cannot provide further care, even if mental or social ill health is disclosed.ConclusionsWomen have a good understanding of the comprehensive nature of health and ill health during and after pregnancy. Women report that enquiry regarding mental and social ill health is not part of routine maternity care, but most welcome such an assessment. Healthcare providers have a duty of care to deliver respectful care that meets the health needs of women in a comprehensive, integrated, holistic manner, including mental and social care. There is a need for further research to understand how to support healthcare providers to screen for all aspects of maternal morbidity (physical, mental and social); and for healthcare providers to be enabled to provide support and evidence-based care and/or referral for women if any ill health is disclosed.
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Kenny, Amanda, Susan Kidd, Jenni Tuena, Melanie Jarvis, and Angela Roberston. "Falling Through the Cracks: Supporting Young People with Dual Diagnosis in Rural and Regional Victoria." Australian Journal of Primary Health 12, no. 3 (2006): 12. http://dx.doi.org/10.1071/py06040.
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Research has indicated that people with a dual diagnosis of mental illness and substance abuse are more difficult to manage than any other group of mentally ill clients. For young people with a dual diagnosis, particularly in rural and regional areas, there are significant barriers to the provision of optimal care. Currently, a lack of communication between mental health, drug and alcohol services and consumers results in the inadequate provision of treatment for young people, with a resultant significant service gap. Dual diagnosis programs that focus on both substance abuse and mental health issues demonstrate greatly improved client outcomes. Developing a peer education program provides one constructive way of involving dual diagnosis consumers in developing more responsive health services. It provides a highly structured and supported way of involving consumers who ordinarily find mental health services bewildering and inaccessible. By drawing on the knowledge and skills of young people with dual diagnosis, and involving them as peer educators, the notion of expertise in lived experience is captured and harnessed to provide the establishment of a consumer-focused service that better meets the needs of this complex, often neglected, client group.
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Byrne, Peter. "Fall and rise of the movie ‘psycho-killer’." Psychiatric Bulletin 22, no. 3 (March 1998): 174–76. http://dx.doi.org/10.1192/pb.22.3.174.
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The Glasgow Media Group, through a combination of media watching and group interviews, has confirmed the importance of media representations of mental illness, with its finding that negative images can outweigh even an individual's direct experiences in this area (Philo, 1996). In one recent summary, Philo concludes: “the results show clearly that ill-informed beliefs on, for example, the association of schizophrenia with violence can be traced directly to media accounts” (Philo, 1997). The origins and strength of this association can be traced to cinema, where powerful images of violent ‘insanity’ endure today. In a questionnaire of 487 people who had a family member with severe mental illness, 85.6% identified “popular movies about mentally ill killers” as the largest single contributor to the stigma of that illness (Wahl & Harman, 1989).
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Bentelspacher, Carl E., Shireen Chitran, and Marziyana binte Abdul Rahman. "Coping and Adaptation Patterns among Chinese, Indian, and Malay Families Caring for a Mentally Ill Relative." Families in Society: The Journal of Contemporary Social Services 75, no. 5 (May 1994): 287–94. http://dx.doi.org/10.1177/104438949407500504.
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Families caring for chronically mentally ill relatives often experience considerable stress and hardship. To adapt, family members must learn new coping strategies and make sufficient use of informal and formal support systems in the community. The authors examined cultural variations in the coping and adaptation process among three main ethnic groups in Singapore (Chinese, Malay, and Indian). Interviews conducted with primary caregivers in 30 families showed cross-cultural differences in the adverse effects on the family system, the use of coping strategies, and the utilization of support networks. A culturally sensitive, indigenous model of community mental health services designed to overcome family resistance is presented.
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Ali, Shagufta Hamid, and Altaf Ghani Bhatti. "Indigenous Healing Practices of Mental Illness in Southern Punjab." IUB Journal of Social Sciences 4, no. 2 (December 31, 2022): 75–87. http://dx.doi.org/10.52461/ijoss.v4i2.1447.
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Culture encompasses a person's lifestyle. Cultures vary greatly in their views on ideas, beliefs, customs, and practices. However, the cultural view of illness is a strong weapon that may be used to develop a belief about the etiology of any illness or disease. The study aimed to see the indigenous curing process of Mental Illness in Jalalpur Pirwala, Southern Punjab. The researcher chose to conduct her study in the developing region of Jalalpur Pirwala in Pakistan to see the cultural beliefs held by families in an area where people have a greater tendency to believe in saints and superstitions. From a personhood perspective, there is limited research on adulthood mental illness in Pakistan; this phenomenological study is a contribution to the anthropological inquiries being conducted in a specific subfield of anthropology known as Psychological Anthropology. People with mental illnesses who were between the ages of 18 and 60 were the focus of the study. Various techniques of data collecting were used, such as unstructured interviews with practitioners (spiritual bhoopa/healers), observation, and in-depth interviews with carers of mentally ill individuals. Caretakers and practitioners were selected through snowball sampling. Document and thematic analysis were used to enhance the reliability and validity of the qualitative research. According to the findings, cultural beliefs about mental illness are tied to the divine or supernatural in which preference of healing for mental illness is associated with bhoopa (Traditional practitioner) with indigenous rituals of healing. Carers of mentally ill persons prefer traditional, spiritual, or faith healing rather than westernized psychological treatments.
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Tobin, Margaret J. "Rural Psychiatric Services." Australian & New Zealand Journal of Psychiatry 30, no. 1 (February 1996): 114–23. http://dx.doi.org/10.3109/00048679609076079.
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Objective: The objective was to describe and evaluate a community mental health service developed during 1991–1992 in an attempt to meet the mental illness needs of an isolated rural community. The setting was the Grampians health region in Western Victoria: this region has an area of 45,000 square kilo-metres and a population of 182,000. Method: The method involved firstly describing the evolution of the service delivery model. This comprised a team of travelling psychiatrists and community psychiatric nurses which succeeded in providing a combined inpatient and outpatient service which was integrated with general practitioners. Secondly, diagnostic and case load descriptions of patients receiving service were compared for both the inpatient and outpatient settings. Results: The results were that reduced reliance on inpatient beds and increased consumer satisfaction were achieved. Conclusion: It was concluded that on initial evaluation of the service it was seen to be meeting its objective of treating the seriously mentally ill in an isolated rural community based setting.
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Kim, Seong Ui, and Seong Sook Kong. "Hermeneutic Phenomenological Study on Caring Experiences of Mental Health Nurses for the Mentally Ill Patients." Journal of Korean Academy of psychiatric and Mental Health Nursing 30, no. 3 (September 30, 2021): 293–308. http://dx.doi.org/10.12934/jkpmhn.2021.30.3.293.
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Purpose: This study aimed at understanding the experiences of mental health nurses caring for mentally ill patients.Methods: Van Manen’s hermeneutic phenomenological method was used to analyze qualitative data. The partici- pants were 8 mental health nurses who worked in hospitals, mental health welfare centers, or psychiatric reha- bilitation facilities. Data were collected through in-depth interviews from July 24, 2017, to June 20, 2018.Results: Eight essential themes emerged: “A body that must endure severe symptoms”, “A hand that cares for the wound”, “Ambivalence in a closed space”, “Making them adapt to the open world”, “Being together and getting close to the patients”, “Going forward, leaning on each other”, “Time to protect even a small light”, and “Becoming a shining star by myself”.Conclusion: Strategies are needed to cope with patient violence and prevent psychological trauma. Mental health nurses should be trained for empathetic competency to understand symptoms and build trusting relationships. Caring requires respect and love based on humanity. Mental health nurses learn from patients and experience mutual care that grows through self-reflection. Policy support including financial and manpower security is essential to improving the quality of care and preventing exhaustion.
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Laursen, Jannie, Kristoffer Andresen, and Jacob Rosenberg. "Relatives to Critically Ill Patients Have No Sense of Coherence: A Quality Improvement Article Using Mixed Methods." Nursing Research and Practice 2016 (2016): 1–7. http://dx.doi.org/10.1155/2016/6195894.
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Aims and Objective. To investigate the relatives’ satisfaction and involvement on a general surgery ward regarding the critically ill patient.Introduction. Relatives to critically ill patients are affected both physically and mentally during the hospitalization of a family member. Research has shown that relatives do not always receive the attention they need from health professionals. There is a lack of studies that focus on relatives’ satisfaction and involvement during their family members’ hospitalization.Design. A mixed methods design was chosen.Methods. A quantitative study was conducted with 27 relatives to critically ill patients. All participated in a questionnaire and out of the 27 relatives, six participated in qualitative in-depth interviews.Results.The questionnaire revealed that relatives were dissatisfied with care and involvement. For further exploration of the dissatisfaction, a qualitative approach was used and the in-depth interviews revealed three themes: lack of continuity and structure, responsibility of coordination, and relatives feeling left on their own with no guiding and support.Conclusion.Health professionals’ key role in relation to relatives must be guidance and support. Thereby, relatives can gain a sense of coherence during the hospitalization of a critically ill patient, which can lead to a greater satisfaction and thereby better support for the patient.
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Oexle, N., V. Ajdacic-Gross, R. Kilian, M. Müller, S. Rodgers, Z. Xu, W. Rössler, and N. Rüsch. "Mental illness stigma, secrecy and suicidal ideation." Epidemiology and Psychiatric Sciences 26, no. 1 (November 26, 2015): 53–60. http://dx.doi.org/10.1017/s2045796015001018.
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Aims.Whether the public stigma associated with mental illness negatively affects an individual, largely depends on whether the person has been labelled ‘mentally ill’. For labelled individuals concealing mental illness is a common strategy to cope with mental illness stigma, despite secrecy's potential negative consequences. In addition, initial evidence points to a link between stigma and suicidality, but quantitative data from community samples are lacking.Methods.Based on previous literature about mental illness stigma and suicidality, as well as about the potential influence of labelling processes and secrecy, a theory-driven model linking perceived mental illness stigma and suicidal ideation by a mediation of secrecy and hopelessness was established. This model was tested separately among labelled and unlabelled persons using data derived from a Swiss cross-sectional population-based study. A large community sample of people with elevated psychiatric symptoms was examined by interviews and self-report, collecting information on perceived stigma, secrecy, hopelessness and suicidal ideation. Participants who had ever used mental health services were considered as labelled ‘mentally ill’. A descriptive analysis, stratified logistic regression models and a path analysis testing a three-path mediation effect were conducted.Results.While no significant differences between labelled and unlabelled participants were observed regarding perceived stigma and secrecy, labelled individuals reported significantly higher frequencies of suicidal ideation and feelings of hopelessness. More perceived stigma was associated with suicidal ideation among labelled, but not among unlabelled individuals. In the path analysis, this link was mediated by increased secrecy and hopelessness.Conclusions.Results from this study indicate that among persons labelled ‘mentally ill’, mental illness stigma is a contributor to suicidal ideation. One explanation for this association is the relation perceived stigma has with secrecy, which introduces negative emotional consequences. If our findings are replicated, they would suggest that programmes empowering people in treatment for mental illness to cope with anticipated and experienced discrimination as well as interventions to reduce public stigma within society could improve suicide prevention.
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Victor, Chelelgo Kibichii, Munyoki Muima Gilbert, Onyambu Meshack Ondora, and Khisa Otieno Abel. "Barriers to mental health services utilization among outpatient clinic attendees at Mathari National teaching and referral hospital, Nairobi City, Kenya." International Journal Of Community Medicine And Public Health 9, no. 6 (May 27, 2022): 2431. http://dx.doi.org/10.18203/2394-6040.ijcmph20221516.
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Background: World health organization defines mental health as a state where people realize and recognize their capacities, cope with life stressors, and contribute positively to the society. A gap exists between the need or demand for mental health services and their utilization due to a set of barriers that limit access. The prevalence of mental illnesses is approximately 10%. The study sought to investigate barriers to utilization of mental health services.Methods: The study used mixed-method research approach that is cross-sectional descriptive and qualitative study design. The study was conducted at Mathari national teaching and referral hospital outpatient clinic. Structured questionnaires and key informant interviews were used to collect data. Study participants comprised 216 caregivers of mentally ill patients and 6 key informants.Results: Costs of seeking mental health services is a barrier to accessing these services at the MNTRH outpatient clinic. More than half of the participants missed their clinics due to cost of medication, 56% (n=120), consultation costs 55% (n=118), and transport=54% (n=116). Caregivers sought other types of mental health services such as spiritual healing before taking their mentally ill relative for formal care. People with mental illness experienced social stigma 59.3% (n=128).Conclusions: The cost of mental health service access and stigma are the outstanding barriers to access and utilization of mental health services.
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Cohen, Robert, David Kennard, and Brice Pitt. "Attitudes towards mental illness and the elderly." Psychiatric Bulletin 18, no. 12 (December 1994): 736–38. http://dx.doi.org/10.1192/pb.18.12.736.
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Views of the elderly were obtained from a cross-section of the public using 12 semi-structured interviews in the form of stratified group discussions. As a group, the elderly were generally thought of in negative terms. Furthermore, they were held partly responsible (or their perceived status, in particular by falling to keep physically active and to avoid mental deterioration and depression which were not considered conditions requiring treatment. In contrast, Alzheimer's disease was recognised as a disease, and sympathy was expressed for patient and carer. It was expected that responsibility for caring for the elderly mentally ill should pass to the State once the burden on carers became intolerable.
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Ackerson, Barry J. "Coping with the Dual Demands of Severe Mental Illness and Parenting: The Parents' Perspective." Families in Society: The Journal of Contemporary Social Services 84, no. 1 (January 2003): 109–18. http://dx.doi.org/10.1606/1044-3894.69.
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The experience of parenthood by individuals with severe mental illness has not been well studied. Research on mentally ill parents has focused on their pathology and the potential risk for their children without considering the parents' perspective. This qualitative study used interviews to explore how these parents coped with the dual demands of parenthood and their illness. Participants included individuals whose children are now young adults as well as those with younger children. Themes that emerged were problems with diagnosis and treatment, stigma, chaotic interpersonal relationships, the strain of single parenthood, custody issues, relationship with children, social support, and pride in being a parent. Follow-up interviews focused on the themes of relationship with children, strain of single parenthood, and sources of support. Relationship with children contained three specific topics: discipline, boundary issues, and role reversal. Implications for practice are discussed along with recommendations for future research involving other family members.
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Cardoso, G., C. Pacheco, and J. Caldas-de-Almeida. "Quality of care in longer term mental health institutions in Portugal." European Psychiatry 26, S2 (March 2011): 2148. http://dx.doi.org/10.1016/s0924-9338(11)73851-2.
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IntroductionDeinstitutionalisation of the mentally ill is an ongoing process in European countries. Quality of care in residential facilities, however, was seldom assessed in part due to the lack of adequate instruments.ObjectivesTo assess the quality of care in Portuguese residential facilities for long term mental patients.MethodsQuality of care in residential facilities was assessed with the toolkit developed by the DEMoBinc study using interviews with the units’ managers, and the users.ResultsThe 20 units assessed across Portugal were mainly located in the city; 13 were in a hospital setting and 7 in the community. Most of the units (90%) had no maximum length of stay, and 60% were mixed-gender; 85% of the users were not compulsory. Most of the units (60%) had no one-bedrooms, and their aim was rehabilitative in 40%, and rehabilitative plus providing support in 40%. The rate of patients with a bank account was 49.4%, 32.4% were in charge of their finances, while only 14.1% had voted.In hospital vs. community units patients were more frequently men (80.5 vs. 53.8%) and older (51.1 ± 13.7 vs. 43.3 ± 9.6, p < .001). In community units the treatment was more frequently explained (50 vs. 26.3%), patients’ involvement was higher (40.4 vs. 19.5%), while mean GAF scores (64.9 vs. 60.2) did not differ.ConclusionsPortuguese results show that in spite of the effort to create new facilities for the longer term mentally ill, a lot still has to be done to improve the quality of care they provide.
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Aga, Natalie, Freya Vander Laenen, Stijn Vandevelde, Elke Vermeersch, and Wouter Vanderplasschen. "Recovery of Offenders Formerly Labeled as Not Criminally Responsible: Uncovering the Ambiguity From First-Person Narratives." International Journal of Offender Therapy and Comparative Criminology 63, no. 6 (September 12, 2017): 919–39. http://dx.doi.org/10.1177/0306624x17730617.
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The recovery paradigm is a widely accepted strength-based approach in general mental health care. Particular challenges arise when applying this paradigm in a forensic context. To address these issues, the present study examined recovery based on first-person narratives of offenders formerly labeled as not criminally responsible of whom the judicial measure was abrogated. Eleven in-depth interviews were conducted to obtain information on lived experiences and recovery resources of this hard-to-reach and understudied population. The interviews focused on recovery and elements that indicated a sense of progress in life. Key themes were derived from the collected data. Descriptions of recovery resources followed recurrent themes, including clinical, functional, social, and personal resources. Participants also reported ambiguous experiences related to features of the judicial trajectory. This was defined as forensic recovery and can be seen as an additional mechanism, besides more established recovery dimensions, that is unique to mentally ill offenders.
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Patterson, Michelle L., Melinda A. Markey, and Julian M. Somers. "Multiple Paths to Just Ends: Using Narrative Interviews and Timelines to Explore Health Equity and Homelessness." International Journal of Qualitative Methods 11, no. 2 (April 2012): 132–51. http://dx.doi.org/10.1177/160940691201100202.
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Underlying the daily lives of people with experiences of homelessness and mental illness is a complex interplay of individual and structural factors that perpetuate cycles of inequity. The introduction of novel methodological combinations within qualitative research has the potential to advance knowledge regarding the experience of health equity by such individuals and to clarify the relationship between these experiences and broader structural inequities. To explore the lived experience of inequity, we present a thematic analysis of narrative interviews in conjunction with timelines from 31 adults experiencing homelessness and mental illness. Use of these methods together enabled a novel and expanded appreciation for the varied ways in which differential access to the social determinants of health influences the trajectories and experiences of inequity for people who are homeless and mentally ill. The further utility of these methods for better understanding the experience of inequity is explored and implications for research, policy, and practice are discussed.
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Clarkson-Hendrix, Michael L., and Paula J. Peters. "Mixed Methods Evaluation of a Movement and Mindfulness Empowerment Workshop for Adults with Serious Mental Illness." Advances in Social Work 21, no. 1 (June 14, 2021): 136–53. http://dx.doi.org/10.18060/24432.
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For seriously mentally ill adults, empowerment is critical to maximizing participation in major life activities. Although studies have identified interventions that have positively impacted empowerment, these interventions may not be applicable or amenable to all adults with serious mental illness. More interventions with other approaches are needed. Therefore, this study evaluated the initial implementation of a movement- and mindfulness-based workshop intervention. Quantitative data were used to examine differences in empowerment before and after the workshop, and qualitative data were used to explore participants’ perceptions of the reasons for empowerment differences. Ten participants completed the intervention, and nine of the ten participants also completed follow-up interviews. Quantitative data were collected via pre- and post-intervention surveys. Qualitative data were collected through follow-up interviews with the participants. Surveys revealed perceptions of optimism and control over the future increased between pre- and post-intervention. Interviews uncovered that increases in optimism and control over the future may have been related to workshop accomplishments and reduced helplessness outside of workshop sessions. Future research would benefit from the creation of a training manual along with a validated system to monitor intervention fidelity.
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Pinto, Diana de Souza, Claudio Gruber Mann, Milton Wainberg, Paulo Mattos, and Suely Broxado de Oliveira. "Sexuality, vulnerability to HIV, and mental health: an ethnographic study of psychiatric institutions." Cadernos de Saúde Pública 23, no. 9 (September 2007): 2224–33. http://dx.doi.org/10.1590/s0102-311x2007000900030.
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This paper presents data from the ethnographic based formative phase of the Interdisciplinary Project on Sexuality, Mental Health, and AIDS (PRISSMA), sponsored by the National Institute of Mental Health (NIMH) and carried out in two psychiatric institutions in the city of Rio de Janeiro, Brazil. Results from ethnographic observations, focus groups, and key informant interviews with different groups of mental health care providers and day hospital and outpatient mental health clients regarding conceptions of sexuality and HIV vulnerability are described. The results suggest a diversity of notions about sexuality by both groups and point out the high HIV sexual risk in this psychiatric population. This formative phase has served as the basis for the cultural adaptation and creation of a Brazilian intervention for HIV prevention in the severely mentally ill, the feasibility of which has been successfully evaluated in the pilot phase.
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Wahyuningsih, Dyah, and Widyo Subagyo. "Stressors and coping mechanisms of people with mental disorders in the community." Frontiers of Nursing 9, no. 3 (September 1, 2022): 335–42. http://dx.doi.org/10.2478/fon-2022-0043.
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Abstract Background People with mental disorders often experience human rights violations, discrimination, exclusion, and stigma. Objective To determine the stressors and coping mechanisms of people with mental disorders in society. Methods This research is a qualitative phenomenological research. We wanted to explore and describe the experiences of mentally ill patients in the community at the rehabilitation stage in stress management, including the stressors in people with a mental health condition and the coping mechanisms used. Data collection was carried out using in-depth interviews with 15 participants. Results The results of this study show that the stressors of mental illness patients are a less-accepting environment, feeling of shame, fear of being excluded, having no income, and side effects of drugs. Conclusions The coping mechanisms used include carrying out activities, telling stories to others, and diverting emotions.
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Band-Winterstein, Tova, Yael Smeloy, and Hila Avieli. "Shared reality of the abusive and the vulnerable: the experience of aging for parents living with abusive adult children coping with mental disorder." International Psychogeriatrics 26, no. 11 (July 30, 2014): 1917–27. http://dx.doi.org/10.1017/s1041610214001495.
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ABSTRACTBackground:Increasing numbers of aging parents are finding themselves in the role of caregiver for their mentally ill adult child due to global deinstitutionalization policy. The aim of this paper is to describe the daily aging experience of parents abused by an adult child with mental disorder and the challenges confronting them in this shared reality.Methods:Data collection was performed through in-depth semi-structured interviews with 16 parents, followed by content analysis.Results:Three major themes emerged: (a) old age as a platform for parent's vulnerability facing ongoing abuse; (b) “whose needs come first?” in a shared reality of abusive and vulnerable protagonists; (c) changes in relationship dynamics.Conclusions:Old age becomes an arena for redefined relationships combining increased vulnerability, needs of both sides, and its impact on the well-being of the aging parents. This calls for better insights and deeper understanding in regard to intervention with such families.
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Pakenham, Kenneth I., and Mark R. Dadds. "Family Care and Schizophrenia: The Effects of a Supportive Educational Program on Relatives' Personal and Social Adjustment." Australian & New Zealand Journal of Psychiatry 21, no. 4 (December 1987): 580–90. http://dx.doi.org/10.3109/00048678709158927.
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In the aftermath of deinstitutionalisation and the move to community management of schizophrenia, relatives play an increasing role in the management of the illness. Families often complain of being misinformed and ill equipped to aid in the treatment. A supportive/educational intervention for relatives is described and evaluated. Seven parents with a schizophrenic offspring participated in a descriptive pilot study employing a pre-post-treatment design. To test the hypotheses that treatment would impact on participants' distress, burden, family conflict, isolation and knowledge of schizophrenia, before and after measures were taken on self-report indices utilising these features. Generalisation effects on family coping were assessed via tri-weekly telephone interviews for the duration of the study. The intervention included information and sharing sessions. There was a substantial reduction in distress symptoms, anxiety, depression, burden and the amount of family conflict; there was an increase in the duration of home visits, out of home excursions and knowledge of schizophrenia. Most of the subjects' needs were met by the intervention. These gains were achieved with a high level of consumer acceptance. It was concluded that this kind of education has an important role in psychosocial intervention with relatives of the mentally ill.
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Polling, Catherine, Charlotte Woodhead, Hannah Harwood, Matthew Hotopf, and Stephani L. Hatch. "“There Is So Much More for Us to Lose If We Were to Kill Ourselves”: Understanding Paradoxically Low Rates of Self-Harm in a Socioeconomically Disadvantaged Community in London." Qualitative Health Research 31, no. 1 (September 15, 2020): 122–36. http://dx.doi.org/10.1177/1049732320957628.
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London has unexpectedly low overall rates of self-harm in public health data and contains highly deprived areas with these paradoxically low rates. Qualitative data were collected via interviews and focus groups with 26 individuals living and working in one such area. Using the Stress Process Model, we explore why this ethnically diverse community, which is exposed to multiple, chronic stressors, might nonetheless appear to have low rates of self-harm. Participants described significant impacts of stressors on the mental health of people locally. These were partly buffered by social resources related to community solidarity and a culture of self-reliance. However, identifying oneself as mentally ill through being known to have self-harmed was seen as highly risky, diminishing a person’s social status and exposing them to additional stressors from the community and services. Consequently, people tended to hide distress, respond with behaviors less linked to mental illness, and avoid mental health services.
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Amfo, Nana Aba Appiah, Ekua Essumanma Houphouet, Eugene K. Dordoye, and Rachel Thompson. "“Insanity is from home”." International Journal of Language and Culture 5, no. 1 (May 18, 2018): 1–28. http://dx.doi.org/10.1075/ijolc.16016.amf.
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Abstract This paper examines selected expressions relating to the articulation of mental health challenges in three Akan speaking communities in Ghana, in the context of considering that language is reflective of human thought, and that human cultural practices and behavior emanate from people’s underlying appreciation of particular issues. Expressions of mental health challenges were extracted from a total of 37 one-on-one interviews and 12 focus group discussions. We note that the expressions used fall into 3 categories: idioms and proverbs, non-figurative language and code mixed utterances. Overall, indirection permeates all the categories. Furthermore, our observation is that the expressions provide an indication of the manifestations and perceived causes of the illnesses, which are familial, spiritual or biomedical. There is a strong tendency towards an expectation of communal support for the mentally ill. An appreciation of the languages and cultures of local communities provides the basis for appropriate diagnosis, effective management of mental illness and efficient public health education.
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Rampersaud, Marsha. "Punitive Justice: When Race and Mental Illness Collide in the Early Stages of the Criminal Justice System." Canadian Journal of Law and Society / Revue Canadienne Droit et Société 37, no. 3 (December 2022): 387–408. http://dx.doi.org/10.1017/cls.2022.23.
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AbstractYouths in care are among the most vulnerable youths in our society. All youths in care have experienced trauma and sometimes exhibit trauma-induced behaviours which are perceived by others as disruptive or dangerous. The police are frequently called, which begins a cycle of criminalization for many youths, with racialized youths overrepresented in this group. Using an intersectional theoretical framework, this article shows how discriminatory perceptions of race and mental health influence justice system actors’ decision-making, from arrest to bail. Drawing on data from qualitative interviews with twenty-five young adults (ages 18 to 24) who have had contact with the child welfare and criminal justice systems and ten practicing lawyers in Ontario, the analysis reveals race-based differences in justice system actors’ responses to mental illness. Discriminatory views function as a lens through which racialized and mentally ill youths leaving care are perceived as threats and met with more punitive responses.