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Hennessy, Carrie Olsen. "Monitoring Psychiatric Patients’ Preparedness for Hospital Discharge." Antioch University / OhioLINK, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=antioch1521494115246141.
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Payne, Ashley Renee. "Home Care Factors Associated with Hospital Readmission of Psychiatric Patients." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/4471.
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There has been inadequate attention to the aftercare of psychiatric patients, resulting in an increase in readmission rates plus longer hospital stays. There is a gap in the aftercare for psychiatric patients; The purpose of this qualitative retrospective study is to explore what may have contributed to readmission for psychiatric patients. The biopsychosocial model was used as the theoretical framework to support the direction of the research. The health belief model and transtheoretical model of change were used to further support for biopsychosocial model. The research questions were created to determine the influences on readmission, psychological well-being, explore the adaptation to aftercare and narrative of aftercare from the caregiver. This study used a content analysis to identify patterns and themes with a total of 10 participants. The data used had been previously collected by the behavioral transition team at Houston Methodist Hospital which consists of case notes, mental health diagnoses, hospital history and reasons for readmission. The findings include reports of psychiatric patients not adhering to their prescribed medication due to its side effects or cost, caregivers feeling overwhelmed, and the importance of psychoeducation. Once adjustments were made to the dosage or a prescription for less expensive medication, adherence improved, regular attendance to therapy sessions occurred, and the increase in the level of frustration from the caregiver. Psychiatric patients can benefit in post-discharge care if there is more focus on the reasons for hospital readmission by developing a treatment plan for the prevention of a relapse. This study may improve patient vulnerability to mental health issues and to assist psychiatric patients in establishing balance in their lives.
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Strachan, Eric D. "Evaluation of education and skill training regarding involuntary hospitalization for psychiatric inpatients." [Lincoln, Neb. : University of Nebraska-Lincoln], 2004. http://www.unl.edu/libr/Dissertations/2004/StrachanDis.pdf.
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Bowersox, Nicholas W. "Treatment Attrition and Relapse Readmission in Psychiatric Inpatients: Predictors of Treatment Engagement and Psychiatric Relapse." [Milwaukee, Wis.] : e-Publications@Marquette, 2009. http://epublications.marquette.edu/dissertations_mu/18.
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Modisane, L. N. "Relationship between cannabis use and psychiatric disorders in patients admitted at Dr George Mukhari Hospital Psychiatric Unit." Thesis, University of Limpopo (Medunsa Campus), 2010. http://hdl.handle.net/10386/442.
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Thesis (M Med (Psychiatry))--University of Limpopo, 2010.BACKGROUND Cannabis is the commonly used illicit drug of choice in South Africa and throughout the world. The majority of individuals who use cannabis do not report adverse reactions to it, however a minority of heavy users will develop problems. A substantial number of patients admitted at our psychiatry unit seem to be using cannabis. AIMS The aim of the study was to assess the relationship between cannabis use in psychiatric disorders in patients admitted in George Mukhari Hospital Psychiatry Unit, to determine the pattern of cannabis use, to identify the common psychiatric disorders in patients using cannabis, to determine the socio-economic factors that may lead to cannabis use. METHODS A total of 75 participants admitted at Doctor George Mukhari hospital and diagnosed with psychiatric disorders according to the diagnostic and statistical manual of mental disorders fourth edition text revised were interviewed using a structured questionnaire and had urine specimens collected for analysis. Out of 75 participants a control group of 34 participants who tested negative for urinary cannabinoids were interviewed. The participants had signed a written informed consent in their language of preference. The study had been approved by the Research Ethics and Publications Committee of the University of Limpopo (Medunsa Campus).Data was analysed with the help of the statistician and reported on graphs, pie-charts and tables. RESULTS 16(39%) of participants who tested positive were diagnosed with schizophrenia, 7 (17%) of those who tested positive were diagnosed with cannabis induced psychotic disorder, 5(12%) of those tested positive were diagnosed with psychosis due to GMC (HIV) and 6(15%) were diagnosed with psychosis due GMC (epilepsy). 8(24%) of those who tested negative were diagnosed with schizophrenia, 15(44%) of those tested negative were diagnosed with cannabis induced psychotic disorder, 2(6%) were diagnosed with psychosis due to GMC (HIV) and to 2(6%) of those who tested negative were diagnosed with psychosis due to GMC (epilepsy). Majority 24 (32%) smoked cannabis using pipes 4-5 times, 19 (25%) used zols 4-5 times, 12(16%) used pipes 2-3 times, 11(14%) used 1 zol in the 30 days prior to the interview. Most of the participants were of low socio-economic status and had started using cannabis early in their lives. CONCLUSION Cannabis use is related to a number of psychiatric disorders in patients admitted at Dr George Mukhari Hospital. Schizophrenia, cannabis induced psychotic disorder, psychosis due to GMC (HIV), psychosis due to epilepsy were the commonest identified disorders.
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Nontamo, Siyakudumisa. "The experiences of professional nurses regarding patients who are repeatedly readmitted to a psychiatric hospital." University of the Western Cape, 2019. http://hdl.handle.net/11394/7044.
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Magister Curationis - MCurThe frequent readmission of patients in psychiatric hospitals is caused by the relapse in their different psychiatric conditions. With a shortage of professional nurses, lack of resources, and an ever-increasing workload, the frequent readmission of psychiatric patients further worsens the situation.
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Oen, Suk-ling. "An exploratory study on the family support for patients of the day hospital at Yaumatei Psychiatric Centre /." [Hong Kong : University of Hong Kong], 1991. http://sunzi.lib.hku.hk/hkuto/record.jsp?B13117178.
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Mullins, Lesley. "The lived experience of seclusion in a psychiatric hospital." Virtual Press, 1995. http://liblink.bsu.edu/uhtbin/catkey/958790.
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The purpose of this Heideggerian phenomenological study was to understand the meaning of the lived experience of seclusion in a psychiatric hospital. Five people with a long standing mental illness who had spent time in a locked seclusion room in a psychiatric hospital were asked to describe their experience in seclusion.Consistent with the method, purposive sampling was used in order to obtain an understanding from those who had lived the experience of seclusion and could articulate their experience. Interviews were audiotaped and the data were transcribed by the researcher. Audiotapes were destroyed when the study was completed. Transcribed data were shared with other researchers who were familiar with Heideggerian phenomenology and hermeneutics for the purpose ofgaining insight into the interpretations. When data were shared, names of participants and other identifying information were removed. Sharing of data for purpose of interpretation is inherent in the Heideggerian method as described by Diekelmann, Allen, and Tanner (1989). Data were analyzed using Diekelmann, Allen, and Tanner's (1989) seven stages. The following patterns emerged constituted pattern- Seclusion, A Paradox Being Powerless yet Hopeful with the supporting themes of 1.) Being Punished, 2) Being Abandoned, and 3) An Opportunity for Reflection and Self Growth.School of Nursing
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Bayanzadeh, Seyed Akbar. "Psychiatric rehabilitation : a study of a deinstitutionalisation program for patients with long-term disabilities in a psychiatric hospital." Thesis, Keele University, 1992. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.304535.
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Phare, Janet. "Narratives of people's everyday occupational lives following long term psychiatric hospitalisation a thesis submitted to Auckland University of Technology in partial fulfilment of the requirements for the degree of Master of Health Science, November 2003." Full thesis. Abstract, 2003. http://puka2.aut.ac.nz/ait/theses/PhareJ.pdf.
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Thesis (MHSc--Health Science) -- Auckland University of Technology, 2003.Appendices not included in e-thesis. On spine : 2004. Also held in print (236 leaves, 30 cm.) in Akoranga Theses Collection (T 616.890092 PHA)
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Vigil, Kathryn Irene. "The association between physical, sexual, and emotional abuse and physical pain a comparison of psychiatric patients in Ontario, Canada and Burlington, Vermont : a project based upon an investigation at the University of Vermont, Burlington, Vermont /." Click here for text online. Smith College School for Social Work website, 2007. http://hdl.handle.net/10090/1021.
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Thesis (M.S.W.)--Smith College School for Social Work, Northampton, Mass., 2007Thesis submitted in partial fulfillment for the degree of Master of Social Work. Includes bibliographical references (leaves 56-62).
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Kilian, Sanja. "Interpreting practices in a psychiatric hospital : interpreters' experiences and accuracy of interpreting of key psychiatric terms." Thesis, Link to the online version, 2007. http://hdl.handle.net/10019/1067.
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Lengner, Viola. "Nurses' experiences of psychiatric patients with HIV/AIDS: A study conducted in a psychiatric hospital in the Western Cape." Master's thesis, University of Cape Town, 2002. http://hdl.handle.net/11427/7937.
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Bibliography: leaves 91-95.This study aims to explore the experiences of nursing staff who provide treatment and care for psychiatric patients with HIV/AIDS. The study was conducted with a view to understanding the psychological impact of caring for such patients, the additional stressors which may arise as a result of this and how these are dealt with. It was also intended to assist with identifying the needs that staff may have in order to cope with the demands of their work. Semi-structured interviews were conducted with nine nurses working in the female admission ward of a Western Cape psychiatric hospital. The interview material was analysed to identify common themes which occurred across the interviews concerning participants' experiences, their difficulties and their feelings regarding their work with HIV/AIDS patients. A number of theoretical perspectives were used in analysing and discussing the material, including theories of HIV/AIDS related occupational stress; psychodynamic theory and literature from the field of medical anthropology.The study found that overall, nursing psychiatric patients with HIV/AIDS was experienced as difficult and stressful by participants, and evoked strong emotions of fear and anxiety. The experience of stress in psychiatric HIV/AIDS care was strongly associated with the nature of the work and the anxieties evoked by nursing patients with a terminal, contagious disease. However, the difficulties experienced by participants also appeared to be related to the context of their working environment, and to extend beyond this to the broader social influences of family and community life. The absence of effective support and acknowledgement of these difficulties has resulted in physical symptoms of bum out and the adoption of individual and collective defences in an attempt to cope with the enormous personal and professional challenges of their work.
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Mathanya, Moloko Elizabeth. "Experiences of families towards psychiatric state patients during leave of absence in Lepelle Nkumpi, Capricorn District of Limpopo Province." Thesis, University of Limpopo, 2015. http://hdl.handle.net/10386/1403.
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Thesis (M.Cur.) -- University of Limpopo, 2015The purpose of the study was to investigate the experiences of families towards psychiatric state patients during LOA. A qualitative, phenomenological, exploratory, descriptive and contextual design was used. Non-probability sampling of the purposive type was used to explore and describe the experiences of families towards psychiatric state patients during LOA. Data were collected from ten (10) families by using semi-structured face-to-face interviews. Data were audio recorded and field notes were also written. Trustworthiness was ensured by applying credibility, transferability, confirmability and dependability. Transferability was ensured by utilizing purposive sampling to include participants. Confirmability was ensured by collecting data from the participants who have experience on the problem studied. Data were analysed qualitatively by using Tech’s open coding method. Results from the study shows that families experiences uncontrolled and disruptive behaviour from the psychiatric state patients during LOA. Guidelines for the study include: Families of psychiatric state patients should receive counselling and be involved in family therapy prior and after the psychiatric state patient’s LOA. Family members of psychiatric state patient experience emotional pain, therefore they need support from multidisciplinary team members to assist them to facilitate promotion, maintenance and restoration of their mental health as an integral part of their health. Recommendations include improvement of aspects in nursing practice, nursing education and nursing research. Key words: Experiences, family, psychiatric state patients, Leave of absence. DEFINITION
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Wigwe, Joseph. "Reducing Length of Hospital Stay for Intellectually Disabled Psychiatric Patients with Chronic Medical Problems." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2908.
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Length of hospital stay (LOS) is a major indicator for measuring efficient care. Intellectually disabled psychiatric patients (IDPP) with chronic medical problems have longer LOS due to challenges faced by providers in jointly managing both psychiatric and medical problems. The purposes of this study were to understand the significance of LOS for IDPP, create an intervention toolkit to reduce LOS, establish the content validity of the toolkit, and recommend its implementation. The items of the toolkit are pharmacology, somatic, rehabilitation, psychosocial, and monitoring patients' psychiatric and medical symptoms across care domains. The toolkit was created from the constructs of the psychiatric rehabilitation process model to jointly mange psychiatric and medical issues. The project question asked if a universal agreement rating will be achieved to establish content validity of the toolkit. Orem's self-care deficit theory was used to guide this study. Ten experts with experience in the clinical, financial, legal, and psycho-social aspects of IDPP care, were recruited from 5 county facilities and asked to participate in the study. The inclusion criteria focused on the experts' leadership roles in those facilities. The experts answered two online quantitative surveys. Survey 1 asked 9 questions and elicited opinions on LOS issues for IDPP. Survey 2 asked the experts to rate the efficacy of the toolkit to reduce LOS for IDPP. Survey 1 finding showed that 8 of 10 experts agreed that LOS for IDPP needed to be reduced. Survey 2 finding showed a universal agreement toolkit rating of 0.84, indicating the experts' readiness to adopt the toolkit to reduce LOS for IDPP. This study has the potential to promote social change by enhancing interdisciplinary and collaborative use of best care processes in psychiatry to reduce LOS and jointly manage psychiatric and medical problems affecting IDPP.
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Mahgoub, Nelly Ahmed. "Bridging therapy in hospital- and community-based psychiatric nursing care : a comparative study." Thesis, Sheffield Hallam University, 1988. http://shura.shu.ac.uk/20834/.
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This study presents a detailed account of Bridging Therapy - an innovative intervention aimed at providing relatively comprehensive psychiatric nursing care for mentally ill patients. Starting at hospitalisation, Bridging Therapy continues as planned nursing care based on detailed assessment of the patient's short- and longer-term needs both before and after discharge to the community, delivered where possible by the same nurse, or by members of the same nursing team. Bridging Therapy thus presents a remedial model for current fragmented patterns of nursing care, based on an eclectic approach to psychotherapy and nursing process known as the "flexible integrative approach" (FIA).The study recognises problems caused by lack of patient outcome measures in psychiatric nursing; and approaches this by developing an appropriate assessment instrument, the Behaviour Adjustment Inventory (BAI), which is initially tested in concurrent use with a well-validated psychometric instrument (the GHQ); with a second well-validated instrument (the EPI) acting as an initial screening device. The BAI assesses patients' initial status on admission and subsequent responses to Bridging Therapy on a five-point scale, used in conjunction with detailed clinical criteria of behaviour and attitude change. Clinical evaluation of patients in the contrasted contexts of Sheffield and Cairo is described. In each context, experimental (Bridging Therapy) and control (non-Bridging Therapy) groups are studied (Sheffield total N = 22: Cairo total N = 18). Assessment of initial condition was carried out on admission to hospital; recovery status on discharge, and at the close of therapeutic follow-up in the community. Results indicate similar levels of recovery for Sheffield and Cairo groups, with a more pronounced tendency to recovery in the experimental (Bridging Therapy) groups; however, this difference does not reach statistical significance. Psychometric findings are augmented by qualitative descriptions of the implementation process. Two detailed nursing studies from each context are presented. The investigation highlights the complexity of the research problem, including important transcultural considerations; identifies multifactorial issues governing patient care; and supports further research into Bridging Therapy as a potential remedy for current gaps in psychiatric nursing care, both in Britain and Egypt. Relevant materials concerning historical/structural aspects of mental health care and varieties of psychotherapy (Chapters 1 through 3) are included because of their contextual importance both to British and Egyptian workers.
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Walke, J. "Repute and remedy : psychiatric patients and their treatment at Bethlem Royal Hospital, 1930-1983." Thesis, London School of Hygiene and Tropical Medicine (University of London), 2015. http://researchonline.lshtm.ac.uk/2345048/.
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Bethlem Royal Hospital is Britain’s oldest and arguably foremost mental hospital; a centre of psychiatric innovation notable for its early acceptance of voluntary, predominantly middle-class, patients. The study begins with the 1930 Mental Treatment Act, which endorsed voluntary and outpatient psychiatric treatment, and ends with the 1983 Mental Health Act, which placed legal controls on certain therapies, and introduced the Mental Health Act Commission. Although not wholly representative of other institutions, scrutiny of Bethlem can inform debates on the flux of ideas and methods within twentieth-century psychiatry, and further knowledge of the hospital in this era. The primary research aim is to analyse the changing nature of institutional care for psychiatric patients in mid twentieth-century Britain, through a case study of Bethlem Royal Hospital. Secondary objectives are to: * Explore the role of legislative frameworks in shaping the institution in terms of admissions and governance; * Investigate changing definitions of mental illness through analysis of the composition of patients with respect to their diagnosis and social factors; * Examine the impact of scientific developments in the theory and practice of psychiatry on service organisation and treatment. At the local level, combined admissions data and qualitative evidence provide a detailed, contextualised account of the Bethlem inpatient ‘journey’. Four national level themes emerged: first, a consumerist model of mental health was evidenced through hospital marketing materials, and, reciprocally, the preferences of patients and their families. A second key theme was a mid twentieth-century transition from aetiologic to diagnostic frameworks of mental illness. Thirdly, gender-specific attributions and treatment observed in interwar records were followed, in subsequent decades, by signs of a ‘meeting of minds’ in recorded experiences of male and female inpatients. Finally, this thesis addresses how changes in patients’ backgrounds, knowledge, and expectations, were intertwined with the development of psychotherapeutic approaches.
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Yusi, Phikisile Thiery. "Lived experiences of nurses who have been assaulted by patients at a psychiatric hospital in the Western Cape." University of the Western Cape, 2015. http://hdl.handle.net/11394/5008.
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Magister Curationis - MCurBackground: Nurses, because of their close contact with these patients, are frequently victims of assault. The aim of the study is to explore and describe the lived experiences of nurses, who have been assaulted by patients at a Western Cape psychiatric hospital. Research Design: A qualitative approach, using a phenomenological research design was used to achieve the aim of the study. The target population was nurses, who are employed at the hospital under study. A purposive sampling, consisting of six nurses, was selected to participate in this study. Data were collected by means of unstructured interviews with nurses who met the inclusion criteria. Data saturation was reached after the sixth individual interview. The interviews were audio taped and transcribed, verbatim, and field notes were taken, as well. Collaizi’s method of data analysis was used to analyse the data and to identify themes and categories. The major themes that emerged were: Self-care incongruent to intrapersonal interest; Personal responses to trauma; Incongruence between patient behaviour and participant work experience; unprotected staff vulnerable to patient aggression; required and received supportive interventions. Ethical clearance was obtained from the Senate Ethics Committee at the University of the Western Cape. Permission to conduct the study was obtained from the Research Ethics Committee at a psychiatric hospital under study, as well as from the Department of Health, Western Cape. Participants were drawn from different units of the hospital. Findings: The findings revealed that nurses working at this psychiatric hospital frequently encounter assault and violence by patients, while providing care, to the extent that they view the workplace environment as unsafe and insecure. The way they experienced the assaults had some similarities; they all complained that they felt neglected by management after the assaults and that they experienced multiple bodily reactions to trauma. Recommendations: From the data gathered, it appeared that nurses were calling for support from those in authority, be it supervisors or hospital management. Some of the recommendations made by the researcher were: regular refresher courses on self-awareness training; counselling/debriefing; skills development workshops on management of aggression; and the feasibility of paying a special allowance to staff. Conclusion: The study revealed that lack of management support perpetuates the cycle of violence experienced, which, in most incidents, has a spill over effect in the personal lives of the nurses, who have been assaulted by patients. It is the researcher’s belief that nurses should be supported in this stressful environment.
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Arterbury, Allison, Audrey Bushway, and Lisa W. Goldstone. "Effect of a Pharmacist Led Medication Education Group on Hospital Readmissions for Patients With Previous Inpatient Psychiatric Admissions." The University of Arizona, 2014. http://hdl.handle.net/10150/614146.
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Class of 2014 AbstractSpecific Aims: It has been demonstrated through numerous studies that pharmacists have the ability to significantly impact patient outcomes. It is especially important to measure the effect that pharmacists have on psychiatric patient care as this is a population that is often underserved and can potentially benefit from pharmacist intervention. To date, there has been little research on pharmacist led patient medication education groups for patients with psychiatric diagnoses. Therefore, the purpose of this study was to assess the effectiveness of a pharmacist led medication education group in reducing adult psychiatric hospital readmission rates due to medication non-adherence. Methods: Patients admitted to an acute adult inpatient psychiatric unit at an academic medical center between September 1, 2011 and July 31, 2012 were included. A random sample of 100 patients that attended the medication education group (intervention group) and 100 patients that did not attend the group were selected (control group). The following data were collected: patient age, gender, ethnicity, insurance benefits, primary diagnosis, substance abuse history, number of medications at first discharge, length of stay on initial admission, time to first readmission, length of stay on first readmission, and reason for readmission (medication non-adherence versus other). A chi square analysis was conducted to determine if admission rates as well as reason for readmission were different between the two groups. An independent t test was conducted to determine if time to first readmission or length of stay on first readmission was different between the two groups. Main Results: There were 28 psychiatric hospital readmissions in the intervention group and 28 readmissions in the control group. Although these numbers were similar, there was a statistically significant difference in the number readmitted due to medication non-adherence, 11 in the intervention group vs. 19 in the control group (p=0.032). There was also a clinically significant difference in the time to readmission between the two groups (an average of 94.43 days in the intervention group vs. 60.70 days in the control group.) Conclusion: The pharmacist-led medication education group did not have an impact on readmission rate. However, the group did reduce the number of readmissions for medication non-adherence. There is a clinically significant increase in the time to readmission in patients that attended the medication education group. The data in this study support the implementation of pharmacist-led medication education groups to improve outcomes in adults admitted to acute inpatient psychiatry units.
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Quinlan, John. "The essence of pastoral care an investigation of patient satisfaction with pastoral care in an acute general and psychiatric hospital /." Online full text .pdf document, available to Fuller patrons only, 2000. http://www.tren.com.
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Bolton, Everton. "Identity and multiple admissions to psychiatric hospital : a biographic narrative study of the experiences of patients." Thesis, Bournemouth University, 2008. http://eprints.bournemouth.ac.uk/15095/.
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A small percentage of mentally ill patients, sometimes referred to as 'revolving door' patients, are frequently readmitted to psychiatric hospitals. This study explores how these patients construct meaning and reality and how this enacted reality provides a context for shaping their identities. The study draws on mental health policy, political ideologies and the history of deinstitutionalisation in order to illuminate this problematic phenomenon. The study is framed within the social sciences, but more specifically within the fields of mental health and social work practice. The methodology is qualitative, placing emphasis on a hermeneutic phenomenological approach. The foundation of the study is underpinned by a social construction and social psychology framework. A unique minimalist interview technique based on the Biographic Narrative Interpretive Method is used for data collection and analysis. Data from seven interviews with participants are presented followed by the researcher's reflections on the interviews and post-interview process. The life stories of four of the seven participants are analysed by using reflective teams. The lived life, or chronological chain of events as narrated, is analysed sequentially and separately. The told story, or thematic ordering of the narration, is then analysed using thematic field analysis; this involved reconstructing the participants' system of knowledge, their interpretations of their lives and their classification of experiences into thematic fields. An integrated procedure of abductive and inductive analysis of the stories elicited from participants offered immense potential for constructing meaning. Perspectives on 'revolving door' patients have often regarded them as having a one-dimensional life. This study revealed that these existential lives are complex and diverse and exist within a cultural matrix of social and psychological constructs. Interpretations of these patients' experiences illuminate the complexities arising from multiple admissions to psychiatric hospitals and highlight the problematic aspects which impact their socially constructed identities. These case studies of 'revolving door' patients' personally narrated lives extend the social psychological study of self/identity and contribute to the field of mental health research.
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Llanes, Basulto Yasmani, Hernández Yanquiel Barrios, Hernández Ignacio Oliva, Noda Susel de la Caridad Pimentel, and Guerra Esvieta Calvo. "Depression in patients with schizophrenia admitted to the acute services of the Psychiatric Hospital of Havana." Pontificia Universidad Católica del Perú, 2014. http://repositorio.pucp.edu.pe/index/handle/123456789/100451.
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The presence of depression in the acute phase of schizophrenia is evaluated, and the clinical and psychosocial characteristics that can be associated with depression are identified. Participants included 73 patients that were admitted to the acute services of the Psychiatric Hospital of Havana, given that depression is a symptom in a significant amount of the patients with schizophrenia, 35.6% of the patients presented clinically significant symp- toms, and these were related significantly with unemployment, the separation of loved ones and a greater number of re-hospitalizations. It is important to consider depression and its causes to develop effective treatment strategies.Se evalúa la presencia de depresión en la fase aguda de la esquizofrenia y se identifican las características clínicas y psicosociales que puedan estar asociadas a la depresión. Se estudiaron 73 pacientes ingresados en los servicios de agudos del Hospital Psiquiátrico de La Habana, identificándose que la depresión es un síntoma presente en una parte importante de los pacientes con esquizofrenia, el 35.6% de la muestra presentó síntomas clínicamente significativos, y relacionados significativamente con la ausencia de vínculo laboral, la separación de seres queridos y un mayor número de ingresos. Es importante considerar la depresión y sus causas para desarrollar estrategias de tratamiento eficaces en este tipo de pacientes.
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Van, Staden Magdaleen. "Services provided to relatives of patients admitted to a psychiatric hospital : an assessment of family satisfaction." Master's thesis, University of Cape Town, 1996. http://hdl.handle.net/11427/16097.
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Bibliography: pages 80-88.This study explores family satisfaction with services provided to them on their relatives' admission to Valkenberg Psychiatric Hospital in Cape Town. The rationale for doing this research arose from the researcher's encounters with families of psychiatric patients and the perceived lack of involvement of the professionals with the families. In addition, a needs assessment was done to establish the need for family groups. The literature review traced the psychiatric services from the earlier custodial orientation, the subsequent deinstitutionalisation of the services resulting in the families becoming the primary caregivers of their mentally ill relatives, to the emphasis of the biopsychosocial model in the recently established community services. Review of the treatment models indicated supportive family education as the primary form of intervention to ensure compliance, aid the recuperation process, enhance the quality of life for the patient and their families and to equip the families to cope with the illness. A survey method was employed to gather quantitative and qualitative data via questionnaires and face-to-face interviews with 31 relatives of 24 patients who had been admitted during January, February, and in March 1995 to the male and female admission units (wards 9, 10, 14, 15 and 16) at Valkenberg psychiatric hospital in Cape Town. A non-probability convenience sampling procedure, based on the availability and accessibility of the relatives to attend an office interview, was used. Findings from prior studies as well as from this current study have shown a lack of professional involvement with the families in relation to the treatment programme of their mentally ill relatives. The majority of the respondents were not informed about the implications of the illness and the effect of treatment and most of the respondents lacked guidance on how to cope with their mentally ill relatives. Other findings indicated that families are the most concerned about the lack of supported housing, rehabilitation services, adequate financial assistance, day care centres, sheltered employment for their mentally ill relatives and difficulties in relation to admission procedures. More than three quarters of the respondents were interested in family groups and there was a definite need for professional counselling for the parents and siblings. In response to the findings a number of recommendations are made to improve services to families, including the formation of family groups where the relatives of mentally ill people can receive psychoeducation and practical guidance. The need for further research has been identified.
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Bekelepi, Ntombiyakhe. "Knowledge and skills of professional nurses in managing aggressive patients in a Psychiatric Hospital in the Western Cape." University of the Western Cape, 2015. http://hdl.handle.net/11394/4681.
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Magister Curationis - MCurBackground: Mental illness has become more common than many other diseases such as heart disease, cancer or diabetes. Aggression or violence by patients towards psychiatric nurses is a global issue. These nurses, therefore, face the huge challenge of providing nursing care to aggressive psychiatric patients. Without the necessary knowledge and skills, the nurses are vulnerable to all kinds of injuries, given the time spent managing aggressive patients. Purpose and objectives: The purpose of the study was to determine the level of knowledge and skills that professional nurses possess to manage the aggression of psychiatric patients. The objective of the study was to ascertain whether the knowledge and skills of professional nurses were sufficient to manage aggressive psychiatric patients. Method: A quantitative approach and descriptive design was used to conduct this study at a Psychiatric Hospital in the Western Cape, South Africa. The target population consisted of 149 professional nurses employed at the Psychiatric Hospital. The sample for the study was all-inclusive i.e. all professional nurses employed at the hospital. Only 70 participants were available for the study. Structured questionnaires were distributed to the participants for data collection and the response rate was 77% (n=54). Data analysis was done with the aid of a statistician using a Statistical Package for Social Science, version 22, and nominal as well as ordinal data was analysed using descriptive analysis. The process and purpose of the study was explained to the participants, who gave their consent, prior to the distributing of the questionnaires. The researcher obtained permission from the necessary authorities before commencing with the study. Findings: The study found that nurses were more likely to be exposed to verbal aggression as opposed to sexual aggression. It also revealed that nurses with less years of experience had more knowledge than their counterparts who had more years of experience in same position. Furthermore, the study revealed that those who had training in aggression management reported that the training did not meet their needs. Overall, the findings revealed that nurses had a fair knowledge of managing aggressive psychiatric patients. The overall findings also revealed that professional nurses had the required skills to manage aggressive patients. Recommendations: There is a need for on-going in-service training and refresher courses in the management of aggression. There should also be a needs analysis before commencing with these training courses which should be made compulsory for all staff to attend. Further studies should be conducted on the different categories of nurses, and other disciplines within nursing, to ascertain their knowledge of the management of aggression. Qualitative studies should also be conducted on nurses‟ experience of aggression in different settings.
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Damkroger, Mary Katherine. "A Program Evaluation Study of a Partial Hospital Program." Thesis, University of North Texas, 1998. https://digital.library.unt.edu/ark:/67531/metadc277862/.
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The purpose of the present study was to assess patient improvement in a specific freestanding partial hospital. Improvement was assessed in two specific areas: 1) symptom reduction as measured by the Symptom Check List-90-Revised (SCL-90-R) and 2) social adjustment as measured by the Social
Adjustment Scale Self-Report (SAS-SR) at admission, discharge and three month follow-up. In addition, improvement was assessed from two perspectives: 1) patient evaluation and 2) therapist evaluation. Results indicated that there was statistically significant improvement from admission to discharge on the SCL-90-R and the SAS-SR. This improvement was maintained from discharge to three month follow-up. Findings also revealed statistically significant improvement when analyzed from both the patient perspective and the therapist perspective.
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Goddard, Lucie. "How are outcomes and recovery for patients treated in the secure psychiatric hospital system defined and conceptualised?" Thesis, University of Oxford, 2009. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.510421.
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Oen, Suk-ling, and 溫淑玲. "An exploratory study on the family support for patients of the day hospital at Yaumatei Psychiatric Centre." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1991. http://hub.hku.hk/bib/B31249024.
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Criner, Bonnie A., and Hope M. Young. "The assessment and recognition of childhood abuse among former Patton State Hospital patients by psychiatric social workers." CSUSB ScholarWorks, 1994. https://scholarworks.lib.csusb.edu/etd-project/901.
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Sonuga, Babatunde. "Profile and anticoagulation outcomes of patients on warfarin therapy in an urban hospital in Cape Town: a review of records of patients attending Victoria Hospital, Cape Town, South Africa." Master's thesis, University of Cape Town, 2016. http://hdl.handle.net/11427/21380.
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Background: Warfarin is the most frequently used oral anticoagulant worldwide and it is the oral anticoagulant of choice in South Africa for reducing thrombosis - related morbidity and mortality. However, the safety and efficacy of warfarin therapy depends mainly on careful monitoring and maintenance of the international normalized ratio (INR) within an optimal therapeutic range. In the ACTIVE - W trial conducted across nine countries, South Africa had the poorest anticoagulation control with warfarin. This study showed that 86% of patients on warfarin therapy in the country have their mean time in therapeutic range below target. This was an indication of a very poor warfarin control in South Africa .The trial reported centre - specific differences within each country. It was however silent on these differences in South Africa. Aim: The aim of this study was to describe the profiles and the anticoagulation outcomes of patients on warfarin therapy in a major warfarin clinic in Western Cape Province of South Africa. Setting: Victoria Hospital - a district hospital in Cape Town, South Africa, which serves around one million people. Methods: A cross sectional review of clinical records of patients on warfarin therapy who attended the INR clinic from 01 January 2014 to 30 June 2014 was done. Data analysis was done with Stata to generate appropriate descriptive data and groups were compared using non - parametric tests. Results: Age range for male patients was between 29 - 85 years with median age of 62 years, while that of female patients was between 17 - 92 years with a median age of 66 years. Atrial fibrillation (AF) was the commonest indication for warfarin use in this study and hypertension was the commonest co-morbidity amongst these patients. Only 48.5% (66 patients) achieved target therapeutic range as of 01 July 2014, while 51.5% (70/136) of the patients were out of range. Patients who were non - alcohol users (88.9%) had better therapeutic control than those who consumed alcohol (9.6%). There was a significant association between alcohol consumption and poor anticoagulation outcomes (p value <0.022). Unlike alcohol use, there was no statistical relationship between smoking habit and target therapeutic range (P value = 0.198). The study also showed that anticoagulation outcomes were better among the older age groups, male patients and in those with atrial fibrillation. The prevalence of thrombotic events while on warfarin treatment was 2.2%, while prevalence of haemorrhagic events was 14%. Most of the patients with bleeding events were on concurrent use of warfarin and other medications with potential drug interactions. Conclusion: In this study, patients who achieved target therapeutic control were less than the acceptable 60%. Bleeding complications were more common among patients on concurrent use of warfarin with other medications such as NSAIDS and simvastatin. Therefore, it is of utmost importance for health professionals to take note of drug - drug or drug - disease interactions among patients on warfarin and to monitor INR levels more frequently in patients who have to unavoidably be on concurrent use of medications with possible major interactions with warfarin. Keywords: Oral anticoagulant, anticoagulation outcomes, therapeutic control, percentage INR within target therapeutic range (%ITTR).
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Higgins, Jane Marie. "Card games and containment : forensic psychiatric patients' experiences of a student-led initiative." Thesis, Rhodes University, 2014. http://hdl.handle.net/10962/d1013314.
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Despite South African forensic psychiatric institutions operating well over capacity, the urgent need for rehabilitation guidelines is neglected through lack of research in this area. This is further compounded by the constrained financial and professional resources available to the sector. The Fort England Hospital Buddy Programme (FEHBP) is a voluntary social and activity-based initiative involving 2 hourly visits between students and male forensic psychiatric patient volunteers. Through the use of Interpretative Phenomenological Analysis (Smith, 1996), the participants’ experience of the programme was further contextualised within their lives pre and post admission. While further exploration through research is required, it appeared that within institutional confines the FEHBP acted in a substitutionary and surrogacy capacity, as a space for the development of social competence. While participants appeared to experience a sense of protectiveness from the programme, the limitations and restrictions are acknowledged as an increased number and variety of social network links would be required for a more sustainable sense of subjective wellbeing to develop. The FEHBP demonstrates the use of non-professional (community involved) interventions within a forensic psychiatric context.
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Smith, Helen Mary. "Factors leading to frequent readmission to Valkenberg Hospital for patients suffering from severe mental illnesses." Thesis, University of the Western Cape, 2005. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=init_8222_1178701013.
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This thesis aimed to explore systematic health service problems that are related to frequent readmission of persons suffering from severe mental illnesses to Valkenberg Hospital. Reduction of acute and chronic beds in the Associated Psychiatric Hospitals, Western Cape over the past decade has led to increasing pressure for beds and rapid inpatient turnover, many of these inpatients being "revolving door"
patients. Integration of mental health service into general health services, an intrinsic part of the comprehensive primary health care approach in South Africa, is supposed to make mental health care more accessible the public, therefore research into why patients are being frequently readmitted at secondary specialist level is indicated.
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Wallis, Jennifer Mary. "A demographic study of adolescent in-patients at Lentegeur Psychiatric Hospital 1986-1990 : implications for policy and intervention." Master's thesis, University of Cape Town, 1993. http://hdl.handle.net/11427/21808.
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Bibliography: pages 108-115.The aim of the proposed study is to evaluate demographic factors and treatment characteristics contained in the historical records of those treated as in-patients at the Sonstraal Adolescent unit of Lentegeur Hospital, during the period 1986 to 1990. This demographic study details the following aspects of the adolescent in-patients: size, that is, numbers of those admitted to the unit; composition, including age, sex and area. Treatment characteristics such as reasons for admission, diagnosis of psychopathology, referral agent on admission and discharge and length of stay in the unit are considered. The data for the study have been extracted from the clinical records contained at Sonstraal, namely , the 'Clinical Summary on Discharge' form. This form is completed by the therapist of each adolescent attending the unit. The EpiInfo computer programmes have been utilised to create a database and to select the appropriate procedures and statistics which form the basis for data analysis and interpretation. Data interpretation includes an analysis of the emerging trends and details the implications for policy issues, unit staffing and treatment options. Analysis of the trends and comparisons with literature findings have facilitated the generation of hypotheses which could be tested in future studies. This study therefore provides a working document for future prioritising and planning of in-patient, out-patient and community mental health services to adolescents, their families and communities. This involves recommendations for intervention and community involvement. In addition, the study provides a basis for future research into adolescent mental health care.
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Rees, Christopher Lewis. "An examination of patients' responses to framework breaks in psychotherapy in an institutional context." Thesis, Rhodes University, 1998. http://hdl.handle.net/10962/d1002551.
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This study examines the workings of the ground rules which make up the framework of psychotherapy, in an institutional context, by analysing transcripts of twelve audio taped sessions of therapy conducted in a psychiatric hospital. The breaks in the ground rules of the sessions are noted and the patients' responses to these breaks are analysed using Langs's (1982, 1988) method for decoding patients' material, suitably modified for use as a hermeneutic research method. Although all of the ground rules are broken in the institutional context, only one of the ten ground rules appears to be essentially affected by this particular institutional context. Other ground rules are broken out of choice of technique or through error. The institutional context has a structural impact only on the ground rule requiring a one to one relationship with privacy and confidentiality and this ground rule is transgressed in a number of ways in all twelve sessions examined in this study. However the patients' responses to this breach only occur in ways predicted by communicative theory when the break in the ground rule involves actual entry into the therapy space by another person. Other contraventions to this ground rule that do not involve such an entry do not elicit the predicted patient responses. The many other ground rule breaks occurring in the institutional context evoke the predicted responses in the patients' material. In the study, no therapist interventions are found to comply with the communicative therapy requirements for sound interventions; concomitantly it was found that no therapist interventions receive the required derivative validation. The results indicate that it is possible to conduct therapy of a substantially secure frame variety in this institutional context with minimum effort on the part of therapists and given proper training and supervision of therapists in the techniques of communicative psychotherapy. Furthermore the results lend weight to the importance of the communicative methodology for listening to patients' material in psychotherapy in an institutional context. However, further rigorous study of competently performed therapy, executed within the context of a secure frame within an institutional context, is needed in order to demonstrate the benefits of the communicative psychotherapy interventions and interpretations in this context.
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Hedlund, Mathilde. "Coping, Psychiatric Morbidity and Perceived Care in Patients with Aneurysmal Subarachnoid Haemorrhage." Doctoral thesis, Uppsala : Acta Universitatis Upsaliensis : Univ-bibl. [distributör], 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-109761.
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Mulvihill, Eric Joseph. "The role of the built environment in the care and adjustment of long-stay psychiatric patients moved from hospital into small hostels." Thesis, Oxford Brookes University, 1988. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.327785.
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Marth, Dean Markward Martha J. "A longitudinal study of differences in staff assaults by responses to residents in a forensic hospital." Diss., Columbia, Mo. : University of Missouri--Columbia, 2009. http://hdl.handle.net/10355/6134.
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Title from PDF of title page (University of Missouri--Columbia, viewed on Feb. 15, 2010). The entire thesis text is included in the research.pdf file; the official abstract appears in the short.pdf file; a non-technical public abstract appears in the public.pdf file. Dissertation advisor: Dr. Martha Markward. Vita. Includes bibliographical references.
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Piterman, Hannah, and Hannah Piterman@med monash edu au. "Tensions around introducing co-ordinated care a case study of co-ordinated care trial." Swinburne University of Technology, 2000. http://adt.lib.swin.edu.au./public/adt-VSWT20050418.092951.
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The aim of the research was to analyse the organisational dynamics surrounding a health care reform implementation process associated with the introduction of coordinated care, which is an Australian Government initiative to introduce structural changes to the funding and delivery of health-care in response to rising health care costs. A longitudinal case study of an implementation team was studied. This included the perceptions and experiences of individuals and institutions within hospitals, the general practice community and Divisions of General Practice. Furthermore, the case study explored organisational structures, decision-making processes and management systems of the Project and included an examination of the difficulties and conflicts that ensued. The broader context of health care reform was also considered.
The study found that an effective change management strategy requires clarity around the definition of primary task in health care delivery, particularly when the task is complex and the environment uncertain. This requires a management and support structure able to accommodate the tensions that exists between providing care and managing cost, in a changing and complex system. The case study indicated that where tensions were not managed the functions of providing care and managing costs became disconnected, undermining the integrity of the task and impacting on the effective facilitation of the change process and hence, the capacity of stakeholders to embrace the model of co-ordinated care. Moreover, the micro dynamics of the project team seemed to parallel the macro dynamics of the broader system where economic and health care provision imperatives clash. Through its close analysis of change dynamics, the study provides suggestions for the improved engagement of stakeholders in health care change.
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Sepeng, Goitsemang Gomolemo. "The diagnostic outcomes of electroencephalogram performed on adult psychiatric patients at Dr George Mukhari Hospital, Garankuwa” over a period of January 2006 to December 2008." Thesis, University of Limpopo (Medunsa Campus), 2010. http://hdl.handle.net/10386/398.
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Thesis M Med (Psych)--University of Limpopo, 2010.INTRODUCTION: The yield of EEG amongst psychiatric patients has been reported to be low and the value of EEG in the practice of psychiatry is questionable.EEG is used as part of a diagnostic work up for patients with psychiatric disorders .Often the reason given for its use is to exclude epilepsy as a cause of psychiatric symptoms. Epilepsy is primarily a clinical diagnosis, but the EEG may provide strong support by the findings of inter – ictal Epileptogenic discharge METHOD: All the adult EEGs requested at Dr George Mukhari psychiatric hospital, over a 36 month period,were reviewed to describe the outcome of the requested EEG reports. The study is a simple retrospective analysis of 111 consecutive EEG requested to the department of Neurology at DGMH from psychiatric unit at DGMH. Subjects were both inpatients and outpatients. All the EEG was reported by a qualified Neurologist. Data were extracted from the EEG request form and the patients’ clinical files, which reported on the clinical reason for the EEG test, nature of psychiatric diagnosis of patients, the psychiatric treatment received prior to the EEG test and the nature of the EEG results RESULTS: There were 111 EEG reports analysed, and 69 EEG reports for males and 42 EEG reports for females. The reason for EEG request was dominated mainly by exclusion of epilepsy. Majority of the patients were diagnosed with a psychotic disorder , followed second by a mood disorder , all of which was attributed to GMC (epilepsy).About 62.73% of patients were on a combination of treatment of antipsychotic drug and anticonvulsants, whilst 34.55% were on antipsychotic monotherapy prior to the EEG test. Further analysis of the requested EEG form was carried out in whom the test was to determine whether or not the patients were suffering from epilepsy. EEG abnormalities were identified amongst 24% of the patients. About 11,7% of patients presented with non specific EEG results. Out of a total number of 111 patients whom an EEG test was requested and epilepsy was highly suspected from clinical presentation, only 14 patients (12.6%),presented with epileptiform discharge on their EEG results. However majority of the patients (76%) demonstrated normal EEG pattern, which doesn’t exclude a diagnosis of epilepsy. CONCLUSION: The yield of EEG in psychiatry is low. To diagnose epilepsy as a cause of psychiatric presentation,clinicians should continue to rely on the clinical history of attacks and not the EEG. In the practice of psychiatry it is not recommended to routinely order an EEG to exclude a diagnosis of epilepsy, more so to confirm a psychiatric diagnosis. The presence of a psychiatric symptoms in patients who presents with epilepsy, is rarely associated with meaningful EEG changes
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Cloete, Shoemeney Aveline. "Professional nurses perceptions of their knowledge, attitudes and practices, regarding metabolic syndrome in patients in a Psychiatric hospital, Western Cape." University of the Western Cape, 2020. http://hdl.handle.net/11394/8029.
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Magister CurationisUndiagnosed and untreated medical illnesses are more predominant in patients with mental illnesses, compared to the general population. Concerns have risen about the observed lack of regular screening for Metabolic Syndrome potentially increasing the prevalence rate of the disease especially in young adolescents on anti-psychotics. Recognizing the recurrent co-morbidity between mental and physical health conditions, specific commendations addressing the physical conditions causing the increased morbidity and mortality of people with severe mental illness are needed. In some instances, treatment recommendations for the general population may need to be modified for people with SMI.
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Heighton, Luke. "Exhibiting madness, art & the asylum : the creation & exhibition of images by psychiatric hospital patients in Vienna, 1890-1914." Thesis, Birkbeck (University of London), 2008. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.565893.
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Radant, Kimberly Lynn Belec. "PATIENT-STAFF PERCEPTIONS OF A REAL AND IDEAL WARD TREATMENT ENVIRONMENT." Thesis, The University of Arizona, 1985. http://hdl.handle.net/10150/275271.
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Beukes, Lorraine Theresa. "The knowledge, attitudes and perceptions of general assistants towards mentally ill patients in psychiatric hospitals in Cape Town in the Western Cape." University of the Western Cape, 2014. http://hdl.handle.net/11394/4175.
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Magister Curationis - MCurThe current debate on knowledge, attitudes and perceptions of medical staff and the broader community towards mentally ill patients across the world is also quite extensive in South Africa. The literature on the subject matter demonstrates poor knowledge of mental illness in the general population and also indicates that people often have stigmatising attitudes towards mental illness. However, while most studies have explored the attitudes, perceptions and behaviour towards mentally ill patients with respect to various staff categories such as doctors, nurses, pharmacists, psychologist and the community globally and particularly in Sub-Saharan Africa, few studies have extended the analysis to include general assistants. Moreover, little research has been carried out on the knowledge, attitudes and perceptions towards mental illness and mentally ill patients of non-medical staff such as general assistants, who on a daily basis spend time with mentally health care users, ensuring hygiene in psychiatric hospitals in South Africa. This study intended to fill the gap by using a quantitative, descriptive approach encompassing a cross-sectional survey design to identify the level of basic mental health knowledge and determine attitudes and perceptions of general assistants towards mental illness and mentally ill patients in four government funded psychiatric hospitals in Cape Town, South Africa. A random sample of 124 was selected from the general assistants of the four psychiatric hospitals in Cape Town. The results established that the majority of General Assistants (75.6%) in all four psychiatric hospitals demonstrated fair basic mental health knowledge pertaining to mental illness and positive attitudes and perceptions towards mentally ill patients. Although the attitudes and perceptions are mostly positive, item analysis revealed that there are disparities in the results. One third of the general assistants find it stressful to work with mentally ill people. Others displayed frustration (30,1% ), mistrust (52%) and fear(12%). In addition, 82.9% of the general assistants like working with mentally ill people and the majority of the general assistants are comfortable working with mentally ill patients. The recommendation is that basic mental health awareness programmes or in-service training should be implemented for general assistants especially newly appointed general assistants to improve the knowledge and understanding, attitudes and perceptions of general assistants and to reduce fear and negative perceptions and attitudes in order to enhance positive patient experiences.
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Thomas, Peter F. Kaminski Patricia L. "Functions of self-injurious thoughts and behaviors within adolescent inpatients." [Denton, Tex.] : University of North Texas, 2008. http://digital.library.unt.edu/permalink/meta-dc-9731.
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September, Uwarren. "Experiences of family members caring for female patients with a co-morbid diagnosis of bipolar and substance abuse admitted in a psychiatric hospital in the Western Cape." University of the Western Cape, 2015. http://hdl.handle.net/11394/5100.
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Magister Artium (Social Work) - MA(SW)Caregivers of people with psychiatric illnesses experience challenges, which contribute significantly to their burden of care and can result in health and mental health problems. The researcher was interested in the lived experiences of caregivers, which resulted in the following research questions: What are the lived experiences of caregivers caring for a co-morbid bi-polar and substance-abuse patient, and what context and situations contribute to the problems? The goal of this research was to explore the experiences of family members caring for relatives admitted in a psychiatric hospital, and the contexts in which these occurred. The objectives were to explore and describe the lived experiences of family members caring for a relative with a co-morbid diagnosis of bi-polar and substance abuse, as well as the situations or contexts in which these experiences occur. These objectives were followed by the last objective of the research, which was to make recommendations to the multi-disciplinary teams (MDTs) on services for family members caring for such a relative. A qualitative, phenomenological research approach was used for this study with explorative and descriptive research designs. The population for the study comprised families in the Western Cape caring for female relatives admitted to a psychiatric hospital with co-morbid bipolar and substance use disorder. The researcher purposively selected relatives of female in-patients admitted in a female admission ward. Families were chosen whose members were admitted for more than three months. In-depth phenomenological interviews were done with six participants until data saturation was reached. Phenomenological data analysis, focusing on the textural (lived experience) and structural (context in which it was experienced), were followed after data collection. Findings comprised a composite description of the phenomena of both textural and structural description. The findings of this research resulted in conclusions and recommendations for MDTs and social work on interventions for family members caring for a family member with this mental condition. Findings from this study conclude what was found in the literature regarding challenges in the system leads to caregivers feeling burdened with their mentally ill relative, and that resources and support are lacking in communities. This led to recommendations aiming at MDTs, government and social workers working in institutions, to align with community social workers in order to strengthen working relationships with the aim of providing the necessary support services to families caring for mentally ill relatives. Future research suggestions are also aimed at supporting families caring for patients with a mental illness for which reasons for re-admissions will be assessed and evaluated.
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Smith, Irmhild Wrede. "The effect of structured exercise and stuctured reminiscing on agitation and aggression in geriatric psychiatric patients /." Access Digital Full Text version, 1996. http://pocketknowledge.tc.columbia.edu/home.php/bybib/11976676.
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Thesis (Ed.D.)--Teachers College, Columbia University, 1996.Typescript; issued also on microfilm. Sponsor: Susan W. Salmond. Dissertation Committee: Marvin Sontag. Includes bibliographical references (leaves 73-87).
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Thornicroft, Graham John. "Camberwell long-stay psychiatric patients discharged from Cane Hill Hospital 1987-1992 : a controlled follow-up study of clinical and social outcomes." Thesis, King's College London (University of London), 1995. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.363069.
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Matsoso, Tsietsi Martin. "An exploration of the perceptions of nurses in caring for psychiatric patients in a rural district hospital in Northern Cape, South Africa." University of Western Cape, 2017. http://hdl.handle.net/11394/6071.
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Magister Public Health - MPH (Public Health)Caring for psychiatric patients in the medical wards of rural district hospitals is of concern, as the hospitals are not designed to make provision for these patients. Psychiatric patients, especially those diagnosed with severe mental illnesses, such as schizophrenia and bipolar mood disorders may exhibit disruptive and aggressive behaviour which may be overwhelming to other patients who are not suffering from mental illness. The aim of the study was to explore the perceptions of the nurses caring for psychiatric patients in a rural district hospital, in order to gain a deeper understanding of their concerns and their experiences.
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Berwers, Juan. "The diagnostic yield of computerised tomography in human immunodeficiency virus (HIV) positive psychiatric patients at a tertiary hospital in the Western Cape." Master's thesis, University of Cape Town, 2017. http://hdl.handle.net/11427/27453.
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Background. HIV infection increases the risk for mental illness. Neuroimaging is an important part of the diagnostic workup in HIV+ psychiatric patients; CT is the primary neuroimaging modality available in resource limited settings. Despite advances in neuroimaging no clear guidelines exist for the use of CT in psychiatric settings. Objective. To determine the diagnostic yield of CT brain (CTB) scans in HIV+ psychiatric patients and to describe these abnormalities as well as demographic and clinical variables associated with abnormal CT scans. Methods. A retrospective study was conducted at the Department of Psychiatry and Mental illness at Groote Schuur Hospital, Cape Town, South Africa. Clinical and radiological data for HIV+ psychiatric patients who received a CTB scan during admission were analysed for the period January 2013 - June 2015. Results. A total of 65 patients met the inclusion criteria. The mean age of the participants in this study was 36.2 years (range 18 - 64). The most common presenting psychiatric symptoms were psychosis (81.54%), cognitive deficits (72.41%) and mood symptoms (69.23%). CT scans results consisted of 29 (44.62%) normal scans and 36 (55.38%) abnormal scans. Atrophy was the most common (72%) radiological finding in abnormal CT scans. No associations were found between current proposed CT guidelines in psychiatric patients, although a history of previous traumatic brain injury (TBI) approached significance (p = 0.054). There was a significant correlation between abnormal CT scans and past or current substance use (X² = 5.9508 P = .015). Abnormal CT findings increased with the Centers for Disease Control and Prevention (CDC) HIV immunological stage progression. The management of 9 patients changed; 7 of these CT scans were abnormal. Conclusion. In this study of CTB scans in HIV+ psychiatric inpatients, previously suggested criteria proposed in guidelines for imaging were not associated with significantly higher rates of abnormal CT findings. Current or previous substance use correlated with significant higher rates of abnormal CT findings. Due to the high yield of abnormal CT scans in this study, it is suggested that HIV+ psychiatric inpatients with previous or current substance use, a history of TBI or HIV immunological stages B or C, are considered for imaging. It is recommended that further studies with larger sample sizes, consisting of inpatient and outpatient populations, with control groups be conducted to investigate current or previous substance use as an indication in guidelines for CTB scan in HIV+ psychiatric patients.
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Mgandela, Sibongile Princess S. P. "Experiences of nurses who care for patients with severe/profound intellectual disabilities at a level 3 Psychiatric hospital in the Western Cape." University of the Western Cape, 2013. http://hdl.handle.net/11394/4077.
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Magister Curationis - MCurThe study explores the experiences of nurses who care for severe/profound intellectual disabled patients at Level 3 Psychiatric Hospital in Cape Town. People with severe intellectual disabilities require constant care and supervision which can only be provided in specialised units. In the Western Cape, one such facility is a special section for the intellectually disabled at a level three hospital. Intellectual disability is a serious lifelong disability that places a heavy burden on affected individuals. Caring for these patients may affect the individuals who work within the intellectual disability services. This study explores the experiences of nurses who care for these patients. A Phenomenological research design was chosen as the researcher identified it as the most appropriate method to describe the lived experiences of the nurses. Purposive sampling was used to select 10 participants. However, data saturation was reached after interviewing eight participants. Data was collected through in-depth unstructured interviews. The audio-taped responses were transcribed verbatim and phenomenological data analysis done. Ethical clearance was obtained from the Higher Degrees Committee of the University of the Western Cape. Permission to do the research at the level three hospitals was sought from the Associated Psychiatric Hospital Committee. Consent to participate in the study was obtained from the participants, and ethical principles were adhered to. Participants were informed of the right to withdraw at any stage of the study and intervention offered when required. Trustworthiness of the research process was ensured. Findings: from this study the nurses who care for severe/profound intellectual disabled patients reported that they were not adequately prepared to care for these patients. It has also been reported that caring for the severely/profound disabled comes with some consequences, where emotional (negative and positive), physical and professional consequences were mentioned. The shortage of resources was found to be one of the challenges the nurses experienced. The nurses felt unappreciated for the work they did and less supported by their employer.
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Daffern, Michael. "A functional analysis of psychiatric inpatient aggression." 2004. http://arrow.unisa.edu.au:8081/1959.8/24968.
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Aggression occurs frequently on many psychiatric wards; its assessment and management are crucial components of inpatient care. Consequences to inpatient aggression are profound, impacting on staff and patients, ward milieu and regime, and mental health services in general. Despite considerable research, which has primarily focussed on the assessment of demographic and clinical characteristics of aggressive patients, the nature of the relationship between mental illness, inpatient treatment and aggression remains unclear. Inconsistent risk assessment practices, management strategies and treatment plans, often derived from idiosyncratic beliefs about the causes of aggression, follow. Approaches to the assessment of inpatient aggression have been categorised as structural, which emphasise form, or functional, which emphasise purpose. Studies of inpatient aggression have primarily utilized a structural approach. These studies have resulted in the identification of demographic, clinical and situational characteristics of high-risk patients and environments. Resource allocation and actuarial assessments of risk have been assisted by this research. Conversely, functional assessment approaches seek to clarify the factors responsible for the development, expression and maintenance of inpatient aggression by examining predisposing characteristics, in addition to the proximal antecedents and consequences of aggressive behaviours. While functional analysis has demonstrated efficacy in assessing and prescribing interventions for other problem behaviours, and has been regarded a legitimate assessment approach for anger management problems, psychiatric inpatient aggression has been relatively neglected by functional analysis. Against this background, four studies focussing on the assessment of predisposing characteristics, precipitants and consequences, and purposes of aggressive behaviour, were undertaken to assist in the development of a functional analysis of psychiatric inpatient aggression. All four studies were conducted within the Thomas Embling Hospital (TEH), a secure forensic psychiatric hospital in Melbourne, Australia. The first of three initial studies involved a retrospective review of Incident Forms relating to aggressive behaviours that occurred within the first year of the hospital?s operation. The second involved a comparison of prospective assessment of aggressive behaviours with retrospective review of Incident Forms. The third involved a review of Incident Forms across two forensic psychiatric hospitals, the Rosanna Forensic Psychiatric Centre, and the TEH, to allow for the study of environmental contributors to aggression. The fourth, and main study, focussed on the assessment of patients and aggressive incidents, using a framework emphasising purpose, which was assessed using a classification system designed and validated as part of this study. Demographic and clinical information in addition to social behaviour, history of aggression and substance use were collected on the 204 patients admitted to the hospital during 2002. One hundred and ten of these patients completed an additional assessment of psychotic symptoms in addition to a battery of psychological tests measuring anger expression and control, assertiveness, and impulsivity. During 2002, the year under review, there were 502 incidents of verbal aggression, physical aggression, and property damage recorded. Staff members who observed these incidents were interviewed, and files were reviewed to record the severity, type, direction and purpose of aggression. Following 71 aggressive behaviours patients also participated in the assessment of purpose. Results from this, and the three initial studies, reinforced the contribution to aggression of a number of individual characteristics, including a recent history of substance use, an entrenched history of aggression, a recent history of antisocial behaviour, and symptoms of psychosis, including thought disturbance, auditory hallucinations and conceptual disorganisation. Somewhat surprisingly, a number of other characteristics shown through previous research to have a relationship with aggression, including anger arousal and control, impulsivity, and assertiveness did not show a relationship with aggression. Further, and perhaps a consequence of the peculiar characteristics of some patients admitted to the TEH, older patients and females were more likely to be repeatedly aggressive, yet neither age nor gender differentiated aggressive from non-aggressive inpatients. In this study acts of inpatient aggression were usually precipitated by discernible events, or motivated by rational purposes. Rarely was aggression the consequence of a spontaneous manifestation of underlying psychopathology occurring in isolation from environmental precipitants. A number of proximal environmental factors, most particularly staff-patient interactions associated with treatment or maintenance of ward regime, that were considered provocative or that threatened status, were evident in incidents of aggression perpetrated against staff. The perception of provocation and the need to enhance status were common precipitants of aggression between patients. There was little evidence to suggest that aggression was used instrumentally to obtain tangible items, to reduce social isolation, or to observe the suffering of others in the absence of provocation. Results of these four studies have implications for the prediction and prevention of inpatient aggression, and for the treatment of aggressive inpatients. These are discussed, as are the limitations of this research and suggestions for further research.thesis (BPsychology(Hons))--University of South Australia, 2004.