Search results for "Mentally ill"
showing 9 items of 9 documents
Perceived coercion to enter treatment among involuntarily and voluntarily admitted patients with substance use disorders
2016
Background Perceived coercion is a sense of pressure related to the experience of being referred to treatment. The sense of pressure arises from the patient’s internal perception of coercion. The sources of coercion may be the legal system, the family, the health system, or self-criticism (internal sources). Here, we studied patients diagnosed with substance use disorders that were involuntarily admitted to hospital, pursuant to a social services act. We sought to determine whether these patients perceived coercion differently than patients that were admitted voluntarily. Methods This study included patients admitted to combined substance use disorder and psychiatry wards in three publicly …
Mental distress following inpatient substance use treatment, modified by substance use; comparing voluntary and compulsory admissions
2017
Background Treatment services to patients with substance use disorders (SUDs), including those mandated to treatment, needs to be evaluated and evidence based. The Norwegian Municipal Health Care Act (NMHCA) calls for compulsory treatment for persons with “severe and life-threatening substance use disorder” if these individuals are not otherwise willing to be voluntarily treated and consequently risk their lives over drug use. Mental distress is known to be high among SUD patients admitted to inpatient treatment. The purpose of this study is to describe changes in mental distress from admission to a 6-month follow-up in patients with SUDs, which underwent either voluntary or compulsory trea…
Predictive signs and indicators of aggressiveness and violence: a comparison between a group of adolescents attending an external penal area, a group…
2006
Aim. We considered the spreading and the increasing of aggressive and violent behaviours. The most of them have two common roots: lack of actual motivation and brutality. Our research intends to detect specific indicators and predictive signs of violent and aggressive behaviours. In order to this, scientific literature shows that the most reliable indicators and predictive signs are linked to structural personality features (e.g. defensive strategies, impulse control). Methods. This cross sectional study compares a group of 26 male adolescents with Conduct Disorder (F91.8), a group of 29 male patients with Borderline Personality Disorder (F60.31) and a group of 33 male prisoners with Antiso…
Dictating the boundaries of ab/normality: a critical discourse analysis of the diagnostic criteria for attention deficit hyperactivity disorder and h…
2017
In this article we report the findings of a critical discourse analysis of the diagnostic criteria for attention deficit hyperactivity disorder (ADHD) and hyperkinetic disorder (HD) in two clinical manuals – Diagnostic and Statistical Manual of Mental Disorders, 5th edition and International Classification of Diseases, 10th edition. We examine the actions (behaviors) that are said to indicate the presence of ADHD/HD and analyze what the inclusion of these actions reveals about the relationship between ADHD/HD, cultural knowledge, and values. Our analysis reveals that both manuals use subjective, value-laden language to construct a mentally ill individual in opposition to an unseen, supposed…
The locked psychiatric ward: hotel or detention camp for people with dual diagnosis.
2013
The concepts of autonomy and liberty are established goals in mental health care; however, involuntary commitment is used towards people with mental health and substance abuse problems (dual diagnosis).To explore how patients and staff act in the context of involuntary commitment, how interactions are described and how they might be interpreted.Ethnographic methodology in a locked psychiatric ward in Norway.Two parallel images emerged: (a) The ward as a hotel. Several patients wanted a locked ward for rest and safety, even when admission was classified as involuntary. The staff was concerned about using the ward for real treatment of motivated people, rather than merely as a comfortable hot…
The long-term outcome of 2 family intervention strategies in schizophrenia.
2006
The different family-based interventions that have proven to be effective in treating people with schizophrenia present some therapeutic elements in common and differ in certain other respects, although to date, none of the proposed approaches have demonstrated to be clearly superior to each other in reduced relapse and readmission rates. Although the approaches based on relatives group therapies save considerable amounts of time, some data reveal better short-term results when the intervention focuses on the family unit and the participant patient. Objective: The aim of this study was to determine whether the clinical and social benefits observed in the short term would be maintained 5 yea…
Hell on earth: Textual reflections on the experience of mental illness
2012
Background: Some people who by themselves or by others are understood as having mental health problems have written autobiographies about their experiences. Aims: The aim of this study is to explore how people write about their experiences of being mentally ill. Method: Twelve Scandinavian autobiographies were studied using content analysis based on phenomenology and hermeneutics. Results: Three themes were identified: feeling like a stranger in life and places, the transformation of life experiences into questions of disease and feeling ashamed. Conclusions: People’s experiences of being mentally ill might be understood as the result of medical constructions unsuitable for the persons them…
The care crisis in Spain: an analysis of the family care situation in mental health from a professional psychosocial perspective
2019
ABSTRACTThe aim of this article is to investigate the importance of family care in mental health and identify the shortcomings of the Spanish model of health care for the mentally ill. The empirica...
A meta-review of literature reviews assessing the capacity of patients with severe mental disorders to make decisions about their healthcare
2020
Abstract Background Determining the mental capacity of psychiatric patients for making healthcare related decisions is crucial in clinical practice. This meta-review of review articles comprehensively examines the current evidence on the capacity of patients with a mental illness to make medical care decisions. Methods Systematic review of review articles following PRISMA recommendations. PubMed, Scopus, CINAHL and PsycInfo were electronically searched up to 31 January 2020. Free text searches and medical subject headings were combined to identify literature reviews and meta-analyses published in English, and summarising studies on the capacity of patients with serious mental illnesses to m…