دورية أكاديمية
أعرض في EDS

Relapse among MHCUs after a Short-Term Admission in an Acute Psychiatric Unit: Primary Caregivers' Perspective.

التفاصيل البيبلوغرافية
العنوان: Relapse among MHCUs after a Short-Term Admission in an Acute Psychiatric Unit: Primary Caregivers' Perspective.
المؤلفون: Raluthaga N; Department of Advanced Nursing Science, University of Venda, Private Bag X5050, Thohoyandou 0950, South Africa., Shilubane HN; Department of Advanced Nursing Science, University of Venda, Private Bag X5050, Thohoyandou 0950, South Africa., Lowane MP; Department of Public Health, Sefako Makgatho Health Sciences University, P.O. Box 215, Medunsa, Pretoria 0204, South Africa.
المصدر: International journal of environmental research and public health [Int J Environ Res Public Health] 2023 Jan 12; Vol. 20 (2). Date of Electronic Publication: 2023 Jan 12.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: MDPI Country of Publication: Switzerland NLM ID: 101238455 Publication Model: Electronic Cited Medium: Internet ISSN: 1660-4601 (Electronic) Linking ISSN: 16604601 NLM ISO Abbreviation: Int J Environ Res Public Health Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Basel : MDPI, c2004-
مواضيع طبية MeSH: Caregivers*/psychology , Mental Disorders*/therapy, Humans ; Mental Health ; Chronic Disease ; Recurrence ; Hospitalization
مستخلص: South Africa has taken initiative to strengthen its mental health system, by improving the Mental Health Care Act 17 of 2002 which proclaims that mental healthcare users (MHCUs) can be treated in communities and homes. Due to short-term hospitalisations for acute MHCUs and advocacy for community-based care, families play a significant role in providing care to severe mental healthcare users. The objective of the study was to explore primary caregivers' perspective regarding the relapse of MHCUs following a short-term admission in acute psychiatric units. A qualitative explorative design was used. In-depth individual interviews were conducted with 18 primary caregivers whose family members were readmitted to four hospitals with units designated for acute MHCUs in Limpopo. NVivo computer software version 11 was used to analyse data. The findings are that MHCUs deny the mental health condition. Mental illness is considered a short illness that can be cured, which shows misconceptions about self-mental health conditions. Refusal of direct observed treatment support also emerged; hence, it is difficult for caregivers to identify if the patient is taking the correct doses or not taking the medication at all. Perceived wrong beliefs about mental illness can affect the patient's desire to seek proper management and it can be damaging in many ways. Drugs and alcohol abuse makes MHCUs display disruptive behaviours and contribute to treatment non-adherence resulting in caregivers becoming reluctant to be around them. In conclusion, mixing traditional and faith-based mental healthcare practices as reported by primary caregivers can mean that tailor-fabricated culture-specific mental healthcare is required.
References: Patient Prefer Adherence. 2017 Mar 03;11:449-468. (PMID: 28424542)
Lancet Psychiatry. 2017 Jan;4(1):49-56. (PMID: 27979719)
Health SA. 2021 Aug 16;26:1586. (PMID: 34522392)
Int J Ment Health Nurs. 2019 Aug;28(4):816-832. (PMID: 31039293)
Arch Psychiatr Nurs. 2018 Dec;32(6):815-822. (PMID: 30454622)
Adm Policy Ment Health. 2019 Jul;46(4):507-517. (PMID: 30778781)
Am J Drug Alcohol Abuse. 2017 Jul;43(4):366-376. (PMID: 28301219)
JAMA Psychiatry. 2017 Jul 1;74(7):686-693. (PMID: 28593216)
Psychiatr Serv. 2022 Jun;73(6):613-619. (PMID: 34704772)
Int J Environ Res Public Health. 2020 Nov 14;17(22):. (PMID: 33202649)
Mol Psychiatry. 2018 Apr;23(4):796-800. (PMID: 28696434)
Health Policy Plan. 2019 Nov 1;34(9):706-719. (PMID: 31544948)
Int J Environ Res Public Health. 2022 Aug 24;19(17):. (PMID: 36078227)
Schizophr Bull. 2020 Jan 4;46(1):98-109. (PMID: 31050757)
Lancet Psychiatry. 2020 Feb;7(2):148-161. (PMID: 31879245)
BMC Health Serv Res. 2019 Nov 25;19(1):883. (PMID: 31760955)
Dialogues Clin Neurosci. 2009;11(4):455-63. (PMID: 20135903)
Int J Ment Health Nurs. 2018 Oct;27(5):1305-1325. (PMID: 29949227)
Health Expect. 2016 Apr;19(2):367-76. (PMID: 25817297)
PLoS One. 2017 Aug 17;12(8):e0183223. (PMID: 28817734)
PLoS One. 2018 Aug 20;13(8):e0202569. (PMID: 30125316)
Ther Adv Psychopharmacol. 2018 Oct 16;8(12):349-363. (PMID: 30524703)
Psychiatry Res. 2021 Nov;305:114203. (PMID: 34534776)
Cult Med Psychiatry. 2022 Jul 2;:. (PMID: 35780258)
Community Ment Health J. 2019 May;55(4):631-640. (PMID: 30519803)
Psychiatr Serv. 2019 Oct 1;70(10):860-866. (PMID: 31310186)
Lancet. 2016 Mar 5;387(10022):988-998. (PMID: 26343838)
Soc Psychiatry Psychiatr Epidemiol. 2016 Jan;51(1):129-40. (PMID: 26260950)
BMC Psychiatry. 2016 May 14;16:146. (PMID: 27177934)
Healthcare (Basel). 2021 Apr 14;9(4):. (PMID: 33919729)
Community Ment Health J. 2021 Feb;57(2):285-293. (PMID: 32476082)
S Afr J Psychiatr. 2021 May 27;27:1602. (PMID: 34192081)
J Psychiatr Ment Health Nurs. 2015 Nov;22(9):715-23. (PMID: 26303064)
Arch Psychiatr Nurs. 2018 Oct;32(5):695-701. (PMID: 30201197)
Int J Environ Res Public Health. 2020 May 12;17(10):. (PMID: 32408658)
J Ment Health. 2017 Feb;26(1):14-20. (PMID: 27690706)
فهرسة مساهمة: Keywords: acute mental health; acute psychiatric unit; deinstitutionalization; primary caregiver; relapse
تواريخ الأحداث: Date Created: 20230121 Date Completed: 20230124 Latest Revision: 20231118
رمز التحديث: 20240628
مُعرف محوري في PubMed: PMC9859106
DOI: 10.3390/ijerph20021384
PMID: 36674139
قاعدة البيانات: MEDLINE
الوصف
تدمد:1660-4601
DOI:10.3390/ijerph20021384