Clinical outcome and rehabilitation of homeless mentally ill patients admitted in mental health institute of South India: “Know the Unknown” project

Gowda, Guru S; Gopika, G; Kumar, Channaveerachari Naveen; Manjunatha, Narayana; Yadav, Ravi; Srinivas, Dwarakanath; Dawn, Bharath Rose; Math, Suresh Bada

doi:10.1016/j.ajp.2017.07.001

Cited by 22 publications

(32 citation statements)

References 19 publications

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“…In few occasion, the patients with a wandering tendency might be brought to the facility without the knowledge of family members by police or different social work agencies. [31314] Unlike developed countries where there is an attempt to facilitate insight and verbally negotiate with the patients at different levels, the Indian sociocultural system does not always allow such privileges due to the lack of workforce, stigma, or understanding the problem faced by patients. Hence, it is very common for the patient to perceive a significant amount of coercion as they are often brought to the hospital by forceful means with the help of a lot of workforces or the police force.…”

Section: Introductionmentioning

confidence: 99%

Caregivers’ attitude and perspective on coercion and restraint practices on psychiatric inpatients from South India

Gowda

Kumar

Ray

et al. 2019

Journal of Neurosciences in Rural Practice

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Background: Coercion and restraint practices in psychiatric care are common phenomena and often controversial and debatable ethical issue. Caregivers’ attitude and perspective on coercion and restraint practices on psychiatric inpatients have received relatively less research attention till date. Aims: Caregivers’ attitude and perspective on coercion and restraint practices on psychiatric inpatients. Methodology: This is a hospital-based, a descriptive, cross-sectional study. A total of 200 (n = 200) consecutive patient and their caregivers were chosen between June 2013 and September 2014 through computer-generated random numbers sampling technique. We used a semi-structured interview questionnaire to capture caregivers’ attitude and perspective on coercion and restraint practices. Sociodemographic and coercion variable were analyzed using descriptive statistics. McNemar test was used to assess discrete variables. Results: The mean age was 43.8 (±14.9) years. About 67.5% of the caregivers were family members, 60.5% of them were male and 69.5% were from low-socioeconomic status. Caregivers used multiple methods were used to bring patients into the hospital. Threat (52.5%) was the most common method of coercion followed by persuasion (48.5%). Caregivers felt necessary and acceptable to use chemical restraint (82.5%), followed by physical restraint (71%) and electroconvulsive therapy (ECT) (56.5%) during acute and emergency psychiatric care to control imminent risk behavior of patients. Conclusion: Threat, persuasion and physical restraint were the common methods to bring patients to bring acutely disturbed patients to mental health care. Most patients caregivers felt the use of chemical restraint, physical restraint and ECT as necessary for acute and emergency care in patients with mental illness.

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Section: Introductionmentioning

confidence: 99%

Caregivers’ attitude and perspective on coercion and restraint practices on psychiatric inpatients from South India

Gowda

Kumar

Ray

et al. 2019

Journal of Neurosciences in Rural Practice

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“…Several studies identified additional co‐occurring health conditions including physical health issues (43%) (Mercier & Picard, 2011), higher levels of smoking (Nishio, et al, 2015) and significant numbers accessing medical health care (69%) (Van Straaten et al., 2017). Family relationship breakdown and subsequent homelessness appears to be related to the death of a family member or main carer and is a potential risk factor (Mercier & Picard, 2011; Gouveia et al 2017; Gowda et al., 2017; Nishio et al., 2017).…”

Section: Resultsmentioning

confidence: 99%

“…One study used case records, interviews and standardized scales (Oakes & Davies, 2008). Two studies used case records (Gowda et al, 2017; Mercier & Picard, 2011), and three studies used semi‐structured interviews (McKenzie et al, 2019; Morton & Cunningham‐Williams, 2009; Morton et al, 2010).…”

Section: Methodsmentioning

confidence: 99%

Homelessness and people with intellectual disabilities: A systematic review of the international research evidence

Brown

McCann

2020

Research Intellect Disabil

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Background People with intellectual disabilities can experience homelessness, and some of the reasons differ from the general homeless population. Specific policy and practice responses are required. Method A systematic review of studies examining homelessness among people with intellectual disabilities utilizing CINAHL, MEDLINE, PsycINFO and Sociological Abstracts databases from inception to November 2019. Results The search produced 259 papers, and following screening, a total of 13 papers were included in the review. The themes identified were (i) pathways into homelessness, (ii) experiencing homelessness and (iii) routes out of homelessness. Conclusions People with ID become homeless due to multifactorial issues. The identification of people within homeless services and their care and support concerns remains challenging, impacting upon the provision of assessments, interventions, care and supports. Psychosocial assessments, interventions and supports are necessary to assist people with ID to leave homelessness.

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“…Majority of HPMI's are often found near the railway stations, bus stations, pilgrimages, beggar's homes and in the street corners of metro cities of India (National Mental Health Survey (NMHS, 2015;Singh, 2016;Math et al, 2019). They are considered as the highly marginalized and neglected population in India and worldwide (Gowda et al, 2017a(Gowda et al, , 2017b. The HPMI are more vulnerable to acquire and spread the SARS-CoV 2 virus infection than the general public (Bartholomew, n.d.; Mumbai, n.d.) T physical conditions, overcrowding, poor awareness about COVID 19, low level of immunity & nutrition and lack of access to adequate healthcare services (Kar et al, 2020;Housing and Land Rights Network (HLRN, 2020a;Kim, 2020; "Surviving COVID-19," 2020).…”

Section: Homeless Persons With Mental Illness and Covid-19mentioning

confidence: 99%

Homeless persons with mental illness and COVID pandemic: Collective efforts from India

Gowda

Chithra

Moirangthem

et al. 2020

Asian Journal of Psychiatry

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Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre-including this research content-immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.

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Clinical outcome and rehabilitation of homeless mentally ill patients admitted in mental health institute of South India: “Know the Unknown” project

Cited by 22 publications

References 19 publications

Caregivers’ attitude and perspective on coercion and restraint practices on psychiatric inpatients from South India

Caregivers’ attitude and perspective on coercion and restraint practices on psychiatric inpatients from South India

Homelessness and people with intellectual disabilities: A systematic review of the international research evidence

Homeless persons with mental illness and COVID pandemic: Collective efforts from India

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