Coping strategies of caregivers towards aggressive behaviors of persons with severe mental illness

Madathumkovilakath, Neethu Bhaskaran; Kizhakkeppattu, Sindhu; Thekekunnath, Saleem; Kazhungil, Firoz

doi:10.1016/j.ajp.2018.04.032

Cited by 16 publications

(13 citation statements)

References 23 publications

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“…These include: escape, avoidance, denial or looking to religion to deal with behavioural problems of the MHCUs. Consequently, this makes dealing with, supporting and caring for them easier (Madathumkovilakath et al 2018 :29). From the reviewed literature, it seems studies focusing on the coping mechanisms employed by the families of the MHCUs in the NWP are scarce.…”

Section: Introductionmentioning

confidence: 99%

Coping mechanisms used by the families of mental health care users in Mahikeng sub-district, North West province

Modise

Mokgaola

Sehularo

2021

Health SA Gesondheid

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Background: Families of the mental health care users (MHCUs) face different challenges in dealing with, supporting and caring for MHCUs on a daily basis. The divergent coping mechanisms that the family members use aim to lower the negative, psychological and emotional impact of the stress. These include: escape, avoidance and denial.Aim: To explore, describe and contextualise coping mechanisms used by the families of MHCUs and to suggest recommendations for improving their coping mechanisms in Mahikeng sub-district, North West province (NWP), South Africa.Setting: The study was conducted in three community health centres in Mahikeng sub-district, NWP, South Africa.Methods: A qualitative-exploratory-descriptive and contextual research design was used. Non-probability convenience and purposive sampling techniques were used to select participants. WhatsApp video calls were used to collect data which were analysed following Creswell’s six steps of qualitative data analysis.Results: The study established three themes namely; challenges experienced by the family members, coping mechanism used by the family members, and suggestions for improvement in the coping mechanisms for the family members.Conclusion: The findings of this study show that the family members of MHCUs are faced with different challenges. Some of the coping mechanisms used by the family members are insufficient and require improvement to enable them to cope effectively. When the coping mechanisms of the family members of MHCUs are improved, their well-being and that of the MHCUs might improve significantly.Contribution: The findings of this study provides information that may be used to improve the coping mechanisms of the families of MHCUs in the NWP, South Africa.

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Section: Introductionmentioning

confidence: 99%

Coping mechanisms used by the families of mental health care users in Mahikeng sub-district, North West province

Modise

Mokgaola

Sehularo

2021

Health SA Gesondheid

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“…If de-escalation techniques are standardised among staff, patients may receive consistent cues about when to refocus their aggression, and caregivers may be better prepared to deal with aggressive behaviours outside hospital. 41 Staff may receive conflicting messages about reduced use of coercive techniques (for better patient-centred care) and stricter enforcement of rules (for patient safety). 42,43 There may be a paradox in application of restraints and training of staff.…”

Section: Discussionmentioning

confidence: 99%

Reducing Injury During Restraint by Crisis Intervention in Psychiatric Wards in Singapore

Poremski

Loo

Chan

et al. 2019

East Asian Arch Psychiatry

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Objective: The application of restraints during psychiatric crises is a serious adverse event. We aimed to reduce the number of injuries sustained by patients during the application of restraints. Methods: Structured interviews were conducted with 10 staff to determine six root causes of patient injury during restraint. Three plan-do-study-act cycles were implemented: (1) reorganising shift rosters to pair trained staff with inexperienced staff, (2) holding monthly session for practising de-escalation and restraint techniques as a team in a supervised setting, and (3) rotating the responsibility for leading the de-escalation in real crises. Results: Pre-intervention period was from January 2014 to December 2014 (28 251 inpatient bed days). Intervention period was from January 2015 to March 2015 (7121 inpatient bed days). Post-intervention period was from April 2015 to December 2016 (51 735 inpatient bed days). Data extracted included the dates and numbers of crises, activation of the crisis team, use of restraints, and injuries. During pre-intervention and intervention periods, only two minor and three moderate injuries were recorded. During post-intervention period, no injury was recorded and the number of restraints decreased gradually although the number of crisis team activations increased in the early phase. Eventually restraints were used only upon arrival of the crisis team. Conclusion: Our quality improvement project identified six root causes and implemented three plan-dostudy-act cycles to successfully eliminated patient injuries during the use of restraints.

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“…Since the SCL-90 assesses a wide range of psychiatric features and can measure multiple physical and psychological symptoms, it has been widely used in the mental health assessment of various groups (23). Due to the limited data collection time available, we chose the six symptomatic dimensions of the SCL-90 which contribute most to people's mental status (24)(25)(26)(27)(28)(29), and are also known to affect the non-verbal expression of individuals (30)(31)(32)(33)(34). Those dimensions were: interpersonal sensitivity, depression, anxiety, hostility, phobic anxiety, and psychoticism.…”

Section: Instrumentsmentioning

confidence: 99%

Identifying Psychological Symptoms Based on Facial Movements

Wang

Zhou

et al. 2020

Front. Psychiatry

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Background: Many methods have been proposed to automatically identify the presence of mental illness, but these have mostly focused on one specific mental illness. In some non-professional scenarios, it would be more helpful to understand an individual's mental health status from all perspectives.Methods: We recruited 100 participants. Their multi-dimensional psychological symptoms of mental health were evaluated using the Symptom Checklist 90 (SCL-90) and their facial movements under neutral stimulation were recorded using Microsoft Kinect. We extracted the time-series characteristics of the key points as the input, and the subscale scores of the SCL-90 as the output to build facial prediction models. Finally, the convergent validity, discriminant validity, criterion validity, and the split-half reliability were respectively assessed using a multitrait-multimethod matrix and correlation coefficients.Results: The correlation coefficients between the predicted values and actual scores were 0.26 and 0.42 (P < 0.01), which indicated good criterion validity. All models except depression had high convergent validity but low discriminant validity. Results also indicated good levels of split-half reliability for each model [from 0.516 (hostility) to 0.817 (interpersonal sensitivity)] (P < 0.001).Conclusion: The validity and reliability of facial prediction models were confirmed for the measurement of mental health based on the SCL-90. Our research demonstrated that fine-grained aspects of mental health can be identified from the face, and provided a feasible evaluation method for multi-dimensional prediction models.

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Coping strategies of caregivers towards aggressive behaviors of persons with severe mental illness

Cited by 16 publications

References 23 publications

Coping mechanisms used by the families of mental health care users in Mahikeng sub-district, North West province

Coping mechanisms used by the families of mental health care users in Mahikeng sub-district, North West province

Reducing Injury During Restraint by Crisis Intervention in Psychiatric Wards in Singapore

Identifying Psychological Symptoms Based on Facial Movements

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