Innovations in Psychiatry: Ambulatory services for the mentally ill

Hongally, Chandrashekar; Prashanth, N R; Naveenkumar, C; Kasthuri, P

doi:10.4103/0019-5545.55081

Cited by 14 publications

(12 citation statements)

References 3 publications

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“…In another study, acute psychoses formed approximatley 9% of all emergencies, requiring the emerging role of emergency psychiatric services in India 19 . Such ambulatory services already have proven to be useful on a pilot basis in a couple of metropolitan cities 62, 63…”

Section: Resultsmentioning

confidence: 99%

“…This complicated and often inhumane approach only serves to increase the stigmatization of psychiatric illnesses. Fortunately, the use of specialized psychiatric emergency services can reduce and sometimes eliminate such approaches toward the management of behavioral emergencies 62 . As noted, a pioneering effort in this regard was initiated by Banyan, a non-governmental organization (NGO) working in Chennai, India 63 .…”

Section: Resultsmentioning

confidence: 99%

“…However, this service was limited in accessibility and approach. The only other psychiatric emergency service in India is operated by the Karnataka State Mental Health Authority (KSMHA), Bangalore in association with several NGOs in the city 62 . This also is a small operation.…”

Section: Resultsmentioning

confidence: 99%

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Behavioral Emergencies in India: Would Psychiatric Emergency Services Help?

Saddichha

Vibha

2011

Prehosp. Disaster med.

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Abbreviations: DALY = disability-adjusted life years NGO = non-governmental organization PTSD = post-traumatic stress disorder WHO = World Health Organization Abstract Introduction: Behavioral emergencies constitute an important component of emergencies worldwide. Yet, research on behavioral emergencies in India has been scarce. This article discusses the burden, types, and epidemiology of behavioral emergencies in India. Methods: A computerized search of Medline, Psychinfo, and Cochrane from 1975 to 2009 was performed, and all articles were evaluated and collated. The results were summarized. Results and Conclusions: There is an acute need for psychiatric emergency services in India. Suicides, acute psychoses, and substance-related problems form the major portion of behavioral emergencies, while current trends show a rise in disaster-and terrorism-related emergencies. Saddichha S, Vibha P: Behavioral emergencies in India: Would psychiatric emergency services help? Prehosp Disaster Med 2010;26(1):65-70.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Behavioral Emergencies in India: Would Psychiatric Emergency Services Help?

Saddichha

Vibha

2011

Prehosp. Disaster med.

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“…Fortunately, the use of specialized psychiatric emergency services can reduce and sometimes eliminate such approaches towards management of behavioral emergencies [50].…”

Section: Current Situation In Indiamentioning

confidence: 99%

The burden of behavioral emergencies: need for specialist emergency services

Vibha

Saddichha

2010

Intern Emerg Med

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Behavioral emergencies constitute an important component of medical emergencies. Psychiatric emergency services, which handle the bulk of behavioral emergencies, are inadequate to meet the burden. Strategies to deal with them are also hampered by the lack of adequate research and availability of data. Since behavioral emergencies may present differently in different groups, requiring differing management, consensus guidelines need to be arrived at for tackling behavioral emergencies. In addition, training professionals for psychiatric emergency services should form a part and parcel of emergency management services.

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“…After de-institutionalization movement,[ 17 ] large number of patients have been discharged into the community who require long-term care and rehabilitation. It has been estimated that there are over 2 crores persons with serious mental disorders[ 18 ] and many of these would require community-based rehabilitation services. Since the current model of mental health delivery in India is mainly through institutionalized care and is delivered to those who actively reach out to these facilities, homeless people with MI who neither have social support nor the capacity to seek help are left out to wander on streets.…”

mentioning

confidence: 99%