Mental health law in the Former Yugoslav Republic of Macedonia

Novotni, Antoni; Manusheva, Nensi; Novotni, Gabriela

doi:10.1192/bji.2017.18

Cited by 2 publications

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“…In addition, medical treatment focused mainly on medications, some forms of psychotherapy (supportive therapy, family psychoeducation, individual, and group therapy), and occupational therapy. Treatment plans were only agreed on verbally, not on paper, which was done during RECOVER-E ( 42 ).…”

Section: Methodsmentioning

confidence: 99%

Perceived Support for Recovery and Level of Functioning Among People With Severe Mental Illness in Central and Eastern Europe: An Observational Study

et al. 2021

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Background: Many people with severe mental illness experience limitations in personal and social functioning. Care delivered in a person's community that addresses needs and preferences and focuses on clinical and personal recovery can contribute to addressing the adverse impacts of severe mental illness. In Central and Eastern Europe, mental health care systems are transitioning from institutional-based care toward community-based care. The aim of this study is to document the level of functioning and perceived support for recovery in a large population of service users with severe mental illness in Central and Eastern Europe, and to explore associations between perceived support for recovery and the degree of functional limitations.Methods: The implementation of community mental health teams was conducted in five mental health centers in five countries in Central and Eastern Europe. The present study is based on trial data at baseline among service users across the five centers. Baseline data included sociodemographic, the World Health Organization Disability Assessment Schedule (WHODAS 2.0) for functional limitations, and the Recovery Support (INSPIRE) tool for perceived staff support toward recovery. We hypothesized that service users reporting higher levels of perceived support for their recovery would indicate lower levels of functional limitation.Results: Across all centers, the greatest functional limitations were related to participation in society (43.8%), followed by daily life activities (33.3%), and in education or work (35.6%). Service users (N = 931) indicated that they were satisfied overall with the support received from their mental health care provider for their social recovery (72.5%) and that they valued their relationship with their providers (80.3%). Service users who perceived the support they received from their provider as valuable (b = −0.10, p = 0.001) and who reported to have a meaningful relationship with them (b = −0.13, p = 0.003) had a lower degree of functional limitation.Conclusion: As hypothesized, the higher the degree of perceived mental health support from providers, the lower the score in functional limitations. The introduction of the community-based care services that increase contact with service users and consider needs and which incorporate recovery-oriented principles, may improve clinical recovery and functional outcomes of service users with severe mental illness.

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Section: Methodsmentioning

confidence: 99%

Perceived Support for Recovery and Level of Functioning Among People With Severe Mental Illness in Central and Eastern Europe: An Observational Study

et al. 2021

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“…Treatment with neurotic patients could focus on making conscious and working through psychological conflicts in the perceived relationship with God, in particular with feeling angry and/or guilty toward God (cf. Novotni and Petersen, 2001).…”

Section: Conclusion and Discussionmentioning

confidence: 99%

God Representation Types Are Associated With Levels of Personality Organization and Christian Religious Orthodox Culture

Velde¹,

Schaap‐Jonker²,

Eurelings-Bontekoe

et al. 2021

J Nerv Ment Dis

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This exploratory study shows that God representation types are associated with levels of personality organization. Among two Dutch samples of psychiatric patients (n = 136) and nonpatients (n = 161), we found associations between the psychotic, borderline, and neurotic personality organizations, and passive-unemotional, negative-authoritarian, and positive-authoritative God representation types, respectively. Both patients and nonpatients reported positive God representations, but only nonpatients and higher-level functioning patients reported an integrated God-object relation. For persons with personality pathology, the relationship with God can be a struggle and might have a defensive and/or compensating function. In addition to personality organization, Christian religious orthodox culture is a statistical predictor of God representations, but not of anger toward God. We offer suggestions for how psychotherapeutic work with God representations might differ for patients with different levels of personality organization.

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Mental health law in the Former Yugoslav Republic of Macedonia

Cited by 2 publications

References 0 publications

Perceived Support for Recovery and Level of Functioning Among People With Severe Mental Illness in Central and Eastern Europe: An Observational Study

Perceived Support for Recovery and Level of Functioning Among People With Severe Mental Illness in Central and Eastern Europe: An Observational Study

God Representation Types Are Associated With Levels of Personality Organization and Christian Religious Orthodox Culture

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