Abstract:The separation between clinical treatment services and psychosocial rehabilitation programmes for people with mental illness has created a system that is fragmented and makes it easy for consumers to 'fall through the net'. For these reasons, there should be greater collaboration between psychosocial and clinical services. This will encourage psychiatrists to refer people to community programmes.
“…People with mental illness are often isolated in family and community life (Elisha et al . ; Whitley & Drake ), and in some cases, a CMHN will be the most familiar presence for the consumer. This subtheme relates to CMHN working in their position as fellow community residents to alleviate their consumers’ isolation, and providing opportunities that will forge links between their consumers and others in the community:At New Year's, I brought along some kamaboko (processed seafood) on a visit to a consumer living on her own, which made her so happy.…”
The present study reports the findings of a qualitative, descriptive study that sought to clarify nursing philosophy for community mental health nurses (CMHN) working at independent psychiatric home-visit nursing agencies in Japan. We carried out participant observation and semistructured interviews with 13 CMHN in rural and urban areas. We identified eight subthemes and three higher-order themes based on these subthemes. CMHN embraced a nursing philosophy in which they: (i) have respect for consumers' ways of life and their self-realization; (ii) find harmony between view of life and work; and (iii) build communities where residents support each other beyond their roles. Together, these themes constitute a valuable nursing philosophy that supports the recovery of people with mental illness. The themes could also help educate professionals about principles and meanings relevant to recovery, which are regarded as key to changing the professional's care paradigm from a biomedical model to a recovery model.
“…People with mental illness are often isolated in family and community life (Elisha et al . ; Whitley & Drake ), and in some cases, a CMHN will be the most familiar presence for the consumer. This subtheme relates to CMHN working in their position as fellow community residents to alleviate their consumers’ isolation, and providing opportunities that will forge links between their consumers and others in the community:At New Year's, I brought along some kamaboko (processed seafood) on a visit to a consumer living on her own, which made her so happy.…”
The present study reports the findings of a qualitative, descriptive study that sought to clarify nursing philosophy for community mental health nurses (CMHN) working at independent psychiatric home-visit nursing agencies in Japan. We carried out participant observation and semistructured interviews with 13 CMHN in rural and urban areas. We identified eight subthemes and three higher-order themes based on these subthemes. CMHN embraced a nursing philosophy in which they: (i) have respect for consumers' ways of life and their self-realization; (ii) find harmony between view of life and work; and (iii) build communities where residents support each other beyond their roles. Together, these themes constitute a valuable nursing philosophy that supports the recovery of people with mental illness. The themes could also help educate professionals about principles and meanings relevant to recovery, which are regarded as key to changing the professional's care paradigm from a biomedical model to a recovery model.
Background In recent years, there has been a gradual shift towards the study of individual symptom presentations in psychosis, this is particularly found in studies of delusional beliefs. However, the literature remains sparse on informal caregiver experiences of individual symptoms. Aim The study sought to investigate carer experiences of supporting a relative with delusional beliefs, which involve family members. Methods Semi-structured interviews were undertaken with five caregivers and subject to interpretative phenomenological analysis. Results Interviews yielded six superordinate themes highlighting issues concerning a carer's exposure to symptoms of illness; lack of understanding about their relatives' delusional beliefs; concerns over coming to harm from their relative: efforts made by the carer to conceal their relative's delusional beliefs and their consequences; fractured relationships, and a long process of learning how to best cope. Conclusion Caring for a relative with psychosis who experiences delusional beliefs about the carer and family members can be challenging. The results underscore the importance of providing a programme of support to meet the varied needs of informal carers with an explicit aim of assisting carers in their day-to-day problem solving. It should also help to address issues carers may have about causality, including beliefs about self-blame, and identifying effective coping strategies.
“…Bijeveld and Hendriks (2003) investigation of sex offenders concluded that solo offenders (compared with group) score significantly lower on sociability. When we also consider that other studies have found a link between social isolation and mental illness (Elisha, Castle, & Hocking, 2006;Thoits, 1983), we hypothesize that:…”
Section: Mental Illness and Selection Effectsmentioning
We test whether significant differences in mental illness exist in a matched sample of lone-and group-based terrorists. We then test whether there are distinct behavioral differences between lone-actor terrorists with and without mental illness. We then stratify our sample across a range of diagnoses and again test whether significant differences exist. We conduct a series of bivariate, multivariate, and multinomial statistical tests using a unique dataset of 119 lone-actor terrorists and a matched sample of group-based terrorists. The odds of a lone-actor terrorist having a mental illness is 13.49 times higher than the odds of a group actor having a mental illness. Lone actors who were mentally ill were 18.07 times more likely to have a spouse or partner who was involved in a wider movement than those without a history of mental illness. Those with a mental illness were more likely to have a proximate upcoming life change, more likely to have been a recent victim of prejudice, and experienced proximate and chronic stress. The results identify behaviors and traits that security agencies can utilize to monitor and prevent lone-actor terrorism events. The correlated behaviors provide an image of how risk can crystalize within the individual offender and that our understanding of lone-actor terrorism should be multivariate in nature.
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