Demographic and Clinical Profile of Psychiatry Patients of Rural Homoeopathic Hospital, Palghar, Maharashtra, India, from 2014 to 2018

Nikumbh, Sunita Bhanudas; Kukde, Abhishek; Patel, Manoj; Parekh, Bhavik; Nigwekar, Anoop Mohan; Mittal, Renu; Dhawale, Kumar M.

doi:10.1055/s-0041-1731701

Cited by 3 publications

(3 citation statements)

References 2 publications

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“…The results in a majority of these conditions are gratifying with over 70% patients responding to homoeopathic intervention. The period of response, as indicated in Nikumbh et al, 1 also appears to be shorter than what would be expected of a routine psychiatric short stay hospital.…”

Section: Discussionmentioning

confidence: 72%

“…The average duration of stay for each clinical condition has been discussed earlier in Nikumbh et al 1 and ranged from as low as 1.55 days for patients with conversion disorder to the maximum of 14.96 days for schizophrenic patients.…”

Section: Methodology Study Design: Retrospective Observational Studymentioning

confidence: 94%

“…In an earlier article, we have indicated the demographic and clinical profile of psychiatric patients treated in the Rural Homoeopathic Hospital (RHH), Palghar, with the assistance from the Ministry of AYUSH—Ayurveda, Yoga and Naturopathy, Unani, Siddha and Homoeopathy—through the Scheme of Centre of Excellence. 1 A total of 1,015 patients were admitted in the psychiatry ward during the period 2014 to 2018. Among them, 35% suffered from Alcohol withdrawal syndrome followed by conversion disorder (12.7%), suicide attempts (9.8%) and anxiety disorder (9.6%).…”

Section: Introductionmentioning

confidence: 99%

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Outcome of Homoeopathic Intervention in Psychiatric Inpatients Treated in Rural Homoeopathic Hospital, Palghar, Maharashtra, India, 2014–2018: A Retrospective Analysis

Nikumbh¹,

Kukde²,

Patel³

et al. 2022

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Background Rural homoeopathic hospital has been serving the community in and around Palghar for the past 20 years. Through a Central Government Scheme of Centre of Excellence, it received funds for setting up an inpatient psychiatric unit in 2012 whereby it could serve the wider community by admitting the patients with mental illness in a secure ward. This is the second of two papers on the experience of homoeopathic treatment of psychiatric inpatients and details of the outcome of homoeopathic treatment to patients admitted between 2014 and 2018. Objective Efforts have been made to explore the outcomes of homoeopathic intervention, singly or as adjuvant treatment, for a variety of clinical conditions and to determine the commonly indicated remedies that were found useful. Methodology A standard operating procedure enabled symptom analysis and evaluation; it also enabled to erect the homoeopathic totality and institute treatment along with conducting the follow-up. Retrospective analysis using Outcome Related to Impact on Daily Living scale helped to establish the results of homoeopathic intervention. Results An excellent response to homoeopathic intervention was obtained for several clinical conditions like alcohol withdrawal (76.3%), conversion disorder (82.17%), suicide attempt (85.13%), anxiety disorders (84.19%), depressive disorders (75%) and somatoform (85.17%). The rate of improvement in schizophrenia (60%) and epilepsy (22.6%) was lower. The commonly indicated homoeopathic remedies for each clinical condition were identified. This information would help practitioners to acquire knowledge of a pool of remedies from which they could readily determine the similimum. Conclusion Homoeopathic treatment, either alone or as an adjuvant, is useful in the management of psychiatric inpatients for several clinical conditions. Remedies found useful in different clinical conditions need to be studied in greater depth to identify their leading indications.

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Section: Discussionmentioning

confidence: 72%

Section: Methodology Study Design: Retrospective Observational Studymentioning

confidence: 94%

Section: Introductionmentioning

confidence: 99%

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Outcome of Homoeopathic Intervention in Psychiatric Inpatients Treated in Rural Homoeopathic Hospital, Palghar, Maharashtra, India, 2014–2018: A Retrospective Analysis

Nikumbh¹,

Kukde²,

Patel³

et al. 2022

Homœopathic Links

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Executing and assessing programme for mental well-being in an old age home during the COVID-19 pandemic by a homoeopathic institution: Challenges and outcomes

Surati¹,

Patel²,

Nikumbh³

et al. 2022

JISH

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Objective: COVID-19 pandemic has affected the provision of psychiatric care across the world and the elderly have been the most disadvantaged. Psychological stress in them is not only due to excess mortality risk but also due to restrictions instituted to mitigate the chances of contracting COVID. The current pandemic is likely to lead to substantial changes in the health-care services as it has shown the need for improved multidisciplinary and community- centered care. The purpose of this paper is to address the challenges faced while implementing a multidisciplinary structured programme for the mental well-being in residents of old age home and assess the role played by the sustainable multidisciplinary structured interventions to alleviate the psychological suffering. The old age home in the study is situated in a remote area of Palghar district. Availing of required medical health-care facility during a pandemic was a challenge in itself, where delivering the multidisciplinary intervention for mental well-being was a much needed and never tested in such a setup. Material and Methods: Primary screening and knowledge of acute and chronic stressors revealed the current status of emotional wounds and hence the emotional sensitivity of the group. Scales (generalised anxiety disorder [GAD-7], patient health questionnaires [PHQ-2] and dementia assessment by rapid test [DART]) were employed to evaluate intensity of anxiety, depressive symptoms and dementia. Techniques to deal with distress demonstrated in each session were based on action learning principles. Structured group interventions were done through relevant videos, group discussions, relaxation techniques, meditation and physical exercise by the team of homoeopathic physicians, psychologist and physiotherapist. Results were subjected to statistical analysis. Results: There was a statistically significant reduction in anxiety following intervention, z = −3.886, P < 0.001, with a large effect size (r =.57). The median score on the anxiety decreased from 10 to 4 in a span of 10 months. No significant improvement was found in physical health and cognitive impairment.

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What role can a homoeopathic psychiatrist play in restoring mental health in an unequal world?

Dhawale¹

2022

JISH

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World Mental Health Day, observed on the 10 October, is an occasion for the mental health professionals to dedicate themselves to bringing succour to the numerous persons suffering from mental health disorders. The World Mental Health Federation has declared this year’s theme as ‘Mental Health in an Unequal world.’ The call is timely considering the distress wrought on different communities due to the pandemic and the social and economic distress which has affected all sections of the population, albeit with different intensities causing differing impacts. The article explores the theme in the historical context and outlines the various concerns which mental health professionals should concern themselves with. It is a common knowledge that they are in short supply all over the world. Homoeopaths, due to their approach to health, disease and individuals are uniquely equipped to fill this gap and thus make a difference. There are very few examples, at the institutional level, where community-based activities addressing the mental health issues have been successfully undertaken and have made an impact. The article draws on the almost two-decade-long experience of the Department of Homoeopathic Psychiatry, Dr. M. L. Dhawale Memorial Homoeopathic Institute in this area, thereby illustrating the possibility of incorporating similar practices in the District Mental Health Programme. Clinical activity needs to be reported in peer-reviewed journals and initiating research in priority areas would help homoeopathy to be recognised as a discipline which can be a part of Integrated Mental Health Care for mental disorders.

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Demographic and Clinical Profile of Psychiatry Patients of Rural Homoeopathic Hospital, Palghar, Maharashtra, India, from 2014 to 2018

Cited by 3 publications

References 2 publications

Outcome of Homoeopathic Intervention in Psychiatric Inpatients Treated in Rural Homoeopathic Hospital, Palghar, Maharashtra, India, 2014–2018: A Retrospective Analysis

Outcome of Homoeopathic Intervention in Psychiatric Inpatients Treated in Rural Homoeopathic Hospital, Palghar, Maharashtra, India, 2014–2018: A Retrospective Analysis

Executing and assessing programme for mental well-being in an old age home during the COVID-19 pandemic by a homoeopathic institution: Challenges and outcomes

What role can a homoeopathic psychiatrist play in restoring mental health in an unequal world?

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