Mental hospital and general hospital psychiatric units: a comparison of services within the same geographic area

Malla, Ashok; Norman, Ross

doi:10.1017/s0033291700051060

Cited by 20 publications

(12 citation statements)

References 22 publications

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“…Other studies from India have made similar observations. [1516] The researchers have observed that these females are more likely to be illiterate, married, and from a lower income group[1617] and the findings of our study corroborates the earlier reports.…”

Section: Discussionsupporting

confidence: 91%

Pathway of care among psychiatric patients attending a mental health institution in central India

Lahariya

Singhal

Gupta

et al. 2010

Indian J Psychiatry

131

140

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Introduction:Only a limited proportion of patients with psychiatric disorders attend the healthcare facilities, and that too when the condition becomes severe. Treatment from unqualified medical practitioners and faith healers is a common practice, and is attributable to the delay in proper treatment.Materials and Methods:A cross-sectional study was conducted to understand the pathway of care adopted by psychiatric patients and its relationship with the socio-demographic determinants in the study population. The subjects were selected from urban specialty psychiatric hospitals and interviewed using a pre-tested, semi-structured interview schedule. The data was analyzed using SPSS v10.0 software. The Chi square test, T test, and Kruskall Wallis Test were used, as needed.Results:A total of 295 patients (203 males) were included in this study. The majority of the patients (45%) were suffering from Bipolar affective disorders (45%), followed by schizophrenia (36%). The majority, 203 (68%), were from the rural area, with 94 patients being illiterate. The mean distance traveled for treatment was 249 km. The majority of these (69%) had first contacted faith healers and a qualified psychiatrist was the first contacted person for only 9.2% of the patients.Conclusion:A large proportion of psychiatric patients do not attend any health facility due to a lack of awareness about treatment services, the distance, and due to the fear of the stigma associated with treatment. The psychiatric patients first seek the help of various sources prior to attending a psychiatric health facility. The pathway adopted by these patients need to be kept in mind at the time of preparation of the mental health program.

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Section: Discussionsupporting

confidence: 91%

Pathway of care among psychiatric patients attending a mental health institution in central India

Lahariya

Singhal

Gupta

et al. 2010

Indian J Psychiatry

131

140

View full text Add to dashboard Cite

show abstract

“…Other studies have made similar observations. 13,14 The majority of patients in our study belonged to the middle socio-economic status, with low level of literacy, and was with a rural background. It has been noted that patients belonging to families from the urban, literate, and higher socio-economic status, preferred to take treatment from private practitioners or from distant centers.…”

Section: Discussionmentioning

confidence: 91%

Pathway to Care of Psychiatric Services in Gandaki Medical College Teaching Hospital in Western Nepal

Lamichhane

Thapa

Timilsina

et al. 2019

J. Gandaki Med. Coll. Nepal

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Aims and Objectives: The sequence of contacts with individuals and organizations prompted by the distressed person's efforts, and those of his or her significant others, to seek help is known as the pathways to care. The study of the pathways to care provides the relevant information regarding the individual's health seeking and illness behaviour. A wide range of professionals including psychiatrists, psychologists, other doctors, faith-healers and religious healers cater to the needs of mentally ill patients. This study was carried out to identify the pathway to care of patients up to psychiatric care with no prior psychiatric treatment at GMCTH. Methodology: It is a cross-sectional, descriptive study conducted in GMCTH, Pokhara from Jan 2015 to Dec 2016. After ethical consideration, all new patients and those newly referred to the psychiatric services and agreed to participate were interviewed until the target 100 participants were recruited. ICD-10 was used for diagnosis. Data were computed and analyzed by using Microsoft excel and SPSS. Parametric & non parametric statistical technique was applied wherever appropriate. Results: Total of 100 patients (56 females, 44 males) was included in the study. Mean age of the entire study cohort was 37.17 years (SD 15.45). The mean no. of months to seek first help from a psychiatrist was 53.03 months (SD: 81.70). Conclusion: All the patients here eventually made treatment contact with psychiatrists. However, delay was pervasive. Delay in treatment has negative effect in the treatment outcome. The knowledge and recognition of psychological disorders by the traditional healers as well as other treatment providers in the community are crucial for early treatment of psychiatric patients.

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“…Other studies conducted by Wroster and Malla et al also found similar observations. 18,19 This could be due to that these females are more likely to be illiterate, married, and from a lower income group. Similar findings and discussion was also quoted by Khanna and Lahariya et al 20,21 The majority of patients in our study belonged to the lower socio-economic status, with low level of literacy.…”

Section: Discussionmentioning

confidence: 99%

Assessment of socio-demographic determinants of psychiatric patients attending psychiatry outpatient department of a tertiary care hospital of Central India

Adhikari

Niranjan

Ahuja

et al. 2016

Int J Community Med Public Health

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Mental hospital and general hospital psychiatric units: a comparison of services within the same geographic area

Cited by 20 publications

References 22 publications

Pathway of care among psychiatric patients attending a mental health institution in central India

Pathway of care among psychiatric patients attending a mental health institution in central India

Pathway to Care of Psychiatric Services in Gandaki Medical College Teaching Hospital in Western Nepal

Assessment of socio-demographic determinants of psychiatric patients attending psychiatry outpatient department of a tertiary care hospital of Central India

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