Psychosocial rehabilitation of people living with mental illness: Lessons learned from community-based psychiatric rehabilitation centres in Gujarat

Saha, Somen; Chauhan, Anurag; Buch, Bakul; Makwana, Siddharth; Vikar, Saiyad; Kotwani, Priya; Pandya, Apurvakumar

doi:10.4103/jfmpc.jfmpc_991_19

Cited by 28 publications

(30 citation statements)

References 12 publications

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“…It also leads to social and economic loss. 43 A patient with mental illness is not able to fulfill all the roles and responsibilities which he used to do before his illness. Hence family caregivers need to meet all the needs which burden the caregivers.…”

Section: Implications For Practicementioning

confidence: 99%

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Homecare: a strategy to ease the burden of Family Care Givers of clients with mental disorders: an overview

Mathew

Mathias²

2021

Int J Community Med Public Health

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Mental disorders are the second leading cause of disease burden in terms of Years Lived with Disability (YLDs) and the sixth leading cause of Disability-Adjusted Life-Years (DALYs) in the world in 2017. Mental disorders can lead to extreme physical, psychological, social and financial burden among the caregivers. Family is a basic unit of caring for the mentally ill. Empowering the family caregivers on caring their mentally ill client at home is an effective strategy in rehabilitation as the mental health facilities are limited in India. Home based care is known to reduce burden among the caregivers. Homecare includes various components that help in caring and managing clients with Activities of Daily Living (ADL), supervision and administration of medication, recreation and leisure activity, stress management, regular follow up with mental health professional, social skill training, management of psychiatric emergencies, management of potentially harmful behaviours such as suicide and anger management. The outcome of the home care of mentally ill depends on the willingness and cooperation of the family and continuous support and monitoring by the mental health team. It is cost-effective and implies the shift of responsibility not only on the hospital but on the family caregivers and the health professionals in the community.

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Section: Implications For Practicementioning

confidence: 99%

“…60 Activities such as yoga, light physical exercises, group discussion, training for daily living skills, social skills, life skills, vocational training, individual, and family counselling are included. Studies have highlighted the importance of rehabilitative services immediately after the discharge of patients from the hospital 43. …”

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confidence: 99%

Homecare: a strategy to ease the burden of Family Care Givers of clients with mental disorders: an overview

Mathew

Mathias²

2021

Int J Community Med Public Health

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“…[ 3 ] Failure to focus on independent living skills is also thought to increase family burden and economic disadvantage. [ 4 ]…”

Section: Introductionmentioning

confidence: 99%

Development and validation of Vellore Inventory of Life Skills among people with severe mental illness

Chandran

Saji

Samuel

et al. 2021

Indian Journal of Psychiatry

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Background and Aim: Rehabilitation for people with severe mental illness is incomplete without life skills assessment and intervention. The aim of the study was develop a culturally specific performance-based measure assessing life skills of patients with severe mental illness. Materials and Methods: The items for the Vellore Inventory of Life Skills (VILS) were drawn after consultation with a reference group and from existing standardized scales. The items were categorized into two sections with six components each, which was further hierarchically arranged into activities at either basic, intermediate, or advanced level. One hundred consecutive clients between 18 and 60 years of age who provided written informed consent were assessed on the Comprehensive Evaluation of Basic Living Skills (CEBLS) and the VILS to evaluate convergent validity and inter-rater reliability. The General Health Questionnaire (GHQ-12) was used to evaluate divergent validity. The assessments were repeated after a week to evaluate test–retest reliability. Results: The scale had good inter-rater reliability 0.938 (95% confidence interval [CI] 0.887–0.967) and test–retest reliability 0.907 (95% CI 0.865–0.937). The correlation between total score of VILS and CEBLS (Pearson's correlation coefficient [PCC] = 0.611; P = 0.001) suggested moderate convergent validity. The correlation between total score of VILS and GHQ-12 (PCC = −0.260; P = 0.105) implied good divergent validity. Conclusion: Preliminary data suggest that the VILS is clinically useful for the Indian population.

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“…In addition to this comprehensive outreach programs, mental health camps, activities, and services to the patients diagnosed with schizophrenia, psychosis, bipolar disorder, depression, and intellectual disability should be encouraged. 2 …”

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confidence: 99%

“…mental health camps, activities, and services to the patients diagnosed with schizophrenia, psychosis, bipolar disorder, depression, and intellectual disability should be encouraged. 2 Disability research should also be emphasized along with rehabilitation research. The concept of disability has shifted from individual impairment to a more social phenomenon in the past three decades.…”

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confidence: 99%

Expanding Mental Health Research in India and Providing Funding Agencies— Is the Need of the Hour

Porandla

2020

Indian Journal of Psychological Medicine

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Psychosocial rehabilitation of people living with mental illness: Lessons learned from community-based psychiatric rehabilitation centres in Gujarat

Cited by 28 publications

References 12 publications

Homecare: a strategy to ease the burden of Family Care Givers of clients with mental disorders: an overview

Homecare: a strategy to ease the burden of Family Care Givers of clients with mental disorders: an overview

Development and validation of Vellore Inventory of Life Skills among people with severe mental illness

Expanding Mental Health Research in India and Providing Funding Agencies— Is the Need of the Hour

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