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Schizophrenia and schizoaffective disorder: Length of stay and associated factors.
S Afr J Psychiatr
April 2024
Department of Psychiatry, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
Background: Patients with schizophrenia and schizoaffective disorder often require longer admissions.
Aim: To explore length of stay (LOS) and associated factors of patients with schizophrenia and schizoaffective disorder, admitted to a public sector specialised psychiatric hospital, over a 4-year period.
Setting: The study was conducted at Tara Hospital in Johannesburg.
Rehospitalisation rates after long-term follow-up of patients with severe mental illness admitted for more than one year: a systematic review.
BMC Psychiatry
October 2023
Department of Community Mental Health & Law, National Center of Neurology and Psychiatry (NCNP), National Institute of Mental Health, 4-1-1 Ogawa-Higashi, Kodaira, Tokyo, 187-8553, Japan.
Article Synopsis
- The study aimed to systematically review the effects of long-term hospitalization on individuals with severe mental illness, focusing on readmission rates as the main outcome.
- It examined studies involving participants aged 18 to 64 who were hospitalized for over a year, evaluating readmission rates and additional factors like employment and social participation through various databases.
- Out of 11,999 studies, only three cohort studies were eligible, revealing a 33-55% readmission rate for schizophrenia patients, with notable variability potentially influenced by follow-up duration and community service levels.
Realising distributed leadership through measurement for change.
Front Public Health
August 2023
Adjunct Faculty, School of Epidemiology and Public Health, Datta Meghe Institute of Medical Sciences, Wardha, India.
Through a systematic reflection on the journey that transformed traditional state-run baby homes in Tajikistan from closed institutions into community-oriented Family and Child Support Centres (FCSC) we reveal key moments of change. This review describes how community consultation with local participants in a development project shifted responsibility and accountability from international to local ownership and how distributed leadership contributes to the decolonisation of social services. Based on these interviews we ask, 'How do the innovations of a social development project become a fixed part of normal local social, cultural and political life; and, how do we know when a new normal is self-sustaining at a local level?' This analysis builds on a network-mapping tool previously described in this journal.
View Article and Find Full Text PDFFamily members' experiences of caring for a relative with substance-induced psychosis disorder.
Curationis
November 2022
Department of Nursing, Faculty of Health Sciences, University of Johannesburg, Doornfontein.
Background: When there is a lack of resources in the community to support deinstitutionalisation, family members of a relative diagnosed with substance-induced psychosis disorder (SIPD) are the most affected and vulnerable. Nevertheless, family members' care is still largely unacknowledged in the mental health sector in low- and middle-income countries. Furthermore, no prior research could be found on family members' experiences caring for a relative with SIPD in Giyani, Limpopo province, South Africa.
View Article and Find Full Text PDFImpact of completing a psychosocial rehabilitation programme on inpatient service utilisation in South Africa.
S Afr J Psychiatr
October 2022
Department of Psychiatry, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa.
Background: Deinstitutionalisation refers to the process of transferring most of the psychiatric care provision from inpatient state-run institutions to community-based care. However, it has proven difficult to implement and failed to reach its desired targets. New Beginnings (NB) is a transitional care facility that facilitates the transition from in- to outpatient care.
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