Cargando…

Supported Housing as a recovery option for long-stay patients with severe mental illness in a psychiatric hospital in South India: Learning from an innovative de-hospitalization process

Individuals with severe mental illness have long been segregated from living in communities and participating in socio- cultural life. In recent years, owing to progressive legislations and declarations (in India and globally), there has been a growing movement towards promoting social inclusion and...

Descripción completa

Detalles Bibliográficos
Autores principales: Padmakar, Archana, de Wit, Emma Emily, Mary, Sagaya, Regeer, Eline, Bunders-Aelen, Joske, Regeer, Barbara
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7144972/
https://www.ncbi.nlm.nih.gov/pubmed/32271784
http://dx.doi.org/10.1371/journal.pone.0230074
_version_ 1783519916877414400
author Padmakar, Archana
de Wit, Emma Emily
Mary, Sagaya
Regeer, Eline
Bunders-Aelen, Joske
Regeer, Barbara
author_facet Padmakar, Archana
de Wit, Emma Emily
Mary, Sagaya
Regeer, Eline
Bunders-Aelen, Joske
Regeer, Barbara
author_sort Padmakar, Archana
collection PubMed
description Individuals with severe mental illness have long been segregated from living in communities and participating in socio- cultural life. In recent years, owing to progressive legislations and declarations (in India and globally), there has been a growing movement towards promoting social inclusion and community participation, with emphasis on the need to develop alternative and inclusive care paradigms for persons with severe mental illness. However, transitions from inpatient care to community settings is a complex process involving implications at multiple levels involving diverse stakeholders such as mental health service users, care providers, local communities and policy makers. This article studies how the transition from a hospital setting to a community-based recovery model for personals with severe mental illness can be facilitated. It reflects on the innovative process of creating a Supported Housing model in South India, where 11 MH Service users transitioned from a psychiatric ECRC to independent living facilities. Experiences in various phases of the project development, including care provider- and community level responses and feedback were scrutinised to understand the strategies that were employed in enabling the transition. Qualitative methods (including in-depth interviews and naturalistic observations) were used with residents and staff members to explore the challenges they encountered in stabilizing the model, as well as the psychosocial benefits experienced by residents in the last phase. These were complemented with a Brief Psychiatric Rating Scale (BPRS) and WHO Quality of Life scale to compare baseline and post-assessment results and an increase of quality of life. Results display a significant reduction of psychiatric symptoms in patients (p< 0.5). It also describes the challenges encountered in the current context, and strategies that were used to respond and adapt the model to address these concerns effectively. Positive behavioural and psycho-emotional changes were observed amongst the residents, significant amongst those being enhanced in their mobility and participation. The article concludes by discussing the implications of this study for the development of innovative community-based models in wider contexts.
format Online
Article
Text
id pubmed-7144972
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher Public Library of Science
record_format MEDLINE/PubMed
spelling pubmed-71449722020-04-10 Supported Housing as a recovery option for long-stay patients with severe mental illness in a psychiatric hospital in South India: Learning from an innovative de-hospitalization process Padmakar, Archana de Wit, Emma Emily Mary, Sagaya Regeer, Eline Bunders-Aelen, Joske Regeer, Barbara PLoS One Research Article Individuals with severe mental illness have long been segregated from living in communities and participating in socio- cultural life. In recent years, owing to progressive legislations and declarations (in India and globally), there has been a growing movement towards promoting social inclusion and community participation, with emphasis on the need to develop alternative and inclusive care paradigms for persons with severe mental illness. However, transitions from inpatient care to community settings is a complex process involving implications at multiple levels involving diverse stakeholders such as mental health service users, care providers, local communities and policy makers. This article studies how the transition from a hospital setting to a community-based recovery model for personals with severe mental illness can be facilitated. It reflects on the innovative process of creating a Supported Housing model in South India, where 11 MH Service users transitioned from a psychiatric ECRC to independent living facilities. Experiences in various phases of the project development, including care provider- and community level responses and feedback were scrutinised to understand the strategies that were employed in enabling the transition. Qualitative methods (including in-depth interviews and naturalistic observations) were used with residents and staff members to explore the challenges they encountered in stabilizing the model, as well as the psychosocial benefits experienced by residents in the last phase. These were complemented with a Brief Psychiatric Rating Scale (BPRS) and WHO Quality of Life scale to compare baseline and post-assessment results and an increase of quality of life. Results display a significant reduction of psychiatric symptoms in patients (p< 0.5). It also describes the challenges encountered in the current context, and strategies that were used to respond and adapt the model to address these concerns effectively. Positive behavioural and psycho-emotional changes were observed amongst the residents, significant amongst those being enhanced in their mobility and participation. The article concludes by discussing the implications of this study for the development of innovative community-based models in wider contexts. Public Library of Science 2020-04-09 /pmc/articles/PMC7144972/ /pubmed/32271784 http://dx.doi.org/10.1371/journal.pone.0230074 Text en © 2020 Padmakar et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Padmakar, Archana
de Wit, Emma Emily
Mary, Sagaya
Regeer, Eline
Bunders-Aelen, Joske
Regeer, Barbara
Supported Housing as a recovery option for long-stay patients with severe mental illness in a psychiatric hospital in South India: Learning from an innovative de-hospitalization process
title Supported Housing as a recovery option for long-stay patients with severe mental illness in a psychiatric hospital in South India: Learning from an innovative de-hospitalization process
title_full Supported Housing as a recovery option for long-stay patients with severe mental illness in a psychiatric hospital in South India: Learning from an innovative de-hospitalization process
title_fullStr Supported Housing as a recovery option for long-stay patients with severe mental illness in a psychiatric hospital in South India: Learning from an innovative de-hospitalization process
title_full_unstemmed Supported Housing as a recovery option for long-stay patients with severe mental illness in a psychiatric hospital in South India: Learning from an innovative de-hospitalization process
title_short Supported Housing as a recovery option for long-stay patients with severe mental illness in a psychiatric hospital in South India: Learning from an innovative de-hospitalization process
title_sort supported housing as a recovery option for long-stay patients with severe mental illness in a psychiatric hospital in south india: learning from an innovative de-hospitalization process
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7144972/
https://www.ncbi.nlm.nih.gov/pubmed/32271784
http://dx.doi.org/10.1371/journal.pone.0230074
work_keys_str_mv AT padmakararchana supportedhousingasarecoveryoptionforlongstaypatientswithseverementalillnessinapsychiatrichospitalinsouthindialearningfromaninnovativedehospitalizationprocess
AT dewitemmaemily supportedhousingasarecoveryoptionforlongstaypatientswithseverementalillnessinapsychiatrichospitalinsouthindialearningfromaninnovativedehospitalizationprocess
AT marysagaya supportedhousingasarecoveryoptionforlongstaypatientswithseverementalillnessinapsychiatrichospitalinsouthindialearningfromaninnovativedehospitalizationprocess
AT regeereline supportedhousingasarecoveryoptionforlongstaypatientswithseverementalillnessinapsychiatrichospitalinsouthindialearningfromaninnovativedehospitalizationprocess
AT bundersaelenjoske supportedhousingasarecoveryoptionforlongstaypatientswithseverementalillnessinapsychiatrichospitalinsouthindialearningfromaninnovativedehospitalizationprocess
AT regeerbarbara supportedhousingasarecoveryoptionforlongstaypatientswithseverementalillnessinapsychiatrichospitalinsouthindialearningfromaninnovativedehospitalizationprocess