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Psychiatric Social Work Interventions in Schizophrenia: A Case Report
Get PDFBackground: The chronic mental illnesses constitute substantial difficulties to person affected and the family. The difficulties could arouse due to the symptoms, functional disability, and stigma attached with the mental illness. Method: Using a single case method, we qualitatively evaluated the effectiveness of psychiatric social work interventions in a case of a person with chronic schizophrenia. The interventions were psychoeducation, social skill training, activity scheduling, supportive work and family interventions. Result and Conclusion: In the qualitative assessment, we have found that these interventions were helpful in improving functional status and family environment
Keywords: Psychiatric social work, schizophrenia, case wor
Needs of Persons with Neurological Disorders
Get PDFBackground: In India Many persons with neurological disorder (PwND) get discharged from several hospitals with significant unmet needs. Aim: To assess the needs of persons with neurological disorders in a tertiary care hospital, Bangalore, India. Method and Materials: It was a cross-sectional deceptive study where thirty PwND availing the in-patient services at NIMHANS, Bangalore were selected through purposive sampling. Camberwell Assessment of Need – Research version was used. Results: Large majority (90%) of the respondents have unmet needs in daytime activities, psychological distress, information about illness, sex. Majority (70%) have unmet needs in job, self-care, medicines, mobility, child care. Half (50%) of the respondents have unmet need in accommodation, intimate and social relationships, finance. Three-fourth revealed that their need for food, safety and social welfare needs have been met. Conclusion: Patients from lower economic, educational status and urban domicile have more service needs. Present study attempts a systematic need assessment which has implication in addressing the unmet needs of PwND to improve their quality of life.
Keywords: Need assessment, neurology, discharge plannin
Contemporary Trends in PSW Teaching: Challenges and Opportunity to Expand
No full textPsychiatric Social Work teaching has completed seven decades in India which was started with master course in medical and psychiatric social work at Tata Institute of Social Sciences, Mumbai in 1948 followed by various schools of social work across the country but unfortunately even after two year full time or part time course they are not counted as a mental health professional; still they need two more years of specialized training in mental health as Master of Philosophy in Psychiatric Social Work (M.Phil. PSW) which was offered in just a few institutions. Recently the Government of India formulated manpower development schemes under the national mental health programme to address the shortage of men power in mental health. Under this scheme, 25 centre of excellence in mental health are already stabilised and various post graduate departments were upgraded and M.Phil. PSW course is started or will be started. This figure is in raise in Government intuitions and few private institutions also. The prominence of social work in mental health is expected to enhance by this effort as highly trained social workers will be available to practice in the mental health field but there are some challenges to overcome to get the maximum outcome from this opportunity to expand.
Keywords: Psychiatric social work, mental health, men power development, Indi
Psychiatric Social Work Practice in Disability and Rehabilitation field in India
Get PDFIt is a well-known fact that mental illnesses comprise a substantial amount of the disability which can be equally or more disabling than general medical conditions. Psychiatric Social Work is working with severe or chronic mental illness major part of psychosocial intervention will be assessment and rehabilitation. So, they are directly involved in disability and rehabilitation practice. In the contemporary situation, Psychiatric Social Work teaching training and practice in disability and rehabilitation field in India must be regulated by RCI and for the same, we need a constant, combined and coordinated effort.
Keywords: Psychiatric Social Work, disability, rehabilitation council of Indi
Anxiety Depression and Burden among the Caregivers of Persons with Neurological Illness
Get PDFBackground: Studies have shown that caregivers of the persons with neurological illness have high levels of psychological distress, depression and caregiver’s burden. The aim of the study was to find out anxiety, depression and caregiver’s burden among the caregivers of persons with neurological illness (PWNI). Method: Thirty caregivers of PWNI attending the Centre of Rehabilitation Sciences, LGB Regional Institute of Mental Health, Tezpur, Assam were selected using purposive sampling technique for the present study. Socio-demographic and clinical data sheet, Zarit Burden Interview Scale and The Hospital Anxiety and Depression Scale were used. Results: The results shown that in Hospital Anxiety and Depression Scale, 26.6% of the caregivers’ scores were in the abnormal range in the domain of depression. While in the domain of anxiety, 16.6% scored in the abnormal range. In Zarit Burden of Scale, 13.3% of the caregivers were having little or no burden, 26.6% of the caregivers were having mild to moderate level of burden, 20% were having moderate to severe burden and 30% were having a severe burden of care. Care burden has significant positive correlation with depression (r= .124, p≤ 0.01 and anxiety (r= .124, p≤ 0.05). Conclusion: Caregivers of PWNI have been found to be at higher risk of mental health problems and care burden. The importance of addressing the burden of caregivers involved in the care of PWNI needs to be taken into consideration while providing treatment and rehabilitation of PWNI.
Keywords: Anxiety, depression, burden, neurological illnes
A Study of Academic Anxiety and School Adjustment among Adolescents
Get PDFBackground: Adolescence is a stage with tremendous pressure and stress. Adolescents are expected to perform at every front, the main one being academics. Academic anxiety is a feeling of being fearful or stressed due to school pressures. School adjustment is a procedure that brings a person's behaviour in compliance with the norms of the school; it comprises academic, social and emotional adjustment. Aims: The present study aims to examine the level of academic anxiety and school adjustment among the school going adolescent girls and boys residing in orphanages and ones with their families. The gender differences were also examined. Methodology: A total of 60 school going adolescent girls and boys aged 14-18 years residing in orphanages and a controlled group of adolescents living with families matched on the basis of age, gender and school were selected as sample for the study. A self-constructed interview schedule was used to examine the socio-demographic profile of the respondents, Academic Anxiety Scale for Children by Singh and Sengupta and Adjustment Inventory for school students by Sinha & Singh were used. Results & Conclusion: The results showed that the adolescents residing in orphanages had lower academic anxiety than the ones living with their families and scores of adolescent girls were higher than the boys. The scores on school adjustment showed that the adolescents living with families had significantly better school adjustment than the ones living in the orphanages and overall the girls had lower adjustment level than the boys.
Keywords: Adolescents, orphanages, academic anxiety, school adjustmen
Psychiatric Social Work Intervention in Person with Schizophrenia Having Poor Social, Communication and Work Functioning
Get PDFThe social functioning of a person living with schizophrenia is necessary to contribute to a better life and to live effectively in the community. The present case study was planned to provide psychiatric social work intervention to enhance the client's social skills and overall quality of life. Further, the present case focuses on providing psychosocial intervention to help the family to understand the nature of the illness.
Keywords: Schizophrenia, Social skills, Psychiatric social work interventio
Beyond Stigma: Persons Living with HIV/AIDS and Their Problems
Get PDFBackground: Acquired Immune Deficiency Syndrome (AIDS) caused by human immunodeficiency virus (HIV). In India, National AIDS Control and Organization (NACO) is primary concern Governmental agency which is deal with it in phase wise manner. During the all four phases of national AIDS control programme (NACP) concentration has been drawn on creation of amiable environment for persons living with HIV/AIDS(PLHA) by spreading awareness about different aspects of HIV/AIDS, reduction in high risk behaviour, (safe sex, usage of disposable syringes), free test of HIV infection and distribution of Anti-Retroviral Treatment (ART). All these efforts have their own advantage but still, the needs of PLHA are not fully met. They are many changes need to overcome yet, stigma is the biggest one and many others are increasing the problems of PLHA which have not been addressed adequately till date. This situation has been discussed in the paper. Methodology: Primary data has been collected from 213 respondents along with some secondary sources. Interview schedule and an interview guide were used as a tool. Result: This study reflects that despite the four complete phases of NACP the problem of PLHA has not been addressed in a holistic way. Concentration has been drawn mainly on the medical/clinical background of HIV/AIDS. The level of awareness among PLHA about ongoing programs is not very much good in condition. Particularly female PLHA and PLHA who were residing in remote areas like rural or slum had poor access to awareness. But the condition of PLHA who were well educated, belonged to a sound economic background, a resident of the urban or semi-urban area was also not better and had been found to be dissatisfied with arrangements. Conclusion: In the field of prevention and control of HIV/AIDS the role of NACO cannot be ignored. Because of the vigorous effort of NACO, the rate of new HIV infection has declined and in many parts has stabilized almost. This achievement does not permit us to ignore the diverse nature of needs, requirements and problems of the existing population of PLHA. In the Indian health care system, in terms of a power relationship, PLHA shares a subordinate position in which due to the absence of a bilateral interaction and unequal participation, they get less attention. The different nature of their problem has not been given adequate recognition but attention has been drawn on the medical/clinical background of HIV/AIDS. For that social difference, administrative negation is responsible. Therefore PLHA is the victim of poor pathological, biological condition and social arrangements that have victimized them in multiple ways.
Keywords: HIV/AIDS, Stigma, NAC
How Do The Professional Social Workers Cope with Occupational Stress in A Non-Governmental Sector? : An Analysis at Organisational Level
Get PDFBackground: Human care professionals’ deals with humans and their relations, which are multifaceted and so, encompass complications. Their occupation involves dealing with high emotional demand, which puts them in a stress and work conflicts. Objectives: To know the occupational stress levels, ways of coping among professional social workers (PSWs) working in non-governmental organizations (NGOs) and to know the various interventions at the organisational level. Method and Material: With these objectives 92, professional social workers (PSWs) were selected randomly from Indore, Madhya Pradesh, India. To know stress levels, ways of coping and organisational interventions occupational stress index (OSI), coping checklist (CCL) and focused group discussions (FGD) were conducted respectively. Result and Conclusion: It was evident that PSWs’ from NGOs were using more of problem-focused coping along with the high use of seeking social support and distraction positive as their way as to combat their moderate stress levels. However, organisational interventions at four levels i.e. effective job redesign, promotion of constructive work environment, organisational services to balance workplace pressure, and infrastructure and resources were major suggestions which need to be carried out with due participation of professional social workers.
Keywords: Occupational stress, coping, professional social worker, Indi
Parenting and Family Adjustment among Parents of children and adolescents with Intellectual Disability and functional psychosis: A Comparative Study
Get PDFBackground: Parenting, a wonderful and rewarding experience, are often accompanied by high levels of stress, because of the difficulties, frustrations, and challenges that parents face in everyday life. This study examined the profile ofParenting and Family Adjustment among Parents of children and adolescents with Intellectual Disability and functional psychosis. Methods: This study was a cross-sectional hospital based study. The study samples were selected through purposive sampling technique. The sample size was 40 parent among which 20 parents of children and adolescent with intellectual disability and 20 parents of children and adolescent with functional psychosis taken from Erna Hoch Child and Adolescent Psychiatry Unit and Charak Outpatient Department, of the Central Institute of Psychiatry, Kanke, Ranchi. Parenting and Family Adjustment Scale used for the data collection. Data were analyzed using Statistical Package for Social Sciences (SPSS- 21 version). Results and Conclusions: The results indicated that parents of children and adolescents with functional psychosis reported higher mean in the subscales of parental consistency, corrective parenting, positive encouragement, parent child-relationship, family relationship and parents of children and adolescents with intellectual disability reported higher mean in the subscale of Parental teamwork.
Keywords: Parenting, family adjustment, psychosis, intellectual disabilit