An Evaluation of Psychosocial Rehabilitation Facilities for Homeless Mentally Ill in India

Authors

  • K R Anish Assistant Professor, Rajagiri School of Social Sciences, Kerala, India.

DOI:

https://doi.org/10.12724/ajss.25.1

Keywords:

Homeless mentally ill, Rehabilitation facilities, Rehabilitation outcomes

Abstract

Homelessness due to chronic mental illness has become amajor burden for most of the resource poor countries. TheKerala State in India has witnessed the efforts from thefaith based organizations and religiously oriented familiesin the care and rehabilitation of the homeless mentally ill.This paper explores the processes used by these facilitiesfor the care and rehabilitation of homeless mentally ill.Data were collected from the chief functionary ofrehabilitation facilities, persons with mental illnessresiding in the rehabilitation centers, and volunteer careproviders using interview schedules for the study ofrehabilitation processes and profile of chief functionaryand care providers. Otehre tools were, WHO QoL tomeasure the quality of life and level of functioning scaleand Global Assessment of Functioning Scale formeasuring the functioning. The care providers’orientation to mental illness was assessed usingOrientation to Mental Illness Scale (Prabhu, 1983). 65% ofthe centers displayed above average patient care serviceswhereas 25% had poor overall quality of patient careservices. The residents showed moderate level of qualityof life in the area of physical health, psychological health,social relationships and high level of quality of life in the domain of environment. The research has also identifiedseveral gaps in functioning of the facilities.

Author Biography

K R Anish, Assistant Professor, Rajagiri School of Social Sciences, Kerala, India.

Assistant Professor, Rajagiri School of Social Sciences, Kerala, India.

References

Anish, K. R. (2006). Quality Of Life and Level of Functioning as Rehabilitation

Outcome of Chronic Mentally Ill. Paper presented during Oral Scientific

Presentation of IX World Congress, World Association of Psychosocial

Rehabilitation, Athens, Greece, 12-15, October.

Becker, T., et al. (2005). Needs and quality of life among patients with

schizophrenia in five European centres: what is the impact of global

functioning scores?, Social Psychiatry and Psychiatric epidemiology, 40(8):

-634. DOI: 10.1186/1471-244X-13-99.

Bhaskaran, K.. (1970). The unwanted patient. Indian Journal of Psychiatry, 12, 31 -12

Goering, Paula, Lin, et al., (1996). Psychiatric disability in Ontario,

Canadian Journal of Psychiatry, 41 (9): 564-571. DOI. 10.4103/0019-

117129

International Association of Psychosocial Rehabilitation Services [IAPSRS]

Committee on Publications (1998). Chapter 1: what is psychiatric

rehabilitation?: In Spaniol, L., Brown, M.A., Blankertz, L., Burnham,

D.J., Dincin, J., Furlong-Norman, K., Nesbitt, N. Ottenstein, P., Prieve,

K., Rutman, I.., Zipple, A. (eds.), An Introduction to Psychiatric

Rehabilitation. Columbia, Maryland: IAPSRS.

Iyer, S., Rothmann, T. L., Vogler, J. E., and Spaulding, W. D., (2005).

Evaluating Outcomes of Rehabilitation for Severe Mental Illness.

Rehabilitation Psychology, 50 (1): 43-55. DOI. 10.1037/a0030774

Jacob, K. S. (2001). Community care for people with mental disorders in

developing countries. Problems and possible solutions. British Journal

of Psychiatry, 178, 296-298. doi/10.1192/bjp.178.4.296.

Jeanette Hewitt (2007). Critical evaluation of the use of research tools in

evaluating quality of life for people with schizophrenia. International

Journal of Mental Health Nursing, 16 (1) , 2–14.

Killaspy, H, Ritchie, C.W., Greer, E. & Robertson, M. (2004). Treating the

homeless mentally ill: does a designated inpatient facility improve

outcome?, Journal of Mental Health, 13(6), 593-599.

doi/10.1080/09638230400017038.

Kim, T. Mueser., Robert, E. Drake., Gary, R. & Bond. (1997). Recent

Advances in Psychiatric Rehabilitation for Patients with Severe

Mental Illness., Harward Review of Psychiatry, 5(3): 123-137. DOI:

1080/10673220802167782

Klapow, J.L., Evans, J., Patterson, T.L., Heaton, R.K., Koch, W. L. & Jeste,

D.V. (1997). Direct assessment of functional status in older patients with

Schizophrenia.

Kumar, K. V., Sekar, K., & Murthy, R. S. (2003). Making A Difference Caring

for Homeless Mentally ill Women: The Banyan Experience (Evaluation

report), Chennai: The Banyan.

Kuruvilla, A. & Jacob, K.S. (2007). Poverty, social stress and mental health.

Indian Journal of Medical Research, 126: 273-378.

Lam, J.A. and Rosenheck, R. (2000).The Effect of Victimization on Clinical

Outcomes of Homeless Persons With Serious Mental Illness ,

Psychiatric Services,. 49: 678-683.

Mental Health Act (1987). Government of India. New Delhi.

Murali T. & Rao K. (2004). Psychiatric Rehabilitation in India: Issues and

challenges.

Agarwal S.P., Goel D.S., Ichhpujani R.L., Salhan R.N. & Shrivastava, S.

(Ed.) Mental Health – An Indian Perspective 1946- 2003. New Delhi:

Elsevier, 152-160.

Murali, T. & Rao, K. (2004). Psychiatric Rehabilitation in India: Issues and

challenges. In: Agarwal S.P., Goel D.S., Ichhpujani R.L., Salhan R.N.,

Shrivastava S (Ed.) Mental Health – An Indian Perspective 1946- 2003.

New Delhi: Elsevier, 152-160.

Murali, T. (2002). From the secretary’s desk. World Association for

psychosocial rehabilitation Indian chapter Bulletin, 6- 5.

Murphy, H. and Murphy, E. K. (2006). Comparing quality of life using the

World Health Organization Quality of Life measure (WHOQOL-100)

in a clinical and non-clinical sample: Exploring the role of self-esteem,

self-efficacy and social functioning, Journal of Mental Health, 15(3): 289-

doi./10.1080/09638230600700771.

National Workshop on Mental Illness and Homelessness (2004). Chennai.

The Banyan. August 25-27.

NHRC (1999). Quality assurance in mental health. New Delhi. National

Human Rights Commission.

NHRC (2008). Mental health Care and Human Rights. New Delhi. National

Human Rights Commission.

Radhakrishnan. V.K, (2002). Current Issues of Psychiatric Rehabilitation.

In PCSJ (2002). Palluruthy Relief Settlement Day Celebrations

Souvenir. Kochi: PCSJ

Rehabilitation Council of India Act (1992). Government of India. New

Delhi.

Rosenson M. K., Kasten A. M., & Kennedy M. E. ( 1988). Expanding the

role of families of the mentally ill. In J. S. McNeil & S. E. Weinstein

(Eds.), Innovations: In health care practice (pp. 116-133). Silver Spring,

MD: National Association of Social Workers.

Ruggeri, M., Warner, R., Bisoffi, G. & Fontecedro, L.(2001). Subjective and

objective dimensions of quality of life in psychiatric patients: a factor

analytical approach: The South Verona Outcome Project 4. British

Journal of Psychiatry, 178, 268 -275. doi/10.1192/bjp.178.3.268.

Santhosh, Joseph. & Anish, K. R. (2006). An Indian Model of Low Cost

Community Based Rehabilitation of Homeless Mentally Ill. Paper

presented during Meet The Expert session of IX World Congress, World Association of Psychosocial Rehabilitation, Athens, Greece, 12-

, October.

Sheth, H. C. (2005). Common Problems in Psychosocial Rehabilitation.

International Journal of Psychosocial Rehabilitation. 10(1), 53-60.

Suresh, B.M., Nagaraja, D., (2008). Mental Health Legislation: An Indian

Perspective. In: NHRC (2008). Mental health Care and Human Rights.

New Delhi: National Human Rights Commission.

WHO (2004). The world health report 2004. Changing history. Geneva. World

Health Organization.

World Health Organization (2001). The World Health Report. Mental

Health. New Understanding, New Hope. Geneva

World Health Organization (2011). The Mental Health Atlas. Geneva

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Published

2013-04-01