Diss. - Jena. / Includes bibliographical references. Also available online.

Thesis (Ph.D.) - Carleton University, 2005. / Includes bibliographical references (p. 359-393). Also available in electronic format on the Internet.

Background: Psychotropic medicines are widely used to treat mental illness in the community. In prisons, however, the continuity and appropriateness of prescribing for mentally ill prisoners have been questioned. There has been little research on the use of psychotropic medicines in prisons in England and Wales; yet this information is essential for determining the extent to which there is equivalence of care between prisons and the community and for effective medicines management. Aims and objectives: This study aimed to determine patterns of psychotropic prescribing in prisons and consider the extent to which people with mental illness have 'equivalent' access to psychotropic medicines in prison. Methods: A mixed methods design was used, incorporating three interrelated studies: a retrospective case note review to estimate the proportion of prescriptions for psychotropic medicines which were discontinued on entry to prison; a cross-sectional survey to estimate point-prevalence psychotropic prescribing rates in prisons, as compared with the community; and a qualitative interview study with members of prison healthcare staff and patients with mental illness to a) explore the perceived purpose of psychotropic prescribing and b) to deconstruct patient and doctor accounts of medication changes on entry to prison. Findings: Half (47%) of all psychotropic medicines reported on entry into prison were not prescribed within seven days of arrival. The cross-sectional study found that psychotropic medications were prescribed to 20% of men and 44% of women in prison; age-adjusted prescribing rates were at least five times higher in prison than in the general population. However, no valid clinical indication was recorded for half (47%) of prescriptions for psychotropic medication in prison. Qualitative analysis showed that patients interpreted the principle of equivalence differently to doctors and attributed negative outcomes to changes to medication regimes in prison. Patients reported using psychotropic medicines to reduce symptoms of mental illness, but also as a coping strategy and to reduce insomnia. Whilst staff voiced concerns regarding possible overreliance on psychotropic drugs, patients perceived insufficient access to alternative forms of treatment and support in prison. Discussion: These findings confirm high use of psychotropic medicines in prison and caution prison prescribers against abrupt withdrawal of psychotropic medicines on entry to prison, overreliance on psychotropic medicines, potentially inappropriate prescribing and poor record keeping. Strengths and limitations, implications for practice and recommendations for future work are also discussed.

Thesis (doctorat)--Université Lyon III, 2005. / Includes bibliographical references.

Thesis (doctorat)--Université Lyon III, 2005. / Includes bibliographical references.

The diploma is about the topic of multidisciplinarity in community care of people with mentally illness. I chose this topic because I meet clients who have lived for various periods of time knowing that they suffer of mental illness. Over time, I began deeply perceive how mental illnesses affect all areas of client's lives. In the modern sense of community-based psychiatric services, multidisciplinary cooperation should become a provider of more comprehensive, better quality and more effective services for people with mental illness who require health care, but also social care that facilitates inclusion in the society of people who suffer of mental illness. Multidisciplinary collaboration is an interdisciplinary collaboration in social and health services, illustrates different theories that use various terminologies. The collaboration of experts from different disciplines, in addition to the term multidisciplinary, can be referred also as interdisciplinary or intersectoral. Another reason for choosing the topic of the thesis is the increas of discussions and even practical steps within the Strategy of Psychiatric Reform in the Czech Republic. An integral part of the thesis is an introduction to mental health issues, it's history and current planned transformation, which is a priority within the...

Thesis (Ph.D.) -- University of Western Sydney, Nepean, 1997. / References and bibliography : p. 308-345.

The diploma thesis deals with the cooperation of health and social services in the field of mental health care with regard to the ongoing reform of psychiatric care in the Czech Republic. The theoretical part of this work consists of defining the concept of mental illness, also deals with social and health services in the field of psychiatric care, discusses the reform of psychiatric care and cooperation of services. The empirical part examines what the current situation in the field of cooperation of services looks like, collects suggestions and tools for better functioning of these services and defines the views of direct care workers on the situation. The empirical part is performed by the method of questionnaire survey. The aim of the diploma thesis is to find out what the current situation looks like and what tools would help to better cooperation of these services.