Psychiatry

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https://etd.aau.edu.et/handle/123456789/4082

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Browsing Psychiatry by Author "Abera Selam"

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    Exploring the Care-Receiving Experiences of People with Severe Mental Illness, Amanuel Mental Specialized Hospital, Addis Ababa,Ethiopia:A Qualitative Study.
    (Addis Ababa University, 2022-01) Legesse Gizachew; Abera Selam; Girma Engida; Worku Beniam
    Background: - An understanding of the experience of individuals living with severe mental illness cared by mental health professionals and caregivers promote better understanding of thepatient. This may in turn promote enhancement of the therapeutic relationship, engagement ofpeople living withsevere mentalillnessintheircareandfinallyimprovementofclinicaloutcomes. Objective: - To explore the care-receiving experience of people with severe mental illnessreceiving care at Ammanuel Mental Specialized Hospital. Method: - a qualitative study design was used. Nine in-depth interviews were conducted usingsemi-structured questions. The in-depth interviews were audio recorded, transcribed and translated into English. Data was coded by using open code 4.03 software package and thematic analysis was used to identify key themes. Results: - There appear five overarching themes with underlying subthemes: firstly, themeaning to illness and care received. Most participants mentioned that it is very difficult to accept mental illness and they tend to accept it gradually and mentioned the care received waslifesaving and mean a lot for their survival. Secondly, Positive experiences of care received,most had positive experiences regarding the care they received. They mentioned variety ofpositive expectations and hopes about what the care they received would lead to in terms ofimprovement in their current and future situations. Thirdly, negative experiences of carereceived, their negative care receivingexperiences emanated from different problems theyencountered and stigma they faced while receiving care. Fourthly, relationships with careprovider in which most experienced good relationships while few experienced bad relationshipsand finally coping mechanisms. Conclusion: - The study revealed the positive and negative experiences of people with severemental illness regarding the care received. It is paramount importance to continue positive aspect of the care provided and to devise ways to tackle negative aspect of care voiced by care receiversto improve care provisions that enhance patients’ recovery.
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    Socio-Demographic and Clinical Characteristics of New Cases Seen, and Initial Clinician Decisions at Amanuel Mental Specialized Hospital, AA, Ethiopia: A Retrospective Chart Review
    (Addis Abeba University, 2020-10) Bacha Abdi; Abera Selam; Alem Atalay
    Background: Amanuel Mental Specialized Hospital which is situated in the capital, Addis Ababa is the only mental health hospital in Ethiopia. The hospital has a huge burden in offering both inpatient and outpatient services for patients who come from all regions of the country.Having access to this hospital for treatment and continuing follow-up is also a challenge formany patients. Studying the characteristics of patients seen at this hospital will be a good inputfor the decentralization of mental health services which the country is implementing. Objective: To assess socio-demographic and clinical characteristics of new patients seen, anddecisions made by clinicians who did the first evaluation, at AMSH. Methodology: A retrospective chart review of 384 new cases who had been seen at AMSH fromSeptember 11, 2019, to March 9, 2020, was done in August 2020. Sampling was done bysystematic random sampling method. Data analysis was done by using SPSS V25. Result: The majority of patients were from Oromia 196(51%) followed by Addis Ababa 105(27.3 %). The majority of cases 298(77.6%) were labeled as regular after triage. The majority ofpatients 327 (85.2%) came without a referral. Schizophrenia spectrum and other psychotic disorders 180(46.9%) were the most common diagnosis followed by depressive disorders 63(16.4%) and epilepsy 29(7.6%). The majority of cases 338(88%) were managed as outpatient and prescribers with BSc or MSc in psychiatry 91(48.4%) were the most common cliniciansidentified to do the first evaluation for the new cases followed by GPs 48(25.5%). Of tota patients, 359(93.5%) did not require medications other than risperidone, chlorpromazine,haloperidol, diazepam, clonazepam, amitriptyline, fluoxetine, sodium valproate, phenobarbital,and benzhexol(Artane). Conclusion: The majority of new patients come to AMSH for a service that can be provided atprimary health care units. Increasing public awareness about mental health services and strengthening mental health services provided in primary health care units and other hospitals bystakeholders is recommended to decrease patient overload at AMSH and help the patients ingetting mental health services in their vicinity.