Browsing by Author "Mengesha Filmon"

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    Burnout among Clinical Staff in Amanuel Specialized Mental Hospital
    (Addis Ababa University, 2014-12) Mengesha Filmon; Worku Biniam; Wondimagegn Dawit ; Haile Kibrom
    Objective: Burnout has a significant negative impact on the employees,service provided to patients and the organization. As there are no data on burnout among staff in Amanuel Specialized Mental Hospital, thisstudy sought to document the prevalence of burnout among theclinical staff at the hospital. Methods: This was a cross sectional study of clinical staff working atAmanuel specialized Mental Hospital. The hospital staff completed selfadministeredquestionnaires on socio-demographic characteristics andwork related features, and the Maslach Burnout Inventory – HumanServices and General Survey, and Oslo social support scale. Analysis ofthe data was undertaken using the Statistical Package for the SocialSciences (SPSS) version 21.0. Results: 40.5% percent of the respondents reported moderate to highlevel of emotional exhaustion while 45.8% reported moderate tohighlevel of depersonalization. Low level of personal accomplishmentwas reported by 36.6%. The number of out-patients seen and malegender were positively associated with depersonalization. The level ofsocial support wasassociated with both depersonalization andemotional exhaustion. Staff made several recommendations how todecrease burnout among the staff. Conclusion: Significant levels of burnout were reported. These shouldbe addressed at an individual, and institutional levels. More studies areneeded to identify the risk factors.
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    Burnout among Clinical Staff in Amanuel Specialized Mental Hospital
    (Addis Ababa University, 2014-12) Mengesha Filmon; Worku Biniam; Wondimagegn Dawit ; Haile Kibrom
    Objective: Burnout has a significant negative impact on the employees,service provided to patients and the organization. As there are no dataon burnout among staff in Amanuel Specialized Mental Hospital, this study sought to document the prevalence of burnout among theclinical staff at the hospital. Methods: This was a cross sectional study of clinical staff working atAmanuel specialized Mental Hospital. The hospital staff completed selfadministered questionnaires on socio-demographic characteristics and work related features, and the Maslach Burnout Inventory – HumanServices and General Survey, and Oslo social support scale. Analysis ofthe data was undertaken using the Statistical Package for the Social Sciences (SPSS) version 21.0. Results: 40.5% percent of the respondents reported moderate to highlevel of emotional exhaustion while 45.8% reported moderate to highlevel of depersonalization. Low level of personal accomplishment was reported by 36.6%. The number of out-patients seen and male gender were positively associated with depersonalization. The level of social support wasassociated with both depersonalization andemotional exhaustion. Staff made several recommendations how todecrease burnout among the staff. Conclusion: Significant levels of burnout were reported. These should be addressed at an individual, and institutional levels. More studies areneeded to identify the risk factors.
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    Exploring the Perception of People with Substance Related Disorder towards Psychotherapy at Amanuel Mental Specialized Hospital a Thesis Submitted to Department of Psychiatry Clinical Psychology Program
    (Addis Ababa University, 2018-01) Cheru Tringo; Mengesha Filmon
    Most People with substance-related disorders do not seek psychotherapeutic service. The aim of this study was to investigate the perceptions of people with substance-related disorder towards psychotherapy. A qualitative study, specifically phenomenological approach was employed. Nine participants were interviewed using semi-structured interview guide; selected purposively from inpatient department of addiction ward. The collected interviews were analyzed, using thematic analysis. The emerged themes main were (1) perception about psychotherapy (2) the perceived needs (3) the benefits of psychotherapy (4) the unmet needs people with substance-related disorder receiving psychotherapy. The result of this study showed that participants understand psychotherapy as an advising process, general service, and professional help. Psychotherapy was perceived as being helpful for understanding the nature of the problem, and for adjusting future life. The perceived treatment needs were varied based on the way of admission and their educational level. Participants who are admitted voluntarily and high level of education have a positive perception of the provision of psychotherapy. However, those who are admitted by others influence have a negative perception towards psychotherapy. Participants lack of awareness (where and how to get help), stigma (they afraid of what others would think of them) were raised as potential barriers to seek therapeutic interventions. Factors for unmet treatment needs were identified for lack of continuous follow up by a psychologist, Shortage of time during group therapy and absence of separated female addiction ward. There is a need to promote awareness in the community especially on psychotherapeutic help seeking. In addition, psychologist should take in to account the individuals perspective while providing psychotherapy. In general, there is a need for improving quality of mental health service.
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    Exploring the Perception of People with Substance Related Disorder towards Psychotherapy at Amanuel Mental Specialized Hospital a Thesis Submitted to Department of Psychiatry Clinical Psychology Program
    (Addis Ababa University, 2018-01) Cheru Tringo; Mengesha Filmon
    Most People with substance-related disorders do not seek psychotherapeutic service. The aim of this study was to investigate the perceptions of people with substance-related disorder towards psychotherapy. A qualitative study, specifically phenomenological approach was employed. Nine participants were interviewed using semi-structured interview guide; selected purposively from inpatient department of addiction ward. The collected interviews were analyzed, using thematic analysis. The emerged themes main were (1) perception about psychotherapy (2) the perceived needs (3) the benefits of psychotherapy (4) the unmet needs people with substance-related disorder receiving psychotherapy. The result of this study showed that participants understand psychotherapy as an advising process, general service, and professional help. Psychotherapy was perceived as being helpful for understanding the nature of the problem, and for adjusting future life. The perceived treatment needs were varied based on the way of admission and their educational level. Participants who are admitted voluntarily and high level of education have a positive perception of the provision of psychotherapy. However, those who are admitted by others influence have a negative perception towards psychotherapy. Participants lack of awareness (where and how to get help), stigma (they afraid of what others would think of them) were raised as potential barriers to seek therapeutic interventions. Factors for unmet treatment needs were identified for lack of continuous follow up by a psychologist, Shortage of time during group therapy and absence of separated female addiction ward. There is a need to promote awareness in the community especially on psychotherapeutic help seeking. In addition, psychologist should take in to account the individuals perspective while providing psychotherapy. In general, there is a need for improving quality of mental health service.
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    Is it Time to Create Subspecialty Trainings in Psychiatry in Ethiopia? Perspectives of Early Career Psychiatrists and Psychiatry Residents on Addiction Psychiatry as a Career.
    (Addis Abeba University, 2020-11) Semire Deka; Teferra Solomon ; Mengesha Filmon
    Introduction: The field of psychiatry has many subspecialties, among which are Child psychiatry, Addictionpsychiatry, Forensic psychiatry and Geriatric psychiatry, to name a few. The reason for havingdifferent subspecialties is to offer improved care. Given their prevalence and frequentpresentation as co-morbidities of psychiatric disorders; addiction will need to be a core domain of psychiatric residency. The huge gap between the increasing prevalence of SUDs and trainedprofessionals to tackle the problem is undeniable in our country. Considering the evident increase in SUDs in the country, exploration of ways to initiate and improve addiction training is of paramount importance. Objective: The objective of the current study is to explore attitudes as well as beliefs of early career psychiatrists and psychiatry residents across the country regarding addiction psychiatry as a career. By doing so, it aims to gain insights into ways on how and when addiction psychiatry subspecialty training can be developed in Ethiopia. Method :An electronic survey was conducted via confidential and anonymous emails sent to residents infacilities that run psychiatry residency program across the country and psychiatrists who finishedtheir training in the past 5 years during the study period. Questions answered with Likert scalewere analyzed quantitatively. Results :A total of 77 psychiatrists and psychiatric residents responded to the questionnaire which is 81.05% of the study population: 29 were psychiatrist and 48 were residents. The mean age is 30years and 44.5% of the participants were females. The majority of the respondents had positiveattitudes to addiction psychiatrists and addiction psychiatry. Addiction psychiatrists were seen as making a difference in their patient’s lives where 100% of the participants agreed to that statement. On the other hand, the participants had negative attitude towards the patient population who receive addiction psychiatry service. Of the participants, 88.3% thought addiction psychiatrists work with difficult patient population, and 53.2% of the participants showed interest to work with the patient population addiction psychiatrists work with. Overall,41.6% of the participants said to have interest in the field of addiction psychiatry. Conclusion :The majority of the respondents had positive attitudes to addiction psychiatrists and addiction psychiatry as a career.
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    Is it Time to Create Subspecialty Trainings in Psychiatry in Ethiopia? Perspectives of Early Career Psychiatrists and Psychiatry Residents on Addiction Psychiatry as a Career.
    (Addis Abeba University, 2020-11) Semire Deka; Teferra Solomon ; Mengesha Filmon
    Introduction :The field of psychiatry has many subspecialties, among which are Child psychiatry, Addiction psychiatry, Forensic psychiatry and Geriatric psychiatry, to name a few. The reason for having different subspecialties is to offer improved care. Given their prevalence and frequent presentation as co-morbidities of psychiatric disorders; addiction will need to be a core domainof psychiatric residency. The huge gap between the increasing prevalence of SUDs and trained professionals to tackle the problem is undeniable in our country. Considering the evident increase in SUDs in the country, exploration of ways to initiate and improve addiction training is of paramount importance. Objective :The objective of the current study is to explore attitudes as well as beliefs of early career psychiatrists and psychiatry residents across the country regarding addiction psychiatry as a career. By doing so, it aims to gain insights into ways on how and when addiction psychiatry subspecialty training can be developed in Ethiopia. Method :An electronic survey was conducted via confidential and anonymous emails sent to residents infacilities that run psychiatry residency program across the country and psychiatrists who finished their training in the past 5 years during the study period. Questions answered with Likert scale were analyzed quantitatively. Results :A total of 77 psychiatrists and psychiatric residents responded to the questionnaire which is 81.05% of the study population: 29 were psychiatrist and 48 were residents. The mean age is 30 years and 44.5% of the participants were females. The majority of the respondents had positive attitudes to addiction psychiatrists and addiction psychiatry. Addiction psychiatrists were seen as making a difference in their patient’s lives where 100% of the participants agreed to that statement. On the other hand, the participants had negative attitude towards the patient population who receive addiction psychiatry service. Of the participants, 88.3% thought addiction psychiatrists work with difficult patient population, and 53.2%oftheparticipantsshowed interest to work with the patient population addiction psychiatrists work with. Overall,41.6% of the participants said to have interest in the field of addiction psychiatry. Conclusion :The majority of the respondents had positive attitudes to addiction psychiatrists and addiction psychiatry as a career.
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    Subjective Experiences of Clients who have Attended Psychotherapy at Tikur Anebessa Specialized Hospital and Zewditu Memorial Hospital, Ethiopia 2021: A Qualitative Study
    (Addis Ababa University, 2021-11) Tumiso Eshetu; Mengesha Filmon; Birhanu Ribka
    Background :Psychotherapy, traditionally known as talk therapy is one of the main management modalities used in mental health. It is used to help clients with claimed psychosocial problems to overcome theirsymptoms and to improve their well being and mental health by applying psychosocial methods. Clients are the reasons why all the psychotherapies are made for and understanding their subjectiveexperiences of the psychotherapies helps us theunderstanding them, to make psychotherapymeaningful and to design contextual modalities of intervention compatible to a given psychosocialcontext. This study focuses on assessing the subjective experiences of clients who have attendedpsychotherapy at TASH and ZMH. Objective :To explore and understand the subjective experiences of clients who have attended psychotherapy at TASH and ZMH, so that we would learn from how psychotherapy appears for the clients from their perspective. Method :Qualitative study was conducted on clients who have attended psychotherapy at TASH and ZMH by using in-depth semi-structured interview questions that was prepared after referring different articles on the topic. Participants were recruited using non-probabilistic heterogeneous purposive sampling technique from the hospitals referred above. Participants were those who have attended psychotherapy at least for four sessions, consented to take part, speak Amharic language fluently and on stable mental condition. Sampling proceeded until theoretical saturation was achieved.Eight in-depth interviews were conducted and all were included in the results. The in-depth interviews were audio recorded, transcribed and translated into English. Thematic analysis was used to identify key themes. Findings The subjective experiences of clients who have attended psychotherapy were summarized in to four majorthemes with subordinate subthemes. Firstly, how clients perceived psychotherapy and all of them havedefined it as a means of discharging out impacted emotions. They have also differentiated talk therapy fromother routine advices based on their experiences and they have had different types of goals set bycollaborating with the clinicians. The second theme was their positive experiences and except one all of the participants had helpful experiences which were categorized under how it has impacted their self concept, their social life and their understanding of factors that had contributed to their illnesses. Clientshave also described mechanisms at which how psychotherapy has healed them. In the healing process is attributed to clinicians’ factors such as empathic listening and clients’ factors such as willingness to behealed and their belief on the therapy. The third theme was the negative experiences of clients. They have experienced it due to different factors like the therapist, the society and the therapy itself. How they had experienced relationships were the fourth theme identified. Conclusion:Clients have experienced psychotherapy as beneficial in most cases and harmful in some cases. What mattered most for the clients were; an empathic listening, unconditional acceptance and their connection with the therapist who is emotional sensitive and focusing on them as a person not on their problems as priority. Therapists’ being not persistent and sensitive had a counterproductive effect on the therapeutic alliance and contributed to the worsening of symptoms. Clients were not comfortable with frequent turnover of clients, being evaluated in front multiple people and long waiting time they spent. Most of the concepts mentioned as healing mechanisms and negative impacts were mainly described in the contexts of identity of clients, interpersonal relationships and social life.
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    Subjective Experiences of Clients who Have Attended Psychotherapy at Tikur Anebessa Specialized Hospital and Zewditu Memorial Hospital, Ethiopia 2021: A Qualitative Study
    (Addis Ababa University, 2021-11) Tumiso Eshetu; Mengesha Filmon; Birhanu Ribka
    Background :Psychotherapy, traditionally known as talk therapy is one of the main management modalities usedin mental health. It is used to help clients with claimed psychosocial problems to overcome theirsymptoms and to improve their well being and mental health by applying psychosocial methods. Clients are the reasons why all the psychotherapies are made for and understanding their subjective experiences of the psychotherapies helps us the understanding them, to make psychotherapymeaningful and to design contextual modalities of intervention compatible to a given psychosocialcontext. This study focuses on assessing the subjective experiences of clients who have attendedpsychotherapy at TASH and ZMH. Objective: To explore and understand the subjective experiences of clients who have attended psychotherapyat TASH and ZMH, so that we would learn from how psychotherapy appears for the clients fromtheir perspective. Method :Qualitative study was conducted on clients who have attended psychotherapy at TASH and ZMHby using in-depth semi-structured interview questions that was prepared after referring differentarticles on the topic. Participants were recruited using non-probabilistic heterogeneous purposive sampling technique from the hospitals referred above. Participants were those who have attendedpsychotherapy at least for four sessions, consented to take part, speak Amharic language fluently and on stable mental condition. Sampling proceeded until theoretical saturation was achieved.Eight in-depth interviews were conducted and all were included in the results. The in-depthinterviews were audio recorded, transcribed and translated into English. Thematic analysis wasused to identify key themes. Findings The subjective experiences of clients who have attended psychotherapy were summarized in to four majorthemes with subordinate subthemes. Firstly, how clients perceived psychotherapy and all of them havedefined it as a means of discharging out impacted emotions. They have also differentiated talk therapy fromother routine advices based on their experiences and they have had different types of goals set bycollaborating with the clinicians. The second theme was their positive experiences and except one all ofthe participants had helpful experiences which were categorized under how it has impacted their selfconcept, their social life and their understanding of factors that had contributed to their illnesses. Clientshave also described mechanisms at which how psychotherapy has healed them. In the healing process isattributed to clinicians’ factors such as empathic listening and clients’ factors such as willingness to behealed and their belief on the therapy. The third theme was the negative experiences of clients. They have experienced it due to different factors like the therapist, the society and the therapy itself. How they had experienced relationships were the fourth theme identified. Conclusion :Clients have experienced psychotherapy as beneficial in most cases and harmful in some cases. What mattered most for the clients were; an empathic listening, unconditional acceptance and their connectionwith the therapist who is emotional sensitive and focusing on them as a person not on their problems as priority. Therapists’ being not persistent and sensitive had a counterproductive effect on the therapeutic alliance and contributed to the worsening of symptoms. Clients were not comfortable with frequent turnoverof clients, being evaluated in front multiple people and long waiting time they spent. Most of the concepts mentioned as healing mechanisms and negative impacts were mainly described in the contexts of identity of clients, interpersonal relationships and social life.