Rehabilitation need assessment of severely Mentally ill and effect of Intervention.

To study the rehabilitation needs of severely mentally ill person and to ascertain the efficacy of intervention strategies to meet out these needs, a group of 50 severely mentally ill persons, 25 each in experimental and control group as per proposed inclusion and exclusion criteria were selected from indoor and out patient clinic of IHBAS as sample of the study. Intervention package used in the study included psycho-education, activity scheduling and social skill training. To see the effect of intervention parameters used were symptom reduction, disability remediation, subjective wellbeing and dysfunction in social, family, personal, vocational and cognitive areas. Rehabilitation need assessment schedule, Mini Mental Status Examination, Positive and Negative symptom scale, Disability Assessment Schedule, Subjective well being Inventory and Dysfunctional Analysis Questionnaire were administered to collect desired data twice in the pre and post intervention phases. Pre assessment followed intervention sessions conducted for the experimental group for eight weeks duration. During this period control group subjects were waitlisted for this intervention. Results indicated that intervention is effective in symptom reduction, disability remediation, improving subjective well being and functioning in personal, social, family and cognitive areas.

Problems in Disposal of Long Staying Criminal Psychiatric Patients in Mental Hospital, Varanasi.

Aim – The purpose of the study was to assess, the problems in disposal of long stay criminal mental patients, from mental hospital Varanasi, despite of their improvements and types of crime. Method – In this study 202 criminal mental patients taken from the mental hospital Varanasi. Those patients were admitted between years of 1948-2002. Out of 202, 193 were male criminal patients and 9 were female. Patients were divided into two groups, convicted and nonconvicted. The patients were analysed on the basis, of duration of stay in hospital, despites of their fitness, types of crime, time of discharges and types of mental disorders. Results –The incidence of crime committed were significantly higher in male patient in the age group of (18-40) years 75%, nearly 53%, patients committed crime below 30 years and, 5% crime committed above the age of 50 years. Similar finding reported as (Gluecks 1943, Baldev et al 1970). 75% patients were suffering from Schizophrenia. 67% patients stayed in the mental hospital less than 5 years but remaining patient stayed more than 6 years. 2% patient stayed more than 45 years. Conclusion – A part of criminal patient stayed in the mental hospital because of legal, administrative, medical, and communication problems with respective jails.