Related Experiment Video
Updated: May 23, 2026
07:31
Implementation of a Real-Time Psychosis Risk Detection and Alerting System Based on Electronic Health Records using CogStack
Published on: May 15, 2020
Psychiatric advance statements: an Indian experience
T C Ramesh Kumar1, Sujit John, Subhashini Gopal
1Schizophrenia Research Foundation, Chennai, India. rameshkumar@scarfindia.org
The International Journal of Social Psychiatry
|April 20, 2012
Summary
Psychiatric advance statements (PAS) are feasible for long-term psychotic patients in India. Most participants successfully wrote a PAS, outlining treatment preferences and decision-makers.
Area of Science:
- Psychiatry
- Mental Health Policy
- Patient Rights
Background:
- Psychiatric advance statements (PAS) document future treatment preferences.
- PAS formulation is understudied in low- and middle-income countries (LMICs).
Purpose of the Study:
- To assess the feasibility of writing a PAS in an Indian population.
- To explore patient capacity and willingness to create advance directives for mental healthcare.
Main Methods:
- Screened patients with schizophrenia or schizoaffective disorder at SCARF outpatient clinics.
- Used stratified sampling after obtaining informed consent.
- Assessed patient capacity and completion rates for PAS.
Main Results:
- High consent rate (122/123 patients).
- 93/123 patients had capacity, and 92/123 completed a PAS.
- Key themes: treatment facility choice, treatment type, and proxy decision-makers.
- Sample included rural and urban populations; 45% were symptomatic.
Conclusions:
- Long-term psychotic patients, including those from non-urban areas, can write valid PAS.
- Demonstrates feasibility of advance care planning in LMICs for severe mental illness.
Related Concept Videos
01:30Psychosurgery
Psychosurgery, the surgical alteration or permanent removal of brain tissue to alleviate severe psychological conditions, stands as one of the most radical and controversial treatments in the history of mental health care. Its development and application have evolved significantly, marked by dramatic shifts in scientific understanding and ethical perspectives.
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
01:26Psychosis: Goals of Pharmacotherapy
Antipsychotic drugs are a crucial treatment method for acute and chronic psychoses, bipolar illness, and behavioral disorders. The selection of these drugs depends on several factors, including the state of the disease, clinical judgment, possible drug interactions, and the patient's sensitivity to adverse effects. In immediate scenarios, such as delirium and dementia, short-term treatment with low doses of high-potency typical or atypical agents can effectively manage symptom exacerbation. For...
01:28Psychosis and Antipsychotic Drugs: Overview
The term "psychosis" refers to a spectrum of mental disorders characterized by abnormal thoughts, perceptions, and behaviors. It can manifest as mood disorders, dementia, delirium with psychotic features, substance-induced psychosis with psychotic features, brief psychotic disorder, delusional disorder, schizoaffective disorder, and schizophrenia. Among all these disorders, schizophrenia is the most common psychotic disorder, affecting 1% of the worldwide population. Psychotic symptoms in all...
01:30Community Based Intervention
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
01:28Drug Therapy
The advent of drug therapy has profoundly shaped modern mental health care, providing targeted treatments for a range of psychological disorders. Psychotherapeutic drugs, classified into antianxiety, antidepressant, and antipsychotic medications, address symptoms across anxiety disorders, mood disorders, and schizophrenia. While these medications have transformed patient outcomes, they require careful management due to their potential side effects and limitations.
Antianxiety Medications
Antianxiety Medications
01:29Psychological and Sociocultural Causes of Schizophrenia
Schizophrenia, a complex psychiatric disorder, has been historically misunderstood. Early psychological theories attributed its origins to childhood trauma and unresponsive parenting. However, contemporary research largely rejects these notions, favoring the vulnerability-stress hypothesis. This model proposes that individuals with a genetic predisposition to schizophrenia may develop the disorder following exposure to significant environmental stressors. Notably, studies on high-risk...