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慢性精神病患者利用政府残疾福利的趋势。

Trends of utilization of government disability benefits among chronic mentally ill.

机构信息

Department of Psychiatry, Kasturba Medical College, Mangalore, Karnataka, India.

出版信息

Indian J Psychiatry. 2012 Jan;54(1):54-8. doi: 10.4103/0019-5545.94648.

DOI:10.4103/0019-5545.94648
PMID:22556439
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3339221/
Abstract

BACKGROUND

Mentally retarded and chronic mentally ill are being certified using IQ Assessment and Indian Disability Evaluation and Assessment Scale (IDEAS). They have been granted various benefits including monthly pension, from Ministry of Social Welfare, Government of India. The monthly pension appears to be the strongest reason for seeking certification and applying for government benefits. The caregivers appear to have only partial information and awareness about the remaining schemes.

OBJECTIVE

The study aims to assess the severity of disability in the mentally retarded and mentally ill who are certified for disability benefits, as well as to assess the trends of utilization of disability benefits over a 3 year period.

MATERIALS AND METHODS

This was a retrospective, file review based study of certificates of patients certified for mental disability in the period of January 2006 to December 2008. Certificates of a total of 1794 mentally retarded and 285 mentally ill were reviewed. The data regarding utilization of disability benefits was assessed.

RESULTS

Patients from rural areas did not avail any benefits other than the disability pension. Among Mentally Ill, Schizophrenia accounted for highest certifications. Males had higher disability compared to females, and Dementia showed highest disability as per IDEAS.

CONCLUSION

Though initial hurdles due to disability measurement have been crossed, disability benefits are still elusive to the vast majority of the disabled. Proper awareness and education will help in reducing the stigma and in the effective utilization of benefits.

摘要

背景

智障和慢性精神病患者通过智商评估和印度残疾评估和评估量表(IDEAS)获得认证。他们已从印度政府社会福利部获得各种福利,包括每月养老金。每月养老金似乎是寻求认证和申请政府福利的最主要原因。护理人员似乎只对剩余计划有部分了解。

目的

本研究旨在评估已获得残疾福利认证的智障和精神病患者的残疾严重程度,并评估在三年内残疾福利的利用趋势。

材料和方法

这是一项基于回顾性病历审查的研究,对 2006 年 1 月至 2008 年 12 月期间获得精神残疾认证的患者的证书进行了评估。共审查了 1794 名智障患者和 285 名精神病患者的证书。评估了残疾福利的利用数据。

结果

农村地区的患者除了残疾养老金外,没有获得任何其他福利。在精神病患者中,精神分裂症的认证率最高。男性的残疾程度高于女性,而根据 IDEAS,痴呆症的残疾程度最高。

结论

尽管已经克服了残疾评估的最初障碍,但残疾福利仍然难以惠及绝大多数残疾人。适当的意识和教育将有助于减少污名化,并有效利用福利。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df7e/3339221/24198195f289/IJPsy-54-54-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df7e/3339221/3ecf674218cd/IJPsy-54-54-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df7e/3339221/24198195f289/IJPsy-54-54-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df7e/3339221/3ecf674218cd/IJPsy-54-54-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df7e/3339221/24198195f289/IJPsy-54-54-g005.jpg

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Indian J Psychiatry. 2022 Jul-Aug;64(4):335-341. doi: 10.4103/indianjpsychiatry.indianjpsychiatry_236_22. Epub 2022 Jul 13.
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Disability Certification in Psychiatry.精神病学中的残疾鉴定
Indian J Psychiatry. 2022 Mar;64(Suppl 1):S185-S195. doi: 10.4103/indianjpsychiatry.indianjpsychiatry_717_21. Epub 2022 Mar 22.
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Audit of requests for disability certification of adults received at a tertiary care general hospital psychiatry unit.对一家三级综合医院精神科接收的成人残疾认证申请的审核。
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Five-Year Trend in Issuing Disability Certificates from a General Hospital Psychiatric Unit in South India.印度南部一家综合医院精神科出具残疾证明的五年趋势
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