Psychiatric Morbidity among Residents of a Destitute Rehabilitation Centre in Lagos, South-western Nigeria

Authors

  • Ayodele Olurotimi Coker Department of Behavioural Medicine, Lagos State University College of Medicine, Ikeja, Lagos, Nigeria

DOI:

https://doi.org/10.60787/tnhj.v17i2.276

Keywords:

Destitute, psychiatric morbidity, rehabilitation centre, Lagos, Nigeria

Abstract

Background. Destitution is a global problem. Previous studies indicated that the association between destitution and mental illness is a public health concern. Publications on destitute rehabilitation centres are scanty in Africa. This study aimed at determining the psychiatric morbidity and associated sociodemographic correlates among the residents of a destitute rehabilitation centre in Lagos, South-western Nigeria.

Methods. The residents of a destitute rehabilitation centre were investigated for psychiatric morbidity. They were interviewed one-on-one basis using the ICD-10 diagnostic criteria for presence of specific mental illness by a consultant psychiatrist.

Results. The majority of the participants 400 (94.7%) were unemployed, single 187 (44.3%) and 353 (83.6%) lived on the streets. Among the participants, 137 (32%) were diagnosed with schizophrenia, 89 (32.4%), mental and behavioural disorders due to alcohol and multiple substance abuse, 51 (12.1%), antisocial personality disorder, 13 (7.1%) mania and (1.8%) had severe depression The association of drug use between males and females were found to be statistically significant (X2=7.874, DF=1, P= .005).

Conclusion. The findings of this study showed that the residents of the investigated destitute rehabilitation centre had high prevalence of mental illness. Interventions focusing on risk factors for destitution such as severe mental illness and substance use disorders should be looked into by policy makers. Mental healthcare service should also be provided in Nigerian destitute rehabilitation centres to reduce incidence and prevalence of mental disorders.   

Downloads

Download data is not yet available.

Author Biography

Ayodele Olurotimi Coker, Department of Behavioural Medicine, Lagos State University College of Medicine, Ikeja, Lagos, Nigeria

Senior Lecturer/Consultant Psychiatrist

References

Nayak RB, Patil S, Patil N, et al. Psychiatric morbidity among inmates of centre for destitute: A cross-sectional study. J Sci Soc 2015; 42: 92-94.

Thappa J, Thappa S, Abhishek H, et al. Psychiatric Morbidity among Inmates of the Mother Teresa’s Home: A Home for Dying and Destitute. Journal of Mental Health & Human Behavior, 2008 13(1): 48-50.

Alkire S, Conconi A, Seth S. Multidimensional destitution: An ordinal counting methodology for constructing linked subsets of the poor. OPHI Research in Progress 2014; 42(a): 1-24.

Sharp K, Devereux S, Amare Y. Destitution in Ethiopia’s North-eastern Highlands - Amhara National Regional State: Policy Research Project. UK Department for International Development. Accessed 16 January 2016 from: http://www.participatorymethods.org/sites/participatorymethods.org/files/Destitution%20in%20Ethiopia's%20NE%20Highlands%20Devereux.pdf

Nielsen SF, Hjorthøj CR, Erlangsen A, Nordentoft M. Psychiatric disorders and mortality among people in homeless shelters in Denmark: a nationwide register-based cohort study. Lancet 2011; 377: 2205–2214. Doi:10.1016/S0140.

Fitzpatrick S, Bramley G, Sosenko F. Destitution in the UK. Accessed 23 March 2016 from: http://www.jrf.org.uk.

Folsom DP, Hawthorne W, Lindamer L, et al. Prevalence and Risk Factors for Homelessness and Utilization of Mental Health Services Among 10,340 Patients With Serious Mental Illness in a Large Public Mental Health System. Am J Psychiatry 2005; 162: 370–376)

Alkire S, Conconi A, Seth S. Measuring Destitution in Developing Countries: An Ordinal Approach for Identifying Linked Subset of Multi-dimensionally Poor. Inequality–Measurement, Trends, Impacts, and Policies. UNU-WIDER, 2014; Helsinki. Accessed 16th January 2016 from: http://www1.wider.unu.edu/inequalityconf/sites/default/files/IGA/Seth.pdf.

Fazel S, Khosla V, Doll H, Geddes J. The prevalence of mental disorders among the homeless in western countries: Systematic review and meta-regression analysis. PLoS Med 2008; 5: e225

Mental illness and homelessness. National Coalition for the Homeless (2009) Accessed 23 March 2016 from: http://www.nationalhomeless.org/factsheets/Mental_Illness.html.

Schanzer B, Dominguez B, Shrout et al. Homelessness, Health Status, and Health Care Use. AM J Public Health 2007; 97(3): 464–469. Doi: 10.2105/AJPH2005.076190.

American Psychological Association. Presidential Task Force on Psychology’s Contribution to End Homelessness (2010) Helping people without homes: The role of psychologists and recommendations to advance research, training, practice, and policy. Retrieved 17th April 2016 from http://www.apa.org/pi/ses/resources/publications/end-homelessness.aspx

Lasebikan VO. Mental disorders and homelessness: Public Health Implications. Nigerian J Psychiatry 2010; 1:15-18.

Manes DL, Khan M. Care of the homeless people: an overview. Am Fam Physician J 2014; 89(8):634-640.

Saddicha S, Linden I, Krausz MR. Physical and Mental Health Issues among Homeless Youth in British Columbia, Canada: Are they Different from Older Homeless Adults? J Can Acad Child Adolesc Psychiatry 2014; 23(3): 200–206

World Health Organisation. International Classification of Diseases; 1996; Version 10.

Rapheal S, Michael S. Assessing the contribution of the deinstititutionalisation of the mentally ill to the growth in the US incarceration rate. J Legal Studies 2013; 42(1):187-222.

Thakker Y, Ghandi Z, Sheth H, et al. Psychiatric morbidity among inmates of a beggar home. International J Psychosoc Rehab2007; 11(2): 31-36.

UK poverty: Causes, costs and solutions. JRF’s 2016 comprehensive report, UK poverty. Accessed 16th April 2016 from: https://www.jrf.org.uk/report/uk-poverty-causes-costs-and-solutions.

Fasawe D. Developing services for the wandering mentally ill in an African city-the Lagos State example. Afr J Psychiatry 2012; 15:152-158.

Osa-Edoh G, Ayano S. Prevalence of Street Begging in Nigeria and the Counselling Intervention Strategies. Review of European Studies 2012; 4(4): 77-83.

Madianos MG, Chondraki P, Papadimitriou GN. Prevalence of psychiatric disorders among homeless people in Athens area: a cross-sectional study. Soc Psych Psychiatr Epidemiol 2013; 48:1225-1234.

Downloads

Published

2018-03-01

How to Cite

Coker, A. O. (2018). Psychiatric Morbidity among Residents of a Destitute Rehabilitation Centre in Lagos, South-western Nigeria. The Nigerian Health Journal, 17(2), 28–36. https://doi.org/10.60787/tnhj.v17i2.276
Abtract Views | PDF Download | EPUB Download: 1212 / 107

Similar Articles

1 2 3 4 5 6 7 8 9 10 > >> 

You may also start an advanced similarity search for this article.