Women with mental illness – An overview of sociocultural factors influencing family rejection and subsequent institutionalization in India

Abstract

Background: Family abandonment and rejection resulting in homelessness are detrimental to women diagnosed with mental illness in India. A majority of the literature related to homelessness holds a western background, and women's homelessness in relation to mental illness is relatively unexplored in the Indian context. This review was conducted to understand the sociocultural factors influencing family rejection and to synthesize the living situation of institutionalized women with mental illness in India. Methods: Literature search in electronic databases (PubMed, Google Scholar), carried out using appropriate keywords, and a manual search in the library catalog. Results: As per the selection criteria, 19 reports, including original research articles and conceptual papers, were included and reviewed. Conclusion: There is a shortage of methodologically sound research in understanding the connection of mental illness–women homelessness–and the institutionalization scenario. This review highlights the necessity of shifting focus from institutionalization to innovative psychiatric rehabilitation strategies using the Mental Healthcare Act, 2017.

Keywords

• Homelessness
• institutionalization
• psychiatric rehabilitation
• women with mental illness