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Delusional disorders often amaze psychiatrists with their variety of themes. Folie a deux is usually characterised as a shared psychotic or induced delusional disorder between two or more persons in close proximity. It has often been cited in case reports but has not been dealt with in much detail compared with other psychiatric conditions, and folie a trois has had even less attention. Only a small percentage of reported cases involve families and an even smaller fraction of these involve siblings. We hereby describe and discuss a case of folie a famille involving 3 unmarried sisters living together in isolation. This demonstrates how the one sister, who had schizophrenia, induced the other sisters to share the same delusional beliefs. We managed to separate the secondary cases using hospitalisation and medications and achieved improvement and recovery. [ABSTRACT FROM AUTHOR]

Introduction: People who have a mental illness and who are stable on their current treatment may be suitable for follow-up care with a community-based general practitioner. A general practitioner-partnership programme was designed in an institute in Singapore to facilitate the transition to community services. However, the rates of successful referrals were low., Methods: Our study followed the format of a quality improvement project, and used administrative data from April 2014 to June 2016 to gauge the impact of the interventions chosen to improve uptake of referrals. Three potential areas of improvement were found based on interviews with 25 service users., Results: During the 11 months of pre-intervention period (April 2014 to February 2015), 64% of potentially suitable service users (152 of 238 referrals) transitioned to community services. Low transition was linked to 3 identified causes and consequently, case managers developed personalised financial counselling for service users, assisted in the application for financial supports, and dispelled misconceptions about service provider inability to treat mental illness. Over the 16 months of intervention period (March 2015 to June 2016), the follow-up rate for referrals rose to 92% (260 / 283 referrals)., Conclusion: Given that financial support entitlements change, it is important for case managers to remain aware of changing policy. Misconceptions of service provider qualifications may have a great impact on service user's willingness to seek services from primary care providers.