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Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie

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https://www.readbyqxmd.com/read/29635929/-for-their-own-good-a-response-to-popular-arguments-against-permitting-medical-assistance-in-dying-maid-where-mental-illness-is-the-sole-underlying-condition
#1
Justine Dembo, Udo Schuklenk, Jonathan Reggler
Canada is approaching its federal government's review of whether patients should be eligible for medical assistance in dying (MAID) where mental illness is the sole underlying medical condition, and when "natural death" is not "reasonably foreseeable". For those opposed, arguments involve the following themes: capacity, value of life, vulnerability, stigma, irremediability, and the role of physicians. It has also been suggested that those who are able-bodied should have to kill themselves, even though suicide may be painful, lonely, and violent...
July 2018: Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie
https://www.readbyqxmd.com/read/29495883/integrated-care-for-depression-in-older-primary-care-patients
#2
Martha L Bruce, Jo Anne Sirey
For decades, depression in older adults was overlooked and not treated. Most treatment was by primary care providers and typically poorly managed. Recent interventions that integrate mental health services into primary care have increased the number of patients who are treated for depression and the quality of that treatment. The most effective models involve systematic depression screening and monitoring, multidisciplinary teams that include primary care providers and mental health specialists, a depression care manager to work directly with patients over time and the use of guideline-based depression treatment...
July 2018: Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie
https://www.readbyqxmd.com/read/29792752/expanding-the-reach-of-early-psychosis-intervention
#3
Eric Macnaughton
No abstract text is available yet for this article.
June 2018: Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie
https://www.readbyqxmd.com/read/29669434/does-one-size-truly-fit-all-the-coupe-undergraduate-perspective-on-competency-based-medical-education-in-psychiatry
#4
Natasja Menezes, Raed Hawa, Ron Oswald, Elliott Kyung Lee
No abstract text is available yet for this article.
June 2018: Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie
https://www.readbyqxmd.com/read/29592532/thirty-day-and-5-year-readmissions-following-first-psychiatric-hospitalization-a-system-level-study-of-ontario-s-psychiatric-care
#5
Sheng Chen, April Collins, Sean A Kidd
OBJECTIVE: Analyses of representative, system-level data to examine trends in short- and longer-term readmission rates for psychiatric illnesses are largely absent. The objective of this article is to examine key trends and variables with implications for inpatient care as indicated by 30-day readmission and outpatient care as reflected by readmission within 5 years. METHODS: Using OMHRS data from 2005 to 2015, patients who had their first inpatient admission were followed for 5 years to examine their subsequent 30-day and overall admission rates stratified by discharge time and diagnosis...
June 2018: Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie
https://www.readbyqxmd.com/read/29562748/disparities-in-access-to-early-psychosis-intervention-services-comparison-of-service-users-and-nonusers-in-health-administrative-data
#6
Kelly K Anderson, Ross Norman, Arlene G MacDougall, Jordan Edwards, Lena Palaniyappan, Cindy Lau, Paul Kurdyak
OBJECTIVE: There is a dearth of information on people with first-episode psychosis who do not access specialized early psychosis intervention (EPI) services. We sought to estimate the proportion of incident cases of nonaffective psychosis that do not access these services and to examine factors associated with EPI admission. METHODS: Using health administrative data, we constructed a retrospective cohort of incident cases of nonaffective psychosis in the catchment area of the Prevention and Early Intervention Program for Psychoses (PEPP) in London, Ontario, between 1997 and 2013...
June 2018: Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie
https://www.readbyqxmd.com/read/29409334/geographic-clustering-of-admissions-to-inpatient-psychiatry-among-adults-with-cognitive-disorders-in-ontario-canada-does-distance-to-hospital-matter
#7
Christopher M Perlman, Jane Law, Hui Luan, Sebastian Rios, Dallas Seitz, Paul Stolee
OBJECTIVE: This study examined relationships among hospital accessibility, socio-economic context, and geographic clustering of inpatient psychiatry admissions for adults with cognitive disorders in Ontario, Canada. METHOD: A retrospective cross-sectional analysis was conducted using admissions data from 71 hospitals with inpatient psychiatry beds in Ontario, Canada between 2011 and 2014. Data included 7,637 unique admissions for 4,550 adults with a DSM-IV diagnosis of Delirium, Dementia, Amnestic and other Cognitive Disorders...
June 2018: Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie
https://www.readbyqxmd.com/read/29056087/time-trends-in-homicide-and-mental-illness-in-ontario-from-1987-to-2012-examining-the-effects-of-mental-health-service-provision
#8
Stephanie R Penney, Aaron Prosser, Teresa Grimbos, Padraig Darby, Alexander I F Simpson
OBJECTIVE: We examine the association between rates of homicide resulting in a mental health disposition (termed mentally abnormal homicide [MAH]) and homicides without such a disposition, as well as to province-wide psychiatric hospitalisation and incarceration rates. METHOD: In this population-based study, we investigate all adult homicide perpetrators ( n = 4402) and victims ( n = 3783) in Ontario from 1987 to 2012. We present annual rates of mentally abnormal and non-mentally abnormal homicide and position them against hospitalisation and incarceration rates...
June 2018: Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie
https://www.readbyqxmd.com/read/28903578/mental-health-services-use-trends-in-canadian-veterans-a-population-based-retrospective-cohort-study-in-ontario
#9
Alyson L Mahar, Alice B Aiken, Heidi Cramm, Marlo Whitehead, Patti Groome, Paul Kurdyak
OBJECTIVE: A substantial evidence base in the peer-reviewed literature exists investigating mental illness in the military, but relatively less is documented about mental illness in veterans. This study uses provincial, administrative data to study the use of mental health services by Canadian veterans in Ontario. METHOD: This was a retrospective cohort study of Canadian Armed Forces and Royal Canadian Mounted Police veterans who were released between 1990 and 2013 and resided in Ontario...
June 2018: Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie
https://www.readbyqxmd.com/read/28884607/assessing-the-relationship-between-disordered-gamblers-with-psychosis-and-increased-gambling-severity-the-mediating-role-of-impulsivity
#10
Hyoun S Kim, Briana D Cassetta, David C Hodgins, Lianne M Tomfohr-Madsen, Daniel S McGrath, Hermano Tavares
OBJECTIVE: Recent research suggests that disordered gambling and psychosis co-occur at higher rates than expected in the general population. Gamblers with psychosis also report greater psychological distress and increased gambling severity. However, the mechanism by which psychosis leads to greater gambling symptomology remains unknown. The objective of the present research was to test whether impulsivity mediated the relationship between comorbid psychosis and gambling severity. METHOD: The sample consisted of 394 disordered gamblers voluntarily seeking treatment at a large university hospital in São Paulo, Brazil...
June 2018: Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie
https://www.readbyqxmd.com/read/28830241/antipsychotic-use-with-and-without-comorbid-psychiatric-diagnosis-among-adults-with-intellectual-and-developmental-disabilities
#11
Yona Lunsky, Wayne Khuu, Mina Tadrous, Simone Vigod, Virginie Cobigo, Tara Gomes
OBJECTIVE: Antipsychotic use is controversial in the management of adults with intellectual and developmental disabilities (IDD) because of inconclusive evidence for efficacy in the absence of a comorbid psychiatric condition, and substantial concerns about adverse effects. We aimed to characterize antipsychotic use among Ontario adults with IDD and compare profiles of those with and without a documented psychiatric diagnosis. METHOD: This population-based study included 51,881 adults with IDD under 65 y as of April 2010 receiving provincial drug benefits in Ontario who were followed until March 2016 to identify those dispensed at least one antipsychotic medication...
June 2018: Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie
https://www.readbyqxmd.com/read/29668329/depressive-symptomatology-syndromal-depression-and-hiv-associated-neurocognitive-disorder-hand
#12
Karl Goodkin, Scott B Patten
No abstract text is available yet for this article.
May 2018: Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie
https://www.readbyqxmd.com/read/29668328/use-of-placebo-in-clinical-trials-of-psychotropic-medication
#13
Mehrul Hasnain, Abraham Rudnick, Weldon S Bonnell, Gary Remington, Raymond W Lam
This position paper has been substantially revised by the Canadian Psychiatric Association's Research Committee and approved for republication by the CPA's Board of Directors on March 31, 2017. The original position paper1 was developed by the Scientific and Research Council and approved by the Board of Directors on October 4, 1996.
May 2018: Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie
https://www.readbyqxmd.com/read/29278937/unpacking-major-depressive-disorder-from-classification-to-treatment-selection
#14
Sidney H Kennedy, Amanda K Ceniti
No abstract text is available yet for this article.
May 2018: Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie
https://www.readbyqxmd.com/read/29258344/mental-health-harm-to-mothers-when-a-child-is-taken-by-child-protective-services-health-equity-considerations
#15
Kathleen S Kenny
No abstract text is available yet for this article.
May 2018: Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie
https://www.readbyqxmd.com/read/29228820/associations-between-depressive-symptomatology-and-neurocognitive-impairment-in-hiv-aids
#16
Sarah Tymchuk, Daniela Gomez, Noshin Koenig, M John Gill, Esther Fujiwara, Christopher Power
OBJECTIVE: Mood disorders and neurocognitive impairments are debilitating conditions among patients with HIV/AIDS. How these comorbidities interact and their relationships to systemic factors remain uncertain. Herein, we investigated factors contributing to depressive symptomatology (DS) in a prospective cohort of patients with HIV/AIDS in active care that included neuropsychological assessment. METHODS: Among patients with HIV/AIDS receiving combination antiretroviral therapy (cART) and ongoing clinical assessments including measures of sleep, health-related quality of life (HQoL), neuropsychological testing, and mood evaluation (Patient Health Questionnaire-9 [PHQ-9]) were performed...
May 2018: Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie
https://www.readbyqxmd.com/read/29207884/mental-health-of-refugees-and-asylum-seekers-assessment-and-intervention
#17
Rachel Kronick
With unprecedented numbers of displaced persons worldwide, mental health clinicians in high-income countries will increasingly encounter refugee and asylum-seeking patients, many of whom have experienced significant adversity before and after their migration. This paper presents a summary of the recent evidence on the assessment and treatment of refugees across the lifespan to inform clinicians' approaches to care of refugee patients in mental health care settings. Assessment and interventions for refugees are grounded in an ecosystemic approach which considers not only pre-migratory trauma, but social, familial, and cultural determinants of mental health in the host country...
May 2018: Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie
https://www.readbyqxmd.com/read/29202665/the-social-determinants-of-refugee-mental-health-in-the-post-migration-context-a-critical-review
#18
Michaela Hynie
With the global increase in the number of refugees and asylum seekers, mental health professionals have become more aware of the need to understand and respond to the mental health needs of forced migrants. This critical review summarizes the findings of recent systematic reviews and primary research on the impact of post-migration conditions on mental disorders and PTSD among refugees and asylum seekers. Historically, the focus of mental health research and interventions with these populations has been on the impact of pre-migration trauma...
May 2018: Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie
https://www.readbyqxmd.com/read/29202662/addressing-mental-health-needs-of-refugees
#19
Cécile Rousseau
Throughout history, refugees have alternatively been seen as entitled victims of adversity or as threats or abusers of host countries scarce resources. Within the present globalized context, ambivalent public perceptions of refugees are shattering the protective nature of the post migratory environment in refugee receiving countries. This raises new challenges for refugees' mental health and calls for systemic responses to address both pre-migratory trauma and losses and post migratory adversities. Recent evidence on the effectiveness of mental health treatment for refugees confirms the utility of trauma-focused psychotherapy and the limits of psychopharmacology for stress related disorders in this group...
May 2018: Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie
https://www.readbyqxmd.com/read/29186974/-neuropsychological-profile-and-working-memory-in-bipolar-disorder
#20
Frédéric Coppola, Philippe Courtet, Emilie Olié
No abstract text is available yet for this article.
May 2018: Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie
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