journal
https://read.qxmd.com/read/37531235/the-opioid-crisis-fuelled-by-health-systems-how-will-future-physicians-fare
#21
REVIEW
Mark Mohan Kaggwa, Jeremy Devine, Sheila Harms
The opioid crisis continues to affect many areas worldwide, raising questions regarding prescribing indications. There is no consensus on negotiating the need for pain relief and the potential for medically prescribed opioid-related harm/addiction. These issues present an enormous educational challenge to physicians in training, particularly those whose mandate is to understand and respond to varying forms of pain. This article examines the perspectives and educational challenges faced by two psychiatry residents from different parts of the globe during the crisis...
August 2023: BJPsych International
https://read.qxmd.com/read/37531232/climate-change-and-mental-health-a-call-to-action-to-include-mental-health-and-psychosocial-support-services-mhpss-in-the-pakistan-flood-crisis
#22
REVIEW
Mehr Muhammad Adeel Riaz, Bismah Nayyer, Arush Lal, Faisal A Nawaz, Ahsan Zil-E-Ali
The recent flood crisis in Pakistan has had significant impacts on the physical, mental and socioeconomic fabric of almost 33 million people. Floods in Pakistan are leading to a range of negative impacts on health and major disruptions to healthcare services. The lack of mental health and psychosocial support services (MHPSS) is a significant concern in rural areas of Pakistan in providing support to communities affected by floods. It is important for the government and mental health policymakers to work with academic coalitions and non-governmental organisations to replicate low-resource MHPSS models that will develop and advocate for effective, gender-sensitive mental healthcare throughout the country...
August 2023: BJPsych International
https://read.qxmd.com/read/37531230/erratum-six-nations-a-clinical-scenario-comparison-of-systems-for-prisoners-with-psychosis-in-australia-bolivia-and-four-european-nations-erratum
#23
Anne Aboaja, Prashant Pandurangi, Susana Almeida, Luca Castelletti, Guillermo Rivera-Arroyo, Annette Opitz-Welke, Justus Welke, Stephen Barlow
[This corrects the article DOI: 10.1192/bji.2022.16.].
August 2023: BJPsych International
https://read.qxmd.com/read/37531229/children-with-autism-in-the-greek-educational-system-ongoing-challenges-during-the-covid-19-pandemic
#24
REVIEW
Sotiria Mitroulaki, Maria Samakouri, Aspasia Serdari
The inclusion of children with autism spectrum disorder (ASD) in typical educational settings has only recently gained momentum in Greece, responding to the recommendations of the international conventions. Reform of special education legislation spotlights the inclusion of children with autism in mainstream schools. The principal goal is to accept the diversity and heterogeneity of all students. This paper presents the educational policy for children with ASD in Greece and comments on teachers' perceptions of inclusion...
August 2023: BJPsych International
https://read.qxmd.com/read/37531228/economic-burden-of-mental-illness-in-pakistan-an-estimation-for-the-year-2020-from-existing-evidence
#25
REVIEW
Mohsin Hassan Alvi, Tehmina Ashraf, Tayyeba Kiran, Nasir Iqbal, Anil Gumber, Anita Patel, Nusrat Husain
This report is based on the extrapolation to 2020 of data on the economic burden of mental illnesses in Pakistan in 2006. Given the resultant estimated high economic burden of mental illness in the country (£2.97 billion in 2020), we advocate a revised budget allocation to mental healthcare. As a resource-scarce nation that is entangled in natural disasters, Pakistan needs cost-effective psychological interventions such as culturally adapted manual-assisted problem-solving training (C-MAP) for the prevention of self-harm and suicide and to move towards attaining the United Nations' Sustainable Development Goals (SDGs)...
August 2023: BJPsych International
https://read.qxmd.com/read/37531227/the-covid-19-pandemic-as-a-catalyst-for-integrated-global-mental-healthcare-and-tuberculosis-care
#26
REVIEW
Alexander L Chu, Aneeta Pasha, Carmen Contreras, Leonid Lecca, Annika C Sweetland, Jerome T Galea
Mental disorders are common among persons with tuberculosis (TB), and the COVID-19 pandemic has only amplified the mental and physical health consequences of this deadly synergy. Here, we call to attention the immense vulnerability of people with TB to mental disorders during the pandemic and highlight the unique challenges and opportunities that the pandemic brings to the future integration of global TB and mental healthcare. We argue that the pandemic era is an ideal period to accelerate this integration and we provide research and policy recommendations to actualise this urgent need...
August 2023: BJPsych International
https://read.qxmd.com/read/37531226/healthcare-utilisation-in-the-united-arab-emirates-for-children-with-attention-deficit-hyperactivity-disorder-and-comorbidities
#27
REVIEW
Ahmad M Almai, Jay A Salpekar
The prevalence of attention-deficit hyperactivity disorder is consistent worldwide. Psychiatric comorbidities are common, although less is known about how those comorbidities affect utilisation of healthcare services. Access to paediatric mental healthcare is a challenge in many regions. However, access to care in the United Arab Emirates (UAE) is supported by a well-established healthcare infrastructure with widely available primary care physicians. A review of diagnosis codes suggests that a clear correlation exists between the number of comorbidities and increased utilisation of available mental health services...
August 2023: BJPsych International
https://read.qxmd.com/read/38415006/pandora-s-box
#28
JOURNAL ARTICLE
(no author information available yet)
No abstract text is available yet for this article.
May 2023: BJPsych International
https://read.qxmd.com/read/38415005/telehealth-a-new-opportunity-for-out-patient-psychiatric-services
#29
REVIEW
Erica Bell, Cornelia Kaufmann, Gin S Malhi
In the wake of the COVID-19 pandemic, healthcare systems rapidly embraced technology as a means of providing care while adhering to social distancing protocols. In this brief article, we report on a new telehealth initiative recently implemented in an out-patient psychiatric setting and outline the novel role telehealth may serve in facilitating psychiatric care globally. The uptake of telehealth represents a new and exciting opportunity to increase both access to, and quality of, care for people with mental illness...
May 2023: BJPsych International
https://read.qxmd.com/read/38415003/climate-change-and-mental-health-in-the-philippines
#30
REVIEW
Rowalt Carpo Alibudbud
The mental health repercussions of the climate crisis are observed annually in the Philippines, one of the world's most climate-vulnerable countries. This paper explores these repercussions by examining the aftermath of Typhoon Haiyan. It shows that mental health problems persisted beyond the typhoon's immediate aftermath among a large number of survivors. Since the mental health system was fragile, the affected community improved their mental health services through the help of local and international non-governmental organisations...
May 2023: BJPsych International
https://read.qxmd.com/read/38415002/social-interactions-within-the-sudanese-healthcare-system-traditional-healers-and-psychiatrists
#31
EDITORIAL
Randa Ahmed Abdalrheem Altamih, Osman Kamal Osman Elmahi
From a cultural perspective, traditional healing has had a substantial impact on psychiatric management in rural African communities, but the services provided by traditional healers are not integrated with the mental health services provided by primary healthcare. In Sudan, modern psychiatry has seen minimal development beyond the capital city of Khartoum. In rural communities, traditional health practitioners (THPs) are the first point of entry to mental health services. Effective collaboration between THPs and consultant psychiatrists should be encouraged by the introduction of health education that targets THPs, especially in rural communities...
May 2023: BJPsych International
https://read.qxmd.com/read/38415001/staying-sane-in-psychiatric-residency-during-covid-times
#32
REVIEW
Maryam Ayub
This article gives a junior psychiatry resident's personal story of burnout during the COVID-19 pandemic: what led to it, what helped her get through it and the continual process of working to avoid burnout in the future.
May 2023: BJPsych International
https://read.qxmd.com/read/38415000/a-partnership-between-m%C3%A4-ori-healing-and-psychiatry-in-aotearoa-new-zealand
#33
REVIEW
Wiremu NiaNia, Allister Bush
This paper describes an example of Māori healing and psychiatry working together in an Indigenous mental health context in Aotearoa (New Zealand). Each author outlines their perspectives on the context and the partnership. The case of a Māori teenager with pseudo-seizures and voice-hearing is described to illustrate the partnership in action.
May 2023: BJPsych International
https://read.qxmd.com/read/38414999/adaptation-of-a-mobile-app-for-early-anxiety-and-depression-intervention-in-university-students-in-chile-participatory-study
#34
REVIEW
Daniela Lira, Patricio Caviedes, Vania Martínez
The high prevalence of mental health problems among university students poses a challenge when developing effective interventions, with digital technologies emerging as a potential resource to address this problem. The inclusion of student input in the design and development of such interventions is critical to improving their impact. This study contributed to the initial phase of a research project that aims to adapt and evaluate the feasibility and acceptability of an early intervention for anxiety and depression based on digital technologies for university students...
May 2023: BJPsych International
https://read.qxmd.com/read/38414998/development-of-adolescent-mental-health-services-in-sri-lanka
#35
REVIEW
Onali Bimalka Wickramaseckara Rajapakshe, Mohapradeep Mohan, Swaran Preet Singh
Sri Lanka has faced two major catastrophes in recent history: the civil war (1983-2009) and the tsunami (2004). Furthermore, there is a continuously changing socioeconomic situation which is becoming ever more challenging. Nearly a quarter of the Sri Lankan population is a youth or adolescent, and this age group is particularly vulnerable to adversity. Over the past decade Sri Lanka has acknowledged the need to support these young people and embarked on developing adolescent mental health services, but they require further expansion...
May 2023: BJPsych International
https://read.qxmd.com/read/36812038/sri-lanka-s-response-to-prescribed-drug-misuse-is-it-enough
#36
REVIEW
Aruni Hapangama, K A L A Kuruppuarachchi
A wide range of medications are being misused by people the world over and Sri Lanka is no exception. Reasons for this misuse are manyfold. Regulatory bodies, prescribers, dispensers, as well as the general public, have significant roles to play in mitigating the misuse of prescribed medications and their harmful consequences.
February 2023: BJPsych International
https://read.qxmd.com/read/36812036/six-nations-a-clinical-scenario-comparison-of-systems-for-prisoners-with-psychosis-in-australia-bolivia-and-four-european-nations
#37
REVIEW
Anne Aboaja, Prashant Pandurangi, Susana Almeida, Luca Castelletti, Guillermo Rivera-Arroyo, Annette Optiz-Welke, Justus Welke, Stephen Barlow
This paper compares across six nations the mental health systems available to prisoners with the highest acuity of psychosis and risk combined with the lowest level of insight into the need for treatment. Variations were observed within and between nations. Findings highlight the likely impact of factors such as mental health legislation and the prison mental health workforce on a nation's ability to deliver timely and effective treatment close to home for prisoners who lack capacity to consent to treatment for their severe mental illness...
February 2023: BJPsych International
https://read.qxmd.com/read/36812032/post-covid-19-can-digital-solutions-lead-to-a-more-equitable-global-healthcare-workforce
#38
EDITORIAL
Nagina Khan, Wolfgang Gilliar, J S Bamrah, Subodh Dave
An unintended consequence of the COVID-19 pandemic has been the exponential growth of telemedicine, with automation of healthcare becoming more common. Face-to-face meetings and training events have been replaced relatively seamlessly with online versions, taking clinical or academic expertise to distant parts of the world and making them more accessible and affordable. The wide reach of digital platforms offering remote healthcare offers the opportunity of democratising access to high-quality healthcare, However, certain challenges remain: (a) clinical guidance developed in one geographical area may need adaptation for use in others; (b) regulatory mechanisms from one jurisdiction need to offer patient safety across other jurisdictions; (c) barriers created by disparity in technology infrastructure and the variation in pay for services across different economies, leading to brain drain and an inequitable workforce...
February 2023: BJPsych International
https://read.qxmd.com/read/36812030/reflections-on-mental-healthcare-for-an-asylum-seeker-population-caught-in-limbo-on-the-greek-island-of-samos
#39
REVIEW
Lindsay Solera-Deuchar
A psychiatry trainee reflects on a period of work on the Greek island of Samos with the international medical non-governmental organisation Medécins Sans Frontières/Doctors Without Borders, providing mental health and psychosocial support to asylum seekers. The clinic provided services to asylum seekers who were living in a crowded refugee camp, many of whom were experiencing symptoms of severe mental illness. The author reflects on the nature and severity of these presentations, and questions the role of psychiatry in treating mental illness that is clearly exacerbated by circumstances resulting from European asylum policies...
February 2023: BJPsych International
https://read.qxmd.com/read/36812028/why-are-we-still-living-in-the-past-sri-lanka-needs-urgent-and-timely-reforms-of-its-archaic-mental-health-laws
#40
REVIEW
Aruni Hapangama, Jayan Mendis, K A L A Kuruppuarachchi
Mental health legislation protects the rights of people with mental illnesses. However, despite major social, political and cultural changes, Sri Lankan mental health services still operate on laws enacted mostly during the British rule more than a century ago, in the pre-psychotropics era, and focusing more on the detention of people with mental illnesses than on their treatment. It is high time all stakeholders made efforts for the much-awaited new Mental Health Act to pass through parliament urgently to meet the needs and protect the rights of patients, their caregivers and service providers...
February 2023: BJPsych International
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