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https://www.readbyqxmd.com/read/28933627/primary-care-for-mentally-ill-adults-in-acute-residential-treatment-facilities
#1
Linda Chafetz, Gerri Collins-Bride
Psychiatric bed capacity has decreased nationally with an impact on the number and the types of patients admitted to acute in-patient units. Acute residential programs provide alternatives to hospitals for patients with problems that do not meet criteria for admission. However, these settings may not have resources to respond to the medical co-morbidities associated with severe mental illness. To understand the medical needs of patients in these settings, this research examined data from a nurse-managed primary care outreach service...
September 21, 2017: Issues in Mental Health Nursing
https://www.readbyqxmd.com/read/28931428/personalized-predictive-modeling-for-patients-with-alzheimer-s-disease-using-an-extension-of-sullivan-s-life-table-model
#2
Eric Stallard, Bruce Kinosian, Yaakov Stern
BACKGROUND: Alzheimer's disease (AD) progression varies substantially among patients, hindering calculation of residual total life expectancy (TLE) and its decomposition into disability-free life expectancy (DFLE) and disabled life expectancy (DLE) for individual patients with AD. The objective of the present study was to assess the accuracy of a new synthesis of Sullivan's life table (SLT) and longitudinal Grade of Membership (L-GoM) models that estimates individualized TLEs, DFLEs, and DLEs for patients with AD...
September 20, 2017: Alzheimer's Research & Therapy
https://www.readbyqxmd.com/read/28927511/psychiatric-and-mental-health-nursing-in-china-past-present-and-future
#3
Xiuying Xu, Xin-Min Li, Dongmei Xu, Wenqiang Wang
The mental health service model and policy have undergone dramatic changes and are moving toward the establishment of integrated service network-based community mental health services in China. But there are still some issues, such as shortage of resources, a relatively low rate of psychiatric treatment, lack of the knowledge about mental health in the general population, and stigma associated with mental disorders. This paper summarizes the history of psychiatric and mental health nursing in China and analyzes the characteristics of the current situation...
October 2017: Archives of Psychiatric Nursing
https://www.readbyqxmd.com/read/28918762/standard-comparison-of-local-mental-health-care-systems-in-eight-european-countries
#4
M R Gutiérrez-Colosía, L Salvador-Carulla, J A Salinas-Pérez, C R García-Alonso, J Cid, D Salazzari, I Montagni, F Tedeschi, G Cetrano, K Chevreul, J Kalseth, G Hagmair, C Straßmayr, A L Park, R Sfectu, T Ala-Nikkola, J L González-Caballero, L Rabbi, B Kalseth, F Amaddeo
AIMS: There is a need of more quantitative standardised data to compare local Mental Health Systems (MHSs) across international jurisdictions. Problems related to terminological variability and commensurability in the evaluation of services hamper like-with-like comparisons and hinder the development of work in this area. This study was aimed to provide standard assessment and comparison of MHS in selected local areas in Europe, contributing to a better understanding of MHS and related allocation of resources at local level and to lessen the scarcity in standard service comparison in Europe...
September 18, 2017: Epidemiology and Psychiatric Sciences
https://www.readbyqxmd.com/read/28912829/mental-health-leadership-and-patient-access-to-care-a-public-private-initiative-in-south-africa
#5
Christopher Paul Szabo, Jennifer Fine, Pat Mayers, Shan Naidoo, Tuviah Zabow
BACKGROUND: Mental health leadership is a critical component of patient access to care. More specifically, the ability of mental health professionals to articulate the needs of patients, formulate strategies and engage meaningfully at the appropriate level in pursuit of resources. This is not a skill set routinely taught to mental health professionals. METHODS: A public-private mental health leadership initiative, emanating from a patient access to care programme, was developed with the aim of building leadership capacity within the South African public mental health sector...
2017: International Journal of Mental Health Systems
https://www.readbyqxmd.com/read/28906068/human-mating-strategies-from-past-causes-to-present-consequences
#6
REVIEW
Daniele Marzoli, Jan Havlíček, S Craig Roberts
In both humans and nonhuman animals, mating strategies represent a set of evolutionary adaptations aimed at promoting individual fitness by means of reproduction with the best possible partners. Given this critical role, mating strategies influence numerous aspects of human life. In particular, between-sex divergence in the intensity of intrasexual competition could account for robust cross-cultural sex differences in psychology and behavior (e.g., personality, psychiatric disorders, social behavior, violence)...
September 14, 2017: Wiley Interdisciplinary Reviews. Cognitive Science
https://www.readbyqxmd.com/read/28905997/children-with-neurodevelopmental-disorders-and-disabilities-a-population-based-study-of-healthcare-service-utilization-using-administrative-data
#7
Rubab G Arim, Anton R Miller, Anne Guèvremont, Lucyna M Lach, Jamie C Brehaut, Dafna E Kohen
AIM: The aim of this study was to identify children with neurodevelopmental disorders and disabilities (NDD/D) and compare their healthcare service utilization to children without NDD/D using provincial linked administrative data. METHOD: The sample included children aged 6 to 10 years (n=183 041), who were registered with the British Columbia Medical Services Plan. Diagnostic information was used for the identification and classification of NDD/D in six functional domains...
September 14, 2017: Developmental Medicine and Child Neurology
https://www.readbyqxmd.com/read/28904893/surgical-patient-selection-and-counseling
#8
REVIEW
Matt Ziegelmann, Tobias S Köhler, George C Bailey, Tanner Miest, Manaf Alom, Landon Trost
The objectives of patient selection and counseling are ultimately to enhance successful outcomes. However, the definition for success is often narrowly defined in published literature (ability to complete surgery, complications, satisfaction) and fails to account for patient desires and expectations, temporal changes, natural history of underlying diseases, or independent validation. Factors associated with satisfaction and dissatisfaction are often surgery-specific, although correlation with pre-operative expectations, revisions, and complications are common with most procedures...
August 2017: Translational Andrology and Urology
https://www.readbyqxmd.com/read/28900785/training-to-provide-psychiatric-genetic-counseling-how-does-it-impact-recent-graduates-and-current-students-readiness-to-provide-genetic-counseling-for-individuals-with-psychiatric-illness-and-attitudes-towards-this-population
#9
Ashley Low, Shannan Dixon, Amanda Higgs, Jessica Joines, Catriona Hippman
Mental illness is extremely common and genetic counselors frequently see patients with mental illness. Genetic counselors report discomfort in providing psychiatric genetic counseling (GC), suggesting the need to look critically at training for psychiatric GC. This study aimed to investigate psychiatric GC training and its impact on perceived preparedness to provide psychiatric GC (preparedness). Current students and recent graduates were invited to complete an anonymous survey evaluating psychiatric GC training and outcomes...
September 12, 2017: Journal of Genetic Counseling
https://www.readbyqxmd.com/read/28899892/does-internet-based-cognitive-behaviour-therapy-reduce-healthcare-costs-and-resource-use-in-treatment-of-social-anxiety-disorder-a-cost-minimisation-analysis-conducted-alongside-a-randomised-controlled-trial
#10
Samir El Alaoui, Erik Hedman-Lagerlöf, Brjánn Ljótsson, Nils Lindefors
OBJECTIVES: Social anxiety disorder (SAD) can be effectively treated with internet-delivered cognitive behavioural therapy (ICBT), but studies on long-term cost minimisation from a healthcare provider perspective in comparison to an evidence-based control treatment of therapeutic equivalence are lacking. The objective of the study was to determine whether ICBT reduces healthcare costs and use of healthcare resources compared with cognitive behavioural group therapy (CBGT). DESIGN: A cost-minimisation study alongside a randomised controlled trial where participants (n=126) with SAD were randomised to ICBT or to CBGT...
September 11, 2017: BMJ Open
https://www.readbyqxmd.com/read/28891658/the-digital-mental-health-revolution-opportunities-and-risks
#11
Amir Tal, John Torous
This editorial introduces the special issue on digital mental health. The promise of digital, mobile, and connected technologies to advance mental health, and especially psychiatric rehabilitation, continues to rapidly evolve. New sensors and data, such as those derived from increasingly ubiquitous smartphones, offer a new window into the functional, social, and emotional experiences of illness and recovery at a personalized and quantified level previously unimaginable (Ben-Zeev & Badiyani, 2016; Free et al...
September 2017: Psychiatric Rehabilitation Journal
https://www.readbyqxmd.com/read/28890321/general-hospital-costs-in-england-of-medical-and-psychiatric-care-for-patients-who-self-harm-a-retrospective-analysis
#12
Apostolos Tsiachristas, David McDaid, Deborah Casey, Fiona Brand, Jose Leal, A-La Park, Galit Geulayov, Keith Hawton
BACKGROUND: Self-harm is an extremely common reason for hospital presentation. However, few estimates have been made of the hospital costs of assessing and treating self-harm. Such information is essential for planning services and to help strengthen the case for investment in actions to reduce the frequency and effects of self-harm. In this study, we aimed to calculate the costs of hospital medical care associated with a self-harm episode and the costs of psychosocial assessment, together with identification of the key drivers of these costs...
September 7, 2017: Lancet Psychiatry
https://www.readbyqxmd.com/read/28888314/of-these-faith-hope-and-love-assessing-and-providing-for-the-psychosocial-and-spiritual-needs-of-burn-patients
#13
REVIEW
Roja Garimella, Harold G Koenig, David L Larson, Charles Scott Hultman
Burn treatment has grown increasingly advanced and technologically capable. Clinicians must take into account, however, multidimensional patient needs that factor into long-term burn recovery. Important psychosocial factors associated with burn care include psychiatric comorbidities, such as anxiety and depression, healthy family relationships, social support, and community involvement. Spiritual factors and resources, such as time spent praying and/or meditating and access to pastoral services, are also important to consider...
October 2017: Clinics in Plastic Surgery
https://www.readbyqxmd.com/read/28871838/availability-of-health-related-programs-in-private-and-public-prisons
#14
Valerio Baćak, Greg Ridgeway
Little is known about the resources available to protect inmates' health in private prisons compared to their public counterparts. This is the first national-level study that exclusively examined the availability of health-related programs in private and public prisons in the United States. We applied propensity score weighting and doubly robust estimation to compare private prisons to comparable public prisons. Data were self-reported by prison administrators as part of the 2005 Census of State and Federal Adult Correctional Facilities...
January 1, 2017: Journal of Correctional Health Care
https://www.readbyqxmd.com/read/28869209/cost-effectiveness-analysis-of-an-aftercare-service-vs-treatment-as-usual-for-patients-with-severe-mental-disorders
#15
Eshagh Barfar, Vandad Sharifi, Homayoun Amini, Yasaman Mottaghipour, Masud Yunesian, Mehdi Tehranidoost, Payam Sobhebidari, Arash Rashidian
BACKGROUND: There have been claims that community mental health principles leads to the maintenance of better health and functioning in patients and can be more economical for patients with severe and chronic mental disorders. Economic evaluation studies have been used to assess the cost-effectiveness of national health programs, or to propose efficient strategies for health care delivery. AIMS OF THE STUDY: The current study is intended to test the cost-effectiveness of an Aftercare Service when compared with Treatment-As-Usual for patients with severe mental disorders in Iran...
September 1, 2017: Journal of Mental Health Policy and Economics
https://www.readbyqxmd.com/read/28868274/advancing-physical-therapy-practice-through-curriculum-revision-the-malawi-experience
#16
Janna Beling, Enock Chisati
Challenged health systems are a motivation for health education reform. Although resources-limited areas cover our planet, sub-Saharan Africa has the highest disease burden, yet the lowest health-care provider and medical school density of any region in the world. Malawi is among the most under-resourced countries in the world. While much of the data focus on dental, medical, and psychiatric service provision, physical therapists are also in short supply. Among the barriers to achieving the recommended standards for physical therapist education, African physiotherapists (the term for "physical therapists" in Africa) identify limited training opportunities, limited research education, and limited resources and funding...
2017: Frontiers in Public Health
https://www.readbyqxmd.com/read/28856918/original-opinion-the-use-of-bloom-s-taxonomy-to-teach-and-assess-the-skill-of-the-psychiatric-formulation-during-vocational-training
#17
Wayne A de Beer
OBJECTIVES: This paper proposes the use of the cognitive domain of Bloom's Taxonomy, an educational classification system, to guide the critical thinking required for the composition of the psychiatric formulation during the various stages of specialist training. CONCLUSIONS: Bloom's Taxonomy offers a hierarchical, structured approach to clinical reasoning. Use of this method can assist supervisors and trainees to understand better the concepts of and offer a developmental approach to critical reasoning...
August 1, 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/28852868/prevalence-and-predictors-of-anxiety-disorders-amongst-low-income-pregnant-women-in-urban-south-africa-a-cross-sectional-study
#18
Thandi van Heyningen, Simone Honikman, Landon Myer, Michael N Onah, Sally Field, Mark Tomlinson
Anxiety is highly prevalent in many populations; however, the burden of anxiety disorders amongst pregnant women in low-resource settings is not well documented. We investigated the prevalence and predictors of antenatal anxiety disorders amongst low-income women living with psychosocial adversity. Pregnant women were recruited from an urban, primary level clinic in Cape Town, South Africa. The Mini-International Neuropsychiatric Interview diagnostic interview assessed prevalence of anxiety disorders. Four self-report questionnaires measured psychosocial characteristics...
August 29, 2017: Archives of Women's Mental Health
https://www.readbyqxmd.com/read/28838467/a-formal-valuation-framework-for-emotions-and%C3%A2-their-control
#19
REVIEW
Quentin J M Huys, Daniel Renz
Computational psychiatry aims to apply mathematical and computational techniques to help improve psychiatric care. To achieve this, the phenomena under scrutiny should be within the scope of formal methods. As emotions play an important role across many psychiatric disorders, such computational methods must encompass emotions. Here, we consider formal valuation accounts of emotions. We focus on the fact that the flexibility of emotional responses and the nature of appraisals suggest the need for a model-based valuation framework for emotions...
September 15, 2017: Biological Psychiatry
https://www.readbyqxmd.com/read/28835678/altered-cortical-brain-activity-in-end-stage-liver-disease-assessed-by-multi-channel-near-infrared-spectroscopy-associations-with-delirium
#20
Atsushi Yoshimura, Carrie Goodson, Jordan T Johns, Maxwell M Towe, Esme S Irvine, Nada A Rendradjaja, Laura K Max, Andrew LaFlam, Emily C Ledford, Julia Probert, Zoë Tieges, David H Edwin, Alasdair M J MacLullich, Charles W Hogue, Martin A Lindquist, Ahmet Gurakar, Karin J Neufeld, Atsushi Kamiya
Delirium is a common and serious psychiatric syndrome caused by an underlying medical condition. It is associated with significant mortality and increased healthcare resource utilization. There are few biological markers of delirium, perhaps related to the etiologic heterogeneity of the syndrome. Functional near-infrared spectroscopy (fNIRS) is an optical topography system to measure changes in the concentration of oxygenated hemoglobin ([oxy-Hb]) in the cerebral cortex. We examined whether altered cortical brain activity in delirious patients with end stage liver disease (ESLD) is detected by fNIRS...
August 23, 2017: Scientific Reports
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