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Psychiatric resources

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https://www.readbyqxmd.com/read/28073041/major-depressive-disorder-with-subthreshold-hypomanic-mixed-features-a-real-world-assessment-of-treatment-patterns-and-economic-burden
#1
Roger S McIntyre, Daisy Ng-Mak, Chien-Chia Chuang, Rachel Halpern, Pankaj A Patel, Krithika Rajagopalan, Antony Loebel
BACKGROUND: To compare outcomes for individuals with major depressive disorder (MDD) with or without subthreshold hypomania (mixed features) in naturalistic settings. METHODS: Using the Optum Research Database (1/1/2009─10/31/2014), a retrospective analysis of individuals newly diagnosed with MDD was conducted. Continuous enrollment for 12-months before and after the initial MDD diagnosis was required. MDD with subthreshold hypomania (mixed features) (MDD-MF) was defined based on ≥1 hypomania diagnosis within 30 days after an MDD diagnosis during the one-year follow-up period, in the absence of bipolar I diagnoses...
December 23, 2016: Journal of Affective Disorders
https://www.readbyqxmd.com/read/28051841/a-review-of-a-national-training-initiative-to-increase-provider-use-of-mat-to-address-the-opioid-epidemic
#2
REVIEW
Frances R Levin, Adam Bisaga, Maria A Sullivan, Arthur Robin Williams, Kathryn Cates-Wessel
BACKGROUND AND OBJECTIVES: The Providers' Clinical Support System for Medication Assisted Treatment (PCSS-MAT) initiative focuses on training and mentoring health professionals in the treatment of opioid use disorders (OUD) using pharmacological strategies. Led by the American Academy of Addiction Psychiatry (AAAP), PCSS-MAT is a consortium representing four of the five national professional organizations authorized by DATA 2,000-AAAP, American Osteopathic Academy of Addiction Medicine, American Psychiatric Association, and American Society of Addiction Medicine...
December 2016: American Journal on Addictions
https://www.readbyqxmd.com/read/28049496/estimating-the-prevalence-of-depression-associated-with-healthcare-use-in-france-using-administrative-databases
#3
Antoine Filipovic-Pierucci, Solène Samson, Jean-Paul Fagot, Anne Fagot-Campagna
BACKGROUND: Quantitative indicators are needed in order to define priorities, plan policies and evaluate public health interventions in mental health. The aim of this study was to assess the contribution of a large and exhaustive French national administrative database to study and monitor treated depression by comparing the prevalence and characteristics of the population using significant healthcare resources for depression as identified by different estimation methods and sources and to discuss the advantages and drawbacks of these methods...
January 3, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/28045348/the-impact-of-increasing-staff-resources-on-patient-flow-in-a-psychiatric-emergency-service
#4
Lara Chepenik, Edieal Pinker
OBJECTIVE: The study illustrates the use of approaches based on queuing theory to understand bottlenecks in patient flow. A queuing simulation was used to predict the potential benefits of additional clinical personnel on patient flow through a psychiatric emergency service (PES). METHODS: A discrete-event simulation model was calibrated on the basis of two months of data collected in a PES. This model examined the effects of adding between .5 (half-time) and three additional providers to the 8 a...
January 3, 2017: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/28032918/illness-management-and-recovery-program-for-mental-health-problems-reducing-symptoms-and-increasing-social-functioning
#5
Chay Huang Sharon Tan, Rohaida Binte Ishak, Tan Xiong Gentatsu Lim, Palaniappan Marimuthusamy, Kuldip Kaurss, Jern-Yi Joseph Leong
AIMS AND OBJECTIVES: To evaluate the effectiveness of the Illness-Management and Recovery Program in comparison to the current standard of care in terms of reduction of symptoms, re-hospitalization rates and social functioning in Asia. BACKGROUND: Focus of treatment for Mental Health had been shifted from mere management of symptoms to that of achievement of recovery. In the recovery process, strategies to achieve higher level of functioning were utilized (McGuire et al...
December 29, 2016: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28032214/perinatal-suicidal-ideation-and-behaviour-psychiatry-and-adversity
#6
Michael Nnachebe Onah, Sally Field, Jason Bantjes, Simone Honikman
Pregnant women are at increased risk for suicidal ideation and behaviours (SIB) compared to the general population. To date, studies have focused on the psychiatric correlates of SIB with lesser attention given to the associated contextual risk factors, particularly in low- and middle-income countries. We investigated the prevalence and associated psychiatric and socio-economic contextual factors for SIB among pregnant women living in low resource communities in South Africa. Three hundred seventy-six pregnant women were evaluated using a range of tools to collect data on socio-economic and demographic factors, social support, life events, interpersonal violence and mental health diagnoses...
December 28, 2016: Archives of Women's Mental Health
https://www.readbyqxmd.com/read/28018883/determinants-of-alternate-level-of-care-delayed-discharge-among-acute-care-survivors-of-hypoxic-ischemic-brain-injury-a-population-based-cohort-study
#7
David Stock, Cassandra Cowie, Vincy Chan, Angela Colantonio, Walter P Wodchis, David Alter, Nora Cullen
BACKGROUND: Delayed discharge, captured as alternate-level-of-care days, represents inefficient use of high-demand acute care resources and results in potentially poorer patient outcomes. We performed a study to determine the extent of alternate-level-of-care days among patients who survived hypoxic-ischemic brain injury in inpatient hospital care in Ontario and to identify predictors of alternate-level-of-care use in this population. METHODS: A population-based cohort of acute care survivors of hypoxic-ischemic brain injury aged 20 years or more from 2002/03 through 2011/12 was identified...
October 2016: CMAJ Open
https://www.readbyqxmd.com/read/28018696/alagille-syndrome-a-case-report-highlighting-dysmorphic-facies-chronic-illness-and-depression
#8
James J Bresnahan, Zachary A Winthrop, Rabia Salman, Salman Majeed
Alagille syndrome is a rare multisystem disorder affecting the liver, heart, vertebrae, eyes, and face. Alagille syndrome shares multiple phenotypic variants of other congenital or chronic childhood illnesses such as DiGeorge syndrome, Down syndrome, spina bifida, type 1 diabetes mellitus, and cystic fibrosis. All of these chronic illnesses have well-established links to psychiatric conditions. There are few community resources for Alagille patients, as it is an extremely rare condition. Despite the overlap with other chronic childhood illnesses, the psychiatric manifestations of Alagille syndrome have not been previously discussed in literature...
2016: Case Reports in Psychiatry
https://www.readbyqxmd.com/read/27991418/medical-resource-utilization-by-taiwanese-psychiatric-inpatients-under-the-national-health-insurance-system
#9
Chiachi Bonnie Lee, Chung-Yi Li, Chih-Ming Lin
BACKGROUND: The length of stay in Taiwan's psychiatric facilities is unusually long compared with that of other countries. AIMS OF THE STUDY: To identify factors associated with the high length of stay in the acute and chronic psychiatric wards of a public psychiatric hospital. METHODS: The present study consisted of 912 inpatients discharged from a public psychiatric hospital in Northern Taiwan in 2005. Demographic characteristics, discharge diagnoses, and medical resource utilization were retrieved from the inpatient claim data of the National Health Insurance Database...
December 1, 2016: Journal of Mental Health Policy and Economics
https://www.readbyqxmd.com/read/27969065/cross-cultural-variations-in-psychiatrists-perception-of-mental-illness-a-tool-for-teaching-culture-in-psychiatry
#10
Jhilam Biswas, B N Gangadhar, Matcheri Keshavan
A frequent debate in psychiatry is to what extent major psychiatric diagnoses are universal versus unique across cultures. We sought to identify cultural variations between psychiatrists' diagnostic practices of mental illness in Boston Massachusetts and Bangalore, India. We surveyed psychiatrists to identify differences in how frequently symptoms appear in major mental illness in two culturally and geographically different cities. Indian psychiatrists found somatic symptoms like pain, sleep and appetite to be significantly more important in depression and violent and aggressive behavior to be significantly more common in mania than did American psychiatrists...
October 2016: Asian Journal of Psychiatry
https://www.readbyqxmd.com/read/27958662/spatial-analysis-for-regional-behavior-of-patients-with-mental-disorders-in-japan
#11
Kunihiko Takahashi, Hisateru Tachimori, Chiemi Kan, Daisuke Nishi, Yasuyuki Okumura, Naohiro Kato, Tadashi Takeshima
AIM: The aim of our study was to clarify the geographical movement of patients treated in psychiatric facilities, which can provide important information on the resources and health-care system of psychiatric services. METHODS: We conducted an analysis of nationwide data on psychiatric patients, collected as an additional survey to the conventional '630 survey' in 2014. For the 151 848 initially admitted inpatients during 6 months and the 144 401 outpatients on a specific day, we identified whether a patient was admitted to a psychiatric facility located in the same medical area as his/her residence...
December 13, 2016: Psychiatry and Clinical Neurosciences
https://www.readbyqxmd.com/read/27940773/psychiatric-disorders-and-trends-in-resource-use-in-pediatric-hospitals
#12
Bonnie T Zima, Jonathan Rodean, Matt Hall, Naomi S Bardach, Tumaini R Coker, Jay G Berry
OBJECTIVE: To describe recent, 10-year trends in pediatric hospital resource use with and without a psychiatric diagnosis and examine how these trends vary by type of psychiatric and medical diagnosis cooccurrence. METHODS: A retrospective, longitudinal cohort analysis using hospital discharge data from 33 tertiary care US children's hospitals of patients ages 3 to 17 years from January 1, 2005 through December 31, 2014. The trends in hospital discharges, hospital days, and total aggregate costs for each psychiatric comorbid group were assessed by using multivariate generalized estimating equations...
November 2016: Pediatrics
https://www.readbyqxmd.com/read/27933504/mental-health-support-provided-throughout-the-bariatric-surgery-clinical-pathway-in-french-specialized-care-centers-for-obesity
#13
Kristopher Lamore, Sandra S Kaci, Sébastien Czernichow, Marion Bretault, Jean-Luc Bouillot, Anne-Jeanne Naudé, Sandra Gribe-Ouaknine, Claire Carette, Cécile Flahault
OBJECTIVE: Pre-operative psychological assessment is recommended by international guidelines for bariatric surgery candidates. Thereby, service teams caring for bariatric patients should include at least one mental health provider (e.g., a psychologist or psychiatrist). The objective of this study was to evaluate the psychology and psychiatry resources and practices in the 37 specialized obesity centers (CSOs) created by the French Ministry of Health. MATERIALS AND METHODS: CSO coordinators were contacted by e-mail to collect general information on the centers (e...
December 8, 2016: Obesity Surgery
https://www.readbyqxmd.com/read/27930964/differences-in-psychiatric-symptoms-and-barriers-to-mental-health-care-between-volunteer-and-career-firefighters
#14
Ian H Stanley, Joseph W Boffa, Melanie A Hom, Nathan A Kimbrel, Thomas E Joiner
Firefighters are at increased risk for mental health problems. However, little is known about differences in psychiatric symptoms between volunteer and career firefighters. This study aimed to (1) describe differences in psychiatric symptoms and barriers to mental health care between U.S. firefighters in volunteer-only and career-only departments; and (2) determine if greater self-reported structural barriers to mental health care (e.g., cost, availability of resources) explain the differences in psychiatric symptom levels...
January 2017: Psychiatry Research
https://www.readbyqxmd.com/read/27929403/regional-correlates-of-psychiatric-inpatient-treatment
#15
Taina Ala-Nikkola, Sami Pirkola, Minna Kaila, Samuli I Saarni, Grigori Joffe, Raija Kontio, Olli Oranta, Minna Sadeniemi, Kristian Wahlbeck
Current reforms of mental health and substance abuse services (MHS) emphasize community-based care and the downsizing of psychiatric hospitals. Reductions in acute and semi-acute hospital beds are achieved through shortened stays or by avoiding hospitalization. Understanding the factors that drive the current inpatient treatment provision is essential. We investigated how the MHS service structure (diversity of services and balance of personnel resources) and indicators of service need (mental health index, education, single household, and alcohol sales) correlated with acute and semi-acute inpatient treatment provision...
December 5, 2016: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/27929227/intimate-partner-violence
#16
Daniel Dicola, Elizabeth Spaar
Intimate partner violence (IPV) is a prevalent worldwide health problem, affecting women more commonly than men. IPV is underreported and underrecognized by health care professionals. Even when IPV is recognized, it remains an underaddressed issue. In addition to physical injury and death, IPV causes significant physical and psychiatric health problems commonly treated by family physicians. The U.S. Preventive Services Task Force recommends screening all female patients of childbearing age for IPV. There are several brief screening tools that have been proven effective at detecting IPV and that can be used in the office setting...
October 15, 2016: American Family Physician
https://www.readbyqxmd.com/read/27927631/acute-coronary-syndrome-and-suicide-a-case-referent-study
#17
Chao-Han Liu, Ming-Kung Yeh, Ji-Hung Wang, Shu-Chuan Weng, Meng-Yi Bai, Jung-Chen Chang
BACKGROUND: The high prevalence of acute coronary syndrome (ACS) represents a significant burden on healthcare resources. A robust association exists between depression and increased morbidity and mortality after ACS. This study examined the relationship between suicide and ACS after adjusting for depression and other comorbidities. METHODS AND RESULTS: In this case-referent study conducted in Taiwan, the cases were people aged 35 years or older who died from suicide between 2000 and 2012 and 4 live referents, each matched by age, sex, and area of residence...
December 7, 2016: Journal of the American Heart Association
https://www.readbyqxmd.com/read/27922603/digital-footprints-facilitating-large-scale-environmental-psychiatric-research-in-naturalistic-settings-through-data-from-everyday-technologies
#18
N Bidargaddi, P Musiat, V-P Makinen, M Ermes, G Schrader, J Licinio
Digital footprints, the automatically accumulated by-products of our technology-saturated lives, offer an exciting opportunity for psychiatric research. The commercial sector has already embraced the electronic trails of customers as an enabling tool for guiding consumer behaviour, and analogous efforts are ongoing to monitor and improve the mental health of psychiatric patients. The untargeted collection of digital footprints that may or may not be health orientated comprises a large untapped information resource for epidemiological scale research into psychiatric disorders...
December 6, 2016: Molecular Psychiatry
https://www.readbyqxmd.com/read/27917343/a-new-bioinformatic-insight-into-the-associated-proteins-in-psychiatric-disorders
#19
Wenlong Zhao, Wenjing Yang, Shuanglin Zheng, Qiong Hu, Ping Qiu, Xinghua Huang, Xiaoqian Hong, Fenghua Lan
BACKGROUND: Psychiatric diseases severely affect the quality of patients' lives and bring huge economic pressure to their families. Also, the great phenotypic variability among these patients makes it difficult to investigate the pathogenesis. Nowadays, bioinformatics is hopeful to be used as an effective tool for the diagnosis of psychiatric disorders, which can identify sensitive biomarkers and explore associated signaling pathways. METHODS: In this study, we performed an integrated bioinformatic analysis on 1945 mental-associated proteins including 91 secreted proteins and 593 membrane proteins, which were screened from the Universal Protein Resource (Uniport) database...
2016: SpringerPlus
https://www.readbyqxmd.com/read/27900495/developing-research-collaborations-in-an-academic-clinical-setting-challenges-and-lessons-learned
#20
John A Sahs, Andel V Nicasio, Joan E Storey, Peter J Guarnaccia, Roberto Lewis-Fernández
Research collaboration in "real world" practice settings may enhance the meaningfulness of the findings and reduce barriers to implementation of novel intervention strategies. This study describes an initiative to integrate research into a hospital-based outpatient psychiatric clinic within an academic medical center, focusing on collaborative processes across three research projects. We report on the varied outcomes of the projects and utilize data from two focus groups to identify the key elements that contributed to the challenges and successes...
November 29, 2016: Community Mental Health Journal
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