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Service recovery

Til Wykes, Eileen Joyce, Tjasa Velikonja, Andrew Watson, Gregory Aarons, Max Birchwood, Matteo Cella, Sue Dopson, David Fowler, Kathy Greenwood, Sonia Johnson, Paul McCrone, Jesus Perez, Andrew Pickles, Clare Reeder, Diana Rose, Swaran Singh, Dominic Stringer, Matthew Taylor, Rumina Taylor, Rachel Upthegrove
BACKGROUND: Cognitive problems in people with schizophrenia predict poor functional recovery even with the best possible rehabilitation opportunities and optimal medication. A psychological treatment known as cognitive remediation therapy (CRT) aims to improve cognition in neuropsychiatric disorders, with the ultimate goal of improving functional recovery. Studies suggest that intervening early in the course of the disorder will have the most benefit, so this study will be based in early intervention services, which treat individuals in the first few years following the onset of the disorder...
March 15, 2018: Trials
Evelina Cardoso, Thomas Mercier, Anna Dorothea Wagner, Krisztian Homicsko, Olivier Michielin, Kim Ellefsen-Lavoie, Laurène Cagnon, Manuel Diezi, Thierry Buclin, Nicolas Widmer, Chantal Csajka, Laurent Decosterd
A sensitive and selective method of high performance liquid chromatography (HPLC) coupled to tandem mass spectrometry (MS/MS) has been developed for the simultaneous quantification of six anticancer protein kinase inhibitors (PKIs), dabrafenib, trametinib, vemurafenib, cobimetinib, pazopanib, regorafenib, and two active metabolites (regorafenib-M2 and regorafenib-M5) in human plasma. Plasma protein precipitation with methanol enables the sample extraction of 100 μL aliquot of plasma. Analytes are detected by electrospray triple-stage quadrupole mass spectrometry and quantified using the calibration curves with stable isotope-labeled internal standards...
February 8, 2018: Journal of Chromatography. B, Analytical Technologies in the Biomedical and Life Sciences
Jeffrey Olivet, Morgan Haselden, Sarah Piscitelli, Rachael Kenney, Alexander Shulman, Deborah Medoff, Lisa Dixon
AIM: Recent research on first episode psychosis (FEP) has demonstrated the effectiveness of coordinated specialty care (CSC) models to support young adults and their families, yet few tools exist to promote engagement in care. This study aimed to develop a prototype computer-based role-playing game (RPG) designed for young people who have experienced FEP, and conduct a pilot study to determine feasibility and test whether the game improves consumers' attitudes toward treatment and recovery...
March 15, 2018: Early Intervention in Psychiatry
Jacqueline Murphy, Mark G Pritchard, Lok Yin Cheng, Roshni Janarthanan, José Leal
INTRODUCTION: Hip and knee replacement represents a significant burden to the UK healthcare system. 'Enhanced recovery' pathways have been introduced in the National Health Service (NHS) for patients undergoing hip and knee replacement, with the aim of improving outcomes and timely recovery after surgery. To support policymaking, there is a need to evaluate the cost-effectiveness of enhanced recovery pathways across jurisdictions. Our aim is to systematically summarise the published cost-effectiveness evidence on enhanced recovery in hip and knee replacement, both as a whole and for each of the various components of enhanced recovery pathways...
March 14, 2018: BMJ Open
Christine Larsen, Mads Lange, Kim Jørgensen, Kristen Kistrup, Lone Petersen
In 2010, the Regional Council of the Capital Region of Denmark endorsed a vision of mental health services based on personal recovery, rehabilitation, and the involvement of caregivers. Programs to achieve this vision include hiring peer support workers, a Recovery College, and service user participation at the organizational level. This column describes a cornerstone of these initiatives-an education program in the recovery model for mental health professionals. In 2013-2014, the Capital Region implemented 148 workshops on recovery-oriented services for all practitioner staff in mental health services in the region...
March 15, 2018: Psychiatric Services: a Journal of the American Psychiatric Association
Amelia Gulliver, Alyssa R Morse, Niah Wilson, Ginny Sargent, Michelle Banfield
Partners in Recovery (PIR) is a nation-wide Australian program designed to improve coordinated care for people with severe and persistent mental health problems. This study evaluated PIR's effectiveness for individual and system-level outcomes. A total of 25 PIR participants (male = 7, female = 15, not stated = 3) provided data for the evaluation of the program across six community mental health service providers in Canberra, Australia. Individual-level measures included quality of life, social inclusion, and perceptions of recovery...
March 5, 2018: Evaluation and Program Planning
Tom Bartholomew, Loren Gildar, Gwen Carrick, Angela Saafigueroa, Ruth Cook
The culture of state psychiatric hospitals may make it difficult to implement recovery-oriented principles such as empowerment. The current study describes efforts of one hospital to empower consumers of psychiatric hospital services using focus groups, surveys, and a workgroup to address the issue of low program attendance. The study determined the importance of identifying consumer goals, informing consumers about options for therapeutic group programming, and matching consumer goals to treatment. Identifying these items led to development of a consumer catalog designed to allow consumers of psychiatric hospital services to choose programs that aligned with their goals while also meeting staff needs to address problem areas on a treatment plan...
March 14, 2018: Journal of Psychosocial Nursing and Mental Health Services
Balázs Bánky, Miklós Lakatos, Krisztina Varga, Edit Hansági, Éva Horváth, Géza Járay
INTRODUCTION: Enhanced recovery after surgery (ERAS) programme has been described and practiced for twenty years in the perioperative management of colorectal patients. ERAS is a complex, evidence based strategy which proved to be extremely effective when linked to laparoscopy in reducing morbidity, length of hospital stay, as well as reducing cost of colorectal service. AIMS: We gradually adapted elements of ERAS protocol along with laparoscopy in the colorectal surgical treatment at a county hospital from 2013...
March 2018: Magyar Sebészet
Tiffany A Radcliff, Karen Chu, Claudia Der-Martirosian, Aram Dobalian
INTRODUCTION: Although little research has examined impacts of disasters on scheduled ambulatory care services, routine care delivery is important for emergency planning and response because missed or delayed care can lead to more urgent care needs. This article presents potential measures of ambulatory care recovery and resilience and applies the measures to data around a recent disaster. METHODS: We conceptualize "ambulatory care recovery" as the change in median business days to complete appointments that were canceled, and "ambulatory care resiliency" as the change in percentage of completed appointments in time frames before, during, and after disasters...
March 2018: Journal of the American Board of Family Medicine: JABFM
Alexandra Martins, Lúcia Guilhermino
The environmental contamination by microplastics is a global challenge to ecosystem and human health, and the knowledge on the long-term effects of such particles is limited. Thus, the effects of microplastics and post-exposure recovery were investigated over 4 generations (F0 , F1 , F2 , F3 ) using Daphnia magna as model. Effect criteria were parental mortality, growth, several reproductive parameters, and population growth rate. Microplastics exposure (0.1mg/l of pristine polymer microspheres 1-5μm diameter) caused parental mortality (10-100%), and significantly (p≤0...
March 9, 2018: Science of the Total Environment
John S S Denton
The mesopelagic (midwater) and deep-sea environments together comprise over 90% of the volume of the world ocean [1] and provide services that are only recently becoming recognized [2]. One of the most significant of these services relates to midwater fish biomass, recently estimated to be two orders of magnitude larger than the current worldwide fisheries catch [3, 4]. Calls to exploit midwater fish biomass have increased despite warnings about the unknown recovery potential of such organisms [2] and despite existing data suggesting that deep-sea fishes could be classified as endangered [5]...
March 3, 2018: Current Biology: CB
Katherine Schultz, Leanne Carroll, Kristin Mainey, Elsa Dent
BACKGROUND: Transition care programs (TCPs) are designed to optimise functional recovery and independence in older adults post-hospitalisation. These programs are under high demand, and understanding inefficiencies in patient flow are a key step towards service improvement. AIMS: To identify service improvement opportunities in an Australian community TCP service. METHODS: An in-depth retrospective study of 113 community TCP clients. RESULTS: TCP occupancy was high (94%) and client functional level improved across the program...
March 10, 2018: Aging Clinical and Experimental Research
Gerald Paul Fitzgerald, John Joseph Coughlan, Zahir Satti, Samer Arnous
A 23-year-old Asian student presented to our service with a 1-month history of fever, weight loss of 10 kg, night sweats, fatigue and general malaise. He was previously well with no significant medical or family history. He had a low-grade pyrexia and cardiac auscultation revealed a diastolic murmur consistent with 'tumour plop'. He had no sequelae of endocarditis. He had low-grade pyrexia of 37.7°C, and ECG showed sinus tachycardia at 130 bpm. He had raised inflammatory markers and was started on broad spectrum antibiotics...
March 9, 2018: BMJ Case Reports
Maria Lindqvist, Margareta Persson, Margareta Nilsson, Eva Uustal, Inger Lindberg
OBJECTIVE: this study explores women's experiences of the first two months after obstetric anal sphincter injury (OASIS) during childbirth with a focus on problematic recovery. METHODS: this qualitative study used inductive qualitative content analysis to investigate open-ended responses from 1248 women. The data consists of short and comprehensive written responses to open-ended questions focusing on recovery in the national quality register, the Perineal Laceration Register, two months after OASIS at childbirth...
February 20, 2018: Midwifery
Jagnoor Jagnoor, Sheree Bekker, Shobha Chamania, Tom Potokar, Rebecca Ivers
OBJECTIVES: This study aimed to identify priority policy issues and health system research questions associated with recovery outcomes for burns survivors in India. DESIGN: Qualitative inquiry; data were collected through semistructured in-depth interviews and focus group discussions. SETTING: Nine sites in urban and rural settings across India, through primary, secondary and tertiary health facilities. PARTICIPANTS: Healthcare providers, key informants, burns survivors and/or their carers...
March 8, 2018: BMJ Open
Chao Wang, Paul Rapp, David Darmon, Amy Trongnetrpunya, Michelle E Costanzo, Dominic E Nathan, Christopher J Cellucci, Michael J Roy, David Keyser
Military service members (SMs) returning from combat are at high risk of developing neuropsychiatric conditions such as posttraumatic stress disorder (PTSD) and major depression. Symptom dynamics following reintegration into civilian life may be magnified over time such that some SMs present with delayed onset and may not reach a diagnostic threshold for months to years. Monitoring the trajectory of mental health in the aftermath of combat trauma can therefore be particularly important in enhancing diagnosis...
March 1, 2018: Journal of Psychiatric Research
Franco Mascayano, Cristián Montenegro
In this article we describe what is known as the recovery approach to mental health, considering the possibilities and potentialities that this model offers to Latin America. We propose that its adoption would enhance the modernization of systems and policies on mental health in the region. Although improvements in these areas are well recognized and documented, the participation of users and the development of services according to their needs and interests constitutes an important gap. We brie?y describe the historical roots of the recovery model and the evidence that supports it, emphasizing how the model has transformed mental health care in different regions of the globe...
November 2017: Vertex: Revista Argentina de Psiquiatriá
Norha V San Juan
The recovery approach proposes a substantial change towards a more holistic perspective that takes into account social needs in mental health. It is a guiding principle in the development of services and research, a lens through which to look at mental health. This article describes four main challenges on the way to the development of a recovery culture in Latin America: Paying attention to local culture; recognizing and encouraging the contribution of users; reducing the emphasis on the diagnostic classification, and paving the way for social justice...
November 2017: Vertex: Revista Argentina de Psiquiatriá
Andrea Finaret, Paula Garber-Epstein
In recent decades there have been changes in the mental health feld that have also influenced the therapist-client relationship, which is seen as an essential element in the processes of recovery. Our purpose is to present a model of work reflected in therapeutic relationships in the feld of rehabilitation (RTR) that is guided by the principles of recovery. Therapeutic relationships are considered as a means through which it is possible to increase commitment and adherence of people to therapy and also participation in treatment and rehabilitation programs...
September 2017: Vertex: Revista Argentina de Psiquiatriá
Paula Garber-Epstein, David Roe
In recent decades, new models of recovery have been developed in the feld of mental health, based on the transfer of hospital treatment to the community. Community mental health became the standard of care and treatment, and people with mental illness were able to freely congregate and support each other. The new recovery model includes broad aspects of the person and recovery became the "guiding vision" of mental health services. New defnitions of recovery were developed that focus on the difference between recovering from an illness and being in recovering, or in other words, "clinical recovery" versus "personal recovery...
September 2017: Vertex: Revista Argentina de Psiquiatriá
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