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Psychiatry in general hospital

Anne-Frédérique Naviaux
In Wexford and Waterford, an "out of hours" child psychiatric service has been developed, in order to provide help when the regular Child Psychiatry services (CAMHS) are not accessible. Providing a service for under 18 years old patients with mental health issues presenting in the Emergency Department (ED) of a General hospital, it functions with extremely limited resources (a consultant psychiatrist and a doctor in psychiatric training), and therefore needs an efficient triage procedure. The purpose of this article is to review the literature about existing triage tools, and especially the 2016 Irish Children's Triage System (ICTS) and to discuss how to optimise triaging our specific patients in this new 'out of hours' CAMHS cover for Waterford /Wexford area...
November 2018: Psychiatria Danubina
Gentian Vyshka, Anila Kazaferi, Ilda Kapo, Tedi Mana
The authors discuss the issue of psychiatric care and patients during the second half of XX century in Albania, when the country was under an absolute regime of communism. Completely isolated from the rest of the world, the territory remained a prohibited area for scholars, and local authors due to censorship or self-censorship, offered very scarce information. The general feeling of the public was that of a denial of psychic disorders in total, combined with the fear that this kind of disorders has ever since provoked...
December 2018: Psychiatria Danubina
Michael Brinkers, Paulina Rumpelt, Anke Lux, Moritz Kretzschmar, Giselher Pfau
Background: Complex regional pain syndrome (CRPS) is a multifactorial disorder with complex aetiology and pathogenesis. At the outpatient pain clinic of Magdeburg University Hospital, all patients, without exception, are subject to permanent psychiatric care delivered by a consultation-liaison psychiatrist. In CRPS, psychological stabilization and treatment of the neuropathic aspects are equally important. The aim of this single-center retrospective study was to determine mental/psychiatric defects impairing pain processing at the time of investigation and show the effects of treating mental disorders and neuropathic pain with the same psychotropic drugs...
2018: Pain Research & Management: the Journal of the Canadian Pain Society
Bertrand Cariou, Gaëlle Challet-Bouju, Céline Bernard, Marie Marrec, Jean-Benoit Hardouin, Charlotte Authier, Kalyane Bach-Ngohou, Christophe Leux, Matthieu Pichelin, Marie Grall-Bronnec
BACKGROUND: Hypobetalipoproteinemia (HBL) is defined by plasma concentrations of LDL-cholesterol (LDL-C) lower than the fifth percentile for age and sex. Several psychiatric symptoms have been reported in association with HBL. The objective was to assess the prevalence of primary HBL in patients hospitalized in a psychiatric population and to better characterize the related psychiatric disorders. METHODS: HYPOPSY is a retrospective study including 839 adults hospitalized in the Psychiatry department of Nantes University Hospital during the year 2014, except patients with eating disorders...
November 6, 2018: Lipids in Health and Disease
Deborah S Johnson
A significant challenge related to nurse practitioner (NP) training is the shortage of clinical sites with qualified faculty to precept NP interns. The problem is compounded in rural communities with provider shortages, restricting their opportunities to train (and potentially recruit) new APRNs. Consequently, these underserved communities have difficulty accessing specialty providers, such as Psychiatric Mental Health Nurse Practitioners (PMHNPs). Combined with geographic distance from urban communities and generally lower pay, many rural and/or remote communities struggle with the disparity in contrast to more populated regions...
October 30, 2018: Issues in Mental Health Nursing
Brendan D Kelly, Michael Nash
BACKGROUND: People with mental illness experience social and political exclusion but there is limited understanding of voting behaviour in this population. AIMS: This study assessed voter participation and attitudes towards voting among people attending mental health services in Dublin, Ireland. METHODS: Psychiatry outpatients and inpatients were studied over2 months following Ireland's 2016 general election (n = 117). Characteristics of participants who did and did not vote were compared and reasons for voting choices explored...
October 29, 2018: Irish Journal of Medical Science
Elahe Faraji, Mostafa Allami, Nafiseh Feizollahi, Amir Karimi, Amir Yavari, Mohammadreza Soroush, Majid Moudi
BACKGROUND: The aim of the study was to identify health concerns of veterans with high-level lower extremity amputations. METHODS: Through a cross-sectional study, general practitioners, an orthopedic specialist, psychologists, psychiatrists, physiotherapist and prosthetists examined 100 veterans using a short-form health-related quality of life questionnaire (SF-36) that assessed their ability to perform activities of daily living (ADL), instrumental activities of daily living (IADL) and life satisfaction (SWLS) after hip disarticulation or hemi-pelvectomy amputations...
October 26, 2018: Military Medical Research
Yael Ratner, Xavier Y Zendjidjian, Nina Mendyk, Igor Timinsky, Michael S Ritsner
BACKGROUND: Patients' perception of psychiatric healthcare is a critical indicator in measuring service quality. The aim of the study was to determine patient's level of satisfaction with the quality of health care delivered at the inpatient departments, and to identify the service quality factors that were important to patients. METHOD: The Satisfaction with Psychiatry Care Questionnaire-22 was administered to 125 consecutive inpatients with schizophrenia or schizoaffective disorder in a stable condition...
October 10, 2018: Psychiatry Research
Francisco J Zamora-Rodríguez, María R Sánchez-Waisen-Hernández, Juan A Guisado-Macías, Francisco J Vaz-Leal
INTRODUCTION: Patients with bipolar disorder (BD) have a comorbid substance use with high frequency. Our study aims to establish a relationship between substance use and BD, in terms of greater diagnostic difficulty, a worse prognosis and changes in pharmacological prescription. METHODS: The sample consisted of 394 subjects over twenty years were hospitalized with a diagnosis of BD in acute psychiatry unit of a general hospital (10.6% of total of 3,704 patients)...
September 2018: Actas Españolas de Psiquiatría
Narges Beyraghi, Azadeh Mazaheri Meybodi, Reyhaneh Sadat Jafarian Bahri
Although the move to smoke-free mental health inpatient settings is an internationally common and popular trend, these policies are neither implemented nor supported by any national program in Iran. This study investigates the attitude of mental health staff and psychiatric patients toward smoking cessation in 2 psychiatric inpatient units (psychosomatic and adult general psychiatry) in the Taleghani general hospital in Tehran. One hundred and twenty participants of this cross-sectional study consist of 30 mental health staff and 90 psychiatric patients...
2018: Psychiatry Journal
Maarten A van Schijndel, Petra J Caarls, Jeroen D H van Wijngaarden, André I Wierdsma, Jeroen G Lijmer, Annette D Boenink, Witte J G Hoogendijk, Jeroen A van Waarde, Jan J V Busschbach
OBJECTIVE: To define generic quality indicators for general hospital psychiatry from the perspectives of patients, professionals (physicians, nurses, and managers), and payers (health insurance companies). METHODS: Quality variables were identified by reviewing the relevant literature. A working. group consisting of patients', professionals' and payers' representatives was mandated by their respective umbrella organizations. The working group prioritized the quality variables that were identified...
September 25, 2018: General Hospital Psychiatry
Sabih Ahmad, Sadiq Hussain
OBJECTIVE: To find out the frequency of psychiatric morbidity in patients reporting to general medical camps in the Hindu Kush and Karakoram ranges of Pakistan. STUDY DESIGN: A cross-sectional study. PLACE AND DURATION OF STUDY: Four different valleys of the region, with the Psychiatry Department, Combined Military Hospital, Gilgit as the base, from August 2015 to December 2016. METHODOLOGY: Consenting adults of either gender, reporting to medical camps for various health related issues were administered Bradford Somatic Inventory 21 (BSI 21) and Self Report Questionnaire (SRQ)...
October 2018: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
Matthews M Banda, Werdie C W van Staden
Objectives: Amidst calls for improved professionalism, this study examined the professionalism of psychiatry registrars at Weskoppies Hospital as evaluated by their patients, themselves, their consultants and other health practitioners. The second objective was to examine the perceived importance of aspects of professionalism and compare these descriptively among the various health practitioners and patients. Method: Participants completed the Professionalism Mini-Evaluation Exercise Questionnaire in evaluating the professionalism of the registrar...
2018: South African Journal of Psychiatry: SAJP: the Journal of the Society of Psychiatrists of South Africa
Nakita Natala, Ruth Owusu-Antwi, Gordon Donnir, Kwabena Kusi-Mensah, Heidi Burns, Sarah Mohiuddin, Thomas Fluent, Michelle Riba, Gregory Dalack
PURPOSE OF REVIEW: Improving child and adolescent mental health (CAMH) is a priority worldwide. The majority of children with psychiatric conditions in low-middle-income countries (LMIC), like Ghana, receive no treatment due largely to limited resources and few CAMH training opportunities. The Komfo Anokye Teaching Hospital (KATH) and University of Michigan (UM) established a partnership to expand CAMH training for general psychiatrists in Ghana. Lessons learned from the early stages of the collaboration can serve as an adaptable roadmap for similar efforts to expand CAMH training in LMIC...
September 27, 2018: Current Psychiatry Reports
Halis Ulaş, Havva Afşaroğlu, İbrahim Tolga Binbay
OBJECTIVE: Mobbing at work has become an alarming phenomenon worldwide. The prevalence of mobbing among women is higher than among men. The aim of this study is to investigate the relationship of mobbing as a psychosocial stress in the workplace with general psychopathology and psychotic experiences among women. METHOD: 428 women from the Medical Faculty of Dokuz Eylul University were included in the study. Of the 428 women, 139 were doctors, 190 were nurses, and 99 were sub-contracted employees...
2018: Türk Psikiyatri Dergisi, Turkish Journal of Psychiatry
Andrew Walker, Jessica Rose Barrett, William Lee, Robert M West, Elspeth Guthrie, Peter Trigwell, Alan Quirk, Mike J Crawford, Allan House
OBJECTIVES: To describe the current provision of hospital-based liaison psychiatry services in England, and to determine different models of liaison service that are currently operating in England. DESIGN: Cross-sectional observational study comprising an electronic survey followed by targeted telephone interviews. SETTING: All 179 acute hospitals with an emergency department in England. PARTICIPANTS: 168 hospitals that had a liaison psychiatry service completed an electronic survey...
September 1, 2018: BMJ Open
Abdulbari Bener, Elnour E Dafeeah, Mohammed T Abou-Saleh, Dinesh Bhugra, Antonio Ventriglio
BACKGROUND: Psychiatric co-morbidity is a common condition, partly due to the overlap of symptoms in the categorical diagnosis of mental disorders. The co-occurrence of schizophrenia (SZ) and obsessive compulsive disorder (OCD) is a common and challenging co-morbid condition. Also, the relationship between SZ and OCD remains unclear. AIM: The aim of this study was to describe the co-morbidity of obsessive-compulsive disorder (OCD) among schizophrenia (SZ) patients and compare clinical characteristics of schizophrenia patients with versus without comorbid OCD...
August 18, 2018: Asian Journal of Psychiatry
Chloé Le Cossec, Maud Giacopelli, Sophie de Chambine
OBJECTIVE: To identify and classify hospital-community cooperation activities between Greater Paris University Hospitals (GPUH) and community health professionals. METHODS: A declarative survey was conducted in GPUH clinical departments, which were asked to describe their activities with community health professionals, the type of community professionals involved (e.g. general practitioners, nurses) and a full description of the activity. Activities were classified by the three authors with consistency checks...
March 2018: Santé Publique: Revue Multidisciplinaire Pour la Recherche et L'action
Ali Vafaee-Najar, Mohammadreza Amiresmaeili, Mahmoud Nekoei-Moghadam, Seyed Saeed Tabatabaee
BACKGROUND: One of the effective strategies in the fair distribution of human resources is the use of estimation norm of human workforce. A norm is a coefficient or an indicator for estimating the required human resources in an organization. Due to the changes in the available working hours of nurses in recent years and to use of a standard method, the Iranian Ministry of Health decided to update nursing estimation norm in hospitals in 2014-2015. This study aimed to design a nurse-required estimation norm for educational and non-educational hospitals based on the workload indicator in Iran...
August 23, 2018: Human Resources for Health
L Carton, T Dondaine, S Deheul, C Marquié, F Brigadeau, A Amad, D Devos, T Danel, R Bordet, O Cottencin, S Gautier, O Ménard
OBJECTIVE: Off-label prescription is a common practice in psychiatry, raising health and economic concerns. Collegial consultation could allow a framed prescription of treatments that are not authorized in specific indications. Attention Deficit Hyperactivity in adult populations (ADHD) is a striking example of a pathology where off-label prescription is frequent. First considered to be a childhood disorder, the awareness of this condition in adults is increasing, leading to the development of new clinical practices and treatments...
August 16, 2018: L'Encéphale
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