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https://www.readbyqxmd.com/read/28800807/the-changing-health-policy-environment-and-behavioral-health-services-delivery
#1
REVIEW
Laura N Medford-Davis, Rakel C Beall
Deinstitutionalization has left an inadequate supply of inpatient psychiatric beds. Simultaneous cuts to public funding and insurance coverage for outpatient mental health treatment have increased the frequency of acute psychiatric crises. The resulting lack of available options has shifted the burden of treatment to emergency departments and the criminal justice system. Recent legislation has improved insurance access, but rules are not always enforced and there are still few options for care. Discussion of mental health care delivery must acknowledge that many emergent behavioral health crises arise in the context of acute substance intoxication, withdrawal, or dependence...
September 2017: Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/28737982/knocking-on-prison-s-door-a-10-fold-rise-in-the-number-of-psychotic-prisoners-in-finland-during-the-years-2005-2016
#2
Alo Jüriloo, Lauri Pesonen, Hannu Lauerma
BACKGROUND: As in many European countries, Finnish psychiatric services experienced a rapid process of deinstitutionalization in the 1990s. In recent decades, the decrease in numbers of psychiatric hospital beds has in several countries been found to be linked with increasing criminality among severely mentally ill individuals. It has been concluded that deinstitutionalization could be the main reason for this development. AIM: To investigate whether the prevalence of severely mentally ill persons to prison is a growing trend also in Finland...
July 24, 2017: Nordic Journal of Psychiatry
https://www.readbyqxmd.com/read/28724016/deinstitutionalization-of-long-stay-patients-in-a-psychiatric-hospital-in-rio-de-janeiro
#3
Paulo Roberto Fagundes da Silva, Maria Cecília de Araújo Carvalho, Maria Tavares Cavalcanti, Rodrigo Cunha Echebarrena, Adriana Santos de Mello, Catarina Magalhães Dahl, Débora Bastos de Lima, Flávia Mitkiewicz de Souza
Critical Time Intervention (CTI) is a time-limited mental health intervention offered to people with mental disorders during critical/transition periods. This study assesses the impact of CTI-BR on social performance and quality of life within a population in the process of deinstitutionalization, after long-term hospitalization in a psychiatric institution. The study population was split into two groups, one of which received CTI plus the regular care. Results showed no advantage of the intervention compared to the regular programs provided by the institution...
July 2017: Ciência & Saúde Coletiva
https://www.readbyqxmd.com/read/28665022/-what-s-going-to-happen-when-we-re-gone-family-caregiving-capacity-for-older-people-with-an-intellectual-disability-in-ireland
#4
Damien Brennan, Rebecca Murphy, Philip McCallion, Mary McCarron
BACKGROUND: Changing family sociodemographic factors, increased life expectancy for people with an intellectual disability, deinstitutionalization and policy prioritization of the family as the principal care provider, presents new challenges to care sustainability. METHOD: A qualitative study design was employed, entailing focus groups and semistructured interviews, with purposive sampling via the parent study population of the Intellectual Disability Supplement to The Irish Longitudinal Database on Ageing...
June 30, 2017: Journal of Applied Research in Intellectual Disabilities: JARID
https://www.readbyqxmd.com/read/28646546/community-mental-health-work-negotiating-support-of-users-recovery
#5
Nina Petersen Reed, Staffan Josephsson, Sissel Alsaker
Mental health services have changed over the past decades through an increased emphasis on deinstitutionalization and normalization, and with recovery processes situated in everyday life as a new locus of support. These changes have led to a need for new knowledge and methods concerning the provision of community mental health services. The aim of the present study was to explore how community mental health workers provide support to users, by investigating professionals' own narratives of how they work. Seven community mental health workers participated in narrative interviews, which were subject to a qualitative, interpretive analysis...
June 23, 2017: International Journal of Mental Health Nursing
https://www.readbyqxmd.com/read/28583383/investing-in-children-the-best-way-to-prevent-separation-from-parents-and-families
#6
Maria Herczog
The reliable and disaggregated data on children deprived of family care, living in different forms of public care is essential information to implement the UN Guidelines on Alternative Care of Children and its principle on necessity and suitability. At the same time all needed information and data would also be needed on all forms of support, universal, targeted and specialized services provided or not provided to children and their families locally to prevent separation of children, on different forms of informal care...
June 2, 2017: Child Abuse & Neglect
https://www.readbyqxmd.com/read/28577111/family-life-and-social-medicine-discourses-and-discontents-surrounding-puebla-s-psychiatric-care
#7
Kathryn Law Hale
Drawing on clinical data from 15 months of on-site participant observation in the only public psychiatric hospital in the state of Puebla, Mexico, this article advances our understanding of globalization in relation to psychiatry. I challenge the construction of psychiatry as only treating the individual patient and provide grounded doctor-patient-family member interaction in a Mexican psychiatric clinic in order to review what happens when doctors cannot interact with patients as atomized individuals even though in theory they are trained to think of patients that way...
June 2, 2017: Culture, Medicine and Psychiatry
https://www.readbyqxmd.com/read/28558771/assessment-of-the-burden-on-caregivers-of-patients-with-mental-disorders-in-jeddah-saudi-arabia
#8
Sami H Alzahrani, Ebtihaj O Fallata, Marwa A Alabdulwahab, Wesam A Alsafi, Jamil Bashawri
BACKGROUND: Mental disorders are considered important public health problems not only to people with mental illness but also their caregivers. As is the case in many countries, the deinstitutionalization of mental health services in Saudi Arabia, has meant that informal caregivers are shouldering responsibilities for which they are not usually prepared; therefore, the current study was aimed at assessment of the burden on caregivers of people with mental illness. METHODS: Through a cross-sectional design, a sample of the caregivers of people with mental illness (n = 377) was selected randomly from a psychiatric hospital in Jeddah...
May 30, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/28383618/oral-health-status-and-oral-health-related-quality-of-life-in-italian-deinstitutionalized-psychiatric-patients
#9
D Corridore, F Guerra, C La Marra, D Di Thiene, L Ottolenghi
INTRODUCTION: The aim of this study is to investigate the oral health status and Oral Health-Related Quality of Life (OHRQoL, measured with OHIP- 14) in psychiatric patients assisted by the unique Italian mental health care system, in accordance to regulatory Law 180/78. MATERIALS AND METHODS: Demographic and medical variables were retrieved from institutional medical records. General health and oral health variables, oral health-related behavior and last dental contact were recorded...
March 2017: La Clinica Terapeutica
https://www.readbyqxmd.com/read/28364688/the-relationship-between-deinstitutionalization-and-quality-of-care-in-longer-term-psychiatric-and-social-care-facilities-in-europe-a-cross-sectional-study
#10
T Taylor Salisbury, H Killaspy, M King
BACKGROUND: The process of deinstitutionalization (community-based care) has been shown to be associated with better quality of life for those with longer-term mental health problems compared to long stay hospitals. This project aimed to investigate the relationship between national progress towards deinstitutionalization and (1) quality of longer-term mental health care (2) service users' ratings of that care in nine European countries. METHODS: Quality of care was assessed in 193 longer-term hospital- and community-based facilities in Bulgaria, Germany, Greece, Italy, the Netherlands, Poland, Portugal, Spain and the UK...
May 2017: European Psychiatry: the Journal of the Association of European Psychiatrists
https://www.readbyqxmd.com/read/28280350/residents-experiences-of-relationships-with-nurses-in-community-based-supported-housing-a-qualitative-study-based-on-giorgi-s-method-of-analysis-and-self-psychology
#11
Solrun Brenk Rønning, Stål Bjørkly
One of the prioritizations in the World Health Organization's (WHO) Mental Health Action Plan 2013-2020 is the provision of community mental health and social care services, such as supported housing. The ongoing process of such deinstitutionalization has raised issues concerning the impact on users' quality of life. The purpose of this study was to explore how residents in supported housing experience receiving professional help and how they perceived their relationships with nurses. The second aim was to investigate the relevance of Giorgi's method of analysis and self psychology in analyzing these experiences...
2017: Journal of Multidisciplinary Healthcare
https://www.readbyqxmd.com/read/28170220/classics-in-chemical-neuroscience-haloperidol
#12
Marshall W Tyler, Josefa Zaldivar-Diez, Stephen J Haggarty
The discovery of haloperidol catalyzed a breakthrough in our understanding of the biochemical basis of schizophrenia, improved the treatment of psychosis, and facilitated deinstitutionalization. In doing so, it solidified the role for chemical neuroscience as a means to elucidate the molecular underpinnings of complex neuropsychiatric disorders. In this Review, we will cover aspects of haloperidol's synthesis, manufacturing, metabolism, pharmacology, approved and off-label indications, and adverse effects. We will also convey the fascinating history of this classic molecule and the influence that it has had on the evolution of neuropsychopharmacology and neuroscience...
March 15, 2017: ACS Chemical Neuroscience
https://www.readbyqxmd.com/read/28148235/trust-an-essential-condition-in-the-application-of-a-caregiver-support-intervention-in-nursing-practice
#13
Marian I Zegwaard, Marja J Aartsen, Mieke Hf Grypdonck, Pim Cuijpers
BACKGROUND: The recent policy of deinstitutionalization of health care in Western countries has resulted in a growing number of people - including elderly - with severe mental illness living in the community where they rely on families and others for support in daily living. Caregiving for partners, parents, children, and significant others can be a stressful experience and has been associated with psychosocial problems and poorer physical health. To support caregivers, a new, complex, nurse-led caregiver - centered intervention was developed...
February 2, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/28095284/family-carers-perspectives-on-integrated-community-care-in-the-czech-republic
#14
Eva Křížová, Hana Janečková, Jaromír Běláček
AIM: The problem of family care for people dependent on another person has only recently become a focus of research. As demand for health and social services has not been adequately met by public service providers, growing attention has been given to informal care and the integration of families within systems of health and social care at the community level. This paper presents the results of a survey on informal carers' views and opinions under the current conditions of social support in the Czech Republic...
December 2016: Central European Journal of Public Health
https://www.readbyqxmd.com/read/27936255/-nursing-progress-notes-in-psychiatry-mental-health-archival-data
#15
Sandra Harrisson
Introduction Nurses' notes are used primarily as a communication tool between nurses, doctors and member of the professional team to ensure continuity of patient care. They contain life-history of individuals with mental health disorders. This nurses' communication tool describes the patient care during hospitalization in acute psychiatric ward. In fact, these observations contained in the progress notes represent more than a simple picture of mental illness. They always tell a story constructed by socio-cultural norms...
December 0: Santé Mentale Au Québec
https://www.readbyqxmd.com/read/27936253/-lack-of-collaboration-lack-of-staff-or-disappearance-of-the-data-the-difficult-access-to-the-psychiatric-archives
#16
Marie LeBel
This paper presents the way we try to track the history of mental health services offered to residents of official language minority communities throughout Northern and Eastern Ontario. The study also holds an interest in the post-deinstitutionalization paths of patients suffering from mental health conditions. Our research strand concerns Northern Ontario, its patient associations, its services, its specialists and its institutions and the access to hospitals archives.
December 0: Santé Mentale Au Québec
https://www.readbyqxmd.com/read/27770055/-heading-up-a-blind-alley-scottish-psychiatric-hospitals-in-the-era-of-deinstitutionalization
#17
Vicky Long
This article examines Scottish provision of psychiatric care in the 1960s and 1970s. It demonstrates that institutional services did not rapidly disappear across the UK following the Ministry of Health's decision to shut down psychiatric hospitals in 1961, and highlights Scotland's distinctive trajectory. Furthermore, it contends that psychiatric hospitals developed new approaches to assist patients in this era, thereby contributing towards the transformation of post-war psychiatric practice. Connecting a discussion of policy with an analysis of provision, it examines the Department of Health for Scotland's cautious response to the Ministry's embrace of deinstitutionalization, before analysing Glasgow's psychiatric provision in the 1970s...
October 21, 2016: History of Psychiatry
https://www.readbyqxmd.com/read/27717265/community-mental-health-care-worldwide-current-status-and-further-developments
#18
Graham Thornicroft, Tanya Deb, Claire Henderson
This paper aims to give an overview of the key issues facing those who are in a position to influence the planning and provision of mental health systems, and who need to address questions of which staff, services and sectors to invest in, and for which patients. The paper considers in turn: a) definitions of community mental health care; b) a conceptual framework to use when evaluating the need for hospital and community mental health care; c) the potential for wider platforms, outside the health service, for mental health improvement, including schools and the workplace; d) data on how far community mental health services have been developed across different regions of the world; e) the need to develop in more detail models of community mental health services for low- and middle-income countries which are directly based upon evidence for those countries; f) how to incorporate mental health practice within integrated models to identify and treat people with comorbid long-term conditions; g) possible adverse effects of deinstitutionalization...
October 2016: World Psychiatry: Official Journal of the World Psychiatric Association (WPA)
https://www.readbyqxmd.com/read/27681281/efforts-to-accelerate-deinstitutionalization-of-the-public-health-center-in-a-revised-law-related-to-mental-health-and-welfare-of-the-persons-with-mental-disorders
#19
Yumi Nakahara, Hisao Yanagi, Ichiro Aida, Toshihide Kidokoro, Yoshiki Hompo, Minoru Nakamoto, Eisuke Nakazato
No abstract text is available yet for this article.
2016: [Nihon Kōshū Eisei Zasshi] Japanese Journal of Public Health
https://www.readbyqxmd.com/read/27663812/social-attitude-towards-mentally-ill-in-comparison-to-experts-opinions
#20
Krzysztof Maria Wilczyński, Elżbieta Mazgaj, Oleg Fedyk, Dominika Wizner, Krzysztof Krysta
BACKGROUND: In modern psychiatry, deinstitutionalization of mentally ill became an essential part of improving state of being of those affected. Integration in community, despite obvious benefits, led to increase in social distance and rejection towards mentally ill. Social stigma affects different life domains of those afflicted, and therefore it is crucial to introduce methods to deal with it. Our objective was to assess and compare psychiatrists' and public attitudes and beliefs about mentally ill people...
September 2016: Psychiatria Danubina
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