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critical care AND mental health

Tooba Noor Mollah, Josefine Antoniades, Fathima Ijaza Lafeer, Bianca Brijnath
BACKGROUND: Despite continued policy and research emphasis to deliver culturally competent mental healthcare, there is: (1) limited evidence about what frontline practitioners consider to be culturally competent care and; (2) what helps or hinders them in delivering such care in their everyday practice. The aims of this article are to address these gaps. METHODS: Qualitative in-depth interviews were conducted with 20 mental health practitioners working with immigrant patients to explore their understandings and experiences of culturally competent care...
June 20, 2018: BMC Health Services Research
Marianne Wyder, Helena Roennfeldt, Rise Faith Rosello, Bridie Stewart, John Maher, Rosslyn Taylor, Amanda Pfeffer, Peter Bell, Neil Barringham
Acute mental health inpatient units are complex environments where tensions between clinical and personal recovery can be amplified. The focus for mental health staff is often centred on providing clinical care, whereas from the patient perspective, the admission can represent a profound existential crisis. There are very few user-led accounts of their experiences of psychiatric inpatient unit. This project was developed in the traditions of Analytic Auto-Ethnography, a research methodology which provides a systematic process to reflect on our own experience while still producing trustworthy findings...
June 19, 2018: International Journal of Mental Health Nursing
Shufang Sun, Natasha Crooks, Rebecca Kemnitz, Ryan P Westergaard
RATIONALE: Both the HIV epidemic and incarceration disproportionately affect Black men in the United States. A critical period for incarcerated Black men living with HIV/AIDS is re-entry into the community, which is often associated with adverse health outcomes. Additionally, Black men living with HIV/AIDS involved in the criminal justice system are burdened by multiple, intersecting disadvantaged identities and social positions. OBJECTIVE: This study aimed to examine community re-entry experiences among Black men living with HIV/AIDS from an intersectional perspective...
June 12, 2018: Social Science & Medicine
Gayelene Boardman, Karen Lawrence, Meg Polacsek
Providing nursing students with appropriate clinical practice during their undergraduate programme is critical to ensuring that graduates meet the competency requirements to gain registration as a nurse. In response to the predicted nursing workforce shortage, universities have been significantly increasing the enrolment of undergraduate nurses into Bachelor of Nursing courses. This has placed a demand on the availability of clinical placements and often universities struggle to find appropriate places. In this study, a Bachelor of Nursing course incorporated an Integrated Clinical Learning Model (ICLM) for the first time during a mental health placement...
June 13, 2018: International Journal of Mental Health Nursing
Lisa C Lindley, Elspeth M Slayter
CONTEXT: Children in foster care suffer with serious illness at end of life. However, the relationship between prior trauma exposure and serious illness has received little empirical attention. OBJECTIVES: The objectives were to examine the prevalence and type of trauma exposure, and investigate the relationship between prior trauma and serious illness among foster children at end of life. METHODS: We used national longitudinal foster care data...
June 8, 2018: Journal of Pain and Symptom Management
Yaoyun Zhang, Hee-Jin Li, Jingqi Wang, Trevor Cohen, Kirk Roberts, Hua Xu
Mental health is increasingly recognized an important topic in healthcare. Information concerning psychiatric symptoms is critical for the timely diagnosis of mental disorders, as well as for the personalization of interventions. However, the diversity and sparsity of psychiatric symptoms make it challenging for conventional natural language processing techniques to automatically extract such information from clinical text. To address this problem, this study takes the initiative to use and adapt word embeddings from four source domains - intensive care, biomedical literature, Wikipedia and Psychiatric Forum - to recognize symptoms in the target domain of psychiatry...
2018: AMIA Summits on Translational Science Proceedings
Lennart Reifels, Angela Nicholas, Justine Fletcher, Bridget Bassilios, Kylie King, Shaun Ewen, Jane Pirkis
Background: Improving access to culturally appropriate mental healthcare has been recognised as a key strategy to address the often greater burden of mental health issues experienced by Indigenous populations. We present data from the evaluation of a national attempt at improving access to culturally appropriate mental healthcare for Indigenous Australians through a mainstream primary mental healthcare program, the Access to Allied Psychological Services program, whilst specifically focusing on the implementation strategies and perspectives of service providers...
2018: Global Health Research and Policy
Marit Helene Hem, Bert Molewijk, Elisabeth Gjerberg, Lillian Lillemoen, Reidar Pedersen
BACKGROUND: Professionals within the mental health services face many ethical dilemmas and challenging situations regarding the use of coercion. The purpose of this study was to evaluate the significance of participating in systematic ethics reflection groups focusing on ethical challenges related to coercion. METHODS: In 2013 and 2014, 20 focus group interviews with 127 participants were conducted. The interviews were tape recorded and transcribed verbatim. The analysis is inspired by the concept of 'bricolage' which means our approach was inductive...
June 5, 2018: BMC Medical Ethics
Christina M van der Feltz-Cornelis, Iman Elfeddali, Ursula Werneke, Ulrik F Malt, Omer Van den Bergh, Rainer Schaefert, Willem J Kop, Antonio Lobo, Michael Sharpe, Wolfgang Söllner, Bernd Löwe
Background: Somatic Symptom Disorders (SSD), Bodily Distress Disorders (BDD) and functional disorders (FD) are associated with high medical and societal costs and pose a substantial challenge to the population and health policy of Europe. To meet this challenge, a specific research agenda is needed as one of the cornerstones of sustainable mental health research and health policy for SSD, BDD, and FD in Europe. Aim: To identify the main challenges and research priorities concerning SSD, BDD, and FD from a European perspective...
2018: Frontiers in Psychiatry
Susan S Kum, Mary E Northridge, Sara S Metcalf
BACKGROUND: While the US population overall has experienced improvements in oral health over the past 60 years, oral diseases remain among the most common chronic conditions across the life course. Further, lack of access to oral health care contributes to profound and enduring oral health inequities worldwide. Vulnerable and underserved populations who commonly lack access to oral health care include racial/ethnic minority older adults living in urban environments. The aim of this study was to use a systematic approach to explicate cause and effect relationships in creating a causal map, a type of concept map in which the links between nodes represent causality or influence...
June 4, 2018: BMC Oral Health
Nathan Ferrand, Cédrick Zaouter, Brigitte Chastel, Karim Faye, Catherine Fleureau, Hadrien Roze, Antoine Dewitte, Alexandre Ouattara
BACKGROUND: Advances in critical care medicine have improved patients' survival rate. However, physical and cognitive sequels after Intensive Care Unit (ICU) discharge remain substantial. Our objectives were to evaluate the Health-related Quality of Life (HRQL) at 6-month after ICU discharge and identify the risk factors of this outcomes. METHODS: We performed a single-centre prospective observational study. The components of Short Form 36 (SF-36) were analysed for assessing HRQL on preadmission and at 3- and 6-month after ICU discharge...
June 1, 2018: Anaesthesia, Critical Care & Pain Medicine
Kathleen R Delaney, Barbara L Drew, Amy Rushton
BACKGROUND: Further exploration of the practice roles of psychiatric mental health (PMH) advanced practice registered nurses (APRNs) is warranted. OBJECTIVE: In March of 2016, the American Psychiatric Nurses Association (APNA) conducted a national survey to gather data on the demographics, practice roles, and activities of certified PMH APRNs. DESIGN: The e-mail survey contained 46 questions consistent with minimum data set requirements of the Forum of State Nursing Workforce Centers...
June 1, 2018: Journal of the American Psychiatric Nurses Association
Yuliya Knyahnytska, Charmaine Williams, Craig Dale, Fiona Webster
OBJECTIVES: Diabetes is a leading cause of death and disability in Canada. The co-occurrence of mental illnesses and diabetes is well documented, with diabetes being 2 to 3 times more prevalent in individuals with mental illnesses when compared to the general population. In clinical practices, diabetes management practices continue to be based on the chronic disease model, which conceptualizes diabetes as a physiologic and behavioural deficiency; therefore, clinical and policy efforts are directed toward the enhancement of patient self-management techniques through compliance with pharmaceutical and lifestyle recommendations...
February 6, 2018: Canadian Journal of Diabetes
Emily Pluhar, Rebecca H Lois, Elvin Thomaseo Burton
PURPOSE OF REVIEW: This review summarizes the recent literature examining nonsuicidal self-injury (NSSI) in adolescents, with a particular focus on how primary care pediatricians (PCPs) might assess and intervene as a common first point of contact. This NSSI review is timely and relevant, given the prevalence rates among adolescents, as well as its link to suicidal behaviors. RECENT FINDINGS: NSSI is most prevalent among adolescents, with lifetime prevalence rates between 17 and 60%...
May 24, 2018: Current Opinion in Pediatrics
Diane Chen, Laura Edwards-Leeper, Terry Stancin, Amy Tishelman
Growing numbers of transgender and gender-nonconforming (TGNC) youth are presenting for medical and mental health care, and increasingly, pediatric psychologists are being called upon to serve as critical members of interdisciplinary care teams. In this commentary, we present information on TGNC youth in three distinct developmental cohorts: prepubescent TGNC children, peripubertal TGNC youth, and pubertal TGNC adolescents. First, we describe the social, medical, and/or surgical treatments available to each cohort of youth...
March 2018: Clinical Practice in Pediatric Psychology
Rebecca Murphy, Agnes Higgins
Emerging from cumulative socio-political movements forged by persons with self-experience of mental health difficulties, since the 1970s the practice of peer support has rapidly developed within mental health care. Now revered as a critical component to recovery oriented mental health service, peer support features prominently in international mental health policy and practice (Penney, 2018; Watts & Higgins, 2017; Cyr et al., 2016; Stamou, 2014; Bassett et al., 2010). As a consequence of this extensive growth, the field of peer support is flooded with various models including, but not limited to, individual and collective models that can be face-to-face or online, and positioned within mainstream mental health services, and/or peer-run organisations...
May 24, 2018: Journal of Psychiatric and Mental Health Nursing
Shulamit Ramon
This article looks at the place of social recovery in mental health and social care services, alongside personal recovery. Despite its conceptual and practice centrality to the new meaning of recovery, social recovery has remained a relatively neglected dimension. This article attempts to provide an updated critical commentary based on findings from fifty nine studies, including a variety of research methodologies and methods. Definitions of social recovery within the new meaning of recovery are looked at. This is followed by outlining the development and significance of this dimension as reflected in the key areas of shared decision making, co-production and active citizenship, re-entering employment after experiencing mental ill health, being in employment, poverty and coping with poverty, the economic and the scientific cases for social recovery...
May 23, 2018: International Journal of Environmental Research and Public Health
Annachiara Marra, Pratik P Pandharipande, Timothy D Girard, Mayur B Patel, Christopher G Hughes, James C Jackson, Jennifer L Thompson, Rameela Chandrasekhar, Eugene Wesley Ely, Nathan E Brummel
OBJECTIVES: To describe the frequency of cooccurring newly acquired cognitive impairment, disability in activities of daily livings, and depression among survivors of a critical illness and to evaluate predictors of being free of post-intensive care syndrome problems. DESIGN: Prospective cohort study. SETTING: Medical and surgical ICUs from five U.S. centers. PATIENTS: Patients with respiratory failure or shock, excluding those with preexisting cognitive impairment or disability in activities of daily livings...
May 21, 2018: Critical Care Medicine
Bing Xiang Yang, Teresa E Stone, Scott A Davis
BACKGROUND: Primary health workers play a critical role in providing health education to people with mental disorders. In China community health workers working with people with mental health problems lack experience and training in this area. Additionally, coordination between hospital and community staff is not well established. The aim of this study was to provide an interdisciplinary community mental health training program and to evaluate the effect of the training on staff knowledge about mental health and confidence in their roles...
June 2018: Archives of Psychiatric Nursing
Deborah Sims, Cathrine Fowler
AIM: The aim of this study is to describe experienced child and family health nurses' clinical decision-making during a postnatal psychosocial assessment. BACKGROUND: Maternal emotional wellbeing in the postnatal year optimises parenting and promotes infant development. Psychosocial assessment potentially enables early intervention and reduces the risk of a mental disorder occurring during this time of change. Assessment accuracy, and the interventions used are determined by the standard of nursing decision-making...
May 18, 2018: Journal of Clinical Nursing
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