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Psychiatric Nurse Practitioner

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https://www.readbyqxmd.com/read/30029754/practice-characteristics-of-nurse-practitioners-in-mental-health-and-psychiatric-settings
#1
Emily B Jones
To explore the practice characteristics of nurse practitioners in mental health and psychiatric settings, descriptive statistics and multivariable logistic regression models were constructed with weighted data from the 2012 National Sample Survey of Nurse Practitioners. The 5.6% of nurse practitioners in mental health and psychiatric settings were less likely to have hospital admitting privileges and more likely to practice without a physician on-site, to have their own billing number, and to have a DEA number...
August 2018: Archives of Psychiatric Nursing
https://www.readbyqxmd.com/read/29968148/providing-mental-health-services-in-the-primary-care-setting-the-experiences-and-perceptions-of-general-practitioners-at-a-new-york-city-clinic
#2
Issa Papiss Bagayogo, Katharina Turcios-Wiswe, Kanako Taku, Lauren Peccoralo, Craig L Katz
Mental illness is a significant cause of disability worldwide, including here in the United States. Given the shortage of trained mental health professionals, a significant portion of patients needing care are managed in the primary care setting. Accountable Care Organizations (ACOs), for example, are seeking to improve the quality of care for this vulnerable population, but many are facing significant challenges relating to integration of new services. We sought to elucidate barriers faced by primary care practitioners (PCPs)-physicians, physician trainees and nurse practitioners-at a New York primary care clinic, which impede delivery of optimal care to those suffering from mental illness...
July 2, 2018: Psychiatric Quarterly
https://www.readbyqxmd.com/read/29943582/a-model-to-facilitate-the-mental-health-of-psychiatric-nurses-in-a-forensic-unit-to-manage-mental-health-care-users-hostile-behaviour-constructively
#3
Tebogo Tema, Marie Poggenpoel, Chris Myburgh
BACKGROUND:  Hostile behaviour by mental health care users (MHCUs) is prevalent in forensic units in South Africa, and this causes service providers distress and burnout. Psychiatric nurses (PNs) find it difficult to render quality care to MHCUs who are threatening them and also challenging their authority in a forensic unit. Forensic mental health care practitioners may be challenged to engage authentically with MHCUs who constitute a risk to their personal safety or who have committed acts the practitioner finds morally disturbing...
June 13, 2018: Curationis
https://www.readbyqxmd.com/read/29942266/prescription-and-underprescription-of-clozapine-in-dutch-ambulatory-care
#4
Yvonne C van der Zalm, Fabian Termorshuizen, Peter F Schulte, Jan P Bogers, Machteld Marcelis, Iris E Sommer, Jean Paul Selten
Purpose: To our knowledge, no study has examined in a structured way the extent of underprescription of clozapine in ambulatory patients with Non-Affective Psychotic Disorder (NAPD). In the Netherlands, psychiatric care for such patients is provided by Flexible Assertive Community Treatment (FACT) teams and by early intervention teams. In 20 FACT teams and 3 early intervention teams we assessed the proportion of patients who: use clozapine (type 1 patients), previously used this drug (type 2), have an unfulfilled indication for this drug, by type of indication (type 3), or were at least markedly psychotic, but had not yet received two adequate treatments with other antipsychotic drugs (type 4)...
2018: Frontiers in Psychiatry
https://www.readbyqxmd.com/read/29859050/the-development-and-evaluation-of-a-computerized-decision-aid-for-the-treatment-of-psychotic-disorders
#5
Magda Tasma, Lukas O Roebroek, Edith J Liemburg, Henderikus Knegtering, Philippe A Delespaul, Albert Boonstra, Marte Swart, Stynke Castelein
BACKGROUND: Routinely monitoring of symptoms and medical needs can improve the diagnostics and treatment of medical problems, including psychiatric. However, several studies show that few clinicians use Routine Outcome Monitoring (ROM) in their daily work. We describe the development and first evaluation of a ROM based computerized clinical decision aid, Treatment-E-Assist (TREAT) for the treatment of psychotic disorders. The goal is to generate personalized treatment recommendations, based on international guidelines combined with outcomes of mental and physical health acquired through ROM...
June 1, 2018: BMC Psychiatry
https://www.readbyqxmd.com/read/29779548/utilization-and-economic-contribution-of-psychiatric-mental-health-nurse-practitioners-in-public-behavioral-health-services
#6
Susan A Chapman, Bethany J Phoenix, Talia E Hahn, Deborah C Strod
INTRODUCTION: Expanded insurance coverage through the Affordable Care Act and parity in behavioral health coverage have increased demand for services. Yet there is a persistent shortage in the behavioral health workforce. Psychiatric Mental Health Nurse Practitioners (PMHNPs) may be part of the solution to shortages but are not yet fully utilized. The purpose of this study was to describe how PMHNPs are utilized, identify barriers to full utilization, and assess PMHNPs' economic contribution in public behavioral health systems...
June 2018: American Journal of Preventive Medicine
https://www.readbyqxmd.com/read/29779543/geographic-variation-in-the-supply-of-selected-behavioral-health-providers
#7
C Holly A Andrilla, Davis G Patterson, Lisa A Garberson, Cynthia Coulthard, Eric H Larson
INTRODUCTION: In 2015, an estimated 43.4 million Americans aged 18 and older suffered from a behavioral health issue. Accurate estimates of the number of psychiatrists, psychologists, and psychiatric nurse practitioners are needed as demand for behavioral health care grows. METHODS: The National Plan and Provider Enumeration System National Provider Identifier data (October 2015) was used to examine the supply of psychiatrists, psychologists, and psychiatric nurse practitioners...
June 2018: American Journal of Preventive Medicine
https://www.readbyqxmd.com/read/29734920/the-role-of-working-alliance-in-attainment-of-personal-goals-and-improvement-in-quality-of-life-during-psychiatric-rehabilitation
#8
Sarita A Sanches, Jooske T van Busschbach, Harry W C Michon, Jaap van Weeghel, Wilma E Swildens
OBJECTIVE: A key aspect of psychiatric rehabilitation is supporting individuals with serious mental illness in reaching personal goals. This study aimed to investigate whether various aspects of the working alliance predict successful goal attainment and whether goal attainment improves subjective quality of life, independent of the rehabilitation approach used. METHODS: Secondary analyses were conducted of data from a Dutch randomized clinical trial on goal attainment by individuals supported with the Boston University approach to psychiatric rehabilitation (N=80) or a generic approach (N=76)...
August 1, 2018: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/29708023/textbook-descriptions-of-people-with-psychosis-some-ethical-aspects
#9
Terje Emil Fredwall, Inger Beate Larsen
BACKGROUND: Textbooks are central for the education of professionals in the health field and a resource for practitioners already in the field. OBJECTIVES: This article focuses on how 12 textbooks in psychiatric nursing and psychiatry, published in Norway between 1877 and 2012, describe and present people with psychosis. RESEARCH DESIGN: We used qualitative content analysis. Ethical considerations: The topic is published textbooks, made available to be read by students, teachers and professionals, and no ethical approval was required...
January 1, 2018: Nursing Ethics
https://www.readbyqxmd.com/read/29511988/a-descriptive-analysis-of-a-community-clinic-providing-hepatitis-c-treatment-to-poor-and-uninsured-patients
#10
Omar T Sims, Pamela A Melton, Shaonin Ji
This study describes clinical characteristics of poor and uninsured patients living with hepatitis C virus (HCV) who received care from a multidisciplinary HCV clinic, reports treatment completion and cure rates, and estimates the cost of HCV medications provided at no cost to uninsured patients. A retrospective chart review was performed and identified 69 uninsured HCV patients who received medical care at Mercy Health Center, a small non-profit community clinic, between January 2008 and March 2015. Three-fourths of the patients were unemployed, a third had multiple HCV exposures, nearly half acquired HCV due to illicit drug use, and more than half had active psychiatric disorders...
August 2018: Journal of Community Health
https://www.readbyqxmd.com/read/29420100/innovative-clinical-training-site-for-psychiatric-mental-health-nurse-practitioner-students-elementary-school-based-group-therapy-manuscript-id-umhn-2017-0143
#11
Grace Hubbard, Cheryl L Woods-Giscombe, Ashley Hageman, Nyanyiwa Vimba
The aim of this clinical training site innovation is to develop accessible pediatric mental health clinical training sites for psychiatric mental health nurse practitioner (PMHNP) students. Mental health services in school settings provide treatment in the child's community and create opportunities for innovation and collaboration with teachers, school counselors, and school psychologists. School settings provide opportunities for early recognition of anxiety symptoms and accessible treatment that can help close the gap in clinical training sites for this population...
April 2018: Issues in Mental Health Nursing
https://www.readbyqxmd.com/read/29409553/diagnostic-errors-in-paediatric-cardiac-intensive-care
#12
Priya N Bhat, John M Costello, Ranjit Aiyagari, Paul J Sharek, Claudia A Algaze, Mjaye L Mazwi, Stephen J Roth, Andrew Y Shin
IntroductionDiagnostic errors cause significant patient harm and increase costs. Data characterising such errors in the paediatric cardiac intensive care population are limited. We sought to understand the perceived frequency and types of diagnostic errors in the paediatric cardiac ICU. METHODS: Paediatric cardiac ICU practitioners including attending and trainee physicians, nurse practitioners, physician assistants, and registered nurses at three North American tertiary cardiac centres were surveyed between October 2014 and January 2015...
May 2018: Cardiology in the Young
https://www.readbyqxmd.com/read/29369765/shrinking-the-psychiatrist-shortage
#13
Charlotte Huff
Demand for mental health services outstrips the supply of psychiatrists. Aggravating the situation: Many psychiatrists don't take insurance. Nurse practitioners and physician assistants are beginning to fill the gap.
January 2018: Managed Care
https://www.readbyqxmd.com/read/29357722/improving-adherence-to-atypical-antipsychotic-agent-screening-guidelines-in-pediatric-patients-a-quality-improvement-project-within-an-integrated-community-mental-health-setting
#14
Elishia L Featherston, Sharolyn Dihigo, Richard E Gilder
BACKGROUND: Approximately 14% to 20% of children and adolescents have a mental health problem. Atypical antipsychotic agents are used to treat behavioral, emotional, and mental health problems in children and adolescents. A discrepancy between best practices and actual practices exists. OBJECTIVE: The purpose of this quality improvement project was to increase adherence above baseline, through implementation of a checklist, to recommended screening guidelines in children, ages 4 to 18, prescribed atypical antipsychotic agents over 12 weeks...
July 2018: Journal of the American Psychiatric Nurses Association
https://www.readbyqxmd.com/read/29084290/exploring-differences-in-healthcare-utilization-of-prisoners-in-the-canton-of-vaud-switzerland
#15
Karine Moschetti, Véra Zabrodina, Pierre Stadelmann, Tenzin Wangmo, Alberto Holly, Jean-Blaise Wasserfallen, Bernice S Elger, Bruno Gravier
Prison healthcare is an important public health concern given the increasing healthcare needs of a growing and aging prison population, which accumulates vulnerability factors and suffers from higher disease prevalence than the general population. This study identifies the key factors associated with outpatient general practitioner (GP), nursing or psychiatric healthcare utilization (HCU) within prisons. Cross-sectional data systematically collected by the prison medical staff were obtained for a sample of 1664 adult prisoners of the Canton of Vaud, Switzerland, for the year 2011...
2017: PloS One
https://www.readbyqxmd.com/read/28981967/lessons-from-a-lost-world-messages-from-the-mental-hospital-era
#16
EDITORIAL
Niall McCrae
No abstract text is available yet for this article.
June 2018: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/28936009/collaborative-care-in-ambulatory-psychiatry-content-analysis-of-consultations-to-a-psychiatric-pharmacist
#17
REVIEW
Dorothy Gotlib, Jolene R Bostwick, Seema Calip, Elizabeth Perelstein, Jacob E Kurlander, Thomas Fluent
OBJECTIVES: To determine the volume and nature (or topic) of consultations submitted to a psychiatric pharmacist embedded in an ambulatory psychiatry clinic, within a tertiary care academic medical center and to increase our understanding about the ways in which providers consult with an available psychiatric pharmacist. EXPERIMENTAL DESIGN: Authors analyze and describe the ambulatory psychiatric pharmacist consultation log at an academic ambulatory clinic. All consultation questions were submitted between July 2012 and October 2014...
September 15, 2017: Psychopharmacology Bulletin
https://www.readbyqxmd.com/read/28863059/recovery-beyond-buprenorphine-nurse-led-group-therapy
#18
REVIEW
Susanne A Fogger, Kathleen Lehmann
It has taken the tragedy of swelling opioid overdoses to raise addictions to national attention. This past year, a new law called the Comprehensive Addictions Recovery Act has helped to open doors for nurse practitioners and physician assistants to prescribe buprenorphine. Although this medication can assist those dependent on opioids in finding needed stability, medication-assisted treatment is only the beginning. Addiction and psychiatric nurses must play a larger role in providing various therapies that coincide with medication-assisted treatment to support ongoing recovery...
July 2017: Journal of Addictions Nursing
https://www.readbyqxmd.com/read/28839588/collaborative-liver-and-psychiatry-care-in-the-royal-bolton-hospital-for-people-with-alcohol-related-disease
#19
REVIEW
Kieran J Moriarty
Since 1990, the Royal Bolton Hospital has been evolving a patient-centred, collaborative, seamless, holistic, gastroenterology, psychiatry, community model of alcohol care, team working, governance, research, training, education and health promotion. The aim is to deliver an accessible, responsive, cost-effective, rolled-out service. Consultant gastroenterologists, a specialist liaison psychiatrist, psychiatric alcohol liaison nurse, gastroenterology-based liver nurse practitioner and ward nurses provide joint inpatient and outpatient care for people with alcohol misuse, especially alcohol-related liver disease...
April 2011: Frontline Gastroenterology
https://www.readbyqxmd.com/read/28770663/a-successful-model-for-clinical-training-in-child-adolescent-cognitive-behavior-therapy-for-graduate-psychiatric-advanced-practice-nursing-students
#20
Pamela Lusk, Beverly G Hart Abney, Bernadette Mazurek Melnyk
BACKGROUND: Graduate faculty in advanced practice nursing programs seek to provide clinical training in psychotherapy for psychiatric mental health nurse practitioner (PMHNP) students and prepare them for practice with patients across the lifespan, including children and adolescents. OBJECTIVE: To develop a clinical training model for child/adolescent cognitive behavior therapy (CBT) that is adaptable to all graduate nursing programs including online, classroom, and blended programs...
August 1, 2017: Journal of the American Psychiatric Nurses Association
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