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Adult protective services

Deborah Carvalho Malta, Max Moura de Oliveira, Isis Eloah Machado, Rogério Ruscito Prado, Sheila Rizzato Stopa, Claudio Dutra Crespo, Ada Ávila Assunção
Health self-assessment (HSA) is a widely studied indicator among adults and the elderly, but not often explored in adolescents. This study aimed to estimate the prevalence of poor self-rated health in Brazilian schoolchildren and associated factors. Data from the 2015 National Adolescent School-based Health Survey (PeNSE) were analyzed; prevalences and their 95% confidence intervals (95%CI) were estimated for poor self-rated health and associated factors. Multiple logistic regression analysis was performed...
November 29, 2018: Revista Brasileira de Epidemiologia, Brazilian Journal of Epidemiology
Sarah Alexandra Lynar, Claire Helen Robinson, Craig Steven Boutlis, Robert James Commons
BACKGROUND: An increasing prevalence of diabetes mellitus has led to a high risk of diabetic foot infections (DFI) and associated morbidity. However, little is known about the relationship between DFI and mortality. AIMS: To investigate the risk of mortality and associated factors in patients with DFI in an Australian context. METHODS: A prospective cohort study of inpatients with DFI between May 2012 and October 2016, at Royal Darwin Hospital, a tertiary referral hospital for the Top End of the Northern Territory...
December 4, 2018: Internal Medicine Journal
Young-Mi Ah, Yewon Suh, Kwanghee Jun, Sunghee Hwang, Ju-Yeun Lee
Few studies have evaluated the association between anticholinergic burden and treatment modification after starting a cholinesterase inhibitor in clinical practice. We aimed to evaluate the effect of anticholinergic burden on anti-dementia treatment modification, delirium and mortality. We retrospectively analysed older adults (n = 25,825) who started a cholinesterase inhibitor during 2003-2011 from Korean National Health Insurance Service Senior Cohort Database. High anticholinergic burden was defined as an average daily Anticholinergic Cognitive Burden (ACB) score of >3 during the first three months...
December 3, 2018: Basic & Clinical Pharmacology & Toxicology
Kate Levin, Jill Carson
Current power of attorney legislation in many European countries seeks to protect the rights of adult patients who lack capacity by ensuring that discharge from hospital to an alternative care setting only occurs when there is legal authority to do so, via a named guardian or power of attorney. In Scotland, a clause introduced in 2007 allows some patients who lack capacity to be transferred from hospital to a community care service provided all relevant parties are agreed that this is in keeping with the legislation (the 'least restrictive option') and the patient does not resist the move...
December 1, 2018: Journal of Health Services Research & Policy
Bobbi J Yarborough, Micah T Yarborough, Julie C Cavese
AIM: Evidence-based treatment can improve psychosis outcomes, but service providers need to understand and address the reasons people experiencing first episode psychosis avoid or delay care seeking. The goal of this study was to identify reasons care seeking might be postponed, from the points of view of patients, caregivers and health care professionals in a large health care delivery system, in the United States, without an early psychosis intervention program. METHODS: About 22 patients who had received an initial psychosis diagnosis and 10 of their caregivers were interviewed about their experiences and pathways to care...
November 28, 2018: Early Intervention in Psychiatry
Jesse M Pines, Rahul Ladhania, Bernard S Black, Christopher K Corbit, Jestin N Carlson, Arvind Venkat
STUDY OBJECTIVE: We examine the effect of Medicaid expansion on reimbursement for emergency physicians' professional services. METHODS: We conducted a retrospective study using data from a national emergency medicine group in a sample of 50 emergency departments (EDs) from July 1, 2012, to June 30, 2015. We categorized facilities in 14 states into full-expansion (23), partial-expansion (17), and nonexpansion (10) categories based on pre-expansion Medicaid eligibility criteria for all adults...
November 20, 2018: Annals of Emergency Medicine
Lindsay Zajac, K Lee Raby, Mary Dozier
The current longitudinal study examined whether attachment states of mind and childhood maltreatment predict sensitive caregiving during infancy, early childhood, and middle childhood among a sample of 178 parents who were involved with Child Protective Services. Nearly all the parents had themselves experienced childhood maltreatment based on their reports on the Childhood Trauma Questionnaire-Short Form (Bernstein et al., 2003) when their children were infants. Adult Attachment Interviews (George, Kaplan, & Main, 1985) were administered to parents when their children were infants (M = 10...
November 23, 2018: Development and Psychopathology
Rebecca J Campbell, Evan Gross, Peter A Lichtenberg
Adult Protective Services (APS) professionals are often called on to assess decision-making capacity when investigating financial exploitation. Previous research found that in consecutive APS cases, a decision-making screening scale (LFDSS) also detected financial exploitation. The purpose of this study was to apply the clinical cutoff scores derived from the previous study to a new sample of APS cases. Using a sample of 105 participants, from APS workers across 5 counties this study investigated the clinical utility of the LFDSS to detect financial exploitation based on ratings by APS professionals using the scale...
November 8, 2018: Journal of Elder Abuse & Neglect
Camilla Lauritzen, Charlotte Reedtz, Kamilla Rognmo, Miriam A Nilsen, Anja Walstad
Background: Children of parents with mental disorders are more likely to develop mental difficulties during their childhood and adulthood. Based on this knowledge, the Norwegian health legislation has been amended to better identify and protect children of parents with a mental illness. In this project, two interventions were implemented in a regional clinic for adult mental health services. These interventions were (i) Assessment Form and (ii) Child Talks. Both interventions aimed to support healthcare professionals in identifying and providing support for children of patients within adult mental health services...
2018: Frontiers in Psychiatry
Johanna Schröder, Susanne Nick, Hertha Richter-Appelt, Peer Briken
Organized and ritual child sexual abuse (ORA) is often rooted in the child's own family. Empirical evidence on possible associations between ORA and trauma-related symptoms in those who report this kind of extreme and prolonged violence is rare. The aim of our study was to explore socio-demographic and clinical characteristics of the individuals reporting ORA experiences, and to investigate protective as well as promotive factors in the link between ORA and trauma-related symptom severity. Within the framework of a project of the Independent Inquiry into Child Sexual Abuse in Germany, we recruited 165 adults who identified themselves as ORA victims via abuse- and trauma-specific networks and mailing lists, and they completed an anonymous online survey...
October 31, 2018: International Journal of Environmental Research and Public Health
Susan Sierau, Esther Schneider, Yuriy Nesterko, Heide Glaesmer
Unaccompanied refugee minors (URM) are the most vulnerable group of refugees suffering from higher levels of mental health problems. Yet, there is also a group of URM with little or no symptoms or disorders. A major predictor for positive mental health outcomes is the social support network in the post-flight period which has rarely been investigated for the group of URM. The present study analyzes differences between perceived social support from family, peers, and adult mentors in URM, with subgroup analyses of peer and mentor support in URM with and without family contact...
October 31, 2018: European Child & Adolescent Psychiatry
X S Jiang, L Xu, L Li, L Q Zhang
Objective: To explore the difference between the nursing needs of burn patients and nurses' cognition in order to adjust the nursing service behavior and improve the nursing quality. Methods: The convenience sampling method was adopted to select 400 burn inpatients admitted to the Department of Burns of the 180th Hospital of the People's Liberation Army from January to September 2017, and 38 nurses from the same department were selected by cluster sampling method. On the day of or the day before hospital discharge after instruction to discharging patients, the self-designed questionnaire was adopted to investigate the nursing needs of patients during hospitalization...
October 20, 2018: Zhonghua Shao Shang za Zhi, Zhonghua Shaoshang Zazhi, Chinese Journal of Burns
Amaia Calderón-Larrañaga, Davide L Vetrano, Luigi Ferrucci, Stewart W Mercer, Alessandra Marengoni, Graziano Onder, Maria Eriksdotter, Laura Fratiglioni
This review discusses the interplay between multimorbidity (i.e. co-occurrence of more than one chronic health condition in an individual) and functional impairment (i.e. limitations in mobility, strength or cognition that may eventually hamper a person's ability to perform everyday tasks). On one hand, diseases belonging to common patterns of multimorbidity may interact, curtailing compensatory mechanisms and resulting in physical and cognitive decline. On the other hand, physical and cognitive impairment impact the severity and burden of multimorbidity, contributing to the establishment of a vicious circle...
October 24, 2018: Journal of Internal Medicine
Elin Ekblom-Bak, Örjan Ekblom, Gunnar Andersson, Peter Wallin, Jonas Söderling, Erik Hemmingsson, Björn Ekblom
BACKGROUND: Long-term trend analyses of cardiorespiratory fitness (VO2 max) in the general population are limited. OBJECTIVES: To describe trends in VO2 max from 1995 to 2017 in the Swedish working force and to study developments across categories of sex, age, education, and geographic regions. METHODS: A total of 354 277 participants (44% women, 18-74 years) who participated in a nationwide occupational health service screening between 1995 and 2017 were included...
October 23, 2018: Scandinavian Journal of Medicine & Science in Sports
Jeanne A Teresi, Katja Ocepek-Welikson, Mildred Ramirez, Joy Solomon, Daniel Reingold
While several elder abuse screens exist, few measure risk and none target long-term support services. The aims were to examine the psychometric properties of the Weinberg Center Risk and Abuse Prevention Screen (WC-RAPS), comparing approaches to modeling self-reported risk and abuse in relation to reported Adult Protective Services contacts. METHODS: The sample (n = 7,035), admissions to managed long-term care (79%) and short-term rehabilitation (20%), was primarily (66%) female, with mean age 77...
October 22, 2018: Journal of Elder Abuse & Neglect
Isis M Severo, Ricardo Kuchenbecker, Débora F V B Vieira, Luciana R C Pinto, Michele E W Hervé, Amália F Lucena, Miriam A Almeida
AIM: To develop and validate a predictive model for falls in hospitalized adult clinical and surgical patients, assessing intrinsic (i.e. patient-related) and extrinsic factors (i.e. care process-related). BACKGROUND: To identify factors predictive of falls and enable appropriate management of fall risk it is necessary to understand patient and environmental factors, along with care delivery processes. DESIGN: A matched case-control study...
October 18, 2018: Journal of Advanced Nursing
Adina J Smith, Rachel Hallum-Montes, Kyndra Nevin, Roberta Zenker, Bree Sutherland, Shawn Reagor, M Elizabeth Ortiz, Catherine Woods, Melissa Frost, Bryan Cochran, Kathryn Oost, Hillary Gleason, James Michael Brennan
This project utilized a Community-Based Participatory Research (CBPR) approach to conduct qualitative interviews with 30 transgender adults living in a rural state. Participants' identities spanned from trans women and men to non-binary and Two-Spirit. The aim of this study was to better understand the experiences, needs, and priorities of the participants as well as to examine possible determinants of mental health, well-being, and suicidality for transgender individuals in Montana. These factors were investigated at individual, interpersonal, community, and societal levels using an ecological framework...
April 2018: Rural Mental Health
Young-Ju Kim, Victoria B Mitrani
WHAT IS KNOWN ON THE SUBJECT?: Mothers with mental health problems are at risk of well-being and experience lack of support. There is little research focusing on the effect of household composition on health of Hispanic mothers with mental illness. As the family is a central feature in Hispanic lives and there is a high dependence on the family for help, it is crucial to understand how household composition and family functioning influences Hispanic mothers' health and well-being. WHAT DOES THE PAPER ADDS TO EXISTING KNOWLEDGE?: Living with at least one other adult in the household are related to better Hispanic mothers' physical and psychological health...
October 6, 2018: Journal of Psychiatric and Mental Health Nursing
Jin Ge, Evelyn K Hsu, John Bucuvalas, Jennifer C Lai
BACKGROUND AND AIMS: Each year, approximately 60 children, representing 12% of waitlist candidates, die awaiting liver transplantation. The current allocation algorithm for pediatric donor livers prioritizes local/regional adults over national children. We attempted to better understand the impact of the present algorithm on pediatric candidates. METHODS: We analyzed pediatric donor liver offers from 2010 to 2014. Donors and recipients were classified based on age...
October 3, 2018: Hepatology: Official Journal of the American Association for the Study of Liver Diseases
Julie A Wolfson, Joshua S Richman, Can-Lan Sun, Wendy Landier, Karen Leung, Eileen P Smith, Margaret O'Donnell, Smita Bhatia
Background: Adolescents and young adults (AYA: 15-39 years) with acute lymphoblastic leukemia (ALL) have inferior survival when compared with children (1-14 years). An approach is lacking that includes both patients enrolled and not enrolled in clinical trials, and includes the contribution of health care delivery, treatment, and clinical prognosticators. Methods: We assembled a retrospective cohort of ALL patients diagnosed between 1-39 years (AYA: n = 93; child: n = 91) and treated at a single institution between 1990 and 2010, irrespective of clinical trial enrollment...
October 2018: Cancer Epidemiology, Biomarkers & Prevention
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