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Occupational psychiatry

Lena Lipskaya-Velikovsky, Moshe Kotler, Terry Krupa
People with mental health conditions (MHCs) frequently experience participation and functional restrictions. Today, hospitals still serve a significant number of people with MHCs. However, there is little evidence for occupation-oriented interventions to support participation, health, and well-being in these hospital settings. This article describes a newly developed, short-term, structured intervention for the inpatient setting, Occupational Connections (OC), that focuses on promoting everyday functions and participation in daily life and presents preliminary findings for its effectiveness...
November 2016: American Journal of Occupational Therapy: Official Publication of the American Occupational Therapy Association
Chafia Allam, Ouiza Toumi, Nawel Benhassine, Wahiba Chenaf, Nedjma Bouyaghoub, Meriem Bachiri, Ahmed Ahras
OBJECTIVE: Patients with conversion paralyses have the same disabilities and handicaps as patients with organic paralyses. We report 4 cases of patients with conversion paralyses who have been managed in our physical medicine and rehabilitation department during twelve months. OBSERVATIONS: Two women and 2 men ages 33, 19, 18 and 41 years presented conversion paralyses. The paralyses were varied: hemiplegia, paraplegia, paralysis of the upper limb and paralysis of the lower limb...
September 2016: Annals of Physical and Rehabilitation Medicine
Gerasimos Kolaitis, Christian G Bouwkamp, Alexia Papakonstantinou, Ioanna Otheiti, Maria Belivanaki, Styliani Haritaki, Terpsihori Korpa, Zinovia Albani, Elena Terzioglou, Polyxeni Apostola, Aggeliki Skamnaki, Athena Xaidara, Konstantina Kosma, Sophia Kitsiou-Tzeli, Maria Tzetis
BACKGROUND: This is a case with multiple chromosomal aberrations which are likely etiological for the observed psychiatric phenotype consisting of attention deficit hyperactivity and conduct disorders. CASE PRESENTATION: We report on an 11 year-old boy, admitted to the pediatric hospital for behavioral difficulties and a delayed neurodevelopmental trajectory. A cytogenetic analysis and high-resolution microarray comparative genomic hybridization (CGH) analysis was performed...
2016: Child and Adolescent Psychiatry and Mental Health
Jeanne Eichler, Lydia Royeen
This article provides personal experiences of two clinicians on the topic of occupational therapy in the primary health care clinic. Lydia Royeen is a full time clinician in acute care and psychiatry and Jeanne Eichler is Assistant Professor and founder of the OTonCampus program at Saint Louis University. (PsycINFO Database Record
September 2016: Families, Systems & Health: the Journal of Collaborative Family Healthcare
Brent Wolfrom, Geoff Hodgetts, Jyoti Kotecha, Emily Pollock, Mary Martin, Han Han, Pierre Morissette
OBJECTIVE: To evaluate satisfaction with civilian residency training programs among serving general duty medical officers within the Canadian Armed Forces. DESIGN: A 23-item, cross-sectional survey face-validated by the office of the Surgeon General of the Canadian Armed Forces. SETTING: Canada. PARTICIPANTS: General duty medical officers serving in the Canadian Armed Forces as of February 2014 identified through the Directorate of Health Services Personnel of the Canadian Forces Health Services Group Headquarters...
September 2016: Canadian Family Physician Médecin de Famille Canadien
Lauren J Taylor, Valsamma Eapen, Murray T Maybery, Sue Midford, Jessica Paynter, Lyndsay Quarmby, Timothy Smith, Katrina Williams, Andrew J O Whitehouse
OBJECTIVES: There is currently no agreed Australian standard for the diagnosis of autism spectrum disorder (ASD) even though there are specific diagnostic services available. We suspected inconsistency in the diagnostic practices of health professionals in Australia and aimed to assess these practices across the nation by surveying all relevant professional groups. DESIGN: In this study, we completed a survey of 173 health professionals whose clinical practice includes participating in the diagnostic process for ASD in Australia...
2016: BMJ Open
Giovanni Galeoto, Rita De Santis, Alessandra Marcolini, Alfonso Cinelli, Rossana Cecchi
UNLABELLED: The legislative developments that led to the Three-year Degree of the Health Professions poses any health professional in the position of having to comply with the ethical and legal duty to obtain valid informed consent from the patient prior to treatment. In the present work, attention was focused on the figure of the occupational therapist. MATERIALS AND METHODS: Informed consent forms have been developed according to the specific disease from which the patient undergoing occupational therapy is affected...
April 2016: Giornale Italiano di Medicina del Lavoro Ed Ergonomia
Marianna Scarfone
This article describes the establishment of psychiatry in Italy's former colonies during the period 1906-43, in terms of the clinical and institutional mechanisms, the underlying theories and the main individuals involved. 'Colonial psychiatry' (variously called 'ethnographic', 'comparative' or 'racial' psychiatry) - the object of which was both to care for mentally afflicted colonists and local people and also to understand and make sense of their pathologies - received most attention in colonial Libya, starting in the first months of the Italian occupation (1911-12) and then taking institutional form in the 1930s; in the colonies of what was known as 'Italian East Africa', on the other hand, less was said about psychiatric care, and practical achievements were correspondingly limited...
July 22, 2016: History of Psychiatry
B Beresford, F Gibson, J Bayliss, S Mukherjee
Growing evidence of the association between health professionals' well-being and patient and organisational outcomes points to the need for effective staff support. This paper reports a brief survey of the UK's children's cancer Principal Treatment Centres (PTCs) regarding staff support systems and practices. A short on-line questionnaire, administered in 2012-2013, collected information about the availability of staff support interventions which seek to prevent work-related stress among different members of the multi-disciplinary team (MDT)...
July 4, 2016: European Journal of Cancer Care
Susan P McGrath, Andreas H Taenzer, Nancy Karon, George Blike
BACKGROUND: The growing number of monitoring devices, combined with suboptimal patient monitoring and alarm management strategies, has increased "alarm fatigue," which have led to serious consequences. Most reported alarm man- agement approaches have focused on the critical care setting. Since 2007 Dartmouth-Hitchcock (Lebanon, New Hamp- shire) has developed a generalizable and effective design, implementation, and performance evaluation approach to alarm systems for continuous monitoring in general care settings (that is, patient surveillance monitoring)...
July 2016: Joint Commission Journal on Quality and Patient Safety
Christina Maslach, Michael P Leiter
The experience of burnout has been the focus of much research during the past few decades. Measures have been developed, as have various theoretical models, and research studies from many countries have contributed to a better understanding of the causes and consequences of this occupationally-specific dysphoria. The majority of this work has focused on human service occupations, and particularly health care. Research on the burnout experience for psychiatrists mirrors much of the broader literature, in terms of both sources and outcomes of burnout...
June 2016: World Psychiatry: Official Journal of the World Psychiatric Association (WPA)
Suzanne Timmons, Emma O'Shea, Desmond O'Neill, Paul Gallagher, Anna de Siún, Denise McArdle, Patricia Gibbons, Sean Kennelly
BACKGROUND: Admission to an acute hospital can be distressing and disorientating for a person with dementia, and is associated with decline in cognitive and functional ability. The objective of this audit was to assess the quality of dementia care in acute hospitals in the Republic of Ireland. METHODS: Across all 35 acute public hospitals, data was collected on care from admission through discharge using a retrospective chart review (n = 660), hospital organisation interview with senior management (n = 35), and ward level organisation interview with ward managers (n = 76)...
2016: BMC Geriatrics
Előd Ernő Nagy, Attila Rácz, Edit Urbán, Gabriella Terhes, Timea Berki, Emőke Horváth, Anca M Georgescu, Iringó E Zaharia-Kézdi
The identification and distinction of the pathological conditions underlying acute psychosis are often challenging. We present the case of a 35-year-old ranger who had no history of acute or chronic infectious disease or any previous neuropsychiatric symptoms. He arrived at the Psychiatry Clinic and was admitted as an emergency case, displaying bizarre behavior, hallucinations, paranoid ideation, and delusional faults. These symptoms had first appeared 7 days earlier. An objective examination revealed abnormalities of behavior, anxiety, visual hallucinations, choreiform, and tic-like facial movements...
2016: Neuropsychiatric Disease and Treatment
Shivani Santosh, Debdulal Dutta Roy, Partha Sarathi Kundu
AIM: To explore relation between cognitive self-regulation, social functioning, and psychopathology in schizophrenia. MATERIALS AND METHODS: A total of 100 patients diagnosed with schizophrenia according to International Classification of Diseases (ICD)-10 were taken from Department of Psychiatry of two postgraduate hospitals of Kolkata, India. All subjects gave informed consent. After recording sociodemographic and clinical details, the Positive and Negative Syndrome Scale for Schizophrenia (PANSS), Schizophrenia Research Foundation India-Social Functioning Index (SCARF-SFI), and specially designed questionnaire on cognitive self-regulation was administered...
July 2015: Industrial Psychiatry Journal
Selin Nur, Clive E Adams
BACKGROUND: In the 1940s reserpine, refined from a plant extract that had been used for centuries, began to be used as a treatment for people with mental disorders and was one of the very first antipsychotic drugs. Its irreversible pharmacological potency and adverse effects meant that it has been withdrawn in the UK and its role has been superceded by 'newer' compounds. The effects of reserpine are of historical interest although there are some reports of it still being used in highly specialist situations in psychiatry...
2016: Cochrane Database of Systematic Reviews
Aoife Curley, Emmanuel Agada, Afam Emechebe, Chike Anamdi, Xiao Ting Ng, Richard Duffy, Brendan D Kelly
Involuntary admission and treatment are features of psychiatric care in many countries, but the relationship between involuntary status and gender (among other factors) is not clear. We examined demographic and diagnostic factors associated with involuntary admission in a general adult psychiatry service in a deprived area of Dublin's north inner-city over a 7-year period (2008 to 2014 inclusive). Over this period, there were 1099 admissions, yielding an annual admission rate of 504.8 admissions per 100,000 population per year...
July 2016: International Journal of Law and Psychiatry
Christopher Kenedi, Susan Hatters Friedman, Dougal Watson, Claude Preitner
BACKGROUND: This is a systematic review of suicide and homicide-suicide events involving aircraft. In aeromedical literature and in the media, these very different events are both described as pilot suicide, but in psychiatry they are considered separate events with distinct risk factors. METHODS: Medical databases, internet search engines, and aviation safety databases were searched in a systematic way to obtain relevant cases. Relevant articles were searched for additional references...
April 2016: Aerospace Medicine and Human Performance
Pedro Alves de Moura, Florentino Serranheira, Ema Sacadura-Leite
BACKGROUND: Medical Doctors (MD), although at the front line of response to patients and their families, are seldom study subjects for occupational psychosocial risks and work related stress. OBJECTIVES: Assess psychiatry and anaesthesiology residents in a central and university Portuguese Hospital for the presence of psychosocial risks at work. METHODS: We used the Copenhagen Psychosocial Questionnaire version 2 (COPSOQ), which was applied face-to-face in two group settings, in April 2014...
March 2016: La Medicina del Lavoro
John R Cutcliffe, Rodger Travale
The concept of "Green Care" can increasingly be found in mental health and addictions literature and some Psychiatric/Mental Health Nurses are practicing in facilities that base their approach on some or all of the underpinning theoretical elements of Green Care. However, Green Care is not yet widely considered to be part of mainstream psychiatry. Unearthing and articulating its theoretical underpinnings and clinical applications may further advance its legitimacy. Accordingly, this article identifies four principal theoretical elements of Green Care: Connectedness; Contact with Nature; Benefits of Exercise; and Occupation/Work as Therapeutic, each of which is explored and articulated by drawing on relevant literature...
2016: Issues in Mental Health Nursing
Filiz Izci, Ebru Kanmaz Fındıklı, Serkan Zincir, Selma Bozkurt Zincir, Merve Iris Koc
BACKGROUND: The primary aim of this study was to compare the differences in temperament-character traits, suicide attempts, impulsivity, and functionality levels of patients with bipolar disorder I (BD-I) and bipolar disorder II (BD-II). METHODS: Fifty-two BD-I patients and 49 BD-II patients admitted to Erenköy Mental and Neurological Disease Training and Research Hospital psychiatry clinic and fifty age- and sex-matched healthy control subjects were enrolled in this study...
2016: Neuropsychiatric Disease and Treatment
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