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Ethics and mental health

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https://www.readbyqxmd.com/read/29685865/ethical-issues-for-direct-to-consumer-digital-psychotherapy-apps-addressing-accountability-data-protection-and-consent
#1
Nicole Martinez-Martin, Karola Kreitmair
This paper focuses on the ethical challenges presented by direct-to-consumer (DTC) digital psychotherapy services that do not involve oversight by a professional mental health provider. DTC digital psychotherapy services can potentially assist in improving access to mental health care for the many people who would otherwise not have the resources or ability to connect with a therapist. However, the lack of adequate regulation in this area exacerbates concerns over how safety, privacy, accountability, and other ethical obligations to protect an individual in therapy are addressed within these services...
April 23, 2018: JMIR Mental Health
https://www.readbyqxmd.com/read/29678991/measurement-properties-of-the-health-of-the-nation-outcome-scales-honos-family-of-measures-protocol-for-a-systematic-review
#2
Meredith G Harris, Claudia Sparti, Roman Scheurer, Tim Coombs, Jane Pirkis, Torleif Ruud, Steve Kisely, Ketil Hanssen-Bauer, Johan Siqveland, Philip M Burgess
INTRODUCTION: The Health of the Nation Outcome Scales (HoNOS) for adults, and equivalent measures for children and adolescents and older people, are widely used in clinical practice and research contexts to measure mental health and functional outcomes. Additional HoNOS measures have been developed for special populations and applications. Stakeholders require synthesised information about the measurement properties of these measures to assess whether they are fit for use with intended service settings and populations and to establish performance benchmarks...
April 20, 2018: BMJ Open
https://www.readbyqxmd.com/read/29673721/-prevalence-of-mental-disorders-in-the-general-population-of-burkina-faso
#3
A Ouédraogo, J G Ouango, K Karfo, P Goumbri, D Nanéma, B Sawadogo
OBJECTIVES: To determine, with the use of the Mini-International Neuropsychiatric Interview (MINI), the prevalence of mental disorders in the general population of Burkina Faso; To identify the factors associated with the occurrence of these disorders. METHODS: We conducted a cross-sectional descriptive and analytical survey of a representative sample of the general population aged 18 years and over (n=2587). The only non-inclusion criterion was absence from the place of residence during the investigation period for whatever reason...
April 16, 2018: L'Encéphale
https://www.readbyqxmd.com/read/29671736/exclusion-of-medically-necessary-gender-affirming-surgery-for-america-s-armed-services-veterans
#4
William M Kuzon, Emily Sluiter, Katherine M Gast
Gender dysphoria , the term used in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders ( DSM ) to describe distress at the incongruence between one's gender and anatomy, affects approximately 0.6 percent of the population. It is estimated that there are 134,000 Armed Forces veterans in the United States with gender dysphoria. Although gender-affirming surgery is widely accepted as a medically necessary intervention for appropriately selected patients with gender dysphoria, the Veterans Health Administration (VHA) Health Benefits package and VHA Directive 2013-033 specifically prohibit gender-affirming surgery within Veterans Affairs (VA) facilities or using VA funding...
April 1, 2018: AMA Journal of Ethics
https://www.readbyqxmd.com/read/29667736/commentary-advancing-an-implementation-science-agenda-on-mental-health-and-psychosocial-responses-in-war-affected-settings-comment-on-trials-of-a-psychosocial-intervention-for-youth-affected-by-the-syrian-crisis-by-panter-brick-et-al-2018
#5
Theresa S Betancourt, Mina Fazel
Syria's civil conflict has created the largest humanitarian disaster of our time, causing massive population displacement, tremendous exposure to trauma, and loss. Advancing the mental health and psychosocial responses of war-affected populations both during acute humanitarian emergencies and in post-conflict transition is imperative in forging a constructive implementation agenda. This study makes an important contribution in building evidence toward effective interventions to advance the mental health and well-being of those affected by the Syrian crisis...
May 2018: Journal of Child Psychology and Psychiatry, and Allied Disciplines
https://www.readbyqxmd.com/read/29667145/ethical-challenges-faced-by-healthcare-professionals-who-care-for-suicidal-patients-a-scoping-review
#6
Victoria Saigle, Eric Racine
For each one of the approximately 800,000 people who die from suicide every year, an additional twenty people attempt suicide. Many of these attempts result in hospitalization or in contact with other healthcare services. However, many personal, educational, and institutional barriers make it difficult for healthcare professionals to care for suicidal individuals. We reviewed literature that discusses suicidal patients in healthcare settings in order to highlight common ethical issues and to identify knowledge gaps...
April 17, 2018: Monash Bioethics Review
https://www.readbyqxmd.com/read/29659068/evolving-standards-of-care-in-the-age-of-cybertechnology
#7
Frederic G Reamer
Behavioral health professionals are making increased use of cybertechnology to deliver services to patients, communicate with patients, gather information about patients, and communicate with colleagues. The advent of cybertechnology - included the Internet, text (SMS), email, video, cloud storage of electronic records, and other forms of electronic communication and documentation - has introduced novel and unprecedented ethical and risk-management challenges. This article provides an overview of emerging issues related to informed consent; delivery of services; privacy, confidentiality, and privileged communication; boundary issues and dual relationships; documentation; and practitioners' relationships with colleagues...
March 2018: Behavioral Sciences & the Law
https://www.readbyqxmd.com/read/29658300/professional-ethics-mental-health-and-dangerous-decisions-reducing-the-risk-of-dangerousness-in-world-leaders
#8
Rosemary Field
No abstract text is available yet for this article.
April 16, 2018: Medicine, Conflict, and Survival
https://www.readbyqxmd.com/read/29605819/effect-of-personalised-citizen-assistance-for-social-participation-apic-on-older-adults-health-and-social-participation-study-protocol-for-a-pragmatic-multicentre-randomised-controlled-trial-rct
#9
Mélanie Levasseur, Marie-France Dubois, Johanne Filliatrault, Helen-Maria Vasiliadis, Joanie Lacasse-Bédard, André Tourigny, Marie-Josée Levert, Catherine Gabaude, Hélène Lefebvre, Valérie Berger, Chantal Eymard
INTRODUCTION: The challenges of global ageing and the growing burden of chronic diseases require innovative interventions acting on health determinants like social participation. Many older adults do not have equitable opportunities to achieve full social participation, and interventions might underempower their personal and environmental resources and only reach a minority. To optimise current practices, the Accompagnement-citoyen Personnalisé d'Intégration Communautaire (APIC), an intervention demonstrated as being feasible and having positive impacts, needs further evaluation...
March 31, 2018: BMJ Open
https://www.readbyqxmd.com/read/29605818/evolution-of-epilepsy-prevalence-and-incidence-in-a-tanzanian-area-endemic-for-onchocerciasis-and-the-potential-impact-of-community-directed-treatment-with-ivermectin-a-cross-sectional-study-and-comparison-over-28-years
#10
Helena Greter, Bruno Mmbando, Williams Makunde, Mohamed Mnacho, William Matuja, Advocatus Kakorozya, Patrick Suykerbuyk, Robert Colebunders
INTRODUCTION: Worldwide, there are an estimated 50 million people affected by epilepsy. Its aetiology is manifold, and parasitic infections play an important role, specifically onchocerciasis. In onchocerciasis endemic areas, a distinctive form of epilepsy has been described as nodding syndrome, affecting children and causing nodding seizures, mental retardation and debilitating physical development. Onchocerciasis control programmes using community-directed treatment with ivermectin (CDTI) are implemented in endemic countries...
March 31, 2018: BMJ Open
https://www.readbyqxmd.com/read/29599395/exploring-factors-impacting-early-childhood-health-among-aboriginal-and-torres-strait-islander-families-and-communities-protocol-for-a-population-based-cohort-study-using-data-linkage-the-defying-the-odds-study
#11
Bridgette McNamara, Lina Gubhaju, Louisa Jorm, David Preen, Jocelyn Jones, Grace Joshy, Carrington Shepherd, Daniel McAullay, Sandra Eades
INTRODUCTION: Empirical evidence on family and community risk and protective factors influencing the comparatively high rates of potentially preventable hospitalisations and deaths among Aboriginal and Torres Strait Islander infants and children is limited. As is evidence on geographical variation in these risks. The 'Defying the Odds' study aims to explore the impact of perinatal outcomes, maternal social and health outcomes and level of culturally secure service availability on the health outcomes of Western Australian (WA) Aboriginal infants and children aged 0-5 years...
March 28, 2018: BMJ Open
https://www.readbyqxmd.com/read/29577796/microwave-ablation-compared-to-thyroidectomy-to-treat-benign-thyroid-nodules
#12
Xin Zhi, Ning Zhao, Yujiang Liu, Ji-Bin Liu, Chang Sheng Teng, Linxue Qian
OBJECTIVE: Benign thyroid nodules occur commonly but only require treatment when symptomatic. Surgical treatment, once routine, has been replaced by newer technologies, such as microwave ablation (MWA). The aim of this study was to assess the efficacy, tolerability, and cost of MWA compared to surgery to treat benign thyroid nodules. METHODS: After obtaining ethical approval and informed consent, a prospective trial was conducted with 52 patients who had symptomatic benign thyroid nodules...
March 26, 2018: International Journal of Hyperthermia
https://www.readbyqxmd.com/read/29575261/using-the-internet-for-collateral-information-in-forensic-mental-health-evaluations
#13
Gianni Pirelli, Sara Hartigan, Patricia A Zapf
There is a burgeoning literature regarding using Internet-based data in employment, university admissions, and healthcare settings, but such pertaining to forensic mental health assessment (FMHA) contexts is only beginning to develop and professional ethics codes have yet to address these issues in depth. We present the first empirical investigation of mental health and related professionals' (n = 139) attitudes and practices regarding using Internet data in forensic and therapeutic contexts. Respondents reported their experiences and levels of agreement with items measuring beliefs and attitudes toward using Internet-based data in various professional situations (e...
March 25, 2018: Behavioral Sciences & the Law
https://www.readbyqxmd.com/read/29565103/white-book-on-physical-and-rehabilitation-medicine-in-europe-chapter-2-why-rehabilitation-is-needed-by-individual-and-society
#14
(no author information available yet)
In the context of the White Book of Physical and Rehabilitation Medicine (PRM) in Europe, this paper describes the background to the context of PRM services and comprises the following: - Epidemiological Aspects of Functioning and Disability - Ethical Aspects and Human Rights - Rehabilitation and Health Systems - Economic Burden of Disability - Effects of Lack of Rehabilitation Health care service planning accounts for the burden of disability among society and the chapter describes the justification for specialist rehabilitation, the background of PRM and why making a functional diagnosis and a management plan based on function is its core competence...
April 2018: European Journal of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/29562833/county-jail-or-psychiatric-hospital-ethical-challenges-in-correctional-mental-health-care
#15
Andrea G Segal, Rosemary Frasso, Dominic A Sisti
Approximately 20% of the roughly 2.5 million individuals incarcerated in the United States have a serious mental illness (SMI). As a result of their illnesses, these individuals are often more likely to commit a crime, end up incarcerated, and languish in correctional settings without appropriate treatment. The objective of the present study was to investigate how correctional facility personnel reconcile the ethical challenges that arise when housing and treating individuals with SMI. Four focus groups and one group interview were conducted with employees ( n = 24) including nurses, clinicians, correctional officers, administrators, and sergeants at a county jail in Pennsylvania...
March 1, 2018: Qualitative Health Research
https://www.readbyqxmd.com/read/29551170/ethical-leadership-professional-caregivers-well-being-and-patients-perceptions-of-quality-of-care-in-oncology
#16
Nicolas Gillet, Evelyne Fouquereau, Hélène Coillot, Franck Bonnetain, Sophie Dupont, Leïla Moret, Amélie Anota, Philippe Colombat
PURPOSE: Although quality of care and caregivers' well-being are important issues in their own right, relatively few studies have examined both, especially in oncology. The present research thus investigated the relationship between job-related well-being and patients' perceptions of quality of care. More specifically, we examined the indirect effects of ethical leadership on patients' perceived quality of care through caregivers' well-being. METHOD: A cross-sectional design was used...
April 2018: European Journal of Oncology Nursing: the Official Journal of European Oncology Nursing Society
https://www.readbyqxmd.com/read/29550783/study-protocol-for-vitality-a-proof-of-concept-randomised-controlled-trial-of-exercise-training-or-complex-mental-and-social-activities-to-promote-cognition-in-adults-with-chronic-stroke
#17
John R Best, Janice J Eng, Jennifer C Davis, Robin Hsiung, Peter A Hall, Laura E Middleton, Peter Graf, Charles H Goldsmith, Teresa Liu-Ambrose
INTRODUCTION: Cerebrovascular disease-such as stroke-is the second most common cause of dementia (ie, vascular dementia). Specifically, a stroke increases one's risk for dementia by a factor of two. Thus, stroke survivors represent a target population in need of intervention strategies to promote cognitive function and prevent dementia. The current standard of care in stroke rehabilitation does not adequately address the significant cognitive consequences of stroke, especially for those who are in the chronic phase (ie, >12 months since an index stroke)...
March 17, 2018: BMJ Open
https://www.readbyqxmd.com/read/29549208/targeted-social-care-for-highly-vulnerable-pregnant-women-protocol-of-the-mothers-of-rotterdam-cohort-study
#18
Marije van der Hulst, Marjolein W de Groot, Johanna P de Graaf, Rianne Kok, Peter Prinzie, Alex Burdorf, Loes C M Bertens, Eric A P Steegers
INTRODUCTION: Social vulnerability is known to be related to ill health. When a pregnant woman is socially vulnerable, the ill health does not only affect herself, but also the health and development of her (unborn) child. To optimise care for highly vulnerable pregnant women, in Rotterdam, a holistic programme was developed in close collaboration between the university hospital, the local government and a non-profit organisation. This programme aims to organise social and medical care from pregnancy until the second birthday of the child, while targeting adult and child issues simultaneously...
March 16, 2018: BMJ Open
https://www.readbyqxmd.com/read/29546856/ethical-approach-to-prevention-of-schizophrenia-concepts-and-challenges
#19
Kresimir Radic, Marko Curkovic, Dario Bagaric, Maja Vilibic, Andrea Tomic, Maja Zivkovic
Patients with schizophrenia, nowadays chronic, frequently disabling mental disorder, get initial treatment after detection of a psychotic episode, seemingly late, potentially preventable stage of illness. As our knowledge about the nature of schizophrenia and other diseases of the spectrum is growing, so are the early interventions becoming more possible, and it is important to conceptualize the clinical, legal and moral issues emerging with new preventive treatments. Every intervention, especially in pre-clinical population, demands a careful risk-benefit assessment and having basic bioethical principles - primacy of patient's welfare, beneficience/non-maleficience, autonomy and justice - in mind...
March 2018: Psychiatria Danubina
https://www.readbyqxmd.com/read/29540910/guidelines-for-psychosocial-interventions-in-addictive-disorders-in-india-an-introduction-and-overview
#20
EDITORIAL
Pratima Murthy
While guidelines for psychosocial interventions in addictive disorders in India were earlier rooted in clinical experience and global empirical evidence, recently there have been efforts to develop guidelines for intervention based on the local needs assessments of specific populations and more appreciably, a testing of the effectiveness of the interventions. This supplement on psychosocial interventions for addictive disorders covers some of the important aspects of psychosocial interventions in five sections...
February 2018: Indian Journal of Psychiatry
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