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Ethics and mental health

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https://www.readbyqxmd.com/read/29042376/protocol-for-a-cohort-study-of-adolescent-mental-health-service-users-with-a-nested-cluster-randomised-controlled-trial-to-assess-the-clinical-and-cost-effectiveness-of-managed-transition-in-improving-transitions-from-child-to-adult-mental-health-services-the
#1
Swaran P Singh, Helena Tuomainen, Giovanni de Girolamo, Athanasios Maras, Paramala Santosh, Fiona McNicholas, Ulrike Schulze, Diane Purper-Ouakil, Sabine Tremmery, Tomislav Franić, Jason Madan, Moli Paul, Frank C Verhulst, Gwen C Dieleman, Jane Warwick, Dieter Wolke, Cathy Street, Claire Daffern, Priya Tah, James Griffin, Alastair Canaway, Giulia Signorini, Suzanne Gerritsen, Laura Adams, Lesley O'Hara, Sonja Aslan, Frédérick Russet, Nikolina Davidović, Amanda Tuffrey, Anna Wilson, Charlotte Gatherer, Leanne Walker
INTRODUCTION: Disruption of care during transition from child and adolescent mental health services (CAMHS) to adult mental health services may adversely affect the health and well-being of service users. The MILESTONE (Managing the Link and Strengthening Transition from Child to Adult Mental Healthcare) study evaluates the longitudinal course and outcomes of adolescents approaching the transition boundary (TB) of their CAMHS and determines the effectiveness of the model of managed transition in improving outcomes, compared with usual care...
October 16, 2017: BMJ Open
https://www.readbyqxmd.com/read/29026589/a-retrospective-analysis-of-biochemical-and-haematological-parameters-in-patients-with-eating-disorders
#2
Leanne J Barron, Robert F Barron, Jeremy C S Johnson, Ingrid Wagner, Cameron J B Ward, Shannon R B Ward, Faye M Barron, Warren K Ward
BACKGROUND: The objective of the study was to determine whether levels of biochemical and haematological parameters in patients with eating disorders (EDs) varied from the general population. Whilst dietary restrictions can lead to nutritional deficiencies, specific abnormalities may be relevant to the diagnosis, pathogenesis and treatment of EDs. METHODS: With ethics approval and informed consent, a retrospective chart audit was conducted of 113 patients with EDs at a general practice in Brisbane, Australia...
2017: Journal of Eating Disorders
https://www.readbyqxmd.com/read/29025847/exploring-the-role-of-the-nurse-manager-in-supporting-point-of-care-nurses-adoption-of-electronic-health-records-protocol-for-a-qualitative-research-study
#3
Gillian Strudwick, Richard G Booth, Ragnhildur I Bjarnadottir, Sarah Collins, Rani Srivastava
INTRODUCTION: An increasing number of electronic health record (EHR) systems have been implemented in clinical practice environments where nurses work. Findings from previous studies have found that a number of intended benefits of the technology have not yet been realised to date, partially due to poor system adoption among health professionals such as nurses. Previous studies have suggested that nurse managers can support the effective adoption and use of the technology by nurses. However, no known studies have identified what role nurse managers have in supporting technology adoption, nor the specific strategies that managers can employ to support their staff...
October 12, 2017: BMJ Open
https://www.readbyqxmd.com/read/29018072/association-between-home-visiting-interventions-and-first-nations-families-health-and-social-outcomes-in-manitoba-canada-protocol-for-a-study-of-linked-population-based-administrative-data
#4
Marni D Brownell, Nathan C Nickel, Jennifer E Enns, Mariette Chartier, Rhonda Campbell, Wanda Phillips-Beck, Dan Chateau, Elaine Burland, Rob Santos, Alan Katz
INTRODUCTION: First Nations people are descendants of Canada's original inhabitants. In consequence of historical and ongoing structural injustices, many First Nations families struggle with challenging living conditions, including high rates of poverty, poor housing conditions, mental illness and social isolation. These risk factors impede caregivers' abilities to meet their children's basic physical and psychosocial needs. Home visiting programmes were developed to support child developmental health in families facing parenting challenges...
October 10, 2017: BMJ Open
https://www.readbyqxmd.com/read/29018069/using-comprehensive-geriatric-assessment-for-quality-improvements-in-healthcare-of-older-people-in-uk-care-homes-protocol-for-realist-review-within-proactive-healthcare-of-older-people-in-care-homes-peach-study
#5
Maria Zubair, Neil H Chadborn, John R F Gladman, Tom Dening, Adam L Gordon, Claire Goodman
INTRODUCTION: Care home residents are relatively high users of healthcare resources and may have complex needs. Comprehensive geriatric assessment (CGA) may benefit care home residents and improve efficiency of care delivery. This is an approach to care in which there is a thorough multidisciplinary assessment (physical and mental health, functioning and physical and social environments) and a care plan based on this assessment, usually delivered by a multidisciplinary team. The CGA process is known to improve outcomes for community-dwelling older people and those in receipt of hospital care, but less is known about its efficacy in care home residents...
October 10, 2017: BMJ Open
https://www.readbyqxmd.com/read/29016416/the-new-age-of-bullying-and-violence-in-health-care-part-3-managing-the-bullying-boss-and-leadership
#6
Ellen Fink-Samnick
PURPOSE/OBJECTIVES: PRIMARY PRACTICE SETTING(S):: Applicable to all health care sections where case management is practiced. FINDINGS/CONCLUSIONS: This article is the third of a 4-part series on the topic of bullying in the health care workplace. Part 3 addresses the dimensions of the bullying boss and leadership, posing major implications for patient safety plus the mental health of staff members. The complex constructs and dynamics broached by the bullying boss and department leadership are explored...
November 2017: Professional Case Management
https://www.readbyqxmd.com/read/28985228/effect-of-lifestyle-coaching-versus-care-coordination-versus-treatment-as-usual-in-people-with-severe-mental-illness-and-overweight-two-years-follow-up-of-the-randomized-change-trial
#7
RANDOMIZED CONTROLLED TRIAL
Ane Storch Jakobsen, Helene Speyer, Hans Christian Brix Nørgaard, Mette Karlsen, Merete Birk, Carsten Hjorthøj, Ole Mors, Jesper Krogh, Christian Gluud, Charlotta Pisinger, Merete Nordentoft
The objective of this trial was to assess the long-term effect of the CHANGE lifestyle coaching intervention for 428 people with abdominal obesity and schizophrenia spectrum disorders on cardiovascular risk. In this randomized, superiority, multi-center clinical trial, participants were randomized to 12 months of either lifestyle coaching plus care coordination (N = 138), care coordination alone, (N = 142) or treatment as usual (N = 148). There was no effect after 12 months, but we hypothesized that there might have been a delayed treatment effect...
2017: PloS One
https://www.readbyqxmd.com/read/28982825/detectaweb-project-study-protocol-of-a-web-based-detection-of-mental-health-of-children-and-adolescents
#8
Jose A Piqueras, Mariola Garcia-Olcina, Maria Rivera-Riquelme, Tiscar Rodriguez-Jimenez, Agustin E Martinez-Gonzalez, Pim Cuijpers
INTRODUCTION: Traditionally, research and practice addressing mental health has been conducted within a unidimensional model, explaining mental health as the presence/absence of psychological problems (distress or psychopathological symptoms). More recently, accumulative evidence has supported a bi-dimensional model, which conceptualises psychological problems and psychological strengths (well-being) as related-yet-distinct continua that, when considered together, yields a more comprehensive understanding of individuals...
October 5, 2017: BMJ Open
https://www.readbyqxmd.com/read/28969704/a-health-app-developer-s-guide-to-law-and-policy-a-multi-sector-policy-analysis
#9
Lisa Parker, Tanya Karliychuk, Donna Gillies, Barbara Mintzes, Melissa Raven, Quinn Grundy
BACKGROUND: Apps targeted at health and wellbeing sit in a rapidly growing industry associated with widespread optimism about their potential to deliver accessible and cost-effective healthcare. App developers might not be aware of all the regulatory requirements and best practice principles are emergent. Health apps are regulated in order to minimise their potential for harm due to, for example, loss of personal health privacy, financial costs, and health harms from delayed or unnecessary diagnosis, monitoring and treatment...
October 2, 2017: BMC Medical Informatics and Decision Making
https://www.readbyqxmd.com/read/28965098/study-protocol-for-a-longitudinal-study-evaluating-the-impact-of-rape-on-women-s-health-and-their-use-of-health-services-in-south-africa
#10
Naeemah Abrahams, Soraya Seedat, Carl Lombard, Andre P Kengne, Bronwyn Myers, Alesha Sewnath, Shibe Mhlongo, Gita Ramjee, Nasheeta Peer, Claudia Garcia-Moreno, Rachel Jewkes
INTRODUCTION: South Africa is a country known for its high levels of HIV infection and sexual violence. Although the interface between gender-based violence, HIV and mental health has been described, there are substantial gaps in knowledge of the medium-term and long-term health impact. The 2010 Global Burden of Disease study excluded many health outcomes associated with rape and other forms of gender-based violence because systematic reviews revealed huge gaps in data and poor evidence of health effects...
September 29, 2017: BMJ Open
https://www.readbyqxmd.com/read/28963298/cross-sector-user-and-provider-perceptions-on-experiences-of-shared-care-clozapine-a-qualitative-study
#11
Camilla Sowerby, Denise Taylor
OBJECTIVES: (1) To explore individual perceptions on experiences of people receiving and/or delivering a shared-care clozapine serviceand (2) to gain an understanding of effectiveness and acceptability of shared-care clozapine. DESIGN: Interpretative phenomenological analysis guided the delivery and analysis of a semistructured interview and focus group study designed to explore participant experience of shared-care clozapine. Ethical approval 13/EM/0286 was gained in July 2013 from East Midlands-Nottingham 1 REC...
September 28, 2017: BMJ Open
https://www.readbyqxmd.com/read/28962540/photovoice-ethics-critical-reflections-from-men-s-mental-health-research
#12
Genevieve Creighton, John L Oliffe, Olivier Ferlatte, Joan Bottorff, Alex Broom, Emily K Jenkins
As photovoice continues to grow as a method for researching health and illness, there is a need for rigorous discussions about ethical considerations. In this article, we discuss three key ethical issues arising from a recent photovoice study investigating men's depression and suicide. The first issue, indelible images, details the complexity of consent and copyright when participant-produced photographs are shown at exhibitions and online where they can be copied and disseminated beyond the original scope of the research...
September 1, 2017: Qualitative Health Research
https://www.readbyqxmd.com/read/28960744/multidimensional-approach-to-restraint-minimization-the-journey-of-a-specialized-mental%C3%A2-health-organization
#13
Alexandra Hernandez, Sanaz Riahi, Melanie I Stuckey, Barbara A Mildon, Philip E Klassen
The executive-level witnessing and review of restraint events has been identified as a key strategy for restraint minimization. In the present study, we examined the changes in restraint practices at a tertiary-level mental health-care facility with implementation of an initiative, in which representatives from senior management, professional practice, peer support, and clinical ethics witnessed seclusion and restraint events, and rounded with clinical teams to discuss timely release and brainstorm prevention strategies...
October 2017: International Journal of Mental Health Nursing
https://www.readbyqxmd.com/read/28953813/survey-on-the-knowledge-and-expectations-of-psychiatry-of-intellectual-disability-id-in-junior-doctors-joining-a-nhs-mental-health-trust
#14
Madhusudan Deepak Thalitaya, Claire Reynolds
BACKGROUND: Nationally, there is a drive to rotate more Foundation and GP Trainee Doctors through Psychiatry posts. In East London Foundation Trust (ELFT) in Bedfordshire, doctors from Core Psychiatry, Foundation and GP training programmes come to train in Psychiatry. Many will not have worked in Psychiatry before and have little experience of patients with ID. The prevalence of people with ID is increasing with improved life expectancy. They are a complex and vulnerable group with considerable wider legal, ethical and social issues...
September 2017: Psychiatria Danubina
https://www.readbyqxmd.com/read/28953757/barriers-to-accessing-and-consuming-mental-health-services-for-palestinians-with-psychological-problems-residing-in-refugee-camps-in-jordan
#15
Callum McKell, Ahmed Hankir, Ishtaiwi Abu-Zayed, Raeda Al-Issa, Amjad Awad
BACKGROUND: The Baqa'a refugee camp is the largest in Jordan, home to some 104,000 Palestine refugees. Barriers to accessing and consuming mental health services in Arab-refugees are well documented in the literature however few studies have been conducted hitherto to identify barriers for Palestine refugees with psychological problems residing in refugee camps in Jordan. AIM: To identify the barriers to accessing and consuming mental health services for Palestine refugees with psychological problems residing in Baqa'a refugee camp in Jordan and to formulate policy recommendations to overcome those barriers...
September 2017: Psychiatria Danubina
https://www.readbyqxmd.com/read/28947459/youth-friendliness-in-mental-health-and-addiction-services-protocol-for-a-scoping-review
#16
Lisa D Hawke, Kristin Cleverley, Cara Settipani, Maureen Rice, Joanna Henderson
INTRODUCTION: To better reach youth in need of mental health and addiction (MHA) services, there is increasing emphasis on making MHA services 'youth friendly.' However, it is unclear what youth friendliness means on a practical level. This scoping review explores (1) how youth friendliness in mental health services is defined in the literature, (2) what characteristics make MHA services youth friendly and (3) how youth friendliness is expected to impact service use by young people. METHODS: A search will be conducted of eight electronic bibliographic databases over the last 15 years (2002-2017) to identify literature on youth friendliness consistent with the modern youth experience...
September 24, 2017: BMJ Open
https://www.readbyqxmd.com/read/28946581/perception-of-ethical-misconduct-by-neuropsychology-professionals-in-spain
#17
Laiene Olabarrieta-Landa, Alfonso Caracuel Romero, Ivan Panyavin, Juan Carlos Arango-Lasprilla
OBJECTIVE: To examine the prevalence of perceived ethical misconduct in clinical practice, teaching, and research in the field of neuropsychology in Spain. METHOD: Two hundred and fifteen self-identified mental health professionals who engage in neuropsychology practice in Spain completed an online survey from July to December of 2013. In the ethics section of the survey, participants were asked to identify if neuropsychologists they know who work in their country engaged in specific kinds of ethical misconduct...
September 16, 2017: NeuroRehabilitation
https://www.readbyqxmd.com/read/28943983/the-impact-of-drug-related-problems-on-health-related-quality-of-life-among-hypertensive-patients-in-jordan
#18
Rana Abu Farha, Akram Saleh, Salah Aburuz
BACKGROUND: Hypertension is a major cause of cardiovascular diseases with a high prevalence in Jordan. No previous studies have been carried out to determine the effect of the presence of drug-related problems (DRPs) on the health-related quality of life (HRQOL) among hypertensive patients. OBJECTIVES: The purpose of this study was to identify the influence of different types of DRPs on the HRQOL of hypertensive patients. METHODS: A total of 200 hypertensive patients were recruited in this cross-sectional correlation study that was conducted across the cardiac outpatient clinic at Jordan University Hospital...
July 2017: Pharmacy Practice
https://www.readbyqxmd.com/read/28942536/the-ethics-of-virtual-reality-technology-social-hazards-and-public-policy-recommendations
#19
James S Spiegel
This article explores four major areas of moral concern regarding virtual reality (VR) technologies. First, VR poses potential mental health risks, including Depersonalization/Derealization Disorder. Second, VR technology raises serious concerns related to personal neglect of users' own actual bodies and real physical environments. Third, VR technologies may be used to record personal data which could be deployed in ways that threaten personal privacy and present a danger related to manipulation of users' beliefs, emotions, and behaviors...
September 23, 2017: Science and Engineering Ethics
https://www.readbyqxmd.com/read/28941542/end-of-life-and-bereavement-care-in-pediatric-intensive-care-units
#20
REVIEW
Markita L Suttle, Tammara L Jenkins, Robert F Tamburro
Most childhood deaths in the United States occur in hospitals. Pediatric intensive care clinicians must anticipate and effectively treat dying children's pain and suffering and support the psychosocial and spiritual needs of families. These actions may help family members adjust to their loss, particularly bereaved parents who often experience reduced mental and physical health. Candid and compassionate communication is paramount to successful end-of-life (EOL) care as is creating an environment that fosters meaningful family interaction...
October 2017: Pediatric Clinics of North America
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