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Mental health boarding

Bernard Gallagher, Anne H Berman, Justyna Bieganski, Adele D Jones, Liliana Foca, Ben Raikes, Johanna Schiratzki, Mirjam Urban, Sara Ullman
Although international research is increasing in volume and importance, there remains a dearth of knowledge on similarities and differences in "national human research ethics" (NHREs), that is, national ethical guidelines (NEGs), Institutional Review Boards (IRBs), and research stakeholder' ethical attitudes and behaviors (EABs). We begin to address this situation by reporting upon our experiences in conducting a multinational study into the mental health of children who had a parent/carer in prison. The study was conducted in 4 countries: Germany, Great Britain, Romania, and Sweden...
October 2, 2016: Ethics & Behavior
Sean Page, Jenny Burgess, Ian Davies-Abbott, Debbie Roberts, Jaanika Molderson
It cannot be assumed by healthcare providers that transgender people routinely receive care and treatment that is of the quality and sensitivity that should be expected. In particular there are concerns from within the transgender community that they experience discrimination and disrespect from both individual practitioners and the healthcare system as a whole. This causes an avoidance of contact that is undesirable for both users and providers of healthcare services. Older transgender people are vulnerable to a range of mental health problems and, like all elderly, increasingly to dementia; failure to access specialist services in a timely manner may result in unnecessary distress and potentially to crisis...
October 14, 2016: Issues in Mental Health Nursing
Rahil Sanatinia, Violet Cowan, Kirsten Barnicot, Krysia Zalewska, David Shiers, Stephen J Cooper, Mike J Crawford
BACKGROUND: Users of mental health service are concerned about changes in clinicians providing their care, but little is known about their impact. AIMS: To examine associations between changes in staff, and patient satisfaction and quality of care. METHOD: A national cross-sectional survey of 3379 people aged 18 or over treated in secondary care for schizophrenia or schizoaffective disorder. RESULTS: Nearly 41.9% reported at least one change in their key worker during the previous 12 months and 10...
September 2016: BJPsych Open
Gin S Malhi, Yulisha Byrow, Frederick Cassidy, Andrea Cipriani, Koen Demyttenaere, Mark A Frye, Michael Gitlin, Sidney H Kennedy, Terence A Ketter, Raymond W Lam, Rupert McShane, Alex J Mitchell, Michael J Ostacher, Sakina J Rizvi, Michael E Thase, Mauricio Tohen
SUMMARY: The appeal of ketamine - in promptly ameliorating depressive symptoms even in those with non-response - has led to a dramatic increase in its off-label use. Initial promising results await robust corroboration and key questions remain, particularly concerning its long-term administration. It is, therefore, timely to review the opinions of mood disorder experts worldwide pertaining to ketamine's potential as an option for treating depression and provide a synthesis of perspectives - derived from evidence and clinical experience - and to consider strategies for future investigations...
May 2016: BJPsych Open
Jane N Kogan, James Schuster, Cara Nikolajski, Patricia Schake, Tracy Carney, Sally C Morton, Chaeryon Kang, Charles F Reynolds
BACKGROUND: The aim of patient-centered comparative effectiveness research is to conduct stakeholder-driven investigations that identify which interventions are most effective for which patients under specific circumstances. Conducting this research in real-world settings comes with unique experiences and challenges. We provide the study design, challenges confronted, and the solutions we devised for Optimal Health, a stakeholder-informed patient-centered comparative effectiveness study focused on the needs of seriously mentally ill individuals receiving case management services in community mental health centers across Pennsylvania...
September 28, 2016: Clinical Trials: Journal of the Society for Clinical Trials
Sharon M Holder, Kenneth Rogers, Eunice Peterson, Robbie Shoenleben, Dawn Blackhurst
OBJECTIVES: This study assessed improvement in the emergency department (ED) length of stay and costs after implementation of an ED program which added board-certified psychiatrists and trained psychiatric social workers to the pediatric ED. METHODS: A retrospective medical record and administrative data review were conducted for all pediatric psychiatric visits of children aged 5 to 18 years who were seen and discharged from the Greenville Memorial Hospital ED between January 1, 2007, and June 31, 2013...
September 23, 2016: Pediatric Emergency Care
Deepa Singal, Marni Brownell, Ana Hanlon-Dearman, Dan Chateau, Sally Longstaffe, Leslie L Roos
INTRODUCTION: Fetal alcohol spectrum disorder (FASD) is a significant public health concern. To prevent FASD, factors that place women at risk for giving birth to children with FASD must be investigated; however, there are little data in this area. This paper describes the development of the Manitoba mothers and FASD study, a retrospective cohort of mothers whose children were diagnosed with FASD, generated to investigate: (1) risk factors associated with giving birth to children with FASD; (2) maternal physical and health outcomes, as well as the usage of health and social services...
2016: BMJ Open
Erin R McKnight, Andrea E Bonny, Hannah L H Lange, David M Kline, Mahmoud Abdel-Rasoul, Joseph R Gay, Steven C Matson
BACKGROUND: Little is known about the relationship between opioid prescribing practices and the prevalence of adolescent opioid misuse. OBJECTIVE: To examine the relationships between both opioid prescriptions filled by adolescents and adults and adolescents seeking treatment for opioid misuse in Ohio. METHODS: Analyses of large statewide databases from 2008 to 2012, including all 88 counties in Ohio. The Ohio Board of Pharmacy provided data regarding prescription opioids filled by adolescents (12-20 years, N = 50,030,820 doses) and adults (>20 years, N = 3,811,288,395 doses) by county of residence...
September 19, 2016: American Journal of Drug and Alcohol Abuse
Nilufar Ahmed, Ann John, Saiful Islam, Richard Jones, Pippa Anderson, Charlotte Davies, Ashra Khanom, Shaun Harris, Peter Huxley
INTRODUCTION: Self-harm is a strong predictor for suicide. Risks for repeat behaviour are heightened in the aftermath of an index episode. There is no consensus on the most effective type of intervention to reduce repetition. Treatment options for patients who do not require secondary mental health services include no support, discharge to general practitioner or referral to primary care mental health support services. The aim of this study is to assess whether it is feasible to deliver a brief intervention after an episode and whether this can reduce depressive symptoms and increase the sense of well-being for patients who self-harm...
September 14, 2016: BMJ Open
Feggy Ostrosky Shejet, Alicia Velez Garcia
OBJECTIVE: This invited paper explores the diverse pathways that have led to the development of neuropsychology in Mexico. METHOD: The authors conducted a review of the literature and their own experiences to describe the seminal events and people relevant to the development of this area of research and practice. RESULTS: The master's degree is the usual level of educational attainment for those who wish to practice clinical neuropsychology...
September 7, 2016: Clinical Neuropsychologist
Norberto Quiles, Abdulaziz Alnafesah, Joseph Ciccolo, Carol Ewing Garber
No abstract text is available yet for this article.
May 2016: Medicine and Science in Sports and Exercise
Sarah A Burkart, Cory Greever, Matthew Ahmadi, Ogechi Nwoakelemeh, Christine St Laurent, Sofiya Alhassan
No abstract text is available yet for this article.
May 2016: Medicine and Science in Sports and Exercise
Brendon Roxburgh, Tyler Elliott, Stacey Reading
No abstract text is available yet for this article.
May 2016: Medicine and Science in Sports and Exercise
Hannah M McCormack, Tadhg E MacIntyre, Deirdre O'Shea, Mark Campbell
No abstract text is available yet for this article.
May 2016: Medicine and Science in Sports and Exercise
Sophie Blakemore
What is your job? As nurse director I lead nursing strategy, and the approaches to care and nursing standards, in the mental health and learning disabilities service delivery unit for Abertawe Bro Morgannwg University Health Board.
September 2016: Nursing Management (Harrow)
Anja Perlich, Christoph Meinel
There is significant, unexploited potential to improve the patients' engagement in psychotherapy treatment through technology use. We develop Tele-Board MED (TBM), a digital tool to support documentation and patient-provider collaboration in medical encounters. Our objective is the evaluation of TBM's practical effects on patient-provider relationships and patient empowerment in the domain of talk-based mental health interventions. We tested TBM in individual therapy sessions at a psychiatric ward using action research methods...
2016: Studies in Health Technology and Informatics
Michiyo Ando
BACKGROUND: Since moral distress affects psychological aspects of psychiatric nurses, it is an important theme. Previous studies showed relationships between moral distress and job satisfaction; however, there are few studies which investigate relationships between moral distress and other effective variables and then we highlighted relationships among these variables. OBJECTIVE: This study aimed to (1) examine relationships among moral distress, sense of coherence, mental health, and job satisfaction and (2) clarify the most predictive variable to job satisfaction...
August 16, 2016: Nursing Ethics
Amanda J Baxter, Fiona J Charlson, Hui G Cheng, Rahul Shidhaye, Alize J Ferrari, Harvey A Whiteford
BACKGROUND: Population-representative prevalence data for mental, neurological, and substance use disorders are essential for evidence-based decision making. As a background to the China-India Mental Health Alliance Series, we aim to examine the availability of data and report prevalence for the most common mental, neurological, and substance use disorders in China and India from the Global Burden of Disease study 2013 (GBD 2013). METHODS: In this systematic analysis, data sources were identified from GBD 2013 for the prevalence of mental, neurological, and substance use disorders in China and India published up to Dec 31, 2013...
September 2016: Lancet Psychiatry
Michelle Bester, Yolanda Havenga, Zea Ligthelm
BACKGROUND: The ability to consent promotes children's access to health services. Healthcare providers should assess and arrive at a clinical judgement about the child's maturity and mental capacity to obtain valid consent. RESEARCH OBJECTIVE: The objective of the study was to determine practices employed by South African healthcare providers to obtain consent for treatment from children. RESEARCH DESIGN: A qualitative, explorative, descriptive research design was used and the study was contextual...
August 12, 2016: Nursing Ethics
Aimee N C Campbell, Don Des Jarlais, Cooper Hannah, Sarah Braunstein, Susan Tross, Laura Kersanske, Christine Borges, Martina Pavlicova, Kevin Jefferson, Howard Newville, Laurel Weaver, Margaret Wolff
BACKGROUND: The intersection of HIV-related health outcomes and problem substance use has been well documented. New York City continues to be a focal point of the U.S. HIV epidemic. In 2011, the NYC Department of Health and Mental Hygiene (NYC DOHMH) issued a recommendation that all HIV infected individuals should be offered antiretroviral therapy (ART) regardless of CD4 cell count or other indicators of disease progression. This policy is based in the concept of "treatment as prevention," in which providing ART to people living with HIV (PLWH) greatly reduces the likelihood of HIV transmission, while also improving individual health...
2016: BMC Health Services Research
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