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https://www.readbyqxmd.com/read/28322284/genomic-resources-for-the-study-of-neuropsychiatric-disorders
#1
G Senthil, T Dutka, L Bingaman, T Lehner
The National Institute of Mental Health (NIMH) has made sustained investments in the development of genomic resources over the last two decades. These investments have led to the development of the largest biorepository for psychiatric genetics as a centralized national resource. In the realm of genomic resources, NIMH has been supporting large team science (TS) consortia focused on gene discovery, fine mapping of loci, and functional genomics using state-of-the-art technologies. The scientific output from these efforts has not only begun to transform our understanding of the genetic architecture of neuropsychiatric disorders, but it has also led to a broader cultural change among the investigator community towards deeper collaborations and broad pre-publication sharing of data and resources...
March 21, 2017: Molecular Psychiatry
https://www.readbyqxmd.com/read/28320870/clinical-considerations-related-to-the-behavioral-manifestations-of-child-maltreatment
#2
Robert D Sege, Lisa Amaya-Jackson
Children who have suffered early abuse or neglect may later present with significant health and behavior problems that may persist long after the abusive or neglectful environment has been remediated. Neurobiological research suggests that early maltreatment may result in an altered psychological and physiologic response to stressful stimuli, a response that deleteriously affects the child's subsequent development. Pediatricians can assist caregivers by helping them recognize the abused or neglected child's emotional and behavioral responses associated with child maltreatment and guide them in the use of positive parenting strategies, referring the children and families to evidence-based therapeutic treatment and mobilizing available community resources...
March 20, 2017: Pediatrics
https://www.readbyqxmd.com/read/28317470/anthropology-brokerage-and-collaboration-in-the-development-of-a-tongan-public-psychiatry-local-lessons-for-global-mental-health
#3
Mike Poltorak
The Global Mental Health (GMH) movement has raised questions of the translatability of psychiatric concepts and the challenges of community engagement. In Tonga, the local psychiatrist Dr Puloka successfully established a publicly accessible psychiatry that has improved admission rates for serious mental illnesses and addressed some of the stigma attached to diagnosis. On the basis of historical analysis and ethnographic fieldwork with healers, doctors, and patients since 1998, this article offers an ethnographic contextualization of the development and reception of Puloka's three key interventions during the 1990s: (a) collaboration with traditional healers; (b) translation of psychiatric diagnoses into local cultural concepts; and (c) encouraging freedom of movement and legal appeal to involuntary admission...
December 2016: Transcultural Psychiatry
https://www.readbyqxmd.com/read/28260566/surviving-the-lunacy-act-of-1890-english-psychiatrists-and-professional-development-during-the-early-twentieth-century
#4
Akinobu Takabayashi
In recent decades, historians of English psychiatry have shifted their major concerns away from asylums and psychiatrists in the nineteenth century. This is also seen in the studies of twentieth-century psychiatry where historians have debated the rise of psychology, eugenics and community care. This shift in interest, however, does not indicate that English psychiatrists became passive and unimportant actors in the last century. In fact, they promoted Lunacy Law reform for a less asylum-dependent mode of psychiatry, with a strong emphasis on professional development...
April 2017: Medical History
https://www.readbyqxmd.com/read/28254245/design-of-a-multisite-study-assessing-the-impact-of-tic-disorders-on-individuals-families-and-communities
#5
E F Augustine, H R Adams, R H Bitsko, E van Wijngaarden, A H Claussen, A Thatcher, C E Hanks, A B Lewin, T G O'Connor, A Vierhile, M L Danielson, R Kurlan, T K Murphy, J W Mink
BACKGROUND: Tic disorders, including Tourette syndrome, are complex, multisymptom diseases, yet the impact of these disorders on affected children, families, and communities is not well understood. METHODS: To improve the understanding of the impacts of Tourette syndrome, two research groups conducted independent cross-sectional studies using qualitative and quantitative measures. They focused on similar themes, but distinct scientific objectives, and the sites collaborated to align methods of independent research proposals with the aim of increasing the analyzable sample size...
March 2017: Pediatric Neurology
https://www.readbyqxmd.com/read/28243949/intersecting-cultures-in-deaf-mental-health-an-ethnographic-study-of-nhs-professionals-diagnosing-autism-in-d-deaf-children
#6
Natassia F Brenman, Anja Hiddinga, Barry Wright
Autism assessments for children who are deaf are particularly complex for a number of reasons, including overlapping cultural and clinical factors. We capture this in an ethnographic study of National Health Service child and adolescent mental health services in the United Kingdom, drawing on theoretical perspectives from transcultural psychiatry, which help to understand these services as a cultural system. Our objective was to analyse how mental health services interact with Deaf culture, as a source of cultural-linguistic identity...
February 27, 2017: Culture, Medicine and Psychiatry
https://www.readbyqxmd.com/read/28216766/forensic-psychiatry-in-india-past-present-and-future
#7
REVIEW
S Nambi, Siva Ilango, Lakshmi Prabha
Forensic psychiatry is a subspecialty of psychiatry, in which scientific and clinical expertise is applied to legal issues in legal contexts embracing civil, criminal, correctional, or legislative matters. Forensic psychiatry is still in an infant stage in India and other developing countries. Law is the sanctioning discipline, and Psychiatry is the therapeutic discipline. Due to various reasons, Forensic Psychiatry is reared as Cinderella in our country; "which is much neglected, ignored, misinterpreted, and misunderstood...
December 2016: Indian Journal of Psychiatry
https://www.readbyqxmd.com/read/28196998/clinical-profile-of-patients-seeking-services-at-urban-community-psychiatric-services-in-chandigarh
#8
Suravi Patra, Bir Singh Chavan, Nitin Gupta, Ajeet Sidana
CONTEXT: About two-third of patients with mental, neurological, and substance use disorder in India do not get adequate treatment due to insufficient clinical facilities. In a country with diverse population such as India, no single model can be effective and each region needs to develop local system of service delivery unique to population needs. Community outreach clinics (COCs) being run by the department of psychiatry provide mental health services in the primary health-care setting...
October 2016: Indian Journal of Psychiatry
https://www.readbyqxmd.com/read/28194547/madness-decolonized-madness-as-transnational-identity-in-gail-hornstein-s-agnes-s-jacket
#9
Gavin Miller
The US psychologist Gail Hornstein's monograph, Agnes's Jacket: A Psychologist's Search for the Meanings of Madness (2009), is an important intervention in the identity politics of the mad movement. Hornstein offers a resignified vision of mad identity that embroiders the central trope of an "anti-colonial" struggle to reclaim the experiential world "colonized" by psychiatry. A series of literal and figurative appeals makes recourse to the inner world and (corresponding) cultural world of the mad as well as to the ethno-symbolic cultural materials of dormant nationhood...
February 13, 2017: Journal of Medical Humanities
https://www.readbyqxmd.com/read/28191035/the-prevalence-of-suicidal-ideation-and-depression-among-primary-care-patients-and-current-management-in-south-korea
#10
Yoon-Joo Choi, Weon-Young Lee
BACKGROUND: Primary care in South Korea has no effective screening system to identify high-risk suicide patients despite to the possibility of hidden patients. The present study examined the prevalence of suicidal ideation and depression among primary care patients and investigated rates of recognition and management strategies of physicians as they encountering patients with suicidal ideation and depression in primary care settings. METHODS: This study was conducted as a two-part survey of patients visiting primary care clinics and their physicians...
2017: International Journal of Mental Health Systems
https://www.readbyqxmd.com/read/28174594/preventing-involuntary-admissions-special-needs-for-distinct-patient-groups
#11
Knut Hoffmann, I S Haussleiter, F Illes, J Jendreyschak, A Diehl, B Emons, C Armgart, A Schramm, G Juckel
BACKGROUND: Coercive measures in psychiatry are a controversial topic and raise ethical, legal and clinical issues. Involuntary admission of patients is a long-lasting problem and indicates a problematic pathway to care situations within the community, largely because personal freedom is fundamentally covered by the UN declaration of human rights and the German constitution. METHODS: In this study, a survey on a large and comprehensive population of psychiatric in-patients in the eastern part of North Rhine-Westphalia, Germany, was carried out for the years 2004-2009, including 230...
2017: Annals of General Psychiatry
https://www.readbyqxmd.com/read/28167747/integrated-collaborative-care-teams-to-enhance-service-delivery-to-youth-with-mental-health-and-substance-use-challenges-protocol-for-a-pragmatic-randomised-controlled-trial
#12
Joanna L Henderson, Amy Cheung, Kristin Cleverley, Gloria Chaim, Myla E Moretti, Claire de Oliveira, Lisa D Hawke, Andrew R Willan, David O'Brien, Olivia Heffernan, Tyson Herzog, Lynn Courey, Heather McDonald, Enid Grant, Peter Szatmari
INTRODUCTION: Among youth, the prevalence of mental health and addiction (MHA) disorders is roughly 20%, yet youth are challenged to access evidence-based services in a timely fashion. To address MHA system gaps, this study tests the benefits of an Integrated Collaborative Care Team (ICCT) model for youth with MHA challenges. A rapid, stepped-care approach geared to need in a youth-friendly environment is expected to result in better youth MHA outcomes. Moreover, the ICCT approach is expected to decrease service wait-times, be more youth-friendly and family-friendly, and be more cost-effective, providing substantial public health benefits...
February 6, 2017: BMJ Open
https://www.readbyqxmd.com/read/28152138/effect-of-reverse-triage-on-creation-of-surge-capacity-in-a-pediatric-hospital
#13
Gabor D Kelen, Ruben Troncoso, Joshua Trebach, Scott Levin, Gai Cole, Caitlin M Delaney, J Lee Jenkins, James Fackler, Lauren Sauer
Importance: The capacity of pediatric hospitals to provide treatment to large numbers of patients during a large-scale disaster remains a concern. Hospitals are expected to function independently for as long as 96 hours. Reverse triage (early discharge), a strategy that creates surge bed capacity while conserving resources, has been modeled for adults but not pediatric patients. Objective: To estimate the potential of reverse triage for surge capacity in an academic pediatric hospital...
February 6, 2017: JAMA Pediatrics
https://www.readbyqxmd.com/read/28132694/buprenorphine-prescribing-practice-trends-and-attitudes-among-new-york-providers
#14
Andrea Kermack, Mara Flannery, Babak Tofighi, Jennifer McNeely, Joshua D Lee
Buprenorphine office-based opioid maintenance is an increasingly common form of treatment for opioid use disorders. However, total prescribing has not kept pace with the current opioid and overdose epidemic and access remains scarce among the underserved. This study sought to assess current provider attitudes and clinical practices among a targeted sample of primarily New York City public sector buprenorphine prescribers. A cross-sectional online survey purposefully sampled buprenorphine prescribers in NYC with a focus on those serving Medicaid and uninsured patient populations...
March 2017: Journal of Substance Abuse Treatment
https://www.readbyqxmd.com/read/28118267/determinants-of-suicidality-and-of-treatment-modalities-in-a-community-psychiatry-sample-of-asylum-seekers
#15
Natacha Premand, Rachel Baeriswyl-Cottin, Marianne Gex-Fabry, Nikol Hiller, David Framorando, Ariel Eytan, Panteleimon Giannakopoulos, Javier Bartolomei
A high prevalence of mental illness has been reported in asylum seekers. The present cross-sectional study examined suicidal thoughts, treatment modalities (outpatient crisis intervention, inpatient care), and their determinants in asylum seekers (n = 119) and permanent residents (n = 120) attending the same outpatient clinic in Geneva, Switzerland. The most frequent diagnoses were depressive disorders (64.7%) and posttraumatic stress disorder (34.5%) in asylum seekers and psychotic (55.0%) and depressive disorders (33...
January 23, 2017: Journal of Nervous and Mental Disease
https://www.readbyqxmd.com/read/28117060/trajectories-of-substance-use-disorder-in-youth-after-detention-a-12-year-longitudinal-study
#16
Leah J Welty, Jennifer A Hershfield, Karen M Abram, Hongyun Han, Gayle R Byck, Linda A Teplin
OBJECTIVE: To identify trajectories of substance use disorders (SUDs) in youth during the 12 years after detention and how gender, race/ethnicity, and age at baseline predict trajectories. METHOD: As part of the Northwestern Juvenile Project, a longitudinal study of 1,829 youth randomly sampled from detention in Chicago, Illinois from 1995 through 1998, participants were reinterviewed in the community or correctional facilities up to 9 times over 12 years. Independent interviewers assessed SUDs using the Diagnostic Interview Schedule for Children 2...
February 2017: Journal of the American Academy of Child and Adolescent Psychiatry
https://www.readbyqxmd.com/read/28114087/preservation-of-peace-as-a-target-of-mental-health-promotion
#17
EDITORIAL
G Christodoulou
There is little need to argue for the serious consequences of War on the mental health of survivors. This painful fact has been known since time immemorial but in spite of this it has not worked in an avertive way to the desired extent. What has the mental health community done towards this direction? Not much, unfortunately. The reasons must be sought in the notion that preservation of peace is considered as self-evident, in the fear that supporting peace may be perceived as a political action or may be just in simple inertia...
October 2016: Psychiatrikē, Psychiatriki
https://www.readbyqxmd.com/read/28051841/a-review-of-a-national-training-initiative-to-increase-provider-use-of-mat-to-address-the-opioid-epidemic
#18
REVIEW
Frances R Levin, Adam Bisaga, Maria A Sullivan, Arthur Robin Williams, Kathryn Cates-Wessel
BACKGROUND AND OBJECTIVES: The Providers' Clinical Support System for Medication Assisted Treatment (PCSS-MAT) initiative focuses on training and mentoring health professionals in the treatment of opioid use disorders (OUD) using pharmacological strategies. Led by the American Academy of Addiction Psychiatry (AAAP), PCSS-MAT is a consortium representing four of the five national professional organizations authorized by DATA 2,000-AAAP, American Osteopathic Academy of Addiction Medicine, American Psychiatric Association, and American Society of Addiction Medicine...
December 2016: American Journal on Addictions
https://www.readbyqxmd.com/read/28032214/perinatal-suicidal-ideation-and-behaviour-psychiatry-and-adversity
#19
Michael Nnachebe Onah, Sally Field, Jason Bantjes, Simone Honikman
Pregnant women are at increased risk for suicidal ideation and behaviours (SIB) compared to the general population. To date, studies have focused on the psychiatric correlates of SIB with lesser attention given to the associated contextual risk factors, particularly in low- and middle-income countries. We investigated the prevalence and associated psychiatric and socio-economic contextual factors for SIB among pregnant women living in low resource communities in South Africa. Three hundred seventy-six pregnant women were evaluated using a range of tools to collect data on socio-economic and demographic factors, social support, life events, interpersonal violence and mental health diagnoses...
April 2017: Archives of Women's Mental Health
https://www.readbyqxmd.com/read/28029063/computerized-physical-activity-training-for-persons-with-severe-mental-illness-experiences-from-a-communal-supported-housing-project
#20
Amanda Lundvik Gyllensten, Karl-Anton Forsberg
PURPOSE: To study the effectiveness of Exergames in communal psychiatry for persons with severe mental illness, a randomized cluster study was performed. The hypothesis was to increase physical activity habits to improve somatic health. To identify factors promoting or impeding the use of the Exergames. METHODS: Assessments of BMI, blood pressure, physical fitness, SF36, GAF and social interactions were studied at baseline and 10 months. An integrated methods design using content analysis of focus group interviews was integrated with a statistical analysis...
December 28, 2016: Disability and Rehabilitation. Assistive Technology
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