keyword
https://read.qxmd.com/read/38495910/workplace-trauma-and-professional-quality-of-life-in-clinical-and-forensic-psychiatry-the-critic-study
#1
JOURNAL ARTICLE
Anthony F T Bloemendaal, Astrid M Kamperman, Annette E Bonebakker, N Kool, M Olff, C L Mulder
BACKGROUND: Frontline staff in psychiatry need to perform at a very high professional level in order to ensure patient and community safety. At the same time they are exposed to high levels of stress and workplace trauma. This may have severe consequences for their professional quality of life. In addition, health care workers in general have higher incidence levels of childhood adversity than the general population. The CRITIC (CRITical Incidents and aggression in Caregivers) Study aims to improve increased understanding of the interaction between personal life history (childhood adversity and benevolence), individual capabilities, exposure to trauma and violence at work and Professional Quality of Life (ProQOL)...
2024: Frontiers in Psychiatry
https://read.qxmd.com/read/38493732/persons-with-mental-disorders-and-assisted-dying-practices-in-spain-in-response-to-ramos-et-al
#2
JOURNAL ARTICLE
Josep Pifarre, Montse Esquerda, Francesc Torralba, Jacinto Bátiz, Margarita Bofarull
Ramos et al. paper offers a narrative review of Spanish Organic Law 3/2021, which regulates euthanasia, focusing on its application to individuals with mental disorders. Ramos et al. examine the application of legal prerequisites from an ethical-legal perspective to ascertain the conditions under which psychiatric euthanasia might be considered legitimate and compliant with legal stipulations. Nevertheless, it is apparent that the core ethical inquiries linked to this matter have not been exhaustively investigated...
March 16, 2024: International Journal of Law and Psychiatry
https://read.qxmd.com/read/38492150/eating-disorders-and-covid-19-different-or-just-more
#3
JOURNAL ARTICLE
Cathal Rafferty, Angela O'Donnell, Sally Campbell, Bohan Sun, Jenny King, Zeinab Ali, Diarmuid Lynch, Elizabeth Barrett, Sarah Richardson, Michelle Clifford, Fiona McNicholas
BACKGROUND: COVID-19 saw an increase in child mental health presentations internationally. Clinicians analogised the exponential increase in anorexia nervosa to a 'tsunami' or 'outbreak', raising parallel concerns regarding medical and psychological risks (Marsh in The Guardian, 2021; Leask in NZ Herald, 2021; Monteleone et al. in Eat Weight Disord 26(8):2443-2452, 2021) . It is unclear whether Ireland emulated this picture of increased referrals with increased medical compromise...
March 16, 2024: Irish Journal of Medical Science
https://read.qxmd.com/read/38490947/moral-distress-among-acute-mental-health-nurses-a-systematic-review
#4
REVIEW
Sara Lamoureux, Amy E Mitchell, Elizabeth M Forster
Moral distress has been identified as an occupational hazard for clinicians caring for vulnerable populations. The aim of this systematic review was (i) to summarize the literature reporting on prevalence of, and factors related to, moral distress among nurses within acute mental health settings, and (ii) to examine the efficacy of interventions designed to address moral distress among nurses within this clinical setting. A comprehensive literature search was conducted in October 2022 utilizing Nursing & Allied Health, Embase, CINAHL, PsychInfo, and PubMed databases to identify eligible studies published in English from January 2000 to October 2022...
March 15, 2024: Nursing Ethics
https://read.qxmd.com/read/38490756/the-ethics-of-psychiatric-management-in-times-of-disaster-and-war-experiences-from-israel-after-the-oct-7-attack
#5
JOURNAL ARTICLE
Rael D Strous, Yaakov Monovich
No abstract text is available yet for this article.
April 2024: Lancet Psychiatry
https://read.qxmd.com/read/38487980/debate-involuntary-treatment-and-detention-are-a-necessary-part-of-mental-health-care-for-children-and-young-people-a-perspective-from-an-independent-advocate-in-england-united-kingdom
#6
JOURNAL ARTICLE
Sam Young
This is a perspective from an Independent Advocate in England, United Kingdom on the importance of equality in the involuntary treatment of children and young people (CYP). The article highlights the need for safeguards when CYP require detention as part of their mental health care. The paper raises concern that CYP and their families who are less empowered to advocate for optimal care plans may be at risk of less satisfactory outcomes from mental health detention. It notes that CYP in the care system may be particularly vulnerable to such outcomes due to their lower levels empowerment...
March 15, 2024: Child and Adolescent Mental Health
https://read.qxmd.com/read/38485489/evaluating-a-rehabilitative-intervention-for-substance-dependent-patients-with-and-without-their-accompanying-children-in-germany-kontextsucht-study-protocol-for-a-non-randomised-trial
#7
JOURNAL ARTICLE
Ananda Stullich, Laura Hoffmann, Johannes Stephan, Jan Gehrmann, Matthias Richter
INTRODUCTION: People suffering from substance use disorders often live in social contexts with children or are parents themselves. Addicted parents show specific substance-related problems while raising their children, which often leads to various lifelong consequences for the children. The German rehabilitative treatment system allows bringing children to inpatient treatment centres. This mixed-methods study evaluates a newly developed intervention, called 'KontextSucht' or 'AddictionContext', for parents in rehabilitation treatment centres concerning the effectiveness of the intervention in parenting and abstinence outcome...
March 14, 2024: BMJ Open
https://read.qxmd.com/read/38482488/the-psychoneuroimmunological-model-of-moral-distress-and-health-in-healthcare-workers-toward-individual-and-system-level-solutions
#8
REVIEW
Annina Seiler, Aimee Milliken, Richard E Leiter, David Blum, George M Slavich
Healthcare is presently experiencing a global workforce crisis, marked by the inability of hospitals to retain qualified healthcare workers. Indeed, poor working conditions and staff shortages have contributed to structural collapse and placed a heavy toll on healthcare workers' (HCWs) well-being, with many suffering from stress, exhaustion, demoralization, and burnout. An additional factor driving qualified HCWs away is the repeated experience of moral distress, or the inability to act according to internally held moral values and perceived ethical obligations due to internal and external constraints...
February 2024: Comprehensive psychoneuroendocrinology
https://read.qxmd.com/read/38476613/the-predictive-validity-of-the-v-risk-10-and-bvc-among-involuntarily-admitted-patients
#9
JOURNAL ARTICLE
Tilmann Kös, Peter Bräunig, Joscha Hausam
Although endangerment towards others is a criterion for an involuntary admission in many countries, research on risk assessment of endangerment among involuntarily admitted individuals is limited. In this retrospective case-control study, we calculated scores for a German-translated version of the Violence Risk Screening-10 (V-RISK-10) and the Brøset Violence Checklist (BVC) in a sample of 111 people undergoing an involuntary admission in Reinickendorf, Berlin. Outcomes were violence, coercive measures, and readmission...
2024: Frontiers in Psychiatry
https://read.qxmd.com/read/38475944/debate-involuntary-treatment-not-whether-but-when-and-what-else-is-needed
#10
JOURNAL ARTICLE
Jon McClellan
Involuntary treatment is a complex dialectic balancing self-autonomy and the individual's right to consent to treatment with society's duty to protect those suffering from severe mental illness who are at risk of causing harm to themselves or others. When necessary, involuntary treatment should provide evidence-based and medically justified care, with sufficient oversight and due process to protect the rights of patients. Clinically, the issue is not whether involuntary treatment should ever be used, but rather what other services are needed to enhance the quality of care within comprehensive community systems of care, thus limiting or preventing the need for involuntary interventions while also improving the outcomes of individuals affected by severe mental illness...
March 12, 2024: Child and Adolescent Mental Health
https://read.qxmd.com/read/38475676/debate-involuntary-treatment-and-detention-are-a-necessary-part-of-mental-health-care-for-children-and-young-people
#11
JOURNAL ARTICLE
Susan Walker
People of all ages are subject to involuntary psychiatric detention and treatment worldwide but there is current discussion about whether this complies with modern human rights law. The use of involuntary psychiatric hospitalisation among children and young people has largely eschewed research and policy interest to date. In this debate section, we hear from people with experience of child mental health services in the UK, USA and low- and middle-income countries about their views on the use of involuntary treatment in young people...
March 12, 2024: Child and Adolescent Mental Health
https://read.qxmd.com/read/38467446/clarifying-human-dignity-in-forensic-practice
#12
REVIEW
Ezra E H Griffith, Véronique A S Griffith
The notion of human dignity remains a relatively complex concept that has roots in classical Greek and Roman antiquity and links to religious teachings and Kantian philosophical notions. From the Latin dignitas , human dignity means worth and implies excellence and distinction. Human dignity, also found in 20th century constitutions and international declarations, has been considered in bioethics, general medicine, and psychiatry. The application of dignity to forensic psychiatry practice has received less attention...
March 11, 2024: Journal of the American Academy of Psychiatry and the Law
https://read.qxmd.com/read/38467438/balance-and-change-in-forensic-psychiatry
#13
JOURNAL ARTICLE
James L Knoll
The practice of forensic psychiatry requires balance; the forensic psychiatrist encounters the need for balance routinely and in a variety of areas. Balance is necessary for sound judgment and objectivity when striving for excellence in the field. It is also necessary to effectively balance a career in forensic psychiatry with one's personal life. The American Academy of Psychiatry and the Law (AAPL) has stressed the virtue of balance in the preamble of its ethics guidelines, noting the importance of balancing competing obligations to the individual and society...
March 11, 2024: Journal of the American Academy of Psychiatry and the Law
https://read.qxmd.com/read/38466349/-psychiatry-without-coercion-exclude-the-coercion-or-the-patients
#14
REVIEW
Wolfram Voigtländer, Ilse Eichenbrenner, Detlev Gagel, Dieter Lehmkuhl, Matthias Rosemann, Petra Rossmanith
BACKGROUND: With reference to the United Nations Convention on the Rights of Persons with Disabilities (UN CRPD), a fundamental change in psychiatric care in Germany was proposed in 2019 by Zinkler and von Peter, supported by a legal perspective from Kammeier, which has since led to controversial debates. Essentially, the aim is not only to reduce coercion in psychiatry to a minimum, but also to fundamentally exclude it in a psychiatry that only provides care. The function as an agent of social control is to be returned from psychiatry to state institutions...
March 11, 2024: Der Nervenarzt
https://read.qxmd.com/read/38464775/depression-and-anxiety-among-cancer-patients-visiting-a-tertiary-care-cancer-hospital
#15
JOURNAL ARTICLE
Maheshor Kaphle, Diya Bajracharya, Nirmala Regmi, Dipsikha Aryal, Rajesh Karki
BACKGROUND: Cancer patients frequently experience psychological problems related to reactions to cancer diagnosis, cancer type and stage, treatment effects, recurrence, fear of end-of-life, survivorship, and financial burden. Depression and anxiety are both psychological and physiological disturbances among cancer patients. AIM: To assess the prevalence of depression and anxiety among cancer patients attending a tertiary care cancer hospital. METHODS: A cross-sectional study was conducted at Bhaktapur Cancer Hospital in Kathmandu Valley among 220 cancer patients aged from 18 years to 70 years...
February 19, 2024: World Journal of Psychiatry
https://read.qxmd.com/read/38459453/an-integrated-care-pathway-for-depression-in-adolescents-protocol-for-a-type-1-hybrid-effectiveness-implementation-non-randomized-cluster-controlled-trial
#16
JOURNAL ARTICLE
Darren B Courtney, Melanie Barwick, Bahar Amani, Andrea T Greenblatt, Madison Aitken, Karolin R Krause, Brendan F Andrade, Kathryn Bennett, Kristin Cleverley, Amanda A Uliaszek, Claire de Oliveira, Lisa D Hawke, Jo Henderson, Wei Wang, Priya Watson, Amy Gajaria, Amanda S Newton, Stephanie Ameis, Jacqueline Relihan, Matthew Prebeg, Sheng Chen, Peter Szatmari
INTRODUCTION: Our group developed an Integrated Care Pathway to facilitate the delivery of evidence-based care for adolescents experiencing depression called CARIBOU-2 (Care for Adolescents who Receive Information 'Bout OUtcomes, 2nd iteration). The core pathway components are assessment, psychoeducation, psychotherapy options, medication options, caregiver support, measurement-based care team reviews and graduation. We aim to test the clinical and implementation effectiveness of the CARIBOU-2 pathway relative to treatment-as-usual (TAU) in community mental health settings...
March 8, 2024: BMC Psychiatry
https://read.qxmd.com/read/38455266/an-inspector-calls-trauma-informed-regulation
#17
JOURNAL ARTICLE
Arie Freiberg
This article examines some of the possible harmful effects of regulatory investigations, in particular that of trauma, on persons being investigated and those around them, the legal, ethical or regulatory duties or responsibilities of regulators in the case of such events, and programs currently available to prevent or ameliorate these effects. It concludes by describing what trauma-informed regulatory practice might look like and concludes that a trauma-informed approach to regulation can provide a model of justice that can be applied to persons adversely affected by investigations without derogating from a regulator's statutory purposes...
2024: Psychiatry, Psychology, and Law: An Interdisciplinary Journal of the Australian and New Zealand Association of Psychiatry, Psychology and Law
https://read.qxmd.com/read/38450221/proceedings-of-the-11th-annual-deep-brain-stimulation-think-tank-pushing-the-forefront-of-neuromodulation-with-functional-network-mapping-biomarkers-for-adaptive-dbs-bioethical-dilemmas-ai-guided-neuromodulation-and-translational-advancements
#18
JOURNAL ARTICLE
Kara A Johnson, Nico U F Dosenbach, Evan M Gordon, Cristin G Welle, Kevin B Wilkins, Helen M Bronte-Stewart, Valerie Voon, Takashi Morishita, Yuki Sakai, Amanda R Merner, Gabriel Lázaro-Muñoz, Theresa Williamson, Andreas Horn, Ro'ee Gilron, Jonathan O'Keeffe, Aryn H Gittis, Wolf-Julian Neumann, Simon Little, Nicole R Provenza, Sameer A Sheth, Alfonso Fasano, Abbey B Holt-Becker, Robert S Raike, Lisa Moore, Yagna J Pathak, David Greene, Sara Marceglia, Lothar Krinke, Huiling Tan, Hagai Bergman, Monika Pötter-Nerger, Bomin Sun, Laura Y Cabrera, Cameron C McIntyre, Noam Harel, Helen S Mayberg, Andrew D Krystal, Nader Pouratian, Philip A Starr, Kelly D Foote, Michael S Okun, Joshua K Wong
The Deep Brain Stimulation (DBS) Think Tank XI was held on August 9-11, 2023 in Gainesville, Florida with the theme of "Pushing the Forefront of Neuromodulation". The keynote speaker was Dr. Nico Dosenbach from Washington University in St. Louis, Missouri. He presented his research recently published in Nature inn a collaboration with Dr. Evan Gordon to identify and characterize the somato-cognitive action network (SCAN), which has redefined the motor homunculus and has led to new hypotheses about the integrative networks underpinning therapeutic DBS...
2024: Frontiers in Human Neuroscience
https://read.qxmd.com/read/38446729/why-patient-centered-built-environment-standards-matter-more-than-numbers-of-beds-in-inpatient-psychiatry
#19
JOURNAL ARTICLE
Morgan C Shields, Zohra Kantawala, Ramesh Raghavan
This article canvasses extant literature about values, evidence, and standards for inpatient psychiatry units' design. It then analyzes apparent trade-offs between quality of care and access to care using empirical and ethical lenses. From this analysis, the authors conclude that standards for the built environment of inpatient psychiatric care should align with patient-centeredness, even if a downstream consequence of implementing new patient-centered designs is a reduction in beds, although this secondary outcome is unlikely...
March 1, 2024: AMA Journal of Ethics
https://read.qxmd.com/read/38446726/should-patients-boredom-in-locked-inpatient-psychiatric-units-be-considered-iatrogenic-harm
#20
JOURNAL ARTICLE
Carrie Tamarelli, Angela Cao, Rebecca Grossman-Kahn
Patients often report experiencing boredom during inpatient psychiatry stays. Because patients' vulnerabilities and conditions can be exacerbated when they feel bored, this article considers ethical dimensions of inpatient units' designs that limit patients' autonomy or access to activities or interactions with others. This commentary on a case also considers whether and how boredom should be considered an iatrogenic harm and influence discharge planning.
March 1, 2024: AMA Journal of Ethics
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