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https://www.readbyqxmd.com/read/29898697/outcomes-of-an-integrated-care-pathway-for-concurrent-major-depressive-and-alcohol-use-disorders-a-multisite-prospective-cohort-study
#1
Andriy V Samokhvalov, Charlotte Probst, Saima Awan, Tony P George, Bernard Le Foll, Peter Voore, Jürgen Rehm
BACKGROUND: In 2013, an Integrated Care Pathway (ICP) for concurrent Major Depressive (MDD) and Alcohol Use (AUD) Disorders was developed at the Centre for Addiction and Mental Health (CAMH), Toronto, Ontario, Canada. The ICP was further implemented at 8 other clinical sites across Ontario (the DA VINCI Project) in 2015-2017. The goal of this study was to systematically describe and analyze the main clinical outcomes of the project. METHODS: Data on a non-randomized cohort of patients receiving ICP-based treatment were collected prospectively at nine clinical sites in a variety of clinical settings...
June 13, 2018: BMC Psychiatry
https://www.readbyqxmd.com/read/29882191/lessons-learned-implementing-uk-developed-interprofessional-simulation-training-courses-in-a-canadian-setting
#2
Alyssa Kelly, Latika Nirula, Erica McDiarmid, Farah Jindani, Asanga Fernando, Laura Naismith, Christopher Kowalski
OBJECTIVE: In response to the need for practitioners to improve their skills in integrating mental and physical healthcare, the Centre for Addiction and Mental Health (CAMH) (Canada) invited education specialists from Maudsley Simulation (UK) to pilot two of their existing interprofessional simulation courses on the mental-physical interface in Toronto. Participants' experiences as well as the courses' educational impact were evaluated. METHODS: Participants completed pre-and post-course questionnaires, a 2-week follow-up questionnaire, and individual interviews 6 months after course completion...
June 7, 2018: Academic Psychiatry
https://www.readbyqxmd.com/read/29871800/paediatricians-attitudes-to-and-management-of-functional-seizures-in-children
#3
Eva Skovslund Nielsen, Bianca Taaning Wichaidit, John Rosendahl Østergaard, Charlotte Ulrikka Rask
OBJECTIVE: To explore paediatricians' attitudes to and treatment practice for children with functional seizures (FS). METHODS: In a nationwide survey, all 64 Danish neuro-paediatricians and social paediatricians were invited to complete a structured questionnaire encompassing FS-related issues that included beliefs and attitudes about aetiology and diagnostic assessment, current strategies for management, experienced need for clinical guidelines and better treatment options...
May 24, 2018: European Journal of Paediatric Neurology: EJPN
https://www.readbyqxmd.com/read/29866202/managing-the-link-and-strengthening-transition-from-child-to-adult-mental-health-care-in-europe-milestone-background-rationale-and-methodology
#4
H Tuomainen, U Schulze, J Warwick, M Paul, G C Dieleman, T Franić, J Madan, A Maras, F McNicholas, D Purper-Ouakil, P Santosh, G Signorini, C Street, S Tremmery, F C Verhulst, D Wolke, S P Singh
BACKGROUND: Transition from distinct Child and Adolescent Mental Health (CAMHS) to Adult Mental Health Services (AMHS) is beset with multitude of problems affecting continuity of care for young people with mental health needs. Transition-related discontinuity of care is a major health, socioeconomic and societal challenge globally. The overall aim of the Managing the Link and Strengthening Transition from Child to Adult Mental Health Care in Europe (MILESTONE) project (2014-19) is to improve transition from CAMHS to AMHS in diverse healthcare settings across Europe...
June 4, 2018: BMC Psychiatry
https://www.readbyqxmd.com/read/29801441/experiences-of-parenting-and-clinical-intervention-for-mothers-affected-by-personality-disorder-a-pilot-qualitative-study-combining-parent-and-clinician-perspectives
#5
Ruth Wilson, Tim Weaver, Daniel Michelson, Crispin Day
BACKGROUND: Evidence-based parenting programmes are recommended for the treatment of child mental health difficulties. Families with complex psychosocial needs show poorer retention and outcomes when participating in standard parenting programmes. The Helping Families Programme (HFP) is a 16-week community-based parenting intervention designed to meet the needs of these families, including families with parental personality disorder. This study aimed to explore the help seeking and participatory experiences of parents with a diagnosis of personality disorder...
May 25, 2018: BMC Psychiatry
https://www.readbyqxmd.com/read/29756071/improving-the-quality-of-physical-health-monitoring-in-camhs-for-children-and-adolescents-prescribed-medication-for-adhd
#6
Cristal Oxley, Omer S Moghraby, Rani Samuel, Dan W Joyce
Attention deficit hyperactivity disorder (ADHD) is a common neurodevelopmental disorder characterised by a persistent, pervasive pattern of inattention, impulsivity and hyperactivity. Stimulant medication such as methylphenidate has an established evidence base in the treatment of children and adolescents with ADHD. However, it is also associated with a risk of side effects which may include decreased appetite, increased blood pressure and possible reduced growth. Monitoring physical health in children and adolescents prescribed medication for ADHD is a key clinical responsibility and includes a number of parameters as outlined in the National Institute for Health and Care Excellence Guidelines...
2018: BMJ Open Quality
https://www.readbyqxmd.com/read/29594674/child-art-psychotherapy-in-camhs-in-ireland-a-parent-satisfaction-study
#7
Ezgi Tanıl, Aynur Coşkunlu, Aisling Mulligan
OBJECTIVES: We aimed to evaluate parent satisfaction with the Vasarhelyi method of Child Art Psychotherapy offered at two Child and Adolescent Mental Health teams by postal survey using the Client Satisfaction Questionnaire, and by performing a qualitative interview. METHODS: Parents of 29 children who attended Child Art Psychotherapy over the previous 4 years were invited to participate-they were sent the Client Satisfaction Questionnaire and invited to attend for an interview about Child Art Psychotherapy...
March 29, 2018: Irish Journal of Medical Science
https://www.readbyqxmd.com/read/29589469/assessing-speech-language-and-communication-difficulties-in-children-referred-for-adhd-a-qualitative-evaluation-of-a-uk-child-and-adolescent-mental-health-service
#8
Kelly M Y Chan, Andrew J B Fugard
BACKGROUND: Attention-deficit hyperactivity disorder (ADHD) is one of the most common childhood neuropsychiatric disorders and is highly comorbid with speech, language and communication difficulties (SLCDs). However, it is unclear how often SLCDs are identified in ADHD referrals in routine practice and whether there are unidentified SLCDs within this population. METHOD: A thematic analysis was conducted on a random sample of case notes from 18 referrals for ADHD made to a child and adolescent mental health service (CAMHS) in London, United Kingdom...
March 1, 2018: Clinical Child Psychology and Psychiatry
https://www.readbyqxmd.com/read/29533708/has-there-been-an-increase-in-the-frequency-with-which-people-who-drink-in-a-risky-fashion-receive-advice-to-cut-down-on-their-drinking-from-1998-to-2015
#9
John A Cunningham, Michael Chaiton
BACKGROUND: To assess whether there has been an increase over time in the proportion of people who drink in a risky fashion, who receive expressions of concern about their drinking or advice to cut down. METHODS: Secondary analysis of the Centre for Addiction and Mental Health (CAMH) Monitor population survey, conducted annually in Ontario (participants: 18 or older) and with relevant data available from 1998 to 2015 (N = 48,124). The proportions of participants who drank above weekly low-risk drinking levels (approximated as 15 or more drinks for males and 11 or more for females) who reported receiving expressions of concern about their drinking or advice to cut down were compared between the time periods 1998-2004, 2005-2010, and 2011-2015...
March 13, 2018: Substance Abuse
https://www.readbyqxmd.com/read/29532784/a-pragmatic-randomised-controlled-trial-and-economic-evaluation-of-family-therapy-versus-treatment-as-usual-for-young-people-seen-after-second-or-subsequent-episodes-of-self-harm-the-self-harm-intervention-family-therapy-shift-trial
#10
David J Cottrell, Alex Wright-Hughes, Michelle Collinson, Paula Boston, Ivan Eisler, Sarah Fortune, Elizabeth H Graham, Jonathan Green, Allan O House, Michael Kerfoot, David W Owens, Eirini-Christina Saloniki, Mima Simic, Sandy Tubeuf, Amanda J Farrin
BACKGROUND: Self-harm in adolescents is common and repetition rates high. There is limited evidence of the effectiveness of interventions to reduce self-harm. OBJECTIVES: To assess the clinical effectiveness and cost-effectiveness of family therapy (FT) compared with treatment as usual (TAU). DESIGN: A pragmatic, multicentre, individually randomised controlled trial of FT compared with TAU. Participants and therapists were aware of treatment allocation; researchers were blind to allocation...
March 2018: Health Technology Assessment: HTA
https://www.readbyqxmd.com/read/29528597/-transition-from-child-and-adolescent-to-adult-mental-health-care
#11
F Carbonez, M Al Husni Al Keilani, C Kornreich, V Delvenne
Adolescents and young adults are at particularly at-risk population in mental health. For a large majority of patients suffering from chronic psychiatric condition, the age of onset of psychiatric symptoms is less than 24 years, while the coverage in psychiatric care is the lowest between 16 and 24. Presenting a psychiatric pathology during childhood and adolescence constitutes an independent risk factor for the occurrence of adverse life events in adulthood. Furthermore, that population is at the edge between child and adolescent mental health services (CAMHS) and adult mental health services (AMHS)...
2018: Revue Médicale de Bruxelles
https://www.readbyqxmd.com/read/29511570/protocol-for-the-star-sheffield-treatments-for-adhd-project-an-internal-pilot-study-assessing-the-feasibility-of-the-trials-within-cohorts-twics-design-to-test-the-effectiveness-of-interventions-for-children-with-adhd
#12
Philippa Fibert, Clare Relton, Tessa Peasgood, David Daley
Background: Attention deficit hyperactivity disorder (ADHD) is a common and growing problem and a leading cause of child referrals to Child and Adult Mental Health Services (CAMHS). It is a drain on resources across nationally funded support agencies and associated with negative outcomes such as early criminality, school disruption and antisocial behaviour. Mainstream interventions (pharmacological and behavioural) demonstrate effectiveness whilst implemented, but are costly, often have unwanted side effects and do not appear to be affecting long-term outcomes...
2018: Pilot and Feasibility Studies
https://www.readbyqxmd.com/read/29488416/neurodevelopmental-disorders-prevalence-and-comorbidity-in-children-referred-to-mental-health-services
#13
Berit Hjelde Hansen, Beate Oerbeck, Benedicte Skirbekk, Beáta Éva Petrovski, Hanne Kristensen
BACKGROUND: Accurate prevalence rates of the neurodevelopmental disorders (ND) and comorbid conditions in child and adolescent mental health services (CAMHS) are essential for treatment planning and organization of health care. However, valid and reliable prevalence estimates from Nordic CAMHS populations are scarce, and the published findings vary. AIMS: To report prevalence rates of ND (attention-deficit hyperactivity disorder: ADHD, tic disorder: TD or autism spectrum disorder: ASD) and comorbid disorders by a validated diagnostic instrument in children referred to CAMHS outpatient clinics...
February 28, 2018: Nordic Journal of Psychiatry
https://www.readbyqxmd.com/read/29475823/acceptability-use-and-safety-of-a-mobile-phone-app-blueice-for-young-people-who-self-harm-qualitative-study-of-service-users-experience
#14
Rebecca Grist, Joanna Porter, Paul Stallard
BACKGROUND: Self-harm is common among adolescents and is associated with a number of negative psychosocial outcomes including a higher risk of suicide. Recent reviews highlight the lack of research into specific interventions for children and young people who self-harm. Developing innovative interventions that are coproduced with individuals with lived experience and that reduce self-harm are key challenges for self-harm prevention. OBJECTIVE: The aim of this study was to explore the acceptability, use, and safety of BlueIce, a mobile phone app for young people who self-harm and who are attending child and adolescent mental health services (CAMHS)...
February 23, 2018: JMIR Mental Health
https://www.readbyqxmd.com/read/29467818/knowledge-transfer-a-worldwide-challenge-in-child-mental-health-a-recommendation-to-the-readership-of-capmh-concerning-the-revised-version-of-the-iacapap-textbook-of-child-and-adolescent-mental-health
#15
Anna T Maier, Rebecca C Brown, Joerg M Fegert
Background: Transfer of knowledge is an important issue throughout all scientific disciplines, especially in the medical and psycho-social field. The issue of worldwide knowledge transfer in child mental health is one of the aims and goals of the journal Child and Adolescent Psychiatry and Mental Health (CAPMH). The demand for mental health training is high worldwide, and especially in low- to lower-middle income countries, where inadequate access to knowledge resources in the field of child and adolescent mental health (CAMH) is prevalent...
2018: Child and Adolescent Psychiatry and Mental Health
https://www.readbyqxmd.com/read/29465842/paediatric-consultation-liaison-psychiatry-services-pclps-what-are-they-actually-doing
#16
F Lynch, C Kehoe, S MacMahon, E McCarra, R McKenna, A D'Alton, E Barrett, A Twohig, F McNicholas
Introduction Paediatric Consultation Liaison Psychiatry Services (PCLPS) are specialised services treating mental health difficulties co-morbid with medical problems. Methods Standardised clinical data was retrieved from all case notes (N=108) during the study timeframe (Jan-June 2016). Results The majority of children were female 59 (55%) with a mean age of 13. Presentation was typically via the Emergency Department (ED) (85, 79%), and of those, the majority (53, 62%) were 'out of hours' and for Deliberate Self-harm (44, 52%) Almost half of all cases seen (50, 46%) were previously known, and discharged back (84, 78%), to CAMHS...
December 18, 2017: Irish Medical Journal
https://www.readbyqxmd.com/read/29449180/effectiveness-of-systemic-family-therapy-versus-treatment-as-usual-for-young-people-after-self-harm-a-pragmatic-phase-3-multicentre-randomised-controlled-trial
#17
David J Cottrell, Alexandra Wright-Hughes, Michelle Collinson, Paula Boston, Ivan Eisler, Sarah Fortune, Elizabeth H Graham, Jonathon Green, Allan O House, Michael Kerfoot, David W Owens, Eirini-Christina Saloniki, Mima Simic, Fiona Lambert, Justine Rothwell, Sandy Tubeuf, Amanda J Farrin
BACKGROUND: Self-harm in adolescents is common and repetition occurs in a high proportion of these cases. Scarce evidence exists for effectiveness of interventions to reduce self-harm. METHODS: This pragmatic, multicentre, randomised, controlled trial of family therapy versus treatment as usual was done at 40 UK Child and Adolescent Mental Health Services (CAMHS) centres. We recruited young people aged 11-17 years who had self-harmed at least twice and presented to CAMHS after self-harm...
March 2018: Lancet Psychiatry
https://www.readbyqxmd.com/read/29445521/a-method-for-co-creation-of-an-evidence-based-patient-workbook-to-address-alcohol-use-when-quitting-smoking-in-primary-care-a-case-study
#18
Nadia Minian, Aliya Noormohamed, Laurie Zawertailo, Dolly Baliunas, Norman Giesbrecht, Bernard Le Foll, Jürgen Rehm, Andriy Samokhvalov, Peter L Selby
Plain English summary: The purpose of this paper is to describe a patient engagement event designed to create an educational workbook with smokers who drink alcohol at harmful levels. The goal was to create a workbook that combined scientific evidence with patients' values, preferences, and needs. Fourteen adult smokers who drink alcohol were invited to the Centre for Addiction and Mental Health (CAMH) to take part in a four-hour event to help design the workbook with the CAMH research team...
2018: Research involvement and engagement
https://www.readbyqxmd.com/read/29382632/a-smartphone-app-blueice-for-young-people-who-self-harm-open-phase-1-pre-post-trial
#19
Paul Stallard, Joanna Porter, Rebecca Grist
BACKGROUND: Recent years have seen a significant increase in the availability of smartphone apps for mental health problems. Despite their proliferation, few apps have been specifically developed for young people, and almost none have been subject to any form of evaluation. OBJECTIVE: This study aimed to undertake a preliminary evaluation of a smartphone app (BlueIce), coproduced with young people and designed to help young people manage distress and urges to self-harm...
January 30, 2018: JMIR MHealth and UHealth
https://www.readbyqxmd.com/read/29368253/the-interface-between-child-adolescent-and-adult-mental-health-services-results-from-a-european-28-country-survey
#20
MULTICENTER STUDY
Giulia Signorini, Swaran P Singh, Vlatka Boricevic Marsanic, Gwen Dieleman, Katarina Dodig-Ćurković, Tomislav Franic, Suzanne E Gerritsen, James Griffin, Athanasios Maras, Fiona McNicholas, Lesley O'Hara, Diane Purper-Ouakil, Moli Paul, Frederick Russet, Paramala Santosh, Ulrike Schulze, Cathy Street, Sabine Tremmery, Helena Tuomainen, Frank Verhulst, Jane Warwick, Giovanni de Girolamo
Transition-related discontinuity of care is a major socioeconomic and societal challenge for the EU. The current service configuration, with distinct Child and Adolescent Mental Health (CAMHS) and Adult Mental Health Services (AMHS), is considered a weak link where the care pathway needs to be most robust. Our aim was to delineate transitional policies and care across Europe and to highlight current gaps in care provision at the service interface. An online mapping survey was conducted across all 28 European Countries using a bespoke instrument: The Standardized Assessment Tool for Mental Health Transition (SATMEHT)...
April 2018: European Child & Adolescent Psychiatry
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