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https://www.readbyqxmd.com/read/27871229/-the-cango-lyec-project-healing-the-elephant-hiv-related-vulnerabilities-of-post-conflict-affected-populations-aged-13-49-years-living-in-three-mid-northern-uganda-districts
#1
Samuel S Malamba, Herbert Muyinda, Patricia M Spittal, John P Ekwaru, Noah Kiwanuka, Martin D Ogwang, Patrick Odong, Paul K Kitandwe, Achilles Katamba, Kate Jongbloed, Nelson K Sewankambo, Eugene Kinyanda, Alden Blair, Martin T Schechter
BACKGROUND: The protracted war between the Government of Uganda and the Lord's Resistance Army in Northern Uganda (1996-2006) resulted in widespread atrocities, destruction of health infrastructure and services, weakening the social and economic fabric of the affected populations, internal displacement and death. Despite grave concerns that increased spread of HIV/AIDS may be devastating to post conflict Northern Uganda, empirical epidemiological data describing the legacy of the war on HIV infection are scarce...
November 21, 2016: BMC Infectious Diseases
https://www.readbyqxmd.com/read/27837570/the-importance-of-the-patients-deemed-not-guilty-by-reason-of-insanity-for-the-psychiatric-reform
#2
EDITORIAL
Athanasios Douzenis
According to the Greek Penal Law if someone "because of a morbid disturbance of his mental functioning" (article 34) is acquitted of a crime or misdemeanour that the law punishes with more than 6 months imprisonment, then the court orders that this individual should be kept in a public psychiatric institution if the court reaches the conclusion that this person poses a threat to public safety.1 Individuals who have broken the law and deemed "not guilty by reason of insanity" are treated in psychiatric units of Psychiatric Hospitals according to the article 69 of the Penal Code...
July 2016: Psychiatrikē, Psychiatriki
https://www.readbyqxmd.com/read/27567341/scaffolding-behavioral-health-concepts-from-more-simple-to-complex-builds-np-students-competence
#3
Joy Lauerer, Barbara J Edlund, Amy Williams, Annemarie Donato, Gigi Smith
BACKGROUND: Behavioral health disorders (psychiatric illness and substance abuse disorders) represent a significant burden across the nation's health care system. About one half of the problems that present in primary health care settings are behavioral in nature. There is urgent need to improve the integration of behavioral health care services into primary care. METHODS: The purpose of this paper is to describe how an asynchronous online graduate nurse practitioner program utilized a constructivist paradigm to creatively combine online problem based learning cases and on campus learning intensives to scaffold student learning...
August 13, 2016: Nurse Education Today
https://www.readbyqxmd.com/read/27541986/three-year-mortality-rate-of-suicide-attempters-in-consultation-liaison-service
#4
Hong-Ming Chen, Tai-Hsin Hung, Shih-Yong Chou, Ching-Shu Tsai, Jian-An Su
OBJECTIVE: Suicide attempters might be sent to the emergency room for urgent medical intervention. Some with more severe physical morbidity may be hospitalised, and psychiatrists might be consulted for suicide evaluation. The aim of our study was to investigate the three-year all-cause mortality rate of hospitalised suicide attempters with regard to the effect of consultation-liaison services, and to identify any risk factors associated with mortality. METHODS: Between 2002 and 2006, 196 inpatients from medical or surgical wards in a general hospital who had consulted psychiatrists because of suicide attempts were collected consecutively...
November 2016: International Journal of Psychiatry in Clinical Practice
https://www.readbyqxmd.com/read/27516897/mindfulness-based-crisis-interventions-for-patients-with-psychotic-symptoms-on-acute-psychiatric-wards-ambition-study-protocol-for-a-feasibility-randomised-controlled-trial
#5
Pamela Jacobsen, Emmanuelle Peters, Paul Chadwick
BACKGROUND: Inpatient psychiatric care is a scarce and expensive resource in the National Health Service (NHS), with chronic bed shortages being partly driven by high re-admission rates. People often need to go into hospital when they have a mental health crisis due to overwhelming distressing psychotic symptoms, such as hearing voices (hallucinations) or experiencing unusual beliefs (delusions). Brief talking therapies may be helpful for people during an acute inpatient admission as an adjunct to medication in reducing re-admission rates, and despite promising findings from trials in the USA, there have not yet been any clinical trials on this kind of intervention within NHS settings...
December 2016: Pilot and Feasibility Studies
https://www.readbyqxmd.com/read/27385364/trauma-informed-care-a-radical-shift-or-basic-good-practice
#6
Sophie Isobel
OBJECTIVE: There is significant multidisciplinary work contributing to the implementation of trauma informed care (TIC) into mental health policy and practice in Australia. Within psychiatry, there may be potential confusion about how to navigate the integration of TIC into a speciality built upon treating psychological distress; creating dismissive reactions of a patronising approach and paradoxical radicalism. This paper aims to discuss the need for psychiatry to view TIC as a significant and urgent paradigm shift required to integrate existing knowledge about the prevalence and effects of trauma into a progressive articulation of the relational and interpersonal underpinnings of modern psychiatric practice; and to lead and support its widespread implementation...
July 6, 2016: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/27370527/determinants-of-willingness-to-enroll-in-opioid-agonist-treatment-among-opioid-dependent-people-who-inject-drugs-in-ukraine
#7
Iuliia Makarenko, Alyona Mazhnaya, Maxim Polonsky, Ruthanne Marcus, Martha J Bojko, Sergii Filippovych, Sandra Springer, Sergii Dvoriak, Frederick L Altice
BACKGROUND: Coverage with opioid agonist treatments (OAT) that include methadone and buprenorphine is low (N=8400, 2.7%) for the 310,000 people who inject drugs (PWID) in Ukraine. In the context of widespread negative attitudes toward OAT in the region, patient-level interventions targeting the barriers and willingness to initiate OAT are urgently needed. METHODS: A sample of 1179 PWID with opioid use disorder not currently on OAT from five regions in Ukraine was assessed using multivariable logistic regression for independent factors related to willingness to initiate OAT, stratified by their past OAT experience...
August 1, 2016: Drug and Alcohol Dependence
https://www.readbyqxmd.com/read/27270076/multi-informant-perspective-on-psychological-distress-among-ghanaian-orphans-and-vulnerable-children-within-the-context-of-hiv-aids
#8
P N Doku, H Minnis
BACKGROUND: There is little knowledge about the psychosocial distress of children affected by human immunodeficiency virus infection and acquired immune deficiency syndrome (HIV/AIDS) in Ghana, to aid the planning of services. This study investigated mental health problems among children affected by HIV/AIDS, compared with control groups of children orphaned by other causes, and non-orphans. METHOD: The study employed a cross-sectional survey that interviewed 291 children and their caregivers...
August 2016: Psychological Medicine
https://www.readbyqxmd.com/read/27176739/two-year-prospective-study-of-characteristics-and-outcome-of-adolescents-referred-to-an-adolescent-urgent-psychiatric-clinic
#9
Nasreen Roberts, Linda Booij, Nicholas Axas, Leanne Repetti
OBJECTIVE: (a) To describe the clinical characteristics and outcome of adolescents referred for urgent psychiatric consultation, and (b) compare suicidal with non-suicidal referrals. METHODS: This was a 2-year prospective study. Data was gathered on demographic, historical and clinical variables. Comparison of suicidal and non-suicidal patients was conducted using χ2. A hospital database was used for referral and wait times. RESULTS: Of 805 assessments, 55% were referred by emergency physicians and 28% by primary care physicians...
May 13, 2016: International Journal of Adolescent Medicine and Health
https://www.readbyqxmd.com/read/27093382/program-of-enhanced-psychiatric-services-for-patients-with-brain-injury-and-neuropsychiatric-disturbances-a-proposed-model-of-care
#10
Faizi Ahmed, Kathleen Bechtold, Gwenn Smith, Durga Roy, Anita Everett, Vani Rao
Neuropsychiatric disturbances associated with brain injury occur frequently and are a common cause of poor quality of life and caregiver burden. These disturbances can disrupt rehabilitation therapies and contribute to functional impairment if they are not appropriately treated. Although some patients can be treated adequately in an outpatient brain injury clinic or rehabilitation clinic, others need a more specialized structured program. Behavioral problems in particular are challenging and often lead to discharge of patients from traditional rehabilitation programs because their behaviors can be disruptive and/or harmful to themselves and others...
2016: Journal of Neuropsychiatry and Clinical Neurosciences
https://www.readbyqxmd.com/read/26796492/provision-of-specialist-continuing-care-services-for-older-adults-across-the-uk
#11
Josie Jenkinson, Robert Howard
BACKGROUND: Older people with mental health problems who meet needs based criteria for National Health Service (NHS) continuing care funding may be cared for in a variety of settings. These services have evolved due to socio-economic and political pressure, with the extent of movement of care from traditional NHS run long stay units into the private sector being unclear. Little attention has been paid to the best model of service provision for this group in terms of quality of care, patient outcomes, and cost effectiveness...
June 2016: International Psychogeriatrics
https://www.readbyqxmd.com/read/26702167/insanity-defense-past-present-and-future
#12
REVIEW
Suresh Bada Math, Channaveerachari Naveen Kumar, Sydney Moirangthem
Insanity defense is primarily used in criminal prosecutions. It is based on the assumption that at the time of the crime, the defendant was suffering from severe mental illness and therefore, was incapable of appreciating the nature of the crime and differentiating right from wrong behavior, hence making them not legally accountable for crime. Insanity defense is a legal concept, not a clinical one (medical one). This means that just suffering from a mental disorder is not sufficient to prove insanity. The defendant has the burden of proving the defense of insanity by a "preponderance of the evidence" which is similar to a civil case...
October 2015: Indian Journal of Psychological Medicine
https://www.readbyqxmd.com/read/26580136/epidemiology-of-dsm-5-drug-use-disorder-results-from-the-national-epidemiologic-survey-on-alcohol-and-related-conditions-iii
#13
Bridget F Grant, Tulshi D Saha, W June Ruan, Risë B Goldstein, S Patricia Chou, Jeesun Jung, Haitao Zhang, Sharon M Smith, Roger P Pickering, Boji Huang, Deborah S Hasin
IMPORTANCE: Current information on the prevalence and sociodemographic and clinical profiles of individuals in the general population with DSM-5 drug use disorder (DUD) is limited. Given the present societal and economic context in the United States and the new diagnostic system, up-to-date national information is needed from a single uniform data source. OBJECTIVE: To present nationally representative findings on the prevalence, correlates, psychiatric comorbidity, disability, and treatment of DSM-5 DUD diagnoses overall and by severity level...
January 2016: JAMA Psychiatry
https://www.readbyqxmd.com/read/26552319/-practice-of-community-psychiatry-for-the-treatment-of-depression
#14
REVIEW
Hitoshi Miyaoka
The practice in the psychiatric division of Kitasato University East Hospital and Kitasato University Hospital has been emphasizing community psychiatry. The problems and proposed solutions are discussed. 1. Both hospitals are core hospitals located in Sagamihara City (Kanagawa Prefecture), which has no municipal hospital. 2. Kitasato University East Hospital has 94 beds in two closed wards and is one of the hospitals designated for psychiatric emergencies in Kanagawa Prefecture. 3. Over the last 10 years aroud Sagamihara City, cooperation between psychiatric hospitals and outpatient clinics, the treatment of patients with mental and physical diseases, improvement of the quality of psychiatric practice, emergency psychiatry, and imbalances in the incomes and workloads of psychiatrists have been problematic...
2015: Seishin Shinkeigaku Zasshi, Psychiatria et Neurologia Japonica
https://www.readbyqxmd.com/read/26507606/doing-their-best-strategies-used-by-south-african-clinicians-in-working-with-psychiatric-inpatients-across-a-language-barrier
#15
Sanja Kilian, Leslie Swartz, Bonginkosi Chiliza
BACKGROUND AND OBJECTIVES: South Africa has 11 official languages, but most psychiatrists can speak only English and Afrikaans and there are no formal interpreter posts in the mental healthcare system. As a result clinicians communicate with patients who have limited English language proficiency (LEP) without the use of interpreters. We present case material, constituting recordings of interactions between clinicians and LEP patients in a public psychiatric institution. The aim is to have a better understanding of how these clinical encounters operated and what communicative strategies clinicians used...
2015: Global Health Action
https://www.readbyqxmd.com/read/26360450/the-management-of-adult-psychiatric-emergencies-in-low-income-and-middle-income-countries-a-systematic-review
#16
REVIEW
Abhijit Nadkarni, Charlotte Hanlon, Urvita Bhatia, Daniela Fuhr, Celina Ragoni, Sérgio Luiz de Azevedo Perocco, Sandra Fortes, Rahul Shidhaye, Eugene Kinyanda, Thara Rangaswamy, Vikram Patel
The aim of this Review is to identify effective interventions and treatment guidelines to manage common types of psychiatric emergencies in non-specialist settings in low-income and middle-income countries. Mental health specialist services in low-income and middle-income countries are scarce. We did a systematic review of interventions for psychiatric emergencies and a literature search for low-income and middle-income-specific treatment guidelines for psychiatric emergencies. A dearth of high-quality guidelines and contextualised primary evidence for management of psychiatric emergencies in low-income and middle-income countries exists...
June 2015: Lancet Psychiatry
https://www.readbyqxmd.com/read/26189416/-bad-or-mad-thinking-in-terms-of-bad-or-mad-and-the-possible-prosecution-of-offenses-committed-by-the-mentally-ill
#17
A J E Visscher, G B van de Kraats, B van der Goot, A W Braam
BACKGROUND: Psychiatrists working for the outreach emergency services of mental health institutions are regularly asked to assess whether a suspect being held at a police station should be charged and later prosecuted or be admitted to a mental institution. In other words, is the suspect 'suited for detention'. Often the representative of the judicial system and the psychiatrist from the emergency services then discuss whether the suspect would be better served by care under the mental healthcare system or under the criminal judicial system...
2015: Tijdschrift Voor Psychiatrie
https://www.readbyqxmd.com/read/26154976/use-of-psychotropic-medications-in-s%C3%A3-o-paulo-metropolitan-area-brazil-pattern-of-healthcare-provision-to-general-population
#18
Angela Maria Campanha, Erica Rosanna Siu, Igor André Milhorança, Maria Carmen Viana, Yuan-Pang Wang, Laura Helena Andrade
PURPOSE: We estimate the proportion of psychotropic medication use (PMU) among adults in São Paulo Metropolitan Area, Brazil. We investigated whether socio-demographic factors, comorbidity, and disease severity influence PMU among individuals with psychiatric disorders. METHODS: Data are from the São Paulo Megacity Mental Health Survey, a cross-sectional, population-based study, the Brazilian branch of the World Mental Health Survey Initiative. Trained lay interviewers face-to-face assessed psychiatric disorders and PMU through the Composite International Diagnostic Interview...
November 2015: Pharmacoepidemiology and Drug Safety
https://www.readbyqxmd.com/read/25969596/psychiatric-and-medical-disorders-in-the-after-math-of-the-uttarakhand-disaster-assessment-approach-and-future-challenges
#19
Naveen Kumar Channaveerachari, Aneel Raj, Suvarna Joshi, Prajna Paramita, Revathi Somanathan, Dhanya Chandran, Sekar Kasi, N Roopesh Bangalore, Suresh Bada Math
PURPOSE: To present the descriptive data on the frequency of medical and psychiatric morbidity and also to discuss various pertinent issues relevant to the disaster management, the future challenges and psychosocial needs of the 2013 floods in Uttarakhand, India. MATERIALS AND METHODS: Observation was undertaken by the disaster management team of National Institute of Mental Health and Neurosciences in the worst affected four districts of Uttarakhand. Qualified psychiatrists diagnosed the patients using the International Classification of Diseases-10 criteria...
April 2015: Indian Journal of Psychological Medicine
https://www.readbyqxmd.com/read/25923530/when-the-adoption-becomes-termination
#20
Viola Cheung, Carol Weitzman, Lisa Albers Prock, Marilyn Augustyn
Steven is an 11-year-old boy who was adopted from an orphanage in Eastern Europe 8 years ago, when he was 3 years old along with his biological sister who is 1 year older. You have cared for him in your practice since that time seeing them annually for well child care. His mother reports that the first 2 years after adoption were very difficult, and Steven has never really bonded with her or her husband. Currently, he is reported to steal possessions of family members and instigate arguments with his older sister and act defiantly...
May 2015: Journal of Developmental and Behavioral Pediatrics: JDBP
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