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Psychiatric home health

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https://www.readbyqxmd.com/read/29438124/friendly-faces-characteristics-of-children-and-adolescents-with-repeat-visits-to-a-specialized-child-psychiatric-emergency-program
#1
Mollie Marr, Sarah M Horwitz, Ruth Gerson, Amy Storfer-Isser, Jennifer F Havens
OBJECTIVES: Pediatric mental health emergency department (ED) visits continue to rise with 19% to 62% of youth presenting to the ED ultimately returning for a mental health-related complaint. To better understand the needs of children returning to the ED, this study examines the clinical, demographic, and environmental factors associated with revisits to a dedicated child psychiatric ED. METHODS: Clinical factors, home environment, and mental health service utilization of 885 children presenting to a dedicated child psychiatric ED over a 1-year period were abstracted by retrospective chart review...
February 12, 2018: Pediatric Emergency Care
https://www.readbyqxmd.com/read/29412043/acute-crisis-care-for-patients-with-mental-health-crises-initial-assessment-of-an-innovative-prehospital-alternative-destination-program-in-north-carolina
#2
Jamie O Creed, Julianne M Cyr, Hillary Owino, Shannen E Box, Mia Ives-Rublee, Brian B Sheitman, Beat D Steiner, Jefferson G Williams, Michael W Bachman, Jose G Cabanas, J Brent Myers, Seth W Glickman
OBJECTIVE: Emergency Departments (ED) are overburdened with patients experiencing acute mental health crises. Pre-hospital transport by Emergency Medical Services (EMS) to community mental health and substance abuse treatment facilities could reduce ED utilization and costs. Our objective was to describe characteristics, treatment, and outcomes of acute mental health crises patients who were transported by EMS to an acute crisis unit at WakeBrook, a North Carolina community mental health center...
February 7, 2018: Prehospital Emergency Care
https://www.readbyqxmd.com/read/29401345/psychiatric-history-deployments-and-potential-impacts-of-mental-health-care-in-a-combat-theater
#3
Colleen M Varga, Michael A Haibach, Anderson B Rowan, Jeffrey P Haibach
Introduction: Increasing numbers of U.S. service members access mental health care while deployed and at home station. Multiple deployments carry with them a higher risk of exposure to combat as well as the impact of cumulative stressors associated with separation from family, hostile environments, and high operations tempo. However, mental health care resources continue to be underutilized, potentially because of higher levels of stigma regarding mental health care and concerns about career impact among service members...
January 1, 2018: Military Medicine
https://www.readbyqxmd.com/read/29368233/risk-factors-for-self-injurious-behavior-in-an-inpatient-psychiatric-sample-of-children-with-autism-spectrum-disorder-a-naturalistic-observation-study
#4
Benjamin L Handen, Carla A Mazefsky, Robin L Gabriels, Kahsi A Pedersen, Meredith Wallace, Matthew Siegel
Limited information about self-injurious behavior (SIB) is known for children and adolescents with Autism Spectrum Disorder (ASD) who require intensive behavioral health interventions. We examined risk-factors for SIB in 302 individuals with ASD (ages 4-20) admitted to six specialized psychiatric inpatient units. Seventy-four percent were reported by a caregiver to display SIB, however, only 25% were observed to engage in daily SIB during hospitalization. Those exhibiting SIB across environments had significantly higher ratings on caregiver questionnaires of SIB severity...
January 24, 2018: Journal of Autism and Developmental Disorders
https://www.readbyqxmd.com/read/29343203/cognition-health-related-quality-of-life-and-depression-ten-years-after-moderate-to-severe-traumatic-brain-injury-a-prospective-cohort-study
#5
Erik Grauwmeijer, Majanka Heijenbrok-Kal, Lianne Peppel, Chantal Hartjes, Iain Haitsma, Inge de Koning, Gerard Ribbers
The aim of this study was to evaluate cognitive function ten years after moderate-severe TBI and to investigate the associations between cognitive function, depression and Health-Related Quality of Life (HRQoL). In this prospective cohort study, with measurements at 3, 6, 12, 18, 24, 36, and 120 months post-TBI, patients aged 18-67 years (N=113) with moderate-severe TBI were recruited. Main outcome measures were depression (CES-D), subjective cognitive functioning (CFQ), objective cognitive functioning, and HRQoL (SF-36)...
January 17, 2018: Journal of Neurotrauma
https://www.readbyqxmd.com/read/29334877/utilization-of-mental-health-services-by-children-displaced-by-hurricane-katrina
#6
Troy Quast, Sean Gregory, Eric A Storch
OBJECTIVE: This study examined changes in utilization of mental health services after Hurricane Katrina among children with preexisting conditions who were displaced from their homes in Louisiana disaster counties and resettled in Texas. METHODS: A retrospective analysis was performed on Medicaid claims data for 101,950 children from 2004 to 2006. Pre-post changes in utilization of mental health services by the displaced children and three control groups were compared...
January 16, 2018: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/29316451/an-innovative-model-to-coordinate-healthcare-and-social-services-for-people-with-serious-mental-illness-a-mixed-methods-case-study-of-maryland-s-medicaid-health-home-program
#7
Emma E McGinty, Alene Kennedy-Hendricks, Sarah Linden, Seema Choksy, Elizabeth Stone, Gail L Daumit
OBJECTIVE: We conducted a case study examining implementation of Maryland's Medicaid health home program, a unique model for integration of behavioral, somatic, and social services for people with serious mental illness (SMI) in the psychiatric rehabilitation program setting. METHOD: We conducted interviews and surveys with health home leaders (N=72) and front-line staff (N=627) representing 46 of the 48 total health home programs active during the November 2015-December 2016 study period...
December 16, 2017: General Hospital Psychiatry
https://www.readbyqxmd.com/read/29302224/tobacco-use-disorder-and-treatment-new-challenges-and-opportunities
#8
Douglas Ziedonis, Smita Das, Celine Larkin
Tobacco use remains a global problem, and options for consumers have increased with the development and marketing of e-cigarettes and other new nicotine and tobacco products, such as "heat-not-burn" tobacco and dissolvable tobacco. The increased access to these new products is juxtaposed with expanding public health and clinical intervention options, including mobile technologies and social media. The persistent high rate of tobacco-use disorders among those with psychiatric disorders has gathered increased global attention, including successful approaches to individual treatment and organizational-level interventions...
September 2017: Dialogues in Clinical Neuroscience
https://www.readbyqxmd.com/read/29294931/unique-interactions-of-interpersonal-trauma-and-positive-peer-and-family-experiences-on-traumatic-distress-among-pediatric-primary-care-patients
#9
Shirley B Wang, Joanna Herres, Guy Diamond
Individuals with histories of interpersonal trauma are at increased risk for posttraumatic stress disorder (PTSD). Risk of PTSD is particularly salient during critical periods of development, such as adolescence and emerging adulthood. However, little is known about the unique effects and interactions of protective factors and interpersonal trauma on PTSD symptoms in adolescents and young adults. The current study tested whether positive peer and family experiences decrease the associations between interpersonal trauma and PTSD symptoms and whether these associations differed by victim-perpetrator relationships...
September 1, 2017: Journal of Interpersonal Violence
https://www.readbyqxmd.com/read/29277953/emergent-leadership-among-tenants-with-psychiatric-disabilities-living-in-supported-housing
#10
Myra Piat, Judith Sabetti, Deborah Padgett
The overall aim of this study was to explore the experiences of people with psychiatric disabilities living as tenants in independent, supported apartments for the first time. Supported housing provides an alternative to structured, custodial housing models, such as foster homes, or board-and-care homes, for clients in public mental health systems. This article reports findings on how leadership emerged among tenants after making the transition from custodial to supported housing. Semi-structured interviews were conducted with tenants (n = 24) and included questions on their housing history, current living situation, relationships with staff, participation, and understanding or experience of leadership...
December 25, 2017: International Journal of Mental Health Nursing
https://www.readbyqxmd.com/read/29249534/preexisting-psychiatric-illness-worsens-acute-care-outcomes-after-orthopaedic-trauma-in-obese-patients
#11
Heather K Vincent, Terrie Vasilopoulos, Laura Ann Zdziarski-Horodyski, Kalia K Sadasivan, Jennifer Hagen, Robert Guenther, JoAnna McClelland, MaryBeth Horodyski
PURPOSE: Pre-existing psychiatric illness, illicit drug use, and alcohol abuse adversely impact patients with orthopaedic trauma injuries. Obesity is an independent factor associated with poorer clinical outcomes and discharge disposition, and higher hospital resource use. It is not known whether interactions exist between pre-existing illness, illicit drug use and obesity on acute trauma care outcomes. PATIENTS AND METHODS: This cohort study is from orthopaedic trauma patients prospectively measured over 10 years (N = 6353)...
December 12, 2017: Injury
https://www.readbyqxmd.com/read/29237154/effects-of-early-life-adversity-on-hippocampal-structures-and-associated-hpa-axis-functions
#12
Brigitte Dahmen, Vanessa B Puetz, Wolfgang Scharke, Georg G von Polier, Beate Herpertz-Dahlmann, Kerstin Konrad
Early-life adversity (ELA) is one of the major risk factors for serious mental and physical health risks later in life. ELA has been associated with dysfunctional neurodevelopment, especially in brain structures such as the hippocampus, and with dysfunction of the stress system, including the hypothalamic-pituitary-adrenal (HPA) axis. Children who have experienced ELA are also more likely to suffer from mental health disorders such as depression later in life. The exact interplay of aberrant neurodevelopment and HPA axis dysfunction as risks for psychopathology is not yet clear...
December 14, 2017: Developmental Neuroscience
https://www.readbyqxmd.com/read/29233952/epidemiological-study-of-mortality-rate-from-alcohol-and-illicit-drug-abuse-in-iran
#13
Seyed Mohammad Sadegh Ghoreishi, Fatemeh Shahbazi, Seyed Davood Mirtorabi, Mohammad Reza Ghadirzadeh, Seyed Saeed Hashemi Nazari
BACKGROUND: The estimate of mortality associated with illicit opiate use provides useful information to those directing and monitoring local, national and international policies and programs. This study investigated the epidemiology of mortality due to the illegal consumption of narcotics and psychotropic substances in the Iran to provide evidence-based public health data for useful programs and actions aimed at preventing drug-related mortality. STUDY DESIGN: A cross-sectional study...
October 14, 2017: Journal of Research in Health Sciences
https://www.readbyqxmd.com/read/29233123/impact-of-place-of-residence-on-place-of-death-in-wales-an-observational-study
#14
S R Ziwary, D Samad, C D Johnson, R T Edwards
BACKGROUND: Previous research in England showed that deprivation level of a person's place of residence affects the place of death and quality of care received at the end of life. People dying in their preferred place of death has also been shown to act as an indication for high quality of end of life care services and social equality. This study expands on current research to explore the effects of deprivation and place of residence on health related choices and place of death in Wales...
December 12, 2017: BMC Palliative Care
https://www.readbyqxmd.com/read/29215904/practice-procedures-in-models-of-primary-care-collaboration-for-children-with-adhd
#15
Jessica A Moore, Kathryn Karch, Valeriia Sherina, Aubree Guiffre, Sandra Jee, Lynn C Garfunkel
INTRODUCTION: With nationwide movement toward an integrated medical home, evidence to support, compare, and specify effective models for collaboration between primary care and behavioral health professionals is essential. This study compared 2 models of primary care with behavioral health integration on American Academy of Pediatrics guideline adherence for attention-deficit/hyperactivity disorder (ADHD) assessment and treatment. METHOD: We conducted a retrospective chart review of a random sample of children aged 6-13 years, seen for ADHD services in 2 primary care offices, 1 fully integrated model and 1 co-located service only model, comparing ADHD assessment and treatment practices...
December 7, 2017: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://www.readbyqxmd.com/read/29203502/characteristics-of-nps-use-in-patients-admitted-to-acute-psychiatric-services-in-southeast-scotland-a-retrospective-cross-sectional-analysis-following-public-health-interventions
#16
Kyle H Bennett, Helen M Hare, Robert M Waller, Helen L Alderson, Stephen Lawrie
OBJECTIVES: Assess the impact of selective prohibition and seizure of novel psychoactive substances (NPS) supply on NPS use prevalence within psychiatric admissions and evaluate demographic characteristics of current NPS users. DESIGN: A 6-month retrospective cross-sectional analysis of discharge letters between 1 October 2015 and 31 March 2016. SETTING: General psychiatry inpatients and intensive home treatment team (IHTT) community patients at a psychiatric hospital in a Scottish city...
December 3, 2017: BMJ Open
https://www.readbyqxmd.com/read/29194181/feasibility-of-a-skills-based-group-reintegration-workshop-for-oef-oif-veterans-step-home
#17
Catherine Brawn Fortier, Alexandra Kenna, Kristen Dams-OʼConnor, Jennifer Fonda, Laura K Levin, Colleen Hursh, Hannah Franz, William P Milberg, Regina E McGlinchey
OBJECTIVE: To evaluate the feasibility of a newly developed reintegration workshop for Operation Iraqi Freedom/Operation Enduring Freedom (OEF/OIF) Veterans that is based on an evidence-based rehabilitation program shown to be effective in treating mild traumatic brain injury-related symptoms in civilians. Underutilization and resistance to mental health treatment remain a significant problem for OEF/OIF Veterans. Innovative, integrative, transdiagnostic, and acceptable interventions are needed, particularly for this heterogeneous group...
November 29, 2017: Journal of Head Trauma Rehabilitation
https://www.readbyqxmd.com/read/29188347/-from-boxing-to-geriatric-psychiatry-facets-from-the-work-of-east-german-social-psychiatrist-bernhard-schwarz-1918-1991
#18
REVIEW
K Bart, H Steinberg
For the first time, this study presents publications representative for the work of the neurologist and sports physician Bernhard Schwarz, whose career spans from the 1950s to the 1970s. His work is characterized by exceptional originality. Schwarz acted as the physician of the GDR national boxing team and conducted a systematic long-term study of 800 boxers. He found increased occurrences of depression, Alzheimer's and Parkinson's diseases and suggested that these were linked to recurring craniocerebral injury...
November 29, 2017: Der Nervenarzt
https://www.readbyqxmd.com/read/29185174/physical-psychological-social-and-existential-symptoms-in-older-homeless-experienced-adults-an-observational-study-of-the-hope-home-cohort
#19
M Patanwala, L Tieu, C Ponath, D Guzman, C S Ritchie, Margot Kushel
BACKGROUND: The homeless population in the United States is aging. Aging-associated comorbidities are associated with increased symptoms. OBJECTIVE: To describe the prevalence of symptoms among older homeless-experienced adults, analyze factors associated with moderate-high physical symptom burden, and identify symptom clusters. DESIGN: Cross-sectional analysis within longitudinal cohort study. PARTICIPANTS: Using population-based sampling from shelters, meal programs, encampments, and a recycling center in Oakland, CA, we recruited homeless adults aged ≥ 50 for a longitudinal cohort...
November 28, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/29181092/efficacy-of-multisystemic-therapy-in-youths-aged-10-17-with-severe-antisocial-behaviour-and-emotional-disorders-systematic-review
#20
REVIEW
Jia Xuan Tan, Maria Lourdes Restrepo Fajardo
Background: Antisocial behaviour and conduct disorders are the most common behavioural and mental health problems in children and young people globally. An efficacious intervention is needed to manage these antisocial behaviours that have costly consequences. Multisystemic Therapy (MST), an intensive home-based intervention for youths with psychosocial and behavioural problems, is recommended under National Institute for Health and Clinical Excellence guidelines for conduct disorder. However, reviews on the efficacy of MST are mixed...
November 2017: London Journal of Primary Care
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