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Psychiatric home health

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https://www.readbyqxmd.com/read/28495487/effect-of-psychiatric-illness-on-acute-care-utilization-at-end-of-life-from-serious-medical-illness
#1
Kyle Lavin, Dimitry S Davydow, Lois Downey, Ruth A Engelberg, Ben Dunlap, James Sibley, William B Lober, Kelson Okimoto, Nita Khandelwal, Elizabeth T Loggers, Joan M Teno, J Randall Curtis
CONTEXT: Little is known about psychiatric illness and utilization of end-of-life care. OBJECTIVES: We hypothesized that pre-existing psychiatric illness would increase hospital utilization at end-of-life among patients with chronic medical illness due to increased severity of illness and care fragmentation. METHODS: We reviewed electronic health records to identify decedents with one or more of eight chronic medical conditions based on International Classification of Diseases (ICD)-9 codes...
May 8, 2017: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/28490882/connectivity-to-computers-and-the-internet-among-patients-with-schizophrenia-spectrum-disorders-a-cross-sectional-study
#2
Maritta Välimäki, Lauri Kuosmanen, Heli Hätönen, Marita Koivunen, Anneli Pitkänen, Christina Athanasopoulou, Minna Anttila
PURPOSE: Information and communication technologies have been developed for a variety of health care applications and user groups in the field of health care. This study examined the connectivity to computers and the Internet among patients with schizophrenia spectrum disorders (SSDs). PATIENTS AND METHODS: A cross-sectional survey design was used to study 311 adults with SSDs from the inpatient units of two psychiatric hospitals in Finland. The data collection lasted for 20 months and was done through patients' medical records and a self-reported, structured questionnaire...
2017: Neuropsychiatric Disease and Treatment
https://www.readbyqxmd.com/read/28486061/patient-centered-medical-home-membership-is-associated-with-decreased-hospital-admissions-for-emergency-department-behavioral-health-patients
#3
Akuh Adaji, Gabrielle J Melin, Ronna L Campbell, Christine M Lohse, Jessica J Westphal, David J Katzelnick
The objective was to examine the impact of a multipayer patient-centered medical home (PCMH) on health care utilization for behavioral health patients seen at a tertiary care emergency department (ED). A retrospective health records review was performed for PCMH and non-PCMH patients who presented and received a psychiatric consultation during a 2-year period in the ED of the Mayo Clinic Hospital in Rochester, Minnesota. Univariable and multivariable associations with the outcomes of admission and return visits within 72 hours were evaluated using logistic regression models and summarized with odds ratios (ORs) and 95% confidence intervals (CIs)...
May 9, 2017: Population Health Management
https://www.readbyqxmd.com/read/28483080/the-ties-that-bind-a-case-report-about-restraining-a-mentally-unwell-family-member-at-home-for-over-a-decade
#4
Jing Ling Tay, Christopher Yi Wen Chan, Zhen Chong Ho, Manu Lal
This is a case report describing a patient, with schizophrenia, who was physically chained by her mother in their house for more a decade. Illness factors, family dynamics, stigma, lack of mental health literacy and cultural roles contributed to her chaining. To our knowledge, this is the first case report that examines the prolonged use of physical restraints by family members on a patient in a developed urban setting and that explores the cultural and ethical issues surrounding this phenomenon. We have concluded that there remains a need for a national level approach to increase mental health literacy, reduce stigma and promote existing psychiatric community health services in a culturally sensitive manner...
April 2017: Asian Journal of Psychiatry
https://www.readbyqxmd.com/read/28440016/outcomes-and-feasibility-of-the-short-transitional-intervention-in-psychiatry-in-improving-the-transition-from-inpatient-treatment-to-the-community-a-pilot-study
#5
Anna Hegedüs, Bernd Kozel, Niklaus Fankhauser, Ian Needham, Johann Behrens
Discharge from psychiatric inpatient care is frequently described as chaotic, stressful, and emotionally charged. Following discharge, service users are vulnerable to becoming overwhelmed by the challenges involved in readapting to their home environments, which could result in serious problems and lead to readmission. The short transitional intervention in psychiatry (STeP) is a bridging intervention that includes pre- and post-discharge sections. It aims to prepare patients for specific situations in the period immediately following discharge from a psychiatric hospital...
April 25, 2017: International Journal of Mental Health Nursing
https://www.readbyqxmd.com/read/28424378/-recognition-care-and-prevention-of-suicidal-behaviour-in-adults
#6
Zoltán Rihmer, Attila Németh, Tamás Kurimay, Dóra Perczel-Forintos, György Purebl, Péter Döme
Suicide is a major public health problem everywhere in the world and in the WHO European Region suicide accounts for over 120,000 deaths per year. 1. Recognition and diagnosis: An underlying psychiatric disorder is present in up to 90% of people who completed suicide. Comorbidity with depression, anxiety, substance abuse and personality disorders is high. In order to achieve successful prevention of suicidality, adequate diagnostic procedures and appropriate treatment for the underlying disorder are essential...
2017: Psychiatria Hungarica: A Magyar Pszichiátriai Társaság Tudományos Folyóirata
https://www.readbyqxmd.com/read/28385326/identifying-local-hot-spots-of-pediatric-chronic-diseases-using-emergency-department-surveillance
#7
David C Lee, Stella S Yi, Hiu-Fai Fong, Jessica K Athens, Joseph E Ravenell, Mary Ann Sevick, Stephen P Wall, Brian Elbel
OBJECTIVE: To use novel geographic methods and large-scale claims data to identify the local distribution of pediatric chronic diseases in New York City. METHODS: Using a 2009 all-payer emergency claims database, we identified the proportion of unique children aged 0 to 17 with diagnosis codes for specific medical and psychiatric conditions. As a proof of concept, we compared these prevalence estimates to traditional health surveys and registry data using the most geographically granular data available...
April 2017: Academic Pediatrics
https://www.readbyqxmd.com/read/28384683/characterizing-18-years-of-the-death-with-dignity-act-in-oregon
#8
Charles Blanke, Michael LeBlanc, Dawn Hershman, Lee Ellis, Frank Meyskens
Importance: Numerous states have pending physician-aided dying (PAD) legislation. Little research has been done regarding use of PAD, or ways to improve the process and/or results. Objectives: To evaluate results of Oregon PAD, the longest running US program; to disseminate results; and to determine promising PAD research areas. Design, Setting, and Participants: A retrospective observational cohort study of 991 Oregon residents who had prescriptions written as part of the state's Death with Dignity Act...
April 6, 2017: JAMA Oncology
https://www.readbyqxmd.com/read/28350563/predicting-the-mental-health-and-functioning-of-torture-survivors
#9
Suzan J Song, Andrew Subica, Charles Kaplan, Wietse Tol, Joop de Jong
The psychological effects of war represent a growing public health concern as more refugees and asylum seekers migrate across borders. This study investigates whether sociodemographic, premigration and postmigration, and psychosocial factors predict adverse psychiatric symptoms in refugees and asylum seekers exposed to torture (N = 278). Hierarchical linear regressions revealed that female sex, older age, and unstable housing predicted greater severity of anxiety, posttraumatic stress disorder (PTSD), and depression...
March 27, 2017: Journal of Nervous and Mental Disease
https://www.readbyqxmd.com/read/28344044/impairments-of-motor-function-among-children-with-a-familial-risk-of-schizophrenia-or-bipolar-disorder-at-7-years-old-in-denmark-an-observational-cohort-study
#10
Birgitte Klee Burton, Anne A E Thorup, Jens Richardt Jepsen, Gry Poulsen, Ditte Ellersgaard, Katrine S Spang, Camilla Jerlang Christiani, Nicoline Hemager, Ditte Gantriis, Aja Greve, Ole Mors, Merete Nordentoft, Kerstin Jessica Plessen
BACKGROUND: Owing to the genetic overlap between schizophrenia and bipolar disorder, we aimed to assess domain-specific motor aberrations and disorder specificity among 7-year-old children with a familial risk of schizophrenia or bipolar disorder by comparing children in familial risk groups with each other and with children not in these risk groups. METHODS: In the Danish High Risk and Resilience Study, we established a cohort of 7-year-old children with no, one, or two parents with schizophrenia or bipolar disorder in Denmark between Jan 1, 2013, and Jan 31, 2016...
May 2017: Lancet Psychiatry
https://www.readbyqxmd.com/read/28327508/adverse-childhood-experiences-commitment-offense-and-race-ethnicity-are-the-effects-crime-race-and-ethnicity-specific
#11
Matt DeLisi, Justin Alcala, Abdi Kusow, Andy Hochstetler, Mark H Heirigs, Jonathan W Caudill, Chad R Trulson, Michael T Baglivio
Adverse childhood experiences are associated with an array of health, psychiatric, and behavioral problems including antisocial behavior. Criminologists have recently utilized adverse childhood experiences as an organizing research framework and shown that adverse childhood experiences are associated with delinquency, violence, and more chronic/severe criminal careers. However, much less is known about adverse childhood experiences vis-à-vis specific forms of crime and whether the effects vary across race and ethnicity...
March 22, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/28260613/sexual-harassment-in-care-work-dilemmas-and-consequences-a-qualitative-investigation
#12
Maj Britt D Nielsen, Susie Kjær, Per T Aldrich, Ida E H Madsen, Maria K Friborg, Reiner Rugulies, Anna P Folker
BACKGROUND: Care workers are often exposed to sexual harassment from patients. Research shows that such exposure may have detrimental effects on mental health of the care workers. Inappropriate sexual behaviour from patients is a particular challenge for formal and informal care workers alike. There is a scarceness of studies investigating the experience and the handling of sexual harassment from patients. OBJECTIVES: To investigate the experience and handling of sexual harassment from patients in care work...
February 24, 2017: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/28260543/characteristics-and-health-conditions-of-a-group-of-nursing-home-patients-with-mental-physical-multimorbidity-the-mapping-study
#13
Anne M A van den Brink, Debby L Gerritsen, Miranda M H de Valk, Richard C Oude Voshaar, Raymond T C M Koopmans
BACKGROUND: Long-term care facilities have partly taken over the traditional asylum function of psychiatric hospitals and house an increasing group of patients with mental-physical multimorbidity (MPM). Little is known about the characteristics, behavior, and care dependency of these patients. This paper aims to describe these aspects. METHODS: Explorative, descriptive study among patients with MPM without dementia (n = 142), living in 17 geronto-psychiatric nursing home (NH) units across the Netherlands, stratified by those referred from mental healthcare services (MHS) and other healthcare services (OHS)...
June 2017: International Psychogeriatrics
https://www.readbyqxmd.com/read/28242045/epidemiology-of-overdose-episodes-from-the-period-prior-to-hospitalization-for-drug-poisoning-until-discharge-in-japan-an-exploratory-descriptive-study-using-a-nationwide-claims-database
#14
Yasuyuki Okumura, Nobuo Sakata, Kunihiko Takahashi, Daisuke Nishi, Hisateru Tachimori
BACKGROUND: Little is known about the nationwide epidemiology of the annual rate, causative substance, and clinical course of overdose-related admission. We aimed to describe the epidemiology of overdose episodes from the period prior to hospitalization for drug poisoning until discharge to home. METHODS: We assessed all cases of admission due to overdose (21,663 episodes) in Japan from October 2012 through September 2013 using the National Database of Health Insurance Claims and Specific Health Checkups of Japan...
February 24, 2017: Journal of Epidemiology
https://www.readbyqxmd.com/read/28198578/stories-of-change-the-text-analysis-of-handovers-in-an-italian-psychiatric-residential-care-home
#15
M Accordini, E Saita, F Irtelli, M Buratti, G Saluto
Handovers assure a timely and correct information transfer while socializing workers to the service's culture, however no study describes them as instruments to document organizational change and only a few have focused on psychiatric settings. AIM: To investigate the change in the culture of an Italian psychiatric residential care home as perceived by its Mental Health Workers (MHWs) over the course of two decades. METHOD: Emotional Text Analysis (ETA) was used to analyze the MHWs' handovers completed from 1990 to 2011...
February 15, 2017: Journal of Psychiatric and Mental Health Nursing
https://www.readbyqxmd.com/read/28177142/institutionalising-senile-dementia-in-19th-century-britain
#16
Emily Stella Andrews
This article explains how old, poor people living with dementia came to be institutionalised in 19th-century Britain (with a focus on London), and how they were responded to by the people who ran those institutions. The institutions in question are lunatic asylums, workhouses and charitable homes. Old people with dementia were admitted to lunatic asylums, workhouses and charitable homes, but were not welcome there. Using the records of Hanwell lunatic asylum, published texts of psychiatric theory, and the administrative records that all of these institutions generated at local and national levels, this article argues that 'the senile' were a perpetual classificatory residuum in the bureaucracy of 19th-century health and welfare...
February 2017: Sociology of Health & Illness
https://www.readbyqxmd.com/read/28174594/preventing-involuntary-admissions-special-needs-for-distinct-patient-groups
#17
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/28156620/usage-of-oregon-s-death-with-dignity-act-dwda
#18
Michael Leo LeBlanc, Dawn L Hershman, Lee M Ellis, Frank L Meyskens
44 Background: In 1997, OR enacted a voter initiative allowing terminally ill residents to self-administer physician-prescribed medication to end their lives. Statute requires prescriptions written for lethal medications be reported; the state also collects demographic and intended use data. We wished to to evaluate and report participation trends. METHODS: OR's Public Health Division gathers compliance forms from prescribing/consulting physicians, pharmacists, and psychiatrists, prescribing physician follow-up forms, and death certificates...
October 9, 2016: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
https://www.readbyqxmd.com/read/28153646/-differences-in-access-to-internet-and-internet-based-information-seeking-according-to-the-type-of-psychiatric-disorder
#19
P Brunault, A Bray, C Rerolle, S Cognet, P Gaillard, W El-Hage
BACKGROUND: Internet has become a major tool for patients to search for health-related information and to communicate on health. We currently lack data on how patients with psychiatric disorders access and use Internet to search for information on their mental health. This study aimed to assess, in patients followed for a psychiatric disorder (schizophrenia, bipolar disorder, mood and anxiety disorder, substance-related and addictive disorders and eating disorders), prevalence of Internet access and use, and patient expectations and needs regarding the use of Internet to search for mental-health information depending on the psychiatric disorder...
January 30, 2017: Revue D'épidémiologie et de Santé Publique
https://www.readbyqxmd.com/read/28150329/connecting-veterans-at-risk-for-suicide-to-care-through-the-home-program
#20
Bridget B Matarazzo, Samantha A Farro, Melodi Billera, Jeri E Forster, Janet E Kemp, Lisa A Brenner
The Home-Based Mental Health Evaluation (HOME) program, which engages veterans in care following psychiatric hospitalization, was evaluated. Thirty-four veterans who participated in the HOME program were compared to 34 veterans from a matched archival control group on treatment engagement and implementation outcomes. Veterans who participated in the HOME program were significantly more likely to engage in care, engaged in care more quickly, and attended significantly more individual mental health appointments...
February 2, 2017: Suicide & Life-threatening Behavior
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