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Psychiatric home health

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https://www.readbyqxmd.com/read/28198578/stories-of-change-the-text-analysis-of-handovers-in-an-italian-psychiatric-residential-care-home
#1
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
#2
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
#3
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
#4
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
#5
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
#6
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
https://www.readbyqxmd.com/read/28149500/pragmatic-trials-may-help-to-identify-effective-strategies-to-reduce-nursing-home-antipsychotic-medication-use
#7
EDITORIAL
Rosa R Baier, Vincent Mor
Despite widespread agreement that nursing homes' use of antipsychotic medications for residents without specific psychiatric diagnoses is a marker of poor quality of care, prevalence remains high. Additionally, variation suggests continued opportunity to improve care even in countries, like the United States, that have long-standing policies designed to decrease antipsychotic medication use. In a recent Israel Journal of Health Policy Research article, Frankenthal et al. presented results linking increased antipsychotic medication use prevalence in Tel Aviv nursing homes with facility characteristics, including some that "undermine quality of care," and called for increased national focus on this area...
2017: Israel Journal of Health Policy Research
https://www.readbyqxmd.com/read/28147433/cost-effectiveness-of-aftercare-services-for-people-with-severe-mental-disorders-an-analysis-parallel-to-a-randomised-controlled-clinical-trial-in-iran
#8
Maziar Moradi-Lakeh, Mohsen Yaghoubi, Ahmad Hajebi, Seyed Kazem Malakouti, Mohamad Ghadiri Vasfi
Aftercare services are not part of the usual care for people with severe mental disorders in Iran. This study was performed to assess the cost-effectiveness of aftercare services, including telephone follow-up or home visit, in addition to caregivers' education and training of social skills, for all subjects during the 20 months after hospital discharge. An economic evaluation was performed along with a registered randomised controlled trial (IRCT201009052557N2) on two groups of 60 persons recruited between 2010 and 2012...
February 1, 2017: Health & Social Care in the Community
https://www.readbyqxmd.com/read/28139266/-characteristics-diseases-and-mortality-of-people-admitted-to-nursing-homes-for-dependent-seniors-during-the-first-quarter-of-2013%C3%A2-in-france
#9
A Atramont, A Rigault, S Chevalier, G Leblanc, A Fagot-Campagna, P Tuppin
BACKGROUND: To describe the state of health, through healthcare consumption and mortality, of people admitted to nursing homes (Ehpad) in France. METHODS: People over the age of 65 years admitted to an Ehpad institution during the first quarter of 2013, beneficiaries of the national health insurance general scheme (69% of the population of this age), were identified from the Resid-Ehpad database and their reimbursed health care was extracted from the SNIIRAM database, identifying 56 disease groups by means of algorithms (long-term disease diagnoses and hospitalisations, medicinal products, specific procedures)...
January 27, 2017: Revue D'épidémiologie et de Santé Publique
https://www.readbyqxmd.com/read/28129087/correlates-of-depressive-symptoms-among-homebound-and-semi-homebound-older-adults
#10
Xiaoling Xiang, Jessica Brooks
This study aimed to provide a national profile of homebound and semi-homebound older adults with depressive symptoms and to compare risk factors of depressive symptoms by homebound status. A sample of 1,885 homebound and semi-homebound older adults were selected from Round 1 of the National Health and Aging Trends Study. The prevalence of depressive symptoms was 43.9% in homebound older adults and 28.1% in semi-homebound older adults, representing over 830,000 and 1.4 million individuals in the population, respectively...
January 27, 2017: Journal of Gerontological Social Work
https://www.readbyqxmd.com/read/28122529/monetary-costs-of-alzheimer-s-disease-in-china-protocol-for-a-cluster-randomised-observational-study
#11
Fangyu Li, Shuoqi Chen, Cuibai Wei, Jianping Jia
BACKGROUND: Alzheimer's disease (AD) is the most common type of dementia. International multilateral cost-of-illness (COI) studies have revealed that the cost of treating this disease is huge, which places a significant burden on patients' families and their healthcare systems. However, no such studies have been conducted in China. This study estimates the monetary costs of patients with AD in mainland China. METHODS: This study planned to start in October 2015 and to finish in March 2016...
January 25, 2017: BMC Neurology
https://www.readbyqxmd.com/read/28109311/patient-health-questionnaire-9-versus-edinburgh-postnatal-depression-scale-in-screening-for-major-depressive-episodes-a-cross-sectional-population-based-study
#12
COMPARATIVE STUDY
Iná S Santos, Beatriz Franck Tavares, Tiago N Munhoz, Patricia Manzolli, Gisele Bartz de Ávila, Eduardo Jannke, Alicia Matijasevich
BACKGROUND: Major depressive episodes (MDE) are frequent at the population level and are generally associated with severe symptoms that impair performance of activities of daily living of individuals suffering from this condition. The aim of this study was to compare the accuracy of two tests that separately showed suitable properties in screening for MDE: the Patient Health Questionnaire-9 (PHQ-9) and the Edinburgh Postnatal Depression Scale (EPDS). METHODS: In a previous study, the sensitivity and specificity of the PHQ-9 and the EPDS in screening for MDE were compared with a structured diagnostic interview conducted by psychiatrics and psychologists using the Mini International Neuropsychiatric Interview as the gold standard...
January 21, 2017: BMC Research Notes
https://www.readbyqxmd.com/read/28100293/psychiatric-rehabilitation-in-europe
#13
W Rössler, R E Drake
To describe the core elements of modern psychiatric rehabilitation. Based on selected examples we describe the discussion about values in mental health care with focus on Europe. We present outcome data from studies, which have tried to implement care structures based on this value discussion. In the second half of the 20th century, mental health care in all European and other high-income countries changed conceptually and structurally. Deinstitutionalisation reduced the number of psychiatric beds and transferred priority to outpatient care and community-based services, but community mental health programs developed differently across and within these countries...
January 19, 2017: Epidemiology and Psychiatric Sciences
https://www.readbyqxmd.com/read/28100210/prevalence-of-psychiatric-morbidity-in-a-community-sample-in-western-kenya
#14
Edith Kwobah, Steve Epstein, Ann Mwangi, Debra Litzelman, Lukoye Atwoli
BACKGROUND: About 25% of the worldwide population suffers from mental, neurological and substance use disorders but unfortunately, up to 75% of affected persons do not have access to the treatment they need. Data on the magnitude of the mental health problem in Kenya is scarce. The objectives of this study were to establish the prevalence and the socio-demographic factors associated with mental and substance use disorders in Kosirai division, Nandi County, Western Kenya. METHODS: This was a cross sectional descriptive study in which participants were selected by simple random sampling...
January 18, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/28090336/medical-feminism-working-mothers-and-the-limits-of-home-finding-a-balance-between-self-care-and-other-care-in-cross-cultural-debates-about-health-and-lifestyle-1952-1956
#15
Frederick Cooper
Post-war medical debates about the psychiatric consequences of married women's economic behaviour witnessed far more divergence and collision between perspectives than has often been acknowledged. Practitioners who approached women primarily as facilitators of family health-as wives and mothers-were mistrustful of the competing demands presented by paid employment. They were faced by a growing spectrum of opinion, however, which represented women as atrophying in the confines of domestic life, and which positioned work as a therapeutic act...
July 12, 2016: Palgrave Communications
https://www.readbyqxmd.com/read/28088068/perceived-assistance-in-pursuing-personal-goals-and-personal-recovery-among-mental-health-consumers-across-housing-services
#16
Galia S Moran, Kinneret Westman, Esther Weissberg, Samuel Melamed
Personal goals/plans play a central role in personal recovery and psychiatric rehabilitation of persons with mental illnesses. Yet, few studies have explored whether perceiving practitioners' assistance towards the pursuit of goals are associated with personal recovery and other favorable rehabilitation outcomes. A total of 2121 mental health consumers, of which 1222 use supported-housing services and 899 use group-home services, completed self-report questionnaires as part of a larger quality-assurance study conducted during the years 2013-2014...
January 5, 2017: Psychiatry Research
https://www.readbyqxmd.com/read/28059786/death-of-dementia-patients-in-psychiatric-hospitals-and-regional-supply-of-psychiatric-services-study-of-the-national-data-from-1996-to-2014-in-japan
#17
Miharu Nakanishi, Junko Niimura, Syudo Yamasaki, Atsushi Nishida
BACKGROUND: Japan designates psychiatric inpatient care for behavior management of individuals with dementia and for helping dementia patients discharge to home. However, there has been no examination of the effectiveness of this strategy. OBJECTIVE: The present study investigated the association between dementia and the discharge destination of patients in psychiatric hospitals. METHODS: Data from the National Patient Survey, which is a nationally representative cross-sectional survey of inpatient care, were used...
December 3, 2017: Journal of Alzheimer's Disease: JAD
https://www.readbyqxmd.com/read/27997287/acute-dissociative-reaction-to-spontaneous-delivery-in-a-case-of-total-denial-of-pregnancy-diagnostic-and-forensic-aspects
#18
Vedat Şar, Nazan Aydın, Onno van der Hart, A Steven Frankel, Meriç Şar, Oğuz Omay
This article presents the history of a 21-year-old female college student with total denial of pregnancy who experienced an acute dissociative reaction during the spontaneous delivery at home without medical assistance where the newborn died immediately. Psychiatric examination, self-report questionnaires, legal documents, and witness reports have been reviewed in evaluation of the case. Evidence pointed to total denial of pregnancy, that is, until delivery. The diagnoses of an acute dissociative reaction to stress (remitted) and a subsequent PTSD were established in a follow-up examination conducted 7 months after the delivery...
December 20, 2016: Journal of Trauma & Dissociation
https://www.readbyqxmd.com/read/27990295/a-retrospective-analysis-of-personality-disorder-presentations-in-a-canadian-university-affiliated-hospital-s-emergency-department
#19
Sarah Penfold, Dianne Groll, Dane Mauer-Vakil, Jennifer Pikard, Megan Yang, Mir Nadeem Mazhar
BACKGROUND: Individuals with personality disorders often have extensive involvement with healthcare services including frequent utilisation of emergency departments. AIMS: The aim of this study was to identify factors associated with emergency department presentations by individuals with personality disorders. METHOD: A 12-month retrospective data analysis of all mental-health-related emergency department visits was performed. Age, gender, time and season of presentation, length of stay, mode of arrival and discharge arrangements for individuals with personality disorders were compared to individuals with other psychiatric diagnoses...
November 2016: BJPsych Open
https://www.readbyqxmd.com/read/27968836/effects-of-a-peer-assisted-tai-chi-qigong-programme-on-social-isolation-and-psychological-wellbeing-in-chinese-hidden-elders-a-pilot-randomised-controlled-trial
#20
Aileen W K Chan, Doris S F Yu, K C Choi, Helen Y L Chan, Eliza M L Wong
BACKGROUND: The term hidden elder is used in Chinese society to describe older adults who are socially isolated and refuse social participation. Substantial evidence has indicated the important role of social isolation in increasing psychiatric morbidity and mortality risks in later life. Innovative service is promptly needed to address the social and psychological health needs of hidden elders. We aimed to test the feasibility and the preliminary effectiveness of a peer-assisted tai-chi-qigong programme in strengthening social networks and enhancing psychosocial wellbeing of Chinese hidden elders...
October 2016: Lancet
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