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Psychiatric home health

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https://www.readbyqxmd.com/read/29215904/practice-procedures-in-models-of-primary-care-collaboration-for-children-with-adhd
#1
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
#2
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
#3
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
#4
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
#5
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
#6
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
https://www.readbyqxmd.com/read/29179143/factors-associated-with-postpartum-depression-in-women-from-low-socioeconomic-level-in-argentina-a-hierarchical-model-approach
#7
Diana Pham, Gabriela Cormick, Melissa M Amyx, Luz Gibbons, Meitra Doty, Asia Brown, Angel Norwood, Federico M Daray, Fernando Althabe, José M Belizán
PURPOSE: to estimate the prevalence of depression at 4-week postpartum using the Edinburgh postpartum Depression Scale (EPDS) in women who delivered in a public maternity hospital in Argentina. METHODS: This prospective cohort study was carried out from March to August 2016 in northwest Argentina. Eligibility included delivering a singleton live birth 28 weeks of gestational age or over, 18 years or older and resided within 1h from the maternity hospital. Women were excluded if they or their newborn were in the intensive care unit...
November 21, 2017: Journal of Affective Disorders
https://www.readbyqxmd.com/read/29171899/well-being-of-nursing-staff-on-specialised-units-for-older-patients-with-combined-care-needs
#8
Janine Collet, Marjolein E de Vugt, Jos M G A Schols, Noud J J A Engelen, Bjorn Winkens, Frans R J Verhey
INTRODUCTION: In older patients, psychiatric illnesses frequently exist in tandem with physical illnesses, requiring nursing care that is specific to these combined care needs. The impact of caring for these patients on the mental well-being of nursing staff is unknown. AIM: To investigate if care characteristics of patients with combined care needs are related to the mental well-being of nursing staff. METHOD: Well-being of nursing staff was studied within a larger exploratory observational cross-sectional study that examined the differences and similarities of specialised combined care units in Dutch mental health care and nursing home settings...
November 24, 2017: Journal of Psychiatric and Mental Health Nursing
https://www.readbyqxmd.com/read/29167039/psychological-and-psychiatric-symptoms-of-terminally-ill-patients-with-cancer-and-their-family-caregivers-in-the-home-care-setting-a-nation-wide-survey-from-the-perspective-of-bereaved-family-members-in-japan
#9
Makoto Kobayakawa, Asao Ogawa, Michiko Konno, Akiko Kurata, Jun Hamano, Tatsuya Morita, Yoshiyuki Kizawa, Satoru Tsuneto, Yasuo Shima, Maho Aoyama, Mitsunori Miyashita
OBJECTIVE: The psychological and psychiatric symptoms of terminally ill cancer patients are highly problematic and have been associated with greater burden among caregivers. Until now, the extent of these problems in the home care setting was unclear. METHODS: This retrospective study was conducted as part of a nationwide survey from the perspective of bereaved family members in Japan (J-HOPE3). The bereaved family members rated the symptoms of delirium and suicidal ideation of patients with cancer, and the sleeplessness and depressed mood of family caregivers utilizing home care services in the one month before the patients' deaths...
December 2017: Journal of Psychosomatic Research
https://www.readbyqxmd.com/read/29163984/retrospective-cohort-follow-up-study-of-individuals-detained-under-section-136
#10
Jennifer L Burgess, Sarah-Jane White, Aileen O'Brien
Background: An original cohort study found that over half of the individuals detained under Section 136 (S136) of the Mental Health Act 1983 were discharged home after assessment, and nearly half were intoxicated. Aims: To investigate whether the cohort was followed up by psychiatric services, characterise those repeatedly detained and assess whether substance use was related to these outcomes. Method: Data were retrospectively collected from the notes of 242 individuals, who presented after S136 detention to a place of safety over a 6-month period, and were followed up for 1 year...
November 2017: BJPsych Open
https://www.readbyqxmd.com/read/29162169/stress-exposure-and-psychopathology-alter-methylation-of-the-serotonin-receptor-2a-htr2a-gene-in-preschoolers
#11
Stephanie H Parade, Andrew M Novick, Justin Parent, Ronald Seifer, Samantha J Klaver, Carmen J Marsit, Asi Polly Gobin, Bao-Zhu Yang, Audrey R Tyrka
Serotonin signaling pathways play a key role in brain development, stress reactivity, and mental health. Epigenetic alterations in the serotonin system may underlie the effect of early life stress on psychopathology. The current study examined methylation of the serotonin receptor 2A (HTR2A) gene in a sample of 228 children including 119 with child welfare documentation of moderate to severe maltreatment within the last 6 months. Child protection records, semistructured interviews in the home, and parent reports were used to assess child stress exposure, psychiatric symptoms, and behavior...
December 2017: Development and Psychopathology
https://www.readbyqxmd.com/read/29144419/air-pollution-and-dispensed-medications-for-asthma-and-possible-effect-modifiers-related-to-mental-health-and-socio-economy-a-longitudinal-cohort-study-of-swedish-children-and-adolescents
#12
Anna Oudin, Lennart Bråbäck, Daniel Oudin Åström, Bertil Forsberg
It has been suggested that children that are exposed to a stressful environment at home have an increased susceptibility for air pollution-related asthma. The aim here was to investigate the association between air pollution exposure and asthma, and effect modification by mental health and by socio-economic status (as markers of a stressful environment). All individuals under 18 years of age in four Swedish counties during 2007 to 2010 (1.2 million people) were included. The outcome was defined as dispensing at least two asthma medications during follow up...
November 16, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29083100/mefloquine-for-preventing-malaria-during-travel-to-endemic-areas
#13
REVIEW
Maya Tickell-Painter, Nicola Maayan, Rachel Saunders, Cheryl Pace, David Sinclair
BACKGROUND: Mefloquine is one of four antimalarial agents commonly recommended for preventing malaria in travellers to malaria-endemic areas. Despite its high efficacy, there is controversy about its psychological side effects. OBJECTIVES: To summarize the efficacy and safety of mefloquine used as prophylaxis for malaria in travellers. SEARCH METHODS: We searched the Cochrane Infectious Diseases Group Specialized Register; the Cochrane Central Register of Controlled Trials (CENTRAL), published on the Cochrane Library; MEDLINE; Embase (OVID); TOXLINE (https://toxnet...
October 30, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29079602/randomised-controlled-trial-of-the-clinical-and-cost-effectiveness-of-a-peer-delivered-self-management-intervention-to-prevent-relapse-in-crisis-resolution-team-users-study-protocol
#14
Sonia Johnson, Oliver Mason, David Osborn, Alyssa Milton, Claire Henderson, Louise Marston, Gareth Ambler, Rachael Hunter, Stephen Pilling, Nicola Morant, Richard Gray, Tim Weaver, Fiona Nolan, Brynmor Lloyd-Evans
INTRODUCTION: Crisis resolution teams (CRTs) provide assessment and intensive home treatment in a crisis, aiming to offer an alternative for people who would otherwise require a psychiatric inpatient admission. They are available in most areas in England. Despite some evidence for their clinical and cost-effectiveness, recurrent concerns are expressed regarding discontinuity with other services and lack of focus on preventing future relapse and readmission to acute care. Currently evidence on how to prevent readmissions to acute care is limited...
October 27, 2017: BMJ Open
https://www.readbyqxmd.com/read/29073939/a-comparison-of-decisions-to-discharge-committed-psychiatric-patients-between-treating-physicians-and-district-psychiatric-committees-an-outcome-study
#15
Daniel Argo, Igor Barash, Gadi Lubin, Moshe Z Abramowitz
BACKGROUND: The Israel Mental Health Act of 1991 stipulates a process for involuntary psychiatric hospitalization (IPH). A patient thus hospitalized may be discharged by either the treating psychiatrist (TP) or the district psychiatric committee (DPC). The decision rendered by the DPC is often at odds with the recommendation of the TP. Although much has been written about the ethical issues of restricting patients' rights and limiting their freedom, far less attention has been devoted to the psychiatric, medical, and social outcome of legal patient discharge against the doctor's recommendation...
October 26, 2017: Israel Journal of Health Policy Research
https://www.readbyqxmd.com/read/29032703/the-use-of-telepsychiatry-to-provide-cost-efficient-care-during-pediatric-mental-health-emergencies
#16
John F Thomas, Douglas K Novins, Patrick W Hosokawa, Christina A Olson, Dru Hunter, Alison S Brent, Gerard Frunzi, Anne M Libby
OBJECTIVE: This study evaluated a videoconference-based psychiatric emergency consultation program (telepsychiatry) at geographically dispersed emergency department (ED) sites that are part of the network of care of an academic children's hospital system. The study compared program outcomes with those of usual care involving ambulance transport to the hospital for in-person psychiatric emergency consultation prior to disposition to inpatient care or discharge home. METHODS: This study compared process outcomes in a cross-sectional, pre-post design at five network-of-care sites before and after systemwide implementation of telepsychiatry consultation in 2015...
October 16, 2017: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/28956825/a-longitudinal-study-of-child-maltreatment-and-mental-health-predictors-of-admission-to-psychiatric-residential-treatment-facilities
#17
Roderick A Rose, Paul Lanier
The child welfare system is an access point for children's mental health services. Psychiatric residential treatment facilities (PRTFs) are the most restrictive, and most expensive setting for children to receive long-term care. Given the high rates of behavioral health concerns among maltreated children in out-of-home care, research is needed to examine the factors that predict entry in PRTFs among children investigated for maltreatment. This exploratory study used cross-sector administrative records linked across multiple systems, including child welfare records and Medicaid claims, from a single state over a five-year period (n = 105,982)...
September 28, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/28948424/feasibility-acceptability-and-preliminary-effectiveness-of-a-peer-delivered-and-technology-supported-self-management-intervention-for-older-adults-with-serious-mental-illness
#18
Karen L Fortuna, Peter R DiMilia, Matthew C Lohman, Martha L Bruce, Cynthia D Zubritsky, Mitch R Halaby, Robert M Walker, Jessica M Brooks, Stephen J Bartels
To assess the feasibility, acceptability, and preliminary effectiveness of a peer-delivered and technology supported integrated medical and psychiatric self-management intervention for older adults with serious mental illness. Ten older adults with serious mental illness (i.e., schizophrenia, schizoaffective disorder, bipolar disorder, or major depressive disorder) and medical comorbidity (i.e., cardiovascular disease, obesity, diabetes, chronic obstructive pulmonary disease, hypertension, and/or high cholesterol) aged 60 years and older received the PeerTECH intervention in their homes...
September 26, 2017: Psychiatric Quarterly
https://www.readbyqxmd.com/read/28947117/making-a-measurable-difference-in-advanced-huntington-disease-care
#19
Carol Brown Moskowitz, Ashwini K Rao
Neurologists' role in the care of people with advanced Huntington disease (HD) (total functional capacity <7), often limited by a lack of clinical research to support good practice, includes the following: (1) provide comprehensive health records to an interdisciplinary care staff before admission to a more intense care setting (home health services, day program, assisted living, group home, long-term skilled nursing facility, palliative care); (2) consult with and refer to rehabilitation (occupational therapy, physical therapy, speech and language pathology), behavioral and psychiatric professionals for problem-solving strategies, which must be reviewed with direct care staff before implementation; (3) encourage and support qualitative and quantitative interdisciplinary research studies, and randomized controlled studies of nonpharmacologic interventions; and (4) assist in the development of meaningful measures to further document what works to provide a good quality of life for the patient and family and a comfortable thoughtful approach to a good death...
2017: Handbook of Clinical Neurology
https://www.readbyqxmd.com/read/28912735/development-and-preliminary-validation-of-the-scale-for-evaluation-of-psychiatric-integrative-and-continuous-care-patient-s-version
#20
Yuriy Ignatyev, Jürgen Timm, Martin Heinze, Sonja Indefrey, Sebastian von Peter
This pilot study aimed to evaluate and examine an instrument that integrates relevant aspects of cross-sectoral (in- and outpatients) mental health care, is simply to use and shows satisfactory psychometric properties. The development of the scale comprised literature research, held 14 focus groups and 12 interviews with patients and health care providers, item-pool generation, content validation by a scientific expert panel, and face validation by 90 patients. The preliminary scale was tested on 385 patients across seven German hospitals with cross-sectoral mental health care (CSMHC) as part of their treatment program...
2017: Frontiers in Psychiatry
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