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Value added in psychiatry mental health

H Thomas de Burgh
Over the last 10 years, the UK armed forces (UKAF) have been involved in operations worldwide. Mental health in the armed forces (AF) has been the subject of considerable interest in part because of a perceived added risk of psychological distress in this population. Inpatient psychiatric services are provided through partnerships with NHS hospitals. The Cavell Centre, Peterborough's acute inpatient psychiatric unit has up to four beds for service personnel, under the care of a civilian consultant psychiatrist and his AF Foundation Year 2 doctor (F2)...
April 2016: Journal of the Royal Army Medical Corps
Bert Molewijk, Marit Helene Hem, Reidar Pedersen
BACKGROUND: Little is known about how health care professionals deal with ethical challenges in mental health care, especially when not making use of a formal ethics support service. Understanding this is important in order to be able to support the professionals, to improve the quality of care, and to know in which way future ethics support services might be helpful. METHODS: Within a project on ethics, coercion and psychiatry, we executed a focus group interview study at seven departments with 65 health care professionals and managers...
January 16, 2015: BMC Medical Ethics
Monica Gammelgård, Anna-Maija Koivisto, Markku Eronen, Riittakerttu Kaltiala-Heino
BACKGROUND: Structured violence risk assessment is an essential part of treatment planning for violent young people. The Structured Assessment of Violence Risk in Youth (SAVRY) has been shown to have good reliability and validity in a range of settings but has hardly been studied in adolescent mental health services. AIMS: This study aimed to evaluate the long-term predictive validity of the SAVRY in adolescent psychiatry settings. METHODS: In a prospective study, 200 SAVRY assessments of adolescents were acquired from psychiatric, forensic and correctional settings...
July 2015: Criminal Behaviour and Mental Health: CBMH
Mattias Ekman, Ola Granstrom, Sead Omerov, Johanna Jacob, Mikael Landen
BACKGROUND: Schizophrenia is a disabling psychiatric disorder that has severe consequences for patients and their families. Moreover, the expensive treatment of schizophrenia imposes a burden on health care providers and the wider society. Existing cost estimates for Sweden, however, are based on relatively small patient populations and need to be confirmed in a large register-based study. AIMS OF THE STUDY: To investigate the health care resource utilization and cost-of-illness in patients with schizophrenia in Sweden and to relate the costs to hospitalizations and global assessment of functioning (GAF)...
March 2013: Journal of Mental Health Policy and Economics
R J P Coenen, A J P Schrijvers, T J Heeren
A Primary Care Program in old age psychiatry: Background, implementation and first experiences. Since 1999, the GP has been assigned the role of the "gatekeeper of mental health care". The aim of which is to treat as many mental problems as possible in primary health care. The generally complicated mental health problems in the elderly confront the GP with difficult diagnostic, treatment, and referral issues. Psychological problems are often masked by somatic complaints and rarely lead to referrals or adequate treatment...
August 2005: Tijdschrift Voor Gerontologie en Geriatrie
Alex J Mitchell, Nick Meader, Vicky Bird, Maria Rizzo
BACKGROUND: Clinicians have considerable difficulty identifying and helping those people with alcohol problems but no previous study has looked at this systematically. AIMS: To determine clinicians' ability to routinely identify broadly defined alcohol problems. METHOD: Data were extracted and rated by two authors, according to PRISMA standard and QUADAS criteria. Studies that examined the diagnostic accuracy of clinicians' opinion regarding the presence of alcohol problems as well as their written notation were evaluated...
August 2012: British Journal of Psychiatry: the Journal of Mental Science
Geertjan Overbeek, Ad Vermulst, Ron de Graaf, Margreet ten Have, Rutger Engels, Ron Scholte
BACKGROUND: An unresolved issue in psychiatry research concerns the assumption that detrimental effects of negative life events on mental health may be buffered by a multitude of positive life events. However, there is clear lack of empirical evidence for this assumption, and one may even argue that positive life events act as additional stressors and thus increase (and not decrease) the risk for affective disorders. METHODS: Data were used from 4796 adults aged 18-64, who participated in 2 waves (i...
November 2010: Journal of Psychiatric Research
Chillal Guru Prasad, Girish N Babu, Prabha S Chandra, Santosh K Chaturvedi
Regional movies in India play an important role in portraying mental illness and also depict awareness and attitudes of society towards people with mental health problems. Kannada (the language spoken by 50 million people from the state of Karnataka in South India) cinema has produced a range of movies depicting conditions ranging from psychosis to personality disorders. However, the descriptions of mental illness in several of these movies is vague and often stigmatizing. Some landmark films have involved psychiatrists in producing and directing the movies, including helping with the story line, which have added value to these films...
June 2009: International Review of Psychiatry
Roger G Kathol, Elisabeth J S Kunkel, Joseph S Weiner, Robert M McCarron, Linda L M Worley, William R Yates, Paul Summergrad, Frits J Huyse
BACKGROUND: In their current configuration, traditional reactive consultation-liaison services see a small percentage of the general-hospital patients who could benefit from their care. These services are poorly reimbursed and bring limited value in terms of clinical improvement and reduction in health-service use. METHOD: The authors examine models of cross-disciplinary, integrated health services that have been shown to promote health and lower cost in medically-complex patients, those with complicated admixtures of physical, mental, social, and health-system difficulties...
March 2009: Psychosomatics
Gabriel Thorens, Marianne Gex-Fabry, Daniele F Zullino, Ariel Eytan
BACKGROUND: Biological factors influencing individual response to drugs are being extensively studied in psychiatry. Strikingly, there are few studies addressing social and cultural differences in attitudes toward psychotropic medications. The objective of this study was to investigate ethno-culturally determined beliefs, expectations and attitudes toward medication among a sample of hospitalized psychiatric patients. METHODS: An ad hoc questionnaire was designed to assess patients' expectations, attitudes and prejudice toward medication...
2008: BMC Psychiatry
Inés Morán Sánchez, Fernando Navarro-Mateu, Fuensanta Robles Sánchez, Asunción de Concepción Salesa
OBJECTIVES: To evaluate the validity of clinical diagnoses of attention deficit/hyperactivity disorder (AD/HD). DESIGN: Descriptive, cross-sectional study. SETTING: Mental Health Care area 6, Murcia, Spain. PARTICIPANTS: The sample consists of those patients referred consecutively to the child psychiatry clinic between July and September 2005. MAIN MEASUREMENTS: The presumptive diagnosis of AD/HD in the paediatric department referral was compared with the definitive one in psychiatry (gold standard)...
January 2008: Atencion Primaria
Eric Youngstrom, Oren Meyers, Christine Demeter, Jen Youngstrom, Laura Morello, Richard Piiparinen, Norah Feeny, Joseph R Calabrese, Robert L Findling
OBJECTIVES: To compare six promising mania measures, the Parent Mood Disorder Questionnaire (P-MDQ), the Adolescent self-report MDQ, the 10-item short form of the Parent General Behavior Inventory (PGBI-SF10), the 28-item Adolescent General Behavior Inventory (AGBI), the Parent Young Mania Rating Scale (P-YMRS), and the adolescent YMRS, in a demographically diverse outpatient sample. METHODS: Participants were 262 outpatients (including 164 males and 131 African-Americans) presenting to either an academic medical center (n = 153) or a community mental health center (n = 109)...
December 2005: Bipolar Disorders
Silvio Garattini, Vittorio Bertele'
Thanks to their alleged better tolerability atypical or second-generation antipsychotic drugs (SGA) have gained a considerable fraction of the market at the expense of the classical antipsychotics. The massive advertising of SGA focussed the doubtful reduction of extra-pyramidal side effects (EPS) overlooking the information about the cardiovascular risk induced by SGA. This also led to extensive off-label use as the control of behavioural symptoms associated with dementia in elderly patients. Although the European Medicine Agency (EMEA) eventually warned physicians and patients of the risk associated with SGA use in this area, the regulatory system has some responsibility in this situation...
June 2005: International Review of Psychiatry
Nina Horwitz
This article analyzes important changes in medical practice, focusing in those most deeply perceived by a group of physiciansfrom the Metropolitan Region of Santiago, included in a joint research conducted by the Departments of Psychiatry and Mental Health (East) of the Medical Faculty at the University of Chile and Public Health of the Catholic University of Santiago, during 2003. These are the perceived changes in the relationship between doctors and patients; increased limits in professional autonomy and the fragmentation of medical practice...
June 2004: Revista Médica de Chile
P Cukor, L Baer, B S Willis, L Leahy, J O'Laughlen, M Murphy, M Withers, E Martin
Research findings suggest that the value added by the video channel of currently available video conferencing technology is limited to the creation of a social presence of the other party. Almost all clinical information exchange takes place on the audio channel, while the interpersonal interactions (nods, blinks, facial expressions, and body language), which are so important in a face-to-face meeting, may not be adequately captured by the video. Several of our case studies are presented which suggest that, consistent with the social presence role for video, low-cost videophones may be effectively substituted for expensive ISDN-based systems in many mental health applications...
1998: Telemedicine Journal: the Official Journal of the American Telemedicine Association
R Fama, E V Sullivan, P K Shear, L Marsh, J A Yesavage, J R Tinklenberg, K O Lim, A Pfefferbaum
OBJECTIVE: To examine whether each of the 5 Mattis Dementia Rating Scale (DRS) scores related to magnetic resonance imaging-derived volumes of specific cortical or limbic brain regions in patients with Alzheimer disease (AD). DESIGN: Relations between DRS measures and regional brain volume measures were tested with bivariate and multivariate regression analyses. SETTING: The Aging Clinical Research Center of the Stanford (Calif) University Department of Psychiatry and Behavioral Science and the Geriatric Psychiatry Rehabilitation Unit of the Veterans Affairs Palo Alto Health Care System, Palo Alto, Calif...
June 1997: Archives of Neurology
G H Flamm
The number and the roles of psychiatric units in general hospitals have been growing rapidly in recent years, and general-hospital psychiatry presents broad opportunities for service delivery, education, and research. Most or all the basic components of a community mental health center can be found within a general hospital, and as psychiatrists move back into the mainstream of medicine, the general hospital takes on added value. Training advantages include the exposure of medical students and primary care residents and physicians to mental illness and its impact on families as well as the interaction between psychiatric and nonpsychiatric trainees at various levels...
March 1979: Hospital & Community Psychiatry
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