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https://www.readbyqxmd.com/read/29663648/sensory-strategies-in-adult-mental-health-a-qualitative-exploration-of-staff-perspectives-following-the-introduction-of-a-sensory-room-on-a-male-adult-acute-ward
#1
Angus S Forsyth, Rebecca Trevarrow
In recent years, there has been growing interest in the use of sensory techniques to help with emotional regulation in adult mental health populations. This is against a backdrop of international policies aimed at reducing restrictive interventions and improving the effectiveness of de-escalation techniques. A sensory room was designed and implemented on a male adult acute psychiatric ward. Staff perspectives were sought to evaluate the effectiveness of the room in managing emotional distress by exploring staff awareness of a broader range of de-escalation strategies and by exploring what effect the room had on staff behaviours with respect to sensory interventions...
April 16, 2018: International Journal of Mental Health Nursing
https://www.readbyqxmd.com/read/29656726/the-mental-health-consumer-movement-and-peer-providers-in-israel
#2
G S Moran
Self-help peer-support groups in Israel emerged in the 1980s and, over time, dynamically interacted and co-developed with the statutory mental health (MH) system. In this editorial, I outline historical milestones of how the evolution of the Israeli mental health system was influenced by the consumer movement. A brief depiction of the consumer movement history. At first, consumers operated outside of the mainstream MH system. Gradually, consumer groups and institutional personnel joined efforts towards community integration and enhancement of quality of life, pushing forward a person-centered recovery orientation...
April 16, 2018: Epidemiology and Psychiatric Sciences
https://www.readbyqxmd.com/read/29656708/outcomes-of-a-peer-mentor-intervention-for-persons-with-recurrent-psychiatric-hospitalization
#3
Maria J O'Connell, William H Sledge, Martha Staeheli, David Sells, Mark Costa, Melissa Wieland, Larry Davidson
OBJECTIVE: This article presents findings from a randomized controlled trial of a peer support mentorship intervention designed for individuals with serious mental illness and frequent, recurrent psychiatric hospitalizations. METHODS: Seventy-six individuals who were diagnosed as having a major psychotic or mood disorder and who had at least two psychiatric hospitalizations or more than three emergency department visits within the 18 months prior to the index hospitalization participated in this trial...
April 16, 2018: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/29656707/three-year-retention-in-buprenorphine-treatment-for-opioid-use-disorder-among-privately-insured-adults
#4
Ajay Manhapra, Edeanya Agbese, Douglas L Leslie, Robert A Rosenheck
OBJECTIVE: This study examined factors related to retention in buprenorphine treatment for opioid use disorder (OUD) among privately insured patients. METHODS: Patients with OUD who were newly started on buprenorphine during federal fiscal year (FY) 2011 were identified in a national private insurance claims database (MarketScan), and treatment retention (filled buprenorphine prescriptions) was evaluated through FY 2014. Proportional hazards models were used to examine demographic, clinical, and service use characteristics in FY 2011, including ongoing insurance coverage, associated with discontinuation of treatment...
April 16, 2018: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/29648874/piloting-of-copes-an-empirically-informed-psychosocial-intervention-on-an-adolescent-psychiatric-inpatient-unit
#5
Jennifer C Wolff, Elisabeth A Frazier, Sarah L Weatherall, Alysha D Thompson, Richard T Liu, Jeffrey I Hunt
OBJECTIVES: This study evaluated the feasibility and initial efficacy of an empirically informed psychosocial intervention on an adolescent psychiatric inpatient unit. METHODS: Data were obtained for 463 adolescents 12-16 years of age on a psychiatric inpatient unit. Information collected included demographics, psychiatric diagnoses, length of inpatient stay, completion of four treatment modules, rehospitalizations, and emergency room visits during 12 months after discharge from index admission...
April 12, 2018: Journal of Child and Adolescent Psychopharmacology
https://www.readbyqxmd.com/read/29627192/why-do-the-very-old-self-harm-a-qualitative-study
#6
Anne P F Wand, Carmelle Peisah, Brian Draper, Henry Brodaty
OBJECTIVES: To examine the perspectives of people aged 80 years or older who self-harmed regarding their reasons for self-harm and its consequences, and their perceptions of care. DESIGN: A qualitative study using in-depth interviews. SETTING: Participants were recruited from two teaching hospitals and associated community services. PARTICIPANTS: People aged 80 years or older who had self-harmed within the previous month...
March 15, 2018: American Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/29601286/implementing-a-college-mental-health-program-an-overview-of-the-first-twelve-months
#7
Nancy Downs, Tracy Alderman, Savita Bhakta, Tiffany A Greenwood
OBJECTIVE: To evaluate the demographics and clinical utilization patterns among college students during the initial 12 months of a novel, multi-disciplinary, collaborative, college mental health program (CMHP). PARTICIPANTS: Undergraduate and graduate students receiving treatment at the CMHP from Jan-Dec 2015. METHODS: De-identified data was obtained via electronic health records for all students receiving care through the CMHP. RESULTS: 1...
March 30, 2018: Journal of American College Health: J of ACH
https://www.readbyqxmd.com/read/29588959/pnes-around-the-world-where-we-are-now-and-how-we-can-close-the-diagnosis-and-treatment-gaps-an-ilae-pnes-task-force-report
#8
Kousuke Kanemoto, W Curt LaFrance, Roderick Duncan, David Gigineishvili, Sung-Pa Park, Yukari Tadokoro, Hiroko Ikeda, Ravi Paul, Dong Zhou, Go Taniguchi, Mike Kerr, Tomohiro Oshima, Kazutaka Jin, Markus Reuber
An international consensus clinical practice statement issued in 2011 ranked psychogenic nonepileptic seizures (PNES) among the top three neuropsychiatric problems. An ILAE PNES Task Force was founded and initially charged with summarizing the current state of the art in terms of diagnosis and treatment, resulting in two publications. The first described different levels of diagnostic certainty. The second summarized current knowledge of management approaches. The present paper summarizes an international workshop of the ILAE PNES Task Force that focused on the current understanding and management of PNES around the world...
September 2017: Epilepsia Open
https://www.readbyqxmd.com/read/29580707/improving-quality-of-psychiatric-care-in-latvia-by-measuring-patient-experiences
#9
Maris Taube, Natalija Berzina-Novikova
In Latvia, as in many former Soviet Union countries, there used to be little priority given to systematic assessments of the quality of psychiatric care. Furthermore, using the experiences of patients as a measure of quality was unthinkable because psychiatric patients were seen as incapable of assessing quality of psychiatric services. Over the past few years, and facilitated by Latvia's progress along the route of Western democracy and participation in international organizations (EU, OECD), as well as funding support from the EU, several policy documents have been developed with the aim of improving healthcare quality...
March 20, 2018: Health Policy
https://www.readbyqxmd.com/read/29580705/-consultation-liaison-addiction-medicine-tools-and-specificities
#10
P Poloméni, G Cleirec, C Icard, A Ramos, B Rolland
Since the 1970s, the concept of "consultation/liaison (CL) psychiatry" has pertained to specialized mobile teams which meet inpatients hospitalized in non-psychiatric settings to offer them on-the-spot psychiatric assessment, treatment, and, if needed, adequate referral. Since the birth of CL psychiatry, a long set of theoretical books and articles has aimed at integrating CL psychiatry into the wider scope of psychosomatic medicine. In the year 2000, a circular issued by the Health Ministry defined the organization of "CL addiction services" in France...
March 23, 2018: L'Encéphale
https://www.readbyqxmd.com/read/29580700/-peer-support-programs-in-mental-health-in-france-status-report-and-challenges
#11
M Villani, V Kovess-Masféty
OBJECTIVES: Recovery is a process through which people experiencing mental illness learn to live with their disorder and reach social insertion and citizenship. This positive approach focuses on a person's competencies and strengths rather than on the symptoms. Within this philosophy, peer support has been unevenly developing in mental health services worldwide with roots in the South-American social programs for homeless people and in the American recovery circles in the field of addiction...
March 23, 2018: L'Encéphale
https://www.readbyqxmd.com/read/29560072/emergency-department-frequent-users-for-acute-alcohol-intoxication
#12
Lauren R Klein, Marc L Martel, Brian E Driver, Mackenzie Reing, Jon B Cole
Introduction: A subset of frequent users of emergency services are those who use the emergency department (ED) for acute alcohol intoxication. This population and their ED encounters have not been previously described. Methods: This was a retrospective, observational, cohort study of patients presenting to the ED for acute alcohol intoxication between 2012 and 2016. We collected all data from the electronic medical record. Frequent users for alcohol intoxication were defined as those with greater than 20 visits for acute intoxication without additional medical chief complaints in the previous 12 months...
March 2018: Western Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29558927/the-effects-of-housing-stability-on-service-use-among-homeless-adults-with-mental-illness-in-a-randomized-controlled-trial-of-housing-first
#13
Nick Kerman, John Sylvestre, Tim Aubry, Jino Distasio
BACKGROUND: Housing First is an effective intervention to stably house and alter service use patterns in a large proportion of homeless people with mental illness. However, it is unknown whether there are differences in the patterns of service use over time among those who do or do not become stably housed and what effect, if any, Housing First has on these differing service use patterns. This study explored changes in the service use of people with mental illness who received Housing First compared to standard care, and how patterns of use differed among people who did and did not become stably housed...
March 20, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29549825/psychiatric-symptoms-experienced-by-adolescents-in-nepal-following-the-2015-earthquakes
#14
Sanju Silwal, Ragnhild Dybdahl, Roshan Chudal, Andre Sourander, Lars Lien
BACKGROUND: In 2015, Nepal was hit by two major earthquakes, which caused 8900 deaths and displaced more than 450,000 people. We assessed the prevalence of post-traumatic stress symptoms (PTSS) and depressive symptoms and explored potential risk factors among adolescents. METHODS: This cross-sectional study comprised 893 students aged 11-17 in school grades 7-10. They lived in two districts affected by the earthquakes: Sindhupalchok and Kathmandu. Psychiatric symptoms were assessed using Child PTSD symptom scale and Depression Self-Rating Scale...
March 7, 2018: Journal of Affective Disorders
https://www.readbyqxmd.com/read/29540915/brief-intervention-in-substance-use-disorders
#15
REVIEW
Surendra Kumar Mattoo, Sambhu Prasad, Abhishek Ghosh
Unhealthy substance use lies on a wide range that extends from occasional mild risky/harmful/hazardous use to severe substance use disorder. Brief intervention (BI) is a technique, used to initiate change for an unhealthy or risky substance use. It can be delivered by a vast array of trained professionals, in opportunistic settings (i.e. in people seeking help not for their substance use, but either its consequences or for completely unrelated physical or psychiatric disorders), and across substances, age and ethno-cultural groups...
February 2018: Indian Journal of Psychiatry
https://www.readbyqxmd.com/read/29535523/evaluating-psychiatric-readmissions-in-the-emergency-department-of-a-large-public-hospital
#16
David W Morris, Subroto Ghose, Ella Williams, Kevin Brown, Fuad Khan
Introduction: Hospital emergency departments (EDs) around the country are being challenged by an ever-increasing volume of patients seeking psychiatric services. This manuscript describes a study performed to identify internal and external factors contributing to repeated psychiatric patient admissions to the hospital main ED. Methods: Data from ED visits of patients who were admitted to the Parkland Memorial Hospital ED (the community hospital for Dallas County, TX, USA) with a psychiatric complaint more than once within a 30-day period were evaluated (n=202)...
2018: Neuropsychiatric Disease and Treatment
https://www.readbyqxmd.com/read/29528897/urban-mental-health-challenges-and-perspectives
#17
Niels Okkels, Christina Blanner Kristiansen, Povl Munk-Jørgensen, Norman Sartorius
PURPOSE OF REVIEW: To provide an update on urban mental health and highlight the challenges that require urgent attention. RECENT FINDINGS: The majority of the world's population live in towns and urbanization is expected to increase in all areas of the world. Challenges to mental health in urban areas include loneliness, violence, high crime rates, homelessness, noise and other pollutants, traffic accidents, drug abuse, and insufficiency of mental health services...
March 9, 2018: Current Opinion in Psychiatry
https://www.readbyqxmd.com/read/29528597/-transition-from-child-and-adolescent-to-adult-mental-health-care
#18
F Carbonez, M Al Husni Al Keilani, C Kornreich, V Delvenne
Adolescents and young adults are at particularly at-risk population in mental health. For a large majority of patients suffering from chronic psychiatric condition, the age of onset of psychiatric symptoms is less than 24 years, while the coverage in psychiatric care is the lowest between 16 and 24. Presenting a psychiatric pathology during childhood and adolescence constitutes an independent risk factor for the occurrence of adverse life events in adulthood. Furthermore, that population is at the edge between child and adolescent mental health services (CAMHS) and adult mental health services (AMHS)...
2018: Revue Médicale de Bruxelles
https://www.readbyqxmd.com/read/29522596/-rosario-escapes-child-and-adolescent-mental-health-and-rights
#19
Erica G Gunther
This article aims to establish a critical view of the situation of children and teenagers who use mental health emergency services. I describe a situation in the emergency room of a child and adolescent psychiatric hospital, problematized in terms of violation and restitution of rights of children and adolescents.
July 2017: Vertex: Revista Argentina de Psiquiatriá
https://www.readbyqxmd.com/read/29514583/a-prospective-observational-study-of-emergency-department-presentations-following-novel-psychoactive-substance-use
#20
David E Henshall, Callum Wd Innes, Scott R Morrison, Blair Wilson, Ryan A Brown, Shannon M McAllister, Seamus L Culshaw, Elaina Reda
Background and aims Novel psychoactive substances are compounds intended to mimic the effects of illicit drugs. They provide a unique challenge to healthcare, as complications of their use and their impact on services are relatively unknown. This study aims to determine nature of presentations, patient demographics and impact on healthcare. Methods Novel psychoactive substances users who presented to a large urban emergency department over 4 weeks were prospectively identified and followed for 1 year. Patients over 13 years old were eligible for inclusion...
January 1, 2018: Scottish Medical Journal
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