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Psychiatric emergency services

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https://www.readbyqxmd.com/read/29245103/long-acting-intramuscular-naltrexone-for-opioid-use-disorder-utilization-and-association-with-multi-morbidity-nationally-in-the-veterans-health-administration
#1
Megan M Kelly, Erin Reilly, Timothy Quiñones, Nitigna Desai, Robert Rosenheck
BACKGROUND: Long acting intramuscular (IM) naltrexone is an effective treatment for opioid use disorder (OUD), but rates and correlates of its use have not been studied. METHODS: National administrative from the Veterans Health Administration (VHA) from Fiscal Year 2012 identified only 16 VHA facilities that prescribed IM naltrexone to 5 or more veterans diagnosed with OUD. Data from these facilities were used to identify sociodemographic, diagnostic, and service use characteristics, including use of psychotropic medication, that were characteristic of veterans who filled prescriptions for IM naltrexone...
December 2, 2017: Drug and Alcohol Dependence
https://www.readbyqxmd.com/read/29238901/tower-of-babel-problem-in-telehealth-addressing-the-health-information-exchange-needs-of-the-north-carolina-statewide-telepsychiatry-program-nc-step
#2
Sy Atezaz Saeed
Telepsychiatry is a viable option for providing psychiatric care to those who are currently underserved or who lack access to services. While the current technology is adequate for most uses, and continues to advance, there remain barriers to its widespread utilization. One such barrier when working with different healthcare systems is that they utilize different electronic medical record systems (EMRs). This paper describes the experience of the North Carolina Statewide Telepsychiatry Program (NC-STeP) with this problem and how the program successfully resolved it by establishing a web portal that connects participating hospital emergency departments and remote psychiatric providers to share secure electronic health information regarding patient encounters across different EMRs...
December 14, 2017: Psychiatric Quarterly
https://www.readbyqxmd.com/read/29222999/the-symbolic-affordances-of-a-video-mediated-gaze-in-emergency-psychiatry
#3
Marianne V Trondsen, Aksel Tjora, Alex Broom, Graham Scambler
While mental illness is a significant health challenge worldwide, the availability of specialists is limited, especially in rural areas and for psychiatric emergencies. Although tele-psychiatry, via real-time videoconferencing (VC), is used to provide consultative services in areas that lack psychiatrists, there are a paucity of studies on the use of VC for psychiatric emergencies. We examine how VC matters for patient involvement and professional practice in the first Norwegian emergency tele-psychiatric service...
December 2, 2017: Social Science & Medicine
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
#4
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/29200525/mental-health-care-during-the-ebola-virus-disease-outbreak-in-sierra-leone
#5
Stania Kamara, Anna Walder, Jennifer Duncan, Antoinet Kabbedijk, Peter Hughes, Andrew Muana
Problem: Reported levels of mental health and psychosocial problems rose during the 2014-2015 Ebola virus disease outbreak in Sierra Leone. Approach: As part of the emergency response, existing plans to create mental health units within the existing hospital framework were brought forward. A nurse-led mental health and psychosocial support service, with an inpatient liaison service and an outpatient clinic, was set up at the largest government hospital in the country...
December 1, 2017: Bulletin of the World Health Organization
https://www.readbyqxmd.com/read/29199945/evaluating-mental-health-service-use-during-and-after-emergency-department-visits-in-a-multisite-cohort-of-canadian-children-and-youth
#6
Mario Cappelli, Paula Cloutier, Amanda S Newton, Eleanor Fitzpatrick, Samina Ali, Kathryn A Dong, Clare Gray, Allison Kennedy, John S Lyons, Christine Polihronis, Rhonda J Rosychuk
OBJECTIVES: The goal of this study was to examine the mental health needs of children and youth who present to the emergency department (ED) for mental health care and to describe the type of, and satisfaction with, follow-up mental health services accessed. METHODS: A 6-month to 1.5-year prospective cohort study was conducted in three Canadian pediatric EDs and one general ED, with a 1-month follow-up post-ED discharge. Measures included 1) clinician rating of mental health needs, 2) patient and caregiver self-reports of follow-up services, and 3) interviews regarding follow-up satisfaction...
December 4, 2017: CJEM
https://www.readbyqxmd.com/read/29182727/an-ambulatory-psg-study-of-the-posttraumatic-nightmares-of-posttraumatic-stress-disorder
#7
Andrea J Phelps, Richard A A Kanaan, Christopher Worsnop, Suzy Redston, Naomi Ralph, David Forbes
Study Objectives: This study used ambulatory polysomnography (PSG) to investigate posttraumatic nightmares of PTSD. The key research question was whether posttraumatic nightmares occur in both REM and non-REM sleep, and if so, whether nightmares in each sleep stage differed in content, phenomenology and heart rate response. Underlying sleep disorders were investigated in an exploratory way. Methods: Thirty-five treatment-seeking veterans, current serving military members and emergency service personnel undertook full PSG using the Compumedics (Melbourne, Australia) SomtePSG V1 system, during an inpatient psychiatric admission...
November 22, 2017: Sleep
https://www.readbyqxmd.com/read/29181092/efficacy-of-multisystemic-therapy-in-youths-aged-10-17-with-severe-antisocial-behaviour-and-emotional-disorders-systematic-review
#8
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/29179833/does-assertive-community-treatment-reduce-the-use-of-compulsory-admissions
#9
REVIEW
Jørgen Aagaard, Bartosz Tuszewski, Pernille Kølbæk
BACKGROUND: The growing number of compulsory admissions in Denmark and other countries is a compelling challenge. We hypothesized that Assertive Community Treatment (ACT) may have the quality to reduce the use of several type of coercion including compulsory admissions. Although ACT is not designed for coercion prevention, it may prove efficient in averting major crisis among the included patients. Studies in Denmark showed that ACT has a major and significant advantage in reducing number and length of admissions...
December 2017: Archives of Psychiatric Nursing
https://www.readbyqxmd.com/read/29171702/screening-for-risk-of-violence-using-service-users-self-perceptions-a-prospective-study-from-an-acute-mental-health-unit
#10
Øyvind Lockertsen, Nicolas Procter, Solveig Karin Bø Vatnar, Ann Faerden, Bjørn Magne S Eriksen, John Olav Roaldset, Sverre Varvin
Service users' self-perception of risk has rarely been emphasized in violence risk assessments. A recent review pointed to the importance of a multidisciplinary approach, because different perspectives may provide a deeper and improved understanding of risk assessment. The aim of this study was to investigate service users' perceptions of their own risk of committing violence, using a self-report risk scale, to determine the feasibility and efficacy of this potential violence risk marker during acute mental health hospitalization...
November 24, 2017: International Journal of Mental Health Nursing
https://www.readbyqxmd.com/read/29153907/-violent-outburst-from-teenagers-in-the-pediatric-emergency-room-complex-cases
#11
L Cohen, C Gras-Le Guenb, J Fleury, E Caldagues, L Dreno, G Picherot, N Vabres
INTRODUCTION: Teenagers admitted to the emergency room for a violent attacks episode are increasingly numerous. The source of agitation is multifactorial for these teenagers, often with a complex course. They jeopardize hospital wards, which are often ill-suited for and overwhelmed during these outbursts. This study aims to identify and describe all the teenagers admitted to the hospital over 1 year for a violent outburst and discuss their management. METHODS AND EQUIPMENT: Retrospective and descriptive study of teenagers admitted to the pediatric emergency department of the Nantes University Hospital for a violent outburst in 2015...
November 16, 2017: Archives de Pédiatrie: Organe Officiel de la Sociéte Française de Pédiatrie
https://www.readbyqxmd.com/read/29136247/behavioral-mental-health-an-emerging-field-of-service-or-an-oxymoron
#12
Christopher G Hudson
Proliferation in the use of the terminology around behavioral mental health suggests, on one hand, an emerging field of service that integrates psychiatric, substance abuse, and related services. On the other hand, this development also raises questions about the coherence of this approach. This review explores the history, definitional issues, current trends, and available data on the impact of this field. It considers a variety of critiques of behavioral mental health, such as possibility that the field attempts to integrate fundamentally incompatible domains, that the term "behavioral mental health" is thus an oxymoron, and that it represents a co-optation by the insurance industry of traditional ideals of mental health and of behavioral medicine or as code for the implementation of a medical model that emphasizes short-term, behavioral, and psychopharmacological treatments at the expense of a truly biopsychosocial orientation...
November 9, 2017: Social Work
https://www.readbyqxmd.com/read/29128195/-what-support-of-young-presenting-a-first-psychotic-episode-when-schooling-is-being-challenged
#13
M-N Vacheron, H Veyrat-Masson, E Wehbe
Psychiatric disorders (more specifically mood disorders and psychosis) represent the 1st cause of disability among young people. Unemployment rate between 75 to 95% for the person with schizophrenia. It is correlated to poor social integration and bad economic status, worse symptomatology loss of autonomy as well as global bad functioning. It is responsible of more than half of the overall cost of psychosis. The onset of most of psychiatric disorders occur between the age of 25 and 35 years old, a critical time in young adult life when they should build their professional as well as social future...
November 8, 2017: L'Encéphale
https://www.readbyqxmd.com/read/29127785/tobacco-and-alcohol-use-disorders-evaluating-multimorbidity
#14
R Ross MacLean, Mehmet Sofuoglu, Robert Rosenheck
There is growing interest in applying the multimorbidity model for mental health disorders - i.e. the interactive effects of co-occurring diagnoses. Alcohol use disorder (AUD) and tobacco use disorder (TUD) often occur together, but distinctive correlates of their co-occurrence have not been studied. Veterans treated by the Veterans Health Administration (VHA) nationally in FY 2012 with diagnoses of both AUD and TUD were compared to those with only AUD or only TUD on socio-environmental factors, medical and psychiatric diagnoses, and service use...
November 4, 2017: Addictive Behaviors
https://www.readbyqxmd.com/read/29123870/characteristic-of-the-acute-drug-intoxication-conveyed-by-kanagawa-helicopter-emergency-medical-service
#15
Mariko Sugita, Shigeo Higami, Shigeaki Inoue, Seiji Morita, Yoshihide Nakagawa, Sadaki Inokuchi
Aim: Various critical cases have been transported since the use of the Kanagawa Helicopter Emergency Medical Service (HEMS) started at Tokai University Hospital (Isehara, Japan) in 2002, including cases of acute poisoning. We analyzed the characteristics of acute poisoning cases conveyed by the HEMS. Methods: Kanagawa HEMS conveyed 3,814 cases from July 2002 to March 2013, and acute drug and poison intoxication was diagnosed in 131 of these cases. We undertook a descriptive statistical study of these cases...
July 2017: Acute Medicine & Surgery
https://www.readbyqxmd.com/read/29121560/evaluation-of-attempted-older-adults-suicides-admitted-to-a-university-hospital-emergency-department-izmir-study
#16
Duygu Keskin Gokcelli, Pınar Tosun Tasar, Nur Ozge Akcam, Sevnaz Sahin, Funda Karbek Akarca, Ekin Ozgur Aktas, Soner Duman, Fehmi Akcicek, Aysin Noyan
INTRODUCTION: Advanced age is one of the risk factors for attempting suicide. Suicide attempts are one of the reasons for elderly patients to admit emergency services. The aim of this study was to investigate the relationship between suicidal behavior and sociodemographic factors and concurrent somatic diseases. METHODS: The medical records of patients aged 60 years and over who presented to the emergency department of our university hospital for attempted suicide between the dates of January 1, 2007 and December 31, 2015 were screened retrospectively...
October 16, 2017: Asian Journal of Psychiatry
https://www.readbyqxmd.com/read/29115723/patterns-of-paediatric-emergency-presentations-to-a-tertiary-referral-centre-in-the-northern-territory
#17
Davina Buntsma, Anna Lithgow, Evan O'Neill, Didier Palmer, Peter Morris, Jason Acworth, Franz E Babl
OBJECTIVE: To describe epidemiological data concerning paediatric attendances at the ED of Royal Darwin Hospital (RDH). METHODS: We conducted a retrospective cohort study of paediatric emergency presentations to the RDH ED during 2004 and 2013. Epidemiological data, including demographics, admission rates and diagnostic grouping, were analysed using descriptive and comparative statistical methods. We compared data with findings from a baseline epidemiological study by the Paediatric Research in Emergency Departments International Collaborative (PREDICT) conducted in 2004...
November 8, 2017: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/29098454/mental-health-disorders-and-publicly-funded-service-use-by-hiv-positive-individuals-a-population-based-cross-sectional-study-in-ontario-canada
#18
Anna Durbin, Hilary K Brown, Tony Antoniou, Frank Sirotich, Symron Bansal, Marina Heifetz, Kay Roesslein, Yona Lunsky
We compared use of community and hospital-based mental health and addiction (MH&A) services by adults with and without HIV. This population-based study examined the probability and intensity of MH&A service use by individuals with (n = 5095) and without HIV (n = 2,753,091) in Ontario, Canada between 2013 and 2014. Adults with HIV were more likely than HIV-negative adults to use MH&A primary and psychiatric care, and to have MH&A emergency department visits and hospital admissions; they also used more of each service...
November 2, 2017: AIDS and Behavior
https://www.readbyqxmd.com/read/29097857/like-the-eye-of-the-tiger-inpatient-psychiatric-facility-exclusionary-criteria-and-its-knockout-of-the-emergency-psychiatric-patient
#19
Veronica Tucci, John Liu, Anu Matorin, Asim Shah, Nidal Moukaddam
Context: Over 6% of all emergency department (ED) visits in the United States involve primary mental health or behavioral issues. The patients are stabilized in the ED but frequently require admission to an inpatient psychiatric unit or institution for longer term treatment and management. To facilitate this process, an emergency physician (EP) must first "medically clear" the patient as stable for transfer. At present, there is no interdisciplinary consensus regarding the necessary elements of the medical clearance or stability assessment process...
October 2017: Journal of Emergencies, Trauma, and Shock
https://www.readbyqxmd.com/read/29095057/high-inpatient-utilization-among-veterans-health-administration-patients-with-substance-use-disorders-and-co-occurring-mental-health-conditions
#20
Janelle M Painter, Carol A Malte, Anna D Rubinsky, Timothy R Campellone, Amanda K Gilmore, John S Baer, Eric J Hawkins
BACKGROUND: Substance-use disorders (SUDs) are common and costly conditions. Understanding high inpatient utilization (HIU) among patients with SUD can inform the development of treatment approaches designed to reduce healthcare expenditures and improve service quality. OBJECTIVES: To examine the prevalence, type, and predictors of HIU among patients with SUD and co-occurring mental health conditions. METHODS: Service utilization and demographic and clinical variables were extracted from a national sample of Veterans Health Administration (VA) patients with SUD-only [n = 148,960 (98...
November 2, 2017: American Journal of Drug and Alcohol Abuse
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