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https://www.readbyqxmd.com/read/29871613/understanding-geographic-variations-in-psychiatric-inpatient-admission-rates-width-of-the-variations-and-associations-with-the-supply-of-health-and-social-care-in-france
#1
Coralie Gandré, Jeanne Gervaix, Julien Thillard, Jean-Marc Macé, Jean-Luc Roelandt, Karine Chevreul
BACKGROUND: Inpatient care accounts for the majority of mental health care costs and is not always beneficial. It can indeed have detrimental consequences if not used appropriately, and is unpopular among patients. As a consequence, its reduction is supported by international recommendations. Varying rates of psychiatric inpatient admissions therefore deserve to draw attention of researchers, clinicians and policy makers alike as such variations can challenge quality, equity and efficiency of care...
June 5, 2018: BMC Psychiatry
https://www.readbyqxmd.com/read/29783091/mind-at-home-streamlined-study-protocol-for-a-randomized-trial-of-home-based-care-coordination-for-persons-with-dementia-and-their-caregivers
#2
Quincy M Samus, Betty Smith Black, Melissa Reuland, Jeannie-Marie S Leoutsakos, Laura Pizzi, Kevin D Frick, David L Roth, Laura N Gitlin, Constantine G Lyketsos, Deirdre Johnston
BACKGROUND: Dementia is associated with high health care costs, premature long-term care (LTC) placement, medical complications, reduced quality of life, and caregiver burden. Most health care providers and systems are not yet organized or equipped to provide comprehensive long-term care management for dementia, although a range of effective symptoms and supportive care approaches exist. The Maximizing Independence at Home-Streamlined (MIND-S) is a promising model of home-based dementia care coordination designed to efficiently improve person-centered outcomes, while reducing care costs...
May 18, 2018: Contemporary Clinical Trials
https://www.readbyqxmd.com/read/29754561/an-economic-cost-analysis-of-an-expanding-multi-state-behavioural-telehealth-intervention
#3
Siobhan K Yilmaz, Brady P Horn, Chris Fore, Caroline A Bonham
Introduction In this paper the economic costs associated with a growing, multi-state telepsychiatry intervention serving rural American Indian/Alaska Native populations were compared to costs of travelling to provide/receive in-person treatment. Methods Telepsychiatry costs were calculated using administrative, information-technology, equipment and technology components, and were compared to travel cost models. Both a patient travel and a psychiatrist travel model were estimated utilising ArcGIS software and unit costs gathered from literature and government sources...
January 1, 2018: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/29679851/electronic-journal-clubs-for-capacity-building-a-case-study-in-psychiatry-as-a-model-for-medical-disciplines-in-developing-countries
#4
Abha Thakurdesai, Abhishek Ghosh, Vikas Menon, Swapnajeet Sahoo, Adarsh Tripathi, Devavrat Harshe, Chittaranjan Andrade
BACKGROUND: Journal clubs (JCs) teach participants how to critically read and assimilate materials published in journals. Electronic JCs (eJCs) provide a similar platform through internet groups, allowing members to participate in and review JC activities as well as JC archives in their free time. METHODS: We describe the operations and the successes of eJCIndia, to our knowledge the first eJC in India in the field of mental health. eJCIndia was started for capacity building in teaching and research competence in the field...
April 2018: Asian Journal of Psychiatry
https://www.readbyqxmd.com/read/29544968/-all-you-need-to-know-about-methylphenidate-and-dared-not-ask
#5
L Zimmer, P Fourneret
Methylphenidate (MPH) remains the only accessible psychostimulant used in France in the attention and behavior disturbances of attention deficit disorder with or without hyperactivity (ADHD). Its prescription has been extended during the past decade to other neurodevelopmental disorders in children and adolescents, also associated with a deficit of attentional resources or, more broadly, fragility of executive functions. Despite its efficiency, validated by more than 400 randomized controlled and double-blind studies, and the good tolerance of MPH in these indications, this treatment remains limited in France because of many fears and other prejudices on the part of medical practitioners and/or families...
April 2018: Archives de Pédiatrie: Organe Officiel de la Sociéte Française de Pédiatrie
https://www.readbyqxmd.com/read/29498902/co-located-perinatal-psychiatry-clinic-impact-of-adding-a-psychologist-on-clinical-quality-improvement-metrics
#6
Deepa Pawar, Chiang-Ching Huang, Christina Wichman
PURPOSE: To describe the impact of adding a psychologist (the intervention) to a co-located perinatal psychiatry clinic (PPC) in terms of effects on clinical quality improvement (QI) metrics. METHODS: Six-month pre- and postintervention study design with measurement of QI metrics: number of unique patients treated; number of new and established visits; percent no-shows for new and established visits; and mean wait time to new visit. RESULTS: Number of unique patients treated by the psychiatrist increased by 30%, from 90 preintervention to 118 postintervention (p = ...
March 2, 2018: Journal of Psychosomatic Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/29380474/mental-health-assessment-inference-explanation-and-coherence
#7
Paul Thagard, Laurette Larocque
Mental health professionals such as psychiatrists and psychotherapists assess their patients by identifying disorders that explain their symptoms. This assessment requires an inference to the best explanation that compares different disorders with respect to how well they explain the available evidence. Such comparisons are captured by the theory of explanatory coherence that states 7 principles for evaluating competing hypotheses in the light of evidence. The computational model ECHO shows how explanatory coherence can be efficiently computed...
January 30, 2018: Journal of Evaluation in Clinical Practice
https://www.readbyqxmd.com/read/29316807/cost-efficient-designs-for-three-arm-trials-with-treatment-delivered-by-health-professionals-sample-sizes-for-a-combination-of-nested-and-crossed-designs
#8
Mirjam Moerbeek
Background This article studies the design of trials that compare three treatment conditions that are delivered by two types of health professionals. The one type of health professional delivers one treatment, and the other type delivers two treatments, hence, this design is a combination of a nested and crossed design. As each health professional treats multiple patients, the data have a nested structure. This nested structure has thus far been ignored in the design of such trials, which may result in an underestimate of the required sample size...
April 2018: Clinical Trials: Journal of the Society for Clinical Trials
https://www.readbyqxmd.com/read/29281594/suicide-risk-assessment-and-management-in-the-psychiatry-emergency-service-psychiatric-provider-experience-and-perceptions
#9
Sruthi Chunduri, Sabrina Browne, David E Pollio, Barry A Hong, Writtika Roy, Kimberly Roaten, Fuad Khan, Carol S North
The objective of this study was to explore suicide risk identification and flow of patients with differing suicide risk through the Psychiatric Emergency Service (PES) to their clinical dispositions. 3 focus groups (N = 15 psychiatric providers working in the PES of a large urban teaching hospital) discussing suicide risk assessment in the PES were conducted, followed by thematic analysis. A total of 7 themes were identified in 624 coded passages. In focus groups conducted to explore suicide risk assessment, discussions shifted to broader matters, e...
December 27, 2017: Archives of Suicide Research: Official Journal of the International Academy for Suicide Research
https://www.readbyqxmd.com/read/29276411/the-use-of-random-effects-models-to-identify-health-care-center-related-characteristics-modifying-the-effect-of-antipsychotic-drugs
#10
Clementine Nordon, Constance Battin, Helene Verdoux, Josef Maria Haro, Mark Belger, Lucien Abenhaim, Tjeerd Pieter van Staa
Purpose: A case study was conducted, exploring methods to identify drugs effects modifiers, at a health care center level. Patients and methods: Data were drawn from the Schizophrenia Outpatient Health Outcome cohort, including hierarchical information on 6641 patients, recruited from 899 health care centers from across ten European countries. Center-level characteristics included the following: psychiatrist's gender, age, length of practice experience, practice setting and type, countries' Healthcare System Efficiency score, and psychiatrist density in the country...
2017: Clinical Epidemiology
https://www.readbyqxmd.com/read/29137666/utilization-of-the-behavior-change-wheel-framework-to-develop-a-model-to-improve-cardiometabolic-screening-for-people-with-severe-mental-illness
#11
Christina Mangurian, Grace C Niu, Dean Schillinger, John W Newcomer, James Dilley, Margaret A Handley
BACKGROUND: Individuals with severe mental illness (e.g., schizophrenia, bipolar disorder) die 10-25 years earlier than the general population, primarily from premature cardiovascular disease (CVD). Contributing factors are complex, but include systemic-related factors of poorly integrated primary care and mental health services. Although evidence-based models exist for integrating mental health care into primary care settings, the evidence base for integrating medical care into specialty mental health settings is limited...
November 14, 2017: Implementation Science: IS
https://www.readbyqxmd.com/read/29075951/managing-psychiatrist-patient-relationships-in-the-digital-age-a-summary-review-of-the-impact-of-technology-enabled-care-on-clinical-processes-and-rapport
#12
REVIEW
Michelle Burke Parish, Sarina Fazio, Steven Chan, Peter M Yellowlees
PURPOSE OF REVIEW: Participatory medicine and the availability of commercial technologies have given patients more options to view and track their health information and to communicate with their providers. This shift in the clinical process may be of particular importance in mental healthcare where rapport plays a significant role in the therapeutic process. RECENT FINDINGS: In this review, we examined literature related to the impact of technology on the clinical workflow and patient-provider rapport in the mental health field between January 2014 and June 2017...
October 27, 2017: Current Psychiatry Reports
https://www.readbyqxmd.com/read/29028792/is-a-psychotherapeutic-approach-possible-in-primary-health-care
#13
Julio Torales, Iván Barrios, Susana Calero
The development of valid psychotherapeutic approaches, adapted to the characteristics of the consultation in primary care, is a subject in constant development. In order to work effectively in a model of psychotherapy adjusted to primary care, the health practitioner (psychiatrist, psychologist, or family physician) must constantly focus on finding the most efficient way to treat the patient, in a short period of time, and with different nuances from those usually used in secondary care: That is, an eclectic and pragmatic approach to dealing with the problems that patients bring to consultation, and a practical and direct way of assisting them, in order to achieve therapeutic goals...
October 11, 2017: Medwave
https://www.readbyqxmd.com/read/29018561/disturbed-eeg-sleep-paranoid-cognition-and-somatic-symptoms-identify-veterans-with-post-traumatic-stress-disorder
#14
Harvey Moldofsky, Lorne Rothman, Robert Kleinman, Shawn G Rhind, J Donald Richardson
BACKGROUND: Chronic post-traumatic stress disorder (PTSD) behavioural symptoms and medically unexplainable somatic symptoms are reported to occur following the stressful experience of military combatants in war zones. AIMS: To determine the contribution of disordered EEG sleep physiology in those military combatants who have unexplainable physical symptoms and PTSD behavioural difficulties following war-zone exposure. METHOD: This case-controlled study compared 59 veterans with chronic sleep disturbance with 39 veterans with DSM-IV and clinician-administered PTSD Scale diagnosed PTSD who were unresponsive to pharmacological and psychological treatments...
November 2016: BJPsych Open
https://www.readbyqxmd.com/read/28974191/-success-factors-and-stumbling-blocks-in-the-cooperation-with-child-and-adolescent-psychiatry-psychotherapy-from-the-perspective-of-social-pedagogues
#15
Seraina Müller-Luzi, Marc Schmid
Success Factors and Stumbling Blocks in the Cooperation with Child and Adolescent Psychiatry/Psychotherapy from the Perspective of Social Pedagogues In numerous current studies, experts describe a need for improved cooperation between employees of youth welfare and child and adolescent psychiatry/-psychotherapy. The present study investigates how social pedagogues working in youth welfare institutions perceive psychiatrists or psychologists working in child and adolescent psychiatry. Benefits and difficulties of the cooperation are described and potential areas of improvement as perceived by youth welfare employees are identified...
October 2017: Praxis der Kinderpsychologie und Kinderpsychiatrie
https://www.readbyqxmd.com/read/28953838/re-audit-of-the-contents-of-gp-referral-letters-to-general-adult-community-psychiatrists
#16
Catherine Odelola, Farid Jabbar
BACKGROUND: The quality of information provided by referring general practitioners to secondary care mental health services are crucial elements in the effective management of patients. In order to establish effective communication, both primary and secondary care health professionals should contribute to planning and organising this process taking into account their different opinions and views. METHODS: Anonymous questionnaire was designed to collect information on items that GPs and psychiatrist rated as most important items in GP referral letters to psychiatrists...
September 2017: Psychiatria Danubina
https://www.readbyqxmd.com/read/28792580/-mental-health-in-primary-care-applying-psychiatric-knowledge-to-primary-care-or-a-whole-different-practice
#17
Philippe Karazivan, Marie Leclaire, Cédric Andres
BACKGROUND: In Canada and several other countries, large cohorts of patients who used to be followed in psychiatric clinics are now steered toward primary care. To support this new reality, measures have been taken and investments made in service organization, collaborative work arrangements, and teaching geared toward primary care clinicians. However, these initiatives were implemented when little was known about GPs' needs. METHODS: Using a qualitative approach, we analyzed the content of GPs' statements to explore when, why, and for what concerns GPs are inclined to collaborate with or seek advice from psychiatrists...
December 0: Santé Mentale Au Québec
https://www.readbyqxmd.com/read/28754582/catatonia-in-children-and-adolescents-new-perspectives
#18
Xavier Benarous, Marie Raffin, Vladimir Ferrafiat, Angèle Consoli, David Cohen
INTRODUCTION: Catatonia is a rare and severe psychomotor condition in children and adolescents. In the current report, we aimed to review the recent literature. METHOD: Using a PRISMA approach, we searched MEDLINE between 1982 and 2017 using the keywords 'CATATONIA' and 'CHILD' or 'ADOLESCENT'. In total, we reviewed 130 reports (controlled study, N=4; clinical chart, N=23; case report, N=54; and editorial/review, N=42). RESULTS: Several aspects seem to be age specific: (1) although the clinical presentation resembles that in adults, some symptoms are important in children and adolescents (e...
July 25, 2017: Schizophrenia Research
https://www.readbyqxmd.com/read/28736771/on-interestingness-measures-for-mining-statistically-significant-and-novel-clinical-associations-from-emrs
#19
Orhan Abar, Richard J Charnigo, Abner Rayapati, Ramakanth Kavuluru
Association rule mining has received significant attention from both the data mining and machine learning communities. While data mining researchers focus more on designing efficient algorithms to mine rules from large datasets, the learning community has explored applications of rule mining to classification. A major problem with rule mining algorithms is the explosion of rules even for moderate sized datasets making it very difficult for end users to identify both statistically significant and potentially novel rules that could lead to interesting new insights and hypotheses...
October 2016: ACM-BCB: ACM Conference on Bioinformatics, Computational Biology and Biomedicine
https://www.readbyqxmd.com/read/28735645/psychiatric-consultation-in-the-collaborative-care-model-the-bipolar-sieve-effect
#20
James R Phelps, James James
Around the world, psychiatrists are in exceptionally short supply. The majority of mental health treatment is delivered in primary care. In the United States, the Collaborative Care Model (CCM) addresses the shortfall of psychiatrists by providing indirect consultation in primary care. A Cochrane meta-analysis affirms the efficacy this model for depression and anxiety. However, our experience with the CCM suggests that most patients referred for consultation have problems far more complex than simple depression and anxiety...
August 2017: Medical Hypotheses
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