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mental health, policy, public health, psychiatry

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https://www.readbyqxmd.com/read/29075320/psychiatrists-role-in-primary-health-care-in-greece-findings-from-a-quantitative-study
#1
Kyriakos Souliotis, Eirini Agapidaki, Chara Tzavara, Marina Economou
BACKGROUND: Although the need for integration of mental health services into primary care is well established little has been done. The outbreak of the recession found the Greek mental health system in transition. As a response to the crisis, governments implemented horizontal budget cuts instead of health reforms. This resulted in an unfavorable situation for mental health which was set once again on the sidelines of the health policy agenda. Previous studies suggest that the most prevalent disorders in the years of financial crisis in Greece are depression and anxiety while a general increase of the psychiatric morbidity is observed does not follow the population' needs...
2017: International Journal of Mental Health Systems
https://www.readbyqxmd.com/read/28792560/-epidemiology-of-depressive-and-anxiety-disorders-among-quebec-children-and-adolescents
#2
Geneviève Piché, Marilou Cournoyer, Lise Bergeron, Marie-Ève Clément, Nicole Smolla
Epidemiology of child and adolescent mental health is a relatively new discipline, particularly in the province of Quebec. Some work has however estimated the prevalence of the most common mental disorders among young people, such as anxiety and depression, as well as identified associated individual, family and socio-economic variables. This article has two objectives: to present a review of major epidemiological research findings in child psychiatry conducted in the province of Quebec and highlight the contribution of these findings for public health...
2017: Santé Mentale Au Québec
https://www.readbyqxmd.com/read/28696434/when-should-governments-increase-the-supply-of-psychiatric-beds
#3
S Allison, T Bastiampillai, J Licinio, D A Fuller, N Bidargaddi, S S Sharfstein
Low numbers of hospital-based psychiatric beds create problems for people with severe mental illness (SMI), when they face extended emergency department (ED) waits, higher thresholds for admission to an acute bed, and short revolving-door stays with high rates of rehospitalisation. Limited access to inpatient treatment has been associated with higher suicide risk, premature mortality, homelessness, violent crime and incarceration. Ultimately, people with SMI can be transinstitutionalised to the criminal justice system...
July 11, 2017: Molecular Psychiatry
https://www.readbyqxmd.com/read/28678453/-suicide-and-mental-institutions-the-lausanne-example
#4
Jean-Michel Kaision, Jacques Gasser
Suicide in the mental hospital is first a human tragedy that affects the patients' families and relatives but also touches all medical staff involved. As for suicide prevention, it is a key issue of public health, and the canton of Vaud has made it a top priority of his mental health policy. We will present some epidemiologic data general of suicide and some specific elements to our institution, the Psychiatry Department of the Centre Hospitalier Universitaire Vaudois (DP-CHUV). Then we will show how our institution addresses the issue of suicide prevention through the analysis of so-called « adverse clinical events » and the systematic training of its caregivers...
September 21, 2016: Revue Médicale Suisse
https://www.readbyqxmd.com/read/28455596/clinical-decision-support-systems-in-child-and-adolescent-psychiatry-a-systematic-review
#5
REVIEW
Roman Koposov, Sturla Fossum, Thomas Frodl, Øystein Nytrø, Bennett Leventhal, Andre Sourander, Silvana Quaglini, Massimo Molteni, María de la Iglesia Vayá, Hans-Ulrich Prokosch, Nicola Barbarini, Michael Peter Milham, Francisco Xavier Castellanos, Norbert Skokauskas
Psychiatric disorders are amongst the most prevalent and impairing conditions in childhood and adolescence. Unfortunately, it is well known that general practitioners (GPs) and other frontline health providers (i.e., child protection workers, public health nurses, and pediatricians) are not adequately trained to address these ubiquitous problems (Braddick et al. Child and Adolescent mental health in Europe: infrastructures, policy and programmes, European Communities, 2009; Levav et al. Eur Child Adolesc Psychiatry 13:395-401, 2004)...
November 2017: European Child & Adolescent Psychiatry
https://www.readbyqxmd.com/read/28335580/the-development-of-psychiatric-services-providing-an-alternative-to-full-time-hospitalization-is-associated-with-shorter-length-of-stay-in-french-public-psychiatry
#6
Coralie Gandré, Jeanne Gervaix, Julien Thillard, Jean-Marc Macé, Jean-Luc Roelandt, Karine Chevreul
International recommendations for mental health care have advocated for a reduction in the length of stay (LOS) in full-time hospitalization and the development of alternatives to full-time hospitalizations (AFTH) could facilitate alignment with those recommendations. Our objective was therefore to assess whether the development of AFTH in French psychiatric sectors was associated with a reduction in the LOS in full-time hospitalization. Using data from the French national discharge database of psychiatric care, we computed the LOS of patients admitted for full-time hospitalization...
March 21, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/27797649/state-of-training-clinical-services-and-research-on-dual-disorders-across-france-india-israel-and-spain
#7
Yatan Pal Singh Balhara, Shaul Lev-Ran, José Martínez-Raga, Amine Benyamina, Shalini Singh, Lisa Blecha, Nestor Szerman
OBJECTIVE: This article overviews training, clinical services, and research on dual disorders across four countries: France, India, Israel, and Spain. METHODS: The current dual disorders systems in each of the four countries were reviewed, with a focus on strengths and limitations of each. RESULTS: In France, psychiatric care occurs within the public health care system and involves little training of medical graduates for managing dual disorders...
July 2016: Journal of Dual Diagnosis
https://www.readbyqxmd.com/read/27474250/removing-transgender-identity-from-the-classification-of-mental-disorders-a-mexican-field-study-for-icd-11
#8
Rebeca Robles, Ana Fresán, Hamid Vega-Ramírez, Jeremy Cruz-Islas, Victor Rodríguez-Pérez, Tecelli Domínguez-Martínez, Geoffrey M Reed
BACKGROUND: The conceptualisation of transgender identity as a mental disorder has contributed to precarious legal status, human rights violations, and barriers to appropriate health care among transgender people. The proposed reconceptualisation of categories related to transgender identity in WHO's forthcoming International Classification of Diseases (ICD)-11 removes categories related to transgender identity from the classification of mental disorders, in part based on the idea that these conditions do not satisfy the definitional requirements of mental disorders...
September 2016: Lancet Psychiatry
https://www.readbyqxmd.com/read/26928621/-a-survey-about-quality-of-care-and-user%C3%A2-s-rights-in-chilean-psychiatric-services
#9
Alberto Minoletti, Olga Toro, Rubén Alvarado, Claudia Carniglia, Alejandro Guajardo, Ximena Rayo
BACKGROUND: Quality of care and respect for the rights of users are critical to achieve positive health outcomes and respond appropriately to the expectations of people, particularly if they have mental illnesses. AIM: To carry out a baseline diagnosis of quality of care and respect for rights in public outpatient psychiatric services. MATERIAL AND METHODS: Quality of care and respect for patients'’ rights was assessed by a mental health professional and a trained psychiatric service user in 15 ambulatory psychiatric services...
December 2015: Revista Médica de Chile
https://www.readbyqxmd.com/read/26559210/-fifty-years-of-public-service-for-quebec-community-psychiatry-services-part-i
#10
Alain Lesage
This essay comprises 2 parts. It aims to recognize the public service of psychiatrists of the Département de psychiatrie de l'Université de Montréal who served at the provincial level of the Ministry of Health and Social Services for deinstitutionalisation of policies and organisation of services, at the service of people with severe mental disorders. First with Dr. Camille Laurin post-face of the 1962 book Les fous crient au secours! (Mentally ill patients cry for help); then the insight on the latest phase of differentiated specialised clinics by Dr...
2015: Santé Mentale Au Québec
https://www.readbyqxmd.com/read/26552314/-changing-forensic-mental-health-in-france-a-review
#11
REVIEW
Yoji Nakatani, Suguru Hasuzawa
This article describes the background and recent changes in French forensic mental health. The literature suggests that three law reforms have been crucial to changes in the mental health system. First, the Penal Code of 1992 redefined the provisions of criminal responsibility and introduced the category of diminished responsibility. Second, a controversial law for preventive detention (rétention de sûretê) was enacted in 2008, according to which criminals with severe personality disorders are subject to incarceration even after the completion of their prison sentences if they are still considered to pose a danger to the public...
2015: Seishin Shinkeigaku Zasshi, Psychiatria et Neurologia Japonica
https://www.readbyqxmd.com/read/26530777/evolution-of-public-and-non-profit-funding-for-mental-health-research-in-france-between-2007-and-2011
#12
Coralie Gandré, Amélie Prigent, Marie-Louise Kemel, Marion Leboyer, Karine Chevreul
Since 2007, actions have been undertaken in France to foster mental health research. Our objective was to assess their utility by estimating the evolution of public and non-profit funding for mental health research between 2007 and 2011, both in terms of total funding and the share of health research budgets. Public and non-profit funding was considered. Core funding from public research institutions was determined through a top-down approach by multiplying their total budget by the ratio of the number of psychiatry-related publications to the total number of publications focusing on health issues...
December 2015: European Neuropsychopharmacology: the Journal of the European College of Neuropsychopharmacology
https://www.readbyqxmd.com/read/26530201/-mental-health-financing-in-chile-a-pending-debt
#13
Paula Errázuriz, Camila Valdés, Paul A Vöhringer, Esteban Calvo
In spite of the high prevalence of mental health disorders in Chile, there is a significant financing deficit in this area when compared to the world's average. The financing for mental health has not increased in accordance with the objectives proposed in the 2000 Chilean National Mental Health and Psychiatry Plan, and only three of the six mental health priorities proposed by this plan have secure financial coverage. The National Health Strategy for the Fulfilment of Health Objectives for the decade 2011-2020 acknowledges that mental disorders worsen the quality of life, increase the risk of physical illness, and have a substantial economic cost for the country...
September 2015: Revista Médica de Chile
https://www.readbyqxmd.com/read/26329558/the-importance-of-psychiatry-in-public-mental-health
#14
EDITORIAL
Nisha Mehta, Sally C Davies
There is a lack of consensus over fundamental issues in public mental health in England. A move away from poorly evidenced 'well-being' policy approaches is needed. The authors have developed a more inclusive model using the World Health Organization's approach to public mental health. Public mental health policy makers must acknowledge the importance of psychiatry within the field.
September 2015: British Journal of Psychiatry: the Journal of Mental Science
https://www.readbyqxmd.com/read/26300038/how-health-reform-is-recasting-public-psychiatry
#15
REVIEW
Roderick Shaner, Kenneth S Thompson, Joel Braslow, Mark Ragins, Joseph John Parks, Jerome V Vaccaro
This article reviews the fiscal, programmatic, clinical, and cultural forces of health care reform that are transforming the work of public psychiatrists. Areas of rapid change and issues of concern are discussed. A proposed health care reform agenda for public psychiatric leadership emphasizes (1) access to quality mental health care, (2) promotion of recovery practices in primary care, (3) promotion of public psychiatry values within general psychiatry, (4) engagement in national policy formulation and implementation, and (5) further development of psychiatric leadership focused on public and community mental health...
September 2015: Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/26232441/-the-glamour-of-arabic-numbers-pliny-earle-s-challenge-to-nineteenth-century-psychiatry
#16
Lawrence Goodheart
A well-established interpretation associates the nineteenth-century psychiatrist Pliny Earle's deflation of high cure rates for insanity with the onset of a persistent malaise in patient treatment and public health policy during the Gilded Age. This essay comes not to praise Earle but to correct and clarify interpretations, however well intentioned, that are incomplete and inaccurate. Several points are made: the overwhelming influence of antebellum enthusiasm on astonishing therapeutic claims; the interrogation of high "recovery" rates begun decades before Earle's ultimate provocation; and, however disruptive, the heuristically essential contribution of Earle's challenge to furthering a meaningful model of mental disorder...
April 2016: Journal of the History of Medicine and Allied Sciences
https://www.readbyqxmd.com/read/26197098/treatment-guidelines-for-mental-disorders-reality-or-illusion
#17
EDITORIAL
Konstantinos N Fountoulakis
No abstract text is available yet for this article.
April 2015: Psychiatrikē, Psychiatriki
https://www.readbyqxmd.com/read/26131018/the-virtual-institution-cross-sectional-length-of-stay-in-general-adult-and-forensic-psychiatry-beds
#18
Anand Sharma, Warren Dunn, Clare O'Toole, Harry G Kennedy
BACKGROUND: Length of stay in psychiatric hospitals interests health service planners, economists and clinicians. At a systems level it is preferable to study general adult and forensic psychiatric beds together since these are likely to be inter-dependent. We examined whether patients were placed according to specialist need or according to their cross-sectional length of stay. METHODS: A one night census of all registered mental nursing home (RMNH) beds was carried out for a defined catchment area of 1...
2015: International Journal of Mental Health Systems
https://www.readbyqxmd.com/read/26073412/policies-and-consequences-how-america-and-psychiatry-took-the-detour-to-erewhon
#19
Robert E Becker
In the mid-1960s, federal legislation provided psychiatry with funds for construction and initial staffing of local community mental health programs and funded university psychiatry departments to support research, innovations, and education in social-community psychiatry. Psychiatry gained resources for treating diseases and for addressing the disabilities that accompany mental illnesses. Abrupt losses of federal funding in the following decades, combined with restrictive insurance reimbursements and the expanding influence of the pharmaceutical industry, undermined psychiatry's abilities to address the needs of persons with severe mental illness...
October 2015: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/25705375/training-on-intellectual-disability-in-health-sciences-the-european-perspective
#20
Luis Salvador-Carulla, Rafael Martínez-Leal, Carla Heyler, Javier Alvarez-Galvez, Marja Y Veenstra, Jose García-Ibáñez, Sylvia Carpenter, Marco Bertelli, Kerim Munir, Jennifer Torr, Henny M J Van Schrojenstein Lantman-de Valk
BACKGROUND: Intellectual disability (ID) has consequences at all stages of life, requires high service provision and leads to high health and societal costs. However, ID is largely disregarded as a health issue by national and international organisations, as are training in ID and in the health aspects of ID at every level of the education system. SPECIFIC AIM: This paper aims to (1) update the current information about availability of training and education in ID and related health issues in Europe with a particular focus in mental health; and (2) to identify opportunities arising from the initial process of educational harmonization in Europe to include ID contents in health sciences curricula and professional training...
January 2015: International Journal of Developmental Disabilities
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