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Mental health treatment plans

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https://www.readbyqxmd.com/read/27913580/responding-to-challenges-for-people-with-psychotic-illness-updated-evidence-from-the-survey-of-high-impact-psychosis
#1
REVIEW
Vera A Morgan, Anna Waterreus, Vaughan Carr, David Castle, Martin Cohen, Carol Harvey, Cherrie Galletly, Andrew Mackinnon, Patrick McGorry, John J McGrath, Amanda L Neil, Suzy Saw, Johanna C Badcock, Debra L Foley, Geoff Waghorn, Sarah Coker, Assen Jablensky
OBJECTIVE: The objective is to summarise recent findings from the 2010 Australian Survey of High Impact Psychosis (SHIP) and examine their implications for future policy and planning to improve mental health, physical health and other circumstances of people with a psychotic disorder. METHODS: Survey of High Impact Psychosis collected nationally representative data on 1825 people with psychotic illness. Over 60 papers have been published covering key challenges reported by participants: financial problems, loneliness and social isolation, unemployment, poor physical health, uncontrolled symptoms of mental illness, and lack of stable, suitable housing...
December 1, 2016: Australian and New Zealand Journal of Psychiatry
https://www.readbyqxmd.com/read/27911081/shared-decision-making-in-youth-mental-health-care-using-the-evidence-to-plan-treatments-collaboratively
#2
David A Langer, Amanda Jensen-Doss
The shared decision-making (SDM) model is one in which providers and consumers of health care come together as collaborators in determining the course of care. The model is especially relevant to youth mental health care, when planning a treatment frequently entails coordinating both youth and parent perspectives, preferences, and goals. The present article first provides the historical context of the SDM model and the rationale for increasing our field's use of SDM when planning psychosocial treatments for youth and families...
December 2, 2016: Journal of Clinical Child and Adolescent Psychology
https://www.readbyqxmd.com/read/27908900/democratic-therapeutic-community-treatment-for-personality-disorder-randomised-controlled-trial
#3
Steve Pearce, Lisle Scott, Gillian Attwood, Kate Saunders, Madeleine Dean, Ritz De Ridder, David Galea, Haroula Konstantinidou, Mike Crawford
BACKGROUND: Democratic therapeutic community (DTC) treatment has been used for many years in an effort to help people with personality disorder. High-quality evidence from randomised controlled trials (RCTs) is absent. AIMS: To test whether DTC treatment reduces use of in-patient services and improves the mental health of people with personality disorder. METHOD: An RCT of 70 people meeting DSM-IV criteria for personality disorder (trial registration: ISRCTN57363317)...
December 1, 2016: British Journal of Psychiatry: the Journal of Mental Science
https://www.readbyqxmd.com/read/27905909/development-of-a-measure-of-model-fidelity-for-mental-health-crisis-resolution-teams
#4
Brynmor Lloyd-Evans, Gary R Bond, Torleif Ruud, Ada Ivanecka, Richard Gray, David Osborn, Fiona Nolan, Claire Henderson, Oliver Mason, Nicky Goater, Kathleen Kelly, Gareth Ambler, Nicola Morant, Steve Onyett, Danielle Lamb, Sarah Fahmy, Ellie Brown, Beth Paterson, Angela Sweeney, David Hindle, Kate Fullarton, Johanna Frerichs, Sonia Johnson
BACKGROUND: Crisis Resolution Teams (CRTs) provide short-term intensive home treatment to people experiencing mental health crisis. Trial evidence suggests CRTs can be effective at reducing hospital admissions and increasing satisfaction with acute care. When scaled up to national level however, CRT implementation and outcomes have been variable. We aimed to develop and test a fidelity scale to assess adherence to a model of best practice for CRTs, based on best available evidence. METHODS: A concept mapping process was used to develop a CRT fidelity scale...
December 1, 2016: BMC Psychiatry
https://www.readbyqxmd.com/read/27902133/understanding-mental-capacity-law-and-making-best-interests-decisions
#5
Ann Regan, Caitlin Sheehy
The Mental Capacity Act 2005 was enacted with the aim of improving the protection provided by the law to the most vulnerable people in society. The principles of the act specify to whom the act can be applied, and how to ensure these individuals are placed at the centre of decision-making about their treatment and care. It covers those people who raise objections to treatments and care proposed by health and social care professionals and, crucially, it offers protection to those who raise no objection. Appropriate application of the act should ensure all treatment and care planned for vulnerable people is in those individuals' best interests...
November 30, 2016: Nursing Standard
https://www.readbyqxmd.com/read/27871263/perceived-needs-and-health-related-quality-of-life-in-people-with-schizophrenia-and-metabolic-syndrome-a-real-world-study
#6
Leticia Medeiros-Ferreira, José Blas Navarro-Pastor, Antonio Zúñiga-Lagares, Rosanna Romaní, Elisenda Muray, Jordi E Obiols
BACKGROUND: The complexity of schizophrenia lies in the combination of psychiatric, somatic and social needs requiring care. The aim of the study was to compare perceived needs between groups with absence/presence of metabolic syndrome (MetS) and to analyze the relationship between needs, health-related quality of life (HRQoL) and MetS in people with schizophrenia or schizoaffective disorder. METHODS: A "real-world" cross-sectional study was set up with a comprehensive framework including the following, needs for care (Camberwell Assessment of Need Interview [CAN]), HRQoL (Euro Qol-5D Questionnaire), sociodemographic data, lifestyle habits, psychopathology (Positive And Negative Syndrome Scale [PANSS]), global functioning (Global Assessment of Functioning Scale [GAF]), anthropometric measurements and blood test results were assessed for an outpatient sample (n = 60)...
November 21, 2016: BMC Psychiatry
https://www.readbyqxmd.com/read/27866425/the-role-of-physical-status-versus-mental-status-in-predicting-the-quality-of-life-of-patients-with-lumbar-disk-herniation
#7
Batya Engel-Yeger, Amit Keren, Yaron Berkovich, Elad Sarfaty, Lior Merom
PURPOSE: To explore the role of physical status versus mental status in predicting the quality of life (QOL) of patients with lumbar disk herniation (LDH). METHOD: In this correlative study 51 patients with LDH were recruited in their conservative stage of treatment. After profiling their physical status, all participants reported about pain level (according to VAS), pain perception using the Pain Catastrophizing Scale (PCS), and disability level (according to Oswestry Low Back Pain Disability Questionnaire)...
November 20, 2016: Disability and Rehabilitation
https://www.readbyqxmd.com/read/27858547/teams-and-teamwork-in-cancer-care-delivery-shared-mental-models-to-improve-planning-for-discharge-and-coordination-of-follow-up-care
#8
Jenna S Page, Lynne Lederman, Jamie Kelly, Maura M Barry, Ted A James
This article discusses the potential for shared mental models to improve teamwork during discharge planning and follow-up care. A 58-year-old inpatient on the hematology care unit of an academic medical center was discharged to his community after initial treatment of acute myeloid leukemia, without a clear plan for either discharge or follow-up. This case highlights the challenges faced by the primary oncology care team, the patient's community health-care team, the patient, and his caregiver, because a formal plan for follow-up care after discharge was not in place...
November 2016: Journal of Oncology Practice
https://www.readbyqxmd.com/read/27845534/transformation-to-a-recovery-oriented-model-of-care-on-a-veterans-administration-inpatient-unit
#9
Jessica B Zuehlke, Robert M Kotecki, Shira Kern, Gretchen Sholty, Peter Hauser
OBJECTIVES: Recovery-oriented care is among the highest treatment priorities for the Veteran Health Administration, which has endorsed organizational change of mental health care to reflect recovery values. The purpose of this quality improvement project was to determine whether recovery interventions would yield positive outcomes when delivered on in inpatient psychiatry. METHOD: Recovery interventions on the unit included recovery-focused interdisciplinary team meetings, opportunities for stakeholder feedback, recovery staff education, increased group programming, peer support, and changes to treatment planning to include increased Veteran engagement and responsibility...
December 2016: Psychiatric Rehabilitation Journal
https://www.readbyqxmd.com/read/27836308/targeting-the-underlying-causes-of-undernutrition-cost-effectiveness-of-a-multifactorial-personalized-intervention-in-community-dwelling-older-adults-a-randomized-controlled-trial
#10
Rachel van der Pols-Vijlbrief, Hanneke A H Wijnhoven, Judith E Bosmans, Jos W R Twisk, Marjolein Visser
BACKGROUND & AIMS: Undernutrition in old age is associated with increased morbidity, mortality and health care costs. Treatment by caloric supplementation results in weight gain, but compliance is poor in the long run. Few studies targeted underlying causes of undernutrition in community-dwelling older adults. This study aimed to evaluate the cost-effectiveness of a multifactorial personalized intervention focused on eliminating or managing the underlying causes of undernutrition to prevent and reduce undernutrition in comparison with usual care...
October 15, 2016: Clinical Nutrition: Official Journal of the European Society of Parenteral and Enteral Nutrition
https://www.readbyqxmd.com/read/27832769/care-planning-for-consumers-on-community-treatment-orders-an-integrative-literature-review
#11
Suzanne Dawson, Sharon Lawn, Alan Simpson, Eimear Muir-Cochrane
BACKGROUND: Case management is the established model for care provision in mental health and is delivered within current care philosophies of person-centred and recovery-oriented care. The fact that people with a mental illness may be forced to receive care and treatment in the community poses challenges for clinicians aiming to engage in approaches that promote shared decision-making and self-determination. This review sought to gain an in-depth understanding of stakeholders' perspectives and experiences of care planning for consumers' on CTOs...
November 10, 2016: BMC Psychiatry
https://www.readbyqxmd.com/read/27825381/cornerstone-program-for-transition-age-youth-with-serious-mental-illness-study-protocol-for-a-randomized-controlled-trial
#12
Michelle R Munson, Andrea Cole, Victoria Stanhope, Steven C Marcus, Mary McKay, James Jaccard, Shelly Ben-David
BACKGROUND: Transition-age youth have elevated rates of mental disorders, and they often do not receive services. This is a serious public health concern, as mental health conditions persist into adulthood. Continuing to engage this population has been a pervasive challenge for the mental health care system worldwide. Few mental health interventions have been developed for transition-age youth, and even fewer have been found to be effective over the transition to adulthood. Cornerstone, a theoretically guided intervention has shown promise for addressing the mental health and psychosocial needs of this population as they emerge into adulthood...
November 8, 2016: Trials
https://www.readbyqxmd.com/read/27822300/mental-health-problems-in-male-young-offenders-in-custodial-versus-community-based-programs-implications-for-juvenile-justice-interventions
#13
Daniel Rijo, Nélio Brazão, Ricardo Barroso, Diana Ribeiro da Silva, Paula Vagos, Ana Vieira, Ana Lavado, Ana Margarida Macedo
BACKGROUND: Young offenders are known to be a population with high prevalence of mental health disorders. In most cases, these disorders are neither identified nor treated properly, with the majority of them being chronic and difficult to treat. In many countries, the prevalence rates of psychopathology in male young offenders are still unknown and no psychotherapeutic interventions are delivered. Therefore, the main goal of the present study was to assess mental health problems in Portuguese male young offenders placed in either custodial or community-based programs and discuss treatment implications within the juvenile justice interventions...
2016: Child and Adolescent Psychiatry and Mental Health
https://www.readbyqxmd.com/read/27816568/scenarios-for-the-future-of-mental-health-care-a-social-perspective
#14
REVIEW
Domenico Giacco, Michaela Amering, Victoria Bird, Thomas Craig, Giuseppe Ducci, Jürgen Gallinat, Steven George Gillard, Tim Greacen, Phil Hadridge, Sonia Johnson, Nikolina Jovanovic, Richard Laugharne, Craig Morgan, Matthijs Muijen, Georg Schomerus, Martin Zinkler, Simon Wessely, Stefan Priebe
Social values and concepts have played a central role in the history of mental health care. They have driven major reforms and guided the development of various treatment models. Although social values and concepts have been important for mental health care in the past, this Personal View addresses what their role might be in the future. We (DG, PH, and SP) did a survey of professional stakeholders and then used a scenario planning technique in an international expert workshop to address this question. The workshop developed four distinct but not mutually exclusive scenarios in which the social aspect is central: mental health care will be patient controlled; it will target people's social context to improve their mental health; it will become virtual; and access to care will be regulated on the basis of social disadvantage...
November 2, 2016: Lancet Psychiatry
https://www.readbyqxmd.com/read/27807690/inpatient-treatment-effect-and-minnesota-multiphasic-personality-inventory-characteristics-of-motor-vehicle-collision-injuries-in-a-traditional-korean-medicine-hospital-retrospective-chart-review
#15
Min-Yeong Song, Hee-Guen Jo, Jae-Uk Sul, Seong-Tae Kim, Kil-Joon Bae, Tae-Gwang Kim, Jae-Hong Kim, Jin-Bong Choi
OBJECTIVES: To examine the changes in pain, disability, and quality of life in motor vehicle collision injury (MVCI) patients after treatment with traditional Korean medicine (TKM), and to investigate the psychological characteristics of these patients. METHODS: Forty-one patients with MVCI were treated with TKM including acupuncture, pharmacopuncture, moxibustion, cupping, herbal medication, chuna manual therapy, and physical therapy. Numeric Rating Scale (NRS), Medical Outcomes Study 36-Item Short Form Health Survey (SF-36), Neck Disability Index (NDI), Oswestry Disability Index (ODI), and Lysholm Knee Scoring Scale were assessed at admission and discharge...
November 3, 2016: Chinese Journal of Integrative Medicine
https://www.readbyqxmd.com/read/27799017/the-perceived-impact-of-42-cfr-part-2-on-coordination-and-integration-of-care-a-qualitative-analysis
#16
Dennis McCarty, Traci Rieckmann, Robin L Baker, K John McConnell
OBJECTIVE: Title 42 of the Code of Federal Regulations Part 2 (42 CFR Part 2) controls the release of patient information about treatment for substance use disorders. In 2016, the Substance Abuse and Mental Health Services Administration (SAMHSA) released a proposed rule to update the regulations, reduce provider burdens, and facilitate information exchange. Oregon's Medicaid program (Oregon Health Plan) altered the financing and structure of medical, dental, and behavioral care to promote greater integration and coordination...
November 1, 2016: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/27794561/assessment-of-depression-and-suicidal-behaviour-among-medical-students-in-portugal
#17
Ricardo Coentre, Carlo Faravelli, Maria Luísa Figueira
Objectives: To examine depression and suicidal behaviour and associated factors in a sample of medical students in Portugal. Methods: We conducted a cross-sectional study design of 456 native Portuguese medical students from the 4(th) and 5(th) year at the University of Lisbon. Participants answered a self-report survey including questions on demographic and clinical variables. Statistical analyses were conducted using the chi-square test, with a Monte Carlo simulation when appropriate...
October 29, 2016: International Journal of Medical Education
https://www.readbyqxmd.com/read/27793181/internet-based-self-help-therapy-with-fearfighter%C3%A2-versus-no-intervention-for-anxiety-disorders-in-adults-study-protocol-for-a-randomised-controlled-trial
#18
Morten Fenger, Jane Lindschou, Christian Gluud, Per Winkel, Lise Jørgensen, Sten Kruse-Blinkenberg, Marianne Lau
BACKGROUND: Internet-based self-help psychotherapy (IBT) could be an important alternative or supplement to ordinary face-to-face therapy. The findings of randomised controlled trials indicate that the effects of various IBT programmes for anxiety disorders seem better than no intervention and in some instances are equivalent to usual therapy. In Denmark, IBT is part of future treatment plans in mental health care services, but the verification level of the current clinical scientific knowledge is insufficient...
October 28, 2016: Trials
https://www.readbyqxmd.com/read/27783548/patterns-of-adherence-to-oral-atypical-antipsychotics-among-patients-diagnosed-with-schizophrenia
#19
Joanna P MacEwan, Felicia M Forma, Jason Shafrin, Ainslie Hatch, Darius N Lakdawalla, Jean-Pierre Lindenmayer
BACKGROUND: Poor medication adherence contributes to negative treatment response, symptom relapse, and hospitalizations in schizophrenia. Many health plans use claims-based measures like medication possession ratios or proportion of days covered (PDC) to measure patient adherence to antipsychotics. Classifying patients solely on the basis of a single average PDC measure, however, may mask clinically meaningful variations over time in how patients arrive at an average PDC level. OBJECTIVE: To model patterns of medication adherence evolving over time for patients with schizophrenia who initiated treatment with an oral atypical antipsychotic and, based on these patterns, to identify groups of patients with different adherence behaviors...
November 2016: Journal of Managed Care & Specialty Pharmacy
https://www.readbyqxmd.com/read/27781329/the-magic-wand-question-and-recovery-focused-practice-in-child-and-adolescent-mental-health-services
#20
Karen Wells, Marie McCaig
BACKGROUND: This paper uses a case study to describe the implementation of the Magic Wand Question (MWQ), also known as the miracle question, in a child and adolescent mental health service (CAMHS) in Scotland. The MWQ, a common intervention, is based on a Solution-Focused Brief Therapy (SFBT) approach. This intervention was undertaken by a third year student nurse with the intention of demonstrating how practice can be more closely aligned to a recovery-focused, strengths-based approach, which is in line with national policy...
October 26, 2016: Journal of Child and Adolescent Psychiatric Nursing
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