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Psychiatric Rehabilitation

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https://www.readbyqxmd.com/read/27902744/delirium-detection-and-impact-of-comorbid-health-conditions-in-a-post-acute-rehabilitation-hospital-setting
#1
Julija Stelmokas, Nicolette Gabel, Jennifer M Flaherty, Katherine Rayson, Kathileen Tran, Jason R Anderson, Linas A Bieliauskas
Misdiagnosis and under-detection of delirium may occur in many medical settings. This is important to address as delirium clearly increases risk of morbidity and mortality in such settings. This study assessed whether Veterans who screened positive on a delirium severity measure (Memorial Delirium Assessment Scale; MDAS) differed from those with and without corresponding medical documentation of delirium in terms of cognitive functioning, psychiatric/medical history, and medication use. A medical record review of 266 inpatients at a VA post-acute rehabilitation unit found that 10...
2016: PloS One
https://www.readbyqxmd.com/read/27895602/motivational-and-behavioral-activation-as-an-adjunct-to-psychiatric-rehabilitation-for-mild-to-moderate-negative-symptoms-in-individuals-with-schizophrenia-a-proof-of-concept-pilot-study
#2
Kee-Hong Choi, Eunju Jaekal, Ga-Young Lee
Few psychosocial approaches address the negative symptoms of schizophrenia, which shares common features with depression and anxiety. Behavioral activation (BA) is effective for addressing depression and anxiety in adults with various mental disorders. Motivational interviewing (MI) has been successfully applied to address ambivalence or lack of motivation toward treatment. Motivational and behavioral activation (mBA) has been developed by incorporating the core principles from BA and MI with recent findings on the negative symptoms of schizophrenia...
2016: Frontiers in Psychology
https://www.readbyqxmd.com/read/27893242/work-based-learning-a-training-model-for-state-wide-system-changes
#3
Zakia Clay, Nora Barrett, Ann Reilly, Anthony Zazzarino
TOPIC: Despite the substantial amount of money invested in staff training each year, many people trained fail to transfer what they learn to the workplace. We document a training initiative that was implemented to develop and maintain a competent workforce. PURPOSE: A work-based learning (WBL) model was used as a guide to teach the knowledge and skills necessary to effectively deliver psychiatric rehabilitation services. SOURCES USED: This training framework afforded practitioners an opportunity to acquire the critical knowledge and skills to improve the quality of life for individuals living with serious mental illnesses...
December 2016: Psychiatric Rehabilitation Journal
https://www.readbyqxmd.com/read/27893240/is-recovery-possible-outside-the-financial-mainstream
#4
Judith A Cook, Kim T Mueser
As psychiatric rehabilitation practitioners, we have solid evidence that our field's services are effective in helping people become employed, participate in social and civic life, avoid restrictive and coercive psychiatric treatment, and thrive in stable and secure community residences. Yet, hundreds of thousands of people with psychiatric disabilities do not do these things. So we must ask ourselves, to what extent is this due to their location outside the financial mainstream, and if it is, what we can do as a field to address poverty among those we serve? This editorial addresses this question: Is recovery possible outside of the financial mainstream? (PsycINFO Database Record...
December 2016: Psychiatric Rehabilitation Journal
https://www.readbyqxmd.com/read/27891433/the-clinical-presentation-and-outcome-of-the-institutionalized-wandering-mentally-ill-in-india
#5
Gaurav Singh, Nilima Shah, Ritambhara Mehta
INTRODUCTION: There are estimated 400,000 wandering mentally ill persons in India, found in poor physical state wandering on streets and railway stations; mainly treated either by government run Hospitals for Mental Health (HMH) or Psychiatry units of a Government Medical College (GMC). They require psychosocial rehabilitation along with treatment. AIM: To study the presentation, clinical profile and rehabilitative outcome of wandering mentally ill admitted in government psychiatric care facilities...
October 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/27884479/a-pilot-training-program-for-people-in-recovery-of-mental-illness-as-vocational-peer-support-workers-in-hong-kong-job-buddies-training-program-jbtp-a-preliminary-finding
#6
Kevin Kei Nang Yam, William Tak Lam Lo, Rose Lai Ping Chiu, Bien Shuk Yin Lau, Charles Ka Shing Lau, Jen Kei Yu Wu, Siu Man Wan
OBJECTIVES: The present study reviews the delivery of a pilot curriculum-mentorship-based peer vocational support workers training in a Hong Kong public psychiatric hospital. The present paper reports (1) on the development of a peer vocational support workers training - Job Buddies Training Program (JBTP) in Hong Kong; and (2) preliminary findings from both quantitative and qualitative perspectives. METHOD: The curriculum consists of 15-session coursework, 8-session storytelling workshop and 50-hour practicum to provide Supported Employment Peer Service (SEPS) under the mentorship of occupational therapists...
October 24, 2016: Asian Journal of Psychiatry
https://www.readbyqxmd.com/read/27870906/qualities-of-life-of-patients-with-psychotic-disorders-and-their-family-caregivers-comparison-between-hospitalised-and-community-based-treatment-in-beijing-china
#7
Lizheng Guan, Yingqiang Xiang, Xin Ma, Yongzhen Weng, Wannian Liang
BACKGROUND: Community healthcare in mainland China is still at an early stage. The qualities of life (QOLs) of patients with psychotic disorders undergoing rehabilitation in hospitals or in the community, as well as those of their caregivers, may differ from each other. OBJECTIVES: The study was performed to evaluate the QOL of patients with psychotic disorders and assess the differences in the QOLs between patients receiving care in diverse settings (hospital vs...
2016: PloS One
https://www.readbyqxmd.com/read/27866508/new-directions-for-psychiatric-rehabilitation-in-the-usa
#8
G R Bond, R E Drake
American researchers have led the world in developing, evaluating, and disseminating evidence-based psychiatric rehabilitation practices for people with serious mental illness. Paradoxically, however, the USA lags behind most industrialized nations in providing access to high-quality mental health and psychiatric services. This essay examines several evidence-based practices developed in the USA, the spread of these practices, the barriers to ensuring availability to people who could benefit from these services, and some promising directions for overcoming the barriers...
November 21, 2016: Epidemiology and Psychiatric Sciences
https://www.readbyqxmd.com/read/27858781/torture-survivors-symptom-load-compared-to-chronic-pain-and-psychiatric-in-patients
#9
Uwe Harlacher, Linda Nordin, Peter Polatin
Before their entry into the rehabilitation program at the Rehabilitation and Research Centre for Torture Victims ('RCT') in Copenhagen, the degree of symptoms of a group of resettled traumatized refugees was assessed by means of two rating scales: the Disability Rating Index (DRI) (n=197), measuring pain-related functional disability, and the Hospital Anxiety and Depression Scale (HADS) (n=147). The results obtained were compared with other patient populations, which included (1) a large Swedish mixed pain group and (2) various groups of pain patients previously investigated in the validation study of the DRI scale...
2016: Torture: Quarterly Journal on Rehabilitation of Torture Victims and Prevention of Torture
https://www.readbyqxmd.com/read/27857002/reviewing-outcomes-of-psychological-interventions-with-torture-survivors-conceptual-methodological-and-ethical-issues
#10
Nimisha Patel, Amanda C de C Williams, Blerina Kellezi
BACKGROUND: Torture survivors face multiple problems, including psychological difficulties, whether they are refugees or remain in the country where they were tortured. Provision of rehabilitation varies not only with the needs of survivors and resources available, but also with service models, service provider preferences and the local and country context. Despite increasing efforts in research on effectiveness of psychological interventions with torture survivors, results are inconclusive...
2016: Torture: Quarterly Journal on Rehabilitation of Torture Victims and Prevention of Torture
https://www.readbyqxmd.com/read/27852345/psychiatric-rehabilitation-in-latin-america-challenges-and-opportunities
#11
J M Uribe-Restrepo, M L Escobar, L Cubillos
Comprehensive psychiatric rehabilitation programs in Latin America have been designed across several countries in the region without yet achieving full implementation. Facing an increasing burden of disease due to mental disorders, including alcohol and substance use disorders, the region has responded unevenly to the challenge. Moreover, low priority for mental health in national policies and insufficient funding for mental health services are common barriers for the much-needed mental health services reforms...
November 17, 2016: Epidemiology and Psychiatric Sciences
https://www.readbyqxmd.com/read/27837570/the-importance-of-the-patients-deemed-not-guilty-by-reason-of-insanity-for-the-psychiatric-reform
#12
EDITORIAL
Athanasios Douzenis
According to the Greek Penal Law if someone "because of a morbid disturbance of his mental functioning" (article 34) is acquitted of a crime or misdemeanour that the law punishes with more than 6 months imprisonment, then the court orders that this individual should be kept in a public psychiatric institution if the court reaches the conclusion that this person poses a threat to public safety.1 Individuals who have broken the law and deemed "not guilty by reason of insanity" are treated in psychiatric units of Psychiatric Hospitals according to the article 69 of the Penal Code...
July 2016: Psychiatrikē, Psychiatriki
https://www.readbyqxmd.com/read/27833220/development-of-a-social-skills-assessment-screening-scale-for-psychiatric-rehabilitation-settings-a-pilot-study
#13
Poornima Bhola, Chethan Basavarajappa, Deepti Guruprasad, Gayatri Hegde, Fatema Khanam, Jagadisha Thirthalli, Santosh K Chaturvedi
CONTEXT: Deficits in social skills may present in a range of psychiatric disorders, particularly in the more serious and persistent conditions, and have an influence on functioning across various domains. AIMS: This pilot study aimed at developing a brief measure, for structured evaluation and screening for social skills deficits, which can be easily integrated into routine clinical practice. SETTINGS AND DESIGN: The sample consisted of 380 inpatients and their accompanying caregivers, referred to Psychiatric Rehabilitation Services at a tertiary care government psychiatric hospital...
September 2016: Indian Journal of Psychological Medicine
https://www.readbyqxmd.com/read/27830377/-changes-and-differences-of-heart-rate-variability-of-patients-in-a%C3%A2-psychiatric-rehabilitation-clinic
#14
Friedrich Riffer, Lore Streibl, Manuel Sprung, Elmar Kaiser, Lena Riffer
BACKGROUND: A reduced heart rate variability (HRV) has been associated with various different pathological physical and psychological conditions and illnesses. The present study is focused on investigating HRV in respect to psychological disorders (depressive disorders anxiety disorders, Burn-out-Syndrome). METHODS: The results from an investigation with patients from a psychiatric Rehabilitation clinic following a six week in-patient treatment are presented...
December 2016: Neuropsychiatrie: Klinik, Diagnostik, Therapie und Rehabilitation
https://www.readbyqxmd.com/read/27823797/minimal-detectable-change-of-the-personal-and-social-performance-scale-in-individuals-with-schizophrenia
#15
Shu-Chun Lee, Shih-Fen Tang, Wen-Shian Lu, Sheau-Ling Huang, Nai-Yu Deng, Wen-Chyn Lue, Ching-Lin Hsieh
The minimal detectable change (MDC) of the Personal and Social Performance scale (PSP) has not yet been investigated, limiting its utility in data interpretation. The purpose of this study was to determine the MDCs of the PSP administered by the same rater or different raters in individuals with schizophrenia. Participants with schizophrenia were recruited from two psychiatric community rehabilitation centers to complete the PSP assessments twice, 2 weeks apart, by the same rater or 2 different raters. MDC values were calculated from the coefficients of intra- and inter-rater reliability (i...
October 29, 2016: Psychiatry Research
https://www.readbyqxmd.com/read/27812799/barriers-to-employment-for-transition-age-youth-with-developmental-and-psychiatric-disabilities
#16
Valerie A Noel, Eugene Oulvey, Robert E Drake, Gary R Bond
Youth with developmental and psychiatric disabilities encounter significant vocational challenges, even when they receive supported employment services. We examined the barriers to employment for 280 transition-age youth with disabilities enrolled in supported employment in eight community rehabilitation centers. Employment team members identified each youth's top three barriers to employment using a 21-item checklist. Lack of work experience, transportation problems, and program engagement issues represented common barriers for both youth with developmental disabilities (53, 36, and 25%) and youth with psychiatric disabilities (20, 33, and 26%)...
November 3, 2016: Administration and Policy in Mental Health
https://www.readbyqxmd.com/read/27810845/comparison-of-regularity-detection-between-individuals-with-and-without-speech-in-noise-problems-using-electrophysiological-methods
#17
Mehmet Yaralı, Süha Yağcıoğlu, Ayşe Gül Güven, Songül Aksoy
OBJECTIVE: To analyze the cortical representations of auditory regularities and the relation between these representations and speech-in-noise (SIN) abilities and to compare two groups of participants with different SIN abilities on these cortical measures. MATERIALS AND METHODS: In total, 22 participants aged 20-40 years with normal hearing and without noise exposure, brain stem level-processing issues, neurological/psychiatric issues, or related medication were presented with three different stimuli resembling auditory regularities appearing after random sounds as well as a random series of sounds...
August 1, 2016: Journal of International Advanced Otology
https://www.readbyqxmd.com/read/27803715/knowledge-and-attitude-of-parents-of-children-with-attention-deficit-hyperactivity-disorder-towards-the-illness
#18
Shahrokh Amiri, Ali Reza Shafiee-Kandjani, Seyed Gholamreza Noorazar, Sina Rahmani Ivrigh, Salman Abdi
BACKGROUND: The knowledge and attitude of parents about attention deficit hyperactivity disorder (ADHD) is a public health issue in which management and rehabilitation approaches may be influenced. OBJECTIVES: The current study aimed to evaluate the knowledge and attitude of the parents of children with ADHD towards this disorder in Tabriz, Iran. MATERIALS AND METHODS: The current cross-sectional study evaluated 295 parents of children and adolescents with ADHD referred to psychiatric clinics of Tabriz University of Medical Sciences...
June 2016: Iranian Journal of Psychiatry and Behavioral Sciences
https://www.readbyqxmd.com/read/27796253/anxiety-symptoms-in-survivors-of-critical-illness-a-systematic-review-and-meta-analysis
#19
REVIEW
Sina Nikayin, Anahita Rabiee, Mohamed D Hashem, Minxuan Huang, O Joseph Bienvenu, Alison E Turnbull, Dale M Needham
OBJECTIVES: To evaluate the epidemiology of and postintensive care unit (ICU) interventions for anxiety symptoms after critical illness. METHODS: We searched five databases (1970-2015) to identify studies assessing anxiety symptoms in adult ICU survivors. Data from studies using the most common assessment instrument were meta-analyzed. RESULTS: We identified 27 studies (2880 patients) among 27,334 citations. The Hospital Anxiety and Depression Scale-Anxiety (HADS-A) subscale was the most common instrument (81% of studies)...
November 2016: General Hospital Psychiatry
https://www.readbyqxmd.com/read/27786522/psychiatric-versus-physical-disabilities-a-comparison-of-barriers-and-facilitators-to-employment
#20
Purvi Sevak, Shamima Khan
Objective: Guided by the social model of disability (Nagi, 1965), this study aims to better identify barriers to and facilitators of employment for individuals with psychiatric disabilities and how these factors may differ for individuals with physical disabilities. Method: Our analysis uses data from the Survey of Disability and Employment on 2,148 individuals with psychiatric disabilities, physical disabilities, or both who in 2014 applied for services from 1 of 3 state vocational rehabilitation (VR) agencies...
October 27, 2016: Psychiatric Rehabilitation Journal
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