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Psychiatric Rehabilitation

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https://www.readbyqxmd.com/read/29783067/motor-retraining-more-for-functional-movement-disorders-outcomes-from-a-one-week-multidisciplinary-rehabilitation-program
#1
Alexandra Jacob, Darryl Kaelin, Abbey Roach, Craig Ziegler, Kathrin LaFaver
BACKGROUND: Functional Movement Disorders (FMD) are conditions of abnormal motor control thought to be caused by psychological factors. These disorders are commonly seen in neurological practice and prognosis is often poor. No consensus treatment guidelines have been established, however the role of physical therapy in addition to psychotherapy has increasingly been recognized. This study reports patient outcomes from a multidisciplinary FMD treatment program using motor retraining (MoRe) strategies...
May 18, 2018: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/29765577/perception-of-family-caregivers-about-barriers-of-leisure-in-care-of-individuals-with-chronic-psychiatric-disorders-a-qualitative-study
#2
Batool Mandani, Seyed Ali Hosseini, Mohammad Ali Hosseini, Ashraf Karbalaie Noori, Mohammad Reza Khodaie Ardakani
Background: Family caregivers of individuals with chronic psychiatric disorders play an important role in the management of the patient's conditions, which interferes with other activities of daily living, work, social and leisure activities. Objective: This study was conducted in an Iranian context to explore the perception of family caregivers about barriers of leisure in care of individuals with chronic psychiatric disorders. Methods: The current qualitative study was conducted on the basis of conventional content analysis...
March 2018: Electronic Physician
https://www.readbyqxmd.com/read/29753175/changes-in-the-tryptophan-kynurenine-axis-in-association-to-therapeutic-response-in-clinically-depressed-patients-undergoing-psychiatric-rehabilitation
#3
B Reininghaus, K Riedrich, N Dalkner, S A Bengesser, A Birner, M Platzer, C Hamm, J M Gostner, D Fuchs, E Z Reininghaus
INTRODUCTION: In recent decades a number of studies have shown an association between the Tryptophan (Trp)-Kynurenine (Kyn) axis and neuropsychiatric disorders. However, the role of the Trp-Kyn pathway on the affective status in a general psychiatric cohort requires clarification. This study aimed to measure peripheral changes in Trp, Kyn and the Kyn/Trp-ratio as well as in the inflammatory markers high sensitive C-reactive protein (hsCRP) and interleukine-6 (IL-6) in individuals undergoing a six-week course of intensive treatment program comparing subgroups of treatment responders and non-responders...
May 6, 2018: Psychoneuroendocrinology
https://www.readbyqxmd.com/read/29746348/homeless-status-postdischarge-health-care-utilization-and-readmission-after-surgery
#4
Ashley Titan, Laura Graham, Amy Rosen, Kamal Itani, Laurel A Copeland, Hillary J Mull, Edith Burns, Joshua Richman, Stefan Kertesz, Tyler Wahl, Melanie Morris, Jeffery Whittle, Gordon Telford, Mark Wilson, Mary Hawn
INTRODUCTION: Homeless Veterans are vulnerable to poor care transitions, yet little research has examined their risk of readmission following inpatient surgery. This study investigates the predictors of surgical readmission among homeless relative to housed Veteran patients. METHODS: Inpatient general, vascular, and orthopedic surgeries occurring in the Veterans Health Administration from 2008 to 2014 were identified. Administrative International Classification of Diseases, Ninth Revision, Clinical Modification codes and Veterans Health Administration clinic stops were used to identify homeless patients...
June 2018: Medical Care
https://www.readbyqxmd.com/read/29734920/the-role-of-working-alliance-in-attainment-of-personal-goals-and-improvement-in-quality-of-life-during-psychiatric-rehabilitation
#5
Sarita A Sanches, Jooske T van Busschbach, Harry W C Michon, Jaap van Weeghel, Wilma E Swildens
OBJECTIVE: A key aspect of psychiatric rehabilitation is supporting individuals with serious mental illness in reaching personal goals. This study aimed to investigate whether various aspects of the working alliance predict successful goal attainment and whether goal attainment improves subjective quality of life, independent of the rehabilitation approach used. METHODS: Secondary analyses were conducted of data from a Dutch randomized clinical trial on goal attainment by individuals supported with the Boston University approach to psychiatric rehabilitation (N=80) or a generic approach (N=76)...
May 8, 2018: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/29725879/a-comparison-of-inpatient-adult-psychiatric-services-in-italy-and-canada
#6
Giuseppe Guaiana, Richard O'Reilly, Luigi Grassi
We examine the possibility the Organisation for Economic Co-operation and Development (OECD) bed count for Italy may be an underestimation of the actual beds available. We compared bedded services for mental disorders in two regions in Italy and Canada respectively. We found out that if we consider acute psychiatric beds only, the district of Ferrara has 30 beds (8.5 per 100,000) and the Middlesex and Elgin Counties have 89 beds (16.3 beds for 100,000). However, if we include the rehabilitation beds (that are located within a hospital setting in Ontario and in a residential community setting in Ferrara), we find that the district of Ferrara has 95 beds (27...
May 3, 2018: Community Mental Health Journal
https://www.readbyqxmd.com/read/29723343/early-psychiatric-morbidity-in-a-brazilian-sample-of-acute-ischemic-stroke-patients
#7
Vinicius S P Pedroso, Andre R Brunoni, Érica L M Vieira, Ricardo E Jorge, Edward C Lauterbach, Antonio L Teixeira
OBJECTIVE: Stroke is a major public health problem worldwide, and its neuropsychiatric sequelae are frequent and disabling. Furthermore, there is evidence that these sequelae impair recovery. Brazil has the highest stroke rates in Latin America, but data on the frequency of neuropsychiatric disorders in these patients are scarce. This study aimed to identify mental disorders among in-hospital patients with acute ischemic stroke. METHODS: The Mini International Neuropsychiatric Interview-Plus (MINI-Plus) was applied to 60 patients during the first week of hospitalization...
2018: Clinics
https://www.readbyqxmd.com/read/29717901/faking-good-an-investigation-of-social-desirability-and-defensiveness-in-an-inpatient-sample-with-personality-disorder-traits
#8
Margot M Williams, Richard Rogers, Allyson J Sharf, Colin A Ross
Accurate interpretations of psychological assessments rely heavily on forthright reporting. However, researchers and practitioners recognize that examinees can easily invalidate their test results by underreporting symptoms or overstating positive attributes. Rogers (2008) delineated two distinct but related forms of positive impression management (PIM): defensiveness (denying symptoms and psychological impairment) and social desirability (putting forth an exaggeratedly positive image). Although these two have often been combined in past research, this study sought to investigate each separately via a mixed within- and between-subjects simulation design...
May 2, 2018: Journal of Personality Assessment
https://www.readbyqxmd.com/read/29713951/accommodation-and-health-costs-of-deinstitutionalized-people-with-mental-illness-living-in-residential-services-in-brazil
#9
Denise Razzouk
BACKGROUND: Health costs are the main hindrances for expanding community mental health services. Exploring patient profiles and cost predictors may be useful for optimising financial resources. However, the deinstitutionalisation process may burden health budgets in terms of supporting multiple community services based on varying levels of need. OBJECTIVE: This study assessed accommodation and health service costs, quality of life and clinical and psychosocial profiles among individuals receiving mental healthcare through residential services...
April 30, 2018: PharmacoEconomics open
https://www.readbyqxmd.com/read/29706118/examining-individual-characteristics-and-program-performance-to-understand-two-year-recidivism-rates-among-drug-court-participants-comparing-graduates-and-terminators
#10
Lisa M Shannon, Afton Jackson Jones, Jennifer Newell, Connie Payne
Drug courts strive to break the cycle of substance use and crime by providing community-based treatment and rehabilitation. The purpose of the present study was to (a) identify significantly different factors between program participants (i.e., graduates/terminators) that may affect recidivism and (b) examine these significant individual and program performance factors associated with two-year recidivism. Secondary data were examined for a stratified random sample of drug court participants ( N = 534). Examining any two-year post-program recidivism (defined as an arrest, conviction, or incarceration), over one third (37...
April 1, 2018: International Journal of Offender Therapy and Comparative Criminology
https://www.readbyqxmd.com/read/29701509/the-effect-of-an-occupational-therapy-mental-health-day-treatment-centre-on-the-use-of-inpatient-services-in-the-western-cape-south-africa
#11
Riekie Engelbrecht, Nicola Plastow, Ulla Botha, Djh Niehaus, Liezl Koen
PURPOSE: The aim of this study was to determine whether attendance at an occupational therapy-led day treatment centre for mental health care users affects the use of inpatient services in South Africa. METHODS: A retrospective pre-test/post-test quasi-experimental study design was used to compare admissions and days spent in hospital during the 24 months before and after attendance at the centre, using the hospital's electronic records. Total population sampling yielded data for 44 mental health care users who made first contact with the service between July 2009 and June 2010...
April 27, 2018: Disability and Rehabilitation
https://www.readbyqxmd.com/read/29701489/impact-of-inpatient-mental-health-rehabilitation-on-psychiatric-readmissions-a-propensity-score-matched-case-control-study
#12
Katrina Tsoutsoulis, Anna Maxwell, Aparna Menon Tarur Padinjareveettil, Frank Zivkovic, Jeffrey M Rogers
BACKGROUND: Examination of readmission data is a standard method for evaluating health service outcomes. Limited work has evaluated the efficacy of mental health rehabilitation, despite the need for evidence-based approaches. AIMS: To evaluate the impact of inpatient mental health rehabilitation using metrics of psychiatric readmissions routinely collected at occasions of service. METHODS: Consumers (n = 252) of a nonacute inpatient mental health rehabilitation unit were case matched with normative clients from community mental health services...
April 27, 2018: Journal of Mental Health
https://www.readbyqxmd.com/read/29692865/utilization-of-psychiatric-rehabilitation-services-and-influencing-factors-among-people-with-psychotic-disorders-in-rural-communities-of-guangxi-china
#13
Hongye Luo, Edward B McNeil, Qiming Feng, Hongheng Li, Qiang Chen, Xianjing Qin, Jun Feng, Sawitri Assanangkornchai
Objectives: To identify the rate and predictors of utilization of rehabilitation services among people with psychotic disorders in rural communities of Guangxi. Study design: A cross-sectional survey was conducted among individuals with schizophrenia or other psychoses (severe mental disorder, ICD10: F20-F29), aged over 15 years, and their care-givers in Guangxi, China. Trained village doctors located individuals known to them and suspected as having schizophrenia or other psychoses within the target areas and recruited them into the study...
2018: International Journal of Mental Health Systems
https://www.readbyqxmd.com/read/29675280/what-can-happen-when-postpartum-anxiety-progresses-to-psychosis-a-case-study
#14
Vesna Pirec
This case report describes a primipara without documented psychiatric history prior to complicated delivery. Onset of severe insomnia and anxiety was right after childbirth but not treated. Obsessive thinking pattern became more prominent. The patient became depressed and sought psychiatric help four months after delivery. Insomnia was then treated pharmacologically. Anxiety and depression persisted, suicidal ideation emerged, and the patient became confused, indecisive, overwhelmed, and delusional regarding her child's health...
2018: Case Reports in Psychiatry
https://www.readbyqxmd.com/read/29673069/short-term-memory-impairment-in-vestibular-patients-can-arise-independently-of-psychiatric-impairment-fatigue-and-sleeplessness
#15
Laura Smith, David Wilkinson, Mayur Bodani, Rowena Bicknell, S S Surenthiran
Vestibular dysfunction is associated with visual short-term memory impairment; however, it remains unclear if this impairment arises as a direct result of the vestibular dysfunction or is a consequence of comorbid changes in mood, affect, fatigue, and/or sleep. To this end, we assessed the concurrence and interdependence of these comorbidities in 101 individuals recruited from a tertiary balance clinic with a neuro-otological diagnosis. Over fifty per cent of the sample showed reduced visuospatial short-term memory, 60% and 37% exceeded cut-off on the Beck Anxiety and Depression Inventories, respectively, 70% exceeded cut-off on the Fatigue Severity Scale, 44% reported daytime sleepiness on the Epworth Sleepiness Scale, and 78% scored above cut-off on the Pittsburgh Sleep Quality Index...
April 19, 2018: Journal of Neuropsychology
https://www.readbyqxmd.com/read/29665607/-who-benefits-from-forensic-psychiatric-treatment-results-of-a-catamnestic-study-in-swabia
#16
Manuela Dudeck, Irina Franke, Adelheid Bezzel, Stefanie Otte, Norbert Ormanns, Stefanie Nigel, Felix Segmiller, Judith Streb
OBJECTIVE: Evaluation of treatment outcomes of forensic inpatients in the Bavarian district of Swabia (2010 - 2014). METHODS: 130 inpatients were interviewed about their social reintegration, substance use and delinquency immediately after discharge from forensic psychiatry and one year after. RESULTS: One year after discharge 67 % of the patients referred due to substance use disorder according to § 64 of the German Penal Code were employed, 57 % were abstinent and 83 % did not reoffend...
April 17, 2018: Psychiatrische Praxis
https://www.readbyqxmd.com/read/29660377/apathy-following-traumatic-brain-injury-a-review
#17
Andrew Worthington, Rodger Ll Wood
Apathy is a common problem after traumatic brain injury (TBI) and can have a major impact on cognitive function, psychosocial outcome and engagement in rehabilitation. For scientists and clinicians it remains one of the least understood aspects of brain-behaviour relationships encompassing disturbances of cognition, motivation, emotion and action, and is variously an indication of organic brain disease or psychiatric disorder. Apathy can be both sign and symptom and has been proposed as a diagnosis in its own right as well as a secondary feature of other conditions...
April 13, 2018: Neuropsychologia
https://www.readbyqxmd.com/read/29657695/effectiveness-of-transactional-analysis-group-therapy-on-addiction-intensity-of-woman-patients-treated-with-methadone
#18
Niloofar Etemadi-Chardah, Bahman Matinpour, Rasoul Heshmati
Background: Addiction brings about severe and profound physical, psychological and social damages such as divorce, crime, and unemployment. The present study was to investigate the effectiveness of transactional analysis (TA) therapy on addiction intensity of woman patients treated with methadone. Methods: The research design was quasi-experimental with a pretest-posttest and a control group. The statistical population consisted of all the addicted women who referred to any drug rehabilitation center of Tehran, Iran, in 2016...
July 2017: Addiction & Health
https://www.readbyqxmd.com/read/29656726/the-mental-health-consumer-movement-and-peer-providers-in-israel
#19
G S Moran
Self-help peer-support groups in Israel emerged in the 1980s and, over time, dynamically interacted and co-developed with the statutory mental health (MH) system. In this editorial, I outline historical milestones of how the evolution of the Israeli mental health system was influenced by the consumer movement. A brief depiction of the consumer movement history. At first, consumers operated outside of the mainstream MH system. Gradually, consumer groups and institutional personnel joined efforts towards community integration and enhancement of quality of life, pushing forward a person-centered recovery orientation...
April 16, 2018: Epidemiology and Psychiatric Sciences
https://www.readbyqxmd.com/read/29600743/what-types-of-recommendations-are-we-giving-patients-a-survey-of-clinical-neuropsychologists
#20
Molly Z Meth, John P K Bernstein, Matthew Calamia, Daniel Tranel
OBJECTIVE: To identify types of recommendations that neuropsychologists most frequently give to patients, and determine which specific recommendations are most and least consistently given to patients across and within different diagnostic populations. METHOD: A total of 309 clinical neuropsychologists completed a survey evaluating the frequency with which they made particular types of recommendations (e.g. driving, employment and education, health and rehabilitation referrals) to patients with various disorders (e...
March 30, 2018: Clinical Neuropsychologist
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