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Inpatient Psychiatric

Bjørn Magne S Eriksen, Ann Færden, Øyvind Lockertsen, Stål Bjørkly, John Olav Roaldset
Current violence risk assessment methods seem to have reached an upper limit of accuracy. More comprehensive biopsychosocial models may improve on existing methods. Research on gender differences concerning risk factors of violence is scarce and inconclusive. In this prospective study from an acute psychiatric ward, all patients admitted from March 2012 to March 2013 were included. Predictive validity and potential gender differences in a biopsychosocial model of violence risk assessment consisting of a psychosocial checklist (Violence risk screening-10, V-RISK-10), a patient's self-report risk scale (SRS), total cholesterol (TC) and high-density lipoprotein cholesterol (HDL) were examined in an inpatient (N = 348) and a 3-months follow-up (N = 101) sample...
April 9, 2018: Psychiatry Research
Ira D Glick, Mark Olfson
Given the changes in our society and worldwide massive migrations across borders, this article argues that we need to change the paradigm of how we think about "the homeless," that is, to rethink our approach to not only those who cannot afford housing, the "economically homeless," but especially important also the larger group-those with chronic, serious medical-psychiatric-addictive disorders, the "medically/mentally ill homeless." We must place a greater emphasis on providing mental health services along with housing, legal, general medical, employment, and other services...
May 2018: Journal of Nervous and Mental Disease
Julia Hagen, Birthe Loa Knizek, Heidi Hjelmeland
PURPOSE: The purpose of this study is to explore how former suicidal inpatients experienced treatment and care in psychiatric wards in Norway following the implementation of the National guidelines for prevention of suicide in mental health care. The focus of the analysis was on aspects of treatment and care with potential for improvement. METHOD: We interviewed five former inpatients and analysed the data by means of Interpretative Phenomenological Analysis. RESULTS: Experiencing a sense of companionship with the staff and receiving individualized treatment and care was important for the participants...
December 2018: International Journal of Qualitative Studies on Health and Well-being
Jennifer C Wolff, Elisabeth A Frazier, Sarah L Weatherall, Alysha D Thompson, Richard T Liu, Jeffrey I Hunt
OBJECTIVES: This study evaluated the feasibility and initial efficacy of an empirically informed psychosocial intervention on an adolescent psychiatric inpatient unit. METHODS: Data were obtained for 463 adolescents 12-16 years of age on a psychiatric inpatient unit. Information collected included demographics, psychiatric diagnoses, length of inpatient stay, completion of four treatment modules, rehospitalizations, and emergency room visits during 12 months after discharge from index admission...
April 12, 2018: Journal of Child and Adolescent Psychopharmacology
Coralie Gandré, Jeanne Gervaix, Julien Thillard, Jean-Marc Macé, Jean-Luc Roelandt, Karine Chevreul
BACKGROUND: Inpatient psychiatric readmissions are often used as an indicator of the quality of care and their reduction is in line with international recommendations for mental health care. Research on variations in inpatient readmission rates among mental health care providers is therefore of key importance as these variations can impact equity, quality and efficiency of care when they do not result from differences in patients' needs. AIMS OF THE STUDY: Our objectives were first to describe variations in inpatient readmission rates between public mental health care providers in France on a nationwide scale, and second, to identify their association with patient, health care providers and environment characteristics...
March 1, 2018: Journal of Mental Health Policy and Economics
Kathleen McKee, Sean Glass, Caitlin Adams, Christopher D Stephen, Franklin King, Kristin Parlman, David L Perez, Nicholas Kontos
BACKGROUND: Motor functional neurologic disorders (FND)-previously termed "hysteria" and later "conversion disorder"-are exceedingly common and frequently encountered in the acute hospital setting. Despite their high prevalence, patients with motor FND can be challenging to diagnose accurately and manage effectively. To date, there is limited guidance on the inpatient approach to the neuropsychiatric evaluation of patients with functional (psychogenic) neurologic symptoms...
January 8, 2018: Psychosomatics
Camila D Odio, Megan Carroll, Susan Glass, Ashley Bauman, Faye S Taxman, Jaimie P Meyer
BACKGROUND: Women in the criminal justice (CJ) system experience complex and comorbid medical, psychiatric, and substance use disorders, which often contribute to CJ involvement. To identify intersections between CJ and health needs, we calculated Spearman r correlations between concurrent CJ and clinical assessments from women on probation in Connecticut who were enrolled in a clinical trial. We examined longitudinal trends in CJ risk scores over 9 years of observation (2005-2014), modeling time to probation recidivism with shared gamma frailty models and comparing contiguous time points by Wilcoxon matched-pairs signed rank tests...
April 7, 2018: Health & Justice
Lindsay L Shea, Ming Xie, Paul Turcotte, Steven Marcus, Robert Field, Craig Newschaffer, David Mandell
This study compared Medicaid service utilization and expenditures among adolescents with autism spectrum disorder (ASD) to adolescents with intellectual disability (ID) as they aged into adulthood. Medicaid Analytic eXtract (MAX) data was used to identify a national cohort. Winsorization was utilized to control for expenditure outliers. A greater proportion of adolescents with ASD utilized most services. Decreases in the use of key services, including psychiatric outpatient services, were observed for both groups...
April 7, 2018: Journal of Autism and Developmental Disorders
Anne P F Wand, Carmelle Peisah, Brian Draper, Henry Brodaty
OBJECTIVES: To examine the perspectives of people aged 80 years or older who self-harmed regarding their reasons for self-harm and its consequences, and their perceptions of care. DESIGN: A qualitative study using in-depth interviews. SETTING: Participants were recruited from two teaching hospitals and associated community services. PARTICIPANTS: People aged 80 years or older who had self-harmed within the previous month...
March 15, 2018: American Journal of Geriatric Psychiatry
Taanvi Ramesh, Artemis Igoumenou, Maria Vazquez Montes, Seena Fazel
BACKGROUND AND AIMS: Violent behaviour by forensic psychiatric inpatients is common. We aimed to systematically review the performance of structured risk assessment tools for violence in these settings. METHODS: The nine most commonly used violence risk assessment instruments used in psychiatric hospitals were examined. A systematic search of five databases (CINAHL, Embase, Global Health, PsycINFO and PubMed) was conducted to identify studies examining the predictive accuracy of these tools in forensic psychiatric inpatient settings...
April 4, 2018: European Psychiatry: the Journal of the Association of European Psychiatrists
Angela Black Smith, James T Zoller, Glen T Schumock, Ann L Richards
PURPOSE: Current benchmark statistics on staffing, workload, and productivity in hospital pharmacy departments of state psychiatric hospitals are described and assessed by hospital size. METHODS: An electronic survey of state psychiatric hospitals was conducted. Hospitals were categorized based on number of occupied beds. Descriptive statistics using Student's t tests, Pearson's chi-square tests, and Pearson's correlation coefficients were used to characterize the data and compare productivity by hospital size...
April 15, 2018: American Journal of Health-system Pharmacy: AJHP
Carla A Mazefsky, Lan Yu, Susan W White, Matthew Siegel, Paul A Pilkonis
Individuals with autism spectrum disorder (ASD) often present with prominent emotion dysregulation that requires treatment but can be difficult to measure. The Emotion Dysregulation Inventory (EDI) was created using methods developed by the Patient-Reported Outcomes Measurement Information System (PROMIS® ) to capture observable indicators of poor emotion regulation. Caregivers of 1,755 youth with ASD completed 66 candidate EDI items, and the final 30 items were selected based on classical test theory and item response theory (IRT) analyses...
April 6, 2018: Autism Research: Official Journal of the International Society for Autism Research
Takeshi Shimada, Manami Ohori, Yusuke Inagaki, Yuko Shimooka, Naoya Sugimura, Ikuyo Ishihara, Tomotaka Yoshida, Masayoshi Kobayashi
The individualized occupational therapy (IOT) program is a psychosocial program that we developed to facilitate proactive participation in treatment and improve cognitive functioning and other outcomes for inpatients with acute schizophrenia. The program consists of motivational interviewing, self-monitoring, individualized visits, handicraft activities, individualized psychoeducation, and discharge planning. This multicenter, open-labeled, blinded-endpoint, randomized controlled trial evaluated the impact of adding IOT to a group OT (GOT) program as usual for outcomes in recently hospitalized patients with schizophrenia in Japanese psychiatric hospitals setting compared with GOT alone...
2018: PloS One
Fahad D Alosaimi, Mohammad F Abalhasan, Abdulhadi A Alhabbad, Ebtihaj O Fallata, Bandar A Haddad, Nada I AlQattan, Mohammed Z Alassiry
OBJECTIVES: To estimate prevalence of physical activity and its associations with various psychiatric disorders and the use of psychotropic medications. METHODS: A cross-sectional observational study was carried out between July 2012 and June 2014. Patients were enrolled from a number of hospitals located in 5 regions of the Kingdom of Saudi Arabia. RESULTS: A total of 1185 patients were included in current analysis: 796 were outpatients, and 389 were inpatients...
April 2018: Saudi Medical Journal
Roberto Sánchez-González, Eva Baillès-Lázaro, Anna Bastidas-Salvadó, Anna Lligoña, Sandra Herranz-Villanueva, Víctor Pérez-Solá, Luis Pintor-Pérez
OBJECTIVE: Previous research has described the characteristics of Consultation-liaison psychiatry (CLP) services over one or more years. The aim of this paper was to examine the patterns of a large sample of patients receiving CLP service over a 10-year-period (2005–2014) and to determine the possible changes over time of the clinical practice. The sample size of our study, the duration of the observation period and the application of standardized operating procedures for acquiring and coding data, will provide more robust evidence than has been reported by most similar studies published in the last years...
March 2018: Actas Españolas de Psiquiatría
Bryony Sheaves, Louise Isham, Jonathan Bradley, Colin Espie, Alvaro Barrera, Felicity Waite, Allison G Harvey, Caroline Attard, Daniel Freeman
BACKGROUND: Almost all patients admitted at acute crisis to a psychiatric ward experience clinically significant symptoms of insomnia. Ward environments pose challenges to both sleep and the delivery of therapy. Despite this, there is no description of how to adapt cognitive behavioural therapy (CBT) for insomnia to overcome these challenges. AIMS: (i) To describe the key insomnia presentations observed in the Oxford Ward Sleep Solution (OWLS) trial and (ii) outline key adaptations aimed to increase accessibility and hence effectiveness of CBT for insomnia for a ward setting...
April 4, 2018: Behavioural and Cognitive Psychotherapy
Christopher Joseph Pagano, Meghan Colleen Commins Blattner, Sara Kaplan-Levy
Growing evidence supports Therapeutic Assessment (TA), a collaborative and therapeutic approach to psychological assessment, as an effective method for enhancing motivation for and engagement with psychotherapy across a variety of clinical populations and treatment settings. However, to date there are no known studies assessing the use of TA in child psychiatric inpatient settings. This article briefly reviews the structure of child and family TA, enumerates the challenges and risks associated with short-term inpatient stays, and proposes a path for integrating TA into these units as a way to enhance the quality of care and reduce the risk of rapid rehospitalization...
April 3, 2018: Journal of Personality Assessment
Haruka Minami, Erika Litvin Bloom, Hannah R Brinkman, Ana M Abrantes, Cara C Young, Richard A Brown
PURPOSE: Smoking behaviors and intent to quit have not been well studied among adolescent psychiatric patients. The current study examined the relationships between smoking-related variables (smoking status/heaviness and intent to quit), psychiatric diagnoses and symptomatology, and substance use among adolescents receiving psychiatric inpatient care. METHODS: Baseline data from a randomized controlled trial, testing the effect of a brief intervention on substance use, with 151 psychiatrically hospitalized adolescents with comorbid psychiatric and substance use disorders (diagnosed using semi-structured interviews) were examined for this study...
March 26, 2018: Drug and Alcohol Dependence
Takahiro Haga, Kae Ito, Kentaro Sakashita, Mari Iguchi, Masahiro Ono, Koichiro Tatsumi
Objectives Pneumonia is a major cause of death among inpatients at psychiatric hospitals. Psychiatric hospital-acquired pneumonia (PHAP) is defined as pneumonia developed in inpatients at psychiatric hospitals. PHAP is a type of nursing and healthcare-associated pneumonia (NHCAP). The purpose of this study was to clarify the risk factors for mortality among PHAP patients. Methods We retrospectively reviewed the clinical files of patients transferred to Tokyo Metropolitan Matsuzawa Hospital from psychiatric hospitals for PHAP treatment during the 10-year period from September 2007 to August 2017...
March 30, 2018: Internal Medicine
Ryan E Lawrence, Maria M Perez-Coste, Stan D Arkow, Paul S Appelbaum, Lisa B Dixon
OBJECTIVE: Violent and aggressive behaviors are common among psychiatric inpatients. Hospital security officers are sometimes used to address such behaviors. Research on the role of security in inpatient units is scant. This study examined when security is utilized and what happens when officers arrive. METHODS: The authors reviewed the security logbook and the medical records for all patients discharged from an inpatient psychiatry unit over a six-month period...
April 2, 2018: Psychiatric Services: a Journal of the American Psychiatric Association
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