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Inpatient Psychiatric

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https://www.readbyqxmd.com/read/29233315/student-pharmacist-experiences-as-inpatient-psychiatry-medication-education-group-leaders-during-an-early-immersion-program
#1
Jacqueline E McLaughlin, Lindsey Kennedy, Shauna Garris, Suzanne C Harris, Ashley Hillman, Nicole R Pinelli, Denise H Rhoney
BACKGROUND AND PURPOSE: While research suggests that pharmacists generally hold positive attitudes toward consumers of psychiatric medications, they often feel less comfortable talking about these medications and providing services for patients with mental illness. The purpose of this program was to train second and third year student pharmacists as psychiatry medication education groups leaders and to examine resulting student self-efficacy and mental health stigma. EDUCATIONAL ACTIVITY AND SETTING: In partnership with the University of North Carolina (UNC) Eshelman School of Pharmacy, the inpatient psychiatry service at UNC Medical Center expanded weekly medication education groups with the help of trained student pharmacists...
September 2017: Currents in Pharmacy Teaching & Learning
https://www.readbyqxmd.com/read/29231005/-application-of-moas-for-evaluating-of-violence-risk-in-the-inpatients-with-mental-disorders
#2
J F He, W Hong, Y Shao, H Q Han, B Xie
OBJECTIVES: To explore the value of Modified Overt Aggression Scale (MOAS) on predicting serious aggressive behavior in the inpatients with mental disorders and to provide theoretical basis for violence risk assessments in the inpatients with mental disorders. METHODS: Total 918 inpatients in a psychiatric hospital were evaluated by trained medical workers using MOAS in September 2009, and their serious violent behavior were followed up for 2 years. The value of MOAS on predicting violence in the inpatients with mental disorders was analyzed by SPSS 21...
February 2017: Fa Yi Xue za Zhi
https://www.readbyqxmd.com/read/29228821/public-expenditures-for-mental-health-services-in-canadian-provinces
#3
Jian Wang, Philip Jacobs, Arto Ohinmaa, Anne Dezetter, Alain Lesage
OBJECTIVE: The purpose of this study is to measure provincial spending for mental health services in fiscal year (FY) 2013 and to compare these cost estimates to those of FY 2003. METHODS: This study estimated the costs of publicly funded provincial mental health services in FY 2013 and compared them to the estimates for FY 2003 from a previously published report. Our data were obtained from publicly accessible databases. The cross-year cost comparisons for provincial mental health services were restricted to general and psychiatric hospital inpatients, clinical payments to physicians and psychologists, and prescribed psychotropic medications...
January 1, 2017: Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie
https://www.readbyqxmd.com/read/29227363/psychosocial-factors-and-surgical-outcomes-in-adult-spinal-deformity-do-dementia-patients-have-more-complications
#4
Courtney S Toombs, Justin C Paul, Baron S Lonner
STUDY DESIGN: Retrospective analysis of a prospectively collected, national inpatient hospital database. OBJECTIVE: We aimed to investigate comorbid psychiatric disorders in the ASD population. We hypothesized that a high incidence of comorbid psychiatric disorders in ASD would negatively impact perioperative outcomes. SUMMARY OF BACKGROUND DATA: Adult spinal fusion (ASF) patients suffer from severe back pain and often depression. Psychiatric comorbidities in the adult spinal deformity (ASD) population are not well understood, despite the apparent psychological effects of spinal deformity-related self-image...
December 8, 2017: Spine
https://www.readbyqxmd.com/read/29224729/different-cognitive-complaint-profiles-in-memory-clinic-and-depressive-patients
#5
Lisa Miebach, Steffen Wolfsgruber, Ingo Frommann, Rachel Buckley, Michael Wagner
OBJECTIVE: Cognitive complaints are considered early indicators of incipient Alzheimer's disease (AD) but are very common in geriatric patients, especially in patients with major depressive disorder (MDD). The clinical assessment of cognitive complaints is still poorly operationalized. Recent qualitative research suggests that certain phenomenologic complaint themes may have some specificity for prodromal AD. The aim of the study was to replicate and explore their occurrence in a clinical setting...
November 8, 2017: American Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/29216753/the-impact-of-safety-plans-in-an-outpatient-clinic
#6
Jess Zonana, Jessica Simberlund, Paul Christos
BACKGROUND: Safety plans are recommended as tools to mitigate suicide risk; however, their effectiveness remains unclear. AIM: To evaluate the impact of safety plans on patient care at an outpatient mental health clinic. METHOD: In this retrospective chart review, patients' treatment engagement, health-care utilization, and risk behaviors were measured. Patients served as their own historical controls, and we compared outcomes in the 6 months before and 6 months after creation of safety plans...
December 8, 2017: Crisis
https://www.readbyqxmd.com/read/29216485/the-association-between-rehabilitation-programs-and-metabolic-syndrome-in-chronic-inpatients-with-schizophrenia
#7
Yi-Chun Lin, Chien-Liang Lai, Hung-Yu Chan
The correlation between different rehabilitation programs and the prevalence of metabolic syndrome in people with schizophrenia is unclear. We tested the association in chronic inpatients with schizophrenia of a psychiatric hospital in Taiwan. Patients with schizophrenia and age from 20 to 65 years old were included. The criteria of metabolic syndrome were according to the adapted Adult Treatment Protocol for Asians. According to different types of rehabilitations, patients were divided into work group, occupational therapy group and daily activities group...
December 2, 2017: Psychiatry Research
https://www.readbyqxmd.com/read/29215805/development-of-the-suicide-risk-scale-for-medical-inpatients
#8
Sang Won Park, Jong Ha Lee, Eun Kyoung Lee, Jae Jun Song, Hong Seok Park, Soon Young Hwang, Moon Soo Lee
BACKGROUND: Inpatient suicide is one of the major issues related with hospital patient safety. Although there are many studies addressing suicide in the psychiatric unit, little is known about suicide in a medical setting. This study included the development and validation of a screening tool for the assessment of suicide risk, specialized for medical inpatients. METHODS: The preliminary questionnaire was based on review of previous suicide ideation scales, mood scales, and clinical experiences of psychiatrists and clinical psychologists in Korea...
January 15, 2018: Journal of Korean Medical Science
https://www.readbyqxmd.com/read/29212560/concurrent-benzodiazepine-use-in-older-adults-treated-with-antidepressants-in-asia
#9
Xiao-Mei Zhong, Fei Wang, Qinge Zhang, Gabor S Ungvari, Chee H Ng, Helen F K Chiu, Tian-Mei Si, Kang Sim, Ajit Avasthi, Sandeep Grover, Mian-Yoon Chong, Kok-Yoon Chee, Shigenobu Kanba, Min-Soo Lee, Shu-Yu Yang, Pichet Udomratn, Roy A Kallivayalil, Andi J Tanra, Margarita M Maramis, Winston W Shen, Norman Sartorius, Rathi Mahendran, Chay-Hoon Tan, Naotaka Shinfuku, Yu-Tao Xiang
BACKGROUND: Little is known about the combined use of benzodiazepines and antidepressants in older psychiatric patients. This study examined the prescription pattern of concurrent benzodiazepines in older adults treated with antidepressants in Asia, and explored its demographic and clinical correlates. METHODS: The data of 955 older adults with any type of psychiatric disorders were extracted from the database of the Research on Asian Psychotropic Prescription Patterns for Antidepressants (REAP-AD) project...
December 7, 2017: International Psychogeriatrics
https://www.readbyqxmd.com/read/29209376/feasibility-of-psychosocial-distress-screening-and-management-program-for-hospitalized-cancer-patients
#10
Changtae Hahn, Soo-Hyun Joo, Jeong-Ho Chae, Chang-Uk Lee, Tae-Suk Kim
Objective: Although the diagnosis and treatment of cancer is associated with psychosocial distress, routine distress screening is difficult in hospitalized oncology settings. We developed a consecutive screening program for psychosocial distress to promote psychiatric treatment of cancer patients and evaluated the feasibility of our program by Distress Thermometer (DT) and Hospital Anxiety and Depression Scale (HADS). Methods: Among 777 cancer inpatients recruited from the Catholic Comprehensive Institute of Seoul St...
November 2017: Psychiatry Investigation
https://www.readbyqxmd.com/read/29206997/healthcare-use-among-immigrants-and-natives-in-sweden-on-disability-pension-before-and-after-changes-of-regulations
#11
D Di Thiene, S Rahman, M Helgesson, M Wang, K Alexanderson, J Tiihonen, G La Torre, E Mittendorfer-Rutz
Background: There is limited knowledge regarding psychiatric healthcare utilization around the time of granting disability pension (DP) due to common mental disorders (CMD) among immigrants and if this is related to social insurance regulations. The aim was to evaluate patterns of psychiatric healthcare utilization before and after DP due to CMD among immigrants and natives. A second aim was to evaluate if such patterns differed before and after changes in social insurance regulations in Sweden in 2008...
November 30, 2017: European Journal of Public Health
https://www.readbyqxmd.com/read/29203502/characteristics-of-nps-use-in-patients-admitted-to-acute-psychiatric-services-in-southeast-scotland-a-retrospective-cross-sectional-analysis-following-public-health-interventions
#12
Kyle H Bennett, Helen M Hare, Robert M Waller, Helen L Alderson, Stephen Lawrie
OBJECTIVES: Assess the impact of selective prohibition and seizure of novel psychoactive substances (NPS) supply on NPS use prevalence within psychiatric admissions and evaluate demographic characteristics of current NPS users. DESIGN: A 6-month retrospective cross-sectional analysis of discharge letters between 1 October 2015 and 31 March 2016. SETTING: General psychiatry inpatients and intensive home treatment team (IHTT) community patients at a psychiatric hospital in a Scottish city...
December 3, 2017: BMJ Open
https://www.readbyqxmd.com/read/29201344/combinations-of-qtc-prolonging-drugs-towards-disentangling-pharmacokinetic-and-pharmacodynamic-effects-in-their-potentially-additive-nature
#13
Andreas D Meid, Irene Bighelli, Sarah Mächler, Gerd Mikus, Giuseppe Carrà, Mariasole Castellazzi, Claudio Lucii, Giovanni Martinotti, Michela Nosè, Giovanni Ostuzzi, Corrado Barbui, Walter E Haefeli
Background: Whether arrhythmia risks will increase if drugs with electrocardiographic (ECG) QT-prolonging properties are combined is generally supposed but not well studied. Based on available evidence, the Arizona Center for Education and Research on Therapeutics (AZCERT) classification defines the risk of QT prolongation for exposure to single drugs. We aimed to investigate how combining AZCERT drug categories impacts QT duration and how relative drug exposure affects the extent of pharmacodynamic drug-drug interactions...
December 2017: Therapeutic Advances in Psychopharmacology
https://www.readbyqxmd.com/read/29200525/mental-health-care-during-the-ebola-virus-disease-outbreak-in-sierra-leone
#14
Stania Kamara, Anna Walder, Jennifer Duncan, Antoinet Kabbedijk, Peter Hughes, Andrew Muana
Problem: Reported levels of mental health and psychosocial problems rose during the 2014-2015 Ebola virus disease outbreak in Sierra Leone. Approach: As part of the emergency response, existing plans to create mental health units within the existing hospital framework were brought forward. A nurse-led mental health and psychosocial support service, with an inpatient liaison service and an outpatient clinic, was set up at the largest government hospital in the country...
December 1, 2017: Bulletin of the World Health Organization
https://www.readbyqxmd.com/read/29199945/evaluating-mental-health-service-use-during-and-after-emergency-department-visits-in-a-multisite-cohort-of-canadian-children-and-youth
#15
Mario Cappelli, Paula Cloutier, Amanda S Newton, Eleanor Fitzpatrick, Samina Ali, Kathryn A Dong, Clare Gray, Allison Kennedy, John S Lyons, Christine Polihronis, Rhonda J Rosychuk
OBJECTIVES: The goal of this study was to examine the mental health needs of children and youth who present to the emergency department (ED) for mental health care and to describe the type of, and satisfaction with, follow-up mental health services accessed. METHODS: A 6-month to 1.5-year prospective cohort study was conducted in three Canadian pediatric EDs and one general ED, with a 1-month follow-up post-ED discharge. Measures included 1) clinician rating of mental health needs, 2) patient and caregiver self-reports of follow-up services, and 3) interviews regarding follow-up satisfaction...
December 4, 2017: CJEM
https://www.readbyqxmd.com/read/29197214/nonsuicidal-self-injury-in-a-naturalistic-sample-of-adolescents-undergoing-inpatient-psychiatric-treatment-prevalence-gender-distribution-and-comorbidities
#16
Kathrin Sevecke, Astrid Bock, Lucas Fenzel, Manuela Gander, Martin Fuchs
BACKGROUND: A growing body of research points toward nonsuicidal self-injury (NSSI) in adolescents as an important and frequent health-related risk factor. In 2013, NSSI was proposed in section 3 of the DSM-5 as a new diagnostic entity warranting further study. In line with that goal, the present study was conducted in order to evaluate prevalence, gender distribution and comorbidities of NSSI in a sample of adolescent psychiatric inpatients. SUBJECTS AND METHODS: The study included 130 adolescents (mean age 15...
December 2017: Psychiatria Danubina
https://www.readbyqxmd.com/read/29197207/correlates-of-involuntary-admission-findings-from-an-italian-inpatient-psychiatric-unit
#17
Pierfrancesco Maria Balducci, Francesco Bernardini, Luca Pauselli, Alfonso Tortorella, Michael T Compton
BACKGROUND: Involuntary admission is challenging in terms of providing the most effective but least restrictive care in accordance with the country's regulations. A better understanding of correlates of voluntary versus involuntary admission legal status is crucial to improve clinical decision-making and effectiveness of the overall mental health care system. SUBJECTS AND METHODS: We collected chart-review data pertaining to 848 patients, discharged between June 2011 and June 2014, from an Italian inpatient psychiatric unit...
December 2017: Psychiatria Danubina
https://www.readbyqxmd.com/read/29197206/characteristics-and-development-of-nonsuicidal-super-self-injury-among-borderline-inpatients
#18
Katalin Merza, Gábor Papp, Judit Molnár, Ildikó Kuritárné Szabó
BACKGROUND: Nonsuicidal self-injury (NSSI) is a key feature of borderline personality disorder (BPD), which is strongly associated with childhood traumatization. To the best of our knowledge, there has been a lack of studies investigating extensively the characteristics of borderline patients who engage in extremely high numbers of NSSI, and their features of NSSI, trauma history and psychopathology. The aim of this study is to identify groups of borderline inpatients on the basis of the lifetime number of NSSI, and to explore the characteristics of these groups regarding the onset, reasons and methods of NSSI, history of childhood traumatization, and severity of psychopathology...
December 2017: Psychiatria Danubina
https://www.readbyqxmd.com/read/29197143/do-mental-health-consumers-want-to-improve-their-long-term-disease-risk-behaviours-a-survey-of-over-2000-psychiatric-inpatients
#19
Kate Bartlem, Jacqueline Bailey, Alexandra Metse, Ashley Asara, Paula Wye, Richard Clancy, John Wiggers, Jenny Bowman
Policies and clinical guidelines acknowledge the role mental health services have in addressing the physical health of individuals with a mental illness; however, little research has explored interest in reducing health risk behaviours or the acceptability of receiving support to reduce such risks among psychiatric inpatients. This study estimated the prevalence of four long-term disease risk behaviours (tobacco smoking, hazardous alcohol consumption, inadequate fruit and/or vegetable consumption, and inadequate physical activity); patient interest in reducing these risks; and acceptability of being provided care to do so during a psychiatric inpatient stay...
December 2, 2017: International Journal of Mental Health Nursing
https://www.readbyqxmd.com/read/29197092/concomitant-psychiatric-and-non-alcohol-related-substance-use-disorders-among-hospitalized-patients-with-alcoholic-liver-disease-in-the-united-states
#20
Raxitkumar Jinjuvadia, Chetna Jinjuvadia, Pimpitcha Puangsricharoen, Naga Chalasani, David W Crabb, Suthat Liangpunsakul
BACKGROUND: Despite that the epidemiological studies on the comorbidity of alcohol misuse and psychiatric disorders have been studied, less is known about the magnitude of these disorders among patients with alcoholic liver disease (ALD). Our aim was to determine the prevalence of psychiatric and substance use disorders among hospitalized ALD patients in the US. METHODS: We utilized a single level clinical classification software to identify patients with ALD and psychiatric/substance use disorders from the 2011 National Inpatient Sample data...
December 2, 2017: Alcoholism, Clinical and Experimental Research
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