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Involuntary hospitalization

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https://www.readbyqxmd.com/read/29784230/re-building-trust-after-physical-restraint-during-involuntary-psychiatric-hospitalization
#1
Anwar Khatib, Mahajne Ibrahim, David Roe
This study attempted to identify the elements which might best minimize the negative consequences of restriction of inpatients and rebuild therapeutic alliance and trust. Through in depth interviews with 15 psychiatric patients who had experience restrained during the last involuntary psychiatric hospitalization. Analysis of the data revealed three major themes with regard to trust between restrained patient and restraining staff members during restriction of the patient's freedom. Duration of Restriction, Contact with a Staff Member while Restrained, Supportive Interactions and Staff's Response to Restricted Patients' Needs were reported by patients as crucial in determining the way restrained is experienced and its later impact...
June 2018: Archives of Psychiatric Nursing
https://www.readbyqxmd.com/read/29765339/can-model-projects-of-need-adapted-care-reduce-involuntary-hospital-treatment-and-the-use-of-coercive-measures
#2
Alexandre Wullschleger, Jürgen Berg, Felix Bermpohl, Christiane Montag
Intensive outpatient models of need-adapted psychiatric care have been shown to reduce the length of hospital stays and to improve retention in care for people with severe mental illnesses. In contrast, evidence regarding the impact of such models on involuntary hospital treatment and other coercive measures in inpatient settings is still sparse, although these represent important indicators of the patients' wellbeing. In Germany, intensive models of care still have not been routinely implemented, and their effectiveness within the German psychiatric system is only studied in a few pioneering regions...
2018: Frontiers in Psychiatry
https://www.readbyqxmd.com/read/29760918/patient-reported-adverse-events-among-epileptic-patients-taking-antiepileptic-drugs
#3
Mohammed Biset Ayalew, Esileman Abdela Muche
Objective: The aim of this study was to assess patient reported adverse events and associated factors among epileptic patients taking antiepileptic drugs on follow-up at University of Gondar Referral Hospital. Methods: Cross-sectional study was done on 354 adult epileptic patients. Patients who were on antiepileptic drugs for epilepsy treatment for less than a year, those who were below 18 years old, patients with incomplete information on the chart and those who were involuntary or uncooperative were excluded from the study...
2018: SAGE Open Medicine
https://www.readbyqxmd.com/read/29701596/voluntary-or-involuntary-acute-psychiatric-hospitalization-in-norway-a-24h-follow-up-study
#4
Kjetil Hustoft, Tor Ketil Larsen, Kolbjørn Brønnick, Inge Joa, Jan Olav Johannessen, Torleif Ruud
The Norwegian Mental Health Care Act states that patients who are involuntarily admitted to a hospital must be reevaluated by a psychiatrist or a specialist in clinical psychology within 24h to assess whether the patient fulfills the legal criteria for the psychiatric status and symptoms. International research on the use of coercive hospitalization in psychiatry is scarce, and an investigation of Norway's routine re-evaluation of involuntarily referred patients may expand knowledge about this aspect of psychiatric treatment...
January 2018: International Journal of Law and Psychiatry
https://www.readbyqxmd.com/read/29682824/the-effect-of-quality-of-overtime-work-on-nurses-mental-health-and-work-engagement
#5
Mayumi Watanabe, Keita Yamauchi
AIM AND BACKGROUND: Recent research has suggested that the reasons why nurses work overtime hours exert differential effects on the overall impact of the work. This study aimed to clarify why nurses work overtime, and whether well-being effects differed by reason, at both the ward and individual level. METHODS: Participants were 1,075 permanent nurses from 54 wards. Overtime reasons' distribution and impact on nurses were examined by a multilevel structural equation modelling approach...
April 23, 2018: Journal of Nursing Management
https://www.readbyqxmd.com/read/29680512/involuntary-psychiatric-hospitalization-and-its-relationship-to-psychopathology-and-aggression
#6
Pedro Henrique Canova Mosele, Guillierme Chervenski Figueira, Amadeu Antônio Bertuol Filho, José Antônio Reis Ferreira de Lima, Vitor Crestani Calegaro
The current study investigates the relationship between involuntary hospitalization, severity of psychopathology, and aggression. Adult psychiatric inpatients hospitalized from August, 2012 to January, 2013 were evaluated via the Brief Psychiatric Rating Scale (BPRS) and the Overt Aggression Scale (OAS). Individuals were compared regarding voluntariness of hospitalization. Of the 137 hospitalizations in the period, 71 were involuntary (INV). The variables associated with involuntariness were being brought to hospital by ambulance or police, and aggression in the first 24 h of admission...
April 12, 2018: Psychiatry Research
https://www.readbyqxmd.com/read/29677621/depressive-symptoms-in-chinese-male-inpatients-with-schizophrenia-prevalence-and-clinical-correlates
#7
Yan-Min Xu, Fu Li, Xiao-Bo Liu, Bao-Liang Zhong
Depression is common in patients with schizophrenia and associated with serious consequences. However, previous studies have mixed findings on characteristics of depression in schizophrenia, partly because of the use of depressive symptom scales that are not specific to schizophrenia. This study examined the prevalence and correlates of depressive symptoms in Chinese patients with schizophrenia. A consecutive sample of 349 male inpatients with schizophrenia was recruited from the largest psychiatric specialty hospital in south-central China...
April 5, 2018: Psychiatry Research
https://www.readbyqxmd.com/read/29652876/rehabilitation-of-sucking-and-swallowing-alterations-in-premature-newborn-at-the-neonatal-intensive-care-unit
#8
Edda Aguilar-Vázquez, M Lucía Pérez-Padilla, M de Lourdes Martín-López, Adriana Abigail Romero-Hernández
Over the last 20 years, 640 premature newborns with alterations in suction-deglution have been taken care of in the neonatal intensive care unit at the Hospital Infantil de México Federico Gómez, using techniques for patients with immaturity, and neurological, gastrointestinal, cardiologic and respiratory pathologies. This descriptive study includes the treatment employed mainly in premature newborns during this period. Suction, swallowing and breathing coordination are some of the most complex abilities that premature newborns face, due to their anatomofunctional immaturity and improper sensoriomotor integration for the high energy requirements they must meet...
2018: Boletín Médico del Hospital Infantil de México
https://www.readbyqxmd.com/read/29625567/geographic-variations-in-involuntary-care-and-associations-with-the-supply-of-health-and-social-care-results-from-a-nationwide-study
#9
Coralie Gandré, Jeanne Gervaix, Julien Thillard, Jean-Marc Macé, Jean-Luc Roelandt, Karine Chevreul
BACKGROUND: Involuntary psychiatric care remains controversial. Geographic disparities in its use can challenge the appropriateness of the care provided when they do not result from different health needs of the population. These disparities should be reduced through dedicated health policies. However, their association with the supply of health and social care, which could be targeted by such policies, has been insufficiently studied. Our objectives were therefore to describe geographic variations in involuntary admission rates across France and to identify the characteristics of the supply of care which were associated with these variations...
April 6, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29618719/cervical-esophagotomy-for-foreign-body-extraction-a-case-report-and-extensive-literature-review-of-the-last-20-years
#10
Pasquale Cianci, Nicola Tartaglia, Amedeo Altamura, Alessandra Di Lascia, Alberto Fersini, Vincenzo Neri, Antonio Ambrosi
BACKGROUND Voluntary and involuntary ingestion of foreign bodies is a common condition; in most cases they pass through the digestive tract, but sometimes they stop, creating emergency situations for the patient. We report a case of meat bolus with cartilaginous component impacted in the cervical esophagus, with a brief literature review. CASE REPORT A 64-year-old man came to our attention for retention in the cervical esophagus of a piece of meat accidentally swallowed during lunch. After a few attempts of endoscopic removal carried out previously in other hospitals, the patient has been treated by us with a cervical esophagotomy and removal of the foreign body, without any complications...
April 5, 2018: American Journal of Case Reports
https://www.readbyqxmd.com/read/29606074/use-of-security-officers-on-inpatient-psychiatry-units
#11
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
https://www.readbyqxmd.com/read/29588656/involuntary-admission-in-norwegian-adult-psychiatric-hospitals-a-systematic-review
#12
REVIEW
Rolf Wynn
Background: It is an important objective of the psychiatric services to keep the use of involuntary procedures to a minimum, as the use of coercion involves clinical, ethical, and legal issues. It has been claimed that Norway has a relatively high rate of involuntary admissions. We reviewed the peer-reviewed literature on the use of involuntary admission in Norway, with the purpose of identifying the current state of knowledge and areas in need of further research. Methods: A systematic review following the PRISMA statement was conducted...
2018: International Journal of Mental Health Systems
https://www.readbyqxmd.com/read/29570969/tardive-dyskinesia-recognition-patient-assessment-and-differential-diagnosis
#13
Rakesh Jain, Christoph U Correll
Tardive dyskinesia (TD) is an involuntary movement disorder associated with antipsychotic treatment. Because of the serious and potentially irreversible nature of TD, accurate diagnosis is crucial. However, diagnosing TD can be challenging, since the subtle and often fluctuating symptoms can be easily mistaken for symptoms of mental illness or other side effects. Although the risk of developing TD in relation to treatment with second-generation antipsychotics is lower than that associated with first-generation antipsychotics, the risk still exists and may be greater than once believed...
March 20, 2018: Journal of Clinical Psychiatry
https://www.readbyqxmd.com/read/29548500/variations-in-involuntary-admission-rates-at-three-psychiatry-centres-in-the-dublin-involuntary-admission-study-dias-can-the-differences-be-explained
#14
Emmanuel Umama-Agada, Muhammad Asghar, Aoife Curley, Jane Gilhooley, Richard M Duffy, Brendan D Kelly
Involuntary psychiatric admission is an established practice for patients who are acutely or severely mentally ill but the factors contributing to involuntary (as opposed to voluntary) admission are not fully clear. Nor is it clear why rates of involuntary admission often vary between hospitals within the same jurisdiction. We studied all admissions, voluntary and involuntary, in three inpatient psychiatry units in Dublin, Ireland, which cover a population of 552,019 people, over a one-year period (1 July 2014 until 30 June 2015, inclusive), as part of the Dublin Involuntary Admission Study (DIAS)...
March 2018: International Journal of Law and Psychiatry
https://www.readbyqxmd.com/read/29548499/exploring-experiences-with-compulsory-psychiatric-community-treatment-a-qualitative-multi-perspective-pilot-study-in-an-urban-canadian-context
#15
Kate Francombe Pridham, Arash Nakhost, Lorne Tugg, Nicole Etherington, Vicky Stergiopoulos, Samuel Law
As medical, ethical and clinical effectiveness debates about the use of compulsory psychiatric treatment continues, it is important to further explore the actual experiences and perspectives of all relevant stakeholders in community treatment orders (CTOs). This qualitative pilot study engaged a total of twenty-seven clients, their family members, and care providers in Toronto, Canada. Semi-structured, one-on-one interviews were conducted between February and July 2013 and analyzed using thematic analysis. Top key themes from all the participants identified include, among others: 1) clients' experiences of coercion while treated under CTO, but a preference for CTOs compared to involuntary hospitalization, nevertheless; 2) limited real opportunities for collaboration in treatment decisions expressed by clients and family members; 3) acceptance of the potential for clinical recovery on CTOs while debating the role of CTO in a broader recovery journey by all stakeholders; 4) general preservation of therapeutic relationships between clients and care providers, while acknowledging the tension of taking on an "enforcer" role by providers; and 5) existence of different avenues for asserting agency by clients...
March 2018: International Journal of Law and Psychiatry
https://www.readbyqxmd.com/read/29547920/nicotine-addiction-management-following-surgery-a-quality-improvement-approach-in-the-post-anesthesia-care-unit
#16
Barry A Finegan, Daniel Roblin, Fadi Hammal
Quality problem: For smokers, hospital admission is accompanied by forced involuntary nicotine abstinence due to smoke-free site/grounds policies. An audit of patients admitted to our surgical wards revealed that identification of smoking status was inadequate and that nicotine addiction management (NAM) was infrequently offered. The project aimed to enhance both these metrics by initiating NAM in the post anesthesia care unit (PACU). Initial assessment: Out of 744 patients admitted to our PACU in August 2015, 54% had their smoking status documented...
March 14, 2018: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/29506591/forty-years-of-the-law-180-the-aspirations-of-a-great-reform-its-successes-and-continuing-need
#17
R Mezzina
AIM: Italy pioneered deinstitutionalisation over the past 60 years and enforced a famous mental health (MH) reform law in 1978. Deinstitutionalisation has been completed with the very closure of all psychiatric hospitals over two decades. METHODS: After 40 years of implementation, this article presents the main achievements and challenges of the Italian MH reform law, including its long-term effect and impact in Italy and abroad. RESULTS: The Legislation of 1978 was based on the discovery of rights as a key tool in mental healthcare...
March 6, 2018: Epidemiology and Psychiatric Sciences
https://www.readbyqxmd.com/read/29497184/how-patients-characteristics-influence-the-use-of-coercive-measures
#18
Tomasz Pawlowski, Piotr Baranowski
Background: Coercive measures are applied in psychiatry as a last resort to control self- and hetero-aggressive behaviors in situations where all other possible strategies have failed. For ethical and clinical reasons, the number of instances of coercion should be reduced as far as possible. Aim: The aim of the study was to identify sociodemographic and clinical characteristics of patients that were associated with coercion during hospital treatment. Materials and Methods: The study has a descriptive, longitudinal design, based on a 1 year prospective observation of patients admitted to a psychiatric hospital consisting of six inpatient psychiatric wards with a total of 236 beds...
October 2017: Indian Journal of Psychiatry
https://www.readbyqxmd.com/read/29485988/effectiveness-of-integrated-care-including-therapeutic-assertive-community-treatment-in-severe-schizophrenia-spectrum-and-bipolar-i-disorders-four-year-follow-up-of-the-access-ii-study
#19
Daniel Schöttle, Benno G Schimmelmann, Friederike Ruppelt, Alexandra Bussopulos, Marietta Frieling, Evangelia Nika, Luise Antonia Nawara, Dietmar Golks, Andrea Kerstan, Matthias Lange, Michael Schödlbauer, Anne Daubmann, Karl Wegscheider, Anja Rohenkohl, Gizem Sarikaya, Mary Sengutta, Daniel Luedecke, Linus Wittmann, Gunda Ohm, Christina Meigel-Schleiff, Jürgen Gallinat, Klaus Wiedemann, Thomas Bock, Anne Karow, Martin Lambert
The ACCESS-model offers integrated care including assertive community treatment to patients with psychotic disorders. ACCESS proved more effective compared to standard care (ACCESS-I study) and was successfully implemented into clinical routine (ACCESS-II study). In this article, we report the 4-year outcomes of the ACCESS-II study. Between May 2007 and December 2013, 115 patients received continuous ACCESS-care. We hypothesized that the low 2-year disengagement and hospitalization rates and significant improvements in psychopathology, functioning, and quality of life could be sustained over 4 years...
2018: PloS One
https://www.readbyqxmd.com/read/29467057/prevalence-and-predictors-of-involuntary-psychiatric-hospital-admissions-in-ontario-canada-a-population-based-linked-administrative-database-study
#20
Michael Lebenbaum, Maria Chiu, Simone Vigod, Paul Kurdyak
BACKGROUND: Involuntary admissions to psychiatric hospitals are common; however, research examining the trends in prevalence over time and predictors is limited. Aims To examine trends in prevalence and risk factors for involuntary admissions in Ontario, Canada. METHOD: We conducted an analysis of all mental health bed admissions from 2009 to 2013 and assessed the association between patient sociodemographics, service utilisation, pathway to care and severity characteristics for involuntary admissions using a modified Poisson regression...
March 2018: BJPsych Open
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