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community psychiatric nursing

Edna Ruiz Magpantay-Monroe
The military and veteran populations in the U. S. state of Hawaii have a strong presence in the local communities. It was this substantial presence that provided the impetus to integrate military and veteran health into a Bachelor's of Science in Nursing (BSN) curriculum. This exploratory study investigated the relationship between the integration of military and veteran health into a psychiatric mental health BSN curriculum and nursing students' understanding of the many facets of military veterans' health...
October 6, 2016: Nurse Education Today
Javier Bartolomei, Rachel Baeriswyl-Cottin, David Framorando, Filip Kasina, Natacha Premand, Ariel Eytan, Yasser Khazaal
BACKGROUND: We aimed to assess the opinion of primary care workers, social workers, translators and mental health caregivers who work with asylum seekers about the latter's unmet needs and barriers to access to mental healthcare. METHODS: We used a Likert scale to assess the opinion of 135 primary care workers (general practitioners, nurses, social workers and translators) and mental health caregivers about the proportion of asylum seekers with psychiatric disorders, their priority needs and their main barriers to mental health services...
September 29, 2016: BMC Psychiatry
Charlotte A Labys, Ezra Susser, Jonathan K Burns
BACKGROUND: Growing interest in strategies regarding early intervention for psychosis has led to a parallel interest in understanding help-seeking behavior, especially in low- and middle-income countries (LMICs). Nevertheless, few LMIC studies have examined individuals with psychosis in non-urban, non-hospital settings. Using the perspective of formal and informal community service providers, we aimed to uncover descriptions of people with psychosis in a rural South African community and illuminate the potential complexities of their help-seeking journeys...
2016: International Journal of Mental Health Systems
J Stobbe, J R J de Leeuw, C L Mulder
BACKGROUND: No recent information is available concerning the working methods of the ambulatory psychiatric emergency services in The Netherlands.<br/> AIM: To obtain insight into the working methods of the ambulatory psychiatric emergency services.<br/> METHOD: We performed a descriptive research.<br/> RESULTS: Twenty of the 28 ambulatory psychiatric emergency services participated in our study (more than 71 %)...
2016: Tijdschrift Voor Psychiatrie
Elaine Amaral de Paula, Mônica Barros Costa, Fernando Antonio Basile Colugnati, Rita Maria Rodrigues Bastos, Chislene Pereira Vanelli, Christiane Chaves Augusto Leite, Márcio Santos Caminhas, Rogério Baumgratz de Paula
OBJECTIVE: to assess the structure and results obtained by the "Chronic Renal Patients Care Program" in a Brazilian city. METHOD: epidemiological, cross-sectional study conducted in 14 PHC units and a secondary center from 2010 to 2013. The Donabedian Model was the methodological framework used. A total of 14 physicians, 13 supervisors, and 11 community health agents from primary healthcare were interviewed for the assessment of structure and process and 1,534 medical files from primary healthcare and 282 from secondary care were consulted to assess outcomes...
July 11, 2016: Revista Latino-americana de Enfermagem
Karan Kverno, Kate Kozeniewski
BACKGROUND AND PURPOSE: Workforce shortages in mental health care are especially relevant to rural communities. People often turn to their primary care providers for mental healthcare services, yet primary care providers indicate that more education is needed to fill this role. Rural primary care nurse practitioners (NPs) are ideal candidates for educational enhancement. Online programs allow NPs to continue living and working in their communities while developing the competencies to provide comprehensive and integrated mental healthcare services...
September 10, 2016: Journal of the American Association of Nurse Practitioners
Susan Caplan, Tariana V Little, Patricia Reyna, Angelina Sosa Lovera, Jasmine Garces-King, Kaila Queen, Ritu Nahar
This study examines mental health services in five different regions of the Dominican Republic (DR) from the perspectives of health care providers. The purpose of this research was to (1) examine existing mental health care services; (2) identify barriers to treatment and mental health services delivery; and (3) explore potential strategies to improve mental health services delivery. Thirty-seven health care workers including physicians, nurses, psychologists, governmental administrators, and non-governmental community health workers were part of five focus groups and subsequent follow-up interviews...
August 29, 2016: Global Public Health
Teresa Castaño García, Carmen Vega Díaz, José Antonio Cernuda Martínez
The effects of disasters on physical health tend to be well-known, with short, medium and long term sequelae. On the other hand, not always is have recognized in the same way the effects on mental health, despite having shown that, in situations of disaster or catastrophe there is a psychological signs of suffering increase and increases to a certain extent the psychiatric morbidity and other problem social. It is estimated that between a third and half of the exposed population, it suffers from some psychological manifestation...
June 2016: Revista de Enfermería
Niall McCrae
Nursing for people with mental health problems was very different 40 years ago. Although British minister of health Enoch Powell had signalled the demise of the former asylums in a speech in 1961, a decade later, these large institutions continued to house over a 100,000 patients. Community psychiatric nurses were rare. This article is protected by copyright. All rights reserved.
August 3, 2016: Journal of Advanced Nursing
Maji Hailemariam, Abebaw Fekadu, Medhin Selamu, Girmay Medhin, Martin Prince, Charlotte Hanlon
BACKGROUND: The provision of mental healthcare through integration into primary care is expected to improve access to care, but not all population groups may benefit equally. The aim of this study was to inform delivery of a new primary care-based mental health service in rural Ethiopia by identifying potential barriers to equitable access to mental healthcare and strategies to overcome them. METHODS: A qualitative study was conducted as formative work for the PRogramme for Improving Mental healthcarE (PRIME), a project supporting delivery of mental healthcare integrated into primary care in a rural district in south central Ethiopia...
2016: International Journal for Equity in Health
Maringa H H Zoun, Bauke Koekkoek, Henny Sinnema, Anna D T Muntingh, Anton J L M van Balkom, Aart H Schene, Filip Smit, Jan Spijker
BACKGROUND: Many patients with anxiety or depressive disorders achieve no remission of their symptoms after evidence-based treatment algorithms. They develop a chronic course of the disorder. Current care for these patients usually consists of long-term supportive contacts with a community psychiatric nurse and pharmacological management by a psychiatrist. Data on the effectiveness of these treatments is lacking. A psychosocial rehabilitation approach, where self-management is an increasingly important part, could be more suitable...
2016: BMC Psychiatry
G Cholankeril, M Hu, E Tanner, R Cholankeril, J Reha, P Somasundar
BACKGROUND: The current study sought to determine predictive risk factors and inpatient resource utilization associated with discharge to skilled nursing facility (SNF) in hospitalized elderly patients with colon cancer. MATERIALS AND METHODS: Inpatient data from U.S. community hospital discharges from 2003 to 2011 was analyzed in a retrospective cohort study using the Healthcare Cost and Utilization Project, National Inpatient Sample (HCUP-NIS). Subjects included hospitalized postoperative colon cancer patients over age of 65 (N = 98,797)...
November 2016: European Journal of Surgical Oncology
Laura Asher, Mary De Silva, Charlotte Hanlon, Helen A Weiss, Rahel Birhane, Dawit A Ejigu, Girmay Medhin, Vikram Patel, Abebaw Fekadu
BACKGROUND: Care for most people with schizophrenia is best delivered in the community and evidence-based guidelines recommend combining both medication and a psychosocial intervention, such as community-based rehabilitation. There is emerging evidence that community-based rehabilitation for schizophrenia is effective at reducing disability in middle-income country settings, yet there is no published evidence on the effectiveness in settings with fewer mental health resources. This paper describes the protocol of a study that aims to evaluate the effectiveness of community-based rehabilitation as an adjunct to health facility-based care in rural Ethiopia...
2016: Trials
L E Magor-Blatch, A R Rugendyke
UNLABELLED: WHAT IS KNOWN ON THE SUBJECT?: While smoking rates within the general population in Australia are dropping, 32% of Australians with a mental illness smoke, increasing to 73% among those with severe or chronic mental illness. In Australia and elsewhere, smoking bans within mental health facilities have been implemented. WHAT THIS PAPER ADDS TO EXISTING KNOWLEDGE?: We surveyed 98 mental health professionals in Australia to gather information on attitudes toward smoke-free policies in mental health/psychiatric units within Australia...
June 2016: Journal of Psychiatric and Mental Health Nursing
(no author information available yet)
The Joint Commission (TJC) issued a Sentinel Event Alert, noting that in too many instances healthcare providers are not recognizing signs of suicide risk in patients who present for care. While the agency calls on all frontline providers to screen for suicide risk, experts note the issue is of particular importance to EDs because this is one of the most likely places for patients at high risk for suicide to present. Beyond identifying risk, experts note emergency providers and staff must receive training to effectively manage patients at risk for suicide...
May 2016: ED Management: the Monthly Update on Emergency Department Management
Horace Ellis, Vinette Alexander
There has been renewed, global interest in developing new and transformative models of facilitating access to high-quality, cost-effective, and individually-centered health care for severe mentally-ill (SMI) persons of diverse racial/ethnic, cultural and socioeconomic backgrounds. However, in our present-day health-service delivery systems, scholars have identified layers of barriers to widespread dispersal of well-needed mental health care both nationally and internationally. It is crucial that contemporary models directed at eradicating barriers to mental health services are interdisciplinary in context, design, scope, sequence, and best-practice standards...
June 2016: Archives of Psychiatric Nursing
Deborah Antai-Otong
This article discusses a psychosocial recovery and rehabilitation recovery model that uses an intensive case management approach. The approach offers an interdisciplinary model that integrates pharmacotherapy, social skills training, cognitive remediation, family involvement, and community integration. This evidence-based plan of care instills hope and nurtures one's capacity to learn and improve function and quality of life. It is cost-effective and offers psychiatric nurses opportunities to facilitate symptomatic remission, facilitate self-efficacy, and improve communication and social cognition skills...
June 2016: Nursing Clinics of North America
Suzanne Martin Stricklin
BACKGROUND: Twenty-five percent of American adults experience a diagnosable psychiatric mental health (PMH) problem each year, and acute care medical-surgical nurses carry on average a five- to six-patient load per shift. Traditionally, U.S. PMH clinical experiences have occurred on inpatient units located within acute care hospitals or psychiatric hospital settings. However, many nursing programs are moving much of the PMH clinical experience to community-based settings. OBJECTIVES: This study aims to investigate how prelicensure undergraduate baccalaureate (BSN) student nurses and their faculty perceive students' ability to achieve learning outcomes in community-based PMH clinical settings...
July 2016: Journal of the American Psychiatric Nurses Association
Peter J Gates, Pamela Sabioni, Jan Copeland, Bernard Le Foll, Linda Gowing
BACKGROUND: Cannabis use disorder is the most commonly reported illegal substance use disorder in the general population; although demand for assistance from health services is increasing internationally, only a minority of those with the disorder seek professional assistance. Treatment studies have been published, but pressure to establish public policy requires an updated systematic review of cannabis-specific treatments for adults. OBJECTIVES: To evaluate the efficacy of psychosocial interventions for cannabis use disorder (compared with inactive control and/or alternative treatment) delivered to adults in an out-patient or community setting...
2016: Cochrane Database of Systematic Reviews
Victoria Soltis-Jarrett
The notion of patient-centered care has long been linked with nursing practice since Florence Nightingale. The discipline of nursing is focused on the holistic care of individuals, families, and communities in times of sickness and/or health. However, in psychiatric-mental health nursing, the concepts of mental health and psychiatric illness still remain marginalized in our health care delivery systems, as well as in nursing education, knowledge development, and practice. Even with the concept of patient-centered homes, acute and primary care providers are reluctant to embrace care of those with psychiatric illness in their respective settings...
June 2016: Issues in Mental Health Nursing
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