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https://www.readbyqxmd.com/read/28617206/utilization-patterns-at-a-specialized-children-s-comprehensive-psychiatric-emergency-program
#1
Ruth Gerson, Jennifer Havens, Mollie Marr, Amy Storfer-Isser, Mia Lee, Carolena Rojas Marcos, Michelle Liu, Sarah McCue Horwitz
OBJECTIVE: Most youths experiencing a psychiatric crisis present to emergency departments (EDs) that lack the specialized staff to evaluate them, so youths are often discharged without appropriate mental health assessment or treatment. To better understand the needs of this population, this study described clinical details and disposition associated with visits for psychiatric emergencies to a specialized ED staffed 24/7 by child psychiatrists. METHODS: Through retrospective chart review, 1,180 visits to the ED during its first year of operation were reviewed for clinical characteristics, prior service utilization, and demographic characteristics...
June 15, 2017: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/28617170/adherence-of-heart-transplant-recipients-to-prescribed-medication-and-recommended-lifestyle-habits
#2
Y Brocks, A Zittermann, D Grisse, G Schmid-Ott, S Stock-Gießendanner, U Schulz, J Brakhage, A Benkler, J Gummert, Katharina Tigges-Limmer
INTRODUCTION: Nonadherence may cause severe health problems in heart transplant (HTx) recipients. RESEARCH QUESTIONS: The present study aimed to investigate adherence to prescribed medication and recommended lifestyle habits in post-HTx patients and to assess associations between adherence, quality of life (QOL), and psychological well-being. DESIGN: A questionnaire package was sent to all HTx patients from our clinic (n = 858) to answer questions anonymously on medication adherence, dietary recommendations (avoidance of raw animal products and ice cream), pet keeping (risk of zoonosis), anxiety and depression, QOL, and posttraumatic stress disorders...
June 2017: Progress in Transplantation
https://www.readbyqxmd.com/read/28617117/congress-debate-can-get-lost-in-translation
#3
Roisin Devlin
It has been suggested that RCN congress resolutions rarely spark debate and, with this in mind, the RCN Emergency Care Association (ECA) last month put forward a motion with the RCN mental health forum that emergency departments (EDs) should no longer be seen as designated places of safety for people in mental health crisis.
June 15, 2017: Emergency Nurse: the Journal of the RCN Accident and Emergency Nursing Association
https://www.readbyqxmd.com/read/28617002/understanding-the-mental-health-consequences-of-family-separation-for-refugees-implications-for-policy-and-practice
#4
Alexander Miller, Julia Meredith Hess, Deborah Bybee, Jessica R Goodkind
Consistent evidence documents the negative impacts of family separation on refugee mental health and concerns for the welfare of distant family members and desire to reunite with family members as priorities for refugees postmigration. Less is known about refugees' emic perspectives on their experiences of family separation. Using mixed methods data from a community-based mental health intervention study, we found that family separation was a major source of distress for refugees and that it was experienced in a range of ways: as fear for family still in harm's way, as a feeling of helplessness, as cultural disruption, as the greatest source of distress since resettlement, and contributing to mixed emotions around resettlement...
June 15, 2017: American Journal of Orthopsychiatry
https://www.readbyqxmd.com/read/28606147/the-variation-in-the-health-status-of-immigrants-and-italians-during-the-global-crisis-and-the-role-of-socioeconomic-factors
#5
Alessio Petrelli, Anteo Di Napoli, Alessandra Rossi, Gianfranco Costanzo, Concetta Mirisola, Lidia Gargiulo
BACKGROUND: The effects of the recent global economic and financial crisis especially affected the most vulnerable social groups. Objective of the study was to investigate variation of self-perceived health status in Italians and immigrants during the economic global crisis, focusing on demographic and socioeconomic factors. METHODS: Through a cross-sectional design we analyzed the national sample of multipurpose surveys "Health conditions and use of health services" (2005 and 2013) conducted by the Italian National Institute of Statistics (ISTAT)...
June 12, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28604145/social-class-and-mental-distress-in-greek-urban-communities-during-the-period-of-economic-recession
#6
Anastasia Zissi, George Stalidis
BACKGROUND: This study draws on old and well-established evidence that economic change, and especially recession, affects people's lives, behavior and mental health. Even though the literature is rich on the relationship between unemployment and mental distress, there is a renewed research interest on the link between socio-economic inequalities and psychological health. AIMS: The study investigates the relationship of social class with mental distress during the hard times of persistent and severe economic crisis in Greece by conducting a comparative, community study in the country's second largest city, Thessaloniki...
June 1, 2017: International Journal of Social Psychiatry
https://www.readbyqxmd.com/read/28602558/public-health-information-in-crisis-affected-populations-a-review-of-methods-and-their-use-for-advocacy-and-action
#7
REVIEW
Francesco Checchi, Abdihamid Warsame, Victoria Treacy-Wong, Jonathan Polonsky, Mark van Ommeren, Claudine Prudhon
Valid and timely information about various domains of public health underpins the effectiveness of humanitarian public health interventions in crises. However, obstacles including insecurity, insufficient resources and skills for data collection and analysis, and absence of validated methods combine to hamper the quantity and quality of public health information available to humanitarian responders. This paper, the second in a Series of four papers, reviews available methods to collect public health data pertaining to different domains of health and health services in crisis settings, including population size and composition, exposure to armed attacks, sexual and gender-based violence, food security and feeding practices, nutritional status, physical and mental health outcomes, public health service availability, coverage and effectiveness, and mortality...
June 7, 2017: Lancet
https://www.readbyqxmd.com/read/28601504/-changes-in-behaviors-and-indicators-of-mental-health-between-2006%C3%A2-and-2010%C3%A2-in-the-french-working-population
#8
L Malard, J-F Chastang, I Niedhammer
BACKGROUND: The 2008 economic crisis may have had an impact on mental health but the studies on this topic are sparse, in particular among the working population. However, mental health at work is a crucial issue involving substantial costs and consequences. The aim of the study was to assess changes in behaviors and indicators of mental health in the French working population between 2006 and 2010, and to explore the differential changes according to age, origin, occupation, activity sector, public/private sector, self-employed/employee status and work contract...
June 7, 2017: Revue D'épidémiologie et de Santé Publique
https://www.readbyqxmd.com/read/28596907/implementing-mhgap-training-to-strengthen-existing-services-for-an-internally-displaced-population-in-pakistan
#9
A Humayun, I Haq, F R Khan, N Azad, M M Khan, I Weissbecker
BACKGROUND: In 2014, over a million people were internally displaced after the launch of a military operation in North Waziristan, a tribal region on Pakistan's side of the Durand Line. Despite security concerns and restrictions, a collaborative mental health and psychosocial support initiative was undertaken in the district of Bannu. Monthly mental health camps were conducted for a period of 6 months by a multidisciplinary mental health team. The initiative also helped to assess mental health needs and plan training for primary care staff to strengthen existing resources...
2017: Global Mental Health
https://www.readbyqxmd.com/read/28574781/associations-between-age-years-in-post-years-in-the-profession-and-personal-experience-of-mental-health-problems-in-uk-mental-health-nurses
#10
Jennifer Oates, Nicholas Drey, Julia Jones
Nurses' mental health is of paramount importance, both in terms of patient safety and the sustainability of the workforce. Age, years in the profession, in post and personal experience or exposure to mental health problems are relevant to the mental health nursing workforce crisis in the United Kingdom. This study aimed to determine the relationship between age, years in the profession and post and self-reported experience of mental health problems using an online cross-sectional survey of 225 UK mental health nurses...
June 2, 2017: Issues in Mental Health Nursing
https://www.readbyqxmd.com/read/28566025/management-of-mental-health-crises-among-youths-with-and-without-asd-a-national-survey-of-child-psychiatrists
#11
Luther G Kalb, Elizabeth A Stuart, David S Mandell, Mark Olfson, Roma A Vasa
OBJECTIVE: This study compared management by child psychiatrists of mental health crises among youths with and without autism spectrum disorder (ASD). METHODS: A custom online mental health crisis services survey was administered to members of the American Academy of Child and Adolescent Psychiatry. The survey probed three domains of crisis management: willingness to work with youths with a history of mental health crisis, comfort level in managing a mental health crisis, and availability of external resources during a crisis...
June 1, 2017: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/28564494/how-people-from-chinese-backgrounds-make-sense-of-and-respond-to-the-experiences-of-mental-distress-a-qualitative-study
#12
Echo Yuet Wah Yeung, Fiona Irvine, Siu Man Ng, Sandra Tsang
INTRODUCTION: Late presentation and low utilisation of mental health services are common among Chinese populations. An understanding of their journey towards mental health care helps to identify timely and appropriate intervention. AIM: We aimed to examine how Chinese populations make sense of the experiences of mental distress, and how this understanding influences their pathways to mental health care. METHOD: We undertook in-depth interviews with fourteen people with mental health problems and sixteen family members...
May 31, 2017: Journal of Psychiatric and Mental Health Nursing
https://www.readbyqxmd.com/read/28559370/listen-and-learn-engaging-young-people-their-families-and-schools-in-early-intervention-research
#13
Charlotte Connor
Recent policy guidelines highlight the importance of increasing the identification of young people at risk of developing mental health problems in order to prevent their transition to long-term problems, avoid crisis and remove the need for care through specialist mental health services or hospitalisation. Early awareness of the often insidious behavioural and cognitive changes associated with deteriorating mental well-being, however, is difficult, but it is vital if young people, their families and those who work with them are to be fully equipped with the skills to aid early help-seeking...
June 2017: Medical Humanities
https://www.readbyqxmd.com/read/28557884/from-whom-do-student-veterans-seek-help-understanding-the-roles-of-professional-informal-and-religious-sources
#14
Joseph M Currier, Jessie Deiss, Ryon C McDermott
The purpose of this brief report was to ascertain student veterans' patterns of help-seeking from professional, informal, and religious sources. In total, 350 veterans from an academic institution on the Gulf Coast completed assessments of help-seeking intentions from a range of potential sources in their communities. Analyses revealed that veterans had a neutral probability to seek help from professional sources (e.g., physicians and psychologists) but were likely to pursue informal sources (e.g., partner/spouse, friend) in a psychological/emotional crisis...
June 2017: Journal of Nervous and Mental Disease
https://www.readbyqxmd.com/read/28541234/psychiatric-specialty-training-in-greece
#15
EDITORIAL
M Margariti, V Kontaxakis, D Ploumpidis
The reform and development of psychiatric services require, in addition to financial resources, reserves in specialized human resources. The role of psychiatrists in this process, and at reducing the consequences of mental morbidity is evident. Psychiatrists are required to play a multifaceted role as clinicians, as experts in multidisciplinary team environments and as advisors in the recognition of public needs in mental health issues, as teachers and mentors for students and other health professionals, as researchers in order to enrich our knowledge in the scientific field of psychiatry, and as public health specialists in the development of the mental health services system...
January 2017: Psychiatrikē, Psychiatriki
https://www.readbyqxmd.com/read/28538605/the-heads-ed-evaluating-the-clinical-use-of-a-brief-action-oriented-pediatric-mental-health-screening-tool
#16
Mario Cappelli, Roger Zemek, Christine Polihronis, Nathalie R Thibedeau, Allison Kennedy, Clare Gray, Mona Jabbour, Sarah Reid, Paula Cloutier
OBJECTIVES: This effectiveness study aimed to evaluate the clinical use of the HEADS-ED tool for patients presenting to a pediatric emergency department (PED) for mental health (MH) care. METHODS: In this pragmatic trial, PED physicians used the HEADS-ED to guide their assessment and identify areas of MH need in 639 patients (mean [SD], 15.16 [1.40] years; female, 72.6%) who presented to the emergency department with MH concerns between May 2013 and March 2014. RESULTS: The HEADS-ED guided consultation to psychiatry/crisis, with 86% receiving a recommended consult...
May 23, 2017: Pediatric Emergency Care
https://www.readbyqxmd.com/read/28537143/congress-opposes-use-of-a-e-as-place-of-safety
#17
Chris Longhurst
RCN members have urged the college to lobby parliament to ensure emergency departments (EDs) are no longer used as a place of safety for people experiencing a mental health crisis.
May 24, 2017: Nursing Standard
https://www.readbyqxmd.com/read/28524378/psychometric-characteristics-of-the-mental-health-crisis-assessment-scale-in-youth-with-autism-spectrum-disorder
#18
Luther G Kalb, Louis P Hagopian, Alden L Gross, Roma A Vasa
BACKGROUND: Youth with autism spectrum disorder (ASD) exhibit high rates of psychopathology. These symptoms can pose a risk of injury to self or others when the child is in crisis. Despite this danger, there are no instruments available to identify those with ASD who are at risk or actively in crisis. This study examined the psychometric properties of the Mental Health Crisis Assessment Scale (MCAS), a 28 item parent report measure. METHODS: The MCAS was administered to the parents of 606 children and young adults (aged 3-25 years, M age = 13 years, SD = 5 years) enrolled in the Interactive Autism Network, an online registry of families raising a child with ASD...
May 19, 2017: Journal of Child Psychology and Psychiatry, and Allied Disciplines
https://www.readbyqxmd.com/read/28499065/not-sick-enough-experiences-of-carers-of-people-with-mental-illness-negotiating-care-for-their-relatives-with-mental-health-services
#19
Michael Olasoji, Phil Maude, Kay McCauley
AIM: The literature reporting experiences of relatives of people with mental illness regarding their interactions with mental health services identifies many commonalities. However, the actual experience of carers engaging the services and understanding health care systems remains a gap in the literature. The aim of this study was to explore the experiences of carers (of people with a severe mental illness) in a major area mental health service in Victoria Australia as they fulfil their caring role whilst negotiating support for their relative...
May 12, 2017: Journal of Psychiatric and Mental Health Nursing
https://www.readbyqxmd.com/read/28498581/the-contemporary-refugee-crisis-an-overview-of-mental-health-challenges
#20
Derrick Silove, Peter Ventevogel, Susan Rees
There has been an unprecedented upsurge in the number of refugees worldwide, the majority being located in low-income countries with limited resources in mental health care. This paper considers contemporary issues in the refugee mental health field, including developments in research, conceptual models, social and psychological interventions, and policy. Prevalence data yielded by cross-sectional epidemiological studies do not allow a clear distinction to be made between situational forms of distress and frank mental disorder, a shortcoming that may be addressed by longitudinal studies...
June 2017: World Psychiatry: Official Journal of the World Psychiatric Association (WPA)
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