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https://www.readbyqxmd.com/read/27908900/democratic-therapeutic-community-treatment-for-personality-disorder-randomised-controlled-trial
#1
Steve Pearce, Lisle Scott, Gillian Attwood, Kate Saunders, Madeleine Dean, Ritz De Ridder, David Galea, Haroula Konstantinidou, Mike Crawford
BACKGROUND: Democratic therapeutic community (DTC) treatment has been used for many years in an effort to help people with personality disorder. High-quality evidence from randomised controlled trials (RCTs) is absent. AIMS: To test whether DTC treatment reduces use of in-patient services and improves the mental health of people with personality disorder. METHOD: An RCT of 70 people meeting DSM-IV criteria for personality disorder (trial registration: ISRCTN57363317)...
December 1, 2016: British Journal of Psychiatry: the Journal of Mental Science
https://www.readbyqxmd.com/read/27905909/development-of-a-measure-of-model-fidelity-for-mental-health-crisis-resolution-teams
#2
Brynmor Lloyd-Evans, Gary R Bond, Torleif Ruud, Ada Ivanecka, Richard Gray, David Osborn, Fiona Nolan, Claire Henderson, Oliver Mason, Nicky Goater, Kathleen Kelly, Gareth Ambler, Nicola Morant, Steve Onyett, Danielle Lamb, Sarah Fahmy, Ellie Brown, Beth Paterson, Angela Sweeney, David Hindle, Kate Fullarton, Johanna Frerichs, Sonia Johnson
BACKGROUND: Crisis Resolution Teams (CRTs) provide short-term intensive home treatment to people experiencing mental health crisis. Trial evidence suggests CRTs can be effective at reducing hospital admissions and increasing satisfaction with acute care. When scaled up to national level however, CRT implementation and outcomes have been variable. We aimed to develop and test a fidelity scale to assess adherence to a model of best practice for CRTs, based on best available evidence. METHODS: A concept mapping process was used to develop a CRT fidelity scale...
December 1, 2016: BMC Psychiatry
https://www.readbyqxmd.com/read/27902153/nurse-led-medicines-monitoring-a-study-examining-the-effects-of-the-west-wales-adverse-drug-reaction-profile
#3
Richard Jones, Christopher Moyle, Sue Jordan
Aim The physical health of people with mental health conditions is often suboptimal, and in many cases this may be related to their prescription medicines. One issue is that patients are monitored inconsistently for adverse drug reactions (ADRs). The aim of this study was to explore whether the nurse-led West Wales Adverse Drug Reaction (WWADR) Profile for Mental Health Medicines could improve recognition and management of ADRs in a crisis resolution home treatment service. Method The WWADR Profile was implemented in addition to usual care, in a one-group 'before and after' comparison study (n=20)...
November 30, 2016: Nursing Standard
https://www.readbyqxmd.com/read/27898432/the-impact-of-paliperidone-palmitate-long-acting-injection-on-hospital-admissions-in-a-mental-health-setting
#4
Nikola Nikolić, Natalie Page, Adil Akram, Maha Khan
We screened 216 patients in a retrospective observational investigator-initiated study, of whom 45.37% patients (n=98) were retained after the inclusion criteria were applied. These patients had been prescribed paliperidone palmitate long-acting injection (PPLAI) with diagnoses of schizophrenia, schizoaffective disorder and bipolar affective disorder. We investigated whether PPLAI has an effect on the frequency and length of admissions to mental health inpatient units, the number of contacts with Crisis Resolution Home Treatment Teams (CRHTT) and frequency of home visits by the CRHTT per patient, over 6 years, split using a 'mirror image' method...
November 24, 2016: International Clinical Psychopharmacology
https://www.readbyqxmd.com/read/27897380/lived-experience-of-involuntary-transport-under-mental-health-legislation
#5
Joanne Bradbury, Marie Hutchinson, John Hurley, Helen Stasa
Police have historically been responsible for transporting people during a mental health crisis in Australia. A major change to the New South Wales (NSW) Mental Health Act (MHA) in 2007 expanded the range of coercive transportation agencies to include NSW Ambulance (paramedics) and NSW Health (mental health nurses). Anecdotal reports, however, describe a lack of clarity around how these changes should be implemented in practice. This research aims to explore this lack of clarity through qualitative analysis of interviews with people with the lived experience of involuntary transport under the MHA...
November 29, 2016: International Journal of Mental Health Nursing
https://www.readbyqxmd.com/read/27878940/people-processes-and-systems-an-observational-study-of-the-role-of-technology-in-rural-youth-mental-health-services
#6
Simone Orlowski, Sharon Lawn, Ben Matthews, Anthony Venning, Gabrielle Jones, Megan Winsall, Gaston Antezana, Niranjan Bidargaddi, Peter Musiat
The merits of technology-based mental health service reform have been widely debated among academics, practitioners, and policy makers. The design of new technologies must first be predicated on a detailed appreciation of how the mental health system works before it can be improved or changed through the introduction of new products and services. Further work is required to better understand the nature of face-to-face mental health work and to translate this knowledge to computer scientists and system designers responsible for creating technology-based solutions...
November 23, 2016: International Journal of Mental Health Nursing
https://www.readbyqxmd.com/read/27876595/behavioral-mental-and-physical-health-characteristics-and-opioid-medication-misuse-among-community-pharmacy-patients-a-latent-class-analysis
#7
Gerald Cochran, Valerie Hruschak, Jennifer L Bacci, Kenneth C Hohmeier, Ralph Tarter
BACKGROUND: Community pharmacists are well-positioned to address the US opioid medication crisis, which has created a need to detect misuse risk in order to provide optimal patient care. OBJECTIVES: This study sought to identify community pharmacy patient subgroups at risk for opioid medication misuse. METHODS: This study was a cross-sectional survey that examined behavioral, mental, and physical health characteristics among patients filling opioid pain medications...
November 15, 2016: Research in Social & Administrative Pharmacy: RSAP
https://www.readbyqxmd.com/read/27871719/-work-satisfaction-and-exhaustion-among-psychiatrists-in-psychiatric-emergency-services
#8
E Very, A H Moncany, A Yrondi, T Marquet, E Bui, L Schmitt
BACKGROUND AND AIM: Psychiatric emergency services (PES) have recently occupied a new and growing place in the landscape of mental health services. However, few data are available on the way psychiatrists practice in the PES. Our aim was to survey psychiatrists working in PES, focusing on their job satisfaction and the theoretical models they use in their everyday practice. METHOD: We sent a survey to a sample of 508 psychiatrists working in PES in France. RESULTS: Two hundred and thirty-seven psychiatrists returned the survey, yielding a response rate of 47%...
November 18, 2016: L'Encéphale
https://www.readbyqxmd.com/read/27870302/the-effect-on-mental-health-of-retiring-during-the-economic-crisis
#9
Michele Belloni, Elena Meschi, Giacomo Pasini
This paper investigates the causal impact of retirement on late-life mental health, a growing concern for public health, because major depressive disorders are the second leading cause of disability. We shed light on the role of economic conditions in shaping the effect of retirement on mental health by exploiting time and regional variation in the severity of the economic crisis across 10 European countries during 2004-2013. We use data from four waves of the Survey of Health, Ageing and Retirement in Europe and address the potential endogeneity of the retirement decision to mental health by applying a fixed-effects instrumental variables approach...
November 2016: Health Economics
https://www.readbyqxmd.com/read/27868172/-the-validity-of-acute-assessments-of-psychiatric-conditions-made-by-psychiatric-emergency-staff
#10
E J M Penterman, F G L M Sabelis, S P A Rasing, C P F van der Staak, H L I Nijman
Earlier research carried out by the outreach psychiatric emergency team in the region of Uden / Veghel in the Netherlands indicated that the preliminary diagnosis of patients in crisis was associated with aggressive behaviour during the later contact between the patient and the staff of the psychiatric emergency team. An accurate diagnosis by the staff of the psychiatric emergency team is important because it should guide the patient towards the right type of treatment by the most appropriate team. The staff of the psychiatric emergency service who make the initial diagnosis are pressed for time and have only limited information...
2016: Tijdschrift Voor Psychiatrie
https://www.readbyqxmd.com/read/27858512/paradoxes-of-personal-responsibility-in-mental-health-care
#11
Richard Lakeman
Personal responsibility is widely considered important in mental health recovery as well as in popular models of alcohol and drug treatment. Neo-liberal socio-political rhetoric around consumerism in health care often assumes that people are informed and responsible for their own choices and behaviour. In the mental health care context and especially in emergency or crisis settings, personal responsibility often raises particular paradoxes. People often present whose behaviour does not conform to the ideals of the responsible consumer; they may seek and/or be granted absolution from irresponsible behaviour...
November 18, 2016: Issues in Mental Health Nursing
https://www.readbyqxmd.com/read/27853854/-dissemination-of-psychotherapy-modules-for-traumatized-refugees-experience-gained-from-trauma-work-in-crisis-and-conflict-regions
#12
T Elbert, S Wilker, M Schauer, F Neuner
With each additional accumulative exposure to severe and traumatic stressors, the likelihood of developing mental health problems and physical diseases increases. Displaced individuals have usually experienced a number of serious threats to health due to organized violence in their home country or attacks during the flight. Frequently, domestic violence adds additional strain to the stressors experienced. The resulting impairments in psychosocial functioning reduce the resources needed for social adjustment and integration...
November 16, 2016: Der Nervenarzt
https://www.readbyqxmd.com/read/27845946/global-trends-in-suicide-epidemiology
#13
Mark Sinyor, Robyn Tse, Jane Pirkis
PURPOSE OF REVIEW: Suicide is a major cause of mortality accounting for nearly 1 million deaths globally per year. Suicide occurs throughout the lifespan; therefore, large epidemiological samples are needed to identify patterns in suicide death. This review examines emerging evidence relating to risk and protective factors as well as preventive measures for suicide. RECENT FINDINGS: The global financial crisis, natural disasters, air pollution and second-hand smoke have all been associated with increased suicide rates...
January 2017: Current Opinion in Psychiatry
https://www.readbyqxmd.com/read/27831480/impact-of-the-2008-global-financial-crisis-on-the-health-of-canadians-repeated-cross-sectional-analysis-of-the-canadian-community-health-survey-2007-2013
#14
Sabrina Nour, Ronald Labonté, Christina Bancej
BACKGROUND: Despite a clear impact on the Canadian economy, little is known about the subsequent health impacts of the 2008 global financial crisis (GFC) in this country. This study fills this gap in knowledge by conducting a repeated cross-sectional analysis of the Canadian Community Health Survey (CCHS). METHODS: Data from 7 cycles (2007-2013) of the CCHS were combined to form a large data set representative of the Canadian working-age population (15-64 years) residing in 1 of 10 provinces...
November 9, 2016: Journal of Epidemiology and Community Health
https://www.readbyqxmd.com/read/27813196/transition-from-being-ok-to-not-ok-with-tooth-loss-among-a-selection-of-older-people-in-iran-a-qualitative-study
#15
Shahin Dezhdar, Najmeh Fereidoonpoor, Ehsan Mostaghni, Faezeh Jahanpour, Maryam Ravanipour
BACKGROUND: Several studies have covered oral health and dental decay in old age, but these studies mostly applied standard quantitative tools and did not include consideration of older people's views on oral problems, partial edentulism in particular. OBJECTIVE: To explore people's perceptions in terms of the transition from being OK to NOT OK with tooth loss among a selection of older people in Iran. MATERIALS AND METHODS: A qualitative content analysis study was chosen for the research by interviewing 15 older people using open-ended questions...
November 4, 2016: Gerodontology
https://www.readbyqxmd.com/read/27809282/mental-health-in-cypriot-citizens-of-the-rural-health-centre-kofinou
#16
Georgios Stavrou, Lefkios Paikousis, Eleni Jelastopulu, Georgios Charalambous
Objective: The main purpose of this study was to investigate the mental health of Cypriot citizens living in the current difficult period of economic recession. The specific objective was to investigate the different factors (gender, age, socio-economic factors, etc.) that may affect the levels of emotional distress, anxiety, and depression in patients attending the Rural Health Centre of Kofinou. Materials and Methods: The sample consisted of a total of 300 Cypriots who visited Kofinou Health Centre in the period between July and September 2015...
November 1, 2016: Healthcare (Basel, Switzerland)
https://www.readbyqxmd.com/read/27807700/angry-scared-and-unsure-mental-health-consequences-of-contaminated-water-in-flint-michigan
#17
Courtney A Cuthbertson, Cathy Newkirk, Joan Ilardo, Scott Loveridge, Mark Skidmore
Natural and manmade crises impact community-level behavioral health, including mental health and substance use. This article shares findings from a larger project about community behavioral health, relevant to the ongoing water crisis in Flint, Michigan, using data from a larger study, involving monthly surveys of a panel of key informants from Genesee County. The data come from open-response questions and are analyzed as qualitative data using grounded theory techniques. Although respondents were not asked about the water issues in Flint, participants commented that the water situation was increasing stress, anxiety, and depression among the city's population...
November 2, 2016: Journal of Urban Health: Bulletin of the New York Academy of Medicine
https://www.readbyqxmd.com/read/27807295/partnerships-that-facilitate-a-refugee-s-journey-to-wellbeing
#18
Nina Marano, Abbey E Wojno, William M Stauffer, Michelle Weinberg, Alexander Klosovsky, J Daniel Ballew, Sharmila Shetty, Susan Cookson, Patricia Walker, Martin S Cetron
The current global refugee crisis involves 65.3 million persons who have been displaced from their homes or countries of origin. While escaping immediate harm may be their first priority, displaced people go on to face numerous health risks, including trauma and injuries, malnutrition, infectious diseases, exacerbation of existing chronic diseases, and mental health conditions. This crisis highlights the importance of building capacity among health-care providers, scientists, and laboratorians to understand and respond to the health needs of refugees...
November 2, 2016: American Journal of Tropical Medicine and Hygiene
https://www.readbyqxmd.com/read/27798992/a-compounding-mental-health-crisis-reflections-from-the-greek-experience-with-syrian-refugees
#19
Dimitris C Anagnostopoulos, George Giannakopoulos, Nikos G Christodoulou
No abstract text is available yet for this article.
November 1, 2016: American Journal of Psychiatry
https://www.readbyqxmd.com/read/27793985/employment-and-labor-market-results-of-the-sophie-project-concepts-analyses-and-policies
#20
Mireia Julià, Laia Ollé-Espluga, Christophe Vanroelen, Deborah De Moortel, Sarah Mousaid, Stig Vinberg, Vanessa Puig-Barrachina, Esther Sánchez, Carles Muntaner, Lucía Artazcoz, Joan Benach
This article reports evidence gained by the SOPHIE Project regarding employment and labor market-related policies. In the first step, quality of employment and of precarious and informal employment in Europe were conceptualized and defined. Based on these definitions, we analyzed changes in the prevalence and population distribution of key health-affecting characteristics of employment and work between times of economic prosperity and economic crisis in Europe and investigated their impact on health outcomes...
October 28, 2016: International Journal of Health Services: Planning, Administration, Evaluation
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