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https://www.readbyqxmd.com/read/28317470/anthropology-brokerage-and-collaboration-in-the-development-of-a-tongan-public-psychiatry-local-lessons-for-global-mental-health
#1
Mike Poltorak
The Global Mental Health (GMH) movement has raised questions of the translatability of psychiatric concepts and the challenges of community engagement. In Tonga, the local psychiatrist Dr Puloka successfully established a publicly accessible psychiatry that has improved admission rates for serious mental illnesses and addressed some of the stigma attached to diagnosis. On the basis of historical analysis and ethnographic fieldwork with healers, doctors, and patients since 1998, this article offers an ethnographic contextualization of the development and reception of Puloka's three key interventions during the 1990s: (a) collaboration with traditional healers; (b) translation of psychiatric diagnoses into local cultural concepts; and (c) encouraging freedom of movement and legal appeal to involuntary admission...
December 2016: Transcultural Psychiatry
https://www.readbyqxmd.com/read/28259634/determinants-of-compulsory-admissions-in-a-state-psychiatric-hospital-case-control-study
#2
Nair V Indu, K Vidhukumar, P S Sarma
OBJECTIVE: Compulsory admissions are against the patient's will and are presumably due to diverse reasons. There has been a rise in compulsory admissions world over. The objective of the study was to determine the risk factors for compulsory admissions in a state psychiatric hospital. METHODS: A case control study was conducted at the state psychiatric hospital, Trivandrum, Kerala. Cases were involuntary non-legal admissions while controls were voluntary admissions...
December 9, 2016: Asian Journal of Psychiatry
https://www.readbyqxmd.com/read/28238221/acquisition-of-involuntary-spinal-locomotion-spinal-walking-in-dogs-with-irreversible-thoracolumbar-spinal-cord-lesion-81-dogs
#3
A Gallucci, L Dragone, M Menchetti, T Gagliardo, M Pietra, M Cardinali, G Gandini
BACKGROUND: Spinal walking (SW) is described as the acquisition of an involuntary motor function in paraplegic dogs and cats without pain perception affected by a thoracolumbar lesion. Whereas spinal locomotion is well described in cats that underwent training trials after experimental spinal cord resection, less consistent information is available for dogs. HYPOTHESIS: Paraplegic dogs affected by a thoracolumbar complete spinal cord lesion undergoing intensive physical rehabilitation could acquire an autonomous SW gait under field conditions...
March 2017: Journal of Veterinary Internal Medicine
https://www.readbyqxmd.com/read/28216772/perceived-coercion-in-persons-with-mental-disorder-in-india-a-cross-sectional-study
#4
B N Raveesh, S Pathare, P Lepping, E O Noorthoorn, G S Gowda, J G F Bunders-Aelen
BACKGROUND: Little is known about how patients in India perceive coercion in psychiatric care. AIMS: To assess perceived coercion in persons with mental disorder admitted involuntarily and correlate with sociodemographic factors and illness variables. MATERIALS AND METHODS: We administered the short MacArthur Admission Experience Interview Questionnaire to all consecutive involuntary psychiatric patients admitted in 2014 in Mysore, India. Multivariate linear regression was used...
December 2016: Indian Journal of Psychiatry
https://www.readbyqxmd.com/read/28216765/mental-health-mental-illness-and-human-rights-in-india-and-elsewhere-what-are-we-aiming-for
#5
REVIEW
Brendan D Kelly
The Mental Health Care Bill 2013 was introduced to the Rajya Sabha (India's upper house of parliament) in August 2013 and following 134 official amendments, passed in August 2016. Properly implemented, mental health legislation such as this plays a key role in protecting the rights of the mentally ill, ensuring access to care, and promoting social justice for the mentally ill, their families and carers. In this context, the 2006 United Nations' Convention on the Rights of Persons with Disabilities (CRPD) presents a real opportunity to improve the position of people with disabilities and those disabled by long-term mental illness...
December 2016: Indian Journal of Psychiatry
https://www.readbyqxmd.com/read/28174594/preventing-involuntary-admissions-special-needs-for-distinct-patient-groups
#6
Knut Hoffmann, I S Haussleiter, F Illes, J Jendreyschak, A Diehl, B Emons, C Armgart, A Schramm, G Juckel
BACKGROUND: Coercive measures in psychiatry are a controversial topic and raise ethical, legal and clinical issues. Involuntary admission of patients is a long-lasting problem and indicates a problematic pathway to care situations within the community, largely because personal freedom is fundamentally covered by the UN declaration of human rights and the German constitution. METHODS: In this study, a survey on a large and comprehensive population of psychiatric in-patients in the eastern part of North Rhine-Westphalia, Germany, was carried out for the years 2004-2009, including 230...
2017: Annals of General Psychiatry
https://www.readbyqxmd.com/read/28151977/a-blind-spot-screening-for-mild-intellectual-disability-and-borderline-intellectual-functioning-in-admitted-psychiatric-patients-prevalence-and-associations-with-coercive-measures
#7
Jeanet Grietje Nieuwenhuis, Eric Onno Noorthoorn, Henk Llewellyn Inge Nijman, Paul Naarding, Cornelis Lambert Mulder
BACKGROUND: Failure to detect psychiatric patients' intellectual disabilities may lead to inappropriate treatment and greater use of coercive measures. AIMS: In this prospective dynamic cohort study we screened for intellectual disabilities in patients admitted to psychiatric wards, and investigated the use of coercive measures with these patients. METHODS: We used the Screener for Intelligence and Learning disabilities (SCIL) to screen patients admitted to two acute psychiatric wards, and assessed patient characteristics and coercive measures during their stay and over the last 5 years...
2017: PloS One
https://www.readbyqxmd.com/read/28028581/time-trends-in-first-admission-rates-for-schizophrenia-and-other-psychotic-disorders-in-taiwan-1998-2007-a-10-year-population-based-cohort-study
#8
Chih-Lin Chiang, Pei-Chun Chen, Ling-Ya Huang, Po-Hsiu Kuo, Yu-Chi Tung, Chen-Chung Liu, Wei J Chen
PURPOSE: To examine the trend in annual first admission rates for psychotic disorders as a whole as well as individual psychotic disorders in Taiwan from 1998 to 2007, and influences of age, sex, and geographic region on the trend. METHOD: Using the inpatient claims records in the National Health Insurance Research Database, we estimated the yearly first admission rates for schizophrenia and other psychotic disorders, including voluntary (1998-2007) and involuntary (2004-2007) admissions...
December 27, 2016: Social Psychiatry and Psychiatric Epidemiology
https://www.readbyqxmd.com/read/27995838/mental-hospitals-in-india-in-the-21st-century-transformation-and-relevance
#9
P Murthy, M Isaac, H Dabholkar
Mental hospitals in India, as elsewhere in the world, have played an important role in the care of persons with mental illness. Since their inception, they have both been decried for gross violations of human rights and dignity as well as lauded as places of refuge and care for persons turned away by the communities. In a country where community interventions for mental health care are still fragmentary, the mental hospital still continues to be a relevant and legitimate locus of care along with other limited resources available for the care of persons with mental illness outside of the family...
December 20, 2016: Epidemiology and Psychiatric Sciences
https://www.readbyqxmd.com/read/27984264/reducing-restraint-with-clozapine-in-involuntarily-admitted-patients-with-schizophrenia
#10
Petru Ifteni, Andreea S Szalontay, Andreea Teodorescu
BACKGROUND: In the entire world, restraint and seclusion are common interventions in psychiatric inpatient settings because of aggressive behavior. STUDY QUESTION: Our objective was to test for the immediate antiaggressive property of clozapine compared with other antipsychotic treatments in an enriched cohort with high rates of restraint during early hospitalization. METHODS: We present a retrospective chart review in all involuntary admissions with schizophrenia during 2011-2014 in Psychiatry and Neurology Hospital, Brasov, Romania...
March 2017: American Journal of Therapeutics
https://www.readbyqxmd.com/read/27904101/probable-serotonin-syndrome-and-withdrawal-symptoms-caused-by-milnacipran
#11
Toru Koshiishi, Kiyoshi Okuyama
 A 70-year-old woman, residing in a nursing home, was admitted to our hospital because of cerebral hemorrhage. She had excessive sweating, a temperature above 37°C, and intermittent muscle spasm such as myoclonus, since the time of admission. We suspected that these symptoms were related to side effects caused by the milnacipran she was taking for depression, prior to hospitalization. After we discontinued milnacipran, the patient began exhibiting withdrawal symptoms such as excitement and insomnia. When we substituted milnacipran with mianserin, the withdrawal symptoms diminished and the excessive sweating and involuntary movement disappeared...
2016: Yakugaku Zasshi: Journal of the Pharmaceutical Society of Japan
https://www.readbyqxmd.com/read/27888962/involuntary-hospitalization-of-patients-with-mental-disorders-knowledge-of-health-professionals
#12
Carla Aparecida Arena Ventura, Marciana Fernandes Moll, Rubens Correia, Viviana Carolina Oyan de Moraes, Lucas Duarte Silva, Isabel Amélia Costa Mendes
A descriptive and exploratory study with a qualitative approach was undertaken to describe the knowledge of health professionals at a psychiatric hospital about involuntary hospitalization. Health professionals from the admission ward of a psychiatric hospital located in an inner city of the state of São Paulo, Brazil, participated in the study. Data were collected through semistructured interviews with sixteen health professionals and the analysis was based on thematic analysis. The professionals' lack of knowledge about involuntary hospitalizations was evidenced, including unfamiliarity with the modalities of psychiatric hospitalization, confusion to understand involuntary and compulsory hospitalization as well as the role of the public prosecutor in these cases...
December 2016: Archives of Psychiatric Nursing
https://www.readbyqxmd.com/read/27846878/perceived-coercion-to-enter-treatment-among-involuntarily-and-voluntarily-admitted-patients-with-substance-use-disorders
#13
Anne Opsal, Øistein Kristensen, John Kåre Vederhus, Thomas Clausen
BACKGROUND: Perceived coercion is a sense of pressure related to the experience of being referred to treatment. The sense of pressure arises from the patient's internal perception of coercion. The sources of coercion may be the legal system, the family, the health system, or self-criticism (internal sources). Here, we studied patients diagnosed with substance use disorders that were involuntarily admitted to hospital, pursuant to a social services act. We sought to determine whether these patients perceived coercion differently than patients that were admitted voluntarily...
November 15, 2016: BMC Health Services Research
https://www.readbyqxmd.com/read/27833226/legal-terms-used-in-reception-order-and-their-relevance-to-judicial-process
#14
Nakkeerar Subramanian, Rajkumar Ramanathan, Venkatesh Madhan Kumar, Dhanabalan Kalingarayan Palayam Chellappan, Jeyaprakash Ramasamy
INTRODUCTION: Law governs the admission and management of involuntary admissions of mentally ill persons who are admitted under the provisions of the mental health act. The court directs the doctor to take charge of such persons. In the further dealings of such person the medical officer of the psychiatric facility comes across legal terms, which require understanding so that patients could be dealt with properly. Various terms such as accused, under police custody, judicial custody, remand prisoner, or under trial prisoner are used to denote their legal status...
September 2016: Indian Journal of Psychological Medicine
https://www.readbyqxmd.com/read/27785894/qualitative-exploration-of-stakeholders-perspectives-of-involuntary-admission-under-the-mental-health-act-2001-in-ireland
#15
Siobhán Smyth, Dympna Casey, Adeline Cooney, Agnes Higgins, David McGuinness, Emma Bainbridge, Mary Keys, Irina Georgieva, Liz Brosnan, Claire Beecher, Brian Hallahan, Colm McDonald, Kathy Murphy
There is international interest in, and continued concern about, the potential long-term impact of involuntary admission to psychiatric institutions, and the effect this coercive action has on a person's well-being and human rights. Involuntary detention in hospital remains a controversial process that involves stakeholders with competing concerns and who often describe negative experiences of the process, which can have long-lasting effects on the therapeutic relationship with service users. The aim of the present study was to explore the perspectives of key stakeholders involved in the involuntary admission and detention of people under the Mental Health Act 2001 in Ireland...
October 27, 2016: International Journal of Mental Health Nursing
https://www.readbyqxmd.com/read/27780495/information-for-mental-health-systems-an-instrument-for-policy-making-and-system-service-quality
#16
A Lora, A Lesage, S Pathare, I Levav
AIMS: Information is crucial in mental healthcare, yet it remains undervalued by stakeholders. Its absence undermines rationality in planning, makes it difficult to monitor service quality improvement, impedes accountability and human rights monitoring. For international organizations (e.g., WHO, OECD), information is indispensable for achieving better outcomes in mental health policies, services and programs. This article reviews the importance of developing system level information with reference to inputs, processes and outputs, analyzes available tools for collecting and summarizing information, highlights the various goals of information gathering, discusses implementation issues and charts the way forward...
October 26, 2016: Epidemiology and Psychiatric Sciences
https://www.readbyqxmd.com/read/27698701/alien-hand-syndrome-following-corpus-callosum-infarction-a-case-report-and-review-of-the-literature
#17
Xiaoyu Gao, Bing Li, Wenzheng Chu, Xuwen Sun, Chunjuan Sun
Alien hand syndrome (AHS) is characterized by involuntary and autonomous activity of the affected limbs, and consists of the frontal, callosal and posterior AHS variants. The callosal subtype, resulting from damage to the corpus callosum, frequently features intermanual conflict. However, infarction of the corpus callosum is rare due to abundant blood supply. The present study reported a case of AHS (callosal subtype, in the right hand) caused by callosal infarction. Infarction of the left corpus callosum was confirmed with magnetic resonance imaging...
October 2016: Experimental and Therapeutic Medicine
https://www.readbyqxmd.com/read/27693867/patterns-of-antipsychotics-prescription-in-portuguese-acute-psychiatric-wards-a-cross-sectional-study
#18
João Campos Mendes, Sofia Azeredo-Lopes, Graça Cardoso
This study aimed to establish the prescribing patterns of antipsychotics in acute psychiatric wards across Portugal, to determine the prevalence of polypharmacy and "high-doses" treatment, and to identify possible predictors. Twelve acute psychiatric inpatient units and 272 patients were included. The majority (87.5%) was treated with antipsychotics regardless of diagnosis, and 41.6% had at least two antipsychotics prescribed in combination. Age, use of depot antipsychotics, and antipsychotic "high-doses" were significant predictors of antipsychotic polypharmacy...
December 30, 2016: Psychiatry Research
https://www.readbyqxmd.com/read/27624838/challenges-following-discharge-from-acute-psychiatric-inpatient-care-in-japan-patients-perspectives
#19
J Niimura, M Tanoue, M Nakanishi
WHAT IS KNOWN ON THE SUBJECT?: A lack of transitional care covering the period from psychiatric hospital discharge to community mental health care can increase the likelihood of illness recurrence or readmission of discharged patients. WHAT THIS PAPER ADDS TO EXISTING KNOWLEDGE?: The participants expressed the view that discontinuity between inpatient and community life was a post-discharge challenge after being involuntarily admitted to a psychiatric emergency ward. These challenges arose from the dissatisfaction with inpatient treatment, inability to coordinate post-discharge life WHAT ARE THE IMPLICATIONS FOR PRACTICE?: Patients should be able to disclose their feelings about their own experiences in inpatient care settings and the current challenges in community care settings in an open manner...
November 2016: Journal of Psychiatric and Mental Health Nursing
https://www.readbyqxmd.com/read/27600381/factors-influencing-patients-recovery-and-the-efficacy-of-a-psychosocial-post-discharge-intervention-post-hoc-analysis-of-a-randomized-controlled-trial
#20
Michael P Hengartner, Silvia Passalacqua, Gisela Heim, Andreas Andreae, Wulf Rössler, Agnes von Wyl
PURPOSE: The aim of this post hoc analysis was to examine self-reported recovery following a post-discharge intervention and to focus on the moderators of this intervention programme. METHODS: RCT using parallel group block randomisation, including 151 patients with ≤3 hospitalisations within the last 3 years, a GAF score ≤60, and aged 18-64 years, assessed at two psychiatric hospitals from Zurich, Switzerland, between September 2011 and February 2014. In the present study, the main outcome was the OQ-45 as assessed prior to discharge from the index hospitalisation and at 12-month follow-up...
December 2016: Social Psychiatry and Psychiatric Epidemiology
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