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Collaborative mental health care

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https://www.readbyqxmd.com/read/28745011/enhancing-prevention-and-intervention-for-youth-concurrent-mental-health-and-substance-use-disorders-the-research-and-action-for-teens-study
#1
Joanna L Henderson, E B Brownlie, Shelley McMain, Gloria Chaim, David A Wolfe, Brian Rush, Tali Boritz, Joseph H Beitchman
BACKGROUND: Concurrent mental health and substance use disorders among youth are associated with functional impairment in developmentally salient domains, yet research on prevention and intervention for this vulnerable population is sparse. This paper describes the rationale and design of the Research and Action for Teens study, an initiative designed to strengthen the evidence base for prevention, screening, treatment and service delivery for youth concurrent mental health and substance use concerns...
July 26, 2017: Early Intervention in Psychiatry
https://www.readbyqxmd.com/read/28739426/incorporating-oral-health-into-interprofessional-care-teams-for-patients-with-parkinson-s-disease
#2
REVIEW
Natalia S Rozas, June M Sadowsky, Deborah J Jones, Cameron B Jeter
Parkinson's disease (PD) is a progressive neurodegenerative disorder that primarily affects the motor system. However, non-motor symptoms such as cognitive, autonomic, sleep-related and sensory dysfunctions are often reported. A subgroup of non-motor symptoms, oropharyngeal problems, also affects these patients in ways that greatly deteriorate quality of life. Each patient may develop a different set of non-motor symptoms, making interprofessional collaboration among health care providers a must to treat patients with PD...
July 17, 2017: Parkinsonism & related Disorders
https://www.readbyqxmd.com/read/28736913/a-community-responsive-adaptation-to-reach-and-engage-latino-families-affected-by-maternal-depression
#3
Carmen R Valdez, Alyssa Ramirez Stege, Elizabeth Martinez, Stephanie D'Costa, Thomas Chavez
As family researchers and practitioners seek to improve the quality and accessibility of mental health services for immigrant families, they have turned to culturally adapted interventions. Although many advancements have been made in adapting interventions for such families, we have yet to understand how the adaptation can ensure that the intervention is reaching families identified to be in greatest need within a local system of care and community. We argue that reaching, engaging, and understanding the needs of families entails a collaborative approach with multiple community partners to ensure that adaptations to intervention content and delivery are responsive to the sociocultural trajectory of families within a community...
July 23, 2017: Family Process
https://www.readbyqxmd.com/read/28736840/issop-position-statement-on-migrant-child-health
#4
REVIEW
(no author information available yet)
Greater numbers of children are on the move than ever before. In 2015, the number of forcibly displaced people across the globe reached 65.3 million. Of the more than 1 million migrants, asylum seekers, and refugees who arrived in Europe in 2015, nearly one third were children, and 90,000 of these children were unaccompanied. Child migrants are among the most vulnerable, even after arriving at their destination. The health of migrant children is related to their health status before their journey, the conditions during their journey and at their destination, and the physical and mental health of their caregivers...
July 23, 2017: Child: Care, Health and Development
https://www.readbyqxmd.com/read/28735645/psychiatric-consultation-in-the-collaborative-care-model-the-bipolar-sieve-effect
#5
James R Phelps, James James
Around the world, psychiatrists are in exceptionally short supply. The majority of mental health treatment is delivered in primary care. In the United States, the Collaborative Care Model (CCM) addresses the shortfall of psychiatrists by providing indirect consultation in primary care. A Cochrane meta-analysis affirms the efficacy this model for depression and anxiety. However, our experience with the CCM suggests that most patients referred for consultation have problems far more complex than simple depression and anxiety...
August 2017: Medical Hypotheses
https://www.readbyqxmd.com/read/28734556/a-model-of-collaborative-spiritual-and-psychiatric-care-of-oncology-patients
#6
Larkin Elderon Kao, Hermioni N Lokko, Kathleen Gallivan, Vera O'Brien, John R Peteet
BACKGROUND: Many oncology patients see both chaplains and consultation-liaison (C-L) psychiatrists during medical hospitalizations. Studies show that spirituality and mental health influence one another, and that patients often prefer that physicians understand their spirituality. Though models of inpatient chaplaincy-psychiatry collaboration likely exist, none are apparent in the literature. In this study, we present one model of chaplaincy-psychiatry collaboration, hypothesizing that both specialties would find the intervention helpful...
June 23, 2017: Psychosomatics
https://www.readbyqxmd.com/read/28732477/a-web-based-clinical-decision-tool-to-support-treatment-decision-making-in-psychiatry-a-pilot-focus-group-study-with-clinicians-patients-and-carers
#7
Catherine Henshall, Lisa Marzano, Katharine Smith, Mary-Jane Attenburrow, Stephen Puntis, Jakov Zlodre, Kathleen Kelly, Matthew R Broome, Susan Shaw, Alvaro Barrera, Andrew Molodynski, Alastair Reid, John R Geddes, Andrea Cipriani
BACKGROUND: Treatment decision tools have been developed in many fields of medicine, including psychiatry, however benefits for patients have not been sustained once the support is withdrawn. We have developed a web-based computerised clinical decision support tool (CDST), which can provide patients and clinicians with continuous, up-to-date, personalised information about the efficacy and tolerability of competing interventions. To test the feasibility and acceptability of the CDST we conducted a focus group study, aimed to explore the views of clinicians, patients and carers...
July 21, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/28718865/-low-intensity-cognitive-behavioral-therapy-li-cbt-an-introduction-in-concepts-and-framework
#8
Pascal Wabnitz, Michael Löhr, André Nienaber, Bruno Hemkendreis, Klaus Thomas Kronmüller, Michael Schulz
Low-intensity cognitive behavioural therapy (LI-CBT) depicts interventions that aim at increasing access to evidence-based psychological therapies. This is achieved by (1) reducing the amount of time in which the practitioner is in contact with individual patients, (2) using practitioners that have been specifically trained to deliver low intensity interventions and without any prior formal health professional qualifications and (3) use of interventions with varying intensity. Stepped care and collaborative care constitute the organizational frame to deliver low-intensity interventions...
June 29, 2017: Psychotherapie, Psychosomatik, Medizinische Psychologie
https://www.readbyqxmd.com/read/28716560/integrated-mental-health-training-for-pediatric-and-psychology-trainees-using-standardized-patient-encounters
#9
Sandra H Jee, Constance Baldwin, Rita Dadiz, Marybeth Jones, Linda Alpert-Gillis
Primary care pediatricians and psychology practitioners who co-manage mental health problems can develop interdisciplinary communication and collaborative skills from joint standardized patient encounters and debriefings, combined with brief didactics. Learners demonstrated increased confidence in shared management of behavior health problems.
July 14, 2017: Academic Pediatrics
https://www.readbyqxmd.com/read/28712356/discontinuing-psychiatric-medications-a-survey-of-long-term-users
#10
Laysha Ostrow, Lauren Jessell, Manton Hurd, Sabrina M Darrow, David Cohen
OBJECTIVE: Individuals undergoing long-term psychiatric treatment frequently choose to stop taking psychiatric medications. To enhance service user choice and prevent undesirable outcomes, this first U.S. survey of a large sample of longer-term users sought to increase knowledge about users' experience of medication discontinuation. METHODS: A sample of 250 U.S. adults with a diagnosis of serious mental illness and a recent goal to stop up to two prescribed psychiatric medications, which they had taken for at least nine months, completed a web-based survey about experiences, strategies, and supports during discontinuation...
July 17, 2017: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/28709890/a-novel-collaborative-protocol-for-successful-management-of-penile-pain-mediated-by-radiculitis-of-sacral-spinal-nerve-roots-from-tarlov-cysts
#11
Irwin Goldstein, Barry R Komisaruk, Rachel S Rubin, Sue W Goldstein, Stacy Elliott, Jennifer Kissee, Choll W Kim
INTRODUCTION: Since 14 years of age, the patient had experienced extreme penile pain within seconds of initial sexual arousal through masturbation. Penile pain was so severe that he rarely proceeded to orgasm or ejaculation. After 7 years of undergoing multiple unsuccessful treatments, he was concerned for his long-term mental health and for his future ability to have relationships. AIM: To describe a novel collaboration among specialists in sexual medicine, neurophysiology, and spine surgery that led to successful management...
July 12, 2017: Sexual Medicine
https://www.readbyqxmd.com/read/28693697/-therapeutic-residential-care-for-children-and-youth-a-consensus-statement-of-the-international-work-group-on-therapeutic-residential-care
#12
James K Whittaker, Lisa Holmes, Jorge F Del Valle, Frank Ainsworth, Tore Andreassen, James Anglin, Christopher Bellonci, David Berridge, Amaia Bravo, Cinzia Canali, Mark Courtney, Laurah Currey, Daniel Daly, Robbie Gilligan, Hans Grietens, Annemiek Harder, Martha Holden, Sigrid James, Andrew Kendrick, Erick Knorth, Mette Lausten, John Lyons, Eduardo Martin, Samantha McDermid, Patricia McNamara, Laura Palareti, Susan Ramsey, Kari Sisson, Richard Small, June Thoburn, Ronald Thompson, Anat Zeira
Therapeutic Residential Care for Children and Youth: A Consensus Statement of the International Work Group on Therapeutic Residential Care. In many developed countries around the world residential care interventions for children and adolescents have come under increasing scrutiny. Against this background an international summit was organised in England (spring 2016) with experts from 13 countries to reflect on therapeutic residential care (TRC). The following working definition of TRC was leading: “Therapeutic residential care involves the planful use of a purposefully constructed, multi-dimensional living environment designed to enhance or provide treatment, education, socialization, support, and protection to children and youth with identified mental health or behavioral needs in partnership with their families and in collaboration with a full spectrum of community based formal and informal helping resources”...
August 2017: Psicothema
https://www.readbyqxmd.com/read/28691520/caring-for-me-and-you-the-co-production-of-a-computerised-cognitive-behavioural-therapy-ccbt-package-for-carers-of-people-with-dementia
#13
Susie A Hales, Jane Fossey
OBJECTIVES: Carers of people with dementia face barriers in accessing therapy for mental health difficulties. Computerised cognitive behavioural therapy (cCBT) packages can be effective in treating a range of presentations; however, tailored packages for carers' unique needs are lacking. Our aim was to design a cCBT package for carers to address the limitations of previous online interventions, by including users and experts as consultants and collaborators throughout the project. METHOD: We adopted a three-phase approach to the development process...
July 10, 2017: Aging & Mental Health
https://www.readbyqxmd.com/read/28686557/the-biopsychosocial-model-40-years-of-application-in-psychiatry
#14
G Papadimitriou
In 1977, the American pathologist and psychiatrist George Engel (1913-1999) published in the Journal Science his paper "TheIn 1977, the American pathologist and psychiatrist George Engel (1913-1999) published in the Journal Science his paper "Theneed for a new medical model: A challenge for biomedicine", introducing the term Biopsychosocial Model. This model basedon the results of Engel's studies in ulcerative colitis, depression and psychogenic pain, constituted a challenge for biomedicineand the biomedical model...
April 2017: Psychiatrikē, Psychiatriki
https://www.readbyqxmd.com/read/28680260/perspectives-of-migrant-youth-parents-and-clinicians-on-community-based-mental-health-services-negotiating-safe-pathways
#15
Lucie Nadeau, Annie Jaimes, Janique Johnson-Lafleur, Cécile Rousseau
Youth mental health (YMH) services are greatly underutilized, particularly for migrant youth. Collaborative models of care offer promising avenues, but research on these treatment modalities is still scarce, particularly for migrants. The goal of this exploratory study is to better understand quality of care including factors improving access to care and collaborative YMH services use, efficacy and satisfaction, for this vulnerable population. This qualitative study relies on a multi-informants (youth, parents, clinicians) and multiple case study design to explore YMH collaborative services for migrant youth living in an urban setting (Montreal, Canada)...
2017: Journal of Child and Family Studies
https://www.readbyqxmd.com/read/28674610/the-handy-approach-quick-integrated-person-centred-support-preparation
#16
Liliana Risi, Juliette Brown, Paul Sugarhood, Babalal Depala, Abi Olowosoyo, Cynthia Tomu, Lorena Gonzalez, Maloles Munoz-Cobo, Oladimeji Adekunle, Okumu Ogwal, Eirlys Evans, Amar Shah
Cost effective care requires comprehensive person-centred formulation of solutions. The East London NHS Foundation Trust Community Health Services in Newham have piloted models of Integrated Care called 'Virtual Wards' which aim to keep people living with multiple long-term conditions, well at home by minimising system complexity. These Virtual Wards comprise Interdisciplinary Teams (IDTs) with a General Practitioner (GP) seconded to provide leadership. Historically assessments have been dominated by biomedical approaches with disability emphasised over personal aspirations and ability...
2017: BMJ Quality Improvement Reports
https://www.readbyqxmd.com/read/28673223/proceedings-of-the-12th-international-conference-on-rapid-response-systems-and-medical-emergency-teams
#17
D Jones, J Holmes, J Currey, E Fugaccia, A J Psirides, M Y Singh, G J Fennessy, K Hillman, D V Pilcher, R Bellomo, M DeVita
Rapid Response Teams (RRTs) have been introduced into hospitals worldwide in an effort to improve the outcomes of deteriorating hospitalised patients. Recently, there has been increased awareness of the need to develop systems other than RRTs for deteriorating patients. In May 2016, the 12th International Conference on Rapid Response Systems and Medical Emergency Teams was held in Melbourne. This represented a collaboration between the newly constituted International Society for Rapid Response Systems (iSRRS) and the Australian and New Zealand Intensive Care Society...
July 2017: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/28670338/exploring-the-potential-implementation-of-a-tool-to-enhance-shared-decision-making-sdm-in-mental-health-services-in-the-united-kingdom-a-qualitative-exploration-of-the-views-of-service-users-carers-and-professionals
#18
Helen Brooks, Kamelia Harris, Penny Bee, Karina Lovell, Anne Rogers, Richard Drake
BACKGROUND: As a response to evidence that mental health service users and carers expect greater involvement in decisions about antipsychotic medication choice and prescribing, shared decision-making (SDM) has increasingly come to be viewed as an essential element of person-centred care and practice. However, this aspiration has yet to be realised in practice, as service users and carers continue to feel alienated from healthcare services. Existing understanding of the factors affecting the use of tools to support SDM is limited to inter-individual influences and wider factors affecting potential implementation are underexplored...
2017: International Journal of Mental Health Systems
https://www.readbyqxmd.com/read/28669292/service-users-experiences-of-involuntary-hospital-admission-under-the-mental-health-act-2001-in-the-republic-of-ireland
#19
Rebecca Murphy, David McGuinness, Emma Bainbridge, Liz Brosnan, Heike Felzmann, Mary Keys, Kathy Murphy, Brian Hallahan, Colm McDonald, Agnes Higgins
OBJECTIVE: The objective of the study was to explore the experiences of individuals admitted to the hospital involuntarily under the Mental Health Act 2001 in the Republic of Ireland. METHODS: In this qualitative descriptive study, 50 individuals who had been involuntarily admitted to a hospital underwent face-to-face semistructured interviews approximately three months after revocation of the involuntary admission order. Data were analyzed by using an inductive thematic process...
July 3, 2017: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/28669290/cost-effectiveness-of-telemedicine-based-collaborative-care-for-posttraumatic-stress-disorder
#20
Jacob T Painter, John C Fortney, Mark A Austen, Jeffrey M Pyne
OBJECTIVE: The study examined the cost-effectiveness of a telemedicine-based collaborative care model designed to increase rural veterans' engagement in evidence-based treatments for posttraumatic stress disorder (PTSD). METHODS: The Telemedicine Outreach for PTSD (TOP) study used a pragmatic randomized effectiveness trial to examine effects of PTSD care teams located at Veterans Affairs medical centers and supporting primary care providers in satellite clinics...
July 3, 2017: Psychiatric Services: a Journal of the American Psychiatric Association
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