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Help-seeking pathways

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https://www.readbyqxmd.com/read/28196549/mental-health-related-stigma-and-pathways-to-care-for-people-at-risk-of-psychotic-disorders-or-experiencing-first-episode-psychosis-a-systematic-review
#1
P C Gronholm, G Thornicroft, K R Laurens, S Evans-Lacko
BACKGROUND: Stigma associated with mental illness can delay or prevent help-seeking and service contact. Stigma-related influences on pathways to care in the early stages of psychotic disorders have not been systematically examined. METHOD: This review systematically assessed findings from qualitative, quantitative and mixed-methods research studies on the relationship between stigma and pathways to care (i.e. processes associated with help-seeking and health service contact) among people experiencing first-episode psychosis or at clinically defined increased risk of developing psychotic disorder...
February 15, 2017: Psychological Medicine
https://www.readbyqxmd.com/read/28159009/pathways-for-best-practice-diffusion-the-structure-of-informal-relationships-in-canada-s-long-term-care-sector
#2
James W Dearing, Amanda M Beacom, Stephanie A Chamberlain, Jingbo Meng, Whitney B Berta, Janice M Keefe, Janet E Squires, Malcolm B Doupe, Deanne Taylor, Robert Colin Reid, Heather Cook, Greta G Cummings, Jennifer L Baumbusch, Jennifer Knopp-Sihota, Peter G Norton, Carole A Estabrooks
BACKGROUND: Initiatives to accelerate the adoption and implementation of evidence-based practices benefit from an association with influential individuals and organizations. When opinion leaders advocate or adopt a best practice, others adopt too, resulting in diffusion. We sought to identify existing influence throughout Canada's long-term care sector and the extent to which informal advice-seeking relationships tie the sector together as a network. METHODS: We conducted a sociometric survey of senior leaders in 958 long-term care facilities operating in 11 of Canada's 13 provinces and territories...
February 3, 2017: Implementation Science: IS
https://www.readbyqxmd.com/read/28128465/oro-facial-impairment-in-stroke-patients
#3
REVIEW
Martin Schimmel, Takahiro Ono, Otto L T Lam, Frauke Müller
Stroke is considered one of the leading causes of death and acquired disability with a peak prevalence over the age of 80 years. Stroke may cause debilitating neurological deficiencies that frequently result in sensory deficits, motor impairment, muscular atrophy, cognitive deficits and psychosocial impairment. Oro-facial impairment may occur due to the frequent involvement of the cranial nerves' cortical representation areas, central nervous system pathways or motoneuron pools. The aim of this narrative, non-systematic review is to discuss the implications of stroke on oro-facial functions and Oral Health Related Quality of Life (OHRQoL)...
January 27, 2017: Journal of Oral Rehabilitation
https://www.readbyqxmd.com/read/28114321/underexpression-of-specific-interferon-genes-is-associated-with-poor-prognosis-of-melanoma
#4
Aamir Zainulabadeen, Philip Yao, Habil Zare
Because the prognosis of melanoma is challenging and inaccurate when using current clinical approaches, clinicians are seeking more accurate molecular markers to improve risk models. Accordingly, we performed a survival analysis on 404 samples from The Cancer Genome Atlas (TCGA) cohort of skin cutaneous melanoma. Using our recently developed gene network model, we identified biological signatures that confidently predict the prognosis of melanoma (p-value < 10-5). Our model predicted 38 cases as low-risk and 54 cases as high-risk...
2017: PloS One
https://www.readbyqxmd.com/read/28067939/care-strategies-and-therapeutic-pathways-for-chronic-pain-patients-in-abruzzo-region-italy
#5
C Leuter, A Piroli, A Paladini, M Tudini, G Varrassi
BACKGROUND: Chronic pain is considered to be among the most disabling and costly diseases in North America, Europe and Australia. A large survey was conducted on chronic pain in Europe, called Pain in Europe. Italy ranks third in Europe in terms of prevalence, with 26% of the population suffering from chronic pain at some point. In 2010 Italy passed Law 38/2010, to ensure treatment for pain control in patients with oncological diseases as well as in patients with chronic non-cancer pain through a network of care services...
January 2017: Annali di Igiene: Medicina Preventiva e di Comunità
https://www.readbyqxmd.com/read/28048780/tu-ab-204-00-cdrh-fda-regulatory-processes-and-device-science-activities
#6
Anita Nosratieh
: The responsibilities of the Food and Drug Administration (FDA) have increased since the inception of the Food and Drugs Act in 1906. Medical devices first came under comprehensive regulation with the passage of the 1938 Food, Drug, and Cosmetic Act. In 1971 FDA also took on the responsibility for consumer protection against unnecessary exposure to radiation-emitting devices for home and occupational use. However it was not until 1976, under the Medical Device Regulation Act, that the FDA was responsible for the safety and effectiveness of medical devices...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28048121/tu-ab-204-01-device-approval-process
#7
J Delfino
: The responsibilities of the Food and Drug Administration (FDA) have increased since the inception of the Food and Drugs Act in 1906. Medical devices first came under comprehensive regulation with the passage of the 1938 Food, Drug, and Cosmetic Act. In 1971 FDA also took on the responsibility for consumer protection against unnecessary exposure to radiation-emitting devices for home and occupational use. However it was not until 1976, under the Medical Device Regulation Act, that the FDA was responsible for the safety and effectiveness of medical devices...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28048009/tu-ab-204-03-research-activities-in-medical-physics
#8
A Badano
: The responsibilities of the Food and Drug Administration (FDA) have increased since the inception of the Food and Drugs Act in 1906. Medical devices first came under comprehensive regulation with the passage of the 1938 Food, Drug, and Cosmetic Act. In 1971 FDA also took on the responsibility for consumer protection against unnecessary exposure to radiation-emitting devices for home and occupational use. However it was not until 1976, under the Medical Device Regulation Act, that the FDA was responsible for the safety and effectiveness of medical devices...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28047465/tu-ab-204-02-device-adverse-events-and-compliance
#9
S Gonzales
: The responsibilities of the Food and Drug Administration (FDA) have increased since the inception of the Food and Drugs Act in 1906. Medical devices first came under comprehensive regulation with the passage of the 1938 Food, Drug, and Cosmetic Act. In 1971 FDA also took on the responsibility for consumer protection against unnecessary exposure to radiation-emitting devices for home and occupational use. However it was not until 1976, under the Medical Device Regulation Act, that the FDA was responsible for the safety and effectiveness of medical devices...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28047346/tu-ab-204-04-partnerships
#10
R Ochs
: The responsibilities of the Food and Drug Administration (FDA) have increased since the inception of the Food and Drugs Act in 1906. Medical devices first came under comprehensive regulation with the passage of the 1938 Food, Drug, and Cosmetic Act. In 1971 FDA also took on the responsibility for consumer protection against unnecessary exposure to radiation-emitting devices for home and occupational use. However it was not until 1976, under the Medical Device Regulation Act, that the FDA was responsible for the safety and effectiveness of medical devices...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28018596/developing-shared-understandings-of-recovery-and-care-a-qualitative-study-of-women-with-eating-disorders-who-resist-therapeutic-care
#11
Connie Musolino, Megan Warin, Tracey Wade, Peter Gilchrist
BACKGROUND: This paper explores the differing perspectives of recovery and care of people with disordered eating. We consider the views of those who have not sought help for their disordered eating, or who have been given a diagnosis but have not engaged with health care services. Our aim is to demonstrate the importance of the cultural context of care and how this might shape people's perspectives of recovery and openness to receiving professional care. METHOD: This study utilised a mixed methods approach of ethnographic fieldwork and psychological evaluation with 28 women from Adelaide, South Australia...
2016: Journal of Eating Disorders
https://www.readbyqxmd.com/read/28018054/the-role-of-training-in-iba-implementation-beyond-primary-health-care-settings-in-the-uk
#12
Betsy Thom, Rachel Herring, Mariana Bayley
There has been a considerable drive to encourage a wide range of professional groups to incorporate alcohol screening (or identification) and brief advice (IBA) into their everyday practice. This article aims to examine the role of training in promoting IBA delivery in contexts outside primary care and other health settings. The data are drawn mainly from a structured online survey supplemented by illustrative material from nine qualitative interviews and insights from an expert workshop. Findings support the results from other research that issues relating to role relevance and role security continue to act as barriers to professional change...
September 2, 2016: Drugs: Education, Prevention, and Policy
https://www.readbyqxmd.com/read/27909250/conditional-disclosure-on-pathways-to-care-coping-preferences-of-young-people-at-risk-of-psychosis
#13
Petra C Gronholm, Graham Thornicroft, Kristin R Laurens, Sara Evans-Lacko
The interrelationship between stigma and help-seeking is under-researched among children and adolescents. This study explored stigma in relation to pathways to care among young people putatively in an early stage of increased risk of developing psychotic disorders. "Pathways to care" was defined as help-seeking and support from informal and formal resources, and increased risk was determined through the presence of persistent psychotic-like experiences and internalizing/externalizing psychopathology. Twenty-nine qualitative interviews were analyzed using thematic analysis...
November 30, 2016: Qualitative Health Research
https://www.readbyqxmd.com/read/27893185/women-s-pathways-to-abortion-care-in-south-carolina-a-qualitative-study-of-obstacles-and-supports
#14
Judy Margo, Lois McCloskey, Gouri Gupte, Melanie Zurek, Seema Bhakta, Emily Feinberg
CONTEXT: Women seeking timely and affordable abortion care may face myriad challenges, including high out-of-pocket costs, transportation demands, scheduling difficulties and stigma. State-level regulations may exacerbate these burdens and impede women's access to a full range of care. Women's reports of their experiences can inform efforts to improve pathways to abortion care. METHODS: In 2014, semistructured qualitative interviews were conducted with 45 women obtaining abortions in South Carolina, which has a restrictive abortion environment...
December 2016: Perspectives on Sexual and Reproductive Health
https://www.readbyqxmd.com/read/27876052/implementing-the-united-kingdom-s-ten-year-teenage-pregnancy-strategy-for-england-1999-2010-how-was-this-done-and-what-did-it-achieve
#15
Alison Hadley, Roger Ingham, Venkatraman Chandra-Mouli
BACKGROUND: In 1999, the UK Labour Government launched a 10-year Teenage Pregnancy Strategy for England to address the country's historically high rates and reduce social exclusion. The goal was to halve the under-18 conception rate. This study explores how the strategy was designed and implemented, and the features that contributed to its success. METHODS: This study was informed by examination of the detailed documentation of the strategy, published throughout its 10-year implementation...
November 22, 2016: Reproductive Health
https://www.readbyqxmd.com/read/27852712/perceived-barriers-to-accessing-mental-health-services-among-black-and-minority-ethnic-bme-communities-a-qualitative-study-in-southeast-england
#16
Anjum Memon, Katie Taylor, Lisa M Mohebati, Josefin Sundin, Max Cooper, Thomas Scanlon, Richard de Visser
OBJECTIVE: In most developed countries, substantial disparities exist in access to mental health services for black and minority ethnic (BME) populations. We sought to determine perceived barriers to accessing mental health services among people from these backgrounds to inform the development of effective and culturally acceptable services to improve equity in healthcare. DESIGN AND SETTING: Qualitative study in Southeast England. PARTICIPANTS: 26 adults from BME backgrounds (13 men, 13 women; aged >18 years) were recruited to 2 focus groups...
November 16, 2016: BMJ Open
https://www.readbyqxmd.com/read/27824775/evaluation-of-bipolar-disorder-in-children-and-adolescents-referred-to-a-mood-service-diagnostic-pathways-and-manic-dimensions
#17
Ana P Ferreira-Maia, Alexandre C Boronat, Miguel A Boarati, Lee Fu-I, Yuan-Pang Wang
OBJECTIVES: Few studies have examined pediatric mental health services for early-onset bipolar disorder (BD). The goal of this study was to describe diagnostic pathways and manic dimensions in BD among referred children and adolescents. METHODS: Data were obtained from a review of the charts of 814 subjects, 2 to 17 years of age, with a complaint of mood disturbances who were referred between 2003 and 2012 to a university-based child and adolescent clinic that specializes in mood disorders...
November 2016: Journal of Psychiatric Practice
https://www.readbyqxmd.com/read/27805737/do-concepts-of-depression-predict-treatment-pathways-a-closer-look-at-explanatory-models-among-clinical-and-nonclinical-samples-in-uganda
#18
Laura Renee Johnson, Eu Gene Chin, Mayanja Kajumba, Erin Buchanan, Simon Kizito, Paul Bangirana
OBJECTIVE: Explanatory models (EMs) are a collection of beliefs about a disorder that can help us understand help-seeking and treatment pathways in diverse contexts. In 2 related studies, we explore EMs about depression held among both clinical and nonclinical samples in Uganda. To explore the potential of EMs to predict help seeking, we assessed the relationship between 2 main aspects of the EM: problem conceptualization and treatment. METHOD: In Study 1, we interviewed and assessed EMs of depression for 135 lay community members and 111 professional practitioners using a vignette...
November 2, 2016: Journal of Clinical Psychology
https://www.readbyqxmd.com/read/27803893/pathways-to-care-of-alcohol-dependent-patients-an-exploratory-study-from-a-tertiary-care-substance-use-disorder-treatment-center
#19
Yatan Pal Singh Balhara, Sathya Prakash, Rishab Gupta
BACKGROUND: No study from India has examined pathways to care in alcohol using population systematically. OBJECTIVES: The present study aimed to understand the pathways to care among alcohol-dependent individuals seeking help at a tertiary care center. PATIENTS AND METHODS: It was a cross-sectional, observational study. A total of 58 subjects diagnosed with alcohol- dependence syndrome as per DSM-IV-TR were included in the study. Pathways to care were assessed using the world health organization encounter form...
September 2016: International Journal of High Risk Behaviors & Addiction
https://www.readbyqxmd.com/read/27747961/inequity-in-cardiovascular-care-in-the-english-national-health-service-nhs-a-scoping-review-of-the-literature
#20
Sheena Asthana, Graham Moon, Alex Gibson, Trevor Bailey, Paul Hewson, Chris Dibben
There is a general understanding that socioeconomically disadvantaged people are also disadvantaged with respect to their access to NHS care. Insofar as considerable NHS funding has been targeted at deprived areas, it is important to better understand whether and why socioeconomic variations in access and utilisation exist. Exploring this question with reference to cardiovascular care, our aims were to synthesise and evaluate evidence relating to access to and/or use of English NHS services around (i) different points on the care pathway (i...
October 16, 2016: Health & Social Care in the Community
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