scholarly journals Transdiagnostic clinical staging in youth mental health: a first international consensus statement

2020 ◽  
Vol 19 (2) ◽  
pp. 233-242 ◽  
Author(s):  
Jai L. Shah ◽  
Jan Scott ◽  
Patrick D. McGorry ◽  
Shane P.M. Cross ◽  
Matcheri S. Keshavan ◽  
...  
2019 ◽  
Vol 5 (1) ◽  
pp. e000585 ◽  
Author(s):  
Gavin Breslin ◽  
Andy Smith ◽  
Brad Donohue ◽  
Paul Donnelly ◽  
Stephen Shannon ◽  
...  

BackgroundResearch focused on mental health in sport has revealed a need to develop evidence-supported mental health practices that are sensitive to sport culture, particularly for non-elite athletes. A consensus statement was produced to assist effective mental health awareness in sport and guide programme implementation in this rapidly emerging field.MethodThe AGREE Reporting Checklist 2016 was used in two international expert consultation meetings, followed by two online surveys. Experts from 10 countries and over 30 organisations contributed.ResultsSix objectives were agreed: (1) to define mental health awareness and service implementation constructs for inclusion in programmes delivered in sporting environments; (2) to identify the need to develop and use valid measures that are developmentally appropriate for use in intervention studies with sporting populations, including measures of mental health that quantify symptom severity but also consider causal and mediating factors that go beyond pathology (ie, well-being and optimisation); (3) to provide guidance on the selection of appropriate models to inform intervention design, implementation and evaluation; (4) to determine minimal competencies of training for those involved in sport to support mental health, those experiencing mental illness and when to refer to mental health professionals; (5) to provide evidence-based guidance for selecting mental health awareness and implementation programmes in sport that acknowledge diversity and are quality assured; and (6) to identify the need for administrators, parents, officials, coaches, athletes and workers to establish important roles in the promotion of mental health in various sports settings.ConclusionThis article presents a consensus statement on recommended psychosocial and policy-related approaches to mental health awareness programmes in sport.


BJS Open ◽  
2021 ◽  
Vol 5 (Supplement_1) ◽  
Author(s):  
Chan Hee Koh ◽  
Nicolai Gruner-Hegge ◽  
Dancho Ignatov ◽  
Aneesul Shakir ◽  
Chan Hee Koh

Abstract Introduction The international consensus statement on perioperative management of anaemia advises that patients with haemoglobin (Hb) <130 be treated before undergoing elective operations. The advantages include reduced risk of acute kidney injuries, infections and transfusions, and quicker recovery. Methods Data was collected prospectively from 127 consecutive patients undergoing elective arthroplasties at Hinchingbrooke hospital. Baseline compliance with the consensus statement was first assessed in May 2018, and the results presented at a clinical governance meeting. Departmental action plans included early identification of anaemia and treatment to Hb 130, delaying operations where necessary. We then reassessed compliance in May 2019. Results There was a statistically significant change in practice (p = 0.036). The proportion of patients undergoing arthroplasties despite Hb < 130 reduced from 38% to 21%. Those operated with Hb < 120 decreased from 14% to 0%. The proportion of preoperative anaemias that were appropriately investigated during preoperative assessment increased from 11% to 80% (p < 0.001). The increase in attempted treatment of preoperative anaemia prior to surgery however was not significant (7% vs 20%; p = 0.279). Discussion Implementation of departmental action plans resulted in substantial improvements to clinical practice. For those that underwent arthroplasties despite mild preoperative anaemia, it may have been felt that delays in improvement to quality of life for treatment may be unacceptable, or the causes (e.g. chronic disease) difficult to treat. Further action plans should involve even earlier identification of anaemia, involving primary care at the point of referral.


2015 ◽  
Vol 81 (3) ◽  
pp. 489-501.e26 ◽  
Author(s):  
Loren Laine ◽  
Tonya Kaltenbach ◽  
Alan Barkun ◽  
Kenneth R. McQuaid ◽  
Venkataraman Subramanian ◽  
...  

2010 ◽  
Vol 71 (suppl E1) ◽  
Author(s):  
David J. Nutt ◽  
Jonathan R. T. Davidson ◽  
Alan J. Gelenberg ◽  
Teruhiko Higuchi ◽  
Shigenobu Kanba ◽  
...  

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