Use of newer technologies with existing service for family reintegration of unknown psychiatric patients: A case series

2019 ◽  
Vol 43 ◽  
pp. 205-207 ◽  
Author(s):  
Guru S. Gowda ◽  
Ashay Telang ◽  
Chandra Reddy Sharath ◽  
Thomas Gregor Issac ◽  
Chintala Haripriya ◽  
...  
Keyword(s):  
Psychiatric Patients ◽  
Case Series ◽  
Family Reintegration

scholarly journals Suicide rates among patients subject to community treatment orders in England during 2009–2018

BJPsych Open ◽  
2021 ◽  
Vol 7 (6) ◽  
Author(s):  
Isabelle M. Hunt ◽  
Roger T. Webb ◽  
Pauline Turnbull ◽  
Jane Graney ◽  
Saied Ibrahim ◽  
...  
Keyword(s):  
Mental Health ◽  
Suicide Risk ◽  
Psychiatric Patients ◽  
Case Series ◽  
Population Based ◽  
Time Dependent ◽  
Community Treatment ◽  
Community Treatment Orders ◽  
Suicide Rates ◽  
Discharged Patients

Background Community treatment orders (CTOs) enable patients to be treated in the community rather than under detention in hospital. Population-based studies of suicide among patients subject to a CTO are scarce. Aims To compare suicide rates among patients subject to a CTO with all discharged psychiatric patients and those detained for treatment but not subject to a CTO at discharge (‘CTO-eligible’ patients). Method From a national case series of patients who died by suicide within 12 months of contact with mental health services in England during 2009–2018, we estimated average annual suicide rates for all discharged patients, those on a CTO at the time of suicide, those ever treated under a CTO and CTO-eligible patients. Results Suicide rates for patients on a CTO at the time of suicide (191.3 per 100 000 patients) were lower than all discharged patients (482.3 per 100 000 discharges). Suicide rates were similar in those ever treated under a CTO (350.1 per 100 000 CTOs issued) and in CTO-eligible patients (382.9 per 100 000 discharges). Suicide rates within 12 months of discharge were higher in persons ever under a CTO (205.1 per 100 000 CTOs issued) than CTO-eligible patients (161.5 per 100 000 discharges), but this difference was reversed for rates after 12 months of discharge (153.2 per 100 000 CTOs issued v. 223.4 per 100 000 discharges). Conclusions CTOs may be effective in reducing suicide risk. The relative benefits of CTOs and intensive aftercare may be time-dependent, with the benefit of a CTO being less before 12 months after discharge but greater thereafter. CTO utilisation requires a careful balancing of patient safety versus autonomy.

Exposure, Relaxation, and Rescripting Therapy for Trauma-Related Nightmares With Psychiatric Inpatients: A Case Series

2020 ◽  
Vol 20 (1) ◽  
pp. 3-21
Author(s):  
Helen Reiter ◽  
Leanne Humphreys
Keyword(s):  
Acute Care ◽  
Psychiatric Hospital ◽  
Psychological Symptoms ◽  
Psychiatric Patients ◽  
Hospital Setting ◽  
Case Series ◽  
Psychiatric Inpatients ◽  
Empirically Supported ◽  
Individualized Care

Research has shown that posttraumatic stress disorder (PTSD) is a highly prevalent diagnosis for psychiatric patients, yet individualized care and treatment is limited in the inpatient acute care sector. Two case studies are presented which examine the use of Exposure, Relaxation, and Rescripting Therapy (ERRT) for chronic trauma-related nightmares, within a private acute care inpatient psychiatric hospital setting. ERRT is empirically supported with efficacy for veteran and civilian populations, however no research to date has been conducted with psychiatric inpatients. Two participants diagnosed with PTSD, suffering distressing trauma-related nightmares, completed ERRT over three sessions during their psychiatric hospital admission, with the aim of reducing the frequency and severity of nightmares and related psychological symptoms. PTSD, depression, sleep quality and quantity, and nightmare frequency and related distress, were measured pre-treatment, during treatment, and follow-up at one, 3 and 6 months. Only one participant reported ongoing nightmares by the third week of the intervention, with both participants reporting an absence of nightmares at the one and 3-month follow-ups, but mixed results by the 6-month follow-up. One participant also reported a reduction in PTSD symptoms and a mild improvement in depression. The results offer some preliminary support for the provision of ERRT for the treatment of trauma-related nightmares for psychiatric inpatients.

Family Reintegration of Homeless Persons with Intellectual Disabilities: Case Series Reflecting Opportunities and Challenges

2020 ◽  
Vol 7 (2) ◽  
pp. 175-181
Author(s):  
M. R. Banu ◽  
Soumya Parameshwaran ◽  
Sadananda Reddy Annapally ◽  
Aarti Jagannathan ◽  
Shanivaram Reddy Krishnareddy ◽  
...  
Keyword(s):  
Intellectual Disabilities ◽  
Case Series ◽  
Homeless Persons ◽  
Family Reintegration

Augmentation of clozapine with amisulpride: an effective therapeutic strategy for violent treatment-resistant schizophrenia patients in a UK high-security hospital

CNS Spectrums ◽  
2013 ◽  
Vol 19 (5) ◽  
pp. 403-410 ◽  
Author(s):  
James E. Hotham ◽  
Patrick J. D. Simpson ◽  
Rosalie S. Brooman-White ◽  
Amlan Basu ◽  
Callum C. Ross ◽  
...  
Keyword(s):  
Clinical Improvement ◽  
Psychiatric Patients ◽  
Case Series ◽  
Metabolic Parameters ◽  
Treatment Resistant ◽  
High Security ◽  
Forensic Psychiatric Patients ◽  
Before And After ◽  
History Of ◽  
Forensic Psychiatric

ObjectiveClozapine is used in the management of treatment-resistant schizophrenia and is effective in reducing aggression; however a subgroup of patients is poorly responsive. For violent patients in this group, there is limited literature on the use of strategies to augment clozapine with other agents. Here we present a case series of 6 schizophrenia patients, within a high-security hospital, who have a history of serious violence and who were treated with clozapine augmented with amisulpride.MethodsWe reviewed case notes and health records for evidence of violence/aggression and positive factors such as engagement in activities, and Clinical Global Impression (CGI) scores were formulated. We also examined metabolic parameters before and after augmentation.ResultsAll 6 of the patients showed clinical improvement in symptoms and a reduction in their risk of violence to others. Five patients had a reduction in number of violent/aggressive incidents, and all patients showed improvement in engagement in occupational, vocational, and/or psychological work. Metabolic parameters were largely unchanged except for 1 patient whose Body Mass Index (BMI) increased. Five patients reported side effects as unchanged or improved.ConclusionThese schizophrenia patients with a history of violence showed clinical improvement and reduced aggression and violence with amisulpride augmentation of clozapine. To our knowledge, this is the first report of an antiaggressive benefit of this combination in forensic psychiatric patients. Further studies are warranted to establish the efficacy and anti-aggressive effects of amisulpride augmentation of clozapine.

REM sleep without atonia in middle-aged and older psychiatric patients and Lewy body disease: a case series

2016 ◽  
Vol 32 (4) ◽  
pp. 397-406 ◽  
Author(s):  
Hiroshige Fujishiro ◽  
Masato Okuda ◽  
Kunihiro Iwamoto ◽  
Seiko Miyata ◽  
Hironao Otake ◽  
...  
Keyword(s):  
Rem Sleep ◽  
Lewy Body ◽  
Psychiatric Patients ◽  
Case Series ◽  
Lewy Body Disease ◽  
Middle Aged ◽  
Rem Sleep Without Atonia

Cardiac rhythm management devices and ablation procedures in psychiatric patients: A case series and review of the literature

2020 ◽  
Vol 4 (1) ◽  
pp. 21
Author(s):  
KonstantinosA Gatzoulis ◽  
Dimitrios Tsiachris ◽  
Georgia Balta ◽  
Christos-Konstantinos Antoniou ◽  
Petros Arsenos ◽  
...  
Keyword(s):  
Cardiac Rhythm ◽  
Psychiatric Patients ◽  
Case Series ◽  
Review Of The Literature

scholarly journals Why psychiatry is different - challenges and difficulties in managing a nosocomial outbreak of coronavirus disease (COVID-19) in hospital care

2020 ◽  
Vol 9 (1) ◽  
Author(s):  
J. J. E. Rovers ◽  
L. S. van de Linde ◽  
N. Kenters ◽  
E. M. Bisseling ◽  
D. F. Nieuwenhuijse ◽  
...  
Keyword(s):  
Psychiatric Patients ◽  
Case Series ◽  
Acute Care Hospital ◽  
High Risk Group ◽  
Control Measures ◽  
Care Hospital ◽  
Nosocomial Outbreak ◽  
Outbreak Management ◽  
Combining Data ◽  
Psychiatric Department

Abstract Objective Coronavirus disease (COVID-19) was officially declared a pandemic in March 2020. Many cases of COVID-19 are nosocomial, but to the best of our knowledge, no nosocomial outbreaks on psychiatric departments of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) have been reported in Europe. The different nature of psychiatry makes outbreak management more difficult. This study determines which psychiatry specific factors contributed to a nosocomial outbreak taking place in a psychiatric department. This will provide possible interventions in future outbreak management. Method A case series describing a nosocomial outbreak in a psychiatric department of an acute care hospital in the Netherlands between March 13, 2020 and April, 14 2020. The outbreak was analyzed by combining data from standardized interviews, polymerase chain reaction (PCR) tests and whole genome sequencing (WGS). Results The nosocomial outbreak in which 43% of staff of the psychiatric department and 19% of admitted patients were involved, was caused by healthcare worker (HCW)-to-HCW transmissions, as well as patient-to-HCW-to-patient transmission. We identified four aspects associated with the mental health care system which might have made our department more susceptible to an outbreak. Conclusions Infection control measures designed for hospitals are not directly applicable to psychiatric departments. Psychiatric patients should be considered a high-risk group for infectious diseases and customized measures should be designed and implemented. Extra attention for psychiatric departments is necessary during a pandemic as psychiatric HCWs are less familiar with outbreak management. Clear communication and governance is crucial in correctly implementing these measures.

Choking on food deaths in a case series of psychiatric patients. A retrospective study of risk factors

2011 ◽  
Vol 26 ◽  
pp. e37
Author(s):  
Livia De Rezende ◽  
Sandra Seguí ◽  
Ana García ◽  
Lucía Meiriño ◽  
Ángel Ramos ◽  
...  
Keyword(s):  
Risk Factors ◽  
Retrospective Study ◽  
Psychiatric Patients ◽  
Case Series
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