Involuntary Hospitalization in a Mental Health Unit in 2014

2016 ◽  
Vol 33 (S1) ◽  
pp. S455-S455
Author(s):  
A.M. Alvarez Montoya ◽  
C. Diago Labrador ◽  
T. Ruano Hernandez
Keyword(s):  
Mental Health ◽  
Autism Spectrum ◽  
Health Unit ◽  
Involuntary Hospitalization ◽  
Hospital Unit ◽  
Procedural Law ◽  
Spectrum Disorders ◽  
Competing Interest ◽  
Mental Health Unit ◽  
Mental Health Hospital

ObjectivesDeliver a detailed analysis of the mental distortions, which led to involuntary hospitalization in a mental health unit in 2014 and their gender distribution.MethodWe analyze the total number of hospitalizations in our mental health hospital unit. From the patient registry, we extract the type of hospitalizations (voluntary or involuntary), the diagnosis and the gender.ResultsIn our analysis, we find a total of 315 hospitalizations. One hundred and fifty-nine (50.48%) of them are voluntary, 150 (47.62%) are involuntary and 6 (1.90%) are a result of a judicial order. From the total involuntary hospitalizations, 81 patients were diagnosed as psychotics disorders (60%), 34 (25.18%) affective disorders, 11 (8.14%) personality disorders, 3 (2.22%) adaptative disorders, 2 (1.48%) mental retardation and 2 (1.48%) autism spectrum disorders.ConclusionsAccording to article 763 of Spanish Procedural Law (Ley 1/2000 de Enjuiciamiento Civil) from the 7th of January: “The hospitalization of a person due to mental disorders who is not in a condition to decide for himself/herself, even should he/she be a subject to parental authority or guardianship, shall require court authorization, which shall be obtained from the court of the place of residence of the person affected by such hospitalization.” For this reason the involuntary admission is considered as an exceptional and necessary measure, which is limited in time.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Description of the autolitic acts attended in a mental health unit in 2014

2016 ◽  
Vol 33 (S1) ◽  
pp. S595-S596
Author(s):  
A.M. Alvarez Montoya ◽  
C. Diago Labrador ◽  
T. Ruano Hernandez
Keyword(s):  
Mental Health ◽  
Population Based ◽  
Hospital Unit ◽  
Range Type ◽  
Dsm Iv ◽  
Competing Interest ◽  
Age Range ◽  
Mental Health Unit ◽  
Mental Health Hospital ◽  
Health Hospital

ObjectiveThe objective of the study is the analysis and the description of patients who committed autolitic acts and were attended in a mental health hospital unit in 2014.MethodWe analyze the patient registry for the attended emergencies in our mental health hospital unit, extracting the following variables: gender distribution, age range, type of method applied in the attempt and diagnosis based on DSM-IV TR.ResultsThe study reveals a larger share of autolitic acts in the feminine population between 14 and 69 years old. A total of 31 patients needed to be attended in an emergency hospital unit (11.74%). The most common method is the medical substance abuse (23 patients, 74.19% from the admitted patients in our Mental Health Hospitalary Unit). The diagnoses in order of frequency were; affective disorders (13 patients, 41.93%), personality disorders (8 patients, 25.80%), adaptative disorders (7 patients, 22.58%) and psychotics disorders (3 patients, 9.68%).ConclusionOur population-based sample confirms the epidemiologic data found in the consulted literature as well as in other population groups.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Descriptive Study of Adjustment Disorders in a Mental Health Unit.

2017 ◽  
Vol 41 (S1) ◽  
pp. S607-S607
Author(s):  
L. González ◽  
B. Pecino ◽  
C. Gomez ◽  
M. Anibarro ◽  
C. Ortigosa
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Care Physician ◽  
Psychiatric Evaluation ◽  
Adjustment Disorders ◽  
Health Unit ◽  
Social Difficulties ◽  
Current Employment Status ◽  
Competing Interest ◽  
Mental Health Unit

IntroductionAdjustment disorders are a common psychiatric disorder in primary care and mental health units, with point prevalence estimates ranging from 0.9% to 2.3%. These disorders have been recently defined as a stress response syndrome in the fifth edition of the DSM, causing emotional and social difficulties and also a large economic burden on society.ObjectivesThe aim of this descriptional study was to analyse the socio-demographic characteristics and treatment of the patients diagnosed with adjustment disorders in the first visit in a mental health unit.MethodsThe study sample consisted of 128 patients admitted for a psychiatric consultation in a mental health unit in Alicante (Spain) from their primary care physician, between February and July 2016. Variables of gender, age, current employment status, diagnosis and treatment were measured. Data analysis was conducted using SPSS software.ResultsThe data from 31 patients who were diagnosed with adjustment disorders meant a 24% of the sample. The median age was 47 years old in the adjustment disorders group. Among those with adjustment disorders, 61% were women, and 52% of them were unemployed. Almost 60% of them had at least one pychotropic prescription and only 22% were derived to psychology.ConclusionsAdjustment disorders are considered as an intermediate category between no mental disorder and affective disorders. Most authors recommend to start with a psychotherapeutic intervention. Despite starting with medication has not proved effectiveness in the studies, most of the patients had at least one psychotropic prescription before the psychiatric evaluation.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Descriptive study of the first consultations in a mental health unit

2017 ◽  
Vol 41 (S1) ◽  
pp. S700-S700
Author(s):  
E. Bobadilla ◽  
C. Quiroga
Keyword(s):  
Mental Health ◽  
Service Delivery ◽  
Psychiatric Hospitalization ◽  
Descriptive Study ◽  
Psychiatric History ◽  
Health Unit ◽  
Patient Profile ◽  
Competing Interest ◽  
Mental Health Unit ◽  
Improve Service Delivery

The profile of patients cared for in a mental health unit is diverse. However, there are recurring features. In this study, a total of 100 patients were evaluated for 2 months. This study describes the socio-demographic aspects, the reason for the consultation, the psychiatric history, the diagnoses, the previous treatments and the presence of previous admissions in a psychiatric hospitalization unit. Knowledge of the patient profile will improve service delivery.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Paliperidone palmitate: Experience in a community mental health unit

2017 ◽  
Vol 41 (S1) ◽  
pp. s804-s805
Author(s):  
L. Carrión Expósito ◽  
G.M. Chauca Chauca ◽  
E.L. Guadalupe
Keyword(s):  
Mental Health ◽  
Retrospective Study ◽  
Maintenance Dose ◽  
Lower Number ◽  
Paliperidone Palmitate ◽  
Health Unit ◽  
Dose Number ◽  
Competing Interest ◽  
Long Acting ◽  
Mental Health Unit

IntroductionThere are many jobs that offer advantages of treatment with long-acting injectable in psychosis.ObjectiveTo know the changes in the different variables after the start of paliperidone palmitate (PP).Material and methodWe performed a descriptive and retrospective study. Were evaluated patients who received maintenance therapy with PP during 48 months.ResultsThe sample was composed of 29 patients: 72.4% men and 27.6% women. Average age of 46.21 years. In Figures 1, 2 and 3 show data obtained in relation to compliance with treatment, relapse, maintenance dose, number of admissions and visits to emergency departments respectively.ConclusionsThe administration of PP is associated with a higher level of compliance with treatment. The patients presented a lower number of relapses, hospitalizations and visits to the emergency room. The maintenance dose more used is 150 mg.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Influence of clinical and organizational changes in the use of mechanical restraint. Eight-year retrospective analysis in Mental Health Hospital Unit of Jerez de Frontera

2016 ◽  
Vol 33 (S1) ◽  
pp. S638-S638
Author(s):  
J. Pérez Revuelta ◽  
Y. Montero Beltran ◽  
L. Fernandez Cepillo ◽  
T. Molina Molina ◽  
R. Guerrero Vida ◽  
...  
Keyword(s):  
Mental Health ◽  
Retrospective Analysis ◽  
Oral Communication ◽  
Organizational Changes ◽  
Hospital Unit ◽  
Mechanical Restraint ◽  
Competing Interest ◽  
Mechanical Restraints ◽  
Mental Health Hospital ◽  
Health Hospital

IntroductionAggressiveness is a multidimensional phenomenon, characterized by many cognitive and emotional processes, which is often present in psychiatric disorders. Until the present time, mechanical restraint has been a tool used in order to avoid risks for patients or other people around them. It should be used as a last option, so new strategies to reduce the use of these measures favoring others are being developed.AimWe try to analyze the influence of clinical and organizational changes in the frequency and duration of mechanical restraints, in order to provide new data and built hypothesis for future intervention plans.MethodologyThis oral communication presents a retrospective analysis of mechanical restraints carried out in the Mental Health Hospital Unit of Jerez de la Frontera between 2007 and 2014, both inclusive, a sample of 950 episodes. Several variables will be analyzed and related to the different organizational events conducted in the Clinical Management Unit of Jerez de la Frontera.ResultsThere has been a gradual reduction in the duration of mechanical restraints carried out in the Mental Health Unit Hospital of Jerez de la Frontera over the eight years studied, specially after the implementation of the agitation protocol developed in 2011.ConclusionIn our experience, the implementation of a comprehensive clinical record, deep observation of the patient by the professionals and the development of protocols to regularize interventions performed during an episode of psychomotor agitation are useful strategies to reduce the duration of each mechanical restraint episode.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Observational study of suicide attempts in a community mental health unit

2017 ◽  
Vol 41 (S1) ◽  
pp. s887-s888
Author(s):  
M. Guerrero Jiménez ◽  
C.M. Carrillo de Albornoz Calahorro ◽  
J.M. Gota Garcés
Keyword(s):  
Mental Health ◽  
Community Mental Health ◽  
Mental Disorder ◽  
Suicide Attempts ◽  
Outpatient Setting ◽  
Suicide Mortality ◽  
List Type ◽  
Health Unit ◽  
Competing Interest ◽  
Mental Health Unit

IntroductionConcurrent with the recent global economic crisis there is a rising concern about the effect of recession on suicide mortality rates.AimTo record patients treated urgently in community mental health unit of Motril, Granada (Spain) by attempted suicide.MethodsDescriptive study recording patients treated urgently in Motril community mental health unit who have done any suicide gesture from February 2015 until December of that year.ResultsIn total, 39 urgent assessments were recorded during the observational period.The month of highest incidence was November, with 6 visits followed by August and October (5).The most common method was voluntary drug intake.Origin:– 59% were remitted from the general hospital emergency department;– critical care and emergency ambulatory devices: 1;– primary care: 10;– another specialist: 2;– own initiative: 2.Discharge diagnosis:– 35.8% individuals did not meet criteria for any mental disorder, although some of them were classified with V or Z diagnosis according to ICD-10 for making a reactive gesture to a emotional crisis, couple breakups or economic problems;– 11 of them meet criteria for various anxiety disorders, obsessive compulsive and adaptative crisis.DiscussionKnowing some peculiar characteristics in suicidal populations as well as the most prevalent pathologies, it could be adapted both the profile of nurse attendance and the type of resources needed to ensure effective patient care.ConclusionProfile of patients attended for suicide attempt in an outpatient setting in a semi-rural coastal area is variated. It is worth to mention that one-third of this population did not meet criteria for any mental disorder.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Advantages of telepsychiatry in child and adolescent mental health

2016 ◽  
Vol 33 (S1) ◽  
pp. S359-S360 ◽  
Author(s):  
R. Szeftel ◽  
L. Piacentini ◽  
C. Pataki
Keyword(s):  
Mental Health ◽  
Access To Care ◽  
Best Practice ◽  
Adolescent Mental Health ◽  
Child And Adolescent ◽  
Autism Spectrum ◽  
Child Psychiatrist ◽  
Spectrum Disorders ◽  
Competing Interest ◽  
Child Psychiatrists

IntroductionTelepsychiatry is increasingly utiilized to evaluate and treat diagnostically and geographically diverse youth. (Szeftel et al., 2012; Hilty et al., 2013). Important public health implications arise for US psychiatrically ill youth, most of whom receive no treatment, others depend on pediatricians without input from a child psychiatrist (Goldstein and Myers, 2014). Potential advantages of telepsychiatry include increased access to care from child psychiatrists directly, and through collaborations with pediatricians, and uniquely positive response in patients more communicative in this setting (Pakyrek et al., 2010).Objectives– To present the effectiveness of Telepsychiatry in psychiatrically ill youth, and specific subgroups who especially benefit.– To show increased access to psychiatric care occurs through collaborations between child psychiatrists and pediatricians.AimsTo present the advantages of telepsychiatry for child and adolescent mental health and clinicians.MethodsReview of selected published Telepsychiatric evidence-based research and best practice recommendations.Results– Psychiatrically ill youth are effectively evaluated and treated using Telepsychiatry (Myers et al. (2011), Hilty et al., 2013).– Very young children and youth with Autism Spectrum Disorders, or anxiety disorders respond particularly positively to Telepsychiatry (Szeftel et al., 2012; Pakyuerek et al., 2010: Myers et al., 2010).– Telepsychiatry provides increased access to care through collaborations between child psychiatrists and pediatricians (Goldstein and Myers, 2014; Myers et al., 2011).ConclusionTelepsychiatry is a promising advantageous modality for youth based on effectiveness, broad administration and unique benefit for very young and socially impaired youth.References not available.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Implementing Silent Disco Headphones in a Hospital Unit: A Qualitative Study of Feasibility, Acceptance, and Experience Among Patients and Staff

2021 ◽  
Vol 7 ◽  
pp. 237796082110213
Author(s):  
Lillian Hung, PhD, RN ◽  
Kevin Dahl, BMT ◽  
Gail Peake ◽  
Luka Poljak ◽  
Lily Wong ◽  
...  
Keyword(s):  
Mental Health ◽  
Older Adult ◽  
Clinical Setting ◽  
Well Being ◽  
Perceived Usefulness ◽  
Health Unit ◽  
Hospital Unit ◽  
Positive Effects ◽  
Adult Mental Health ◽  
Mental Health Unit

Introduction Music is so widely available and inexpensive in the modern world; it is a common option for stress reduction, comfort and enjoyment. Silent disco headphones are used among young people; however, no study has yet investigated whether it is feasible to use these headphones to support mental health and well-being among older people with dementia in hospital settings. Objective The study’s main objective is to explore whether music delivered by silent disco headphones was feasible and acceptable to a sample of inpatients staying in an older adult mental health unit of a large urban hospital. Methods We employed a video-ethnographic design in data collection, including conversational interviews and observations with video recording among ten patient participants in a hospital unit. A focus group was conducted with ten hospital staff on the unit. Results Our analysis identified three themes that represented experiences of patients and staff: (1) perceived usefulness, (2) perceived ease of use, and (3) attitude. Patient participants reported the music delivered by the headphones brought positive benefits. Witnessing the positive effects on patients influenced the staff’s view of how music could be used in the clinical setting to support patients’ well-being. Conclusions The music delivered by the silent disco headphones in an older adult mental health unit was found to be an acceptable and feasible intervention for patients. Leadership support is identified as an enabling factor in supporting technology adoption in the clinical setting. The findings can be used to inform practice development and future research.

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