Benzodiazepines Intake at Youth–Experience from Adolescent Consultation at Centro Hospitalar Lisboa Norte

2017 ◽  
Vol 41 (S1) ◽  
pp. S120-S121
Author(s):  
C. Almeida ◽  
S. Paulino ◽  
M. Croca ◽  
N. Santos

IntroductionThe increasing intake of psychotropic medication by children and adolescents is a reality that worries many mental health professionals. Recently, european school survey project on alcohol and other drugs showed that tranquillizers and sedatives were mainly consumed by Portuguese youth, without medical prescription, bringing this topic to medical and health stakeholders’ attention.ObjectivesCharacterize benzodiazepine prescription in the youth population followed in a psychiatric consultation at centro hospitalar Lisboa Norte psychiatric department.AimsDiscuss Portuguese trends in mental health among youths.MethodsAnalysis of 127 adolescents, seen for the first time from January to December of 2015, using Microsoft office excel.ResultsOur sample is comprised by adolescents from 12 to 20 years old, 81 female and 46 male. Only 16% of the adolescents were medicated with benzodiazepines, although low neuroleptic doses were often required, and 30% carried out psychotherapy. Sixty-five per cent of the diagnosis corresponds to anxiety, depressive and impulse control disorders.ConclusionAlthough trends in Portuguese youth mental health seem to be encouraging, as highlighted by local reports, European Union Joint Action on Mental Health and Well-Being recommends community and school active roles in primary and secondary prevention. Our experience shows that benzodiazepines’ use is rarely necessary and symptoms as anxiety, impulsivity and insomnia decreased with other strategies. Coping strategies must be discussed with the adolescents, in formal psychotherapy or in a supportive and containing therapeutic relationship, as well as discussed in family interventions. Community initiatives promotion and increased mental health care services accessibility should be priorities.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Author(s):  
Samantha Estrada

Family members who are trying to support their loved one are often overburdened with stress, and health issues. Research has shown that families who receive family psychosocial education and support can have a dramatic impact on recovery outcomes and their family’s overall well-being. Family psychoeducation is not common. Families Healing Together (FHT) is an online family mental health recovery program that was developed to address this critical gap in family mental health care services. Using an exploratory case study methodology to understand how the program’s philosophy and practice impacts the program’s participants as well as how the participants perceive the benefits and limitations of the program. Findings suggest that the strengths of the program lie in the individual customization of the program to the consumer as well as the underlying message of hope of the program.


2020 ◽  
pp. 104365962092122
Author(s):  
Alchalee Jantapo ◽  
Wichitra Kusoom

Introduction: Healthy longevity is important in older adults. The lifestyle and cultural background are likely related to longevity. This study explored lifestyles and Buddhist Thai culture relating to longevity, and evaluated activities of daily living (ADL), body mass index (BMI), and mental health. Method: A mixed method using concurrent embedded strategy was employed. Qualitative data collection included observation and in-depth interviews with 30 older adults aged 80 years and above from Northeastern Thailand. Quantitative data: Barthel ADL, BMI, and Thai Geriatric Mental Health Assessment (T-GMH-A) were assessed. Content analysis was applied using the Strauss and Corbin method. Results: Four major themes were, promoting physical activities, prevention and control of diseases, mental health management, and Buddhist socio-Thai culture. Means of Barthel ADL, BMI, and T-GMH-A were 19.0 ( SD 1.1), 21.34 ( SD 3.07), and 53.53 ( SD 7.22), respectively. Discussion: These factors greatly influenced longevity and well-being. Culturally congruent care should be implemented to health care services.


1995 ◽  
Vol 19 (1) ◽  
pp. 24-27 ◽  
Author(s):  
Alan Lillywhite ◽  
Neil Morgan ◽  
Elizabeth Walter

As mental health care services move increasingly into the community with staff working in more isolated settings, violence against staff is becoming an increasing health and safety issue. Education and training of staff to cope with potentially violent situations is a priority, equally important is the design and physical layout of the room in which potentially violent patients are seen. This audit looked at the safety features present in consulting rooms used daily, for interviewing patients, by mental health professionals. The study identified rooms which were judged unsuitable for interviewing potentially aggressive patients in, and as a result, several recommendations for safety improvements to these rooms were made.


2021 ◽  
Vol 07 (03) ◽  
pp. 26-30
Author(s):  
Vanshika Thukral ◽  

Introduction: Mental health camps serve the purpose of enhancing people’s awareness about mental health and offer to amend related fallacy and stigma and wrong attitude towards mental illness and people with mental illness. Mental health camps offer a potential to local community to receive affordable help and utilise the available resources to identify, counsel or refer people with mental health issues or in crises situations to community agencies for providing mental health care services. Material and Methods: A one day free mental health screening, referral and counselling camp was organized on November 20, 2019 in Jamia Hamdard (deemed to be university), Delhi, premises for students and staff. The camp was conducted with due permission from Registrar with a prior notice to the security officer. Standardized inventories for anxiety, depression and stress were administered. After interpretation of scores, those in need of counselling were given one to one counselling, and further referrals, if required, were done by the mental health professionals. A total of 525 students and staff walked in the camp and 86 students were given spot counselling and referral as required. The results from inventories were later analysed and reported. Result: The analysis of inventories showed that more than 50% respondents had 50% probability of developing major stress induced health problems in the near future. More than 2/3rd participants had moderate level of stress. The camp helped in dispelling the stigma associated with talking about one’s mental health and consolidated the belief that it is okay to talk about one’s mental health.


2020 ◽  
Author(s):  
Mohammed M. J. Alqahtani

BACKGROUND The COVID-19 pandemic has obstructed the classical practices of psychological assessment and intervention via face-to-face interaction. Patients and all health professionals have been forced to isolate and become innovative to continue receiving and providing exceptional healthcare services while minimizing the risk of exposure to, or transmission of, COVID-19. OBJECTIVE This document is proposed initially as a guide to the extraordinary implementation of telepsychology in the context of the COVID-19 pandemic and to extend its implementation to use fundamentally as the main guideline for telepsychology services in Saudi Arabia and other Arabic communities. METHODS A professional task force representing different areas of professional psychology reviewed, summarized, and documented methods, policies, procedures, and other resources to ensure that the recommendations and evidence reviews were valid and consistent with best practices. RESULTS The practice of telepsychology involves the consideration of legal and professional requirements. This paper provides a guideline and recommendations for procedural changes that are necessary to address psychological services as we transition to telepsychology, as well as elucidates and demonstrates practical telepsychology frameworks, procedures, and proper recommendations for the provision of services during COVID-19. It adds a focused examination and discussion related to factors that could influence the telemedicine guideline, such as culture, religion, legal matters, and how clinical psychologists could expand their telepsychology practice during COVID-19 and after, seeking to produce broadly applicable guidelines for the practice of telepsychology. Professional steps in practical telemedicine were illustrated in tables and examples. CONCLUSIONS Telepsychology is not a luxury or a temporary response. Rather, it should be considered part of a proactive governance model to secure a continuity of mental health care services. Arabic communities could benefit from this guideline to telepsychology as an essential protocol for providing mental health services during and after the COVID-19 pandemic.


2021 ◽  
pp. 097206342110115
Author(s):  
Feryad A. Hussain

Integrative models of health care have garnered increasing attention over the years and are currently being employed within acute and secondary health care services to support medical treatments in a range of specialities. Clinical hypnosis has a history of working in partnership with medical treatments quite apart from its psychiatric associations. It aims to mobilise the mind–body connection in order to identify and overcome obstacles to managing symptoms of ill health, resulting in overall improved emotional and physical well-being. This article aims to encourage the use of hypnotherapy in physical health care by highlighting the effectiveness of hypnosis as an adjunct to medical treatment and identifying barriers preventing further integrative treatments.


2017 ◽  
Vol 3 (2) ◽  
pp. 145-151
Author(s):  
Md Abdullah Al Mamun ◽  
Ruhina Binta A Ghani

The effects of iron and zinc on cognitive, motor and behavioral development are on children is scientifically accepted and concentrates on the more recent work, some previous work and areas of controversy. There are well established associations with poor development and iron and zinc deficiency in food source but the deficiencies usually occur in disadvantaged circumstances and establishing causal relationships is not easy. The health and well being of children depend upon the interaction between their genetic potential and exogenous factors like adequacy of nutrition, safety of the environment, social interaction and other childhood activity. Both proteins-energy malnutrition and micronutrient deficiencies increase the risk of death from common diseases such as acute gastroenteritis, pneumonia and measles. Iron deficiency anemia, for example, is estimated to affect almost 25% of the world’s population resulting in high economic cost by adding to the burden on health care services, affecting learning in school. Dietary practices frequently seen in children from both developed and developing countries, leading to frequent consumption of nutrient poor foods, may also put them at risk of micronutrient deficiencies.Asian J. Med. Biol. Res. June 2017, 3(2): 145-151


Author(s):  
Suphawita Pliannuom ◽  
Kanokporn Pinyopornpanish ◽  
Chaisiri Angkurawaranon ◽  
Kanokwan Pinyopornpanish ◽  
Anawat Wisetborisut ◽  
...  

The health care services for university students are important to improve student health and well-being. Analyzing the database of health conditions in the health service system will identify common health problems, which could be useful in further appropriate and specific health service planning. This study aims to investigate the utilization of health care services and common disease diagnoses among university students enrolled at Chiang Mai University during the academic year of 2018. A retrospective study was carried out using health data from the electronic health records (EHR) database of the university hospital. Ethical procedures were followed. Out of the overall 35,249 students in the academic year 2018, 17,284 students (49.03%) had visited an outpatient department (65,150 outpatient department visits), and 407 students (1.15%) had been admitted to the hospital (458 inpatient department admissions). The proportions of utilization between each field of education and training were similar across both groups. The top five categories of diagnosis, for both outpatient department visits and inpatient department admissions, differed between gender. Some of the most common diseases included trauma and injury conditions, respiratory diseases, and mental health. The conclusion of the study is that integration of a health promotion program with preventive methods, especially regarding traffic injury, transmitted diseases, mental health support, and safe environments are essential for university students. A general overview of utilization and common diseases among university students, which is still lacking in the literature, could be useful as a platform to enhance health care services for common diseases.


2005 ◽  
Vol 15 (2) ◽  
pp. 137-155 ◽  
Author(s):  
Debra Rickwood

AbstractFor young people still at school, the school setting is vital to their mental health and wellbeing. Not only does the school environment have a direct and indirect impact on mental health, it provides an opportunistic setting in which to identify and respond to emerging mental health problems. To do this effectively, schools and school staff must work in collaboration with the young people themselves, their families, and other support services within the community, particularly primary health care services, including general practice. The importance of developing effective partnerships and care pathways between schools and the primary health care sector is being increasingly acknowledged, and initiatives such as MindMatters Plus GP have advanced our understanding in this area.


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