A comprehensive clinical care for patients with mental illness and COVID-19 in a psychiatric center

The pandemic of coronavirus disease (COVID)-2019 has been affected many people all around the world. Patients with mental disorders are not as safe as others; also, they might be more vulnerable in such situations. These patients take various medications, which can lead to numerous drug-drug interactions with experimental drugs uses against COVID-19. According to the potential critical interactions, we reviewed the reputable databases to find the interactions between main categories of psychiatric medications (e.g., antidepressants, anti-psychotics, sedative/hypnotics, and mood stabilizers) when used in concomitant with COVID-19 experimental agents (e.g., hydroxychloroquine, lopinavir/ritonavir, atazanavir, and chloroquine). We hope the list provided in this review helps the clinical care staff in treating patients with mental illness infected with severe acute respiratory syndrome coronavirus 2 during the COVID-19 pandemic.

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Clinical Applications and Investigation of the Acceptance of Mental Illness

Acceptance of Mental Illness ◽

10.1093/med:psych/9780190204273.003.0010 ◽

2016 ◽

pp. 146-158

Author(s):

Lauren Mizock ◽

Zlatka Russinova

Keyword(s):

Mental Illness ◽

Serious Mental Illness ◽

Culturally Diverse ◽

Clinical Care ◽

Clinical Applications ◽

Barriers And Facilitators ◽

Future Research ◽

Potential Development ◽

Peer Specialists ◽

Diverse Groups

This chapter reviews the 14 key principles of the process of acceptance of mental illness among culturally diverse groups that emerged from the findings in this book. Each principle is accompanied by clinical recommendations for facilitating the process of acceptance of mental illness. Examples are provided as to how clinicians, peer specialists, and researchers might respond to issues of acceptance of mental illness to facilitate hope and recovery. A number of acceptance-related techniques and theories in clinical care are also discussed. To further understanding and promote the process of acceptance of mental illness among persons in recovery, areas of potential development for future research are reviewed. An “Acceptance of Mental Illness Checklist” with scoring information is provided to assess the dimensions of acceptance and barriers and facilitators among people with serious mental illness and to aid further clinical and research examination of this construct.

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Acceptance of Mental Illness Among Women

Acceptance of Mental Illness ◽

10.1093/med:psych/9780190204273.003.0006 ◽

2016 ◽

pp. 90-101

Author(s):

Lauren Mizock ◽

Zlatka Russinova

Keyword(s):

Mental Illness ◽

Serious Mental Illness ◽

Clinical Care ◽

Clinical Recommendations ◽

Stigma And Discrimination ◽

Clinical Strategies ◽

Multiple Levels ◽

The Impact ◽

Experiences Of Women

This chapter reviews the experiences of women with serious mental illness and the various disparities encountered by them. These disparities include higher rates of victimization, unemployment, poverty, homelessness, and inequities in clinical care. The impact of these disparities and associated stigma on the acceptance process is presented. This chapter centers on a discussion of intersectional stigma, or overlapping, multiple levels of stigma and discrimination, faced by women with serious mental illness. Several participant case narratives are presented in order to demonstrate the impact of intersectional stigma on the process of acceptance for women with serious mental illness. Clinical recommendations are provided to facilitate acceptance among women who experience intersectional stigma. A clinical strategies list, discussion questions, activities, the “Intersectional Stigma Worksheet,” and an explanatory table are included at the close of the chapter.

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Collaborative Tele-Neuropsychiatry Consultation Services for Patients in Central Prisons

Journal of Neurosciences in Rural Practice ◽

10.4103/jnrp.jnrp_215_18 ◽

2019 ◽

Vol 10 (01) ◽

pp. 101-105 ◽

Cited By ~ 3

Author(s):

Preethi Pansari Agarwal ◽

Narayana Manjunatha ◽

Guru S. Gowda ◽

M. N. Girish Kumar ◽

Neelaveni Shanthaveeranna ◽

...

Keyword(s):

Mental Illness ◽

Inpatient Care ◽

South India ◽

Clinical Care ◽

Healthcare Delivery ◽

Clinical Settings ◽

Prison Inmates ◽

Specialist Doctor ◽

Patient Model ◽

Consultation Services

ABSTRACT Background: Tele-medicine helps to provide clinical care comparable to in-person treatment in various clinical settings. It is a novel system of healthcare delivery in both low-resource settings and sites where adequate medical care continues to pose greatest challenge like in prison’s in India and worldwide. Aim: To study the sociodemographic and clinical profile of patients from Central Prisons, having received collaborative Tele-Neuropsychiatric Care. Methodology: Psychiatry, neurology, and neurosurgery specialists provided tele-neuropsychiatry consultation through Specialist–Doctor–Patient model as part of the state-run program for the two central prisons from July 1, 2014, to June 30, 2016. A retrospective file review was done of the tele-neuropsychiatry case records at Tele-Medicine Centre, Located at Tertiary Neuro Psychiatric centre of South India. Results: A total of 53 patients were provided tele-neuropsychiatric consultation over 2-year period. Of these, 48 (90.6%) were male and 34 (64.1%) were aged more than 30 years. In total, 20.7% of them had severe mental illness, i.e., schizophrenia and mood disorders, 20.7% with substance use disorder (alcohol and cannabis), 17% had anxiety disorders while 17% with seizure disorder. Nearly 81.1% of patients (inmates) were advised pharmacotherapy while 18.9% were suggested further evaluation of illness and inpatient care at the higher center. Conclusion: The collaborative care was successful in delivering psychiatry, neurology, and neurosurgery consultation with a Specialist–Doctor–Patient model to prison inmates.

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Lesbian, Gay, Bisexual, Transgender, and Queer People

10.1093/med/9780190610999.003.0025 ◽

2017 ◽

Author(s):

Laura Erickson-Schroth ◽

Antonia Barba

Keyword(s):

Mental Illness ◽

Sexual Orientation ◽

Gender Identity ◽

Clinical Care ◽

Barriers To Treatment ◽

Clinical Issues ◽

Case Examples ◽

Increased Risk ◽

The Media ◽

And Gender

Although discussion of sexual orientation and gender identity is more prevalent in the media now than ever before, the lesbian, gay, bisexual, transgender, and queer (LGBTQ) population continues to encounter stigma, disproportionately high rates of trauma, and a resulting increased risk for developing mental illness. These factors, together with a conflicted history with the field of psychiatry, can create barriers to treatment that require practitioners to be active in their approach to providing LGBTQ-inclusive care. This chapter uses case examples to illustrate the range of psychosocial and clinical issues experienced by this population and suggests approaches for improving clinical care. It also discusses strategies for creating safe and LGBTQ-affirming environments.

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The Chinese Mandarin Version of the Crisis Triage Rating Scale for Taiwanese with Mental Illness to Compulsory Hospitalization

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph182413392 ◽

2021 ◽

Vol 18 (24) ◽

pp. 13392

Author(s):

Shuo-Yen Ting ◽

Tsuo-Hung Lan ◽

Lih-Jong Shen ◽

Chun-Yuan Lin ◽

Shih-Kai Lee ◽

...

Keyword(s):

Mental Illness ◽

Human Rights ◽

Rating Scale ◽

Youden Index ◽

Validity Index ◽

Psychiatric Admission ◽

Cross Sectional ◽

Cross Sectional Design ◽

Psychiatric Center ◽

Chinese Mandarin

Background: A controversial issue of the need to protect human rights and ensure public safety still remains a conflict in Taiwan. The purpose of this study was to translate the Crisis Triage Rating Scale to Chinese Mandarin (CMCTRS). Method: A cross-sectional design with convenient sampling was employed in this study. The CMCTRS was tested on 302 Taiwanese individuals with mental illness who were admitted to the emergency room (ER) of a psychiatric center. A higher score indicated a greater need for mandatory psychiatric admission. Psychiatrists rated the patients’ status according to three scale criteria and six action plans of recommendations. Results: Five specialists evaluated the content validity index to be 0.8. A total of 210 participants (69.5%) were deemed suitable for compulsory hospitalization or admission for observation in ER. The optimal cut-off score was 8, with a Youden Index of 1.46, a sensitivity of 0.748, and a specificity of 0.712 in deciding the need for hospitalization or observation. Conclusions: The CMCTRS exhibited an acceptable criterion validity with psychiatrists in a population of 302 patients at the ER of a psychiatric center. A cut-off point of 8 is recommended for determining hospitalization or a minimum 24 h stay at emergency for observation.

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From Randomized Controlled Trials to Evidence-Based Clinical Care for Severe Mental Illness

Comprehensive Treatment of Schizophrenia ◽

10.1007/978-4-431-68514-2_32 ◽

2002 ◽

pp. 298-308 ◽

Cited By ~ 2

Author(s):

Ulf Malm ◽

◽

Nils Gustaf Lindgren

Keyword(s):

Mental Illness ◽

Randomized Controlled Trials ◽

Severe Mental Illness ◽

Clinical Care ◽

Controlled Trials ◽

Evidence Based ◽

Randomized Controlled

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Continuity of Life Interview: Development and Evaluation of a Novel Instrument for the Assessment of Recovery from Mental Illness

The International Journal of Person Centered Medicine ◽

10.5750/ijpcm.v4i4.495 ◽

2015 ◽

Vol 4 (4) ◽

pp. 239-243

Author(s):

Aleksandar Janca ◽

Alyssa Lillee ◽

Adelln Sng ◽

John Cooper

Keyword(s):

Mental Illness ◽

Clinical Care ◽

Meaningful Life ◽

Rater Reliability ◽

Retest Reliability ◽

Reliable Instrument ◽

High Internal Consistency ◽

Mental Health Clients ◽

Test Retest Reliability ◽

Provision Of Care

Background: Recovery is not simply the absence of symptoms, but a journey and process of establishing a meaningful life. This concept of recovery aligns closely with the principles of person-centred medicine. Objectives: The aim of the present study was to develop and evaluate the psychometric properties of a measure entitled Continuity of Life Interview (COLI) that could capture an individual’s perceptions of continuity of life, and that might be used in the assessment of recovery in the spirit and context of person-centred medicine. Method: Thirty mental health clients participated in the COLI interview at two time points to examine its test-retest reliability. Additionally, the first COLI interview was rated by the interviewer and an observer to assess its inter-rater reliability. Results: Results showed that the COLI had high internal consistency and inter-rater reliability, and moderate test-retest reliability. The COLI was also perceived as a tool relevant to clients’ clinical care, and in a number of cases, enhanced clinicians’ understanding of their clients.Discussion: The COLI was found to be a reliable and suitable instrument that complements the concepts of recovery and person-centred medicine. The COLI appears to be a feasible and reliable instrument that may engage the client and clinician in important conversations about provision of care and engender hopefulness for clients and clinicians in the recovery process.Conclusion: The assessment of an individual’s perceptions of continuity of life using COLI may have important implications for guiding treatment, management and recovery from mental illness and thus is in line with the key principles embedded in person-centred medicine.

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The psychiatrist as philosopher: an appreciation of Dr Séamus Mac Suibhne (Sweeney) (1978–2019)

Irish Journal of Psychological Medicine ◽

10.1017/ipm.2019.50 ◽

2019 ◽

Vol 37 (1) ◽

pp. 3-7 ◽

Cited By ~ 1

Author(s):

B. D. Kelly ◽

K. O’Loughlin

Keyword(s):

Mental Illness ◽

Medical Education ◽

British Journal ◽

Irish Journal ◽

Clinical Care ◽

Natural World ◽

Innovative Technology ◽

Consultant Psychiatrist ◽

Academic Fields ◽

Psychological Medicine

Dr Séamus Mac Suibhne (Sweeney), consultant psychiatrist and writer, who died on 8 September 2019, was a unique, much admired figure in Irish psychiatry. His interests ranged from clinical care to philosophy, from medical education to history, from innovative technology to the natural world. He was a dedicated family man as well as a doctor, scholar and writer who moved between academic fields with ease and erudition. As a clinician, he consistently placed compassion at the centre of care. Séamus’s work appeared in the Lancet, BMJ, British Journal of Psychiatry, International Journal of Social Psychiatry and Irish Journal of Psychological Medicine, among other publications. He also wrote for the Guardian, Spectator, Scotsman and Times Literary Supplement. Séamus had a particular passion for better acknowledgement and treatment of mental illness among psychiatrists, and his compelling advocacy on this theme is one of his lasting legacies.

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