Eligibility of the patients admitted to psychiatric inpatient units for participation in catie clinical trial

2011 ◽  
Vol 26 (S2) ◽  
pp. 1368-1368
Author(s):  
M.C. Diaz ◽  
N. Morales ◽  
J. Ruiz ◽  
K. Nieto ◽  
E. Iniesta ◽  
...  
Keyword(s):  
Clinical Trials ◽  
Psychiatric Inpatient ◽  
Internal Validity ◽  
Inpatient Unit ◽  
Clinical Population ◽  
Psychiatric Ward ◽  
Inclusion Criteria ◽  
Psychiatric Inpatient Unit ◽  
Inpatient Units ◽  
Real Patients

IntroductionClinical trials (CT) are the main scientific support of the recommendations of pharmacological treatment of patients with schizophrenia. However, CT tend to strengthen the internal validity at the expense of external validity and the ability to generalize the results to the clinical population. For this reason, in recent years have developed large practical clinical trials that expand the inclusion criteria to incorporate as many real patients as possible. The first and most significant of these trials was the CATIE study (Lieberman et al, 2005).ObjectivesTo analyze eligibility for participation in CATIE of patients admitted during 2009 in a psychiatric inpatient unit with a diagnosis of schizophrenia.MethodsA total of 145 patients (27.6% females, mean age 39.6+/−12.8 years), consecutively admitted to an inpatient psychiatric ward with a clinical diagnosis of schizophrenia were assessed to test if they would fulfill criteria for participation in CATIE.Results60 (41.4%) patients did not fulfill CATIE inclusion criteria. Mental retardation (n = 22, p < 0.001), absence of informed consent (n = 15, p < 0.001) and refusal to take oral medication (n = 12, p < 0.001) were the main factors responsible for not meeting inclusion criteria.Meeting the criteria was not significantly related to gender or specific diagnosis.Conclusions41.4% of patients admitted to a psychiatric inpatient unit with a diagnosis of schizophrenia did not meet criteria for participation in the CATIE study.

Representativeness of the patients admitted to psychiatric inpatient units for hypothetical participation in practical clinical trial CATIE

2011 ◽  
Vol 26 (S2) ◽  
pp. 1369-1369
Author(s):  
M.C. Díaz ◽  
N. Morales ◽  
K. Nieto ◽  
E. Iniesta ◽  
M.A. Martin ◽  
...  
Keyword(s):  
Clinical Trials ◽  
External Validity ◽  
Psychiatric Inpatient ◽  
Internal Validity ◽  
Clinical Population ◽  
Psychiatric Ward ◽  
Inclusion Criteria ◽  
Exclusion Criteria ◽  
Psychiatric Inpatient Unit ◽  
Inpatient Units

IntroductionPharmacological treatment of patients with schizophrenia and other psychoses get scientific backing of its main clinical trials. Methodological guarantees these test tend to strengthen the internal validity of the results at the expense of external validity and the ability to generalize the results to the clinical population. For this reason, and to minimize the shortcomings of external validity while maintaining internal validity, has been promoted in recent years to carry out large clinical trials based on clinical practice. This type of test expands the criteria for inclusion, limiting the exclusion criteria to incorporate as many patients as possible. The first and most significant of these trials was the CATIE trial (Lieberman et al, 2005).ObjectivesDiscuss eligibility patients admitted during the year 2009 in a psychiatric inpatient unit with a diagnosis of schizophrenia for participation in CATIE.MethodsA total of 145 patients (27.6% females, mean age 39.6+/−12.8 years), consecutively admitted to an inpatient psychiatric ward with a clinical diagnosis of schizophrenia or other psychoses were assessed to test if they would fulfill criteria for participation in CATIE.Results60 (41.4%) patients did not fulfill CATIE inclusion criteria. Mental retardation (n = 22, p < 0.001), absence of consent (n = 15, p < 0.001) and refusal to take oral medication (n = 12, p < 0.001) were the main factors responsible for not meeting criteria. Meeting the criteria was not significantly related to gender or specific diagnosis.ConclusionsThe 41.38% of patients did not meet criteria for participation in the CATIE study.

Frequent users of an acute psychiatric inpatient unit: A 5-year retospective study

2011 ◽  
Vol 26 (S2) ◽  
pp. 518-518
Author(s):  
G. Cardoso ◽  
J. Graça ◽  
C. Klut ◽  
S. Xavier ◽  
A. Neto ◽  
...  
Keyword(s):  
Psychiatric Diagnosis ◽  
Psychiatric Inpatient ◽  
Inpatient Unit ◽  
Small Subset ◽  
Frequent User ◽  
Frequent Users ◽  
Psychiatric Inpatient Unit ◽  
Group Frequency ◽  
Inpatient Units ◽  
Depressive Patients

IntroductionA small subset of patients with above average admissions to psychiatric inpatient units is recognized in clinical practice. These frequent users tend to be younger and to have a diagnosis of schizophrenia or affective disorder. Social conditions and the severity of the illness seem to be associated with this increased number of admissions.Aims/ObjectivesTo study demographic and clinical characteristics of frequent and non-frequent users of a psychiatric inpatient unit.MethodsRetrospective data of all the patients admitted to a psychiatric inpatient unit from January 2004 to December 2008 were reviewed. Frequent-users were defined as patients with 3 or more admissions over that period of time, and non-frequent users as those with less than 3 admissions. The two groups were compared in terms of age, gender, ethnicity, psychiatric diagnosis and compulsory admissionsResultsIn a total of 2018 admissions and 1348 patients, the frequent-user group represented 10.2% (n = 137) of the patients and 28.9%(n = 584) of the admissions. Frequent-users were significantly younger (39.5 vs. 44.5 years, p = .001), more frequently black (22.6 vs. 19.4%, p < .001) and compulsorily admitted (27.7 vs. 14%, p < .001) than non-frequent users. Patients with bipolar disorder (p = .001), schizophrenia (p = .003) belonged significantly more to frequent-users group, while unipolar depressive patients (p = .016) and other diagnosis (p = .011) was more significantly represented in the non-frequent users group. Frequency of admission did not differ with gender.ConclusionsThe results concerning age and psychiatric diagnosis are consistent with previous studies. Compulsory admissions and black ethnicity were significantly higher among frequent- users.

Healthy lifestyles programme in an acute psychiatric inpatient unit

2017 ◽  
Vol 41 (S1) ◽  
pp. S379-S380
Author(s):  
I. Ganhao ◽  
M. Trigo ◽  
A. Paixao ◽  
J. Cardoso
Keyword(s):  
Weight Control ◽  
Psychiatric Inpatient ◽  
Mental Healthcare ◽  
Healthcare Services ◽  
Inpatient Unit ◽  
Healthy Lifestyles ◽  
Caffeine Consumption ◽  
Complex Needs ◽  
Psychiatric Inpatient Unit ◽  
Inpatient Units

IntroductionMental health issues and illnesses are associated with poor self-care and unhealthy lifestyles that contribute to morbidity, mortality and overall decrease in quality of life when compared to the general population. Healthy lifestyle promotion is infrequently considered a priority in mental healthcare services, especially in acute psychiatric inpatient units.ObjectivesTo present a healthy lifestyles promotion programme implemented in an acute psychiatric inpatient unit.AimsTo reflect on how to design an adequate programme for patients with complex needs.MethodsIn a general psychiatric inpatient unit, a team of two psychologists and one psychiatrist, ventured to introduce weekly activities that included drawing, colouring, painting, crafts and games, that provided a context for patients and the team to sit down together or to gradually “drift” together and make possible conversations focusing on tobacco smoking, caffeine consumption, weight control, physical activity and health promoting activities.ResultsInstead of individual or group psychoeducation talk interventions, play and art strategies, in closer proximity with the patients, made it far easier to engage difficult patients and made psychoeducation possible and fun.ConclusionsPatients with severe mental illness are frequently reluctant to engage in activities targeting healthy lifestyles, especially in acute psychiatric inpatient units, when insight and motivation for change may be low due to illness and consequences of illness. Play and art therapy interventions led by a team of mental healthcare professionals who participate directly with the patients, may be an innovative, more effective and enjoyable strategy.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Participant Reactions to Suicide-Focused Research

Crisis ◽  
2020 ◽  
Vol 41 (5) ◽  
pp. 367-374
Author(s):  
Sarah P. Carter ◽  
Brooke A. Ammerman ◽  
Heather M. Gebhardt ◽  
Jonathan Buchholz ◽  
Mark A. Reger
Keyword(s):  
Medical Records ◽  
Research Study ◽  
Small Sample Size ◽  
Psychiatric Inpatient ◽  
Small Sample ◽  
Inpatient Unit ◽  
Online Laboratory ◽  
Psychiatric Inpatient Unit ◽  
Before And After ◽  
Participant Reactions

Abstract. Background: Concerns exist regarding the perceived risks of conducting suicide-focused research among an acutely distressed population. Aims: The current study assessed changes in participant distress before and after participation in a suicide-focused research study conducted on a psychiatric inpatient unit. Method: Participants included 37 veterans who were receiving treatment on a psychiatric inpatient unit and completed a survey-based research study focused on suicide-related behaviors and experiences. Results: Participants reported no significant changes in self-reported distress. The majority of participants reported unchanged or decreased distress. Reviews of electronic medical records revealed no behavioral dysregulation and minimal use of as-needed medications or changes in mood following participation. Limitations: The study's small sample size and veteran population may limit generalizability. Conclusion: Findings add to research conducted across a variety of settings (i.e., outpatient, online, laboratory), indicating that participating in suicide-focused research is not significantly associated with increased distress or suicide risk.

scholarly journals The experience of parents faced with the admission of their adolescent to a child and adolescent psychiatric inpatient unit. A qualitative study with focus groups

2021 ◽  
Author(s):  
Beatriz Merayo-Sereno ◽  
Aránzazu Fernández-Rivas ◽  
Keyth Lany de Oliveira-Silva ◽  
Francisco-Javier Sánchez-Andérez ◽  
Eva Sesma-Pardo ◽  
...  
Keyword(s):  
Focus Groups ◽  
Psychiatric Hospitalization ◽  
Emotional Experience ◽  
Psychiatric Inpatient ◽  
Health Behavior Change ◽  
Child And Adolescent ◽  
Inpatient Unit ◽  
Entire Family ◽  
Parental Experience ◽  
Psychiatric Inpatient Unit

AbstractThe admission of an adolescent to a child and adolescent psychiatric inpatient unit has a serious impact on the entire family unit. The emotional experience of those primary caregivers has been scarcely studied qualitatively despite being recommended by previous research. This study aims to examine the experience of parents of adolescents with mental health needs that required psychiatric hospitalization in a child and adolescent unit. Qualitative cross-sectional research was carried out under the recommendations of Grounded Theory with three Focus Groups of parents (N = 22) of adolescents who required psychiatric hospitalization in a child and adolescent ward. The COREQ quality criteria were applied. The parental experience implies a high level of emotional suffering modulated by feelings of guilt, stigma, parental awareness of their child’s illness and the passage of time. The use of Prochaska’s and Diclemente’s trans-theoretical model of health behavior change is useful in understanding the parental experience.

The comparative analysis of clinical and social characteristics of patients with schizophrenia and organic mental disorders receiving care in partial inpatient units

2021 ◽  
pp. 394-403
Author(s):  
George Petrovich Kostyuk ◽  
Burygina Larisa Andreevna Burygina Larisa Andreevna ◽  
Andrey Yurevich Berezantsev ◽  
Valeriya Vasilyevna Surikova
Keyword(s):  
Comparative Analysis ◽  
Mental Disorders ◽  
Psychiatric Care ◽  
Psychiatric Inpatient ◽  
Inpatient Unit ◽  
Social Characteristics ◽  
Organic Mental Disorders ◽  
Spectrum Disorders ◽  
Day Hospitals ◽  
Inpatient Units

The article presents the results of a comparative analysis of the clinical and social characteristics of patients with schizophrenic spectrum disorders (SSD) and organic mental disorders (OMD) who received care in day hospitals and intensive psychiatric care units (Moscow). During the study, a random sample of 487 discharge epicrises was studied, of which 392 (80,49%) were patients with SSD and OMD, who were subjected to further analysis. The study revealed gender differences and low rates of labor and family adaptation in both nosological groups of patients. The highest percentage of patients observed on a long-term basis in neuropsychiatric dispensaries and the rate of hospitalization in a round-the-clock inpatient unit were among the patients with diagnoses of schizophrenic spectrum disorders who were treated in intensive psychiatric care units. There were significant differences in the routing of patients depending on the pathology: district psychiatrists more often refer patients with a diagnosis of schizophrenia to the intensive psychiatric care unit in order to prevent hospitalization and patients with organic mental disorders - to day hospitals for therapy selection and medical and social rehabilitation, while doctors of the round-theclock hospital – vice versa (in order to continue treatment or follow up in out-of-hospital conditions). There was also a circulation of patients between the intensive psychiatric care unit and the day hospitals. Isolated episodes of compliance violations were noted. Indicative indicators such as hospitalization in a round-the-clock psychiatric inpatient unit within a year after the discharge from partial inpatient units was low and was usually due to severe continuous forms of the disease and the formation of therapy resistance in patients. Day hospitals and departments (offices) of intensive psychiatric care in general effectively perform the functions of inpatient unit substitution.

scholarly journals FAMILY EXPECTATIONS ABOUT A PSYCHIATRIC INPATIENT UNIT

2015 ◽  
Vol 24 (4) ◽  
pp. 984-992 ◽  
Author(s):  
Gustavo Costa de Oliveira ◽  
Jacó Fernando Schneider ◽  
Cíntia Nasi ◽  
Marcio Wagner Camatta ◽  
Agnes Olschowsky
Keyword(s):  
Social Relations ◽  
Psychiatric Inpatient ◽  
Family Care ◽  
Inpatient Unit ◽  
University Hospital ◽  
Family Expectations ◽  
Phenomenological Sociology ◽  
Psychiatric Inpatient Unit ◽  
The Social ◽  
The Family

ABSTRACT We aimed to understand the expectations of families about a Psychiatric Inpatient Unit in the perspective of Alfred Schutz's phenomenological sociology. This is a qualitative and phenomenological research, with families of patients at a psychiatric inpatient unit of a university hospital in the state of Rio Grande do Sul, Brazil. Data were collected through phenomenological interviews, and the analysis was constructed in the light of phenomenological sociology. The results show that the expectations of the family in the Psychiatric Inpatient Unit are related to the interpretation and experiences they have in the world of everyday life; that these expectations should be valued in patient and family care; and that they may integrate the family in care for the patient. We hope to contribute so that professionals and managers reflect about the importance of understanding the expectations of families on a Unit, aiming to implement more effective health actions, based on the social relations among the subjects.

scholarly journals Patient access to psychiatric records: experience in an in-patient unit

1995 ◽  
Vol 19 (2) ◽  
pp. 87-90 ◽  
Author(s):  
Nick Kosky ◽  
Tom Burns
Keyword(s):  
Educational Attainment ◽  
Maintenance Treatment ◽  
Junior Doctor ◽  
Psychiatric Inpatient ◽  
Inpatient Unit ◽  
Therapeutic Relationships ◽  
Patient Access ◽  
Psychiatric Inpatient Unit ◽  
Lower Educational Attainment

Forty of 46 consecutive admissions to a psychiatric inpatient unit were encouraged to read their admission notes and discuss them with the Junior doctor. The offer was withheld for two patients with organic impairment. Twenty-eight patients (including 12 on compulsory admissions) accepted the offer. The 12 who refused were characterised by overall lower educational attainment. Diagnosis raised only a few problems, prognosis and maintenance treatment being the focus of most discussions. There was no evidence of a deterioration in the quality of notes or therapeutic relationships as a consequence of access. Only in one case was the exercise judged ‘harmful’, but ‘useful or essential’ in 22. Possible benefits for both patients and doctor are explored.

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