The impact of a specialized inpatient and day patient group programme on clinical outcome in older adolescents and young adults with mental illness

2016 ◽  
Vol 34 (1) ◽  
pp. 39-44 ◽  
Author(s):  
P. McCrossan ◽  
A. Ryan ◽  
M. Connellan ◽  
P. Power
Keyword(s):  
Mental Illness ◽  
Young Adults ◽  
Rating Scale ◽  
University Hospital ◽  
Service Users ◽  
Data Set ◽  
Paired Sample ◽  
Group Programme ◽  
The Impact ◽  
Adults With Mental Illness

IntroductionEffective transition from child and adolescent mental health services (CAMHS) to adult services is one of the main challenges currently facing child psychiatry todayThe Young Adult 1Programme (YAP) based at St. Patrick’s University Hospital Dublin, is a group based day programme especially designed to meet the needs of younger people aged 18–25 and support them through this difficult period.AimsTo examine the effectiveness of participation in YAP for young adults with mental illness. To determine whether participation in particular aspects of the programme prove more beneficial and what factors might be associated with outcome.MethodAll patients enrolled in YAP between 1 September 2011 and 31 August 2012 were included in the study. Each patient was assessed using the Health of the Nation Outcome Scales (HONOS) and Global Assessment of Functioning (GAF) rating scale before beginning the programme and after discharge in order to evaluate improvement. The frequency of attendance at individual group sessions was recorded. Patient and illness variables were also recorded, for example demographics, diagnosis.ResultsA total of 101 service users were in enrolled in YAP during this 12-month period. Eight service users could not be used for analysis, as they did not have a complete data set, mostly due to failure to attend for discharge HONOS/GAF ratingsUsing a paired sample t-test, there is a significant reduction in HONOS: Mean df=1.3, s.d.=1.09 (95% CI=1.08–1.53), p<0.001Using a paired sample t-test, there is a significant increase in GAF: Mean df=9.25, s.d.=7.69 (95% CI=7.66–10.83), p<0.001Improvements in HONOS and GAF scores are significantly correlated with better attendance at the programme (p<0.04, <0.00 respectively).ConclusionMore attendance at YAP sessions correlates with better improvement in both HONOS and GAF rating scores.

scholarly journals Barriers and facilitators to employment for young adults with mental illness: a scoping review

BMJ Open ◽  
2018 ◽  
Vol 8 (12) ◽  
pp. e024487 ◽  
Author(s):  
Taryn Gmitroski ◽  
Christl Bradley ◽  
Lyn Heinemann ◽  
Grace Liu ◽  
Paige Blanchard ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Young Adults ◽  
Social Services ◽  
Scoping Review ◽  
Mental Health Treatment ◽  
Adult Population ◽  
Barriers And Facilitators ◽  
Self Awareness ◽  
Adults With Mental Illness

ObjectivesThe issue of gaining employment for those with mental illness is a growing global concern. For many in the young adult population, who are at a transitional age, employment is a central goal. In response, we conducted a scoping review to answer the question, ‘What are the barriers and facilitators to employment for young adults with mental illness?’DesignWe conducted a scoping review in accordance to the Arksey and O’Malley framework. We performed a thorough search of Medline, EMBASE, CINAHL, ABI/INFORM, PsycINFO and Cochrane. We included studies that considered young adults aged 15–29 years of age with a mental health diagnosis, who were seeking employment or were included in an employment intervention.ResultsOur search resulted in 24 research articles that focused on employment for young adults with mental illness. Four main themes were extracted from the literature: (1) integrated health and social services, (2) age-exposure to employment supports, (3) self-awareness and autonomy and (4) sustained support over the career trajectory.ConclusionsOur review suggests that consistent youth-centred employment interventions, in addition to usual mental health treatment, can facilitate young adults with mental illness to achieve their employment goals. Aligning the mental health and employment priorities of young adults may result in improved health and social outcomes for this population while promoting greater engagement of young adults in care.

scholarly journals Did the Affordable Care Act Young Adult Provision Affect Labor Market Outcomes? Analysis Using Tax Data

ILR Review ◽  
2017 ◽  
Vol 71 (5) ◽  
pp. 1154-1178 ◽  
Author(s):  
Bradley Heim ◽  
Ithai Lurie ◽  
Kosali Simon
Keyword(s):  
Young Adults ◽  
Labor Market ◽  
Young Adult ◽  
Affordable Care Act ◽  
Labor Market Outcomes ◽  
Full Time ◽  
Market Outcomes ◽  
Data Set ◽  
The Affordable Care Act ◽  
The Impact

Using a data set of US tax records spanning 2008 to 2013, the authors study the impact of the Affordable Care Act (ACA) young adult dependent coverage requirement on labor market–related outcomes, including measures of employment status, job characteristics, and postsecondary education. They find that the ACA provision did not result in substantial changes in labor market outcomes. Results show that employment and self-employment are not statistically significantly affected. Although some evidence supports the increased likelihood of young adults earning lower wages, not receiving fringe benefits, enrolling as full-time or graduate students, and young men being self-employed, the magnitudes imply extremely small impacts on these outcomes in absolute terms and when compared to other estimates in the literature. The authors find these results to be consistent with health insurance being less salient to young adults, compared to other populations, when making labor market decisions.

Adventure Camps for Young Adults and Adults With Mental Illness

2012 ◽  
Vol 63 (11) ◽  
pp. 1154-1154 ◽  
Author(s):  
Sue M. Cotton ◽  
Felicity J. Butselaar
Keyword(s):  
Mental Illness ◽  
Young Adults ◽  
Adults With Mental Illness

Caring for Young Adults With Mental Illness

2004 ◽  
Vol 55 (7) ◽  
pp. 835-a-835
Author(s):  
Bruce J. Henry ◽  
Robert J. Giugliano
Keyword(s):  
Mental Illness ◽  
Young Adults ◽  
Adults With Mental Illness

scholarly journals Fenugreek seed poultice versus cold cabbage leaves compresses for relieving breast engorgement: An interventional comparative study

2020 ◽  
Vol 10 (5) ◽  
pp. 82
Author(s):  
Hanan Elzeblawy Hassan ◽  
Eman Ali Abd El Moaty Sheha ◽  
Sharbat Thabet Hassanine ◽  
Wafaa Mostafa Ahmed Gamel
Keyword(s):  
Comparative Study ◽  
Rating Scale ◽  
Numerical Rating Scale ◽  
Placebo Treatment ◽  
Nursing Intervention ◽  
Structured Interview ◽  
University Hospital ◽  
Painful Condition ◽  
Fenugreek Seed ◽  
The Impact

Background: Breast engorgement is an uncomfortable and painful condition affecting a large slid of mothers in their early postpartum period. Several approaches have been explored for pharmacological or non-pharmacological interventions applied to the treatment of breast engorgement. Some of the non-medical interventions include Fenugreek seed poultice and cold cabbage leaves compresses. Aim: Study the impact of nursing intervention on relieves of breast engorgement among puerperal breastfeeding women and compare Fenugreek seed poultice versus could cabbage leaves compresses as two different nursing care approaches of on relieving of breast-engorgement.Methods: Setting: Postnatal unit and outpatient clinic of Beni-Suef and El-Fayoum University Hospital. Design: A quasi-experimental comparative study. Subjects: A purposive sample of a total of 100 puerperal mothers; 50 in the Fenugreek group \& 50 in the cold Cabbage group. Tools: A specialized designed structured interview schedule and Breast Engorgement Assessment Scale (Numerical rating scale, Modified Reeda Scale, Six-points engorgement scale, Fever Chart, and LATCH breastfeeding charting scale).Results: A significant improvement of breast condition after intervention for both groups regardless of the applied measure was found; however, the improvement was better and shorter time among Fenugreek group than Cabbage group (p < .05). Conclusions: For the management of breast engorgement, both Fenugreek seed poultice and cold Cabbage leaves were effective. However, Fenugreek seed was more highly effective where breast engorgement was alleviated in a shorter time than cold Cabbage leaves. Recommendations: Further randomized controlled trials with possible placebo treatment should be carried out to elucidate the non-specific effects of Fenugreek seed poultice and cold Cabbage leaves application.

scholarly journals Concrete Research Poetry: A Visual Representation of Metaphor

2017 ◽  
Vol 2 (1) ◽  
pp. 32 ◽  
Author(s):  
Marcy Meyer
Keyword(s):  
Mental Illness ◽  
Young Adults ◽  
Single Mothers ◽  
Visual Representation ◽  
Structured Interview ◽  
Interview Data ◽  
Concrete Research ◽  
Metaphor Analysis ◽  
Children And Young Adults ◽  
Adults With Mental Illness

In this paper, the author employs concrete research poetry as a visual representation of a metaphor analysis.  Using autoethnographic methods, she explores the experiences of eight single mothers of children and young adults with mental illness.  She conducts a metaphor analysis of semi-structured interview data and generates concrete poetic structures from metaphors that emerged from the data.  In the process, she transforms data into art.

scholarly journals The Impact of Surgical Amputation and Valproic Acid on Pain and Functional Trajectory: Results from the Veterans Integrated Pain Evaluation Research (VIPER) Randomized, Double-Blinded Placebo-Controlled Trial

Pain Medicine ◽  
2019 ◽  
Vol 20 (10) ◽  
pp. 2004-2017 ◽  
Author(s):  
Thomas Buchheit ◽  
Hung-Lun John Hsia ◽  
Mary Cooter ◽  
Cynthia Shortell ◽  
Michael Kent ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Valproic Acid ◽  
Revision Surgery ◽  
Rating Scale ◽  
Short Form ◽  
Medical Center ◽  
Controlled Trial ◽  
University Hospital ◽  
The Impact ◽  
Regional Anesthetic

Abstract Objective To determine if the perioperative administration of valproic acid reduces the incidence of chronic pain three months after amputation or revision surgery. Design Multicenter, randomized, double-blind, placebo-controlled trial. Setting Academic, military, and veteran medical centers. Subjects One hundred twenty-eight patients undergoing amputation or amputation revision surgery at Duke University Hospital, Walter Reed National Military Medical Center, or the Durham Veterans Affairs Medical Center for either medical disease or trauma. Methods Patients were randomized to placebo or valproic acid for the duration of hospitalization and treated with multimodal analgesic care, including regional anesthetic blockade. Primary outcome was the proportion of patients with chronic pain at three months (average numeric pain score intensity of 3/10 or greater). Secondary outcomes included functional trajectories (assessed with the Brief Pain Inventory short form and the Defense and Veterans Pain Rating Scale). Results The overall rate of chronic pain was 68.2% in the 107 patients who completed the end point assessment. There was no significant effect of perioperative valproic acid administration, with a rate of 65.45% (N = 36) in the treatment group and a rate of 71.15% (N = 37) in the placebo group. Overall, pain scores decreased from baseline to follow-up (median = –2 on the numeric pain scale). Patients additionally experienced improvements in self-perceived function. Conclusions The rate of chronic pain after amputation surgery is not significantly improved with the perioperative administration of valproic acid. In this cohort treated with multimodal perioperative analgesia and regional anesthetic blockade, we observed improvements in both pain severity and function.

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