Readmission to Inpatient Psychiatric Care of Patients With Severe Mental Illness Engaged in Treatment As Usual

2011 ◽  
Author(s):  
Nicholas W. Bowersox ◽  
Stephen M. Saunders ◽  
Bertrand D. Berger
Keyword(s):  
Mental Illness ◽  
Severe Mental Illness ◽  
Psychiatric Care ◽  
Treatment As Usual ◽  
Inpatient Psychiatric Care

scholarly journals COVID-19 reinfection in a patient with a serious mental illness within a long-term inpatient psychiatric care hospital

2021 ◽  
Vol 11 (5) ◽  
pp. 292-296
Author(s):  
Brianna Englett ◽  
Amy Magdalany ◽  
Tiffany L. Gordon ◽  
Kelly Holladay
Keyword(s):  
Mental Illness ◽  
Serious Mental Illness ◽  
Psychiatric Care ◽  
Case Reports ◽  
Polymerase Chain Reaction Test ◽  
Care Hospital ◽  
Inpatient Psychiatric Care ◽  
Polymerase Chain ◽  
Chain Reaction Test

Abstract There is an increasing number of case reports of COVID-19 reinfection. The mechanism of reinfection is poorly understood and evolving. Prevention of the transmission of severe acute respiratory syndrome coronavirus 2 for those with a serious mental illness (SMI) living in a congregate setting presents unique challenges. In this case report, we describe an individual with an SMI in a long-term inpatient psychiatric care hospital who was initially diagnosed in June 2020 with COVID-19 infection via a polymerase chain reaction test. Approximately 6 months later, the patient presented with a COVID-19 reinfection and more severe COVID-like symptoms.

scholarly journals Effect of lifestyle coaching versus care coordination versus treatment as usual in people with severe mental illness and overweight: Two-years follow-up of the randomized CHANGE trial

PLoS ONE ◽  
2017 ◽  
Vol 12 (10) ◽  
pp. e0185881 ◽  
Author(s):  
Ane Storch Jakobsen ◽  
Helene Speyer ◽  
Hans Christian Brix Nørgaard ◽  
Mette Karlsen ◽  
Merete Birk ◽  
...  
Keyword(s):  
Mental Illness ◽  
Severe Mental Illness ◽  
Care Coordination ◽  
Treatment As Usual ◽  
Change Trial ◽  
Versus Treatment

scholarly journals Inpatient mother-and-child postpartum psychiatric care: Factors associated with improvement in maternal mental health

2011 ◽  
Vol 26 (4) ◽  
pp. 215-223 ◽  
Author(s):  
N.M.-C. Glangeaud-Freudenthal ◽  
A.-L. Sutter ◽  
A.-C. Thieulin ◽  
V. Dagens-Lafont ◽  
M.-A. Zimmermann ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Social Integration ◽  
Childhood Abuse ◽  
Psychiatric Care ◽  
Maternal Mental Health ◽  
Occupational Status ◽  
Acute Episode ◽  
Inpatient Psychiatric Care ◽  
Factors Associated

AbstractPurposeThis study assessed the underexplored factors associated with significant improvement in mothers’ mental health during postpartum inpatient psychiatric care.MethodsThis study analyzed clinical improvement in a prospective cohort of 869 women jointly admitted with their infant to 13 psychiatric Mother-Baby Units (MBUs) in France between 2001 and 2007. Predictive variables tested were: maternal mental illness (ICD-10), sociodemographic characteristics, mental illness and childhood abuse history, acute or chronic disorder, pregnancy and birth data, characteristics and mental health of the mother's partner, and MBU characteristics.ResultsTwo thirds of the women improved significantly by discharge. Admission for 25% was for a first acute episode very early after childbirth. Independent factors associated with marked improvement at discharge were bipolar or depressive disorder, a first acute episode or relapse of such an episode. Schizophrenia, a personality disorder, and poor social integration (as measured by occupational status) were all related to poor clinical outcomes.DiscussionMost women improved significantly while under care in MBUs. Our results emphasize the importance of the type of disease but also its chronicity and the social integration when providing postpartum psychiatric care.

scholarly journals Supported employment: randomised controlled trial

2010 ◽  
Vol 196 (5) ◽  
pp. 404-411 ◽  
Author(s):  
Louise M. Howard ◽  
Margaret Heslin ◽  
Morven Leese ◽  
Paul McCrone ◽  
Christopher Rice ◽  
...  
Keyword(s):  
Mental Illness ◽  
Severe Mental Illness ◽  
Supported Employment ◽  
Controlled Trial ◽  
Intervention Group ◽  
Competitive Employment ◽  
Treatment As Usual ◽  
The Individual ◽  
Randomised Controlled ◽  
The Uk

BackgroundThere is evidence from North American trials that supported employment using the individual placement and support (IPS) model is effective in helping individuals with severe mental illness gain competitive employment. There have been few trials in other parts of the world.AimsTo investigate the effectiveness and cost-effectiveness of IPS in the UK.MethodIndividuals with severe mental illness in South London were randomised to IPS or local traditional vocational services (treatment as usual) (ISRCTN96677673).ResultsTwo hundred and nineteen participants were randomised, and 90% assessed 1 year later. There were no significant differences between the treatment as usual and intervention groups in obtaining competitive employment (13% in the intervention group and 7% in controls; risk ratio 1.35, 95% CI 0.95–1.93, P = 0.15), nor in secondary outcomes.ConclusionsThere was no evidence that IPS was of significant benefit in achieving competitive employment for individuals in South London at 1-year follow-up, which may reflect suboptimal implementation. Implementation of IPS can be challenging in the UK context where IPS is not structurally integrated with mental health services, and economic disincentives may lead to lower levels of motivation in individuals with severe mental illness and psychiatric professionals.

scholarly journals Are “place and train” principles suited to support people with severe mental illness into work? A questionnaire-based survey in a public employment service

2021 ◽  
Author(s):  
Beate Brinchmann ◽  
Miles Rinaldi ◽  
Elisabeth Sandtorv ◽  
Cathrine Fredriksen Moe ◽  
David McDaid ◽  
...  
Keyword(s):  
Mental Illness ◽  
Severe Mental Illness ◽  
Case Vignette ◽  
Negative Attitudes ◽  
Treatment As Usual ◽  
Work Related ◽  
People With Mental Illness ◽  
Employment Rates ◽  
Related Stress ◽  
Over Time

Abstract BackgroundIndividual Placement and Support (IPS) has repeatedly been reported to increase employment rates in patients with severe mental illness. Despite this, IPS is only available to a small minority. Translation from evidence to practice is often slow and hindered by a variety of barriers. Barriers include organizational, contextual and attitudinal factors. Despite evidence, many believe that people with severe mental illness are generally dangerous, in need of rest and at risk of harm from work-related stress. Such stigma fosters negative attitudes that may constitute significant barriers to employment for people with mental illness. Employees in the Norwegian Labour and Welfare Administration hold important gatekeeping positions in relation to the employment schemes that people with mental illness are offered. The aim of this study was to measure the attitudes of these employees towards the core principles of IPS. Secondly, we examine whether attitudes change for Labour and Welfare Administration employees exposed to IPS practice.MethodsA case vignette describing a person with severe mental illness and statements referring to this vignette was developed. The survey was administered to a sample of employees at two different timepoints four years apart. The respondents were asked to indicate their attitudes on a six-point Likert scale between statements in accordance to IPS and statements in accordance with treatment as usual. Independent two tailed samples t-tests were used to analyse differences between responses between employees in municipalities with IPS experience, compared to municipalities without. Multiple linear regressions with attitudes as dependent variable, were used to test if attitudes changed over time, dependent on exposure to IPS.ResultsAttitudes were in general more aligned with IPS than current practice. The region with exposure to IPS was associated with more favorable attitudes (p < .01). The development in attitudes to IPS were minimal over time and did not differ between IPS regions and regions without.ConclusionsAttitudes of statutory Labour and Welfare employees will not be a substantial barrier for implementation of IPS. This is a necessary but not sufficient requirement for IPS implementation.The regional ethics committee approved the study (2012/2239).

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