Profiles of youth in therapeutic group care: Associations with involuntary psychiatric examinations and readmissions.

2017 ◽  
Vol 87 (1) ◽  
pp. 76-85 ◽  
Author(s):  
Svetlana Yampolskaya ◽  
Debra Mowery
Keyword(s):  
Author(s):  
James K. Whittaker

This entry addresses the current state of therapeutic group care services for children and youth. Demographic programmatic trends and research findings are reviewed as are emergent issues and critical questions for further research and practice innovation. Suggestions for improvement of therapeutic group care services are offered in the context of an overall spectrum of services for children and families.


1970 ◽  
Vol 1 (1) ◽  
Author(s):  
Dwi Handayani ◽  
Aat Sriati ◽  
Efri Widianti

Halusinasi merupakan gejala positif yang paling sering dialami oleh pasien dengan gangguan jiwa. Terapi aktivitas kelompok stimulasi persepsi merupakan bagian dari terapi modalitas yang diberikan pada pasien skizofrenia yang mengalami halusinasi dengan tujuan tercapainya kemandirian pasien. Penelitian ini bersifat deskriptif yaitu melihat gambaran tingkat kemandirian pasien dalam mengontrol halusinasi setelah mengikuti kegiatan terapi aktivitas kelompok stimulasi persepsi. Sebanyak 42 orang menjadi responsden dengan menggunakan teknik consecutive sampling. Proses pengumpulan data menggunakan metode observasi, yang dalam pelaksanaannya peneliti dibantu oleh numerator. Analisis data dengan persentase dan dideskripsikan dalam tabel distribusi frekuensi. Hasil penelitian didapatkan bahwa tingkat kemandirian pasien dalam mengontrol halusinasi setelah mengikuti kegiatan terapi aktivitas kelompok stimulasi persepsi adalah supportive28,6%, partially 61,9%, dan wholly9,5%. Hasil penelitian didapatkan bahwa sebagian besar tingkat kemandirian pasien adalah partiallysehingga perlu dikembangkan strategi-strategi dalam upaya peningkatan kinerja perawat dalam pelaksanaan tindakan keperawatan sehingga dapat menumbuhkan kemandirian pasien.Kata kunci: Halusinasi, tingkat kemandirian, terapi aktivitas kelompok, stimulasi persepsi AbstractHallucinations are positive symptoms most commontly experienced bypatients with psychiatric disorders. Perceptual stimulation therapy group activities are part of the therapeutic modalities that are given to patients with schizophrenia who experienced hallucinations in order to achieve independence of patient. This is a descriptive study which saw the picture of the level of independence of the patients in the control hallucinations after following stimulation group activity. The sampling technique used was consecutive sampling, in which 42 people were interviewed. The process of data collection using the method of observation, which in practice researchers assisted by the numerator. Analysis of the data with the percentage and frequency distribution are described in the table. The result showed that the level of independence of patient hallucinations in controlling halluciantions after following stimulation group activity therapy activity perception is supportive 28.6%, partially 61,9%, and wholly 9,5%. Based on the findings that majority of patients a level of independence that is partially, developed strategies necessary in an effort to increase the performance of nurses in the implementation of nursing actions that can foster patient independence.Key words:Level of independence, hallucination, therapeutic group activity stimulation perception


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Julie Helms ◽  
◽  
François Severac ◽  
Hamid Merdji ◽  
Maleka Schenck ◽  
...  

Abstract Background Thromboprophylaxis of COVID-19 patients is a highly debated issue. We aimed to compare the occurrence of thrombotic/ischemic events in COVID-19 patients with acute respiratory distress syndrome (ARDS) treated with either prophylactic or therapeutic dosage of heparin. All patients referred for COVID-19 ARDS in two intensive care units (ICUs) from two centers of a French tertiary hospital were included in our cohort study. Patients were compared according to their anticoagulant treatment to evaluate the risk/benefit of prophylactic anticoagulation versus therapeutic anticoagulation. Medical history, symptoms, biological data and imaging were prospectively collected. Results One hundred and seventy-nine patients (73% men) were analyzed: 108 in prophylactic group and 71 in therapeutic group. Median age and SAPS II were 62 [IQR 51; 70] years and 47 [IQR 37; 63] points. ICU mortality rate was 17.3%. Fifty-seven patients developed clinically relevant thrombotic complications during their ICU stay, less frequently in therapeutic group (adjusted OR 0.38 [0.14–0.94], p = 0.04). The occurrences of pulmonary embolism (PE), deep vein thrombosis (DVT) and ischemic stroke were significantly lower in the therapeutic group (respective adjusted OR for PE: 0.19 [0.03–0.81]; DVT: 0.13 [0.01–0.89], stroke: 0.06 [0–0.68], all p < 0.05). The occurrence of bleeding complications was not significantly different between groups, neither were ICU length of stay or mortality rate. D-dimer levels were significantly lower during ICU stay, and aPTT ratio was more prolonged in the therapeutic group (p < 0.05). Conclusion Increasing the anticoagulation of severe COVID-19 patients to a therapeutic level might decrease thrombotic complications without increasing their bleeding risk.


2021 ◽  
pp. 053331642110304
Author(s):  
Arturo Ezquerro

This is a homage to Nicolás Caparrós, in memoriam. He was an unusual, and universal, psychiatrist, psychoanalyst and group analyst, who developed an analytic and bonding model which was closely related to Bowlby’s conception of group attachment. In his therapeutic group technique, Dr Caparrós was decidedly idiosyncratic, integrative and inclusive. He was a Bionian, intellectually, when it came to defining unconscious defence mechanisms. However, his interventions within the group had a more distinct Foulkesian essence, as he put the emphasis on communication. Foulkes had sought to keep communication alive in his groups, to the point of considering it identical to the process of therapy itself. For Dr Caparrós, communication generates the group, defines it and maintains it.


1997 ◽  
Vol 22 (2) ◽  
pp. 4-8 ◽  
Author(s):  
Howard Bath

The recent collection of out-of-home care data by the Australian Institute of Health and Welfare has enabled an analysis of placement trends for the three year period 1993-1996. Significant findings include a sharp increase in overall numbers of children placed into care and a continuing decline in the use of residential/group care. The data are considered in the context of longer term placement trends and some implications for service delivery are discussed.


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