The Impact of Engagement Processes on the First-appointment Attendance Rate at a Regional Outpatient Psychological Trauma Service

2007 ◽  
Vol 13 (2) ◽  
pp. 117-123 ◽  
Author(s):  
Stephen Coulter
Keyword(s):  
Psychological Trauma ◽  
Attendance Rate ◽  
Appointment Attendance ◽  
Trauma Service ◽  
The Impact

Non-attendance at an out-patient otolaryngology and head and neck clinic in New Zealand: impact of coronavirus disease 2019, and demographic, clinical and environmental factors

2021 ◽  
pp. 1-6
Author(s):  
O Ahmadi ◽  
W Maher ◽  
J White
Keyword(s):  
Socioeconomic Status ◽  
New Zealand ◽  
Environmental Factors ◽  
Head And Neck ◽  
Neck Surgery ◽  
Attendance Rate ◽  
Clinic Attendance ◽  
Appointment Attendance ◽  
Clinic Appointment ◽  
The Impact

Abstract Background Fear of contracting coronavirus disease 2019 may be the latest addition to the barriers to clinic attendance. This study aimed to examine the impact of coronavirus disease 2019 and other variables on non-attendance rate at an out-patient clinic. Methods Clinic attendance at the Department of Otolaryngology and Head and Neck Surgery, Waikato Hospital, New Zealand, was assessed. For each appointment, the impact of coronavirus disease 2019 and other variables on non-attendance rate were analysed. Results In total, 1963 appointments were scheduled, with 194 non-attendances (9.9 per cent). Patients who had their appointments confirmed beforehand were 10.0 times more likely to attend their appointment. Sex, socioeconomic status, ethnicity and age were found to impact non-attendance rate. Conclusion In New Zealand, coronavirus disease 2019 does not appear to be a barrier to out-patient clinic appointment attendance. The patient's age, sex, ethnicity, socioeconomic status and prior appointment confirmation were found to influence clinic attendance.

scholarly journals The impact of poly-traumatization on treatment outcomes in young people with substance use disorders

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Sidsel Karsberg ◽  
Morten Hesse ◽  
Michael Mulbjerg Pedersen ◽  
Ruby Charak ◽  
Mads Uffe Pedersen
Keyword(s):  
Substance Use ◽  
Substance Use Disorders ◽  
Psychological Trauma ◽  
Well Being ◽  
Traumatic Experiences ◽  
Treatment Entry ◽  
Trauma Types ◽  
Using Data ◽  
The Impact ◽  
Drug Use Disorder

Abstract Background It is believed that clients with psychological trauma experiences have a poor prognosis with regard to treatment participation and outcomes for substance use disorders. However, knowledge on the effect of the number of trauma experiences is scarce. Methods Using data from drug use disorder (DUD) treatment in Denmark, we assessed the impact of having experienced multiple potentially traumatic experiences on DUD treatment efficacy. Baseline and follow-up data from 775 young participants (mean age = 20.2 years, standard deviation = 2.6) recruited at nine treatment centers were included in analyses. Results Analyses showed that participants who were exposed multiple trauma experiences also reported a significantly higher intake of cannabis at treatment entry, and a lower well-being score than participants who reported less types or no types of victimization experiences. During treatment, patients with multiple types of trauma experiences showed a slower rate of reduction of cannabis than patients with few or no trauma experiences. The number of trauma types was not associated with number of sessions attended or the development of well-being in treatment. Conclusion Overall, the results show that although traumatized youth in DUD treatment show up for treatment, helping them to reduce substance use during treatment is uniquely challenging. Trial registration ISRCTN88025085, date of registration: 29.08.2016, retrospectively registered.

scholarly journals Silencing and Oblivion of Psychological Trauma, Its Unconscious Aspects, and Their Impact on the Inflation of Vajrayāna. An Analysis of Cross-Group Dynamics and Recent Developments in Buddhist Groups Based on Qualitative Data

Religions ◽  
2019 ◽  
Vol 10 (11) ◽  
pp. 622 ◽  
Author(s):  
Anders
Keyword(s):  
Group Dynamics ◽  
Interdisciplinary Approach ◽  
Psychological Trauma ◽  
Ongoing Research ◽  
Psychological Mechanisms ◽  
Teacher Student ◽  
New Concepts ◽  
Recent Developments ◽  
Student Relationship ◽  
The Impact

The commercialization of Buddhist philosophy has led to decontextualization and indoctrinating issues across groups, as well as abuse and trauma in that context. Methodologically, from an interdisciplinary approach, based on the current situation in international Buddhist groups and citations of victims from the ongoing research, the psychological mechanisms of rationalizing and silencing trauma were analyzed. The results show how supposedly Buddhist terminology and concepts are used to rationalize and justify economic, psychological and physical abuse. This is discussed against the background of psychological mechanisms of silencing trauma and the impact of ignoring the unconscious in that particular context. Inadequate consideration regarding the teacher–student relationship, combined with an unreflective use of Tibetan honorary titles and distorted conceptualizations of methods, such as the constant merging prescribed in so-called 'guru yoga', resulted in giving up self-responsibility and enhanced dependency. These new concepts, commercialized as 'karma purification' and 'pure view', have served to rationalize and conceal abuse, as well as to isolate the victims. Therefore, we are facing societal challenges, in terms of providing health and economic care to the victims and implementing preventive measures. This use of language also impacts on scientific discourse and Vajrayāna itself, and will affect many future generations.

Recounting coup as the recirculation of Indigenous vitality: A narrative alternative to historical trauma

2021 ◽  
pp. 136346152110549
Author(s):  
Joseph P. Gone
Keyword(s):  
Mental Health ◽  
American Indian ◽  
American Indians ◽  
Historical Trauma ◽  
Psychological Trauma ◽  
Community Members ◽  
Trauma Narrative ◽  
War Narratives ◽  
Tribal Communities ◽  
The Impact

Contemporary American Indians suffer from disproportionately high degrees of psychiatric distress. Mental health researchers and professionals, as well as American Indian community members, have consistently associated these disproportionate rates of distress with Indigenous historical experiences of European and Euro-American colonization. This emphasis on the impact of colonization and associated historical consciousness within tribal communities has occasioned increasingly widespread professional consideration of historical trauma among Indigenous peoples. In contrast to personal experiences of a traumatic nature, the discourse of Indigenous historical trauma (IHT) weds the concepts of “historical oppression” and “psychological trauma” to explain community-wide risk for adverse mental health outcomes originating from the depredations of past colonial subjugation through intergenerational transmission of vulnerability and risk. Long before the emergence of accounts of IHT, however, many American Indian communities prized a markedly different form of narrative: the coup tale. By way of illustration, I explore various historical functions of this speech genre by focusing on Aaniiih-Gros Ventre war narratives, including their role in conveying vitality or life. By virtue of their recognition and celebration of agency, mastery, and vitality, Aaniiih war stories functioned as the discursive antithesis of IHT. Through comparative consideration of the coup tale and the trauma narrative, I propose an alternative framework for cultivating Indigenous community “survivance” rather than vulnerability based on these divergent discursive practices.

Management of non-traumatic epistaxis in adults in the emergency department

2021 ◽  
pp. 1-6
Author(s):  
Ashley Reed ◽  
Martyn Barnes ◽  
Caroline Howard
Keyword(s):  
Emergency Department ◽  
Hospital Admissions ◽  
Interrupted Time Series ◽  
University Teaching ◽  
Attendance Rate ◽  
Interrupted Time Series Analysis ◽  
Current Management ◽  
Emergency Ambulance ◽  
Bed Days ◽  
The Impact

Background/aims Despite epistaxis being a common presentation to emergency departments there is a lack of guidelines, both nationally and internationally, for its management. The authors reviewed the current management of epistaxis and then introduced a new pathway for management to see if care could be improved. The aims were to evaluate the impact of the pathway on reduction of emergency department breaches, emergency ambulance transfers and hospital admissions. Methods The study was an interrupted time series analysis over 29 months and included 903 participants. A pathway for the management of adults with non-traumatic epistaxis was designed and implemented in a university teaching hospital with an emergency department annual attendance rate of 105 495 in 2019–20. Results The pathway led to a 14-minute longer stay in the emergency department, a 5% increase in emergency department breaches, an 8.2% reduction in admissions, a 3.6% reduction in emergency ambulance transfers, a 14.1% increase in nasal cautery and a 3.2% reduction in nasal packing. Conclusions The authors calculate that these results equate to roughly 56 hospital bed days saved, providing better care closer to home for patients, in addition to beneficial knock-on effects for other emergency department and admitted patients.

scholarly journals Substance use disorders and psychological trauma

2009 ◽  
Vol 33 (7) ◽  
pp. 257-260
Author(s):  
Shaheen Shora ◽  
Elizabeth Stone ◽  
Keron Fletcher
Keyword(s):  
Substance Use ◽  
Alcohol Dependence ◽  
Life Events ◽  
Substance Use Disorders ◽  
Best Practice ◽  
Clinical Course ◽  
Traumatic Events ◽  
Psychological Trauma ◽  
Clinical Implications ◽  
The Impact

Aims and MethodThe Impact of Events Scale was administered to 104 in-patients detoxing from alcohol or opiates to determine the prevalence of psychological trauma, the severity of its symptoms and the types of trauma responsible for symptoms.ResultsOut of the 104 in-patients undergoing detoxification, 75 had symptoms of psychological trauma; in 60 patients the symptoms were in the treatable range. Patients with alcohol-dependence were more severely affected. ‘Life events’ traumatised a higher proportion of individuals than ‘traumatic events’.Clinical ImplicationsPsychological trauma requiring treatment is commonly found in substance misusers. This is rarely addressed despite the cormorbid disorder running a complicated clinical course. There are conflicting opinions about best practice, but consideration should be given to providing patients with accessible treatments for psychological trauma.

The Impact of Television on Children and Clinical Practice

1990 ◽  
Vol 24 (4) ◽  
pp. 552-560 ◽  
Author(s):  
Bruce J. Tonge
Keyword(s):  
Sex Role ◽  
Age Groups ◽  
Psychological Trauma ◽  
Clinical Work ◽  
Legal Proceedings ◽  
Social Stereotypes ◽  
Child Psychiatric ◽  
The Impact ◽  
Intervening Variables ◽  
Negative Behaviour

The impact of television on children and child development and on the practice of child psychiatry is reviewed. Evidence from research is that children learn from watching television and the programs they see can change their behaviour. Programs with violent and aggressive themes tend to make children more aggressive and disobedient. Cultural sex-role and social stereotypes depicted on the television can also influence children's perceptions of society. Programs specifically designed for different age groups of children which depict pro-social behaviour are likely to lead children to become more friendly, co-operative and self-controlled. The use of television in child psychiatric clinical work supervision and research, and its potential to reduce the psychological trauma experienced by children in the legal proceedings of child abuse cases is discussed. More research is needed to determine the content and intervening variables that effect the acquisition of both positive and negative behaviour from television and enhance its promotion of mental health.

1. Psychological Trauma and its Influence on Genuine and False Complaints of Sexual Assault

1996 ◽  
Vol 36 (2) ◽  
pp. 95-99 ◽  
Author(s):  
Gwen Adshead
Keyword(s):  
Sexual Assault ◽  
Psychological Health ◽  
Psychological Trauma ◽  
Crime Victims ◽  
Psychological Effects ◽  
False Allegations ◽  
The Impact

Events that cause fear leave effects, both physical and psychological. In the last 20 years, it has been recognized that criminal assaults are also fearful events which, like war atrocities and civilian disasters, can have profound effects upon the psychological health of victims. In this paper, some of the research describing the psychological effects of crime will be reviewed, with particular emphasis on allegations of sexual assault. The impact of trauma on crime victims in relation to the prosecution process will be discussed, including the relevance of trauma to the issue of false allegations of sexual assault. The paper will conclude with some recommendations for research.

Reproductive and Mental Health during Natural Disaster

2015 ◽  
pp. 265-291
Author(s):  
Jasim Anwar
Keyword(s):  
Mental Health ◽  
Reproductive Health ◽  
Natural Disasters ◽  
Psychological Trauma ◽  
Depression And Anxiety ◽  
Psychological Consequences ◽  
Post Traumatic Stress ◽  
Health And Wellbeing ◽  
Post Traumatic ◽  
The Impact

With the ever-increasing number of natural disasters, it is important to understand the impact on the health and wellbeing of survivors, especially women. The reproductive and mental health of women contributes significantly to their overall wellbeing. The Chapter gives an overview of natural disasters with an emphasis on consequences of earthquakes of health and wellbeing of the survivors. It includes a critical review of published studies on psychological trauma and reproductive health following earthquake disasters. Among the psychological consequences of earthquakes, this chapter describes post-traumatic stress disorder, depression and anxiety. The last section of this chapter reviewed reproductive health in relation to the mental health consequences following natural disasters.

Managing the multiply injured patient: the impact of multidisciplinary teams

2019 ◽  
Vol 80 (12) ◽  
pp. 703-706
Author(s):  
Jonathan French ◽  
Lewis M Agius ◽  
Nemandra A Sandiford
Keyword(s):  
Trauma Care ◽  
Care Delivery ◽  
National Level ◽  
Injured Patient ◽  
Improve Patient Care ◽  
Multidisciplinary Teams ◽  
Team Approach ◽  
Trauma Service ◽  
Multiply Injured Patient ◽  
The Impact

Management of trauma has been tackled at a national level to improve patient care and mortality. Decision making through a multidisciplinary team approach has resulted in improved patient outcomes through a complex combination of changes. While the focus of trauma care delivery has been towards establishing an effective multidisciplinary trauma service, there are still improvements which can be made. This article reviews the history of trauma care in the UK, and the impact that multidisciplinary teams have had on the management of the multiply injured patient.

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