Pediatric Mental Healthcare Providers’ Perceptions of the Delivery of Partial Hospitalization and Outpatient Services via Telehealth during the COVID-19 Pandemic

Author(s):  
Patrick W. Romani ◽  
Sarah M. Kennedy ◽  
Kimberly Sheffield ◽  
Alexandra M. Ament ◽  
Marissa A. Schiel ◽  
...  
2012 ◽  
Vol 33 (10) ◽  
pp. 1017-1023
Author(s):  
Peter M. Schneeberger ◽  
Annemarie E. Meiberg ◽  
Janet Warmelts ◽  
Sander C. A. P. Leenders ◽  
Paul T. L. van Wijk

Objective.Healthcare providers and other employees, especially those who do not work in a hospital, may not easily find help after the occurrence of a blood exposure accident. In 2006, a national call center was established in the Netherlands to fill this gap.Methods.All occupational blood exposure accidents reported to the 24-hours-per-day, 7-days-per-week call center from 2007, 2008, and 2009 were analyzed retrospectively for incidence rates, risk assessment, handling, and preventive measures taken.Results.A total of 2,927 accidents were reported. The highest incidence rates were reported for private clinics and hospitals (68.5 and 54.3 accidents per 1,000 person-years, respectively). Dental practices started reporting incidents frequently after the arrangement of a collective financial agreement with the call center. Employees of ambulance services, midwife practices, and private clinics reported mostly high-risk accidents, whereas penitentiaries frequently reported low-risk accidents. Employees in mental healthcare facilities, private clinics, and midwife practices reported accidents relatively late. The extent of hepatitis B vaccination in mental healthcare facilities, penitentiaries, occupational health services, and cleaning services was low (<70%).Conclusions.The national call center successfully organized the national registration and handling of blood exposure accidents. The risk of blood exposure accidents could be estimated on the basis of this information for several occupational branches. Targeted preventive measures for healthcare providers and other employees at risk can next be developed.Infect Control Hosp Epidemiol 2012;33(10):1017-1023


2021 ◽  
pp. 100647
Author(s):  
Sarah Al-zahrani ◽  
Arwa Althumairi ◽  
Afnan Aljaffary ◽  
Asma Alfayez ◽  
Demah Alsalman ◽  
...  

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
D Mbou Essie

Abstract Background In Congo-Brazzaville, there is a lake of mental healthcare providers and facilities specialized in psychiatric care: only two psychiatrists and one psychiatric department around the country. Poor appreciation of their role and work environment can negatively impact the esteem of psychiatric staff and lead to stigma and discrimination towards patients. Aims The study aimed to assess the perception of the staff of the only psychiatric service in Congo. Material and Methods We conducted a cross-sectional descriptive, prospective survey; conducted among the psychiatric staff of the Brazzaville University Hospital in September 2019. An anonymous individual questionnaire was administered to collect: (i) socio-professional data, (ii) perceptions (assignment, role, workload and working conditions) and (iv) identify the main problems of the service. Averages and frequencies were calculated on Epi info 7.2.2.6. Results Thirty out of 42 staff had responded (71.4%), 16 were male and at their first psychiatric assignment (28/30), with an average age of 44,7±7 and seniority of 8,4 ±8,3 years. Among them: one psychiatrist, two psychologists, and 19 nurses. Their assignment in psychiatry was well perceived in 93.3% (27/30), as well as their role (the importance of psychiatric care and psychiatry). Working conditions were perceived as poor: precarious hygiene (93.3%), cohabitation with dangerous patients (82.1%), heavy workload due to lack of staff (100%). Of their professional future, 23.3% (7/30) were considering leaving. Conclusions Almost all psychiatric staff had a good perception of their role and psychiatry, but not of the working conditions. Local measures to improve working conditions must be carried out to improve the attractiveness of psychiatry and the quality of care. Key messages Staff perceived heavy workload due to lack of staff and poor working conditions. Lake of workforce will be deeply acute in psychiatry.


Author(s):  
Mayra I. Perez ◽  
Danica L. Limon ◽  
Abigail E. Candelari ◽  
Sandra L. Cepeda ◽  
Ana C. Ramirez ◽  
...  

Author(s):  
Jason Gallant ◽  
Diana Joyce-Beaulieu ◽  
Brian A. Zaboski

Cognitive behavioral therapy (CBT) is an efficacious and efficient intervention; as such, closure encompasses an essential part of intervention planning. Chapter 9 discusses closure: how to graduate clients from CBT, arrange booster sessions, ethically terminate CBT, and, if needed, progress clients to a higher level of care. It describes reasons for why clients may become demotivated for treatment and demystifies insurance coverage and co-pays. For clients with more severe issues, Chapter 9 explains the many referral options available, like in-home family services, outpatient clinics, intensive outpatient services, partial hospitalization, acute inpatient hospitalization, and residential treatment facilities. The chapter concludes with a discussion of psychopharmacology and incorporates a multidisciplinary, consultative approach throughout.


2013 ◽  
Vol 37 (9) ◽  
pp. 294-296 ◽  
Author(s):  
Mohammad Shaiyan Rahman ◽  
Nadya Wolferstan

SummaryThe UK courts have recently considered the management of suicidal patients in the cases of Savage and Rabone. As a result of these judgments, the case law has extended significantly the responsibilities of mental healthcare providers. In this article we discuss the repercussions of these landmark decisions which are likely to have significant consequences for mental health service providers in the UK.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
Z Grigoryan ◽  
N Truzyan ◽  
V Petrosyan

Abstract Background Healthcare system performance indicators are common instruments measuring and facilitating quality improvement. The End-TB strategy urges provision of integrated patient-centered (PC) care for all forms of tuberculosis (TB). This study aimed to assess and compare quality of inpatient and outpatient TB services using international standards on specific PC indicators to identify potential targets for improvement. Methods Joint Commission International (JCI) accreditation standards, adapted to local needs and context, were used as a basic instrument for qualitative and quantitative data collection. We utilized Patient and Family Right (PFR) and Patient and Family Education (PFE) 15 standards with 49 measurable elements as PC indicators for the nationwide assessment of TB services. A scoring system and a scaling approach were used to convert all-source-data and present the overall performance of services. Results We reviewed and analyzed data from 10 legal documents, 34 medical records and 155 interviews and focus group discussions with TB healthcare providers, patients and family members from inpatient and outpatient TB services to define the degree of compliance of their practices and treatment experiences to JCI standards. Outpatient TB services met the PFR and PFE standards at the 51%-level receiving a grading of partially performed and requiring improvements. The inpatient services met the PFR and PFE standards at 39%- and 26%-level respectively, receiving a grading of minimally performed for the JCI standards, showing statistically significantly less patient centeredness compared to the outpatient services (p = 0.007, CI 0.234; 0.4234), and requiring major improvements. Conclusions Strengthening interventions towards patient-centeredness are essential in both inpatient and outpatient services, but Armenia needs to put more emphasis on inpatient care to bridge the gap between the existing and recommended practices.


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