scholarly journals Psychotropic drug interactions among drug-dependent people

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
F Schuelter-Trevisol ◽  
D Zapelini do Nascimento ◽  
G Moreno Marques ◽  
D J Trevisol
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Drug Interactions ◽  
Psychotropic Drug ◽  
Psychotropic Drugs ◽  
Substance Dependence ◽  
Care Center ◽  
Public Health Issue ◽  
Health Care Center

Abstract Background Using psychiatric drugs to treat drug dependence and its comorbidities is very common. The objective of this study was to analyze the interactions between prescribed drugs for patients treated at a specialized mental health care center for drug addicts, located in southern Brazil. Methods A cross-sectional study was conducted on secondary data collected from 2010 to 2018. We reviewed the medical records of patients aged 18 years or older who took psychotropic drugs and had any type of substance dependence. The analysis of psychotropic drug interactions was conducted in three databases: Medscape, Drug Interactions Checker, and Micromedex. Results We included 1,022 of the 2,322 patients attending the care center during the study period. Psychotropic drug interactions were found in 779 (76.4%) study participants, and they presented 2,292 (100%) interactions, out of which 136 (6.0%) had minor clinical risk, 537 (23.4%) had moderate risk, and 1,619 (70.6%) had major risk for the patient, totaling 172 incompatible combinations between two psychotropic drugs. Of the total number of interactions, 128 were pharmacokinetic and 44 were pharmacodynamic. Conclusions The high number of psychotropic drug interactions is a serious public health issue. Psychopharmacological treatment should be carefully addressed to be safe for the patient. Key messages The implementation of clinical pharmacy services in outpatient clinics, hospitals, and mental health care centers can be considered the most effective alternative to avoid adverse reactions. Pharmacists are ready to assist the entire multidisciplinary team involved in the treatment of patients with mental disorders or substance dependence, and provide pharmacological treatment.

Descriptive study of patients with intellectual disability attended in a community mental health care center

2017 ◽  
Vol 41 (S1) ◽  
pp. S599-S600
Author(s):  
S. Oller Canet ◽  
E. Pérez Sánchez ◽  
L. Alba Pale ◽  
E. Mur Mila ◽  
B. Samsó Buixareu ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Intellectual Disability ◽  
Community Mental Health ◽  
Mental Health Care ◽  
Aggressive Behavior ◽  
Psychotic Disorders ◽  
Care Center ◽  
Community Mental Health Care ◽  
Health Care Center

IntroductionThe rate of mental illness among people with intellectual disability is at least 2.5 times higher than in the general population [1].ObjectiveTo describe the clinical and sociodemographic characteristics of all patients with intellectual disability treated in a community mental health care center (CMH) located in a city of 120,000 inhabitants on the outskirts of Barcelona with a high poverty index.MethodsDocuments and patient records were reviewed. Clinical, sociodemographic and other treatment data of patients with intellectual disability treated at the CMH were collected.ResultsThe sample consisted of 118 patients. Mean age: 39.5 (SD: 15), 54% men. 92% single and 23.7% legally incapacitated. 46.6% never completed basic education and 44.1% completed primary school. Employment status: 14.4% unemployed, 14.4% currently active, and 50% pensioned. Patients living mainly with their family (parents:) 86%. 68.6% of patients showed aggressive behavior, but the rate of hospital psychiatric admissions was low (mean: 1.1 (SD: 2.3)). Organic comorbidity: 44.9%. Functionality measured with GAF mean: 45 (SD: 12). Level of intellectual disability was mostly mild (62%). Psychiatric diagnoses were: psychotic disorders: 49.25%, affective disorders: 6.8%, personality disorder: 3.4%, Obsessive-compulsive disorder: 3.4%, autism: 11.9% and other diagnoses: 37.3%. Patients treated with anti-psychotics: 78.8%, anti-depressants: 40.7%, and mood stabilizers: 70.5%.ConclusionsIntellectually disabled patients from our sample showed high comorbidity with psychotic disorders, were highly medicated and often exhibited aggressive behavior.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Multiple Cases of Life-threatening Adenovirus Pneumonia in a Mental Health Care Center

1998 ◽  
Vol 157 (2) ◽  
pp. 645-649 ◽  
Author(s):  
JAMES R. KLINGER ◽  
MARIA PIA SANCHEZ ◽  
LINDA A. CURTIN ◽  
MARGARET DURKIN ◽  
BELA MATYAS
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Care Center ◽  
Health Care Center ◽  
Life Threatening ◽  
Adenovirus Pneumonia

scholarly journals Long-term mental health support systems in the aftermath of disasters in Japan – Statistical data of the Miyagi Disaster Mental Health Care Center

2020 ◽  
Author(s):  
Naru Fukuchi ◽  
Shusaku Chiba
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Care Center ◽  
Disaster Mental Health ◽  
Health Care Center ◽  
Miyagi Prefecture ◽  
Mental Health Support ◽  
Health Support

Abstract Background A long-term mental health support system for the community is sometimes needed following massive natural disasters. Although the Disaster Mental Health Care Center (DMHCC) was established as a long-term mental health care center in Japan, its exact role and functioning are unclear. The Great East Japan Earthquake and Tsunami (GEJE) of 2011 affected thousands of residents. The Miyagi DMHCC was established in Miyagi prefecture in response to the GEJE and supported residents and communities as a long-term mental health care center. Methods The main purpose of this study was to clarify which population is psychologically at high risk and which methods are useful for residents’ mental health in each phase. The study used data collected by the Miyagi DMHCC that included personal information of residents who were supported by the center from 2013 to 2018. Chi-square tests of independence were conducted on the annual number of individuals supported by the center, sex, and the number of support methods used by the center according to years. A one-way analysis of variance was conducted on the annual mean age, followed by a post-hoc comparison of the functioning of the center. Results The number of residents who needed mental health support dramatically increased in Miyagi prefecture after the 2011 disaster. The Miyagi DMHCC supported 6,850 individuals who sought mental health services, which accounted for 22.9% of all cases reported to the health services between 2012 and 2017. Based on the results, in the first few years, the elderly residents who lived alone were declared as high-risk individuals by the health survey and supported through home visits. Several years later, as younger people started to seek mental health support by themselves, they underwent counseling at the Miyagi DMHCC. Conclusion Residents who need mental health support might change depending on recovery phases. Long-term mental health care centers should observe community recovery and provide appropriate support. We discuss the implications of this result and future research directions.

scholarly journals The role of long term care centers in the Polish system of mental health care

2018 ◽  
Vol 19 (1) ◽  
pp. 30-40
Author(s):  
Krzysztof Siejko ◽  
Aneta Tylec ◽  
Halina Dubas-Ślemp ◽  
Piotr Książek ◽  
Bartłomiej Drop ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Mentally Ill ◽  
Community Care ◽  
Care Center ◽  
Term Care ◽  
Health Care Center

Abstract Objective: The aim of this work is to review the role of mental health care center and treatment center specialized in psychiatry in the Polish system of mental health care as a whole. Review: For many years in Poland, the process of transformation of psychiatric care model from the institutional (inpatient setting, most expensive) to community care model (personalized, much cheaper), has been taking place. The effective - coordinated system of community care should significantly improve cooperation in the treatment, while the community forms of health care should ensure full availability, complexity, and continuity of care provision. In many cases, the community support is inadequate and cannot provide patient with care at his home environment. For mentally ill, there may be a need for the use of the long term health care centers specialized in psychiatry. Conclusions: A long term mental health care center specialised in mental health plays an important role in long-term care for the mentally ill. As far as a mental health service user’s perspective is concerned, the continuity of care and treatment in the long term health care center (as a health care unit) appears to be more useful and satisfying compared to a residential home for people with chronic mental illnesses. There is a need for broad discussion on the special place of the long term health care center specialized in psychiatry in the present Polish system of mental health care and on the improving of care pathways between inpatient-, day care-and, community care package.

Sociodemographic Profile of Psychiatric Inpatients at a Center of Mental Health Care in Brazil

2017 ◽  
Vol 41 (S1) ◽  
pp. S616-S616
Author(s):  
D. Soria ◽  
T.V.C. Vernaglia ◽  
N.R. Santiago ◽  
E.C.F. Ramos ◽  
D.R.D. Leitão ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Care Center ◽  
Univariate Analysis ◽  
Psychiatric Inpatients ◽  
Mental Health Disorders ◽  
Cross Sectional ◽  
Health Care Center ◽  
Health Disorders

BackgroundThe most prevalent disorders between the chronic diseases are the mental health disorders. Almost 650 million of people in the world suffer of some mental health disorders, which cause serious impact on individual abilities, family relationship and social rehabilitation.AimsWe describe and study the sociodemographic characteristics and the diagnosis of a sample of male and female psychiatric inpatients undergoing treatment in a mental health care center in Brazil.MethodsIt is a descriptive cross-sectional study, carried out with 517 psychiatric inpatients from a Brazilian health institution – IMAS Nise da Silveira. Data was collected from January to December 2014 and occurred through consultation of the patients’ hospital notes. Univariate analysis was used for the data collection and analysis.ResultsOur sample was composed by 52.6% (n = 272) of men and 47.4% of women (n = 245); 50.5% were over 40 years old and have a long time of hospitalization. Overall, 64.6% had schizophrenia; 27.2% mood [affect] disorders; 3.7% mental and behavioural disorders due to psychoactive substance use; 1.4% mental retartation; 0.4% personality disorders; 0.2% disorders of psychological development.ConclusionThe profile could advance the mental health care and rehabilitation of these people. Although could improve public policies.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Admission experiences of psychiatric patients in tertiary care: An implication toward Mental Health Care Bill, 2013

2017 ◽  
Vol 08 (01) ◽  
pp. 089-095 ◽  
Author(s):  
Vijayalakshmi Poreddi ◽  
Rajalakshmi Ramu ◽  
Sugavana Selvi ◽  
Sailaxmi Gandhi ◽  
Lalitha Krishnasamy ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Psychiatric Hospital ◽  
Psychotic Disorders ◽  
Psychiatric Patients ◽  
Care Center ◽  
Tertiary Care ◽  
Perceived Coercion ◽  
Negative Pressures

ABSTRACT Background: Coercion is not uncommon phenomenon among mental health service users during their admission into psychiatric hospital. Research on perceived coercion of psychiatric patients is limited from India. Aim: To investigate perceived coercion of psychiatric patients during admission into a tertiary care psychiatric hospital. Materials and Methods: This was a cross-sectional descriptive survey carried out among randomly selected psychiatric patients (n = 205) at a tertiary care center. Data were collected through face-to-face interviews using structured questionnaire. Results: Our findings revealed that participants experienced low levels of coercion during their admission process. However, a majority of the participants were threatened with commitment (71.7%) as well as they were sad (67.8%), unpleased (69.7%), confused (73.2%), and frightened (71.2%) with regard to hospitalization into a psychiatric hospital. In addition, the participants expressed higher levels of negative pressures (mean ± standard deviation, 3.76 ± 2.12). Participants those were admitted involuntarily (P > 0.001), diagnosed to be having psychotic disorders (P > 0.003), and unmarried (P > 0.04) perceived higher levels of coercion. Conclusion: The present study showed that more formal coercion was experienced by the patients those got admitted involuntarily. On the contrary, participants with voluntary admission encountered informal coercion (negative pressures). There is an urgent need to modify the Mental Health Care (MHC) Bill so that treatment of persons with mental illness is facilitated. Family member plays an important role in providing MHC; hence, they need to be empowered.

Sign in / Sign up

Export Citation Format

Share Document