Mental Health Center Services for the Elderly: The Impact of Coordination with Area Agencies on Aging

1987 ◽  
Vol 27 (6) ◽  
pp. 699-702 ◽  
Author(s):  
B. D. Lebowitz ◽  
E. Light ◽  
F. Bailey
1974 ◽  
Vol 25 (6) ◽  
pp. 403-407
Author(s):  
Robert H. Barnes ◽  
Russell L. Adams

2019 ◽  
Vol 10 (2) ◽  
pp. 17 ◽  
Author(s):  
ShuYing Ng ◽  
Robert Buckner Jones ◽  
Laura Schwartzwald ◽  
Meena Murugappan ◽  
Amy Pittenger ◽  
...  

Purpose: The purpose of this article is to describe how an innovative partnership between a rural community mental health center, community independent pharmacy and College of Pharmacy and integration of a mental health pharmacist lead to identification of medication therapy problems (MTP’s) and interprofessional team partnerships with center mental health professionals. Methods: A contractual arrangement was initiated between Northern Pines Mental Health Center (NPMHC), GuidePoint Pharmacy Services GPS) and the University of Minnesota College of Pharmacy (UMN CoP) to place a PGY1 resident at NPMHC.  The resident was assigned to work closely with the Chief Medical Officer and provide initial comprehensive medication management (CMM) services to individuals who were enrolled in Assertive Community Treatment (ACT). A retrospective chart review was conducted to evaluate the impact of services provided. Patient inclusion criteria included ACT enrollees 18 years or older, a diagnosis of SPMI, taking at least one psychotropic medication, and participation in at least one resident-led CMM visit. Additional findings included the relationship between the pharmacist, the psychiatric physician, and other members of the ACT team. Descriptive statistics were used to document the findings. Findings: N = 30 met the inclusion criteria: 18 males and 12 females, age ranged from 24 - 69 with average of 44 years old. 110 MTPs were identified ranging from no MTPs to 10 MTPs per patient, with a mean of 4 MTPs/patient. There was an uneven distribution of MTPs between psychiatric and medical conditions, with a disproportionately high occurrence of “Needs Additional Drug Therapy” in medical conditions and “Adverse Drug Reaction” in psychiatric conditions. In addition, the services were valued by members on the ACT team. Conclusion: Rural residents with SPMI in intensive community treatment have complex medication needs that require the training and skills of a clinical pharmacist. Despite the inclusion of a medication list as part of the ACT fidelity standards MTPs may go unrecognized and unresolved without the services of a clinical pharmacist conducting CMM. The pharmacist and psychiatric physician formed a collaborative partnership to address medication issues. We conclude that there is a need for integrating clinical pharmacist services into rural mental health centers.   Article Type: Original Research


2004 ◽  
Vol 55 (2) ◽  
pp. 188-191 ◽  
Author(s):  
Jeffrey G. Stovall ◽  
Marie Hobart ◽  
Jeffrey L. Geller

1982 ◽  
Vol 18 (3) ◽  
pp. 210-219 ◽  
Author(s):  
Kevin J. Gully ◽  
Michael D. Harris

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Jun Ma ◽  
Tingting Hua ◽  
Kuan Zeng ◽  
Baoliang Zhong ◽  
Gang Wang ◽  
...  

AbstractCoronavirus disease 2019 (COVID-19) has been classified as a pandemic, and mental hospitals located in epidemic centers have been affected. Social isolation is an important and irreplaceable measure to control the spread of the epidemic. In this study, schizophrenic patients who were subjected to social isolation after close contact with COVID-19 patients were used as participants to explore the impact of social isolation on common inflammatory indicators and psychological characteristics. A total of 30 patients with schizophrenia were recruited from Wuhan Mental Health Center. In addition, 30 ordinary schizophrenic patients were matched with the isolation group and were recruited from another branch of Wuhan Mental Health Center as controls. We compared the differences in common inflammatory indicators and psychological characteristics between the isolated group and the control group, and longitudinal comparison of the differences in the above indicators before and after isolation among the isolation group. The Chinese Perceived Stress Scale (CPSS) score, Hamilton Depression Scale (HAMD) score and Hamilton Anxiety Scale (HAMA) score of the isolation group were significantly higher than those of the control group (p = 0.00, 0.00, 0.00, respectively). The C-reactive protein (CRP) level, CPSS score, HAMA score and Pittsburgh sleep quality index (PSQI) score of the isolation group were significantly higher after isolation (p = 0.01, 0.00, 0.00, 0.00, 0.00, respectively). Inpatients of schizophrenia suffered from social isolation due to COVID-19 have a severe psychological burden. Social isolation caused patients to develop a weak inflammatory state and led to worse anxiety and sleep quality.


1978 ◽  
Vol 29 (11) ◽  
pp. 710-711
Author(s):  
Judah L. Ronch ◽  
Jeffrey R. Solomon

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