Stability of Psychiatric Symptoms among Mentally Ill Chemical Abusers in Long-Term Residential Treatment Programs

1997 ◽  
Vol 27 (4) ◽  
pp. 795-806
Author(s):  
Larry Nuttbrock ◽  
Michael Rahav ◽  
James Rivera ◽  
Daisy Ng-Mak ◽  
Bert Pepper
Keyword(s):  
Depressive Symptoms ◽  
Residential Treatment ◽  
Mentally Ill ◽  
Psychiatric Symptoms ◽  
Treatment Programs ◽  
Mean Values ◽  
Changing Patterns ◽  
Chemical Abusers ◽  
Anxiety Depression

We examined patterns of changes in psychiatric symptoms among mentally ill chemical abusers (MICAs) in long-term residential treatment. Clients were evaluated with various measures of psychopathology, referred to a therapeutic community (TC) or community residence, and reassessed after 2, 6, and 12 months of treatment with regard to anxiety, depressive symptoms, and psychotic ideation. Reductions in mean values of psychopathology were found only for anxiety and depressive symptoms at the TC during the first 2 months of treatment. However, an examination of changing patterns of symptoms revealed a more complex set of findings. At both programs, a significant number of MICAs showed reductions in psychopathology during treatment, a significant minority exhibited no improvements in psychiatric symptoms, and a few reported new symptoms of anxiety, depression, and psychotic ideation. We conclude that the symptoms of the vast majority of MICAs are highly labile during treatment.

A Comparison of Long-Term and Short-Term Residential Treatment Programs for Dual Diagnosis Patients

2001 ◽  
Vol 52 (4) ◽  
pp. 526-528 ◽  
Author(s):  
Mary F. Brunette ◽  
Robert E. Drake ◽  
Mary Woods ◽  
Timothy Hartnett
Keyword(s):  
Residential Treatment ◽  
Dual Diagnosis ◽  
Treatment Programs ◽  
Short Term ◽  
Residential Treatment Programs

scholarly journals New-Onset Panic, Depression with Suicidal Thoughts, and Somatic Symptoms in a Patient with a History of Lyme Disease

2015 ◽  
Vol 2015 ◽  
pp. 1-4 ◽  
Author(s):  
Amir Garakani ◽  
Andrew G. Mitton
Keyword(s):  
Depressive Symptoms ◽  
Lyme Disease ◽  
Psychiatric Hospitalization ◽  
Psychiatric Symptoms ◽  
Physical Symptoms ◽  
Panic Attacks ◽  
Depression And Anxiety ◽  
Chronic Lyme Disease ◽  
History Of

Lyme Disease, or Lyme Borreliosis, caused byBorrelia burgdorferiand spread by ticks, is mainly known to cause arthritis and neurological disorders but can also cause psychiatric symptoms such as depression and anxiety. We present a case of a 37-year-old man with no known psychiatric history who developed panic attacks, severe depressive symptoms and suicidal ideation, and neuromuscular complaints including back spasms, joint pain, myalgias, and neuropathic pain. These symptoms began 2 years after being successfully treated for a positive Lyme test after receiving a tick bite. During inpatient psychiatric hospitalization his psychiatric and physical symptoms did not improve with antidepressant and anxiolytic treatments. The patient’s panic attacks resolved after he was discharged and then, months later, treated with long-term antibiotics for suspected “chronic Lyme Disease” (CLD) despite having negative Lyme titers. He however continued to have subsyndromal depressive symptoms and chronic physical symptoms such as fatigue, myalgias, and neuropathy. We discuss the controversy surrounding the diagnosis of CLD and concerns and considerations in the treatment of suspected CLD patients with comorbid psychiatric diagnoses.

Predictors of improvement in quality of life of long-term mentally ill individuals receiving case management

2002 ◽  
Vol 17 (1) ◽  
pp. 33-40 ◽  
Author(s):  
T. Björkman ◽  
L. Hansson
Keyword(s):  
Quality Of Life ◽  
Case Management ◽  
Mentally Ill ◽  
Psychosocial Functioning ◽  
Psychiatric Symptoms ◽  
Subjective Quality ◽  
Subjective Quality Of Life

SummaryOne hundred and thirteen long-term mentally ill clients receiving case management were investigated with regard to psychosocial and clinical predictors of changes in subjective quality of life during an 18-month follow-up. Better psychosocial functioning and fewer psychiatric symptoms at baseline predicted a greater improvement in quality of life. A larger decrease in symptom severity and a greater improvement in the social network during the follow-up were identified as the most important predictors of a greater improvement in subjective quality of life. The results of the study suggest that an emphasis should be put on effective symptom management, a reduction of needs for care and social support in order to fulfill the aims of improving subjective quality of life in patients receiving case management.

Depressive symptoms and mentally ill chemical abusers’ perception of the treatment environment in residential settings

1999 ◽  
Vol 24 (1) ◽  
pp. 139-144 ◽  
Author(s):  
Larry A. Nuttbrock ◽  
Michael R. Rahav ◽  
James J. Rivera ◽  
Daisy S. Ng-Mak
Keyword(s):  
Depressive Symptoms ◽  
Mentally Ill ◽  
Residential Settings ◽  
Treatment Environment ◽  
Chemical Abusers

Attachment and Conduct Disorder: The Response Program

1993 ◽  
Vol 38 (6) ◽  
pp. 420-431 ◽  
Author(s):  
Roy Holland ◽  
Marlene M. Moretti ◽  
Vince Verlaan ◽  
Sherri Peterson
Keyword(s):  
Conduct Disorder ◽  
Peer Relations ◽  
Psychiatric Symptoms ◽  
Treatment Programs ◽  
Term Care ◽  
Common Diagnosis ◽  
Wide Range ◽  
Vocational Success

An increasing number of youths are being identified as suffering from behavioural problems that cause difficulties in their family and peer relations which in turn reduces their chances of academic and vocational success. There is growing concern regarding their level of aggressiveness. The common diagnosis given to these disaffiliated youths is conduct disorder. To date, most treatment programs for conduct disorder have been unsuccessful. A review of recent studies indicates that the disruption of attachment may be an important feature that underlies the wide range of symptoms that are typically found in youths with conduct disorder. A community-oriented program designed to ensure long term care for these youths is described in this paper, and the findings of a six month follow-up evaluation are presented. Results indicated that communities, caregivers, and youths responded positively to the program; caregivers reported significant reductions in a broad range of psychiatric symptoms in youths, and youths reported a significant reduction in symptoms of conduct disorder.

Does provider adherence to a treatment guideline change clinical outcomes for patients with bipolar disorder? Results from the Texas Medication Algorithm Project

2005 ◽  
Vol 35 (12) ◽  
pp. 1695-1706 ◽  
Author(s):  
ELLEN B. DENNEHY ◽  
TRISHA SUPPES ◽  
A. JOHN RUSH ◽  
ALEXANDER L. MILLER ◽  
MADHUKAR H. TRIVEDI ◽  
...  
Keyword(s):  
Bipolar Disorder ◽  
Depressive Symptoms ◽  
Clinical Outcomes ◽  
Psychiatric Symptoms ◽  
Treatment Guideline ◽  
Patient Characteristics ◽  
Manic Symptoms ◽  
Provider Adherence ◽  
Over Time

Background. Despite increasing adoption of clinical practice guidelines in psychiatry, there is little measurement of provider implementation of these recommendations, and the resulting impact on clinical outcomes. The current study describes one effort to measure these relationships in a cohort of public sector out-patients with bipolar disorder.Method. Participants were enrolled in the algorithm intervention of the Texas Medication Algorithm Project (TMAP). Study methods and the adherence scoring algorithm have been described elsewhere. The current paper addresses the relationships between patient characteristics, provider experience with the algorithm, provider adherence, and clinical outcomes. Measurement of provider adherence includes evaluation of visit frequency, medication choice and dosing, and response to patient symptoms. An exploratory composite ‘adherence by visit’ score was developed for these analyses.Results. A total of 1948 visits from 141 subjects were evaluated, and utilized a two-stage declining effects model. Providers with more experience using the algorithm tended to adhere less to treatment recommendations. Few patient factors significantly impacted provider adherence. Increased adherence to algorithm recommendations was associated with larger decreases in overall psychiatric symptoms and depressive symptoms over time, but did not impact either immediate or long-term reductions in manic symptoms.Conclusions. Greater provider adherence to treatment guideline recommendations was associated with greater reductions in depressive symptoms and overall psychiatric symptoms over time. Additional research is needed to refine measurement and to further clarify these relationships.

Psychiatric Symptoms in Mentally Ill Chemical Abusers

1991 ◽  
Vol 179 (3) ◽  
pp. 136-138 ◽  
Author(s):  
MICHAEL P. CAREY ◽  
KATE B. CAREY ◽  
ANDREW W. MEISLER
Keyword(s):  
Mentally Ill ◽  
Psychiatric Symptoms ◽  
Chemical Abusers
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