Improving services for those who serve: A private practice initiative to improve psychiatric care for first responder and military patients

2021 ◽  
pp. 103985622110578
Author(s):  
Jamalulhak Amir Izzat ◽  
Galletly Cherrie ◽  
Ford Nick
Keyword(s):  
Private Practice ◽  
Psychiatric Care ◽  
Interdisciplinary Communication ◽  
South Australia ◽  
Practice Group ◽  
Referral Service ◽  
Timely Access ◽  
Professional Isolation ◽  
Closing The Gap ◽  
Military Patients

Objectives Professional isolation and limited opportunities for multidisciplinary collaborations are well-recognised challenges for psychiatrists in private practice. This narrative paper describes the development of a private practice group to assist first responders (FRs) and military patients located in Adelaide, South Australia. The aims included both peer review, and interdisciplinary communication and collaboration. Relevant personnel in the ambulance, police and fire services, military and veterans’ groups, and the compensation system, participated in monthly meetings. Lack of timely access to psychiatric care for FR and military patients was identified as a problem and an expedited referral service was established. Conclusions The Closing the Gap Group was established in 2017. The terminology refers to the gap between treating psychiatrists and the complex organisations that manage the workplace context for FR/military patients. This initiative provides a template for private practice innovations to improve psychiatrists’ skills and knowledge, along with better engagement and understanding between private psychiatrists and relevant community organisations.

scholarly journals Psychiatric Services in Saskatchewan under Medicare*

1970 ◽  
Vol 15 (1) ◽  
pp. 63-72 ◽  
Author(s):  
Wilfred A. Cassell ◽  
Colin M. Smith ◽  
Maggie Grandy Rankin
Keyword(s):  
Private Practice ◽  
Urban Areas ◽  
Psychiatric Care ◽  
Psychiatric Treatment ◽  
Psychiatric Patients ◽  
Treatment Session ◽  
Psychiatric Services ◽  
Treatment Services ◽  
Hospital Visits ◽  
To Receive

This study has examined the nature and extent of services provided to psychiatric patients under ‘Medicare’. An analysis of the records of 864,128 residents of Saskatchewan revealed that in 1965, 13,950 males and 27,009 females received a psychiatric diagnosis from physicians in private practice. Psychoneurotic conditions were frequent. General practitioners provided the majority of treatment services for this group. Physicians practising in urban areas were found to complete more psychiatric treatment than their rural counterparts. Female patients were found to receive relatively more psychiatric care than males. The latter obtained more consultations, hospital visits and somatic investigations. Lastly, the rate of service was infrequent, averaging less than one treatment session per patient.

scholarly journals Private in-patient psychiatry in the USA

2014 ◽  
Vol 38 (5) ◽  
pp. 230-235 ◽  
Author(s):  
L. Mark Russakoff
Keyword(s):  
Managed Care ◽  
Healthcare System ◽  
Affordable Care Act ◽  
Private Practice ◽  
Psychiatric Care ◽  
Current System ◽  
Baby Boomer Generation ◽  
Current State ◽  
The Us ◽  
The Usa

SummaryThe US healthcare system is in the midst of major changes driven by four forces: the growing consensus in the country that the current system is financially unsustainable; managed care and parity legislation; the Affordable Care Act 2010; and the ageing of the ‘baby boomer’ generation. How these forces will combine and interact is unclear. The current state of in-patient psychiatric care and trends affecting the private practice of in-patient psychiatry over the next few years will be described.

scholarly journals Private metropolitan telepsychiatry in Australia during Covid-19: current practice and future developments

2020 ◽  
Vol 28 (5) ◽  
pp. 508-510 ◽  
Author(s):  
Jeffrey CL Looi ◽  
William Pring
Keyword(s):  
Public Health ◽  
Private Practice ◽  
Current Practice ◽  
Psychiatric Care ◽  
Public Health Emergency ◽  
Face To Face ◽  
Future Developments

Objective: This paper discusses issues arising from the rapid implementation of metropolitan telepsychiatry in private practice during the Covid-19 public health emergency. Conclusions: The relatively rapid uptake of private practice metropolitan telepsychiatry may further increase flexibility of the options for appointments through ongoing broad telepsychiatry access after the Covid-19 crisis. Telepsychiatry can be used to facilitate the temporary provision of psychiatric care, and has benefits and risks, but is not a longer-term replacement for the interpersonal richness of face-to-face consultations.

The Medical Specialist Outreach Assistance Programme in South Australia

2003 ◽  
Vol 11 (2) ◽  
pp. 189-194 ◽  
Author(s):  
Nigel Cord-Udy
Keyword(s):  
Private Practice ◽  
Psychiatric Service ◽  
South Australia ◽  
Psychiatric Services ◽  
Medical Specialist ◽  
Rural And Remote ◽  
Remote Community ◽  
Remote Areas ◽  
Assistance Programme ◽  
Rural And Remote Areas

Objective: The present paper aims to provide an overview of the Medical Specialist Outreach Assistance Programme (MSOAP) and its implementation in South Australia with particular reference to the expansion of visiting psychiatric services to rural and remote areas. Included is a discussion of a number of the practical issues and challenges experienced by the author in the development of a visiting psychiatric service to the remote community of Coober Pedy in northern South Australia. Conclusions: There has been much success to date with the expansion of visiting psychiatric services to rural and remote areas within South Australia under MSOAP. MSOAP appears to have considerable merit, particularly for psychiatrists working in private practice. There are several practical issues to be considered in taking on this type of work. The professional rewards are substantial.

scholarly journals Surgeon-driven preoperative psychiatric evaluation of plastic surgery patients

2021 ◽  
Vol 4 (2) ◽  
Author(s):  
Phillipa Van Essen ◽  
Natasha Keillor ◽  
Randall Long ◽  
Nicola Dean
Keyword(s):  
Plastic Surgery ◽  
Psychiatric Care ◽  
Clinical Decision Making ◽  
Body Dysmorphic Disorder ◽  
Elective Surgery ◽  
South Australia ◽  
Clinical Decision ◽  
Psychiatric Evaluation ◽  
Post Traumatic Stress ◽  
Select Group

Objectives: Dissatisfaction with body image is common in patients seeking corrective plastic surgery. However, surgery may not be suitable for every patient. Surgery can enhance quality of life in mentally healthy patients but those with psychopathology such as body dysmorphic disorder (BDD) tend to have poorer outcomes. For these patients, surgery is not always recommended and psychiatric care can have a useful role. This paper aimed to estimate the rates of psychopathology in a select group of elective plastic surgery candidates and discuss the role of preoperative psychoplastic referral in triaging these candidates. Method: A retrospective cohort study of patients considering elective surgery at Flinders Medical Centre in South Australia referred by their surgeon for psychoplastic evaluation from 2010 to 2016. Medical records were reviewed to determine compliance with psychiatric referral, the number and types of psychiatric diagnosis and rates of subsequent surgery. Results: We found 83 per cent (54/65) of surgical candidates assessed by our psychiatrist had a mental illness. Post-traumatic stress disorder (n=19, 34.5%) and major depressive disorder (n=19, 34.5%) were most common. Nine patients (13.6%) were diagnosed with BDD. A total of 57 (87.7%) patients were considered to need some kind of psychiatric care to improve potential surgery outcomes. Conclusions: In our study, the rate of psychopathology in patients referred for psychiatric evaluation suggests that careful screening is important for clinical decision making. A combined surgical /psychiatric approach is effective in ensuring vulnerable patients are identified and managed appropriately.

Institutions and services of psychiatric care in Saxony-Anhalt: assessment with the European Services Mapping Schedule

2003 ◽  
Vol 18 (3) ◽  
pp. 145-147 ◽  
Author(s):  
Peter Brieger ◽  
Fanny Wetzig ◽  
Felix M.. Böcker
Keyword(s):  
Private Practice ◽  
Outpatient Care ◽  
Regional Differences ◽  
Psychiatric Care ◽  
Social Contact ◽  
Paid Work ◽  
Day Hospital ◽  
Community Based ◽  
Federal States ◽  
Work Related

AbstractThis article describes and analyses the availability of outpatient, inpatient and community-based psychiatric care in Saxony-Anhalt, one of the federal states in the eastern part of Germany. The European Services Mapping Schedule was used to classify 365 institutions. Outpatient care was provided by an average of four private practice psychiatrists per 100 000 inhabitants, which is low when compared to the German average. Ten secure beds (fo-rensic), 48 acute beds, 13 elective beds and 13 day hospital places per 100 000 inhabitants were available for inpatient care. Non-acute non-hospital residential services with indefinite stay and with 24 h support amounted to 240 places per 100 000, with regional differences ranging from less than 100 to more than 1000. Other facilities offering paid work or work-related activities were scarce and some services providing structured activity or social contact were available only in urban agglomerations. Overall, psychiatric care in Saxony-Anhalt is fragmented as regards providers and funding.

Closing the Gap in Nutrition Care at Outpatient Cancer Centers: Ongoing Initiatives of the Oncology Nutrition Dietetic Practice Group

2018 ◽  
Vol 118 (4) ◽  
pp. 749-760 ◽  
Author(s):  
Elaine B. Trujillo ◽  
Suzanne W. Dixon ◽  
Katrina Claghorn ◽  
Rhone M. Levin ◽  
Jeannine B. Mills ◽  
...  
Keyword(s):  
Cancer Centers ◽  
Practice Group ◽  
Nutrition Care ◽  
Closing The Gap
Sign in / Sign up

Export Citation Format

Share Document