scholarly journals How can a change in the operating system of the mental health review board promote the discharge of long-term hospitalized psychiatric patients? A case study of Seoul city

2014 ◽  
Vol 8 (1) ◽  
Author(s):  
Myung-Soo Lee ◽  
Hee-Young Lim ◽  
Youngki Kim ◽  
Yong-Suk Lee
Keyword(s):  
Mental Health ◽  
Operating System ◽  
Psychiatric Patients ◽  
Health Review

Long-term Psychiatric Patients in the Community

1986 ◽  
Vol 149 (5) ◽  
pp. 537-540 ◽  
Author(s):  
K. Jones ◽  
M. Robinson ◽  
M. Goughtlev
Keyword(s):  
Mental Health ◽  
United States ◽  
Mental Hospital ◽  
Psychiatric Patients ◽  
The United States ◽  
Review Of The Literature ◽  
Mental Hospitals ◽  
Health Review

The reduction of mental hospital populations in Britain and the United States has generated a considerable amount of literature on policy, but detailed studies of the effects on patients and the conditions under which they live after discharge are rare. In the United States, a National Institute of Mental Health review of the literature commented that “the question of what actually happens to patients who leave mental hospitals and re-enter the community is largely unanswered” (Bachrach, 1976).

The Practice of Community Psychiatric Nursing and Mental Health Social Work in Salford Some Implications for Community Care

1988 ◽  
Vol 152 (6) ◽  
pp. 783-792 ◽  
Author(s):  
K. Wooff ◽  
D. P. Goldberg ◽  
T. Fryers
Keyword(s):  
Mental Health ◽  
Psychiatric Symptoms ◽  
Psychiatric Patients ◽  
Psychiatric Nurses ◽  
Health Staff ◽  
Mental Health Staff ◽  
Term Care ◽  
Community Psychiatric ◽  
Wide Range

The context and content of work undertaken with individual clients by community psychiatric nurses (CPNs) and mental health social workers (MHSWs) in Salford were found to be significantly different. Although there were some areas of overlap, the ways in which the two professions worked were quite distinct. MHSWs discussed a wide range of topics and were as concerned with clients' interactions with family and community networks as they were with symptoms. Their interviews with schizophrenic clients followed a similar pattern to those with other groups, and they worked closely with psychiatrists and other mental health staff. CPNs, on the other hand, focused mainly on psychiatric symptoms, treatment arrangements, and medications, and spent significantly less time with individual psychotic clients than they did with patients suffering from neuroses. They were as likely to be in contact with general practitioners as they were with psychiatrists, and had fewer contacts with other mental health staff than the MHSWs. There was evidence that the long-term care of chronic psychiatric patients living outside hospital required more co-ordinated long-term multidisciplinary input.

COVID-19: it happens to nurses too—a case study

2020 ◽  
Vol 25 (12) ◽  
pp. 594-597
Author(s):  
Grace McDonald ◽  
Louise L Clark
Keyword(s):  
Mental Health ◽  
Intensive Care Unit ◽  
Physical And Mental Health ◽  
Post Discharge ◽  
Social Approach ◽  
Charge Nurse ◽  
Icu Discharge ◽  
Health Complications

The COVID-19 pandemic will have long-term ramifications for many patients, including those who work in the NHS and have been victims of the disease. This short case study describes the journey of an emergency department (ED) charge nurse who contracted COVID-19 and was hospitalised in the intensive care unit (ICU). Post-discharge, he experienced a multitude of physical and mental health complications, which ultimately impacted on each other. Therefore, a bio-psycho-pharmaco-social approach to care is recommended from admission through ICU, discharge and beyond. From this and other narratives, it appears that COVID-19 patients are not adequately followed up after ICU discharge, something that must be considered going forward.

Why Provide Music Therapy in the Community for Adults with Mental Health Problems?

1995 ◽  
Vol 9 (1) ◽  
pp. 4-10 ◽  
Author(s):  
Helen Odell-Miller
Keyword(s):  
Mental Health ◽  
Music Therapy ◽  
Mental Health Problems ◽  
Clinical Information ◽  
Health Problems ◽  
Care Programme ◽  
Client Group ◽  
Multidisciplinary Teamwork

This paper describes music therapy within a community mental health setting for adults using a care programme approach in England. It describes the setting, and emphasises the importance of multidisciplinary teamwork in order to enable music therapy to be effective. It provides some statistics and descriptive clinical information which demonstrate the efficacy of music therapy for adults with long-term mental health problems, and argues that music therapy should be apriority for this client group. To support these points of view, the article includes a case study showing a psychoanalytically informed approach in music therapy. This paper was given as a keynote address at the 1994 Australian Conference of Music Therapy.

scholarly journals Multidisciplinary residential home intervention to improve outcomes for frail residents

2021 ◽  
Author(s):  
Anna Steel ◽  
Helen Hopwood ◽  
Elizabeth Goodwin ◽  
Elizabeth L Sampson
Keyword(s):  
Mental Health ◽  
Residential Home ◽  
Physical And Mental Health ◽  
Improvement Project ◽  
Cardio Pulmonary Resuscitation ◽  
Poor Access ◽  
Advance Care ◽  
Perceived Impact ◽  
Health Review

Abstract BackgroundResidential homes provide accommodation and assistance with personal care only and are not required to have registered nurses on site. However, their residents often have a combination of comorbidity, polypharmacy, frailty and mental-health conditions with poor access to healthcare to meet these needs. Integrated healthcare for older people is a key NHS priority in the Long-Term Plan and the Five-Year Forward View. We describe development and implementation of multi-disciplinary intervention to integrate healthcare and promote interprofessional education.MethodsA multi-disciplinary residential home quality improvement project in two cycles by a team comprising senior and trainee general practitioners, trainees in geriatrics, psychiatry, pharmacist and residential home senior staff. The intervention was underpinned by the framework for enhanced health in care homes including Comprehensive Geriatric Assessment (CGA) and mental-health review. Each intervention session included an educational presentation by a team member consideration of each resident in a pre-evaluation multi-disciplinary discussion followed by a structured clinical assessment and discussion of proposed management.ResultsThree residential homes participated with a total 34 residents receiving intervention. In one residential home, there was a 75% reduction in admissions for those reviewed and a reduction in overall admission costs. Polypharmacy was reduced by an average of 2 medications per resident across the three sites. There was a 63% increase in cardio-pulmonary resuscitation decisions and 76% increase in advance care planning discussions.ConclusionThis was an effective model for multi-disciplinary trainees working with a perceived impact on physical and mental health, and valuable opportunities for sharing learning.

scholarly journals A new appraisal of Mental Health Review Tribunals

1989 ◽  
Vol 13 (6) ◽  
pp. 299-300 ◽  
Author(s):  
A. T. Grounds
Keyword(s):  
Mental Health ◽  
Psychiatric Patients ◽  
Civil Liberties ◽  
Home Office ◽  
The Public ◽  
Mental Health Act ◽  
European Court ◽  
The Right ◽  
Prime Function ◽  
Health Review

Mental Health Review Tribunals were introduced in the Mental Health Act (1959) to safeguard psychiatric patients against unjustified detention in hospital. The powers of tribunals form “an important part of the fabric of civil liberties” (Wood, 1974). However, in exercising their prime function of preventing unjust detention, tribunals in practice also have to take into account patients' clinical needs and the protection of the public. Further weight was added to this complex burden of decision making following a judgement by the European Court of Human Rights in 1981 which upheld the right of all detained patients to a periodic judicial review of their detention. As a result of this judgement the Mental Health Act (1983) extended tribunal powers to include the release of offender patients sentenced by Crown courts and given hospital orders with restrictions on discharge. Such individuals may have been convicted of grave criminal offences, and their discharge or transfer from hospital would otherwise require the consent of the Home Office.

scholarly journals Prevalence of Cannabis Residues in Psychiatric Patients: A Case Study of Two Mental Health Referral Hospitals in Uganda

2014 ◽  
Vol 8 ◽  
pp. SART.S13254 ◽  
Author(s):  
Epaenetus A. Awuzu ◽  
Emmanuel Kaye ◽  
Patrick Vudriko
Keyword(s):  
Mental Health ◽  
Medical Records ◽  
Psychiatric Patients ◽  
Strong Association ◽  
Diagnostic Kits ◽  
Referral Hospitals ◽  
Other Substances ◽  
History Of ◽  
Diagnostic Capacity

Various studies have reported that abuse of cannabis is a risk factor for psychosis. The aims of this study were to determine the prevalence of delta 9-tetrahydrocanabinol (Δ 9 -THC), a major metabolite of cannabis, in psychiatric patients in Uganda, and to assess the diagnostic capacity of two referral mental health hospitals to screen patients for exposure to cannabis in Uganda. Socio-demographic characteristics of the patients were collected through questionnaires and review of medical records. Urine samples were collected from 100 patients and analyzed using Δ 9 -THC immunochromatographic kit (Standard Diagnostics®, South Korea). Seventeen percent of the patients tested positive for Δ 9 -THC residues in their urine. There was strong association ( p < 0.05) between history of previous abuse of cannabis and presence of Δ 9 -THC residues in the urine. Alcohol, cocaine, heroin, pethidine, tobacco, khat and kuber were the other substances abused in various combinations. Both referral hospitals lacked laboratory diagnostic kits for detection of cannabis in psychiatric patients. In conclusion, previous abuse of cannabis is associated with occurrence of the residues in psychiatric patients, yet referral mental health facilities in Uganda do not have the appropriate diagnostic kits for detection of cannabis residues as a basis for evidence-based psychotherapy.

scholarly journals The impact of torture on mental health in the narratives of two torture survivors

2018 ◽  
Vol 28 (2) ◽  
pp. 130-139
Author(s):  
Simone M. De la Rie ◽  
Jannetta Bos ◽  
Jeroen Knipscheer ◽  
Paul A Boelen
Keyword(s):  
Mental Health ◽  
Mental Health Problems ◽  
Therapeutic Process ◽  
Self Esteem ◽  
Torture Survivors ◽  
Clinical Case Study ◽  
And Control ◽  
The Impact

Introduction: Torture survivors risk developing Posttraumatic Stress Disorder (PTSD) as well as other mental health problems. This clinical case study describes the impact of torture on two survivors who were treated for their PTSD with Narrative Exposure Therapy. Methods: The reports of the narratives of two torture survivors were qualitatively analyzed. It was hypothesized that torture yields overaccommodating cognitions, as well as mental defeat, which in turn, are related to severity of psychological complaints. Results: Both patients have experienced an accumulation of traumatic events. The psychological and physical torture they experienced lead to increased anticipation anxiety, loss of control and feelings of hopelessness, as well as overaccommodating cognitions regarding self and others. Conclusions: Cognitions, culture and beliefs, as well as issues of confidence and a more long-term perspective affect therapeutic work. Building trust, pacing the therapeutic process, and applying tailor-made interventions that focus on cognitions regarding self-esteem, trust in relationships, as well as safety and control are warranted.

scholarly journals Why Provide Music Therapy in the Community for Adults With Mental Health Problems?

2005 ◽  
Vol 5 (1) ◽  
Author(s):  
Helen Odell-Miller
Keyword(s):  
Mental Health ◽  
Music Therapy ◽  
Mental Health Problems ◽  
Clinical Information ◽  
Health Problems ◽  
Care Programme ◽  
Client Group ◽  
Multidisciplinary Teamwork

This paper describes music therapy within a community mental health setting for adults using a care programme approach in England. It describes the setting, and emphasises the importance of multidisciplinary teamwork in order to enable music therapy to be effective. It provides some statistics and descriptive clinical information which demonstrate the efficacy of music therapy for adults with long-term mental health problems, and argues that music therapy should be a priority for this client group. To support these points of view, the article includes a case study showing a psychoanalytically informed approach in music therapy. This paper was given as a keynote address at the 1994 Australian Conference of Music Therapy.

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