scholarly journals Liaison psychiatry for older adults in the general hospital: service activity, development and outcomes

2018 ◽  
Vol 42 (1) ◽  
pp. 30-36 ◽  
Author(s):  
Fedza Mujic ◽  
Ruth Cairns ◽  
Vivienne Mak ◽  
Clare Squire ◽  
Andrew Wells ◽  
...  

Aims and methodThis study used data collected to describe the activity, case-load characteristics and outcome measures for all patients seen during a 6-year period.ResultsThe service reviewed 2153 patients over 6 years with referral rates and case-load characteristics comparable to those described in a previous study period. The team saw 82% of patients on the day they were referred. Data and outcome measures collected showed significant complexity in the cases seen and statistically significant improvement in Health of the Nation Outcome Scales (HoNOS) scores following service input.Clinical implicationsThe outcome measures used were limited, but the study supports the need for specialist liaison psychiatry for older adults (LPOA) services in the general hospital. The Framework of Outcome Measures – Liaison Psychiatry has now been introduced, but it remains unclear how valid this is in LPOA. It is of note that cost-effectiveness secondary to service input and training activities are not adequately monitored.Declaration of interestNone.

2002 ◽  
Vol 26 (11) ◽  
pp. 433-435 ◽  
Author(s):  
John Holmes ◽  
Jon Millard ◽  
Susie Waddingham

Liaison psychiatry has emerged as a sub-speciality within general adult psychiatry, with specific experience and training being required to develop the skills and knowledge to address comorbid physical and psychiatric symptoms and illness (House & Creed, 1993; Lloyd, 2001). Older people often present with significant physical and psychiatric comorbidity (Ames et al, 1994; Holmes & House, 2000) and most old age psychiatry services receive one-quarter to one-third of referrals from general hospital wards (Anderson & Philpott, 1991). Despite this, there are no specific requirements for training in liaison psychiatry for old age psychiatrists at any level. The experience gained in assessing and treating general hospital referrals during basic and higher specialist training is felt to be adequate (Royal College of Psychiatrists, 1998).


Author(s):  
D.W. Baxter ◽  
J.G. Stratford

Neurology and neurosurgery are among the most active disciplines at the Montreal General Hospital (MGH) today with impressive academic and neuroscientific profiles. This paper records an earlier period of activity when the feasibility of such research and clinical developments was only a dream.The history of neurology and neurosurgery at the MGH dates from the early days of this century – a story which is well-told by Preston Robb in “The Development of Neurology at McGill”. The level of clinical activities varied from decade to decade and from the 1930s was closely linked to the Montreal Neurological Institute (MNI). An MGH Department of Neurology and Neurosurgery was established in the 1940s. Francis McNaughton was the first director and, on his move to become neurologist-in-chief at the MNI in 1951, he was succeeded by Harold Elliott, the neurosurgeon. Preston Robb was then the senior neurologist, assisted over variable periods of time by colleagues Norman Viner, Miller Fisher, William Tatlow, Bernard Graham, and David Howell. Dr. Robb reluctantly resigned in 1953 after having “met with the authorities to see if a basic research program could be developed. I was told that this was not possible, it was not in the tradition of the hospital, and research was the responsibility of the university.” For a short period in 1955 and 1956, JGS was a junior staff member in neurosurgery before joining Bill Feindel at the University of Saskatchewan. Despite these impressive hospital rosters, neurologists and neurosurgeons at the MGH were not full-time and the bulk of the academic and training activities of the McGill Department of Neurology and Neurosurgery continued at the MNI.


2021 ◽  
Vol 4 (2) ◽  
pp. 113-122
Author(s):  
Ahmad Muchlisin Natas Pasaribu

Abstract   The purpose of this Community Service activity is to provide physical condition training to novice athletes, training programs for physical trainers at Padepokan Judo Ksatria Bhayangkara (PJKB). This training needs to be done because the training process is still minimal. Trainers have the obligation to provide training and make athletes excel, but there are still limitations in doing so. Training for novice athletes is still very much needed because of the lack of planning and maturity in carrying out training activities both in terms of training material and from the intensity given. Higher education as an institution that produces trainers and educators, as well as an organization that organizes community service activities, has a moral obligation to carry out coaching and training. For this reason, community service programs providing athlete training are the way to be taken to overcome this problem. Activities include physical condition training. The material discussed is the judo training program. The training is planned to be held on October to December 2020.   Keywords: Judo, Physical Condition, Training   Abstrak   Tujuan kegiatan Pengabdian Kepada Masyarakat ini adalah memberikan pelatihan kondisi fisik kepada para atlet pemula, program latihan kepada para pelatih fisik di Padepokan Judo Ksatria Bhayangkara (PJKB). Pelatihan ini perlu dilakukan karena adanya proses latihan yang masih minim. Pelatih memiliki kewajiban untuk memberikan latihan dan menjadikan atlit berprestasi, namun masih ada keterbatasan dalam melaksanakannya. Pelatihan bagi atlet pemula masih sangat diperlukan karena kurangnya perencanaan dan kematangan dalam melakukan kegiatan latihan baik dari segi materi latihan maupun dari intensitas yang diberikan. Perguruan Tinggi sebagai lembaga penghasil pelatih maupun pendidik, sekaligus lembaga yang secara terorganisisir melaksanakan kegiatan pengabdian kepada masyarakat memiliki kewajiban moril untuk melakukan pembinaan dan pelatihan. Untuk itu program pengabdian kepada masyarakat menghadirkan untuk memberikan pelatihan atlet adalah cara yang ditempuh untuk mengatasi masalah tersebut. Kegiatan meliputi pelatihan kondisi fisik. Materi yang dibahas adalah program latihan judo. Pelatihan direncanakan akan dilaksanakan pada tanggal Oketober hingga Desember 2020.   Kata kunci: Judo, Kondisi fisik, Pelatihan


2021 ◽  
Vol 2 (3) ◽  
pp. 95-102
Author(s):  
N. Nurwidodo ◽  
M. Mulyono ◽  
Ahmad Fauzi

Jamu (herbal medicine) is included in traditional health drinks that its processing is often less hygienic. The purpose of this community service program is to improve the cleanliness of the herbal medicine-making process in the herbal medicine group in Malang through the provision of hygienic herbal medicine processing machines. Community service activities were carried out in 2018 by involving herbal medicine groups in Tegalgondo and Jetis Villages, Malang. The community service activities included analyzing the conditions and needs of partners, designing herbal medicine machines as needed, as well as assisting the use of machines. The implementation methods in this service program were discussion and training. The result of this service activity was an increase in partner knowledge regarding the importance of hygiene and the use of appropriate technology in herbal medicine processing. After the training was carried out, service partners began to be moved to process jamu more hygienically. Furthermore, assistance and technology-based marketing training activities also need to be carried out.


2021 ◽  
Vol 1 (2) ◽  
pp. 83-87
Author(s):  
I Made Arya Budhi Saputra ◽  
I Nyoman Rudy Hendrawan ◽  
Deviana Deviana

ST. Kertha Budi Luhur is the youth organization of the Kayumas Kelod traditional banjar which was founded around 1995. One of the social activities of the Sekaa Teruna is to focus on environmental and waste issues. Related to the issue of waste ST. Kertha Budi Luhur plans to establish a waste bank. The waste bank is an alternative solution that can be done by the community in terms of waste management or management. Waste banks can increase public participation to care more about the waste they produce daily, besides that, with the existence of waste banks, the community can get economic value feedback. Therefore, in this community service, socialization and training were carried out on how to form a waste bank. This community service activity is broadly divided into initial socialization activities aimed at providing initial information about waste banks and technical training activities aimed at providing a more detailed explanation of the waste bank operations, from sorting waste to working with garbage collectors. Increased awareness of waste management by 85% of ST members Kertha Budi Luhur after the training.


2003 ◽  
Vol 27 (12) ◽  
pp. 457-460 ◽  
Author(s):  
Rachel Ruddy ◽  
Allan House

Aims and Method We surveyed all psychiatric services in the six northeast strategic health authorities to determine how the provision of liaison psychiatry services related to College recommendations and the size of the general hospital trusts served. Results Thirty-six (100%) services provided usable data, 8% of general hospital trusts had no liaison psychiatry service, 41% of teams were not multidisciplinary with their only staff being nurses, only 38% of services had dedicated consultant psychiatry time and only a quarter met the recommended minimum standard of 0.5 whole-time equivalents. No teams contained clinical psychologists. Disorder-specific out-patient clinic provision was idiosyncratic. Clinical Implications There is a lack of rational planning of liaison psychiatry services and as a result, many services are not needs-based and do not comply with College recommendations. One indication of this is the lack of multidisciplinary teams.


2012 ◽  
Vol 36 (12) ◽  
pp. 450-454 ◽  
Author(s):  
Jim Bolton

Aims and methodTo assess stigmatising attitudes towards mental illness and psychiatric professionals experienced by UK liaison psychiatry staff. A questionnaire asked about the impact of these events on patient care and for suggestions for tackling stigma in the general hospital.ResultsOut of 72 multidisciplinary respondents, over three-quarters had experienced stigmatising attitudes towards mental illness by general hospital colleagues at least monthly. Two-thirds reported instances where stigmatisation had an adverse impact on patient care, and over a quarter reported stigmatising attitudes towards mental health professionals. Suggestions for combating stigma included educational initiatives, clear clinical communication, and the provision of high-quality liaison services.Clinical implicationsLiaison psychiatry is well placed to both recognise and combat stigma in the general hospital. This can help to ensure that patient care is comprehensive, safe and respectful.


2021 ◽  
Vol 4 (2) ◽  
pp. 145
Author(s):  
Justin Eduardo Simarmata ◽  
Merlin Helentina Napitupulu ◽  
Thresia Trivict Semiun ◽  
Maria Wisrance Wihelmina

Introduction and training of “Fast Math Tricks” for elementary school students in GMIT Petra Kefamenanu congregation aims to develop students' thinking skills and interest in mathematics. This community service activity is carried out for one month, with a meeting duration of 90 minutes per meeting. Students who take part in the activity are students who are considered capable of participating in the training, come from the sixth grade of elementary schools in the GMIT Petra Kefamenanu congregation. The method of implementing this activity is the method of testing, lecturing, and practice. The activity began with an introduction to "Fast Math Tricks", followed by training on "Fast Math Tricks". With the introduction and training of "Fast Math Tricks", students understand and like mathematics more and will become provisions for students for education at the next level. Student response is very good in implementing activities because "Fast Math Tricks" is a new thing for them, in addition to the introduction of "Fast Math Tricks", it can provide benefits and convenience for elementary school students in doing calculations. From the introduction and training activities of fast math tricks, it was concluded that students were 87.50% helped, 8.33% was quite helpful, and 4.17% were not helped by the application of fast math tricks in calculating multiplication and division.


2019 ◽  
Vol 3 (2) ◽  
pp. 156-169
Author(s):  
Dwiana Asih Wiranti ◽  
Muhammad Misbahul Munir

Javanese language is very important to students learn since early childhood. Where through Javanese language children can understand the positive value in the self-character. While learning Javanese etiquette in RA Miftahul Ulum and MI Miftahul Ulum 02 is still not optimal. So it is necessary to conduct training for teachers in RA Miftahul Ulum and MI Miftahul Ulum 02 in the lower classes related to the method of learning Javanese etiquette. Through this activity, the team provided training with demonstration methods about interesting learning methods, interactive and can be used to teach Javanese language especially “Krama”  to early childhood. In this case early childhood is a low grade RA and MI student and training is given to teachers in RA Miftahul Ulum and MI Miftahul Ulum 02 in the lower class. This service activity has several stages which include, briefing and direction, implementation, monitoring, and evaluation. The results of this training received good appreciation from the partners. Partners actively participate in training activities. In addition, through practical activities, participants can practice the learning methods provided, so that participants are able to provide problems solving in the difficulties experienced by teachers in learning Javanese language for early childhood


2021 ◽  
Vol 2 (1) ◽  
pp. 30-36
Author(s):  
Kustin Kustin

Salah satu masalah yang dihadapi Indonesia terhadap masalah kualitas Sumber Daya Manusia (SDM) adalah masalah gizi. Masalah gizi yang dihadapi salah satunya adalah masih tinggi jumlah anak diindonesia yang tinggi badannya di bawah standart atau pendek (stunting). Stunting merupakakan salah masalah multisektoral baik dari bidang kesehatan, pertanian, ekonomi maupun sosial. Salah satu intervensi yang bisa diberikan adalah pemantauan tumbuh kembang anak, penatalaksanaan gizi kurang/buruk, promosi kesehatan dan lain sebagainya. Intervensi yang diberikan pada pengabdian masyarakat in adalah pendidikan dan pelatihan untuk meningkatkan kesadaran masyarakat akan stunting dan bahayanya, juga sosialisasi guna meningkatkan pengetahuan tentang pencegahan stunting Stunting is one of the main multisector problems in the health, agriculture, economy and social sectors. One of the interventions that can be given is management of malnutrition and health improvement. The interventions provided in this community service are education and training involving the role of the family in nutrition gardening activities around the house to provide healthy food with the nutrition awareness family program (KADARZI). This community service activity aims to increase the role and empowerment of families in efforts to prevent stunting through a nutrition garden. This family empowerment method is carried out by providing health education and socialization, land use training and making complementary foods for breast milk. This training activity was attended by 30 people. The results of the evaluation of activities from the first meeting to the last obtained the results before the training activities were that the level of knowledge was mostly lacking  namely 73% and after participating in activities and training the level of knowledge increased to good knowledge of  81%. This KADARZI training is an effort to help mothers save on shopping expenses for purchasing vegetables, this is because it has been fulfilled by planting vegetables around their home land.


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