scholarly journals Child psychiatry: a model for specific goals for in-patient treatment linked to resources and limitations in out-patient treatment

2020 ◽  
Vol 44 (6) ◽  
pp. 272-274
Author(s):  
Simon R. Wilkinson
Keyword(s):  
Family Therapy ◽  
Young People ◽  
Child Psychiatry ◽  
Clinical Psychologists ◽  
Patient Treatment ◽  
Psychiatric Unit ◽  
Safety Requirements ◽  
Child Psychiatric ◽  
Different Types

SummaryI present a rationale for two different types of in-patient child psychiatric unit: 24/7 intensive units and 24/5 child and family units. Intensive units address safety requirements. The developing personality of young people is at the centre of in-patient approaches on the child and family units. This requires attachment-informed practice. Families must always be involved and placement of units must facilitate their participation. The primary skill characterising these units is use of the milieu for therapy and combining this with family therapy. In other words, nurses and allied professionals need to be the dominant force in unit development, under the reflective guidance of consultants and clinical psychologists.

The role of the child psychiatric ward in health care: experiences with different types of admissions over a period of twenty-one years

1992 ◽  
Vol 9 (1) ◽  
pp. 17-23
Author(s):  
Colin Gray ◽  
Douglas Chisholm ◽  
Patricia Smith ◽  
Madeline Brown ◽  
Christina McKay
Keyword(s):  
Health Care ◽  
Length Of Stay ◽  
Psychiatric Ward ◽  
Psychiatric Unit ◽  
Future Directions ◽  
Health Care Experiences ◽  
Child Psychiatric ◽  
Different Types ◽  
Assessment And Treatment

AbstractThe concept of the child psychiatric unit is considered. The character, capacities and activities of one unit are described and some features of the admissions over its first 21 years are discussed in relation to the findings of other studies. Among the factors considered are the patients' presenting diagnoses, their sex, their physical health and their length of stay in the Unit. Some possible future directions for the Unit are discussed, and the pattern of work over the two decades covered by the study is related to current and future requirements. It is suggested that for several categories of disorder, a child psychiatric unit offers unique advantages in both assessment and treatment.

Suicide Behaviour in Twenty Adolescents

1969 ◽  
Vol 115 (521) ◽  
pp. 479-480 ◽  
Author(s):  
Stephanie M. Leese
Keyword(s):  
Young People ◽  
Psychiatric Unit ◽  
Comparison Of Results ◽  
Child Psychiatric ◽  
Suicide Behaviour ◽  
Broken Homes

Few studies of this type concentrating on young people have been published. Comparison of results is almost impossible, since different age ranges have been involved and in some cases the sex factor has been ignored. During the calendar year 1965, 20 patients were referred to our Child Psychiatric Unit having intentionally damaged themselves, and were seen by one or other of the four psychiatrists. This survey was made retrospectively from their notes because we were impressed by the number who had “broken homes”, or whose parents were chronically mentally or physically ill.

scholarly journals Case Study on Fire Resistance of Sandwiches for Means of Transport

Coatings ◽  
2021 ◽  
Vol 11 (2) ◽  
pp. 207
Author(s):  
Pavel Koštial ◽  
Zora Koštialová Jančíková ◽  
Robert Frischer
Keyword(s):  
Fire Resistance ◽  
Fire Protection ◽  
Public Transport ◽  
Hybrid Vehicles ◽  
Safety Requirements ◽  
Different Types ◽  
Aluminum Honeycomb ◽  
Heat Loads

These days there are undeniably unique materials that, however, must also meet demanding safety requirements. In the case of vehicles, these are undoubtedly excellent fire protection characteristics. The aim of the work is to experimentally verify the proposed material compositions for long-term heat loads and the effect of thickness, the number of laminating layers (prepregs) as well as structures with different types of cores (primarily honeycomb made of Nomex paper type T722 of different densities, aluminum honeycomb and PET foam) and composite coating based on a glass-reinforced phenolic matrix. The selected materials are suitable candidates for intelligent sandwich structures, usable especially for interior cladding applications in the industry for the production of means of public transport (e.g., train units, trams, buses, hybrid vehicles).

scholarly journals Not all biases are bad: equitable and inequitable biases in machine learning and radiology

2021 ◽  
Vol 12 (1) ◽  
Author(s):  
Mirjam Pot ◽  
Nathalie Kieusseyan ◽  
Barbara Prainsack
Keyword(s):  
Machine Learning ◽  
Human Error ◽  
Technical Problem ◽  
Social Dimension ◽  
Patient Treatment ◽  
Technical Solution ◽  
Negative Effects ◽  
Different Types ◽  
Human Decision

AbstractThe application of machine learning (ML) technologies in medicine generally but also in radiology more specifically is hoped to improve clinical processes and the provision of healthcare. A central motivation in this regard is to advance patient treatment by reducing human error and increasing the accuracy of prognosis, diagnosis and therapy decisions. There is, however, also increasing awareness about bias in ML technologies and its potentially harmful consequences. Biases refer to systematic distortions of datasets, algorithms, or human decision making. These systematic distortions are understood to have negative effects on the quality of an outcome in terms of accuracy, fairness, or transparency. But biases are not only a technical problem that requires a technical solution. Because they often also have a social dimension, the ‘distorted’ outcomes they yield often have implications for equity. This paper assesses different types of biases that can emerge within applications of ML in radiology, and discusses in what cases such biases are problematic. Drawing upon theories of equity in healthcare, we argue that while some biases are harmful and should be acted upon, others might be unproblematic and even desirable—exactly because they can contribute to overcome inequities.

Adjustment of the German Prospective Payment System for Psychiatric and Psychosomatic Facilities: Does PEPP Provides a Suitable Basis? Results of a Descriptive Comparative Study

2017 ◽  
Vol 41 (S1) ◽  
pp. S706-S707
Author(s):  
B.S. Voigtländer ◽  
T. Barth
Keyword(s):  
Pay For Performance ◽  
Prospective Payment System ◽  
Payment System ◽  
Patient Treatment ◽  
Emergency Psychiatry ◽  
Intensive Care Treatment ◽  
Staffing Level ◽  
Psychiatric Unit ◽  
Remuneration System ◽  
Definition Of

IntroductionIn Germany a consistent, performance-oriented, flat-rate remuneration system based on per-day payments for inpatient and day patient hospital services for psychiatric and psychosomatic facilities (PEPP) is developed. The Klinikum Chemnitz gGmbH decided in 2013 to participate in the optional PEPP introducing phase and acts as a PEPP cost accounting hospital.ObjectivesDue to a controversial discussion by the psychiatric experts, an adjustment of the hitherto only performance-based to a budget-oriented system based on PEPP is planned in 2017.AimsThis paper discusses if the current PEPP remuneration system enables an appropriate recognition and measurement of services.MethodsDescriptive analyses were performed by comparing inpatient and day patient treatment at a therapy oriented psychiatric unit and the emergency psychiatric unit in 2015. The evaluation primarily focused on the criteria of “staffing level and structure”, “imaging of services by German procedure classification (OPS) according to PEPP”, “PEPP remuneration”.ResultsOur findings (Table 1) show that in 2015 the PEPP remuneration system provided an appropriate recognition of unit-specific services in emergency psychiatry (e.g., 1 to 1 care, intensive care treatment), but services of board certified therapeutic staff were recognized inadequately in consequence of the definition of therapy by the OPS catalogue.ConclusionFurther development of payment system should implicate changes in the definition of therapy according to scientific guidelines and the pay for performance concept.Table 1Disclosure of interestActivity as a speaker, Janssen-Cilag GmbH.

Building Curriculum for Training in Community Child Psychiatry

1996 ◽  
Vol 41 (6) ◽  
pp. 400-405 ◽  
Author(s):  
John Leverette ◽  
Arthur Froese ◽  
Vincenzo DiNicola
Keyword(s):  
Child Psychiatry ◽  
Curriculum Design ◽  
Training Programs ◽  
Practical Approach ◽  
Psychiatric Training ◽  
Community Based ◽  
Didactic Teaching ◽  
Curriculum Review ◽  
Child Psychiatric

Objective: To present a practical approach to curriculum design for community-based care in child psychiatry. Method: A design template is presented, steps for a curriculum review are derived from it, and as an example, a small academic division's program is reviewed. Results: The division's curriculum was developed according to the template, resulting in an enhanced focus and improved coverage of topics through a combination of experiential and didactic teaching. Conclusion: The suggested format is considered applicable to child psychiatric training programs of all sizes and offers an opportunity to review or initiate the teaching of community child psychiatry.

Different types of manipulation in sport

2021 ◽  
Vol 66 (05) ◽  
pp. 109-113
Author(s):  
Hilal Mehti oğlu Abbasov ◽  
Keyword(s):  
Young People ◽  
Key Words ◽  
Drug Addiction ◽  
Sports Betting ◽  
Existing Problems ◽  
Sports Gambling ◽  
Different Types

Athletes are not roulette chips, but sports gambling treats them as such. If the dangers of state sponsored sports betting are not confronted, the character of sports and youngsters’ view of them could be seriously threatened… just as legalizing drugs would lead to increased drug addiction, legalizing sports gambling would aggravate the problems associated with gambling. As a society, we cannot afford this result, and… legalizing sports gambling would encourage young people to participate in sports to win money. They would no longer love the game for the purity of the experience. Key words: major manipulations, harmful aspects, existing problems, legalizing sports gambling, ethics of sports

scholarly journals SPECIAL ASPECTS OF THE EFFICIENT DAILY ROUTINE OF STUDENTS AT MODERN EDUCATIONAL ESTABLISHMENTS OF DIFFERENT TYPES

2020 ◽  
Vol 73 (7) ◽  
pp. 1516-1520
Author(s):  
Oksana V. Tymoshchuk ◽  
Oksana Y. Zhurakivska ◽  
Volodymyr V. Derpak ◽  
Iryna O. Kostitska ◽  
Iryna T. Tokar
Keyword(s):  
Young People ◽  
The State ◽  
Educational Process ◽  
The Body ◽  
Educational Institutions ◽  
Daily Routine ◽  
Health State ◽  
Functional Capabilities ◽  
Different Types ◽  
Educational Conditions

The aim of study is special aspects of the efficient daily routine of students at modern educational institutions of different types, and its influence on psychophysical functions, adaptive abilities, the quality of life as well as the state of mental and somatic health of the youngsters. Materials and methods: While studying special aspects of the daily routine of students at modern educational institutions and their influence on the state of physical and mental health, the young people were observed in five modern educational establishments in Ivano-Frankivsk: Vasyl Stefanyk Precarpathian National University, Ivano-Frankivsk Finance Commercial Cooperative College named after S.Granat, Ivano-Frankivsk music school named after Denis Sichinskiy, Ivano-Frankivsk Vocational Motor Transport and Construction Lyceum № 15, Ivano-Frankivsk boarding lyceum for gifted young people from rural areas. 300 students were observed (150 female students and 150 male students). The study analyzed their educational conditions, daily routine tension, and activities during breaks, special aspects of leisure arrangements, amount of time spent on homework, subjective assessment of the level of tension of the educational process, and their projected influence on the health state of students by using static models. Results: Received results of the assessment of sanitary and hygienic conditions under which training takes place at modern educational institutions of different types, as well as conditions of after school activities of the students, by applying common methods to evaluate illumination level, microclimate, and air quality have revealed that the youngsters’ conditions at modern educational institutions are marked by absence of significant deviations from common hygienic requirements, they are similar and easily comparable and that enables defensibly and illuminatively to identify main features of influence of the different psychohygienic methods on the development of health maintaining tools and the establishment of features of the formation of functional capabilities and the basic correlates of mental and physical health. Conclusions: The educational conditions of young people in modern educational establishments can be described as not having considerable deviations from common hygienic requirements, being easily comparable and enabling to identify main influence factors of different types of psychohygienic methods of developing and implementing of healthmaintaining tools on the course of formation of the functional capabilities of the body and the development of the main adaptation reactions in young males and females.

The Effectiveness of a Child Psychiatric Unit: A Follow-up Study

1988 ◽  
Vol 33 (9) ◽  
pp. 793-799 ◽  
Author(s):  
Philip G. Ney ◽  
R. Robert ◽  
Bruce R. Hanton ◽  
Emma S. Brindad
Keyword(s):  
Family Satisfaction ◽  
Treatment Programs ◽  
Older Children ◽  
Psychiatric Unit ◽  
Abused Children ◽  
Physically Abused ◽  
Follow Up Study ◽  
Placement Decisions ◽  
Child Psychiatric

This follow-up study to determine the effectiveness of a child psychiatric unit found evidence to support a program emphasizing a predetermined period of hospitalization. Most measures of family satisfaction, behaviour and social function improved significantly. The unit appears to treat older children as well as those less than 9, children from fighting families as well as those with less fighting, and sexually abused children as well as physically abused children. The program includes: 2 weeks of preadmission evaluations, 5 weeks hospitalization and 5 weeks of follow-up, placement decisions made before admission, primary responsibility for front line staff and treatment programs composed of various combinations of techniques from a list of 65 possible techniques.

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