scholarly journals Enhancing the effectiveness of an assertive outreach team: case study

2011 ◽  
Vol 35 (7) ◽  
pp. 266-268 ◽  
Author(s):  
Abrar Hussain ◽  
Tanya Thirkell ◽  
Azaad Taher
Keyword(s):  
Hospital Admissions ◽  
Treatment Approach ◽  
Health Practitioner ◽  
Intensive Case Management ◽  
Mental Health Practitioner ◽  
Consultant Psychiatrist ◽  
Assertive Outreach ◽  
Outreach Team ◽  
Second Year

Aims and methodTo evaluate the effectiveness of the Harrow Assertive Outreach Team in reducing hospital admissions. We compared first- and second-year admissions of a cohort of 76 patients.ResultsSignificant reductions in the number of admissions and number of days admitted were noted in the second year. In the subcohort of patients admitted in both years, the reduction in the number of admissions was significant but reduction in number of days admitted was not.Clinical implicationsHospital admissions may be reduced by appointment of consultant psychiatrist and approved mental health practitioner, home treatment approach and intensive case management.

Sonographic Discovery of Segmental Testicular Infarction

2021 ◽  
pp. 875647932110649
Author(s):  
Kelly Pham
Keyword(s):  
Conservative Treatment ◽  
Testicular Torsion ◽  
Treatment Process ◽  
Surgical Intervention ◽  
Treatment Approach ◽  
Accurate Diagnosis ◽  
Sonographic Diagnosis ◽  
Testicular Infarction ◽  
Segmental Testicular Infarction

The prevalence of segmental testicular infarction is extremely uncommon and very few cases have been reported in literature. Clinical and sonographic presentation of this condition can mimic testicular neoplasms or testicular torsion. Therefore, accurate diagnosis of segmental testicular infarction is imperative in the treatment process. This case study presents the sonographic diagnosis of testicular infarction in a 49-year-old man who reported mild testicular tenderness. A conservative treatment approach was used, saving the patient unnecessary surgical intervention.

Reduplication Revisited

2005 ◽  
Vol 14 (1) ◽  
pp. 71-83 ◽  
Author(s):  
Harriet B. Klein
Keyword(s):  
Empirical Data ◽  
Treatment Approach ◽  
Study Data ◽  
Longitudinal Case Study ◽  
Phonological Processes ◽  
Monosyllabic Words ◽  
Lexical Items ◽  
Case Study Data

This case study considers the phonological forms of early lexical items produced by 1 normally developing boy, from 19 to 22 months of age, who began to produce all monosyllabic words as bisyllabic. In order to link this empirical data (the apparent creation of increased complexity) with universal tendencies (motivated by the reduction of complexity), the functions of reduplication were revisited. Phonological processes (i.e., reduplication and final consonant deletion) are viewed as repairs motivated by 2 interacting constraints (i.e., constraints on monosyllabic words and on word-final consonants). These longitudinal case study data provide further evidence for a relationship between final consonant deletion and reduplication. A possible treatment approach for similar patterns demonstrated clinically is recommended.

scholarly journals Cervical screening in assertive outreach team patients

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S99-S100
Author(s):  
Hannah Reynolds ◽  
Samaila Bello ◽  
Hanna Leech
Keyword(s):  
Health Outcomes ◽  
Physical Health ◽  
Cervical Screening ◽  
National Standards ◽  
Assertive Outreach ◽  
Complex Needs ◽  
Physical Health Outcomes ◽  
Outreach Team ◽  
West Midlands ◽  
Working Together

AimsTo assess the uptake of cervical screening in patients under Birmingham and Solihull Assertive Outreach Teams; this included a re-audit of patients under the Central Birmingham Assertive Outreach Team.BackgroundPatients with severe and enduring mental illness are known to have poorer physical health outcomes. In Birmingham and Solihull there are 6 Assertive Outreach Teams. These teams manage patients with a diagnosis of psychosis who have complex needs requiring intensive multidisciplinary input and often struggle to engage with health services. The national cervical screening programme aims to prevent cervical cancer by detecting and treating cervical abnormalities. Acceptable coverage is defined as screening at least 80% of people aged 25–49 years within the last 3.5 years and 80% of people aged 50–64 years within the last 5.5 years. In 2018 71.4% of women in England and 70.9% in the West Midlands were screened adequately. An audit of 15 patients under the Central Birmingham Assertive Outreach Team in 2014 showed 46.2% had taken up screening, measured in the last 5 years for those aged 50–64 years and the last 3 years for those aged 25–49 years.MethodA list was obtained of all female patients under the Assertive Outreach Teams with patients excluded if they were under 25 years or over 64 years or if they were known to have undergone a total hysterectomy. All GP practices with eligible patients registered to them were written to requesting the date of the patient's most recent smear test. Cervical screening was classed as in date if carried out in the last 3.5 years for patients aged 25–49 years or 5.5 years for patients aged 50–64 years.ResultOut of 127 eligible patients, 110 had correct GP details on their record. Responses were received regarding 101 patients, 48 of whom had in date cervical screening (47.5%). Of 58 patients aged 25–49 years, 26 had in date cervical screening (44.8%). Of 43 patients aged 50–64 years, 22 had in date cervical screening (51.2%).Conclusion13.4% patients did not have a known GP practice, increasing the risk of multiple poor physical health outcomes. The rates of cervical screening among Assertive Outreach Team patients are similar to the original audit in 2014 and fall significantly below the national standards and averages. These findings, along with the importance of working together to address the need for physical health monitoring in this population, will be communicated with the local Assertive Outreach Teams and GP practices.

PHYSICAL THERAPY INTERVENTION FOR PATIENT WITH EAST SYNDROME- A CASE STUDY.

2021 ◽  
pp. 74-77
Author(s):  
Kinjal Bagthariya(M.P.T)
Keyword(s):  
Physical Therapy ◽  
Motor Function ◽  
Motor Performance ◽  
Treatment Approach ◽  
Sensorineural Deafness ◽  
Gross Motor ◽  
East Syndrome ◽  
Therapy Intervention ◽  
Physical Therapy Intervention

EAST syndrome is autosomal recessive disorder due to mutations in gene KCNJ10, a gene encoding a potassium channel expressed in the brain, eye, ear and kidney. It is characterized by four cardinal features; Epilepsy, Ataxia, Sensorineural deafness, and renal salt-wasting Tubulopathy, thus the acronym EAST syndrome. It was rst described as a distinct clinical entity in 2009 by Bockenhauer and scholl, who named this condition EAST syndrome and SeSAME syndrome for Seizures, Sensorineural deafness, Ataxia, Mental retardation and Electrolyte imbalance respectively. Neurodevelopmental delay is evident in most patients with EAST syndrome that were old enough to be assessed; Thus, physiotherapy intervention also plays a vital role in EAST syndrome along with medical management. From physiotherapy perspective; symptomatic management to Improve overall health, wellbeing and motor control becomes ultimate goal in the patient with EAST syndrome. As there is no specic physical therapy treatment approach and no specic tool to evaluate function for children with EAST syndrome; for clinically presented delay development and ataxia, Neurodevelopment therapy (NDT) was utilized as treatment approach and Gross motor function measure (GMFM) & Gross motor performance measure (GMPM) were utilized for assessment in this case study to track progress on follow ups. Result showed marked improvement in GMFM and GMPM scores at follow ups and concluded that Physical therapy intervention improves the gross motor function as well as gross motor performance in patient with EAST syndrome.

If I Treat My Staff Well, They Will Take Care of Me and Look Out for My Best Interests

2019 ◽  
pp. 81-85
Author(s):  
Jeffrey E. Barnett ◽  
Jeffrey Zimmerman
Keyword(s):  
Mental Health ◽  
Best Interests ◽  
Health Practitioner ◽  
Business Owner ◽  
Mental Health Practitioner ◽  
Employment Practices ◽  
Primary Motivation ◽  
Staff Members ◽  
Policies And Procedures

It may be easy to believe that if one treats one’s employees well, the employees will look out for the practice owner’s best interests. After all, they each should have the success of the practice as their primary motivation for decisions made and actions taken. Yet, as this chapter illustrates, this frequently is not the case. Employees, while often responding more favorably to positive employment practices, nevertheless may not share the practice owner’s interests. Each mental health practitioner who hires employees and staff members should create policies and procedures relevant to the effective running of the practice and then provide sufficient oversight to ensure that all employees follow them. This chapter emphasizes how the business owner is responsible for the success of the business. Specific strategies and steps to take to help ensure the effective running of one’s practice are provided. Common staff challenges are highlighted and specific recommendations for addressing them are provided.

Sign in / Sign up

Export Citation Format

Share Document