Do psychiatric inpatients know their rights? A re-audit on information given to inpatients at a London mental health trust about their rights and admission to hospital

This re-audit assessed whether wards at South West London and St Georges’ mental health trust (SWLSTG) met agreed standards regarding informing inpatients about their legal status in hospital and rights, following an initial audit in 2009. Three general adult wards were re-audited, and other general and specialist wards (addictions, eating disorders, deaf services and obsessive compulsive disorder) were added. One hundred and five people (61 informal, 44 detained under the Mental Health Act 1983, revised 2007) on 10 wards were interviewed using an agreed proforma. The re-audit of wards A–C showed improvement: 81.3% of informal inpatients were aware of their legal status, versus 54.2% in 2009 ( P = 0.101). Including new wards D–K, 90.2% knew their status ( P = 0.0002). Of the informal patients, 65.6% knew they could refuse treatment ( P = 0.0184) (on wards A–C, 68.8%, P = 0.105) versus 37.5% in 2009. Despite some improvement, the patient experience of informal admission or detention in hospital still sometimes crosses legal boundaries. This audit highlights the need to improve awareness of patient rights and demonstrated how local presentation of audit improves practice.

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A Systematic Review on TeleMental Health in Youth Mental Health: Focus on Anxiety, Depression and Obsessive-Compulsive Disorder

Medicina ◽

10.3390/medicina57080793 ◽

2021 ◽

Vol 57 (8) ◽

pp. 793

Author(s):

Laura Orsolini ◽

Simone Pompili ◽

Virginio Salvi ◽

Umberto Volpe

Keyword(s):

Mental Health ◽

Health Care ◽

Mental Health Care ◽

Obsessive Compulsive Disorder ◽

Selection Process ◽

Telemental Health ◽

Obsessive Compulsive ◽

Compulsive Disorder ◽

Youth Anxiety ◽

Anxiety Depression

Background and Objectives: The Internet is widely used and disseminated amongst youngsters and many web-based applications may serve to improve mental health care access, particularly in remote and distant sites or in settings where there is a shortage of mental health practitioners. However, in recent years, specific digital psychiatry interventions have been developed and implemented for special populations such as children and adolescents. Materials and Methods: Hereby, we describe the current state-of-the-art in the field of TMH application for young mental health, focusing on recent studies concerning anxiety, obsessive-compulsive disorder and affective disorders. Results: After screening and selection process, a total of 56 studies focusing on TMH applied to youth depression (n = 29), to only youth anxiety (n = 12) or mixed youth anxiety/depression (n = 7) and youth OCD (n = 8) were selected and retrieved. Conclusions: Telemental Health (TMH; i.e., the use of telecommunications and information technology to provide access to mental health assessment, diagnosis, intervention, consultation, supervision across distance) may offer an effective and efficacious tool to overcome many of the barriers encountering in the delivery of young mental health care.

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Helpseeking and access to mental health treatment for obsessive-compulsive disorder

Acta Psychiatrica Scandinavica ◽

10.1034/j.1600-0447.2002.01221.x ◽

2002 ◽

Vol 106 (2) ◽

pp. 143-149 ◽

Cited By ~ 79

Author(s):

Renee Goodwin ◽

Karestan C. Koenen ◽

Fred Hellman ◽

Mary Guardino ◽

Elmer Struening

Keyword(s):

Mental Health ◽

Obsessive Compulsive Disorder ◽

Mental Health Treatment ◽

Obsessive Compulsive ◽

Health Treatment ◽

Compulsive Disorder

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Effect of obsessive personality traits and impulsiveness on obsessive-compulsive disorder and eating disorders among hospital nurses

Promotion of Work Ability towards Productive Aging ◽

10.1201/9780203882511-58 ◽

2008 ◽

pp. 325-328

Keyword(s):

Eating Disorders ◽

Personality Traits ◽

Obsessive Compulsive Disorder ◽

Hospital Nurses ◽

Obsessive Compulsive ◽

Compulsive Disorder

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Predicting Eating Disorder and Anxiety Symptoms Using Anorexia Nervosa and Obsessive-Compulsive Disorder Polygenic Scores

10.1101/2020.07.02.20142844 ◽

2020 ◽

Author(s):

Zeynep Yilmaz ◽

Katherine Schaumberg ◽

Matt Halvorsen ◽

Erica L. Goodman ◽

Leigh C. Brosof ◽

...

Keyword(s):

Eating Disorders ◽

Sex Differences ◽

Anorexia Nervosa ◽

Eating Disorder ◽

Obsessive Compulsive Disorder ◽

Genetic Risk ◽

Anxiety Symptoms ◽

Obsessive Compulsive ◽

Compulsive Disorder ◽

Polygenic Scores

Clinical, epidemiological, and genetic findings support an overlap between eating disorders, obsessive-compulsive disorder (OCD), and anxiety symptoms. However, little research has examined the role of genetic factors in the expression of eating disorders and OCD/anxiety phenotypes. We examined whether the anorexia nervosa (AN), OCD, or AN/OCD transdiagnostic polygenic scores (PGS) predict eating disorders, OCD, and anxiety symptoms in a large population-based developmental cohort. Using summary statistics files from the Psychiatric Genomics Consortium Freeze 2 AN and Freeze 1 OCD GWAS, we first conducted an AN/OCD transdiagnostic GWAS meta-analysis and then calculated PGS for AN, OCD, and AN/OCD in participants from the Avon Longitudinal Study of Parents and Children with available genetic and phenotype data on eating disorder, OCD, and anxiety diagnoses and symptoms (sample size 3,212-5,369 per phenotype). We observed sex differences in the PGS prediction of eating disorder, OCD, and anxiety-related phenotypes, with AN genetic risk manifesting at an earlier age and playing a more prominent role in eating disorder phenotypes in boys than in girls. Compulsive exercise was the only phenotype predicted by all three PGS (e.g., PAN(boys)=0.0141 at age 14; POCD(girls)=0.0070 at age 16; PAN/OCD(all)=0.0297 at age 14). Our results suggest that earlier detection of eating disorder, OCD, and anxiety-related symptoms could be made possible by including measurement of genetic risk for these psychiatric conditions while being mindful of sex differences.

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Results of the Nursing Outcomes Classification/NOC for patients with obsessive-compulsive disorder

Revista Brasileira de Enfermagem ◽

10.1590/0034-7167-2018-0209 ◽

2020 ◽

Vol 73 (1) ◽

Author(s):

Ananda Ughini Bertoldo Pires ◽

Amália de Fátima Lucena ◽

Andressa Behenck ◽

Elizeth Heldt

Keyword(s):

Mental Health ◽

Obsessive Compulsive Disorder ◽

Behavioral Therapy ◽

Ethics Committee ◽

Nursing Process ◽

Obsessive Compulsive ◽

Compulsive Disorder ◽

Nursing Outcomes ◽

Nursing Outcomes Classification

ABSTRACT Objective: To analyze the application of nursing outcomes and indicators selected from the Nursing Outcomes Classification (NOC) to evaluate patients with obsessive-compulsive disorder (OCD) in outpatient follow-up. Method: Outcome-based research. First, a consensus was achieved between nurses specialized in mental health (MH) and in the nursing process to select NOC-related outcomes and indicators, followed by the elaboration of their conceptual and operational definitions. Then, an instrument was created with these, which was tested in a pilot group of six patients treated at a MH outpatient clinic. The instrument was applied to patients with OCD undergoing Group Cognitive Behavioral Therapy (GCBT). The study was approved by the Research Ethics Committee of the institution. Results: Four NOC outcomes and 17 indicators were selected. There was a significant change in the scores of nine indicators after CBGT. Conclusion: The study showed feasibility for evaluating symptoms of patients with OCD through NOC outcomes and indicators in an outpatient situation.

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MENTAL HEALTH OF THE MEDICAL STAFF IN THE SPREAD OF CORONA EPIDEMIC

RIMAK International Journal of Humanities and Social Sciences ◽

10.47832/2717-8293.3-3.29 ◽

2021 ◽

Vol 03 (03) ◽

pp. 321-330

Author(s):

Jafar Muhammad Aref JARADAT ◽

Fawqia Muhammad Aref JARADAT

Keyword(s):

Mental Health ◽

Obsessive Compulsive Disorder ◽

Psychological Health ◽

Medical Staff ◽

Health Centers ◽

High Rate ◽

Obsessive Compulsive ◽

Arithmetic Average ◽

Compulsive Disorder

The study aimed at identifying the degree to which medical staff had psychological health in light of the spread of the Corona epidemic. The study sample consisted of (51) members of medical staff who is working in Palestinian health centers. The modified psychological health scale was adopted (SCL_90_R). The study came out with a set of results, the most important of which are: that there are no statistically significant differences in the averages of possessing the psychological health among medical staff according to the sex and age variables, it also showed the level of mental health was low, and that there was a high rate of acceptance on the mental health scale of the obsessive-compulsive disorder with a high arithmetic average. Whereas, the average was low at the psychotic dimension, which means that the respondents rejected psychotic characteristics in the psychological health scale. The study came out with a number of recommendations, the most important of which is activating the role of supporting programs and psychological immunization to deal with emergency conditions and crises.

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