scholarly journals Characteristics and Co-Admissions of Mothers and Babies Admitted to Residential Parenting Services in the Year Following Birth in NSW: A Linked Population Data Study (2000-2012).

2021 ◽  
Author(s):  
Hannah Dahlen ◽  
Virginia Schmied ◽  
Cathrine Fowler ◽  
Lilian Peters ◽  
Simone Ormsby ◽  
...  
Keyword(s):  
Mental Health ◽  
Neonatal Intensive Care ◽  
Hospital Admissions ◽  
Population Data ◽  
Male Infant ◽  
Limited Information ◽  
Psychiatric Facility ◽  
Private Patient ◽  
Cohort Differences ◽  
The Impact

Abstract Background There is a tiered healthcare system in Australia to support maternal and child health, including, non-psychiatric day stay and residential parenting services (RPS) such as Tresillian and Karitane (in New South Wales [NSW]). RPS are unique to Australia, and currently there is limited information regarding the healthcare trajectory of women accessing RPS and if they are more likely to have admissions to other health facilities within the first-year post-birth. This study aimed to examine differences in hospital co-admissions for women and babies admitted to RPS in NSW in the year following birth compared to non-RPS admitted women. Methods A linked population data study of all women giving birth in NSW 2000-2012. Statistical differences were calculated using chi-square and student t-tests. Results In total 32 071 women and 33 035 babies were admitted to RPS with 5191 RPS women also having one or more hospital admissions (7607 admissions). There were 99 242 women not admitted to RPS but having hospital admissions (136 771 admissions). Women admitted to RPS who had a co-admission to a hospital were significantly more likely to be older, admitted as a private patient, born in Australia, having their first baby and be socially advantaged (p≤.001) compared to non-RPS admitted women also having a hospital admission. They also experienced more labour and birth interventions (induction, instrumental birth, caesarean section, epidural, episiotomy), and were more likely to have multiple births, a male infant and babies admitted to Special Care Nursery/Neonatal Intensive Care (p≤.001). Additionally, these women were more likely to have another admission for mental health and behavioural disorders (p≤.001), and this appeared to increase over time. There was no between cohort differences regarding the number of women admitted to a psychiatric facility; however, women attending RPS were more likely to have mood affective, or behavioural and personality disorder diagnoses. Conclusion Women accessing RPS in the year post-birth were more socially advantaged, had higher birth intervention and more co-admissions and treatment for mental health disorders than those not accessing RPS. More research is needed into the impact of birth intervention and mental health issues on subsequent parenting difficulties.

4 Return to golf post arthroplasty

2021 ◽  
Vol 55 (16) ◽  
pp. 941.2-941
Author(s):  
S Frankland ◽  
L Hoggett ◽  
P Hughes ◽  
C Nevill
Keyword(s):  
Mental Health ◽  
Open Access ◽  
Joint Replacement ◽  
Population Data ◽  
Initial Increase ◽  
Physical And Mental Health ◽  
Microsoft Excel ◽  
Significant Difference ◽  
The Impact ◽  
Mental And Physical Health

AimTo determine the impact of arthroplasty on player handicap, frequency of golf played, return to club competitions and overall mental and physical health using the SF-12.MethodA three page, 30 item, open access survey was sent to a community of over 500,000 golfers via the newsletter for the HowDidIDo® app between 18/04/2019–30/04/2019, inviting users who had undergone a joint replacement to complete. Responses were analysed using Microsoft excel and StatsDirect.ResultsA total of 3043 valid responses were received, the majority were male (n=2392). Mean age was 70 years (25–92). Most respondents had only a single joint replacement (n=1977). Within the cohort, there were mostly hips (n=2092) and knees (n=2069) replaced with far fewer shoulders (n=101), although this concurred with NJR population data. Across the whole cohort, most respondents were playing more (40%) or the same (44%) amount of golf following arthroplasty. Across the cohort only 4% were assumed unable to return to club competitions, while 76% of respondents returned to competitions within six months. Mean handicap prior to arthroplasty was increased (17.6 to 18.9) with no significant difference between hips, knees and shoulders. The SF-12 results were completed for 1094 respondents which when matched for age, demonstrated higher physical (48.59 vs. 43.65) and mental health (55.59 vs.52.10) scores.ConclusionsJoint replacement enables the vast majority of patients to continue or increase the amount of golf played with most returning to club competitions within six months. A slight increase in handicap is demonstrated following surgery in this cohort, with stabilisation after this initial increase. Patients playing golf following arthroplasty demonstrate better physical and mental health than their age matched counterparts.

scholarly journals Impact of economic crises on mental health care: a systematic review

2018 ◽  
Vol 29 ◽  
Author(s):  
M. Silva ◽  
D. M. Resurrección ◽  
A. Antunes ◽  
D. Frasquilho ◽  
G. Cardoso
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Health Care ◽  
Mental Health Care ◽  
Economic Crisis ◽  
Mental Health Problems ◽  
Hospital Admissions ◽  
Health Problems ◽  
Economic Crises ◽  
The Impact

Abstract Aims Unmet needs for mental health treatment are large and widespread, and periods of economic crisis may increase the need for care and the treatment gap, with serious consequences for individuals and society. The aim of this systematic review was to summarise the empirical evidence on the association between periods of economic crisis and the use of mental health care. Methods Following the PRISMA statement, MEDLINE, Embase, Scopus, Open Grey and Cochrane Database were searched for relevant publications, published between 1990 and 2018, from inception to June 2018. Search terms included (1) economic crisis, (2) use of mental health services and (3) mental health problems. Study selection, data extraction and the assessment of study quality were performed in duplicate. Results Seventeen studies from different countries met the inclusion criteria. The results from the included articles suggest that periods of economic crisis might be linked to an increase of general help sought for mental health problems, with conflicting results regarding the changes in the use of specialised psychiatric care. The evidence on the use of mental health care specifically due to suicide behaviour is mixed. The results also suggest that economic crises might be associated with a higher use of prescription drugs and an increase in hospital admissions for mental disorders. Conclusions Research on the impact of economic crises on the use of mental health care is scarce, and methodologies of the included papers are prone to substantial bias. More empirical and long-term studies on this topic are needed, in order to adapt mental health care systems to the specific needs of the population in times of economic crisis.

Drug-Related Visits to the Emergency Department

2005 ◽  
Vol 18 (5) ◽  
pp. 329-335 ◽  
Author(s):  
Peter J. Zed
Keyword(s):  
Health Care ◽  
Emergency Department ◽  
Hospital Admissions ◽  
Medical Attention ◽  
Limited Information ◽  
Current Health ◽  
The Past ◽  
Ed Visits ◽  
Current Health Care System ◽  
The Impact

Over the past few years, several published reports have addressed the problem of drug-related morbidity in various practice settings. Studies evaluating drug-related hospitalization have estimated that approximately 5% to 10% of all hospital admissions are drug related. Unfortunately, many of these studies have excluded patients seeking medical attention in the emergency department (ED) but not requiring hospital admission. Drug-related visits to the emergency department are a significant problem and contribute to overall pressures on our current health care system. Despite the limited information published regarding drug-related ED visits, several studies describe the impact of this issue. The purpose of this article is to review the current literature pertaining to the incidence, classification, severity, preventability, and economic impact of drug-related visits to the emergency department.

scholarly journals Analysis of Clinical Interventions and the Impact of Pediatric Pharmacists on Medication Error Prevention in a Teaching Hospital

2012 ◽  
Vol 17 (4) ◽  
pp. 365-373 ◽  
Author(s):  
Kelli J. Cunningham
Keyword(s):  
Medication Errors ◽  
Teaching Hospital ◽  
Neonatal Intensive Care ◽  
Adverse Drug Events ◽  
Neonatal Intensive Care Units ◽  
Limited Information ◽  
Pediatric Inpatient ◽  
Cause Of Error ◽  
The Impact ◽  
Medication Error Prevention

OBJECTIVE Research has shown that the potential risk for medication errors within the pediatric inpatient population is about 3 times as high as for adults; however, there is limited information regarding the impact of a pediatric pharmacist's contribution to decreasing medication errors and adverse drug events (ADEs). The purpose of this study was to record and analyze all interventions during a 2-month time span in a pediatric teaching hospital to determine the benefit of having a pediatrics-trained clinical pharmacist on the floor. METHODS Pediatric pharmacists prospectively collected data for all interventions and medication errors made between July 1 and August 31, 2010. The pediatric hospital comprises 87 beds, and data were collected during the influx of new pediatric resident interns on the general pediatric ward and pediatric and neonatal intensive care units. RESULTS During the study period, 1315 interventions were recorded, which is an average of 21 interventions per day. Most interventions were made through order entry. Errors made up 24.5% of all interventions, with the most common cause of error being prescribing. Physicians with the least amount of training made the most errors. Of order pages scanned, 5.9% contained an error in the order; however, only 0.2% of all errors reached the patient. CONCLUSIONS This study highlighted the impact a pediatric pharmacist can make on prevention of ADEs and medication errors. Only 0.2% of all errors made during the study period reached the patient owing to interventions made by the pediatric pharmacists, which shows a vast improvement in patient safety.

scholarly journals Differential Impact of the COVID-19 Pandemic on Students, Faculty and Staff at a Florida HBCU

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 942-942
Author(s):  
Felicia Wheaton ◽  
Matilda Johnson ◽  
Thometta Cozart
Keyword(s):  
Mental Health ◽  
Severe Depression ◽  
Mental Wellbeing ◽  
Physical And Mental Health ◽  
Cohort Differences ◽  
Major Disruption ◽  
Faculty And Staff ◽  
The Impact ◽  
Mental And Physical Health

Abstract The COVID-19 pandemic has caused major disruption to society, including education, the economy, daily life, etc. To understand the impact of the pandemic on both short-term and anticipated long-term mental and physical health, as well as potential period and cohort differences, surveys were emailed to all students, faculty and staff at a Florida HBCU. The survey included the GAD-7 anxiety scale, PHQ-9 scale of depression severity and the UCLA Revised Loneliness Scale (3rd revision), as well as questions about the pandemic’s impact on physical and mental wellbeing in the month of April and long-term physical and mental health. Although loneliness did not differ among groups, students reported the highest levels of moderate/severe depression (46.6%), followed by faculty (21.1%) and staff (6.9%). Students also reported the highest levels of moderate/severe anxiety (48.6%) compared with faculty (29.4%) and staff (12.1%). Students were more likely to say the pandemic moderately or very much impacted their overall physical and mental wellbeing in April. However, faculty were more likely to report that their long-term physical and mental health would be somewhat/greatly affected, followed by students, and then staff. Staff reported the highest levels of optimism about the future, followed by students and faculty. Taken together, these findings indicate substantial differences in the perceived impact of the COVID-19 pandemic.

The Impact of Natural Disasters on Suicide in the United States, 2003–2015

Crisis ◽  
2020 ◽  
pp. 1-7
Author(s):  
Jennifer A. Horney ◽  
Ibraheem M. Karaye ◽  
Alexander Abuabara ◽  
Sera Gearhart ◽  
Shannon Grabich ◽  
...  
Keyword(s):  
Mental Health ◽  
Natural Disasters ◽  
Suicide Attempts ◽  
Population Data ◽  
The United States ◽  
County Level ◽  
Suicide Rates ◽  
Before And After ◽  
Disaster Declarations ◽  
The Impact

Abstract. Background: Natural disasters are increasing in frequency and severity and impacted populations develop mental health conditions at higher rates than those not impacted. Aims: In this study, we investigate the association between exposure to a major natural disaster and suicide in the US. Method: Using county-level data on disaster declarations, mortality files, and population data, suicide rates were estimated for three 12-month periods before and after the disaster. Pooled rates were estimated predisaster and compared with postdisaster suicide rates using Poisson-generated Z tests and 95% confidence intervals. Results: A total of 281 major disasters were included. The suicide rate increased for each type of disaster and across all disasters in the first 2 years of follow-up. The largest overall increases in suicide rates were seen 2 years postdisaster. Limitations: Limitations include the ecologic study design, county-level exposure, and low power. Conclusion: Increases in county-level suicide rates after disasters were not statistically significant, although there was evidence that increases were delayed until 2 years postdisaster. Additional studies are needed to improve understanding of nonfatal suicide attempts after disasters and the role elevated social support plays in suicide prevention postdisaster. Future studies should consider pre-existing mental health, secondary stressors, and proximity to hazards.

scholarly journals The impact of the great economic crisis on mental health care in Italy

2020 ◽  
Vol 21 (8) ◽  
pp. 1259-1272 ◽  
Author(s):  
Yuxi Wang ◽  
Giovanni Fattore
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Economic Crisis ◽  
Hospital Admissions ◽  
Causal Effect ◽  
Health Care Utilisation ◽  
Hospital Discharges ◽  
Heterogeneous Effects ◽  
Spatio Temporal ◽  
The Impact

Abstract The great economic crisis in 2008 has affected the welfare of the population in countries such as Italy. Although there is abundant literature on the impact of the crisis on physical health, very few studies have focused on the causal implications for mental health and health care. This paper, therefore, investigates the impact of the recent economic crisis on hospital admissions for severe mental disorder at small geographic levels in Italy and assesses whether there are heterogeneous effects across areas with distinct levels of income. We exploit 9-year (2007–2015) panel data on hospital discharges, which is merged with employment and income composition at the geographic units that share similar labour market structures. Linear and dynamic panel analysis are used to identify the causal effect of rising unemployment rate on severe mental illness admissions per 100,000 residents to account for time-invariant heterogeneity. We further create discrete income levels to identify the potential socioeconomic gradients behind this effect across areas with different economic characteristics. The results show a significant impact of higher unemployment rates on admissions for severe mental disorders after controlling for relevant economic factors, and the effects are concentrated on the most economically disadvantaged areas. The results contribute to the literature of spatio-temporal variation in the broader determinants of mental health and health care utilisation and shed light on the populations that are most susceptible to the effects of the economic crisis.

The impact of increasing general hospital admissions on Consultation–Liaison Psychiatry

2020 ◽  
Vol 28 (4) ◽  
pp. 459-462
Author(s):  
Alex Holmes ◽  
Dennis Handrinos ◽  
Simon Jones ◽  
Beatrice Huang
Keyword(s):  
Mental Health ◽  
Hospital Admissions ◽  
Patient Flow ◽  
Liaison Psychiatry ◽  
Royal Melbourne Hospital ◽  
Dependent Variables ◽  
Consultation Liaison Psychiatry ◽  
The Impact ◽  
Inpatient Units

Objective: The objective of this study was to identify changes in patients referred to CLP at a typical inner urban teaching hospital over two decades in the context of increased hospital admissions. Method: Multivariate analyses were conducted on data collected for all referrals to CLP at Royal Melbourne Hospital between 1998 and 2017. Analyses were conducted with reason for referral, current psychiatric contact, psychiatric diagnosis, discharge destination and follow up as dependent variables, and the year and annual hospital admissions as independent variables. Results: Annual hospital admissions grew at a rate (4.6%), greater than the annual increase in beds (2.0%). Psychosis, suicide attempt, past psychiatric history and behaviour became more common reasons for referral, whilst depression and somatisation became less common. Transfers to and from mental health inpatient units increased. Conclusions: An increasing proportion of patients seen by CLP have ‘acute’ problems. Patients with somatisation and depression are seen less frequently. These findings indicate that CLP services need to provide timely assessment and work closely with other elements of the local mental health service in order to optimise patient flow and ensure continuity of care. Local strategies may be required to ensure an adequate breadth of experience for trainees.

scholarly journals Characteristics and changes in characteristics of women and babies admitted to residential parenting services in New South Wales, Australia in the first year following birth: a population-based data linkage study 2000–2012

BMJ Open ◽  
2019 ◽  
Vol 9 (9) ◽  
pp. e030133 ◽  
Author(s):  
Hannah G Dahlen ◽  
Charlene Thornton ◽  
Cathrine Fowler ◽  
Robert Mills ◽  
Grainne O'Loughlin ◽  
...  
Keyword(s):  
New South ◽  
New South Wales ◽  
Population Data ◽  
Male Infant ◽  
Population Based ◽  
Linkage Study ◽  
First Year ◽  
Private Patient ◽  
South Wales ◽  
Time Period

ObjectiveTo examine the characteristics of women and babies admitted to the residential parenting services (RPS) of Tresillian and Karitane in the first year following birth.DesignA linked population data cohort study was undertaken for the years 2000–2012.SettingNew South Wales (NSW), Australia.ParticipantsAll women giving birth and babies born in NSW were compared with those admitted to RPS.ResultsDuring the time period there were a total of 1 097 762 births (2000–2012) in NSW and 32 991 admissions to RPS. Women in cohort 1: (those admitted to RPS) were older at the time of birth, more likely to be admitted as a private patient at the time of birth, be born in Australia and be having their first baby compared with women in cohort 2 (those not admitted to an RPS). Women admitted to RPS experienced more birth intervention (induction, instrumental birth, caesarean section), had more multiple births and were more likely to have a male infant. Their babies were also more likely to be resuscitated and have experienced birth trauma to the scalp. Between 2000 and 2012 the average age of women in the RPS increased by nearly 2 years; their infants were older on admission and women were less likely to smoke. Over the time period there was a drop in the numbers of women admitted to RPS having a normal vaginal birth and an increase in women having an instrumental birth.ConclusionWomen who access RPS in the first year after birth are more socially advantaged and have higher birth intervention than those who do not, due in part to higher numbers birthing in the private sector where intervention rates are high. The rise in women admitted to RPS (2000–2012) who have had instrumental births is intriguing as overall rates did not increase.

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