Liaison in Reverse: The Role of a Psychosomatically-Oriented Internist in a Department of Psychiatry

1982 ◽  
Vol 11 (4) ◽  
pp. 373-378 ◽  
Author(s):  
Robert F. Klein
Keyword(s):  
Physical Examination ◽  
Medical Center ◽  
Psychiatric Inpatient ◽  
Inpatient Unit ◽  
Medical Consultation ◽  
Psychiatric Inpatient Unit ◽  
Physician Identity

The renewal of interest in the physician identity of the psychiatrist has exposed widespread deficits in skills such as physical examination. A program designed to provide medical consultation and teaching in a 107 bed psychiatric inpatient unit of a university medical center is described. The contributions of a psychosomatically-oriented internist to the development of this program of reverse liaison are considered. Bidirectional liaison units may prove to be a resource for psychiatry departments in the remedicalization process.

Cultural Change: Implementation of a Recovery Program in a Veterans Health Administration Medical Center Inpatient Unit

2018 ◽  
Vol 25 (3) ◽  
pp. 208-217 ◽  
Author(s):  
James G. McDonagh ◽  
William Blake Haren ◽  
Mary Valvano ◽  
Anouk L. Grubaugh ◽  
Frank C. Wainwright ◽  
...  
Keyword(s):  
Mental Health ◽  
Cultural Change ◽  
Medical Center ◽  
Psychiatric Inpatient ◽  
Veterans Health Administration ◽  
Inpatient Unit ◽  
Veterans Health ◽  
Health Administration ◽  
Psychiatric Inpatient Unit ◽  
Recovery Program

INTRODUCTION:The Freedom Commission’s recommendations, Substance Abuse and Mental Health Services Administration’s framework, and policy directives on recovery-oriented services have fueled the recovery transformation. Mental health recovery services have been implemented in a broad range of outpatient settings. However, psychiatric inpatient units remained embedded in the traditional model of care. AIMS: The purpose of this article is to describe an ongoing quality improvement implementation of recovery services in a Veterans Health Administration acute psychiatric inpatient unit. METHOD: An interprofessional Partnership for Wellness delivered 4 to 6 hours per day of evidence-based recovery and holistic population-specific health programs. Veteran, system, and program indicators were measured. RESULTS: Preliminary indicators over a 2-year period suggest that Veterans rated group content and relevance high, pre–post psychiatric rehospitalization rates decreased by 46%, and fidelity to recommended strategies was high. CONCLUSIONS: The project success reflects strong leadership, a partnership of committed staff, effective training, and an organizational culture exemplifying excellence in Veteran services and innovation.

scholarly journals The Presentation and Treatment Response of Catatonia in Patients Admitted to the Psychiatric Inpatient Unit at Jimma University Medical Center, Ethiopia

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Yimenu Yitayih ◽  
Elias Tesfaye ◽  
Kristina Adorjan
Keyword(s):  
Low Income ◽  
Rating Scale ◽  
Medical Center ◽  
Psychiatric Inpatient ◽  
Inpatient Unit ◽  
Response To Treatment ◽  
Symptom Profile ◽  
Psychiatric Inpatient Unit ◽  
Common Diagnosis ◽  
Jimma University

Background. Catatonia is among the most mysterious and poorly understood neuropsychiatric syndrome. It is underresearched and virtually forgotten but still a frequent neuropsychiatric phenotype in both developed and low-income countries. Catatonia is associated with a number of medical complications like pulmonary embolism, dehydration, or pneumonia if it is not treated and managed adequately. In Ethiopia, however, almost no studies are available to describe the symptoms and the response to treatment in patients with catatonia. The aim of this retrospective study was therefore to describe the symptom profile of catatonia and to evaluate the treatment and outcome of catatonia in patients admitted to the psychiatric inpatient unit at Jimma University, Ethiopia. Method. Detailed treatment records of all inpatients were reviewed for the period from May 2018 to April 2019. All patients with catatonia at the inpatient unit of Jimma University Medical Center were assessed with the Bush-Francis Catatonia Rating Scale (BFCRS), and all comorbid psychiatric diagnoses were made according to the criteria of the Diagnostic Statistical Manual V. The presence and severity of catatonia were assessed by using the BFCRS at baseline and at discharge from the hospital. Result. In the course of one year, a total of 18 patients with the diagnosis of catatonia were admitted. The mean age of the participants was 22.8 years (SD 5.0; range: 15 to 34 years). The most common diagnosis associated with catatonia was schizophrenia (n=12; 66.7%), followed by severe depressive disorders (n=4; 22.2%). Mutism, posture, and withdrawal were registered in all patients (n=18, 100%). All patients received an injection of diazepam and had improved at discharge. Conclusion. Our study provides further evidence that catatonia is most commonly associated with schizophrenia, followed by major depressive disorder, and that mutism, posturing, and withdrawal are the most common signs and symptoms of catatonia.

Participant Reactions to Suicide-Focused Research

Crisis ◽  
2020 ◽  
Vol 41 (5) ◽  
pp. 367-374
Author(s):  
Sarah P. Carter ◽  
Brooke A. Ammerman ◽  
Heather M. Gebhardt ◽  
Jonathan Buchholz ◽  
Mark A. Reger
Keyword(s):  
Medical Records ◽  
Research Study ◽  
Small Sample Size ◽  
Psychiatric Inpatient ◽  
Small Sample ◽  
Inpatient Unit ◽  
Online Laboratory ◽  
Psychiatric Inpatient Unit ◽  
Before And After ◽  
Participant Reactions

Abstract. Background: Concerns exist regarding the perceived risks of conducting suicide-focused research among an acutely distressed population. Aims: The current study assessed changes in participant distress before and after participation in a suicide-focused research study conducted on a psychiatric inpatient unit. Method: Participants included 37 veterans who were receiving treatment on a psychiatric inpatient unit and completed a survey-based research study focused on suicide-related behaviors and experiences. Results: Participants reported no significant changes in self-reported distress. The majority of participants reported unchanged or decreased distress. Reviews of electronic medical records revealed no behavioral dysregulation and minimal use of as-needed medications or changes in mood following participation. Limitations: The study's small sample size and veteran population may limit generalizability. Conclusion: Findings add to research conducted across a variety of settings (i.e., outpatient, online, laboratory), indicating that participating in suicide-focused research is not significantly associated with increased distress or suicide risk.

scholarly journals The experience of parents faced with the admission of their adolescent to a child and adolescent psychiatric inpatient unit. A qualitative study with focus groups

2021 ◽  
Author(s):  
Beatriz Merayo-Sereno ◽  
Aránzazu Fernández-Rivas ◽  
Keyth Lany de Oliveira-Silva ◽  
Francisco-Javier Sánchez-Andérez ◽  
Eva Sesma-Pardo ◽  
...  
Keyword(s):  
Focus Groups ◽  
Psychiatric Hospitalization ◽  
Emotional Experience ◽  
Psychiatric Inpatient ◽  
Health Behavior Change ◽  
Child And Adolescent ◽  
Inpatient Unit ◽  
Entire Family ◽  
Parental Experience ◽  
Psychiatric Inpatient Unit

AbstractThe admission of an adolescent to a child and adolescent psychiatric inpatient unit has a serious impact on the entire family unit. The emotional experience of those primary caregivers has been scarcely studied qualitatively despite being recommended by previous research. This study aims to examine the experience of parents of adolescents with mental health needs that required psychiatric hospitalization in a child and adolescent unit. Qualitative cross-sectional research was carried out under the recommendations of Grounded Theory with three Focus Groups of parents (N = 22) of adolescents who required psychiatric hospitalization in a child and adolescent ward. The COREQ quality criteria were applied. The parental experience implies a high level of emotional suffering modulated by feelings of guilt, stigma, parental awareness of their child’s illness and the passage of time. The use of Prochaska’s and Diclemente’s trans-theoretical model of health behavior change is useful in understanding the parental experience.

scholarly journals FAMILY EXPECTATIONS ABOUT A PSYCHIATRIC INPATIENT UNIT

2015 ◽  
Vol 24 (4) ◽  
pp. 984-992 ◽  
Author(s):  
Gustavo Costa de Oliveira ◽  
Jacó Fernando Schneider ◽  
Cíntia Nasi ◽  
Marcio Wagner Camatta ◽  
Agnes Olschowsky
Keyword(s):  
Social Relations ◽  
Psychiatric Inpatient ◽  
Family Care ◽  
Inpatient Unit ◽  
University Hospital ◽  
Family Expectations ◽  
Phenomenological Sociology ◽  
Psychiatric Inpatient Unit ◽  
The Social ◽  
The Family

ABSTRACT We aimed to understand the expectations of families about a Psychiatric Inpatient Unit in the perspective of Alfred Schutz's phenomenological sociology. This is a qualitative and phenomenological research, with families of patients at a psychiatric inpatient unit of a university hospital in the state of Rio Grande do Sul, Brazil. Data were collected through phenomenological interviews, and the analysis was constructed in the light of phenomenological sociology. The results show that the expectations of the family in the Psychiatric Inpatient Unit are related to the interpretation and experiences they have in the world of everyday life; that these expectations should be valued in patient and family care; and that they may integrate the family in care for the patient. We hope to contribute so that professionals and managers reflect about the importance of understanding the expectations of families on a Unit, aiming to implement more effective health actions, based on the social relations among the subjects.

scholarly journals Patient access to psychiatric records: experience in an in-patient unit

1995 ◽  
Vol 19 (2) ◽  
pp. 87-90 ◽  
Author(s):  
Nick Kosky ◽  
Tom Burns
Keyword(s):  
Educational Attainment ◽  
Maintenance Treatment ◽  
Junior Doctor ◽  
Psychiatric Inpatient ◽  
Inpatient Unit ◽  
Therapeutic Relationships ◽  
Patient Access ◽  
Psychiatric Inpatient Unit ◽  
Lower Educational Attainment

Forty of 46 consecutive admissions to a psychiatric inpatient unit were encouraged to read their admission notes and discuss them with the Junior doctor. The offer was withheld for two patients with organic impairment. Twenty-eight patients (including 12 on compulsory admissions) accepted the offer. The 12 who refused were characterised by overall lower educational attainment. Diagnosis raised only a few problems, prognosis and maintenance treatment being the focus of most discussions. There was no evidence of a deterioration in the quality of notes or therapeutic relationships as a consequence of access. Only in one case was the exercise judged ‘harmful’, but ‘useful or essential’ in 22. Possible benefits for both patients and doctor are explored.

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