scholarly journals Measuring the Impact of COVID-19 on a Sample of Mental Health Patients: Results from the Siyan Epidemic-Pandemic Impacts Inventory (Preprint)

10.2196/29952 ◽  
2021 ◽  
Author(s):  
Anish Shah ◽  
Michele Darling ◽  
Olivia Arstein-Kerslake ◽  
Tiffany Morgan ◽  
Aubreen Vance Tovrea ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Patients ◽  
The Impact

scholarly journals COVID-19 creating challenges in a rehabilitation facility in Australia: A discussion paper

2021 ◽  
Vol 7 (1) ◽  
pp. 44
Author(s):  
Janet Green ◽  
Joanne Vallance ◽  
Rebekah Choong ◽  
Georgina McBride ◽  
Jeyanthi Arockiam ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Wellbeing ◽  
Discussion Paper ◽  
Rehabilitation Care ◽  
Mental Health Patients ◽  
Rehabilitation Facilities ◽  
Communication Challenges ◽  
Mental Health Practices ◽  
The Impact ◽  
Sydney Australia

The COVID-19 pandemic has brought about many challenges and alterations to long-standing procedures within rehabilitation facilities. These updates of the processes undertaken by staff in such settings have been radical and ongoing. COVID-19 impact on the healthcare system should never be underestimated nor under appreciated. The impact that this pandemic has had on rehabilitation care is unique. This has been the catalyst to identifying significant challenges and subsequent changes within rehabilitation and mental health practices. Social measures that have been implemented in the community have had exaggerated and magnified effects both on the physical and mental wellbeing of rehabilitation and mental health patients. Over the course of these adaptations and implementations, impacts on communication, mental health, workload and care efficiencies were identified and explored. This paper is unique because different disciplines have shared their experiences of the impacts of the COVID-19 pandemic and how they provide rehabilitation. The paper will focus on the communication challenges using masks, not being able to engage families and carers, restriction of group therapies, social isolation of patients and healthcare workers while adhering to guidelines set by NSW Health (Sydney, Australia).

scholarly journals The end of indefinitely renewable leave of absence in Scotland: the impact of the Mental Health (Patients in the Community) Act 1995

2002 ◽  
Vol 13 (2) ◽  
pp. 298-314 ◽  
Author(s):  
Jacqueline M. Atkinson ◽  
Helen C. Garner ◽  
W. Harper Gilmour ◽  
James A. T. Dyer
Keyword(s):  
Mental Health ◽  
Mental Health Patients ◽  
Leave Of Absence ◽  
The Impact

scholarly journals Quantifying the Impact of Phenoconversion on Medications With Actionable Pharmacogenomic Guideline Recommendations in an Acute Aged Persons Mental Health Setting

2021 ◽  
Vol 12 ◽  
Author(s):  
Sam Mostafa ◽  
Thomas M. Polasek ◽  
Leslie J. Sheffield ◽  
David Huppert ◽  
Carl M. J. Kirkpatrick
Keyword(s):  
Mental Health ◽  
Genetic Variants ◽  
Cytochrome P450 Enzyme ◽  
Mental Health Setting ◽  
Care Model ◽  
Collaborative Care Model ◽  
Mental Health Patients ◽  
P450 Enzyme ◽  
Potential Benefits ◽  
The Impact

Introduction: Polypharmacy and genetic variants that strongly influence medication response (pharmacogenomics, PGx) are two well-described risk factors for adverse drug reactions. Complexities arise in interpreting PGx results in the presence of co-administered medications that can cause cytochrome P450 enzyme phenoconversion.Aim: To quantify phenoconversion in a cohort of acute aged persons mental health patients and evaluate its impact on the reporting of medications with actionable PGx guideline recommendations (APRs).Methods: Acute aged persons mental health patients (N = 137) with PGx and medication data at admission and discharge were selected to describe phenoconversion frequencies for CYP2D6, CYP2C19 and CYP2C9 enzymes. The expected impact of phenoconversion was then assessed on the reporting of medications with APRs.Results: Post-phenoconversion, the predicted frequency at admission and discharge increased for CYP2D6 intermediate metabolisers (IMs) by 11.7 and 16.1%, respectively. Similarly, for CYP2C19 IMs, the predicted frequency at admission and discharge increased by 13.1 and 11.7%, respectively. Nineteen medications with APRs were prescribed 120 times at admission, of which 50 (42%) had APRs pre-phenoconversion, increasing to 60 prescriptions (50%) post-phenoconversion. At discharge, 18 medications with APRs were prescribed 122 times, of which 48 (39%) had APRs pre-phenoconversion, increasing to 57 prescriptions (47%) post-phenoconversion.Discussion: Aged persons mental health patients are commonly prescribed medications with APRs, but interpretation of these recommendations must consider the effects of phenoconversion. Adopting a collaborative care model between prescribers and clinical pharmacists should be considered to address phenoconversion and ensure the potential benefits of PGx are maximised.

scholarly journals Recession, recovery and suicide in mental health patients in England: time trend analysis

2019 ◽  
Vol 215 (04) ◽  
pp. 608-614 ◽  
Author(s):  
Saied Ibrahim ◽  
Isabelle M. Hunt ◽  
Mohammad S. Rahman ◽  
Jenny Shaw ◽  
Louis Appleby ◽  
...  
Keyword(s):  
Mental Health ◽  
General Population ◽  
Suicide Prevention ◽  
Care Quality ◽  
Data Set ◽  
Targeted Interventions ◽  
Number Of Patients ◽  
Mental Health Patients ◽  
Male Patients ◽  
The Impact

BackgroundThe 2008 economic recession was associated with an increase in suicide internationally. Studies have focused on the impact in the general population with little consideration of the effect on people with a mental illness.AimsTo investigate suicide trends related to the recession in mental health patients in England.MethodUsing regression models, we studied suicide trends in mental health patients in England before, during and after the recession and examined the demographic and clinical characteristics of the patients. We used data from the National Confidential Inquiry into Suicide and Safety in Mental Health, a national data-set of all suicide deaths in the UK that includes detailed clinical information on those seen by services in the last 12 months before death.ResultsBetween 2000 and 2016, there were 21 224 suicide deaths by patients aged 16 or over. For male patients, following a steady fall of 0.5% per quarter before the recession (quarterly percent change (QPC) 2000–2009 –0.46%, 95% CI –0.66 to –0.27), suicide rates showed an upward trend during the recession (QPC 2009–2011 2.37%, 95% CI –0.22 to 5.04). Recession-related rises in suicide were found in men aged 45–54 years, those who were unemployed or had a diagnosis of substance dependence/misuse. Between 2012 and 2016 there was a decrease in suicide in male patients despite an increasing number of patients treated. No significant recession-related trends were found in women.ConclusionsRecession-associated increases in suicide were seen in male mental health patients as well as the male general population, with those in mid-life at particular risk. Support and targeted interventions for patients with financial difficulties may help reduce the risk at times of economic hardship. Factors such as drug and alcohol misuse also need to be considered. Recent decreases in suicide may be related to an improved economic context or better mental healthcare.Declaration of interestN.K. is supported by Greater Manchester Mental Health NHS Foundation Trust. L.A. chairs the National Suicide Prevention Strategy Advisory Group at the Department of Health (of which N.K. is also a member) and is a non-executive Director for the Care Quality Commission. N.K. chairs the National Institute for Health and Care Excellence (NICE) depression in adults guideline and was a topic expert member for the NICE suicide prevention guideline.

scholarly journals The impact on mental health patients of COVID-19 outbreak in Spain

2021 ◽  
Vol 136 ◽  
pp. 127-131
Author(s):  
Lorena García-Fernández ◽  
Veronica Romero-Ferreiro ◽  
Sergio Padilla ◽  
Pedro David López-Roldán ◽  
María Monzó-García ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Patients ◽  
The Impact

Psychiatry in the Midst of the Pandemic

2021 ◽  
pp. 24-34
Author(s):  
Gardenia AlSaffar ◽  
Ebtihaj Al-Aali
Keyword(s):  
Mental Health ◽  
Health Services ◽  
Health Systems ◽  
Present Situation ◽  
Psychiatric Services ◽  
Mental Health Patients ◽  
The Impact

The era of COVID-19 has initiated dramatic and unexpected changes related to all aspects of life. The impact of these changes is unforeseeable. Health services have encountered many challenges, which one country cannot deal with alone. The contagion of the disease requires changes in all walks of life, specifically health services. Psychiatric services have seen an increased demand from mental health patients and many people alike. This is due to unrest, anxiety, stressful, and the ambiguous characteristics of the present situation. This chapter presents reflections of the first author, the psychiatrist, on the major stakeholders for health systems at the present situation. These stakeholders are regulations, patients, pharmacies, society and community, and psychiatrists themselves. Despite all efforts to deal with the impacts of COVID-19, the need for transforming health systems in general and psychiatry in specific still persists. One of the major conclusions is to develop programs enabling psychiatrists and physicians to deal with their own distress.

Using electronic patient records to assess the impact of swine flu (influenza H1N1) on mental health patients

2011 ◽  
Vol 20 (1) ◽  
pp. 60-69 ◽  
Author(s):  
Lisa A. Page ◽  
Seeta Seetharaman ◽  
Imran Suhail ◽  
Simon Wessely ◽  
Jerson Pereira ◽  
...  
Keyword(s):  
Mental Health ◽  
Swine Flu ◽  
Patient Records ◽  
Electronic Patient Records ◽  
Mental Health Patients ◽  
The Impact ◽  
Influenza H1n1

The Mental Health and Social Exclusion European Network

2000 ◽  
Vol 5 (3) ◽  
pp. 245-251 ◽  
Author(s):  
Luigi Leonori ◽  
Manuel Muñoz ◽  
Carmelo Vázquez ◽  
José J. Vázquez ◽  
Mary Fe Bravo ◽  
...  
Keyword(s):  
Mental Health ◽  
European Union ◽  
Social Exclusion ◽  
Mentally Ill ◽  
Outcome Evaluation ◽  
World Federation ◽  
The European Union ◽  
Capital Cities ◽  
Homeless Mentally Ill ◽  
The Impact

This report concerns the activities developed by the Mental Health and Social Exclusion (MHSE) Network, an initiative supported by the Mental Health Europe (World Federation of Mental Health). We report some data from the preliminary survey done in five capital cities of the European Union (Madrid, Copenhagen, Brussels, Lisbon, and Rome). The main aim of this survey was to investigate, from a mostly qualitative point of view, the causal and supportive factors implicated in the situation of the homeless mentally ill in Europe. The results point out the familial and childhood roots of homelessness, the perceived causes of the situation, the relationships with the support services, and the expectations of future of the homeless mentally ill. The analysis of results has helped to identify the different variables implicated in the social rupture process that influences homelessness in major European cities. The results were used as the basis for the design of a more ambitious current research project about the impact of the medical and psychosocial interventions in the homeless. This project is being developed in 10 capital cities of the European Union with a focus on the program and outcome evaluation of the health and psychosocial services for the disadvantaged.

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