Paliperidone Palmitate: Experience in a Community Mental Health Unit

In fifteen month's experience as Director of a geriatrics community mental health unit I have seen my anthropologist role changing from teacher and researcher to applied clinical anthropologist/gerontologist, from non-judgemental objective scientist to objective decision maker and modifier of human behavior. This article details some of the advantages and disadvantages of a Ph.D. in anthropology for such a clinical position. While particular applications of anthropological methods and theories can facilitate the management of culturally appropriate health care delivery to a geriatric population, other areas of training not usually taught to anthropologists could be of value in a medically responsible clinical position.

Download Full-text

An analysis of the work of the school mental health unit of a community mental health board.

American Journal of Orthopsychiatry ◽

10.1111/j.1939-0025.1962.tb00268.x ◽

1962 ◽

Vol 32 (1) ◽

pp. 99-108 ◽

Cited By ~ 4

Author(s):

Margaret Morgan Lawrence ◽

Irene J. Spanier ◽

Mildred W. Dubowy

Keyword(s):

Mental Health ◽

Community Mental Health ◽

School Mental Health ◽

Health Board ◽

Health Unit ◽

Mental Health Unit

Download Full-text

Treatment Engagement of Psychotic Patients with a Mobile Mental Health Unit in Rural Areas in Greece: A Five-Year Study

Schizophrenia Research and Treatment ◽

10.1155/2013/613956 ◽

2013 ◽

Vol 2013 ◽

pp. 1-6 ◽

Cited By ~ 2

Author(s):

Vaios Peritogiannis ◽

Athina Tatsioni ◽

Nefeli Menti ◽

Aikaterini Grammeniati ◽

Vassiliki Fotopoulou ◽

...

Keyword(s):

Mental Health ◽

Community Mental Health ◽

Low Income ◽

Rural Areas ◽

Psychotic Disorders ◽

Low Income Countries ◽

Community Mental Health Service ◽

Health Unit ◽

Mobile Mental Health ◽

Mental Health Unit

Objectives. Treatment of psychotic disorders is impended by high rates of disengagement from mental health services and poor adherence to antipsychotic medication. This study examined the engagement rates of psychotic patients with a community mental health service during a 5-year period.Methods. The Mobile Mental Health Unit of Ioannina and Thesprotia (MMHU I-T) delivers services in remote, rural, mountainous areas using the resources of the primary care system. Clinical and demographic information for patients with a diagnosis of schizophrenia and related psychoses was obtained from the medical records of our unit.Results. A total of 74 psychotic patients initially engaged in treatment with our unit. In half of cases treatment was home-based. With the exclusion of patients who died or discharged, engagement rates were 67.2%. Statistical analysis was performed for 64 patients, and no differences were found between engaged and disengaged patients regarding clinical and demographic parameters. All engaged patients regularly refilled their antipsychotic prescriptions.Conclusion. Engagement rates in our study were comparable to previous research, involving urban settings and shorter follow-up duration. Community mental health teams may ensure treatment continuation for psychotic patients in deprived, remote areas. This is important for low-income countries, affected by economic crisis, such as Greece.

Download Full-text

Paliperidone palmitate: Experience in a community mental health unit

European Psychiatry ◽

10.1016/j.eurpsy.2017.01.1556 ◽

2017 ◽

Vol 41 (S1) ◽

pp. s804-s805

Author(s):

L. Carrión Expósito ◽

G.M. Chauca Chauca ◽

E.L. Guadalupe

Keyword(s):

Mental Health ◽

Retrospective Study ◽

Maintenance Dose ◽

Lower Number ◽

Paliperidone Palmitate ◽

Health Unit ◽

Dose Number ◽

Competing Interest ◽

Long Acting ◽

Mental Health Unit

IntroductionThere are many jobs that offer advantages of treatment with long-acting injectable in psychosis.ObjectiveTo know the changes in the different variables after the start of paliperidone palmitate (PP).Material and methodWe performed a descriptive and retrospective study. Were evaluated patients who received maintenance therapy with PP during 48 months.ResultsThe sample was composed of 29 patients: 72.4% men and 27.6% women. Average age of 46.21 years. In Figures 1, 2 and 3 show data obtained in relation to compliance with treatment, relapse, maintenance dose, number of admissions and visits to emergency departments respectively.ConclusionsThe administration of PP is associated with a higher level of compliance with treatment. The patients presented a lower number of relapses, hospitalizations and visits to the emergency room. The maintenance dose more used is 150 mg.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Download Full-text

Observational study of suicide attempts in a community mental health unit

European Psychiatry ◽

10.1016/j.eurpsy.2017.01.1799 ◽

2017 ◽

Vol 41 (S1) ◽

pp. s887-s888

Author(s):

M. Guerrero Jiménez ◽

C.M. Carrillo de Albornoz Calahorro ◽

J.M. Gota Garcés

Keyword(s):

Mental Health ◽

Community Mental Health ◽

Mental Disorder ◽

Suicide Attempts ◽

Outpatient Setting ◽

Suicide Mortality ◽

List Type ◽

Health Unit ◽

Competing Interest ◽

Mental Health Unit

IntroductionConcurrent with the recent global economic crisis there is a rising concern about the effect of recession on suicide mortality rates.AimTo record patients treated urgently in community mental health unit of Motril, Granada (Spain) by attempted suicide.MethodsDescriptive study recording patients treated urgently in Motril community mental health unit who have done any suicide gesture from February 2015 until December of that year.ResultsIn total, 39 urgent assessments were recorded during the observational period.The month of highest incidence was November, with 6 visits followed by August and October (5).The most common method was voluntary drug intake.Origin:– 59% were remitted from the general hospital emergency department;– critical care and emergency ambulatory devices: 1;– primary care: 10;– another specialist: 2;– own initiative: 2.Discharge diagnosis:– 35.8% individuals did not meet criteria for any mental disorder, although some of them were classified with V or Z diagnosis according to ICD-10 for making a reactive gesture to a emotional crisis, couple breakups or economic problems;– 11 of them meet criteria for various anxiety disorders, obsessive compulsive and adaptative crisis.DiscussionKnowing some peculiar characteristics in suicidal populations as well as the most prevalent pathologies, it could be adapted both the profile of nurse attendance and the type of resources needed to ensure effective patient care.ConclusionProfile of patients attended for suicide attempt in an outpatient setting in a semi-rural coastal area is variated. It is worth to mention that one-third of this population did not meet criteria for any mental disorder.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Download Full-text