Tardive Dyskinesia in Psychiatric Patients with Substance Use Disorders

1990 ◽  
Vol 16 (1-2) ◽  
pp. 57-66 ◽  
Author(s):  
Arturo A. On vera ◽  
Mary Mary. Kiefer ◽  
Norlee Manley
Keyword(s):  
Substance Use ◽  
Tardive Dyskinesia ◽  
Substance Use Disorders ◽  
Psychiatric Patients

scholarly journals Substance Use Disorders in Elderly Admissions to an Academic Psychiatric Inpatient Service over a 10-Year Period

2016 ◽  
Vol 2016 ◽  
pp. 1-3 ◽  
Author(s):  
Dennis Dombrowski ◽  
Nelly Norrell ◽  
Suzanne Holroyd
Keyword(s):  
Substance Use ◽  
Substance Use Disorders ◽  
Psychiatric Patients ◽  
Psychiatric Inpatient ◽  
Psychiatric Inpatients ◽  
The Elderly ◽  
Inpatient Service ◽  
Chi Square ◽  
Lengths Of Stay ◽  
Psychiatric Admissions

Objective. There is a paucity of research on substance use disorders (SUDs) in the elderly psychiatric population. This study examines SUDs in a geriatric psychiatry inpatient service over a 10-year period.Methods. Data from 1788 elderly psychiatric inpatients from a ten-year period was collected. Variables collected included psychiatric diagnoses, SUD, number of psychiatric admissions, and length of stay. Those with and without a SUD were compared using Chi-Square or Student’st-test as appropriate using SPSS.Results. 11.7% (N=210) of patients had a SUD, and the most common substance was alcohol at 73.3% (N=154) or 8.6% of all admissions. Other SUDs were sedative-hypnotics (11%), opiate (2.9%), cannabis (1%), tobacco (1.4%), and unspecified SUD (38.6%). SUD patients were significantly younger, divorced, male, and less frequently readmitted and had shorter lengths of stay. The most common comorbid diagnoses were major depression (26.1%), bipolar disorder (10.5%), and dementia (17.1%).Conclusions. Over 10% of psychogeriatric admissions were associated with a SUD, with alcohol being the most common. Considering the difficulties in diagnosing SUD in this population and the retrospective study design, the true prevalence in elderly psychiatric inpatients is likely higher. This study adds to sparse literature on SUD in elderly psychiatric patients.

Substance use disorders in hospitalized psychiatric patients: The experience of one psychiatric emergency service in Turin

2014 ◽  
Vol 55 (5) ◽  
pp. 1234-1243 ◽  
Author(s):  
Frieri Tiziana ◽  
Montemagni Cristiana ◽  
Crivelli Barbara ◽  
Scalese Mara ◽  
Villari Vincenzo ◽  
...  
Keyword(s):  
Substance Use ◽  
Substance Use Disorders ◽  
Emergency Service ◽  
Psychiatric Patients ◽  
Psychiatric Emergency ◽  
Psychiatric Emergency Service

scholarly journals A Study to Assess the Suicidal Behaviour among the Psychiatric Patients in a Tertiary Care Teaching Hospital, Guntur

2016 ◽  
Vol 3 (4) ◽  
Author(s):  
Dr Vaddadi. Venkata kiran ◽  
Dr. Neeli Uma Jyothi ◽  
Mounica. Bollu
Keyword(s):  
Substance Use ◽  
Suicide Attempt ◽  
Psychiatric Disorders ◽  
Substance Use Disorders ◽  
Suicidal Behaviour ◽  
Psychiatric Patients ◽  
Tertiary Care ◽  
Wide Range ◽  
Self Harm ◽  
Commit Suicide

Suicide attempt is a deliberate act of self harm with at least some intent of die that does not result in death. Such act has a wide range of medical seriousness. Individuals with psychiatric disorders are far more likely to commit suicide than the others. People who are psychologically disabled are often commit suicide from years of pain, frustration and depression. Spiritually they may perceive themselves as hopelessly damaged and lose all sense of purpose and meaning of life. Suicide is not a diagnosis or a disorder. it is a behaviour. Suicide is a worldwide, national, local and familial problem. 90% of people who kill themselves suffer from a diagnosable and preventable problem such as depression co-occurring mental and substance use disorders are common and potent combination among those who die by suicide.

Applicability, Internal Structure, and basic Patterns of a Multicultural Brief Quality of Life Measure in a Sample of Psychiatric Patients with Comorbid Substance Use Disorders

2015 ◽  
Vol 5 (3) ◽  
pp. 120-124
Author(s):  
Ihsan M. Salloum ◽  
Juan E. Mezzich ◽  
Levent Kirisci
Keyword(s):  
Quality Of Life ◽  
Substance Use ◽  
Internal Structure ◽  
Treatment Adherence ◽  
Substance Use Disorders ◽  
Internal Consistency ◽  
Psychiatric Patients ◽  
Well Being ◽  
Quality Of Life Scale

 Background: The measurement of quality of life as estimate of well being is assuming increasing importance in the evaluation of health and treatment efficacy.  Objectives: The aim of this study is to evaluate the applicability, internal structure and clinical patterns of the Multicultural Quality of Life Index (MQLI), a brief, self-rated, culturally informed, quality of life scale, in patients experiencing comorbid psychiatric and substance use disorders.  Methods: Sixty-two consecutively admitted outpatients completed the MQLI. With this data, the applicability, internal consistency, factorial structure, and prediction of treatment adherence over a three-month period were assessed.   Results: It was found that the MQLI was easy to administer. It had good internal consistency (Cronbach’s alpha 0.89).  Factor analysis revealed that the first factor explained 53% of the variance, indicating the unidimensionality of the instrument around quality of life. Two MQLI items, interpersonal functioning and the availability of supports, significantly predicted treatment adherence. Conclusions: The MQLI is easy to use, it has a coherent structure, and is clinically useful in psychiatric patients with comorbid substance use disorders. 

Substance use disorders in forensic psychiatric patients

2014 ◽  
Vol 37 (2) ◽  
pp. 155-159 ◽  
Author(s):  
Jolien van der Kraan ◽  
Robbert Jan Verkes ◽  
Kris Goethals ◽  
Annelies Vissers ◽  
Inti Brazil ◽  
...  
Keyword(s):  
Substance Use ◽  
Substance Use Disorders ◽  
Psychiatric Patients ◽  
Forensic Psychiatric Patients ◽  
Forensic Psychiatric

scholarly journals Substance Use Disorders and Associated Factors Among Adult Psychiatric Patients in Jimma Town, Southwest Ethiopia, 2017. Community-Based Cross-Sectional Study

2021 ◽  
Vol 12 ◽  
pp. 117955732198969
Author(s):  
Badiru Dawud ◽  
Eyerusalem Yeshigeta ◽  
Alemayehu Negash ◽  
Almaz Mamaru ◽  
Liyew Agenagnew ◽  
...  
Keyword(s):  
Mental Illness ◽  
Substance Use ◽  
Alcohol Use ◽  
Nicotine Dependence ◽  
Substance Use Disorders ◽  
Alcohol Use Disorder ◽  
Psychiatric Patients ◽  
Cross Sectional Study ◽  
Community Based ◽  
Cross Sectional

Background: Substance use disorders are more common among people with mental illness than in the general population. It makes recovery from mental illness more difficult, leads to frequent thoughts of suicide and re-hospitalization. Objective: Aimed to assess the prevalence of substance use disorders and associated factors among adult psychiatric patients in Jimma Town, Southwest, Ethiopia, 2017. Methods: A community-based cross-sectional study was conducted on a total of 300 patients with mental illness using the case tracing method. Participants were interviewed using the alcohol use disorder identification test questionnaire to assess Alcohol Use Disorder (AUD). Fagerstrom test tool for nicotine dependence and structured questionnaires were utilized to assess the socio-demographic characteristics of participants. Data were analyzed using SPSS version 20. The variable that showed association with AUD and nicotine dependence at P < .25 in the bivariate analysis was entered into multivariable logistic regressions to control confounders for both outcome variables independently. The significance of association was determined by P < .05 and strength was described using an adjusted odds ratio at a 95% confidence level. Results: The prevalence of alcohol use disorder and nicotine dependence was 14.3% and 23.3%, respectively. Female gender (AOR 0.15, 95% CI = 0.04-0.57), starting treatment within the first month of the onset of the illness (AOR 0.20, 95% CI = 0.05-0.82) and nicotine dependence(AOR 4.84, 95% CI = 1.85-12.67) associated with AUD. Additionally, being female (AOR 0.04, 95% CI = 0.01-0.25), joblessness (AOR 3.05, 95% CI = 1.30-7.16), absence of relapse of illness (AOR 0.18, 95% CI = 0.065-0.503), no improvement in illness (AOR 5.3, 95% CI = 1.70-16.50), and current khat use (AOR 3.09, 95% CI = 1.21-7.90) were associated with nicotine dependence. Conclusion: This study revealed a high prevalence of substance use disorders among psychiatric patients in the community. Being female, experiencing a shorter duration of illness before initiating treatment, and nicotine-dependence were significantly associated with AUD. On the other hand, female sex and absence of relapse of illness were negatively associated with nicotine dependence whereas, joblessness, less improvement of illness, and khat chewing were positively associated with it. Therefore, services on substance use disorders have to be extended to the community level with wide-scale training for the town’s health care providers, including health extension workers who have direct contact with these individuals. Accordingly, comprehensive and suitable interventions were advised to be provided on factors contributing to substance use disorders in general.

scholarly journals Managing patients in the emergency department with mental health and substance use disorders

2019 ◽  
Vol 9 (12) ◽  
pp. 35
Author(s):  
Kimberley DuBose ◽  
Johnie Leonard ◽  
Melissa Graham
Keyword(s):  
Mental Health ◽  
Substance Use ◽  
Substance Use Disorders ◽  
Psychiatric Patients ◽  
New Technology ◽  
Quality Care ◽  
Decision Time ◽  
Third Party ◽  
Security Measures ◽  
The Third

With approximately 3% of the Houston Methodist Hospital Emergency Department’s (ED) 2017 annual volume presenting with resource-intensive psychiatric conditions, a 6-prong approach was applied to address the growing area of concern on how to best manage this unique population safely and efficiently through the provision of high quality care.  This approach included (1) the provision of dedicated care space, (2) placement of a trained team of providers and clinical staff, (3) contracting with a third-party, rapid-screen care team, (4) application of new technology, (5) instilling a partnership with the ancillary team, and (6) extending care after the hospital stay for better management of the longevity of the patients’ medical issues. Through these efforts, the overall time from ED arrival to ED departure for psychiatric patients who were discharged was reduced by 36%. In addition, the admit decision time to ED departure time for psychiatric patients was reduced by 30% from 2016 to the third quarter of 2017. Additionally, the number of violent patient incidents in the ED mental health unit was reduced to zero from 2016 to the third quarter of 2017, a number that is holding to date. Via the presence of heightened security measures, approximately 50% fewer security dispatches were requested in 2018 than in 2017. This is even more profound when considering the 9% growth in overall ED patient volume over the same time period. Thus, through the application of a multifaceted approach to the care of patients with mental health and substance use disorders presenting to the Houston Methodist Hospital ED there was an observed significant positive effect. Continued diligence to this topic in addition to further expanded resources are needed in both the community and clinical setting to mitigate the negative cycle of patients unnecessarily returning to the hospital or landing in jail that currently exists.

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