scholarly journals Hospitalization of Transgender Youth in a Psychiatric Ward—Opportunities and Challenges: A Case Study

Sexes ◽  
2020 ◽  
Vol 1 (1) ◽  
pp. 32-38
Author(s):  
Alex Gizunterman ◽  
Maya Szczupak ◽  
Tanya Schechter ◽  
Yoav Kohn

The prevalence of children and adolescents who identify themselves as transgender is significant. Transgender youth are at a high risk for mental health problems, sometimes requiring hospitalization in a psychiatric ward. This situation is specifically complex and should be considered by all mental health professionals. In this case report, we describe the challenges that emerged during hospitalization of a transgender adolescent, followed by descriptions of our attempts to cope with these particular issues.

2019 ◽  
Author(s):  
André R. Simioni ◽  
Daniel S. Pine ◽  
João R. Sato ◽  
Pedro M. Pan ◽  
Rochele Paz Fonseca ◽  
...  

ABSTRACTObjectiveTo evaluate the reliability and predictive utility of a time-efficient cognitive development chart that seeks to identify children and adolescents with high-risk for multiple outcomes such as mental health problems, substance use, and educational difficulties.MethodWe analyzed data from the Brazilian High-Risk Cohort for Psychiatric Disorders (HRC), a longitudinal school-based study conducted from 2010-2011 to 2013-2014. Participants were 2,239 children and adolescents, 6 to 17 years of age, who completed the cognitive assessment at baseline. The task used to track cognitive development was the Two Choice Reaction Time task (<3 minutes of duration, computer-based), which assesses the accuracy and speed of perceptual decision-making. Mental health, substance use, and educational outcomes were assessed by validated standardized methods. Key variables were measured at baseline and 3-year follow-up. The predictive utility was assessed using static (deviations from the age-expected performance at baseline) and dynamic (deviations from the age-expected change in performance over time) indicators.ResultsThe reliability of the task parameter was high (intra-class correlation coefficient = 0.8). Static indicators of cognitive development significantly predicted concurrent mental, intellectual and educational difficulties, as well as incident and persistent educational difficulties and substance use in the 3-year follow-up. Dynamic indicators predicted persistent mental health problems.ConclusionPrimary-care and mental health professionals need a time-efficient tool for tracking deviations from age-expected cognitive development, which predicts multiple unwanted outcomes at the same time. If replicated, future results could support the generation of tools for tracking risk for mental health, substance use, and educational difficulties.


2018 ◽  
Vol 42 (5) ◽  
pp. 200-205 ◽  
Author(s):  
Alexander Galloway ◽  
Billy Boland ◽  
Gareth Williams

SummaryPoverty is strongly associated with mental illness. Access to state benefits can be a lifeline for people with mental health problems in times of hardship and can assist them on their journey of recovery. However, benefit application processes can discriminate against those with mental illness and can result in individuals unjustly missing out on support. Clinical evidence from mental health professionals can ameliorate these challenges and ensure that people get access to financial help.Declaration of interestDr Billy Boland is on the advisory board of the Money and Mental Health Policy Institute.


2006 ◽  
Vol 40 (1) ◽  
pp. 36-41 ◽  
Author(s):  
Anthony F. Jorm ◽  
Helen Christensen ◽  
Kathleen M. Griffiths

Objective: A national survey of Australian adults in 1995 showed a low level of recognition of mental disorders and beliefs about treatment that were often discordant with those of professionals. The present study aimed to find out whether recognition and treatment beliefs have changed over 8 years. Method: A national survey of 2001 adults in 2003–2004 included the same questions as the 1995 survey. These interview questions were based on a vignette of a person with either depression or schizophrenia. Results: Over the 8 years, the public showed better recognition of depression and schizophrenia and gave more positive ratings to a range of interventions, including help from mental health professionals, medications, psychotherapy and psychiatric ward admission. Conclusions: The Australian public's beliefs have changed over 8 years to be more like those of mental health professionals. This change may have positive implications for helpseeking and treatment concordance.


2016 ◽  
Vol 16 (7) ◽  
pp. 676-683 ◽  
Author(s):  
Sarah McCue Horwitz ◽  
Amy Storfer-Isser ◽  
Bonnie D. Kerker ◽  
Moira Szilagyi ◽  
Andrew S. Garner ◽  
...  

2010 ◽  
Vol 34 (3) ◽  
pp. 95-100 ◽  
Author(s):  
Chris Fitch ◽  
Robert Chaplin ◽  
Simon Tulloch

Aims and methodTo develop a standardised clinical information form which helps health professionals provide clear and relevant information about individuals who believe mental disorders affect their ability to repay debt and have consented to creditor organisations or money advisors approaching professionals for evidence. The six-question form was evaluated by three stakeholder groups.ResultsOverall, 35 responses were received from creditors/money advisors, 28 from mental health professionals and 29 from service users/carers. All questions scored acceptable levels of clarity and three questions scored acceptable relevance levels. Qualitative data were used to revise questions on the basis of concerns expressed by stakeholders about sharing diagnostic data, providing prognoses, and the risk of creditor misunderstanding.Clinical implicationsThe form is likely to be an acceptable standardised means by which health professionals can elicit information on debt from individuals with mental health problems, for use by creditor organisations or money advisors. The results of a pilot study are awaited.


1998 ◽  
Vol 22 (9) ◽  
pp. 542-545 ◽  
Author(s):  
Phil Thomas

Recent changes in the law and mental health policy have forced psychiatrists and other mental health professionals to review the traditional cloak of secrecy that surrounds record keeping and letter writing. This paper establishes what proportion of patients attending a psychiatric out-patient clinic are interested in receiving letters from their psychiatrist. Those who are interested tend to be better educated, whereas those who are not interested are much more likely to have an ICD–10 diagnosis of schizophrenia. Overall, there appear to be high levels of satisfaction with the nature of the letters received. The significance of these findings is discussed in relation to the difficulty of engaging people with the most severe and enduring forms of mental health problems as active participants in the process of care.


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