scholarly journals Dermatitis Artefacta

2021 ◽  
Vol 1 (1) ◽  
pp. 16-19
Author(s):  
Pandu Haryo Jatmiko
Keyword(s):  
Mental Illness ◽  
Multidisciplinary Team ◽  
External Stress ◽  
Skin Injury ◽  
Dermatitis Artefacta

Dermatitis artefacta, also known as factitial dermatitis, is a disease in which self-inflicted skin injury is utilized to fulfill a conscious or unconscious urge to playthe sick part. It is more frequent in women and individuals who have anunderlying mental illness or are under external stress. The diagnosis is one ofexclusion, and it is sometimes difficult to establish since patients seldomacknowledge to playing a part in the development of their lesions. Treatment canbe difficult, and treatment should rely on a multidisciplinary team comprised ofdermatology and psychiatrist.

Dermatitis Artefacta

2021 ◽  
Vol 1 (1) ◽  
pp. 16-19
Author(s):  
Pandu Haryo Jatmiko
Keyword(s):  
Mental Illness ◽  
Multidisciplinary Team ◽  
External Stress ◽  
Skin Injury ◽  
Dermatitis Artefacta

Dermatitis artefacta, also known as factitial dermatitis, is a disease in which self-inflicted skin injury is utilized to fulfill a conscious or unconscious urge to play the sick part. It is more frequent in women and individuals who have an underlying mental illness or are under external stress. The diagnosis is one of exclusion, and it is sometimes difficult to establish since patients seldom acknowledge to playing a part in the development of their lesions. Treatment can be difficult, and treatment should rely on a multidisciplinary team comprised of dermatology and psychiatrist.

Multidisciplinary activities in a community mental health service: relationship to Health of the Nation Outcome Scale scores and diagnosis

2009 ◽  
Vol 33 (5) ◽  
pp. 172-175 ◽  
Author(s):  
David Meagher ◽  
Sinead O'Brien ◽  
Ananth Pullela ◽  
Anthony Oshun ◽  
Pat Brosnan
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Community Mental Health ◽  
Severe Mental Illness ◽  
Multidisciplinary Team ◽  
Social Impairment ◽  
Severe Illness ◽  
Community Mental Health Service ◽  
Symptom Profile ◽  
Scale Scores

Aims and MethodMultidisciplinary activities of community mental health teams in Ireland are understudied. We explored symptom profile and multidisciplinary team contacts in a complete sector population (n = 504).ResultsThe frequency of attendance was greater in individuals with severe mental illness (P<0.001) and correlated with total Health of the Nation Outcome Scale (HoNOS) scores (P<0.001) and with the sub-scales for social disability (P<0.001) and symptoms (P<0.01). Sixty-two per cent of individuals were receiving shared care and were more likely to have severe mental illness (P<0.001) and higher total HoNOS scores (P<0.001). Frequency of attendance correlated with total HoNOS scores and subscale scores for social impairment and symptoms.Clinical ImplicationsFrequency of service attendance and activities of multidisciplinary team members vary with symptom profile of service attenders but are focused towards individuals with more severe illness and greater problems identified by the HoNOS.

scholarly journals Multidisciplinary Intervention and Acceptance and Commitment Therapy for Return-to-Work and Increased Employability among Patients with Mental Illness and/or Chronic Pain: A Randomized Controlled Trial

2018 ◽  
Vol 15 (11) ◽  
pp. 2424 ◽  
Author(s):  
Erik Berglund ◽  
Ingrid Anderzén ◽  
Åsa Andersén ◽  
Lars Carlsson ◽  
Catharina Gustavsson ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Mental Illness ◽  
Sick Leave ◽  
Return To Work ◽  
Acceptance And Commitment Therapy ◽  
Multidisciplinary Team ◽  
Control Group ◽  
Randomized Controlled ◽  
Acceptance And Commitment

Background: People on long-term sick leave often have a long-lasting process back to work, where the individuals may be in multiple and recurrent states; i.e., receiving different social security benefits or working, and over time they may shift between these states. The purpose of this study was to evaluate the effects of two vocational rehabilitation programs, compared to a control, on return-to-work (RTW) or increased employability in patients on long-term sick leave due to mental illness and/or chronic pain. Methods: In this randomized controlled study, 427 women and men were allocated to either (1) multidisciplinary team management, i.e., multidisciplinary assessments and individual rehabilitation management, (2) acceptance and commitment therapy (ACT), or (3) control. A positive outcome was defined as RTW or increased employability. The outcome was considered negative if the (part-time) wage was reduced or ceased, or if there was an indication of decreased employability. The outcome was measured one year after entry in the project and analyzed using binary and multinomial logistic regressions. Results: Participants in the multidisciplinary team group reported having RTW odds ratio (OR) 3.31 (95% CI 1.39–7.87) compared to the control group in adjusted models. Participants in the ACT group reported having increased employability OR 3.22 (95% CI 1.13–9.15) compared to the control group in adjusted models. Conclusions: This study of vocational rehabilitation in mainly female patients on long-term sick leave due to mental illness and/or chronic pain suggests that multidisciplinary team assessments and individually adapted rehabilitation interventions increased RTW and employability. Solely receiving the ACT intervention also increased employability.

Identifying characteristics and practices of multidisciplinary team reviews for patients with severe mental illness: a systematic review

2018 ◽  
Vol 26 (3) ◽  
pp. 267-275 ◽  
Author(s):  
Charlotte A Woody ◽  
Amanda J Baxter ◽  
Meredith G Harris ◽  
Dan J Siskind ◽  
Harvey A Whiteford
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Mental Illness ◽  
Severe Mental Illness ◽  
Multidisciplinary Team ◽  
Best Practice ◽  
Success Factors ◽  
Monitoring And Evaluation ◽  
Multidisciplinary Teams ◽  
Good Communication

Objectives: Multidisciplinary teams in mental health receive limited guidance, leading to inconsistent practices. We undertook a systematic review of the characteristics and practices of multidisciplinary team reviews for patients with severe mental illness or in relevant mental health service settings. Methods: Sources published since 2000 were located via academic database and web searches. Results were synthesised narratively. Results: A total of 14 sources were analysed. Important characteristics and practices identified included routine monitoring and evaluation, good communication, equality between team members, and clear documentation practices. Success factors included defined leadership and clear team goals. Four sources described considerations for patients with complex clinical needs, including allocating sufficient time for discussion, maintaining connections with community providers, and ensuring culturally sensitive practices. Conclusions: No single best practice model was found, due to variations in team caseload, casemix, and resourcing levels. However, key ingredients for success were proposed. Sources were mostly descriptive; there remains a lack of evidence-based guidance regarding multidisciplinary team review characteristics and practices.

Multidisciplinary Team Perspectives on Older Adult Hoarding and Mental Illness

2013 ◽  
Vol 25 (1) ◽  
pp. 56-75 ◽  
Author(s):  
Terry L. Koenig ◽  
Matthew R. Leiste ◽  
Richard Spano ◽  
Rosemary K. Chapin
Keyword(s):  
Mental Illness ◽  
Older Adult ◽  
Multidisciplinary Team

scholarly journals Dermatitis artefacta

2021 ◽  
Vol 97 (1) ◽  
pp. 51-54
Author(s):  
Marie Isolde Joura ◽  
◽  
Kamilla Koszorú ◽  
Miklós Sárdy
Keyword(s):  
Personality Disorder ◽  
Psychological Stress ◽  
Psychiatric Illness ◽  
Clinical Signs ◽  
Psychological Disorders ◽  
Skin Lesions ◽  
External Stress ◽  
Dermatitis Artefacta

Dermatitis artefacta is a psychocutaneous illness that afects especially women, adolescents and patients with an underlying psychiatric illness or personality disorder (especially borderline), as well as patients with external stress. Patients infict injuries in various ways, most often mechanically. The clinical signs are characteristic and are usually combined with psychological disorders. In the diferential diagnosis organic causes of dermatitis must be ruled out. The therapy should be carried out by a psychodermatological team to treat both the skin lesions and the patient’s psyche. We report on a patient with dermatitis artefacta who produced skin lesions using dye-stuf because of psychological stress.

Fool’s Gold: Psychologists Using Disingenuous Reasoning to Mislead Legislatures into Granting Psychologists Prescriptive Authority

2003 ◽  
Vol 29 (4) ◽  
pp. 489-524
Author(s):  
Brent Pollitt
Keyword(s):  
Primary Care ◽  
Mental Illness ◽  
Nurse Practitioners ◽  
Primary Care Physicians ◽  
American Psychological Association ◽  
The United States ◽  
Psychotropic Medications ◽  
American Psychological ◽  
Training Requirements ◽  
Prescriptive Authority

Mental illness is a serious problem in the United States. Based on “current epidemiological estimates, at least one in five people has a diagnosable mental disorder during the course of a year.” Fortunately, many of these disorders respond positively to psychotropic medications. While psychiatrists write some of the prescriptions for psychotropic medications, primary care physicians write more of them. State legislatures, seeking to expand patient access to pharmacological treatment, granted physician assistants and nurse practitioners prescriptive authority for psychotropic medications. Over the past decade other groups have gained some form of prescriptive authority. Currently, psychologists comprise the primary group seeking prescriptive authority for psychotropic medications.The American Society for the Advancement of Pharmacotherapy (“ASAP”), a division of the American Psychological Association (“APA”), spearheads the drive for psychologists to gain prescriptive authority. The American Psychological Association offers five main reasons why legislatures should grant psychologists this privilege: 1) psychologists’ education and clinical training better qualify them to diagnose and treat mental illness in comparison with primary care physicians; 2) the Department of Defense Psychopharmacology Demonstration Project (“PDP”) demonstrated non-physician psychologists can prescribe psychotropic medications safely; 3) the recommended post-doctoral training requirements adequately prepare psychologists to prescribe safely psychotropic medications; 4) this privilege will increase availability of mental healthcare services, especially in rural areas; and 5) this privilege will result in an overall reduction in medical expenses, because patients will visit only one healthcare provider instead of two–one for psychotherapy and one for medication.

A Tribute to the Late William J. Curran

1996 ◽  
Vol 24 (3) ◽  
pp. 274-275
Author(s):  
O. Lawrence ◽  
J.D. Gostin
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Illness ◽  
United Nations ◽  
Mental Health Care ◽  
Harvard University ◽  
Legal Medicine ◽  
General Assembly ◽  
International Institute ◽  
University Professor

In the summer of 1979, a group of experts on law, medicine, and ethics assembled in Siracusa, Sicily, under the auspices of the International Commission of Jurists and the International Institute of Higher Studies in Criminal Science, to draft guidelines on the rights of persons with mental illness. Sitting across the table from me was a quiet, proud man of distinctive intelligence, William J. Curran, Frances Glessner Lee Professor of Legal Medicine at Harvard University. Professor Curran was one of the principal drafters of those guidelines. Many years later in 1991, after several subsequent re-drafts by United Nations (U.N.) Rapporteur Erica-Irene Daes, the text was adopted by the U.N. General Assembly as the Principles for the Protection of Persons with Mental Illness and for the Improvement of Mental Health Care. This was the kind of remarkable achievement in the field of law and medicine that Professor Curran repeated throughout his distinguished career.

Much Ado About Fried Chicken: Abetting Aspiration or Respecting Autonomy?

2019 ◽  
Vol 28 (3) ◽  
pp. 1356-1362
Author(s):  
Laurence Tan Lean Chin ◽  
Yu Jun Lim ◽  
Wan Ling Choo
Keyword(s):  
Palliative Care ◽  
End Of Life ◽  
Multidisciplinary Team ◽  
Biopsychosocial Model ◽  
Family Members ◽  
Clinical Decisions ◽  
Goals Of Care ◽  
Complex Needs ◽  
Aspiration Risk ◽  
Patient Centric

Purpose Palliative care is a philosophy of care that encompasses holistic, patient-centric care involving patients and their family members and loved ones. Palliative care patients often have complex needs. A common challenge in managing patients near their end of life is the complexity of navigating clinical decisions and finding achievable and realistic goals of care that are in line with the values and wishes of patients. This often results in differing opinions and conflicts within the multidisciplinary team. Conclusion This article describes a tool derived from the biopsychosocial model and the 4-quadrant ethical model. The authors describe the use of this tool in managing a patient who wishes to have fried chicken despite aspiration risk and how this tool was used to encourage discussions and reduce conflict and distress within the multidisciplinary team.

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