The Lost Years 1918-1935

2021 ◽  
Author(s):  
Rita Suluhian Kuyumjian
Keyword(s):  
Mental Health ◽  
Medical Care ◽  
20Th Century ◽  
Psychiatric Diagnosis ◽  
Bone Infection ◽  
Medical Terms ◽  
Custodial Care

The article covers the last 17 years of Komitas’s life. Constantinople Armenians who took care of Komitas, on the advice of Dr. Vahram Torkomian, seeing no improvement in Komitas’s mental health, while he was treated at Hopital de la Paix in Istanbul, decided to send him to Paris, hoping for better treatment and outcome. The article describes Komitas’s medical care, both psychiatric and physical until his death in 1935 when Komitas was in custodial care in Paris sanatoriums. It describes and analyses the findings from Komitas’s medical files at Ville- Evrard and Ville- Juif Hospitals. It reviews the psychiatric consultations, and explains the medical terms used at the beginning of the 20th century and its implications for psychiatric diagnosis used in Western psychiatry of today. Finally it describes his death due the bone infection in his foot and his funeral arrangements. Սույն հոդվածը նկարագրում է Կոմիտասի կյանքի և հիվանդության փարիզյան շրջանը մինչև իր մահը 1935 թ․ հոկտեմբերին։ 1918 թ. Զինադադարից հետո Կոմիտասի ընկերները բժիշկ Վահրամ Թորգոմյանի խորհրդով նրան բուժման նպատակով ուղարկում են Փարիզ։ Կոստանդնուպոլսի Լա Բե հիւանդանոցում Կոմիտասի առողջությունն անփոփոխ էր մնում, և լավացում չէր արձանագրվում։ Հոդվածն անդրադառնում է Փարիզի Վիլ Էվրար և Վիլ Ժուիֆ բուժական հաստատություններում Կոմիտասի բժշկական խնամքին։ Վերլուծության են ենթրկվում բժշկական թղթապանակը, բժշկական խորհրդատվությունները, համեմատվում են քսաներորդ դարասկզբին գործածված բժշկական ախտորոշիչ եզրույթները՝ ներկայիս գործածվող տարբերակների հետ։ Քննարկվում են նաև նրա ոտքի ոսկորի հիվանդությունն ու ֆիզիկական հյուծման պատճառով մահվան պարագան, ապա նաև թաղման կազմակերպումը։

scholarly journals Migrant children in transit: health profile and social needs of unaccompanied and accompanied children visiting the MSF clinic in Belgrade, Serbia

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Tijana Topalovic ◽  
Maria Episkopou ◽  
Erin Schillberg ◽  
Jelena Brcanski ◽  
Milica Jocic
Keyword(s):  
Mental Health ◽  
Medical Care ◽  
Social Services ◽  
Social Needs ◽  
Migrant Children ◽  
Health Profile ◽  
Physical And Mental Health ◽  
Daily Stressors ◽  
Skin Conditions ◽  
In Transit

Abstract Background Thousands of children migrate to Europe each year in search of safety and the promise of a better life. Many of them transited through Serbia in 2018. Children journey alone or along with their family members or caregivers. Accompanied migrant children (AMC) and particularly unaccompanied migrant children (UMC) have specific needs and experience difficulties in accessing services. Uncertainty about the journey and daily stressors affect their physical and mental health, making them one of the most vulnerable migrant sub-populations. The aim of the study is to describe the demographic, health profile of UMC and AMC and the social services they accessed to better understand the health and social needs of this vulnerable population. Methods We conducted a retrospective, descriptive study using routinely collected program data of UMC and AMC receiving medical, mental and social care at the Médecins sans Frontières clinic, in Belgrade, Serbia from January 2018 through January 2019. Results There were 3869 children who received medical care (1718 UMC, 2151 AMC). UMC were slightly older, mostly males (99%) from Afghanistan (82%). Skin conditions were the most prevalent among UMC (62%) and AMC (51%). Among the 66 mental health consultations (45 UMC, 21 AMC), most patients were from Afghanistan, with 98% of UMC and 67% of AMC being male. UMC as well as AMC were most likely to present with symptoms of anxiety (22 and 24%). There were 24 UMC (96% males and 88% from Afghanistan) that received social services. They had complex and differing case types. 83% of UMC required assistance with accommodation and 75% with accessing essential needs, food and non-food items. Several required administrative assistance (12.5%) and nearly a third (29%) legal assistance. 38% of beneficiaries needed medical care. Most frequently provided service was referral to a state Centre for social welfare. Conclusion Our study shows that unaccompanied and accompanied migrant children have a lot of physical, mental health and social needs. These needs are complex and meeting them in the context of migration is difficult. Services need to better adapt by improving access, flexibility, increasing accommodation capacity and training a qualified workforce.

scholarly journals Adolescent units: a need for change?

2003 ◽  
Vol 27 (8) ◽  
pp. 292-294 ◽  
Author(s):  
Tim Calton ◽  
Jon Arcelus
Keyword(s):  
Mental Health ◽  
Psychiatric Diagnosis ◽  
Adjustment Disorder ◽  
General Purpose ◽  
Clinical Implications ◽  
Violent Behaviour ◽  
Mental Health Act

Aims and MethodTo describe the characteristics and diagnoses of patients admitted to a general adolescent psychiatric in-patient unit. We describe the age, gender and psychiatric diagnosis of the patient, as well as whether the patient exhibited violent behaviour in the ward, whether he/she needed to be transferred to a different service and whether he/she was admitted under a section of the Mental Health Act 1983.ResultsPatients were evenly distributed in terms of gender, with most being 14–16 years old. Diagnoses were varied with adjustment disorder predominating, but could be separated into four main groups. Levels of violence were high, being associated with detention under the Mental Health Act 1983, and often resulted in transfer to another service.Clinical ImplicationsThe needs of certain adolescents admitted to a general-purpose adolescent unit may not be best met in this environment. Current services must change to meet the needs of their patients. There may be a need for greater specialisation.

scholarly journals T106. IMPROVING PSYCHIATRIC DIAGNOSIS BY ADDING MOTOR FUNCTION NEXT TO MENTAL HEALTH FUNCTION: A NETWORK APPROACH

2018 ◽  
Vol 44 (suppl_1) ◽  
pp. S157-S157
Author(s):  
Galoeh Adrian Noviar ◽  
Didi Rhebergen ◽  
P Roberto Bakker
Keyword(s):  
Mental Health ◽  
Motor Function ◽  
Psychiatric Diagnosis ◽  
Network Approach ◽  
Health Function

DSM-III—R Training in Master's-Level Counseling Programs

1994 ◽  
Vol 74 (3_suppl) ◽  
pp. 1331-1338 ◽  
Author(s):  
Roberto J. Velasquez ◽  
David Evans ◽  
Wendell J. Callahan ◽  
Toshiro Ishikuma
Keyword(s):  
Mental Health ◽  
Social Work ◽  
Psychiatric Diagnosis ◽  
Master's Level ◽  
Counseling Programs ◽  
Counseling Profession ◽  
Counseling Literature

The DSM-III—R is used by the subdisciplines of mental health including psychiatry, psychology, and social work. Yet, of all subdisciplines, it has historically met the most resistance from the counseling profession. Until the early 1980s, discussion of the DSM in the counseling literature was taboo. It has only been in the last 10 years that counselors have begun to discuss the role of the DSM in counseling. The purpose of this investigation was to examine the actual extent of DSM-III—R training in counseling programs. Analysis suggested that the counseling programs have included training in psychiatric diagnosis, but this training continues to meet resistance as it is inconsistent within the curricula of such programs.

scholarly journals Mental Health and Access to Medical Care in Patients with Chronic Cardiovascular Conditions: An Analysis of the Behavior Risk Factor Surveillance System

2022 ◽  
Vol 15 (1) ◽  
pp. 331-335
Author(s):  
Riyad Kherallah ◽  
Mahmoud Al Rifai ◽  
Jing Liu ◽  
Sina Kianoush ◽  
Arunima Misra ◽  
...  
Keyword(s):  
Mental Health ◽  
Risk Factor ◽  
Medical Care ◽  
Emotional Support ◽  
Surveillance System ◽  
Healthcare Access ◽  
Poor Mental Health ◽  
Clinical Depression ◽  
Access Methods ◽  
Risk Factor Surveillance

Introduction. Poor mental health is associated with worse outcomes for chronic diseases. It is unclear whether mental illness predisposes to difficulties with healthcare access. Methods. Using a combined dataset of the 2016-2019 behavioral risk factor surveillance system, we included individuals who reported a chronic cardiovascular condition. Weighted multivariable logistic regression analyses were used to explore the association between domains of mental health and measures of healthcare access including delaying medical care, > 1 year since last routine checkup, lack of a primary care physician (PCP), and cost-related medication nonadherence (CRMNA). Results. Among 1,747, 397 participants, 27% had a chronic cardiovascular condition, 12% had clinical depression, and 12% had poor mental health. Those with poor mental health (OR 3.20 [3.08 – 3.33]) and clinical depression (OR 2.43 [2.35 – 2.52]) were more likely to report delays in medical care.  Those with greater stress frequency (OR 8.47 [6.84 -10.49] stressed all of the time), lower levels of emotional support received (OR 3.07 [2.21 – 4.26] rarely get needed emotional support), and greater life dissatisfaction (6.66 [4.14 – 10.70] very dissatisfied) reported greater delays in medical care. Conclusions. Individuals with poor mental health have greater difficulty accessing medical care independent of socioeconomic variables.

scholarly journals Licensing and Physician Mental Health: Problems and Possibilities

2007 ◽  
Vol 93 (2) ◽  
pp. 6-11
Author(s):  
Herbert Hendin ◽  
Charles Reynolds ◽  
Dan Fox ◽  
Steven I. Altchuler ◽  
Phillip Rodgers ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Medical Care ◽  
Help Seeking ◽  
Psychiatric Care ◽  
Mental Health Problems ◽  
Health Related ◽  
Seeking Help ◽  
Medical License

ABSTRACT A number of factors appear to discourage physicians from seeking help for mental illness. This reluctance may be exacerbated by fears – well-founded or imagined – that by seeking help, physicians may put their medical license in jeopardy. To examine this risk, an analysis of all state medical board (SMB) license applications was followed by a seven-item survey mailed to SMB executive directors, and 70 percent responded. Follow up interviews were conducted with a sample of those not responding and also with a small group of directors whose responses were problematic. Thirteen of the 35 SMBs responding indicated that the diagnosis of mental illness by itself was sufficient for sanctioning physicians. The same states indicated that they treat physicians receiving psychiatric care differently than they do physicians receiving medical care. In follow-up interviews all 13 indicated that without evidence of impairment or misrepresentation any such sanctioning was likely to be temporary. A significant percentage (37 percent) of states sanction or have the ability to sanction physicians on the basis of information revealed on the licensing application about the presence of a psychiatric condition rather than on the basis of impairment. The same percentage state they treat physicians receiving psychiatric care differently than they do those receiving medical care. Physicians’ perceptions of this apparent discrimination is likely to play a role in their reluctance to seek help for mental health-related conditions. Suggestions are made for how SMBs and state physician health programs and state and county medical societies might collaborate in ways that while protecting patients decreases barriers to physicians help seeking.

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