Визначення доступності антидепресантів для фармакотерапії психічних розладів у постраждалих осіб (експериментальне дослідження)

The availability of drugs for international nonproprietary names "Sertraline", "Tianeptin", "Amitriptyline" using an integrated approach was studied. It is substantiated that drugs under international nonproprietary name "Sertraline" are the most accessible for medical staff and affected patients. Particularities of clinical and pharmacological, classification and legal, nomenclature and legal groups of drugs according to international nonproprietary name "Sertraline" were determined. It is noted that the use of drugs under the international nonproprietary name "Sertraline" will comply with the principles of socially oriented pharmacotherapy of mental disorders for the affected contingents of patients in a special period in Ukraine.

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Tackling burden in ART: an integrated approach for medical staff

Human Reproduction ◽

10.1093/humrep/der467 ◽

2012 ◽

Vol 27 (4) ◽

pp. 941-950 ◽

Cited By ~ 81

Author(s):

J. Boivin ◽

A. D. Domar ◽

D. B. Shapiro ◽

T. H. Wischmann ◽

B. C. J. M. Fauser ◽

...

Keyword(s):

Medical Staff ◽

Integrated Approach

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HYGIENIC ASSESSMENT OF THE CONDITIONS OF PSYCHIATRIC MEDICAL STAFF IN HEALTH CARE FACILITIE

Polonia University Scientific Journal ◽

10.23856/4628 ◽

2021 ◽

Vol 46 (3) ◽

pp. 215-221

Author(s):

Valentina Chorna ◽

Larysa Furman ◽

Monika Fiksat

Keyword(s):

Mental Disorders ◽

Mentally Ill ◽

Medical Staff ◽

Independent Living ◽

Health Workers ◽

Psychiatric Hospitals ◽

European Countries ◽

Healing Environment ◽

Long Time ◽

New Institutions

The article presents an analysis of the incidence of mental disorders in Ukraine and European countries, describes the WHO action plans for the mental health of the planet, and ways to overcome the incidence of mental and behavioral disorders. The complication of deinstitutionalization (reduction of psychiatric hospitals and reduction of days in them) in European countries and the creation of new institutions, conditions of stay in a nearby “therapeutic/healing environment”, which return about 90% of patients to independent living in the community. In Ukraine, the process of deinstitutionalization reduced psychiatric facilities by 34.7% but, no new premises have been building, and the old premises of psychiatric hospitals, which have been building from 1786 to 2013, were not reconstructed according to the old sanitary and hygienic requirements – the socalled “corridor system”, which did not take into account the comfort for mentally ill patients, but only stay/treatment for a long time up to 53 days (up to 33 days in the Ministry of Health) for 20 days in European countries. With an increased incidence of mental disorders in Ukraine (2015) by 9.4% compared to European countries – 3.8% of the total population, the staff decreased to 21.4% for the period 2010/2017. In Ukraine, which leads to the use of existing hospitals with their overcapacity and higher workload of health workers, and conditions for both the mentally ill and medical staff have not improved.

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Transgender identity and mental health in adolescence: a scoping review

10.1101/2020.08.20.20178897 ◽

2020 ◽

Author(s):

Kirsten L Patrick

Keyword(s):

Mental Health ◽

Mental Disorders ◽

Adolescent Health ◽

Health Care Providers ◽

Scoping Review ◽

Mental Distress ◽

Integrated Approach ◽

Original Research ◽

Care Providers ◽

Minority Adolescents

BACKGROUND Global health guidance has identified gender minorities and adolescents, respectively, as being at elevated risk of mental disorders. The aim of this systematic scoping review was to examine the association between mental distress and transgender status in adolescents, to reflect on how global policy might specifically address the mental health of transgender adolescents. METHODS A systematic search was conducted in six databases (Medline, Embase, CINAHL Plus, ADOLEC, PsychINFO and PsychEXTRA) for published quantitative and qualitative studies examining a range of mental disorders, suicidality and non-suicidal selfinjury (NSSI) among adolescents with gender dysphoria or who identify as transgender. The search was limited to original research studies published in Afrikaans, Dutch, English, French and Spanish, but not limited by date. Prevalence estimates of mental disorders, suicidality and NSSI were abstracted from individual studies. The Meyer minority stress model was used as a framework to map risk and protective factors associated with mental distress, grouping by distal stressors, proximal stressors and resilience factors. RESULTS 49 studies met inclusion criteria. 33 observational studies reported prevalence of depression, anxiety, suicide attempt, suicidal ideation, self-harm, eating disorder and/or disorders of neurodiversity among transgender adolescents. Rates of mental distress were higher among transgender than among both cisgender heterosexual and sexual minority adolescents. Identified risk factors for mental distress were bullying; physical and sexual violence; poor relationships with family and peers; stigmatization by health care providers; internalized transphobia; negative self-concept; and substance use. Factors that appeared to protect against distress included parent-connectedness; peer- and teacher-support; safe school environment; consistent use of chosen names and pronouns; hobbies; and gender-affirming medical treatment. CONCLUSIONS Evidence-informed global governance on adolescent health could encourage countries both to strengthen information systems to support research on transgender adolescent health and to adopt a comprehensive, integrated approach to promoting mental health among gender minority adolescents.

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Psychological maintenance as an integrated approach to prevention and correction of professional burning out of the medical staff

The Scientific Notes of the I P Pavlov St Petersburg State Medical University ◽

10.24884/1607-4181-2014-21-1-92-94 ◽

2014 ◽

Vol 21 (1) ◽

pp. 92-94

Author(s):

V. S. Kucher ◽

N. E. Vodopyanova

Keyword(s):

Professional Development ◽

Medical Staff ◽

System Approach ◽

Integrated Approach ◽

Correctional Programs ◽

Professional Environment ◽

Expert Analysis ◽

Psychological Assistance ◽

Professional Resources ◽

Symptoms And Signs

The syndrome of professional burning out is a complex of symptoms and signs evidenced in various negative psychic conditions at individual, interpersonal and organizational levels. It is formed owing to a long mismatch between the requirements of the professional environment and the resources of the expert. Analysis of the preventive and correctional programs as a psychological assistance showed insufficiency of such approach. Creation of preventive and correctional programs within psychological maintenance from the position of involution of professional resources, taking into account the theoretical - methodological basis (the concept, the purposes, tasks, system approach, criteria of efficiency) and the subjective-personal resources of counteraction directed at activization to burning out at all stages of professional development is progressive.

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Theoretical foundations for assessing the ability of persons with mental disorders to live independently, including with support

Medical and Social Expert Evaluation and Rehabilitation ◽

10.17816/mser48952 ◽

2019 ◽

Vol 22 (4) ◽

pp. 6-14

Author(s):

Oksana N. Vladimirova ◽

Matvei D. Khodakovskii ◽

Inna S. Ishutina ◽

Lyudmila A. Kozhushko ◽

Elena M. Starobina ◽

...

Keyword(s):

Mental Disorders ◽

Russian Federation ◽

Social Protection ◽

Integrated Approach ◽

Federal State ◽

Expert Assessment ◽

Personal Factors ◽

Form Of Life ◽

The Russian Federation ◽

Theoretical Foundations

For people with disabilities who have limitations that impede normal life activities, including due to disorders of mental functions, technologies of accompanied living are developing. Development of theoretical foundations for an expert assessment of the ability of citizens with physical / mental disorders to live independently to develop a financial and organizational model for providing them with the necessary social support services, as well as medical, educational and other services within the framework of support. Based on the methodology of the general scientific didactic method of cognition, universal scientific methods, methods and principles of rehabilitation and expert diagnostics are used. The indicators of the number of persons in need of accompanied accommodation were obtained as a result of monitoring in 85 constituent entities of the Russian Federation according to a special methodology developed by Federal State Budgetary Institution Federal Scientific Centre of Rehabilitation of the Disabled n. a. G.A. Albrecht of the Ministry of Labour and Social Protection of the Russian Federation. The conceptual framework of the ICF was used to develop the conceptual apparatus. The term living independently includes measurable criteria for the Activity and Participation Sections, with particular emphasis on the selfcare (d510599) and domestic life (d610699) domains. ICF criteria and domains have great internal coherence, mutual correspondence of clinical, clinicalpsychological and medicalsocial aspects of mental health disorders. In the light of the biopsychosocial model of disability, the following factors have been identified that affect the ability of persons with mental disorders to live independently and be able to work: biomedical factors, factors of activity and participation, personal factors. The theoretical foundations for assessing the ability of persons with mental disorders to live independently, including with accompaniment, are based on the principles of humanism, interiorization, normalization of life for those living in inpatient institutions, an integrated approach, maximum objectification, measurability and uniformity. For these purposes, criteria have been developed using the Unified ICF Assessment Scale. The developed criteria for assessing the ability of persons with mental impairments to live independently, including with an accompaniment, will make it possible to solve questions about the form of life and employment of citizens with mental disorders, introduce inpatientreplacing technologies and carry out the downsizing of inpatient institutions.

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Anxiety disorders in adolescents

Medical Council ◽

10.21518/2079-701x-2018-18-34-43 ◽

2018 ◽

pp. 34-43

Author(s):

E. A. Korabelnikova

Keyword(s):

Mental Disorders ◽

Anxiety Disorders ◽

School Performance ◽

Performance Indicators ◽

Integrated Approach ◽

State Of Health ◽

Social Rehabilitation ◽

Wide Range ◽

The Family ◽

Adolescent Period

Anxiety disorders are considered as the most common class of mental disorders of adolescence. Anxiety affects all areas of a teenager’s life, significantly worsening his state of health, school performance indicators and relationships in the family and society. The article describes the characteristics of anxiety disorders in the adolescent period from the position of etiopathogenesis, classification, clinical features. The need for an integrated approach to the therapy of anxiety disorders in adolescents is grounded, which includes, in addition to full-fledged pharmacotherapy, a wide range of psychotherapeutic, physiotherapeutic and social rehabilitation activities.

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Reductionist thinking and animal models in neuropsychiatric research

Behavioral and Brain Sciences ◽

10.1017/s0140525x18001231 ◽

2019 ◽

Vol 42 ◽

Cited By ~ 1

Author(s):

Nicole M. Baran

Keyword(s):

Animal Models ◽

Mental Disorders ◽

Environmental Factors ◽

Neuropsychiatric Disorders ◽

Model Organisms ◽

Developmental Genetic ◽

Term Study ◽

Genetic And Environmental Factors ◽

Mechanisms Of Plasticity

AbstractReductionist thinking in neuroscience is manifest in the widespread use of animal models of neuropsychiatric disorders. Broader investigations of diverse behaviors in non-model organisms and longer-term study of the mechanisms of plasticity will yield fundamental insights into the neurobiological, developmental, genetic, and environmental factors contributing to the “massively multifactorial system networks” which go awry in mental disorders.

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Assessing Mental and Behavioral Disorder Impairment: Overview of Sixth Edition Approaches

Guides Newsletter ◽

10.1001/amaguidesnewsletters.2008.novdec01 ◽

2008 ◽

Vol 13 (6) ◽

pp. 1-7

Author(s):

Norma Leclair ◽

Steve Leclair ◽

Robert Barth

Keyword(s):

Mental Disorders ◽

Behavioral Disorders ◽

Psychotic Disorders ◽

Behavioral Disorder ◽

Behavioral Impairment ◽

Central Nervous System Damage ◽

Brain Functioning ◽

Sixth Edition ◽

Diagnostic And Statistical Manual ◽

Mental And Behavioral Disorders

Abstract Chapter 14, Mental and Behavioral Disorders, in the AMA Guides to the Evaluation of Permanent Impairment (AMA Guides), Sixth Edition, defines a process for assessing permanent impairment, including providing numeric ratings, for persons with specific mental and behavioral disorders. These mental disorders are limited to mood disorders, anxiety disorders, and psychotic disorders, and this chapter focuses on the evaluation of brain functioning and its effects on behavior in the absence of evident traumatic or disease-related objective central nervous system damage. This article poses and answers questions about the sixth edition. For example, this is the first since the second edition (1984) that provides a numeric impairment rating, and this edition establishes a standard, uniform template to translate human trauma or disease into a percentage of whole person impairment. Persons who conduct independent mental and behavioral evaluation using this chapter should be trained in psychiatry or psychology; other users should be experienced in psychiatric or psychological evaluations and should have expertise in the diagnosis and treatment of mental and behavioral disorders. The critical first step in determining a mental or behavioral impairment rating is to document the existence of a definitive diagnosis based on the current edition of the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders. The article also enumerates the psychiatric disorders that are considered ratable in the sixth edition, addresses use of the sixth edition during independent medical evaluations, and answers additional questions.

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