The GLADP-VR Person-centered Diagnostic Formulation: Back-ground, Concepts, and Structure

2014 ◽  
Vol 3 (3) ◽  
pp. 228-242
Author(s):  
Juan E Mezzich ◽  
Angel A. Otero ◽  
Javier E. Saavedra ◽  
Ihsan M. Salloum
Keyword(s):  
Latin American ◽  
Psychiatric Diagnosis ◽  
Clinical Care ◽  
Professional Community ◽  
Well Being ◽  
Diagnostic Assessment ◽  
Care Plan ◽  
Contributing Factors ◽  
The World ◽  
Icd 10

A Revised Version of the Latin American Guide of Psychiatric Diagnosis (GLADP-VR) has been recently published by the Latin American Psychiatric Association (APAL) through its Diagnostic and Classification Section, in collaboration with the World Psychiatric Association (WPA) Section on Classification and Diagnostic Assessment, the International College of Person-centered Medicine (ICPCM), and the Institute of Spanish Speaking Psychiatrists (IPLE). This development has been grounded progressively on pioneering Latin American contributions to the systematization of psychiatric diagnosis, the series of Cuban Glossaries as adaptations of the International Classification of Diseases to local realities and needs, the WPA International Guidelines for Diagnostic Assessment, the original version of the GLADP, the ICPCM Person-centered Diagnostic (PID) Model, and the support and participation of the national psychiatric societies of Latin America.The GLADP-VR person-centered diagnostic formulation uses ICD-10 categories and codes for illness description in a culturally-informed manner and is aimed at implementing a diagnosis of whole health and not only of diseases. Its informational domains involve the following levels: Health Status (from disorders and disability to well-being, all assessed with standard categories and dimensions), Health Contributing Factors (risk factors and protective factors formulated with categories and narratives), and Health Experience and Expectations  (formulated in a semi-structured and narrative manner). Completion of this diagnostic formulation is based on interactive engagement among clinicians, patients, and families. Formats for the GLADP-VR diagnostic formulation and accompanying clinical care plan are presented and illustrated with a clinical case.The GLADP-VR represents the first practical application of Person-centered Integrative Diagnosis (PID), employing culturally-annotated ICD-10 categories for use in a major region of the world. While the development of the GLADP-VR appears to have been well grounded conceptually and built on the experience of the regions' professional community, the task remains for the now published GLADP-VR to be empirically evaluated on its applicability and usefulness across Latin America and beyond.

Evaluation of the Applicability and Usefulness of the Latin American Guide for Psychiatric Diagnosis, Revised Version, in Comparison with other International Systems among Latin American Psychiatrists

2019 ◽  
Vol 7 (4) ◽  
Author(s):  
Javier Esteban Saavedra
Keyword(s):  
Diagnostic Accuracy ◽  
Latin American ◽  
Psychiatric Diagnosis ◽  
Diagnostic System ◽  
Clinical Situation ◽  
Classification Systems ◽  
Evaluation Instrument ◽  
Dsm 5 ◽  
The World ◽  
Icd 10

Background: The Latin American Guide to Psychiatric Diagnosis, Revised Version (GLADP-VR) represents an adaptation of the ICD-10 that seeks through a biopsychosocial approach to better reflect the holistic framework and culture of Latin American countries. This revision of the original GLADP included updated Latin American annotations and a new integrated diagnostic model centered on the person. Objectives: The aim of this study was to evaluate among Latin American psychiatrists the levels of applicability and usefulness of the GLADP-VR in comparison with major international diagnostic classification systems. Method: The survey evaluation instrument included questions about fundamental characteristics of a useful diagnostic guide and comparative questions about the acceptability and usefulness of the GLADP-VR, the original ICD-10, DSM-IV and DSM-5, and suggestions to improve the guide. The sample included 127 Latin American psychiatrists with an interest on Diagnosis and Classification and membership in one of the 17 national psychiatric societies affiliated with Latin American Psychiatric Association (APAL). They were sent the evaluation instrument by e-mail. Thirty-seven (29.1%) responses were obtained. There were no indications of demographic bias among respondents and no-respondents.The vast majority of respondents answered the questionnaire completely. Ninety-two percent reported knowing the GLADP-VR before the survey and 65.6% had actually used it before.Results: The most commonly used diagnostic system was the original ICD-10 (86.5%), followed by the GLADP-VR (56.8%). Regarding applicability, the diagnostic system recognized as the most user-friendly was the ICD-10 followed by the GLADP-VR, with the most difficult being the DSM-5. Concerning diagnostic accuracy, the GLADP-VR was found most useful; and the DSM-5 was least useful. Regarding usefulness for clinical care and professional practice, the ICD-10 was rated highest, followed by the GLADP-VR, and lowest was DSM-5. The least valued in this regard was the DSM-5. Regarding usefulness for yielding a complete view of the clinical situation, the GLADP-VR was best (83.3%), and DSM-5 was the lowest. Concerning cultural and psychosocial contextualization, the GLADP-VR was considered most useful, well above ICD-10 and the DSMs. Furthermore, the GLADP-VR was considered more useful for teaching and research by about 80% of psychiatrists, superior to the other diagnostic systems.Discussion: The findings of this study on the most prevalent use of ICD-10 are consistent with the results of a survey conducted earlier by the World Psychiatric Association across the world. In addition, in the present study less than half of the respondents used regularly the DSMs. The findings of the present study concerning the GLADP-VR were quite consistent with the corresponding findings of an earlier preliminary evaluation of the GLADP-VR. This seems to be related to the GLADP-VR comprehensive personalized diagnostic formulation with various components, including narratives. Conclusions: There are indications that the GLADP-VR is seen in Latin America as having higher diagnostic accuracy, yielding a comprehensive view of the clinical situation and its context, and more suitable for teaching, research, and work in community mental health.

QOL assessment integrated into the clinical care of cancer survivors to identify needs and direct care.

2019 ◽  
Vol 37 (15_suppl) ◽  
pp. 6611-6611
Author(s):  
Christian S. Adonizio ◽  
Jamie Weeder ◽  
Erin Benner ◽  
Jesse Manikowski ◽  
Julie Hergenrather ◽  
...  
Keyword(s):  
High Risk ◽  
Cancer Therapy ◽  
Cancer Survivors ◽  
Clinical Care ◽  
Well Being ◽  
Direct Care ◽  
Care Plan ◽  
Survivorship Care Plan ◽  
Curative Intent ◽  
Curative Therapy

6611 Background: Validated survey tools have been used to measure the quality of life (QOL) of patients treated for cancer, however, there are newer studies that have shown both an improvement in QOL, and improvement in overall survival using these tools. We integrated the Functional Assessment of Cancer Therapy – General Population (FACT-GP v.4) to direct the deployment of resources and interventions to improve the care of patients who have completed potentially curative therapy for cancer. Methods: This is an observational study of patients who received cancer therapy with curative intent in the last 18 months. The FACT-GP was administered by an RN via telephone. Patients contacted received and reviewed a Survivorship Care Plan (SCP) as defined by the American College of Surgeons Committee on Cancer. Patients who had a total score less than 60 on FACT-GP and/or had a score less than 12 on the Emotional Well-Being subscale (EWB) were considered high-risk and were referred to the Survivorship MDC for in-person evaluation. Results: From 10/1/2018 to 12/31/2018, 114 patients were referred to the cancer survivorship program. Of these, 64 (56%) patients had FACT-GP administered and were evaluated. 45 of these (70%) only completed the FACT-GP and received an SCP. 21 patients had a total score less than 60 and/or an EWB sub-score less than 12 and were identified as high-risk. 15 (72%) patients were seen in MDC, 4 (19%) patients were seen in conjunction with a scheduled appointment by the MDC team, 2 (9%) patients refused further evaluation. 66.7% of patients in the survivorship program were referred to Oncology Behavioral Health compared to 18.2% of all oncology patients. Survivorship patients in the cohort had a baseline utilization of the emergency department (ED) of 4.1% (10 of 241) from 1/1/2018 to 9/30/2018 and 0 (0 of 64) after the initiation of the intervention from 10/1/2018 to 12/31/2018. Conclusions: Integrating a validated QOL tool (FACT-GP) as a therapeutic intervention is feasible and may both identify needs and direct services for cancer survivors while possibly decreasing ED utilization. Clinical trial information: NCT03835052.

scholarly journals Quality improvement in forensic mental health: the East London forensic violence reduction collaborative

2020 ◽  
Vol 9 (3) ◽  
pp. e000803 ◽  
Author(s):  
Owen P O'Sullivan ◽  
Nynn Hui Chang ◽  
Day Njovana ◽  
Philip Baker ◽  
Amar Shah
Keyword(s):  
Mental Health ◽  
Quality Improvement ◽  
Physical Violence ◽  
Clinical Care ◽  
Well Being ◽  
Support Service ◽  
Community Safety ◽  
Contributing Factors ◽  
Violence Reduction ◽  
Inpatient Settings

Ward-based violence is the most significant cause of reported safety incidents at East London NHS Foundation Trust (ELFT). It impacts on patient and staff safety, well-being, clinical care and the broader hospital community in various direct and indirect ways. The contributing factors are varied and complex. Several factors differentiate the forensic setting, which has been identified as a particularly stressful work environment. Staff must constantly balance addressing therapeutic needs with robust risk management in a complex patient cohort. ELFT identified reducing inpatient physical violence on mental health wards as a major quality improvement (QI) priority. The aim was to use a QI methodology to reduce incidents of inpatient violence and aggression across two secure hospital sites by at least 30% between July 2016 and March 2018. Collaborative learning was central to this project. It sought to foster a culture of openness within the organisation around violence and to support service users and staff to work together to understand and address it. A QI methodology was applied in medium and low secure inpatient settings. A change bundle was tested for effectiveness, which included: safety huddles, safety crosses and weekly community safety discussions. Operational definitions for non-physical violence, physical violence and sexual harassment were developed and used. Reductions of 8% and 16.6% in rates of physical and non-physical violent incidents, respectively, were achieved and sustained. Compared with baseline, this equated to one less incident of physical and 17 less of non-physical violence per week averaged across seven wards. Three wards achieved at least a 30% reduction in incidents of physical violence per week. Five wards achieved at least a 30% reduction in incidents of non-physical violence per week. This collaborative brought significant improvements and a cultural shift towards openness around inpatient violence.

scholarly journals MO618BIBLIOMETRIC ANALYSIS OF SCIENTIFIC PRODUCTION ON PHYSICAL REHABILITATION IN PATIENTS UNDERGOING DIALYSIS IN THE LAST 24 YEARS

2021 ◽  
Vol 36 (Supplement_1) ◽  
Author(s):  
Camila Salazar ◽  
Maryorie Sandoval ◽  
Paula Moscoso ◽  
Cristian Salazar
Keyword(s):  
Latin American ◽  
Renal Dialysis ◽  
Well Being ◽  
The United States ◽  
Scientific Production ◽  
World Population ◽  
Dialysis Patients ◽  
Starting Point ◽  
The World ◽  
The Subject

Abstract Background and Aims Patients with end stage renal disease (ESRD) exposed to renal replacement therapy (RRT) have many consequences, both physical and psychological. Dialysis patient rehabilitation is a way to improve the well-being and quality of life of users, but it is an area that has not been commonly explored and where there is much to know. The participation of the Physiotherapist in the rehabilitation of these patients has increased mainly in the last period. The present study aims to carry out an analysis of how the scientific field has behaved in relation to rehabilitation in patients undergoing dialysis, exploring the existing bases for new studies and knowing how it has varied between the years 1996 to 2020. Method The present study is a bibliometric analysis. Through this type of study, it is possible to analyze the scientific production and how is the activity on some subject. It allows, among others, the development of research topics that are little studied, in addition to evaluating the countries, institutions and authors in a certain period. A search for scientific articles was carried out using the web of science (WOS) page, obtaining 236 articles. The search key was TS = (“rehabilitation”) AND TS = (physical exercise or haemodialysis or renal dialysis or peritoneal dialysis) AND TS = (hemodialysis) NOT TS = (fistula). In the same WOS platform, a filter was carried out where only articles, reviews and conference articles were included, excluding editorial material, book chapters and early accesses, articles that are in the range of years between 1990 and 1995 were also excluded. These years were chosen because it was observed that from 1996 an increase in the trend on the subject under study can be observed. With this filtration the articles decrease to 191 results. The Scimat and Bibliometrix biblioshiny softwares were used for their analysis. Results A total of 191 records were compiled among which we have been able to identify different bibliometric indicators that allow us to know the scientific performance and how it has behaved over the years. Figure 1 shows a descriptive graph obtained from biblioshiny bibliometrix where it was shown the annual scientific production of the documents, with dates that fluctuate between 1996 and 2020. It is observed that the scientific production on this issue of rehabilitation in dialysis patients through the years has been developing exponentially since 1996. However, there are years in which production decreased significantly. It was also found the authors who have published the most, the journals and their categorizations, and the network of collaborations that exist between authors from different countries, being the United States the pioneer country in scientific production. Finally, emerging studies on the subject were found. Conclusion In this study we have addressed different points to show and publicize the issue of rehabilitation in dialysis patients, with its greatest contributors in recent years. We can say that many studies are still missing to be able to have a solid base in the rehabilitation of these patients, who are increasing more every day in the world population. Although, we have compiled a significant number of studies, it is probably not all of them, studies that complement the information are needed with other search engines. This study can serve as a starting point for future research, which is necessary in the field of dialysis, although the production rate has increased over the years it is still quite low, it is important that new authors appear who can work among them to advance and thus obtain knowledge that allows us to help and benefit patients around the world. In addition, we have considered it very important to mention and suggest so that Latin American countries can become more interested in this topic, since they are part of the countries that produce the least, however, their population on dialysis increases progressively over the years.

scholarly journals Attitude of first mature ages to zumba dance aerobics

2021 ◽  
pp. 54-58
Author(s):  
N. V. Kovaleva ◽  
N. P. Ieremenko ◽  
V. A. Kovalev
Keyword(s):  
Weight Loss ◽  
Latin American ◽  
Technological Progress ◽  
Modern Society ◽  
Well Being ◽  
Adult Women ◽  
Intense Exercise ◽  
The World ◽  
Speed Up ◽  
Club Sport

The article considers the factors that affect the attitude of women of the first period of adulthood to dance aerobics. The significance of zumba dance aerobics classes is substantiated. Zumba is a physical activity that has been practiced in the world for almost 30 years. However, it has become very popular in the last decade. Most gyms offer this dance or something similar, as ZUMBA was patented by its inventor Alberto Perez. Zumba for weight loss is based on various Latin American rhythms, such as bachata, salsa, mirenga, cumbia and samba. These dances are combined with aerobic exercises to effectively support weight loss. During zumba, your body burns a lot of calories, toning muscles and gaining flexibility. In addition, these dances help to learn Latin rhythms in an interesting and accessible way for everyone, even children. Now there are variants of zumba in the water. Zumba a combines aerobic exercise and anaerobic. That is, in addition to intense exercise that makes you sweat, do not forget to strengthen muscles. The more muscle you have, the more you speed up your metabolism and the more calories you burn. The urgency of the topic is due to various factors of modern society, because scientific and technological progress and growing urbanization are constantly accelerating the life of the population, resulting in growing needs for recovery, relaxation and the desire to indulge in a favorite pastime. Therefore, in today's world, fitness is really increasingly used to improve well-being, raise morale and to adjust your body to further work. The survey was conducted for one month on the basis of the fitness club "Sport & Spa" in Kiev. 20 women aged 20 to 30 took part in the survey. The data analysis was used to identify the needs and motivations of women and to assess the attitudes of early adult women to Zumba classes.

scholarly journals Relationship between Depression and Psychological Well-being of Students of Professional Courses

2015 ◽  
Vol 2 (3) ◽  
Author(s):  
Pragya Tiwari ◽  
Dr. Nishi Tripathi
Keyword(s):  
Health Survey ◽  
Extended Period ◽  
Well Being ◽  
World Health ◽  
World Health Survey ◽  
Life Years ◽  
The World ◽  
Icd 10 ◽  
Total Burden ◽  
Health Organization

Depression is very common disorder in our society. It is a negative aspect of well-being. In 2002, depression accounted for 4.5% of the worldwide total burden of disease (in terms of disability-adjusted life years). World Health Organization’s World Mental Health Survey Initiative has said that India has the highest rate of major depression in the world in 2011. Indians are among the world most depressed individuals. According to a World Health Organization-sponsored study, while around 9% of people in India reported having an extended period of depression within their lifetime, nearly 36% suffered from what is called Major Depressive Episode, WHO’s World Health Survey (ICD-10).

Statement of Principle

PEDIATRICS ◽  
1990 ◽  
Vol 85 (2) ◽  
pp. 226-227
Author(s):  
Keyword(s):  
Child Health ◽  
Latin American ◽  
Task Force ◽  
Child Survival ◽  
Well Being ◽  
The United States ◽  
Waterborne Diseases ◽  
International Child ◽  
The World ◽  
Latin American Countries

Since its inception, the American Academy of Pediatrics (AAP) has been concerned with child health throughout the world. Although dramatic successes have been scored, the change of fundamental conditions necessary to produce major improvements in the lives and well being of children in many instances has not occurred. Morbidity and mortality rates for children remain tragically and unacceptably high. Low birth weight, malnutrition, preventable infections, waterborne diseases, diarrhea, alcohol and drug abuse, armed conflict, and other calamities take a heavy toll on children. Efforts to help stem the tide of disabling and lethal diseases in children have been mounted by many private, public, and multinational agencies. The AAP applauds and supports UNICEF, the Child Survival Programs, and other agencies in their efforts to promote mass immunizations, develop safe water supplies, improve nutrition, and foster the delivery of health services to children worldwide. The Academy believes the ultimate key to improving primary health care for all children is the development of partnerships in service, education, research, and advocacy by pediatricians throughout the world. To achieve this goal, a Task Force on International Child Health was established in 1987 to make and implement recommendations for improving global child health. The task force was recently assigned provisional committee status. The Academy's past international efforts have been principally focused in this hemisphere. Latin American countries were officially organized as districts and chapters in 1942, and a Committee on International Child Health was formed in the 1960s to facilitate collaboration between the United States and Latin American countries.

scholarly journals Panorama del sobrepeso y la obesidad en escolares de Latinoamérica (Overview of overweight and obesity in Latin American schools)

Retos ◽  
2020 ◽  
Author(s):  
Adriana Yolanda Campos Rodríguez ◽  
Jesús Astolfo Romero García ◽  
Javier Arturo Hall-López ◽  
Paulina Yesica Ochoa Martínez
Keyword(s):  
Physical Activity ◽  
Latin American ◽  
School Health ◽  
Well Being ◽  
Overweight And Obesity ◽  
World Health ◽  
School Population ◽  
Calidad De Vida ◽  
The World ◽  
Health Organization

La Organización Mundial de la Salud (OMS) y la Organización Panamericana para la Salud (OPS) en articulación con los gobiernos del mundo han desarrollado diferentes estrategias para combatir el sobrepeso y la obesidad en la población escolar. Una de las estrategias consiste en la Encuesta Mundial de Salud Escolar, la cual ha sido aplicada en diferentes países como una forma de determinar, en tiempo real, la situación de salud de los escolares entre los 13 y 15 años, y a partir de sus resultados generar propuestas que ayuden a prevenir su aparición, y favorezcan la promoción de hábitos y estilos de vida saludable. En Latinoamérica, la encuesta ha sido aplicada en 15 países y, para el caso de esta revisión, se consideraron los apartados de nivel nutricional y de actividad física, teniendo en cuenta que nuestra región ha incrementado notablemente los indicadores de exceso de peso (33,54% n=123,361) y sedentarismo (41,2% n=123,361). No obstante la pertinencia de las encuestas, se hace necesario implementar políticas y lineamientos que impacten el sistema educativo a través de mecanismos que garanticen a la población escolar un conocimiento de las implicaciones que tiene la buena alimentación, acompañada de actividad física regular sobre el bienestar y la calidad de vida. Abstract. The World Health Organization (WHO) and the Pan American Health Organization (PAHO), in coordination with the world’s governments, have developed different strategies to combat overweight and obesity in the school population. One of the strategies consists of the World School Health Survey, which has been applied in different countries as a way to determine, in real time, the health situation of school children between 13 and 15 years of age, and from its results to generate proposals that help prevent its appearance, and favour the promotion of healthy habits and lifestyles. In Latin America, the survey has been applied in 15 countries and, in the case of this review, the sections on nutritional status and physical activity were considered, taking into account that our region has notably increased the indicators of excess weight (33,54% n=123,361) and sedentary lifestyles (41,2% n=123,361). Notwithstanding the relevance of the surveys, it is necessary to implement policies and guidelines that impact the educational system through mechanisms that guarantee the school population an understanding of the implications of good nutrition, accompanied by regular physical activity, on well-being and quality of life.

Efficacy of Crisis Intervention

Crisis ◽  
1999 ◽  
Vol 20 (2) ◽  
pp. 78-85 ◽  
Author(s):  
Thomas Reisch ◽  
Petra Schlatter ◽  
Wolfgang Tschacher
Keyword(s):  
Crisis Intervention ◽  
Intervention Program ◽  
Suicide Ideation ◽  
Indirect Evidence ◽  
Well Being ◽  
Term Therapy ◽  
Contributing Factors ◽  
Step Therapy ◽  
Long Term Therapy ◽  
The Impact

This study assesses the efficacy of the treatment approach implemented in the Bern Crisis Intervention Program, where particular emphasis is placed on the remediation of suicide ideation and suicidal behavior, and depression, fear, and phobia are generally considered to be contributing factors. Four questionnaires addressing psychopathology, emotional well-being, social anxiety, and personality were administered prior to and after the treatment of 51 patients over a period of 2 to 3 weeks. The reduction of symptoms contributing to suicidal ideation and behavior was interpreted as indirect evidence of an antisuicidal effect of the program. Significant improvements were found in the psychopathology ratings, with depression and anxiety showing the largest reductions. The impact on personality and social phobia, however, was only moderate, and on average patients still exhibited symptoms after attending the program. This residual symptomatology points to the necessity of introducing a two-step therapy approach of intensive intervention targeted at the precipitating causes of the crisis, augmented by long-term therapy to treat underlying problems.

Russian Citizens' Representations of the Country's Position in the Geopolitical Space of the Commonwealth of Independent States, Europe, and the World

2003 ◽  
Vol 8 (4) ◽  
pp. 238-251
Author(s):  
Victor F. Petrenko ◽  
Olga V. Mitina ◽  
Kirill A. Bertnikov
Keyword(s):  
Well Being ◽  
Multidimensional Space ◽  
Commonwealth Of Independent States ◽  
Repertory Grids ◽  
Implicit Model ◽  
The World ◽  
Public Consciousness ◽  
Independent States ◽  
Invariant Factors

The aim of this research was the reconstruction of the system of categories through which Russians perceive the countries of the Commonwealth of Independent States (CIS), Europe, and the world as a whole; to study the implicit model of the geopolitical space; to analyze the stereotypes in the perception of different countries and the superposition of mental geopolitical representations onto the geographic map. The techniques of psychosemantics by Petrenko, originating in the semantic differential of Osgood and Kelly's “repertory grids,” were used as working tools. Multidimensional semantic spaces act as operational models of the structures of consciousness, and the positions of countries in multidimensional space reflect the geopolitical stereotypes of respondents about these countries. Because of the transformation of geopolitical reality representations in mass consciousness, the commonly used classification of countries as socialist, capitalist, and developing is being replaced by other structures. Four invariant factors of the countries' descriptions were identified. They are connected with Economic and Political Well-being, Military Might, Friendliness toward Russia, and Spirituality and the Level of Culture. It seems that the structure has not been explained in adequate detail and is not clearly realized by the individuals. There is an interrelationship between the democratic political structure of a country and its prosperity in the political mentality of Russian respondents. Russian public consciousness painfully strives for a new geopolitical identity and place in the commonwealth of states. It also signifies the country's interest and orientation toward the East in the search for geopolitical partners. The construct system of geopolitical perception also depends on the region of perception.

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