The Chinese Mandarin Version of the Crisis Triage Rating Scale for Taiwanese with Mental Illness to Compulsory Hospitalization

Background: A controversial issue of the need to protect human rights and ensure public safety still remains a conflict in Taiwan. The purpose of this study was to translate the Crisis Triage Rating Scale to Chinese Mandarin (CMCTRS). Method: A cross-sectional design with convenient sampling was employed in this study. The CMCTRS was tested on 302 Taiwanese individuals with mental illness who were admitted to the emergency room (ER) of a psychiatric center. A higher score indicated a greater need for mandatory psychiatric admission. Psychiatrists rated the patients’ status according to three scale criteria and six action plans of recommendations. Results: Five specialists evaluated the content validity index to be 0.8. A total of 210 participants (69.5%) were deemed suitable for compulsory hospitalization or admission for observation in ER. The optimal cut-off score was 8, with a Youden Index of 1.46, a sensitivity of 0.748, and a specificity of 0.712 in deciding the need for hospitalization or observation. Conclusions: The CMCTRS exhibited an acceptable criterion validity with psychiatrists in a population of 302 patients at the ER of a psychiatric center. A cut-off point of 8 is recommended for determining hospitalization or a minimum 24 h stay at emergency for observation.

What Does it Mean to Be White in America: My Multi-Metamorphoses

Gil Fagiani is a storyteller by nature and by craft, both of which he employs in his essay My Muli-Metamorphoses, a version of which originally appeared in the anthology What Does it Mean to Be White in America (Two Leaf Press). Fagiani traces the dramatic arc of his transformation from a clueless White suburban middle class boy from Connecticut to a left-wing urban revolutionary who co-founded White Lightning, a Bronx-based organization that sought to radicalize white, working-class people. By working side by side with minority ethnic groups as an aide at the Bronx Psychiatric Center; a first marriage to a woman of color; and as the Director of a substance abuse program, Fagiani paves a path that binds his ethnicity with his progressive politics. As a writer, much influenced by Puerto Rican and Black writers, his work reflects the thorny racial separateness that makes trust and understanding distant goals.

VRINT verbindt: 10 jaar multidisciplinaire ambulante zorg bij vroege psychose

VRINT has been offering outpatient multidisciplinary care for early psychosis to young adults in the East of Flemish Brabant since 2009 VRINT (Early psychosis intervention team) was founded within the University psychiatric center (UPC) of the Catholic university of Leuven (KU Leuven), on their site in Kortenberg. The intervention team was created in collaboration with various partners in regional healthcare, based on international clinical and scientific developments in the specific field of early psychosis, as well as their own clinical experience in psychosis care. During the last 10 years of VRINT intervention, there has been a significant amount of case studies , with an average of 100 cases, 2 to 3 new patients every week with an average age of 22 years. To ensure a rapid intervention without a waiting list and a guaranteed continuity of care over a sufficiently long period VRINT collaborates closely with various partners in the mental health care landscape and offers specialized, accessible care based on a dimensional, integrative, phase-specific and psychotherapeutic, destigmatizing approach for early psychosis.

Burden and Psychological Well-being among Schizophrenia Patients’ Caregivers

There exists definite scarcity of studies seeking burden nd psychological well-being among caregivers andinterfacing among them. This study therefore is aimed to investigate burden and psychological well-being amongSchizophrenia patients’ caregiver for this purpose, sample of 100 patients facing schizophrenia and caregivers ofsuch patients was selected at random from patients admitted in female and male wards of psychiatric center, KarachiPakistan as per exclusion and inclusion criteria selected and used the PGWI (Psychological General Well-beingIndex) and BAS (Burden Assessment Schedule).Results of study identified that about 8 percent of caregivers reported that they were experiencing the moderateburden levels while caring for schizophrenia patients while older people felt relatively more burden (r = 0.334)while spouses (po 0.0001). In addition results revealed that the psychological well-being is relatively lower amongold age caregivers (r = 0.44) and among the caregivers with higher in siblings and lower in education status (p =0.002). Study identified strong negative relationship between psychological well-being and burden (r = -0.81)among caregivers, giving care to schizophrenia patients.Study, therefore concluded that the care given to the patients of schizophrenia is depending on primary caregivers,therefore it is essential and important to plan necessary strategies and interventions in order to minimize andreducing the burden, resulted into improved psychological well-being.Keywords: Schizophrenia, Psychological well-being, burden, caregivers.

Customizing Early Intervention Treatment for Psychosis in the UTHealth – Harris County Psychiatric Center

High-need, high-cost patients include those with diagnosed serious mental illnesses (e.g., schizophrenia; SMI). They often delay or fail to seek treatment. If they receive treatment, care is often sought from generalist settings (e.g., primary care or emergency medicine) or is suboptimal due to the provision of limited, non-evidence-based intervention and lack of communication, integration, and coordination among providers. This results in high aggregate costs and poor outcomes. Value-based health care requires care coordination to address the medical and social needs of this population. We describe a unique early intervention program for SMI that emanates from an inpatient setting: The Early Onset Treatment Program (EOTP) at the University of Texas Health Science Center at Houston–Harris County Psychiatric Center. The EOTP offers free, phase-specific, multidisciplinary treatment to young adults without health insurance with the aim of improving their long-term outcomes and reducing the rate of rehospitalization. An evaluation of the EOTP indicates program participants were significantly less likely to be rehospitalized at six months (4.73 times less likely) and at 12 months (3.5 times less likely) than a comparison group ( p <.001), and participants’ scores of symptomatology and disability significantly decreased following treatment.

FAKTOR-FAKTOR PENCEGAHAN FENOMENA RELAPSE DALAM KALANGAN PENGGUNA DADAH

This article aims to identify factors that prevent relapse billing among drug addicts. Prevention can be done with a number of factors that can influence relapses such as internal and external factors such as negative emotions, social stress and interpersonal conflict to be helpful in providing basic input to drug counselors, psychologists, social workers and policy makers who are currently facing challenges. in recovering the addict. Researchers conducted surveys and interviews from May to July 2018 at the Dungun Psychiatric Center while conducting a reality therapy approach intervention. A total of 72 relapse addicts were selected as respondents in this study. The purpose of this article was to identify factors that could help ex-recipients from relocation. The results of this unstructured interview indicate that the majority of respondents involved in this study are in what is termed as 'high risk' to relapses. Therefore, the emphasis on teaching techniques and strategies for preventing addicts from re-charging should be given special emphasis especially to trainees who will be released from drug rehabilitation centers in preparation for the challenges and challenges of life after release. Abstrak: Artikel ini bertujuan mengenal pasti faktor-faktor untuk mencegah berlaku penagihan relapse dalam kalangan pengguna dadah. Pencegahan boleh dilakukan dengan beberapa faktor yang boleh mempengaruhi berlakunya relaps seperti faktor dalaman dan luaran seperti emosi negatif, tekanan sosial dan konflik interpersonal bermanfaat dalam penyediaan input asas kepada kaunselor dadah, ahli-ahli psikologi, pekerja sosial serta para pengubal dasar yang kini berhadapan dengan cabaran dalam memulihkan pengguna dadah. Penyelidik menjalankan kajian secara tinjauan dan temuduga dari bulan Mei hingga Julai 2018 di Pusat Koreksional Dungun semasa menjalankan intervensi pendekatan terapi realiti. Seramai 72 orang relapse telah dipilih sebagai responden kajian. Artikel inidisediakan bertujuan untuk mengenal pasti faktor-faktor yang boleh membantu bekas pengguna dadah bebas dari penyalahgunaan dadah semula. Keputusan kajian secara temuduga tidak berstruktur ini menunjukkan bahawa majoriti responden yang terlibat dalam kajian ini berada dalam keadaan yang dinamakan sebagai ‘bersituasi berisiko tinggi’ untuk kembali relapses. Oleh itu, penekanan pengajaran tentang teknik dan strategi daya tindak menghindari diri pengguna dadah daripada penyalahgunaan dadah semula perlu diberikan penekanan utama khasnya kepada pelatih yang akan dibebaskan dari pusat pemulihan dadah sebagai persediaan menghadapi rintangan dan dugaan hidup yang mencabar setelah dibebaskan. Kata kunci: Penyalahgunaan dadah, Pusat Koreksional Dungun, Pemulihan dadah, Faktor-faktorpenyalahgunaan dadah.

On the Potentialities of Spaces of Care: Openness, Enticement, and Variability in a Psychiatric Center

Science and technology studies (STS) scholars have turned their attention to the materiality of objects and buildings in order to examine what they make users do in practice. Taking a close look at a therapeutic community in a psychiatric day care center for teenagers, this paper joins these discussions by exploring the materiality of “spaces of care” as part of the center’s everyday practice. The analysis incorporates the concepts of scripts and dispositifs to describe the conditions of possibility in which caregivers and youths may position themselves in relation to others and to the space itself. This paper describes how spaces of care offer open, enticing, and variable conditions for fostering a dynamic of personal and relational responses as part of the care work. In this sense, the material environment entails potentialities in ways that are unpredictable but nonetheless consequential. Rather than arguing that material arrangements and things act, this paper draws attention to their impact via their potential within dispositifs of care that request participants’ attentiveness and responsiveness. Describing these potentialities brings out the subtler requirements of material environments in care practices that aim at circumventing the coercion of disciplinary spaces and their impersonal classifications.