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[PMID]:29179830
[Au] Autor:Brunero S; Buus N; West S
[Ad] Endereço:University of Sydney, Australia. Electronic address: scott.brunero@health.nsw.gov.au.
[Ti] Título:Categorising Patients Mental Illness by Medical Surgical Nurses in the General Hospital Ward: A Focus Group Study.
[So] Source:Arch Psychiatr Nurs;31(6):614-623, 2017 12.
[Is] ISSN:1532-8228
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:AIM: To gain insight into medical surgical nurses' process(es) of categorising mental illness in general hospitals. BACKGROUND: Categorising patients is a daily social practice that helps medical surgical nurses understand their work and actions. Medical surgical nurses' categorising of mentally ill patients in general hospitals is a means in which they articulate their understanding of mental illness and perform their clinical practice. How medical surgical nurses categorise, and the impact that categorising can have on their work practices is poorly understood. DESIGN: A focus group study. METHOD: Focus group discussions (n=2) of medical surgical nurses' understanding and experience of delivering care to patients with mental illness in a general tertiary referral hospital were conducted in November 2014. Discourse analysis was used to analyse the transcribed data to uncover how participants made discursive evaluations and how this related to their daily clinical practice. RESULTS: The analysis uncovered participant's use of four categories of mentally ill patients: the managed, the unpredictable, the emotional and the dangerous. For participants these categories explained and justified their clinical practice as linked to the challenges and barriers they experienced in providing effective care within the larger healthcare organisation. CONCLUSION: The language used by medical/surgical reflects the wider discourse of managerialism in healthcare organisations. The recognition of these categories can be used by educators, liaison mental health services and policy makers to reconsider service design and learning opportunities for medical surgical nurses to reduce stigmatisation of patients with mental illness.
[Mh] Termos MeSH primário: Grupos Focais/métodos
Hospitais Gerais
Transtornos Mentais/enfermagem
Pessoas Mentalmente Doentes/classificação
Recursos Humanos de Enfermagem no Hospital/psicologia
[Mh] Termos MeSH secundário: Adulto
Atitude do Pessoal de Saúde
Feminino
Seres Humanos
Estudos Longitudinais
Estereotipagem
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180306
[Lr] Data última revisão:
180306
[Sb] Subgrupo de revista:IM; N
[Da] Data de entrada para processamento:171129
[St] Status:MEDLINE


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[PMID]:27776681
[Au] Autor:Huynh C; Tremblay J; Fleury MJ
[Ad] Endereço:Institut universitaire sur les dépendances, Centre intégré universitaire de santé et de services sociaux du Centre-Sud-de-l'Île-de-Montréal, 950 Louvain Est, Montréal, Québec, Canada H2M 2E8; McGill University, Douglas Mental Health University Institute, 6875 LaSalle Boulevard, Montréal, Québec, Canada H4H 1R3. Electronic address: christophe.huynh.crdm@ssss.gouv.qc.ca.
[Ti] Título:Typologies of Individuals Attending an Addiction Rehabilitation Center Based on Diagnosis of Mental Disorders.
[So] Source:J Subst Abuse Treat;71:68-78, 2016 12.
[Is] ISSN:1873-6483
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: This study aimed to: (1) identify clusters based on the diagnostic status of mental disorders among individuals with problematic substance use treated in an addiction rehabilitation center (ARC), and (2) characterize these clusters according to socio-demographic variables, neighborhood characteristics, and health service utilization. METHODS: Data were compiled for 4526 individuals with problematic substance use who received services from an ARC in 2004. The data were compiled by merging four databases: the ARC data registry, the Quebec Health Insurance Board database, the Quebec provincial database for hospitalizations, and the Quebec National Institute of Public Health database. A two-step cluster analysis was performed to generate distinct groups based on diagnostic categories of mental disorders. Complementary comparative analyses were conducted to test differences among the clusters. RESULTS: Three clusters were identified. The first cluster consisted of individuals who did not receive any diagnosis of a mental disorder, including substance use disorders (SUDs), and who were low users of health services. The second cluster was composed of individuals who received a diagnosis of mental disorder, but not of SUD, and who primarily used mental health services. The third cluster included individuals who had a dual diagnosis (co-occurring SUD and mental disorder), and who were high users of acute care services. CONCLUSIONS: This study highlights the heterogeneity of individuals with problematic substance use treated in an ARC. Treatment will be more effective, overall, if tailored to the varying needs of individuals with problematic substance use. Recommendations of the study geared toward improving the effectiveness of care for this population include systematic diagnostic screening for SUDs by physicians, developing strong primary care for individuals with problematic substance use, and ensuring a continuing care model for individuals with a dual diagnosis.
[Mh] Termos MeSH primário: Transtornos Mentais/epidemiologia
Serviços de Saúde Mental/estatística & dados numéricos
Pessoas Mentalmente Doentes/estatística & dados numéricos
Sistema de Registros/estatística & dados numéricos
Centros de Tratamento de Abuso de Substâncias/estatística & dados numéricos
Transtornos Relacionados ao Uso de Substâncias/epidemiologia
[Mh] Termos MeSH secundário: Adulto
Comorbidade
Feminino
Seres Humanos
Masculino
Transtornos Mentais/terapia
Serviços de Saúde Mental/utilização
Pessoas Mentalmente Doentes/classificação
Meia-Idade
Quebeque/epidemiologia
Centros de Tratamento de Abuso de Substâncias/utilização
Transtornos Relacionados ao Uso de Substâncias/terapia
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1712
[Cu] Atualização por classe:180215
[Lr] Data última revisão:
180215
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161026
[St] Status:MEDLINE


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[PMID]:28987064
[Au] Autor:Brodziak A; Rózyk-Myrta A; Wolinska A
[Ad] Endereço:Instytut Medycyny Pracy i Zdrowia Srodowiskowego w Sosnowcu.
[Ti] Título:Letter to Editor. Is the nurse able to and should implement some forms of psychotherapy?
[Ti] Título:List do Redakcji. Czy pielegniarka jest w stanie i powinna realizowac niektóre formy psychoterapii?.
[So] Source:Psychiatr Pol;51(4):777-781, 2017 Aug 29.
[Is] ISSN:2391-5854
[Cp] País de publicação:Poland
[La] Idioma:eng; pol
[Ab] Resumo:no summary.
[Mh] Termos MeSH primário: Transtornos Mentais/enfermagem
Papel do Profissional de Enfermagem
Relações Enfermeiro-Paciente
Enfermagem Psiquiátrica
Psicoterapia/métodos
[Mh] Termos MeSH secundário: Seres Humanos
Pessoas Mentalmente Doentes
[Pt] Tipo de publicação:LETTER
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171109
[Lr] Data última revisão:
171109
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171008
[St] Status:MEDLINE


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[PMID]:28886163
[Au] Autor:Scantlebury A; Fairhurst C; Booth A; McDaid C; Moran N; Parker A; Payne R; Scott WJ; Torgerson D; Webber M; Hewitt C
[Ad] Endereço:York Trials Unit, Department of Health Sciences, University of York, York, England.
[Ti] Título:Effectiveness of a training program for police officers who come into contact with people with mental health problems: A pragmatic randomised controlled trial.
[So] Source:PLoS One;12(9):e0184377, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Police officers frequently come into contact with individuals with mental health problems. Specialist training in this area for police officers may improve how they respond to individuals with mental health problems; however, evidence to support this is sparse. This study evaluated the effectiveness of one bespoke mental health training package for frontline police officers relative to routine training. DESIGN: Pragmatic, two-armed cluster randomised controlled trial in one police force in England. Police stations in North Yorkshire were randomised with frontline police officers receiving either a bespoke mental health training package or routine training. The primary outcome was the number of incidents which resulted in a police response reported to the North Yorkshire Police control room up to six months after delivery of training. Secondary outcomes included: likelihood of incidents using Section 136 of the Mental Health Act; likelihood of incidents having a mental health tag applied; and number of individuals with a mental health warning marker involved in incidents. The appropriateness of mental health tags applied to a random sample of incidents was checked by an independent mental health professional. Routinely collected data were used. RESULTS: Twelve police stations were recruited and randomised (Intervention group n = 6; Control group n = 6), and 249 officers received the bespoke mental health training intervention. At follow-up, a median of 397 incidents were assigned to trial stations in the intervention group, and 498 in the control group. There was no evidence of a difference in the number of incidents with a police response (adjusted incidence rate ratio (IRR) 0.92, 95% CI 0.61 to 1.38, p = 0.69), or in the number of people with mental health warning markers involved in incidents (adjusted IRR 1.39, 95% CI 0.91 to 2.10, p = 0.13) between the intervention and control groups up to six months following the intervention; however, incidents assigned to stations in the intervention group were more likely to have a mental health tag applied to them than incidents assigned to control stations (adjusted odds ratio 1.41, 95% CI 1.16 to 1.71, p = 0.001). The review of 100 incidents suggests that there may be incidents involving individuals with mental health issues that are not being recorded as such (Kappa coefficient 0.65). There was no statistically significant difference in the likelihood of Section 136 of the Mental Health Act being applied to an incident. CONCLUSIONS: The bespoke one day mental health training delivered to frontline officers by mental health professionals did not reduce the number of incidents reported to the police control room up to six months after its delivery; however training may have a positive effect on how the police record incidents involving individuals with mental health problems. Our trial has shown that conducting pragmatic trials within the police setting is feasible and acceptable. There is a wealth of routinely collected police data that can be utilised for research and further collaboration between police forces and academia is encouraged. TRIAL REGISTRATION: ISRCTN (ISRCTN11685602). The authors confirm that all ongoing and related trials for this drug/intervention are registered.
[Mh] Termos MeSH primário: Capacitação em Serviço
Pessoas Mentalmente Doentes
Polícia/educação
Relações Profissional-Paciente
[Mh] Termos MeSH secundário: Comunicação
Inglaterra
Seres Humanos
Distribuição Espacial da População
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171018
[Lr] Data última revisão:
171018
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170909
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0184377


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[PMID]:28793147
[Au] Autor:Skeem JL; Manchak S; Montoya L
[Ad] Endereço:School of Social Welfare, Goldman School of Public Policy, University of California-Berkeley.
[Ti] Título:Comparing Public Safety Outcomes for Traditional Probation vs Specialty Mental Health Probation.
[So] Source:JAMA Psychiatry;74(9):942-948, 2017 Sep 01.
[Is] ISSN:2168-6238
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Importance: Probation is a cornerstone of efforts to reduce mass incarceration. Although it is understudied, specialty probation could improve outcomes for the overrepresented group of people with mental illness. Objective: To test whether specialty probation yields better public safety outcomes than traditional probation. Design, Setting, and Participants: A longitudinal observational study with group matching on age, sex, race/ethnicity, probation time, and offense at 2 urban agencies that exemplify specialty and traditional probation. Enrollment began October 19, 2005; follow-up data were complete January 26, 2013. Participants were 359 diverse probationers with serious mental health problems and functional impairment. Probationers and officers were assessed 3 times (for probationers, 6-month retention, 315 of 359 [88%]; 12-month retention 304 of 359 [85%]) and follow-up records were obtained. Machine learning algorithms were combined with a targeted maximum likelihood estimation, a double robust estimator that accounts for associations between confounders and both treatment assignment and outcomes. Statistical analysis was conducted from January 1, 2016 to May 5, 2017. Interventions: Specialty probationers were assigned to small, homogeneous caseloads supervised by experts. Prior data indicate that specialty officers had better relationships with probationers, participated more in probationers' treatment, and relied more on positive compliance strategies than traditional officers. Main Outcomes and Measures: Violence during 1 year, determined by probationer report, officer report, and records, and rearrest during a period of 2 to 5 years, according to Federal Bureau of Investigation records. Results: Participants were 183 specialty (73.8% of 248 eligible) and 176 traditional (56.6% of 311 eligible) probationers (205 men and 154 women; mean [SD] age, 36.9 [10.6]). Although specialty probation had no significant effect on violence (odds ratio, 0.97; 95% CI, 0.69-1.36), the odds of rearrest were 2.68 times higher for traditional probationers than for specialty probationers (95% CI, 1.86-3.84; P < .001). At 2 years, estimated probabilities of rearrest were 28.6% for specialty probationers and 51.8% for traditional probationers. Survival analyses indicate that arrest effects endured up to 5 years. Conclusions and Relevance: Although it did not specifically reduce violence, well-implemented specialty probation appears to be effective in reducing general recidivism. Reform efforts for people with mental illness could leverage probation-a ubiquitous and revitalized node of the justice system.
[Mh] Termos MeSH primário: Pessoas Mentalmente Doentes/legislação & jurisprudência
Prisioneiros/estatística & dados numéricos
Segurança
[Mh] Termos MeSH secundário: Adulto
Algoritmos
Feminino
Seres Humanos
Funções Verossimilhança
Estudos Longitudinais
Aprendizado de Máquina
Masculino
Violência
Adulto Jovem
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE; OBSERVATIONAL STUDY
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170926
[Lr] Data última revisão:
170926
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170810
[St] Status:MEDLINE
[do] DOI:10.1001/jamapsychiatry.2017.1384


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[PMID]:28705687
[Au] Autor:Pich JV; Kable A; Hazelton M
[Ad] Endereço:Faculty of Health, University of Technology, Ultimo, NSW, Australia, Australia. Electronic address: jacqueline.pich@uts.edu.au.
[Ti] Título:Antecedents and precipitants of patient-related violence in the emergency department: Results from the Australian VENT Study (Violence in Emergency Nursing and Triage).
[So] Source:Australas Emerg Nurs J;20(3):107-113, 2017 Aug.
[Is] ISSN:1574-6267
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Workplace violence is one of the most significant and hazardous issues faced by nurses globally. It is a potentially life-threatening and life-affecting workplace hazard often downplayed as just "part of the job" for nurses. METHODS: A cross-sectional design was used and data were collected using a purpose developed survey tool. Surveys were distributed to all members of the College of Emergency Nurses' Australasia (CENA) in 2010 and 537 eligible responses were received (RR=51%). RESULTS: Patient-related violence was reported by 87% of nurses in the last six months. Precipitants and antecedents for episodes of violence were reported in three categories: nurse-related; patient-related and emergency-department specific factors. Triaging was identified as the highest risk nursing activity, and the triage area identified as the highest risk location in the department. Patients who presented with alcohol intoxication, substance misuse or mental health issues were identified as the groups at greatest risk for potential violence. DISCUSSION: Patient-related violence was reported by the majority of emergency nurses surveyed. A number of precipitants and antecedents perceived to be risk factors by participants were found to be significant and are unavoidable in the working lives of emergency department nurses.
[Mh] Termos MeSH primário: Agressão
Enfermagem em Emergência/estatística & dados numéricos
Serviço Hospitalar de Emergência/organização & administração
Relações Enfermeiro-Paciente
Recursos Humanos de Enfermagem no Hospital/psicologia
Violência no Trabalho/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adulto
Intoxicação Alcoólica
Austrália
Distribuição de Qui-Quadrado
Estudos Transversais
Seres Humanos
Modelos Logísticos
Pessoas Mentalmente Doentes/estatística & dados numéricos
Meia-Idade
Saúde do Trabalhador
Fatores de Risco
Inquéritos e Questionários
Triagem/estatística & dados numéricos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM; N
[Da] Data de entrada para processamento:170715
[St] Status:MEDLINE


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[PMID]:28682178
[Au] Autor:Meier-Allmendinger D
[Ad] Endereço:1 Ambulatorium Klinik Schützen Aarau.
[Ti] Título:Aktuelle und zukünftige Herausforderungen in Behandlung und Betreuung von psychisch kranken Menschen im Akutspital und die Rolle der Ethik..
[So] Source:Ther Umsch;74(2):45-50, 2017 Jul.
[Is] ISSN:0040-5930
[Cp] País de publicação:Switzerland
[La] Idioma:ger
[Mh] Termos MeSH primário: Tomada de Decisão Clínica/ética
Cuidados Críticos/ética
Transtornos Mentais/terapia
Pessoas Mentalmente Doentes
Direitos do Paciente/ética
[Mh] Termos MeSH secundário: Cuidados Críticos/tendências
Previsões
Alemanha
Seres Humanos
Unidades de Terapia Intensiva/ética
Unidades de Terapia Intensiva/tendências
Papel do Médico
Populações Vulneráveis
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170907
[Lr] Data última revisão:
170907
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170707
[St] Status:MEDLINE
[do] DOI:10.1024/0040-5930/a000881


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[PMID]:28682173
[Au] Autor:Battaglia D
[Ad] Endereço:1 freie Wissenschaftsjournalistin /Autorin, Zürich.
[Ti] Título:"Ich kann doch nicht für jeden Patienten die gleiche Schublade öffnen!"..
[So] Source:Ther Umsch;74(2):51-54, 2017 Jul.
[Is] ISSN:0040-5930
[Cp] País de publicação:Switzerland
[La] Idioma:ger
[Mh] Termos MeSH primário: Tomada de Decisão Clínica/ética
Cuidados Críticos/ética
Transtornos Mentais/terapia
Pessoas Mentalmente Doentes
Direitos do Paciente/ética
Autonomia Pessoal
[Mh] Termos MeSH secundário: Cuidados Críticos/tendências
Previsões
Alemanha
Seres Humanos
Unidades de Terapia Intensiva/ética
Unidades de Terapia Intensiva/tendências
Papel do Médico
Populações Vulneráveis
[Pt] Tipo de publicação:INTERVIEW
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170907
[Lr] Data última revisão:
170907
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170707
[St] Status:MEDLINE
[do] DOI:10.1024/0040-5930/a000886


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[PMID]:28640037
[Au] Autor:Packnett ER; Elmasry H; Toolin CF; Cowan DN; Boivin MR
[Ad] Endereço:*Department of Epidemiology, Preventive Medicine Branch, Walter Reed Army Institute of Research (WRAIR), Silver Spring, Maryland; and †ManTech Advanced Systems International Inc, Fairfax, Virginia.
[Ti] Título:Epidemiology of Major Depressive Disorder Disability in the US Military: FY 2007-2012.
[So] Source:J Nerv Ment Dis;205(9):672-678, 2017 Sep.
[Is] ISSN:1539-736X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:This study assesses the incidence of major depressive disorder (MDD) disability discharge and retirement in the Army, Navy, Marine Corps and Air Force and describes MDD comorbidity. Service members with a disability discharge for either MDD (n = 2,882) or any nonpsychiatric disability (n = 56,145), between fiscal years 2007 and 2012, were included in the study population. Those with MDD disability at first evaluation but not at last evaluation were excluded. The incidence of MDD disability discharge increased significantly in the Army and Air Force between fiscal years 2007 and 2012. MDD disability retirement significantly increased in the Army, Navy, and Air Force. Females, and those who experienced at least one deployment, had higher incidence rates of MDD disability discharge. All services included spinal diseases and posttraumatic stress disorder in their top five comorbid categories. Given the association between trauma and MDD, further research into the role of both combat exposure and injury on MDD is merited.
[Mh] Termos MeSH primário: Transtorno Depressivo Maior/epidemiologia
Avaliação da Deficiência
Pessoas Mentalmente Doentes/estatística & dados numéricos
Militares/estatística & dados numéricos
Aposentadoria/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adulto
Estudos Transversais
Feminino
Seres Humanos
Incidência
Masculino
Estados Unidos/epidemiologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170922
[Lr] Data última revisão:
170922
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170623
[St] Status:MEDLINE
[do] DOI:10.1097/NMD.0000000000000692


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[PMID]:28541966
[Au] Autor:Kennedy MS
[Ad] Endereço:AJN Editor-in-Chief E-mail: shawn.kennedy@wolterskluwer.com.
[Ti] Título:How Will We Care for the Mentally Ill?
[So] Source:Am J Nurs;117(6):7, 2017 Jun.
[Is] ISSN:1538-7488
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Mental health care is at risk, again.
[Mh] Termos MeSH primário: Transtornos Mentais/reabilitação
Pessoas Mentalmente Doentes/psicologia
Prisioneiros/psicologia
[Mh] Termos MeSH secundário: Crime
Acesso aos Serviços de Saúde
Seres Humanos
[Pt] Tipo de publicação:EDITORIAL
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170606
[Lr] Data última revisão:
170606
[Sb] Subgrupo de revista:AIM; IM; N
[Da] Data de entrada para processamento:170526
[St] Status:MEDLINE
[do] DOI:10.1097/01.NAJ.0000520230.12611.8f



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