Cancer care for people with mental disorders: A qualitative survey among cancer care and psychiatric care professionals in Japan

2021 ◽  
Author(s):  
Tsuyoshi Etoh ◽  
Masaki Fujiwara ◽  
Yuto Yamada ◽  
Riho Wada ◽  
Yuji Higuchi ◽  
...  
Keyword(s):  
Mental Disorders ◽  
Cancer Care ◽  
Psychiatric Care ◽  
Qualitative Survey

The comparative analysis of clinical and social characteristics of patients with schizophrenia and organic mental disorders receiving care in partial inpatient units

2021 ◽  
pp. 394-403
Author(s):  
George Petrovich Kostyuk ◽  
Burygina Larisa Andreevna Burygina Larisa Andreevna ◽  
Andrey Yurevich Berezantsev ◽  
Valeriya Vasilyevna Surikova
Keyword(s):  
Comparative Analysis ◽  
Mental Disorders ◽  
Psychiatric Care ◽  
Psychiatric Inpatient ◽  
Inpatient Unit ◽  
Social Characteristics ◽  
Organic Mental Disorders ◽  
Spectrum Disorders ◽  
Day Hospitals ◽  
Inpatient Units

The article presents the results of a comparative analysis of the clinical and social characteristics of patients with schizophrenic spectrum disorders (SSD) and organic mental disorders (OMD) who received care in day hospitals and intensive psychiatric care units (Moscow). During the study, a random sample of 487 discharge epicrises was studied, of which 392 (80,49%) were patients with SSD and OMD, who were subjected to further analysis. The study revealed gender differences and low rates of labor and family adaptation in both nosological groups of patients. The highest percentage of patients observed on a long-term basis in neuropsychiatric dispensaries and the rate of hospitalization in a round-the-clock inpatient unit were among the patients with diagnoses of schizophrenic spectrum disorders who were treated in intensive psychiatric care units. There were significant differences in the routing of patients depending on the pathology: district psychiatrists more often refer patients with a diagnosis of schizophrenia to the intensive psychiatric care unit in order to prevent hospitalization and patients with organic mental disorders - to day hospitals for therapy selection and medical and social rehabilitation, while doctors of the round-theclock hospital – vice versa (in order to continue treatment or follow up in out-of-hospital conditions). There was also a circulation of patients between the intensive psychiatric care unit and the day hospitals. Isolated episodes of compliance violations were noted. Indicative indicators such as hospitalization in a round-the-clock psychiatric inpatient unit within a year after the discharge from partial inpatient units was low and was usually due to severe continuous forms of the disease and the formation of therapy resistance in patients. Day hospitals and departments (offices) of intensive psychiatric care in general effectively perform the functions of inpatient unit substitution.

scholarly journals Moral Treatment: Philippe Pinel

2016 ◽  
Vol 3 (2) ◽  
Author(s):  
Mrs. Sushma. C ◽  
Dr. Meghamala. S. Tavaragi
Keyword(s):  
Mental Illness ◽  
Mental Disorders ◽  
Social Stress ◽  
Psychiatric Care ◽  
Psychiatric Patients ◽  
Demonic Possession ◽  
Moral Treatment ◽  
Modern Psychiatry ◽  
History Of ◽  
First Time

Philippe Pinel a pioneer, a french psychiatrist, a physician, known as father of modern psychiatry, revolutions psychiatric care of patients with mental illness by introducing concept of moral treatment. Pinel rejected the then prevailing popular notion that mental illness was caused by demonic possession and stated that mental disorders could be caused by a variety of factors including psychological or social stress, congenital conditions, or physiological injury, psychological damage, or heredity. Philippe Pinel for the first time in history of psychiatric patients treated them humanly by unchaining patients known as madmen. This historic event was done for first time in Bicêtre Hospital in 1798 a Parisian insane asylum. In this article a brief history of life and work of pioneer Philippe Pinel is mentioned.

Service users’ satisfaction in an acute adult psychiatric care unit- a qualitative survey

2011 ◽  
Vol 26 (S2) ◽  
pp. 1701-1701
Author(s):  
S.F. Badshah ◽  
M. Senaratne
Keyword(s):  
Psychiatric Care ◽  
Patient Care Team ◽  
Care Team ◽  
Service Users ◽  
Care Hospital ◽  
Team Members ◽  
Information Leaflets ◽  
Qualitative Survey ◽  
Validated Questionnaire ◽  
Consumer Perspective

IntroductionService users’ satisfaction survey adds an important consumer perspective to the evaluation of various services and treatment progression. In fact survey may be the only means for clients to express their views about the improvement required in the existing services and the new services that are needed or developed.AimTo ascertain the service users’ views admitted to a large acute adult psychiatric care unit.MethodologyWe conducted a qualitative survey of service users’ views by using a questionnaire specifically designed to assess their views of the service they received from the Acute in patient care team in a secondary care hospital. The questionnaire was distributed to all service users in the unit prior to their discharge during the period from 1st November to 31st December 2009.ResultsResults show that the majority of service users have overall satisfaction with the performance of the acute inpatient care team.Some of the positive comments made were about the team members being extremely helpful, understanding, committed, highly trained and safe environment. Service users’ responses suggested some improvements to the service such as shorter gaps between reviews, quicker liaison with other agencies, awareness among the nursing and allied staff regarding confidentiality and provision of information leaflets.ConclusionThese findings could be further strengthened by conducting a validated questionnaire on larger sample and can be extremely helpful in planning future services

Analysis of Hospital Admissions for Psychiatric Care in Portugal: Results from the SMAILE Study

2017 ◽  
Vol 41 (S1) ◽  
pp. S250-S250
Author(s):  
M. Silva ◽  
A. Antunes ◽  
A. Loureiro ◽  
P. Santana ◽  
J. Caldas-de-Almeida ◽  
...  
Keyword(s):  
Mental Disorders ◽  
Hospital Admission ◽  
Hospital Stay ◽  
Psychiatric Care ◽  
Hospital Admissions ◽  
Common Mental Disorders ◽  
Length Of Hospital Stay ◽  
Compulsory Admission ◽  
Clinical Factors ◽  
Psychiatric Admissions

IntroductionEvidence shows that the prevalence and severity of mental disorders and the need for psychiatric admission is influenced by socio-demographic and contextual factors.ObjectivesTo characterize the severity of hospital admissions for psychiatric care due to common mental disorders and psychosis in Portugal.AimsThis retrospective study analyses all acute psychiatric admissions for common mental disorders and psychosis in four Portuguese departments of psychiatry in the metropolitan areas of Lisbon and Porto, and investigates the association of their severity with socio-demographic and clinical factors.MethodsSocio-demographic and clinical variables were obtained from the clinical charts of psychiatric admissions in 2002, 2007 and 2012 (n = 2621). The number of hospital admissions per year (>1) and the length of hospital stay (31 days) were defined as measures of hospital admission severity. Logistic regression analysis was used to assess which socio-demographic and clinical factors were associated with both hospital admission severity outcomes.ResultsResults showed different predictors for each outcome. Being widowed, low level of education, being retired, having psychiatric co-morbidity, and a compulsory admission were statistically associated (P < 0.05) with a higher number of hospital admissions. Being single or widowed, being retired, a diagnosis of psychosis, and a compulsory admission were associated with higher length of hospital stay, while having suicidal ideation was associated with a lower length of hospital stay.ConclusionsSocio-demographic and clinical characteristics of the patients are determinants of hospital admissions for psychiatric care and of their severity.Funding Fundação para a Ciência e Tecnologia (FCT), Portugal.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Epidemiology of psychiatric care of patients with severe mental disorders in Italy

1997 ◽  
Vol 32 (5) ◽  
pp. 298-302 ◽  
Author(s):  
E. Terzian ◽  
E. Sternai ◽  
A. Barbato ◽  
G. Tognoni ◽  
B. Saraceno ◽  
...  
Keyword(s):  
Mental Disorders ◽  
Psychiatric Care ◽  
Severe Mental Disorders

scholarly journals THE PSYCHIATRY: A SCHOLASTIC PHILOSOPHY OR A CLINICAL MEDICINE?

2019 ◽  
Vol LI (1) ◽  
pp. 10-13
Author(s):  
Yuri P Sivolap ◽  
Anna A Portnova
Keyword(s):  
Mental Disorders ◽  
Clinical Psychiatry ◽  
Professional Education ◽  
Clinical Guidelines ◽  
Psychiatric Care ◽  
Clinical Medicine ◽  
Current State ◽  
The Poor ◽  
Scholastic Philosophy

The analysis of the current state of the Russian system of psychiatric care has been carried out; its main shortcomings have been highlighted: the arbitrariness of diagnosing mental disorders, unduly widespread use of antipsychotics, the poor condition of clinical guidelines, the low quality of professional education. Ways of reforming clinical psychiatry are proposed.

Dynamics of the prevalence of mental disorders in the Russian Federation in 1991–2018 (age aspect)

2020 ◽  
pp. 7-15
Author(s):  
Nadezhda Demcheva ◽  
Alla Yazdovskaya ◽  
Boris Kazakovtsev
Keyword(s):  
Comparative Analysis ◽  
Mental Disorders ◽  
Russian Federation ◽  
Psychiatric Care ◽  
Official Statistics ◽  
Ministry Of Health ◽  
Economic Problems ◽  
The Russian Federation

Comparative analysis of the prevalence of mental disorders in the Russian Federation in 1991–2018 has been carried out on the basis of the study of official statistics (information of reporting form № 10 introduced by the Ministry of Health of the Russian Federation since 1991) and calculation of indicators of general incidence of mental disorders. Age characteristics in the dynamics of general incidence of mental disorders have been identified: reduction in prevalence of non-psychotic psychopathology in groups of 0–17, 20–59 years old and growth of number of psychotic forms in groups of 0–17 and 18–19 years old in 2007–2018. The authors of the article conclude that decrease in the incidence of mental disorders, and especially non-psychotic forms of mental disorders, along with positive factors, indicates a decrease in referrals for psychiatric care by the population of the Russian Federation, which in turn is related to socio-economic problems, attitude of society to psychiatry, accessibility of psychiatric care.

Coronavirus pandemia as a challenge to the mental health system

2020 ◽  
Vol 26 (2) ◽  
Author(s):  
I. A. Martsenkovsky ◽  
I. I. Martsenkovska ◽  
I. F. Zdoryk
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Mental Disorders ◽  
Medical Care ◽  
Psychiatric Care ◽  
Psychiatric Hospitals ◽  
Small Blood Vessel ◽  
Nervous Systems ◽  
Brain Functions ◽  
The Brain

Background. Humanity is experiencing a collective mental trauma associated with the COVID 19 pandemic, which has immediate and delayed mental health consequences. The predicted is an increase in the number and severity of mental illness in the country, a decrease in the availability of medical and psychiatric care and social support for people with special needs. The pandemic is developing against the backdrop of the reform of specialized medical care, the reduction in funding for outpatient psychiatric services and psychiatric hospitals in the country. In addition, the SARS-CoV-2 coronavirus, causes COVID-19, along with the acute respiratory syndrome, can infect the brain, cause immune reactions, disrupt blood clotting, and small blood vessel thrombosis, further adversely affecting the brain functions and mental health of patients. Objective – to analyze the influence of the coronavirus disease pandemic on mental health, the course of mental and neurological disorders and the availability of psychiatric and general medical care for specialized patients, according to literature and the results of a survey of experts in mental health. Materials and methods. Using the information-analytical method, publications from MEDLINE, Embase, Pubmed, Web of Science and other open sources by keywords were selected and analyzed, and the results of a survey of doctors, heads of medical institutions and people representing patient and parent organizations were analyzed. acting in the interests of persons with mental disorders. Results and conclusions. The results indicate that the COVID-19 pandemic affects all aspects of the life of Ukrainian society, is accompanied by massive lesions of the respiratory, gastrointestinal, cardiovascular, nervous systems, mental disorders and is fraught with the development of a global crisis in the field of mental health. Multicenter studies of the effect of COVID-19 on the central and peripheral nervous systems, on the course of mental and neurological diseases in infected people, the study of the long-term psychological, psychological and neurological consequences of coronavirus disease, and the effect on the mental health of the entire population and vulnerable groups are needed. There is an urgent need for research to find out how to mitigate the psychological consequences of prolonged isolation in a pandemic, to develop tools for specific prevention in risk groups. It is necessary to develop mechanisms to increase the effectiveness of psychiatric care in a pandemic, mass social exclusion, demoralization of psychiatric and social support systems in the face of a high level of infection and a reduction in specialized services and medical workers. It is concluded that to solve this problem, integration between disciplines and sectors and new funding for research are needed.

Transvestic Disorder

2019 ◽  
pp. 195-208
Author(s):  
J. Paul Fedoroff
Keyword(s):  
Mental Disorders ◽  
Diagnostic Criteria ◽  
Sexual Arousal ◽  
Psychiatric Care ◽  
Recent Literature ◽  
Statistical Manual ◽  
Diagnostic And Statistical Manual ◽  
Clinically Significant ◽  
Opposite Gender

Abstract: Transvestic disorder is defined as a condition in which there is persistent (at least 6 months), recurrent, and intense sexual arousal from wearing clothes associated with the opposite gender as evidenced by fantasies, urges, or behaviors. The condition causes clinically significant distress or impairment in social, occupational, or other important areas of functioning. The term “transvestism” is used in this chapter in recognition that most people with transvestic interests never seek or require psychiatric care. This chapter discusses the Fifth edition of the Diagnostic and Statistical Manual of Mental Disorders diagnostic criteria for transvestic disorder, along with the diagnosis, treatment, and prognosis. The recent literature on these topics is reviewed.

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