Concerns and hopes among adolescents attending adolescent psychiatric outpatient clinics

2014 ◽  
Vol 20 (2) ◽  
pp. 81-88 ◽  
Author(s):  
Katriina Anttila ◽  
Minna Anttila ◽  
Marjo Kurki ◽  
Heli Hätönen ◽  
Mauri Marttunen ◽  
...  
Keyword(s):  
Outpatient Clinics ◽  
Psychiatric Outpatient

scholarly journals Factors Associated with Non-Remission in Bipolar Disorder: The Multicenter Treatment Survey for Bipolar Disorder in Psychiatric Outpatient Clinics (MUSUBI)

2020 ◽  
Vol Volume 16 ◽  
pp. 881-890 ◽  
Author(s):  
Takashi Tsuboi ◽  
Takefumi Suzuki ◽  
Takaharu Azekawa ◽  
Naoto Adachi ◽  
Hitoshi Ueda ◽  
...  
Keyword(s):  
Bipolar Disorder ◽  
Outpatient Clinics ◽  
Factors Associated ◽  
Psychiatric Outpatient

Cross-Cultural Study of Initial Visits to Psychiatric Outpatient Clinics

1979 ◽  
Vol 28 (2) ◽  
pp. 81???83 ◽  
Author(s):  
Roslyn R. Elms ◽  
John Kevany ◽  
Captane Thomson ◽  
Marcus Webb
Keyword(s):  
Cultural Study ◽  
Cross Cultural ◽  
Outpatient Clinics ◽  
Cross Cultural Study ◽  
Psychiatric Outpatient

scholarly journals Monitoring of Adverse Drug Reaction-Related Parameters in Children and Adolescents Treated With Antipsychotic Drugs in Psychiatric Outpatient Clinics

2021 ◽  
Vol 12 ◽  
Author(s):  
Lenneke Minjon ◽  
Ivona Brozina ◽  
Toine C. G. Egberts ◽  
Eibert R. Heerdink ◽  
Els van den Ban
Keyword(s):  
Children And Adolescents ◽  
Antipsychotic Drug ◽  
Medical Records ◽  
Antipsychotic Drugs ◽  
Patient Characteristics ◽  
Outpatient Clinics ◽  
Physical Parameters ◽  
Laboratory Parameters ◽  
Psychiatric Outpatient ◽  
Antipsychotic Drug Treatment

Aim: To assess the frequency of monitoring of adverse drug reaction (ADR) related parameters in children and adolescents treated with antipsychotic drugs in psychiatric outpatient clinics and the considerations when monitoring was not performed.Methods: This retrospective follow-up study included 100 randomly selected outpatients aged ≤18 years who had a first prescription of an antipsychotic drug recorded in the electronic medical records of psychiatric outpatient clinics between 2014 and 2017. They were followed for up to 3 years. This study assessed the frequency of monitoring for physical parameters (weight, height, body mass index, waist circumference, pulse, blood pressure, and an electrocardiogram) and laboratory parameters (glucose, lipids, and prolactin) before the first prescription of an antipsychotic drug as well as during its use. Monitoring frequencies were stratified by the patient characteristics (sex, age, cardiovascular risk factors, and use of other psychotropic drugs), and by location of antipsychotic drug initiation (psychiatric outpatient clinic or elsewhere). Additionally, this study assessed the considerations mentioned in the medical records for not monitoring ADR-related parameters.Results: Overall, physical parameters were monitored more frequently (weight: 85.9% during the first half-year) than laboratory parameters (glucose and cholesterol: both 23.5%). There were no significant differences in monitoring at least one physical as well as in monitoring at least one laboratory parameter during the baseline period and during the total follow-up of antipsychotic drug treatment between the patient characteristics. In total, 3% of the children and adolescents were never monitored for any physical parameter, and 54% were never monitored for any laboratory parameter. For a minority of the children (14.8%) who were never monitored for laboratory parameters, considerations were recorded in their medical records, including refusal by the child or parents and monitoring performed by the general practitioner or elsewhere.Conclusion: Monitoring frequencies of ADR-related parameters in children and adolescents treated with antipsychotic drugs in psychiatric outpatient clinics varied and especially monitoring of laboratory parameters was infrequent. Considerations why monitoring was not performed were rarely recorded. The optimal method of monitoring and documentation thereof should become clear to optimize the benefit-risk balance of antipsychotic drug treatment for each child.

Combination antipsychotic therapy in psychiatric outpatient clinics in Taiwan

2006 ◽  
Vol 47 (5) ◽  
pp. 421-425 ◽  
Author(s):  
Si-Sheng Huang ◽  
Yi-Cheng Liao ◽  
Yen-Yuh Hsieh ◽  
Chin-Yi Huang ◽  
Nan-Ying Chiu ◽  
...  
Keyword(s):  
Outpatient Clinics ◽  
Antipsychotic Therapy ◽  
Psychiatric Outpatient

Prevalence of ADHD in adult psychiatric outpatient clinics in Sligo/Leitrim Area, Ireland

2016 ◽  
Vol 33 ◽  
pp. S445-S446 ◽  
Author(s):  
D. Adamis ◽  
D. O’Neill ◽  
O. Mulligan ◽  
E. O’Mahony ◽  
S. Murthy ◽  
...  
Keyword(s):  
Outpatient Clinics ◽  
Psychiatric Outpatient

Who Gets how much Care in Psychiatric Outpatient Clinics and Why?

2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1
Author(s):  
F. Wedegaertner ◽  
G. Holler ◽  
H.M. Emrich
Keyword(s):  
Nursing Home ◽  
Outpatient Clinics ◽  
Linear Regression Models ◽  
Functional Deficits ◽  
Care Givers ◽  
Lump Sum ◽  
Psychiatric Outpatient ◽  
Independent Life ◽  
The Individual ◽  
Best Fit

Aims:German psychiatric outpatient clinics have been established to treat the sickest among outpatients. They receive a lump sum per patient and quarter. This reimbursement is currently under scrutiny, because it can act as a disincentive for the care-givers and to the disadvantage of the patients. It was the aim of this study to elucidate the connections between individual aspects and concerns of the patients and the amount of care administered.Method:Clients of one of the largest health insurers, who visited a preselected outpatient clinic were followed for six months (p=339). All treatment activities were logged individually. Relevant sociodemographic data, the diagnoses, the individual needs and idiosyncracies, the course of the symptoms and case history were noted. Associations between the factors and utilization were tested by ANOVA and multiple linear regression models.Results:The regression model with the best fit (r²=0,48, p< 0,001) included five variables. Lower utilization is associated with living in nursing home (ß=-0,378; p< 0,001), higher age (ß=-0,273; p< 0,001), legal incapacity (ß=-0,306,p=0,002) and lower social functioning (ß=-0,187; p=0,033); higher utilization with inpatient days prior to outpatient treatment (ß=0,168; p=0,015). Treatment aims, isolated functional deficits, diagnoses and graveness of symptoms did not have a significant influence.Conclusions:Outpatient clinics should address the needs of younger patients with the aspiration of an independent life despite of a grave psychiatric disorder. Treatments administered to nursing-home inhabitants are much less complex, although these patients are even sicker. A corresponding reallocation of financial resources is suggested.

scholarly journals Intimate partner violence among reproductive-age women with chronic mental illness attending a psychiatry outpatient department: cross-sectional facility-based study, Addis Ababa, Ethiopia

BMJ Open ◽  
2021 ◽  
Vol 11 (12) ◽  
pp. e045251
Author(s):  
Tigist Zerihun ◽  
Markos Tesfaye ◽  
Negussie Deyessa ◽  
Delayehu Bekele
Keyword(s):  
Mental Illness ◽  
Intimate Partner Violence ◽  
Partner Violence ◽  
Addis Ababa ◽  
Intimate Partner ◽  
Outpatient Clinics ◽  
Chronic Mental Illness ◽  
Cross Sectional ◽  
Psychiatric Outpatient ◽  
Reproductive Aged Women

ObjectiveTo determine the prevalence of intimate partner violence (IPV), and associated factors, in reproductive-aged women attending psychiatric outpatient departments.DesignCross-sectional facility-based study.SettingOutpatient psychiatric clinics of public hospitals in Addis Ababa.ParticipantsReproductive aged women with chronic mental illness (CMI) who attended follow-up in psychiatric outpatient clinics.Primary and secondary outcome measuresThe data were collected using a multi-culturally validated instrument from randomly sampled women with CMI. Multiple logistic regression was used to identify factors independently associated with IPV.ResultFour hundred and twenty-two women who were attending the psychiatric outpatient clinics took part in the study. The majority of participants 62.0% (95% CI 56.1 to 68.8) experienced IPV at least once in their lifetime. The most common form of IPV experienced by women was emotional violence (60%; 95% CI 55.0 to 64.7). One hundred and eighty-six (44.1%; (95% CI 39.3 to 48.8)) respondents experienced physical or sexual violence during the last year. A history of divorce (Adjusted Odds Ratio [AOR]=5.64; 95% CI 2.75 to 11.56) and having a mental illness for more than 5 years (AOR=2.23; 95% CI 1.26 to 3.93) were associated with any form of IPV.ConclusionThe high prevalence of IPV among women attending psychiatric outpatient services highlights the need to routinely inquire about IPV and develop effective strategies to prevent it among this vulnerable group.

I. A profile of attenders at psychiatric outpatient clinics in Ireland's Eastern Health Board Region

2000 ◽  
Vol 17 (1) ◽  
pp. 12-14 ◽  
Author(s):  
Winifred O'Neill ◽  
James H O'Boyle ◽  
Violet Harford ◽  
Conrad Cooper ◽  
Teresa Igoe ◽  
...  
Keyword(s):  
Patient Flow ◽  
Demographic Data ◽  
Health Gain ◽  
Diagnostic Category ◽  
Community Setting ◽  
Outpatient Clinics ◽  
Health Board ◽  
Eastern Health ◽  
Financial Barriers ◽  
Psychiatric Outpatient

AbstractObjectives: The aim of this study was to determine the profile of attenders at psychiatric outpatient clinics in community health centres in Dublin.Method: A chart review was undertaken retrospectively on attenders at two clinics in different socioeconomic areas. Demographic data and information on services was recorded. Psychiatric outpatient clinic functioning in a community setting was observed during the period of the study.Results: The findings of this study suggest that attenders at psychiatric OPD clinics are more likely to be long-term, in the 40-50 year age group, female, unemployed and eligible for free medical care within the General Medical Services (GMS). Mood (affective) disorders was the largest diagnostic category. There were financial barriers to patient discharge to primary care and shared care with general practitioners.Conclusions: Opportunitie s have been identified to improve communication and optimise patient flow through the psychiatric OPD system. Such improvements in clinic function would be likely to lead to enhanced health gain for attenders.

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