scholarly journals Diagnosis, assessments and admissions from a community treatment team

1999 ◽  
Vol 23 (2) ◽  
pp. 72-74 ◽  
Author(s):  
Neil Brimblecombe ◽  
Geraldine H. O'Sullivan
Keyword(s):  
Personality Disorder ◽  
Rapid Assessment ◽  
Home Treatment ◽  
Community Treatment ◽  
Initial Assessment ◽  
Clinical Implications ◽  
Marked Variation ◽  
Treatment Team ◽  
Diagnostic Categories ◽  
The Relationship

Aims and methodA community treatment team, offering rapid assessment and intensive home treatment as an alternative to admission is described. The relationship between diagnosis and outcome was examined, in terms of initial ‘take on’ rates, admissions to in-patient areas at both initial assessment and subsequently.ResultsThere was a significant relationship between diagnosis and outcome, with marked variation between diagnostic categories.Clinical implicationsHome treatment teams prevent admissions with the majority of people from all diagnostic groups, but less successfully with people with personality disorder.

scholarly journals Clozapine initiation in the community

2002 ◽  
Vol 26 (9) ◽  
pp. 339-341 ◽  
Author(s):  
Aileen O'Brien ◽  
Mike Firn
Keyword(s):  
Adverse Events ◽  
Assertive Community Treatment ◽  
Community Treatment ◽  
Clinical Implications ◽  
Treatment Team ◽  
Serious Adverse Events ◽  
Assertive Community Treatment Team ◽  
To Come ◽  
At Home

Aims and MethodThe study aims to describe the experience of an assertive community treatment team when commencing clozapine at home rather than in hospital, following a locally-devised policy. Any failed attempts and problems experienced are described.ResultsThere have been no serious adverse events with 13 patients who have been started on clozapine at home.Clinical ImplicationsFor an assertive community treatment team, home-initiation of clozapine is a practical option, particularly when patients refuse to come in to hospital.

scholarly journals Therapeutic community provision at regional and district levels

1999 ◽  
Vol 23 (2) ◽  
pp. 79-83 ◽  
Author(s):  
Steffan Davies ◽  
Penelope Campling ◽  
Kerry Ryan
Keyword(s):  
Personality Disorder ◽  
Therapeutic Community ◽  
Community Treatment ◽  
Clinical Implications ◽  
Service Utilisation ◽  
Service Usage ◽  
Psychiatric Admissions ◽  
The Mean ◽  
Therapeutic Community Treatment ◽  
Severe Personality Disorder

Aims and methodThe aim of the study was to investigate changes in service utilisation following therapeutic community treatment for patients with severe personality disorder. The study examined service usage, in the form of acute psychiatric admissions, of a series of 52 admissions to a residential therapeutic community in the three years before and year after admission.ResultsThere was a reduction in the mean duration of acute psychiatric admissions after treatment, this was greater for extra-contractual referral patients than local district patients.Clinical ImplicationsThis study replicates results from previous studies. It also suggests that more accessible local services may be able to intervene earlier in patients' psychiatric careers preventing heavy use of acute services. We argue for greater provision of therapeutic community treatment for severe personality disorder.

scholarly journals Hope, happiness and home treatment: a study into patient satisfaction with being treated at home

2014 ◽  
Vol 38 (6) ◽  
pp. 265-269 ◽  
Author(s):  
Dieneke Hubbeling ◽  
Robert Bertram
Keyword(s):  
Logistic Regression ◽  
Patient Satisfaction ◽  
Response Rate ◽  
Service Evaluation ◽  
Home Treatment ◽  
Clinical Implications ◽  
Treatment Team ◽  
At Home

Aims and methodThis study investigates patient satisfaction and levels of hope after receiving treatment from a home treatment team. It studies whether distributing questionnaires during the last visit increases the response rate, and explores whether patient satisfaction and levels of hope are associated with particular elements of the care received.ResultsPatients who answered the questionnaire tended to be satisfied. When forms were distributed during the last visit, the response rate increased to at least 64%. People with negative views were more likely to return the form by post. Patient satisfaction and levels of hope were associated with most elements of received care, and the resolution of problems was predictive of both satisfaction and increased hope in logistic regression.Clinical implicationsThe distribution of service evaluation questionnaires during the last visit increased the response rate considerably. This study suggests that in order to improve services, it is important to focus on whether patients think their problems have been resolved.

scholarly journals Efficacy of a dementia intensive support (DIS) service at preventing admissions to medical and psychiatric wards: qualitative and quantitative evaluation

2020 ◽  
Vol 44 (6) ◽  
pp. 261-265
Author(s):  
Judy S. Rubinsztein ◽  
Catherine Hatfield ◽  
Liam High ◽  
Ramesh Krishnan ◽  
Nikitas A. Arnaoutoglou ◽  
...  
Keyword(s):  
Older People ◽  
Quantitative Evaluation ◽  
Acute Hospital ◽  
Home Treatment ◽  
Clinical Implications ◽  
Treatment Team ◽  
Crisis Resolution ◽  
Qualitative And Quantitative ◽  
Consensus Opinion

Aims and methodTo establish whether a dementia intensive support (DIS) service that is part of a crisis resolution and home treatment team for older people is preventing admissions to acute hospital and psychiatric wards. The number of referrals in 2017 to the DIS service was established and those admitted to hospital ascertained. Senior doctors examined 30 sets of notes in detail and reached a conclusion on whether DIS had contributed to admission prevention. This information was then re-examined in two meetings with at least eight senior psychiatrists present. A consensus opinion was then reached as to whether DIS had contributed to admission prevention in each case.ResultsOver 12 months, 30/171 patients (18%) referred were admitted to hospital. For the subset of 30 referrals examined in detail, DIS contributed to admission avoidance in 21 cases (70%).Clinical implicationsOur evaluation demonstrates that the DIS service is an effective way of preventing admission.

scholarly journals Crisis resolution/home treatment teams, gate-keeping and the role of the consultant psychiatrist

2008 ◽  
Vol 32 (10) ◽  
pp. 378-379 ◽  
Author(s):  
Hugh Middleton ◽  
Gyles Glover ◽  
Steve Onyett ◽  
Karen Linde
Keyword(s):  
Important Determinant ◽  
Care Pathway ◽  
Home Treatment ◽  
Clinical Implications ◽  
Team Size ◽  
Crisis Resolution ◽  
Consultant Psychiatrist ◽  
Gate Keeping ◽  
The Relationship

Aims and MethodThe working relationship between consultant psychiatrists and crisis resolution/home treatment (CRHT) teams varies quite widely. Data from the national survey have been used to investigate the effects of consultant psychiatrist intput upon functions of the CRHT team. Logistic regression was employed to consider the effects of team size, team maturity and consultant input upon gate-keeping and fidelity to model (how many of six criteria teams' activities included).ResultsThere were statistically significant effects of size and maturity upon fidelity, and of maturity and consultant input upon gate-keeping.Clinical ImplicationsThe relationship between the consultant psychiatrist and other elements of the acute care pathway is an important determinant of how it functions. Depending upon how they relate to them, consultants can assist or hinder a team's capacity to fulfill their intended purposes.

scholarly journals Una revisión de los trastornos disociativos; de la personalidad múltiple al estrés postraumático.

2016 ◽  
Vol 32 (2) ◽  
pp. 448 ◽  
Author(s):  
Modesto J. Romero-López
Keyword(s):  
Personality Disorder ◽  
Cognitive Processes ◽  
Stress Disorder ◽  
Dissociative Disorders ◽  
Multiple Personality Disorder ◽  
Clinical Implications ◽  
Diagnostic Categories ◽  
Multiple Personality ◽  
Emerging Trends ◽  
Current Scenario

In this paper we review the idea of dissociation, dissociative disorders and their relationship with the processes of consciousness. We will deal specifically with multiple personality disorder and posttraumatic stress disorder. Both polarize the discussion of diagnostic categories with dissociative symptoms. This review compares the initial ideas (one century old) with the current scenario and emerging trends in research, which are relating cognitive processes and dissociative phenomena and disorders from a neuroscientific approach. We discuss the ideas on dissociation, hypnosis and suicide associated with these disorders. There seems to be a lack of consensus as to the nature of dissociation with theoretical, empirical and clinical implications.

Comparative Assessment of Sporophyte and Gametophyte Thermal Resistance of Winter Rape

2019 ◽  
pp. 15-22
Keyword(s):  
Elevated Temperatures ◽  
Rapid Assessment ◽  
Temperature Stability ◽  
Temperature Factor ◽  
Plant Genome ◽  
Limiting Factors ◽  
Initial Assessment ◽  
High Temperature Stability ◽  
Winter Rape ◽  
High Yields

The temperature factor is one of the limiting factors for obtaining high yields of crops, so one of the main tasks of selection is to search for temperature-resistant genotypes and to create on their basis the banks of crops with high temperature stability. The first step to solving this problem is to conduct a rapid assessment of the temperature plasticity of large populations and to isolate breeding-valuable genotypes from them. There are numerous methods that allow, in the short term with minimal technical and material costs, to carry out an initial assessment of a large number of genotypes at sporophytic level and differentiate them by resistance to the temperature factor. These methods include the method of estimating pollen populations. These studies have repeatedly been conducted on many cultures, their correctness is due to the expression of a large part of the plant genome, both at the diploid and haploid levels of development and demonstrated by many studies in this direction. The aim of our study was to study the stability of gametophyte and sporophyte of collecting varieties and varieties of winter rape to elevated temperatures, to study the correlation between the heat resistance of sporophyte and gametophyte.

Interoception, categorization, and symptom perception

2018 ◽  
Author(s):  
Omer Van den Bergh ◽  
Nadia Zacharioudakis ◽  
Sibylle Petersen
Keyword(s):  
Decision Making ◽  
Medical Practice ◽  
Disease Model ◽  
Clinical Implications ◽  
Symptom Perception ◽  
Symptom Reports ◽  
The Relationship ◽  
Accurate Reflection

Medical practice and the disease model importantly rely on the accuracy assumption of symptom perception: patients’ symptom reports are a direct and accurate reflection of physiological dysfunction. This implies that symptoms can be used as a read-out of dysfunction and that remedying the dysfunction removes the symptoms. While this assumption is viable in many instances of disease, the relationship between symptoms and physiological dysfunction is highly variable and, in a substantial number of cases, completely absent. This chapter considers symptom perception as a form of unconscious inferential somatic decision-making that compellingly produces consciously experienced symptoms. At a mechanistic level, this perspective removes the categorical distinction between symptoms that are closely associated with physiological dysfunction and those that are not. In addition, it brings symptom perception in accordance with general theories of perception. Some clinical implications to understand and treat symptoms poorly related to physiological dysfunction are discussed.

The Personal Sociability and Connections Scale (PeSCS): Development and initial assessment at a primary care facility

2021 ◽  
pp. 002076402199351
Author(s):  
Emmanouil K Symvoulakis ◽  
Manolis Linardakis ◽  
Apostolos Kamekis ◽  
Myfanwy Morgan ◽  
Spyridon Klinis
Keyword(s):  
Primary Care ◽  
Social Isolation ◽  
Convergent Validity ◽  
Interpersonal Relations ◽  
Linear Regression Analysis ◽  
Care Facility ◽  
Initial Assessment ◽  
Multivariate Linear Regression Analysis ◽  
Northern Greece ◽  
The Relationship

Purpose: An individual’s lack of social connections and social isolation is often associated with feelings of loneliness which is regarded as having a negative effect on health. This paper describes the development and assessment of a 10 item ‘Personal Sociability and Connections Scale’ (PeSCS) to measure individual’s disposition and accompanying skills to seek out companionship and engage in interpersonal relations. Methods: The study was conducted at a rural primary care unit in Northern Greece. A total of 199 attenders were recruited over a 6-week period in 2020 and questionnaires completed. This informed the 10-items PeSCS that comprises Social, Behavioral, and Emotional components focusing on the expression of social comfort, willingness to share experiences, stories and concepts, and feelings of similarity at first contact. Reliability of the PeSC scale was assessed and the relationship with scale scores examined as an indicator of convergent validity. A multivariate linear regression analysis was performed to examine the relationship of PeSC scale score with the characteristics of participants. Results: Assessment of reliability of PeSC scale produced a Cronbach’s alpha of 0.809. The relationship between components and the total PeSCS scores identified significant correlations ( p < .001). At a multivariate level, male gender was the sample characteristic with a significant association with scale levels ( p < .05) and higher annual income with Social component ( p < .05). Otherwise the distribution of sociability dispositions was similar across population groups. Conclusion: The 10-item PeSC scale forms a simple and quick to complete measure whose overall reliability was rated as ‘meritorious’. The PeSC instrument may be a useful tool for assessing the causes and appropriate responses to the negative health effects of loneliness and social isolation.

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