scholarly journals Emergency services in community mental health: problems and promise.

1974 ◽  
Vol 64 (2) ◽  
pp. 124-128 ◽  
Author(s):  
G F Jacobson
Keyword(s):  
Mental Health ◽  
Community Mental Health ◽  
Emergency Services ◽  
Mental Health Problems ◽  
Health Problems

Improving physical health of patients with mental health problems

2011 ◽  
Vol 26 (S2) ◽  
pp. 1234-1234
Author(s):  
F. Cheema ◽  
J. Graham ◽  
D. Moffat ◽  
C. Gordon
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Community Mental Health ◽  
Physical Health ◽  
Health Monitoring ◽  
Mental Health Problems ◽  
Health Problems ◽  
Community Mental Health Service ◽  
Individual Parameter ◽  
Mental Health Difficulties

It is well recognised that individuals with severe mental health difficulties have increased risks of significant physical health problems and that some of the treatments for mental health problems can cause physical health difficulties as side effects. It is also known that people with mental health difficulties do not present themselves regularly for physical health monitoring as suggested by national and international guidelines. We show how a secondary care community mental health service cooperated with primary care general medical services to increase the take up of physical health monitoring by patients with severe and enduring mental health problems.Staff in the community mental health team which served a rural/small urban population identified patients with severe and enduring mental health difficulties or those patients on medications linked to physical problems and contacted the primary care physicians responsible for the patients’ general care with patient details and encouraged patient attendance for physical health monitoring. Physical monitoring included blood pressure, ECG, glucose, thyroid, lipids, height and weight. Post-intervention attendance figures show an increase of 30% in patients attending physical health reviews compared with pre-intervention figures. The intervention has been now rolled out to a larger catchment area of 25000 persons.[Physical health monitoring by individual parameter]

scholarly journals Gatekeeping access to community mental health teams

2002 ◽  
Vol 26 (2) ◽  
pp. 56-58 ◽  
Author(s):  
P. McEvoy ◽  
S. Colgan ◽  
D. Richards
Keyword(s):  
Mental Health ◽  
Community Mental Health ◽  
Affective Disorders ◽  
Alcohol Misuse ◽  
Mental Health Problems ◽  
Health Problems ◽  
Primary Diagnosis ◽  
Psychiatric Nurses ◽  
Clinical Implications ◽  
Community Psychiatric

Aims and MethodA retrospective survey to explore how consultant psychiatrists, senior house officers and community psychiatric nurses prioritised referrals to four sectorised community mental health teams.ResultsReferral outcomes appeared to be comparable for patients with psychoses, sub-threshold mental health problems and personality disorders. However, differences in the outcomes were apparent for patients with a primary diagnosis of drug/alcohol misuse, as well as for patients with affective disorders and neuroses.Clinical ImplicationsIt may be necessary to establish clearer, consistent boundaries in order to consolidate services for patients with severe mental health problems.

scholarly journals Making community based comprehensive mental health services work

1996 ◽  
Vol 20 (2) ◽  
pp. 93-96 ◽  
Author(s):  
Karen White ◽  
Maresa Ness ◽  
Tom Craig ◽  
Gary McNamee
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Community Mental Health ◽  
Health Services ◽  
Mental Health Problems ◽  
Psychiatric Service ◽  
Community Mental Health Services ◽  
Health Problems ◽  
Community Based ◽  
Inner Setting

There hat boon until recently a dearth of descriptions of locally targeted community mental health services. Such a service, developed by changing a traditional psychiatric service in an inner setting, is described. The service addresses the needs of those with predominantly severe/enduring mental health problems, by increasingly using research based treatments in an ordinary district setting.

scholarly journals 414 - Rise in the number of geriatric patients attending psychiatric emergency services in a tertiary hospital during the COVID-19 lockdown period

2020 ◽  
Vol 32 (S1) ◽  
pp. 130-130
Author(s):  
Migita M. D’cruz ◽  
Thomas G. Issac ◽  
Gargi Mondal ◽  
Naga VSS Gorthi ◽  
Shiva Shankar Reddy Mukku ◽  
...  
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Geriatric Patients ◽  
Emergency Services ◽  
Mental Health Problems ◽  
Health Problems ◽  
Care Hospital ◽  
Global Response ◽  
Number Of Patients ◽  
Pathway To Care

Introduction: Older adults are at disproportionate risk of serious disease and mortality due to the novel coronavirus (COVID-19) pandemic. Further, the global response to the lockdown has rendered older adults particularly vulnerable to loneliness and social isolation due to the physical distancing and shelter in place mandate. We hypothesized that both these factors would lead to an increase in geriatric mental health problems during the COVID-19 pandemic.Material and Methods: We undertook a clinical audit of all geriatric patients (above 60 years of age) attending the psychiatry emergency services at a tertiary care hospital. This audit was conducted over a period of 52 days dating from the cessation of non-essential services at the hospital as part of the national response to the COVID-19 pandemic (lockdown).We used descriptive statistics to summarize the number, age, sex, presenting complaint and diagnoses of our patients. We further compared the average number of geriatric patients attending the psychiatry emergency services in the hospital during the lockdown to that of geriatric patients attending the same in the year before the lockdown.Results: A total of 112 geriatric patients attended the psychiatry emergency services during the lockdown period. Of these, 62 were male and 50 female. The average number of geriatric patients attending the emergency services daily during this period (μ1 2.15) was significantly higher (z 5.36, p ≤ 0.01) than the average number of patients attending the emergency services in the year preceding the lockdown (μ2 1.34).The most common presenting complaint was agitation in the preceding weeks. The most common diagnoses were late onset schizophrenia spectrum disorders followed by affective disorders and major neurocognitive disorders.Discussion: The COVID-19 pandemic and the global response to the same constitute life events for older adults. They may contribute to biological, psychological and social risk factors for mental health problems in older adults during this period. The increase in geriatric patients attending our emergency services, despite an increase in restrictions on mobility which act as barriers in the pathway to care, is worrying. Under stimulation in older adults during this period may contribute to an increase in agitation.

scholarly journals Rethinking Diagnostics for the Mental Health of Populations

2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1
Author(s):  
M.G. Weiss
Keyword(s):  
Public Health ◽  
Mental Health ◽  
Community Mental Health ◽  
Burden Of Disease ◽  
Community Psychiatry ◽  
Mental Health Problems ◽  
Health Problems ◽  
Careful Attention ◽  
Clinical Services ◽  
Diagnostic Systems

The DSM and ICD diagnostic systems have developed largely in response to clinical interests, though they are used for other purposes as well. Careful attention is also needed to consider the balance of ethical and commercial interests. Public health aims of representing the burden of disease and disorder help to mobilise resources globally, nationally and locally; and relevant diagnostics and assessments guide services and programmes for the mental health of patients and populations. Like other areas of public health, the scope of community mental health extends beyond the treatment orientation of clinical services and community psychiatry. Priorities also include reducing vulnerability to prevent mental health problems and enhancing resilience to promote mental health. As the next wave proceeds in revising our psychiatric systems of classification, advancing such an agenda will help ensure that efforts to achieve the mental health of populations are effective, as they become more responsive to current developments in public health-which have recently been characterised with reference to four revolutions.

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