Can “Model Projects of Need-Adapted Care” Reduce Involuntary Hospital Treatment and the Use of Coercive Measures? – 2018

Intensive outpatient models of need-adapted psychiatric care have been shown to reduce the length of hospital stays and to improve retention in care for people with severe mental illnesses. In contrast, evidence regarding the impact of such models on involuntary hospital treatment and other coercive measures in inpatient settings is

Living with psychosis: strategies and social conditions for recovery – 2018

The paper examines the often neglected, social factors implicated in recovery from severe mental distress, by presenting findings from a biographical study of individuals experiencing psychosis. Biographical interviews with 26 individuals with psychotic experiences and diagnosis of psychotic disorders were conducted and subjected to narrative biographical analysis. This paper focuses

Closer to the Truth: Admission to Multiple Psychiatric Facilities and an Inaccurate History of Hospitalization Are Strongly Associated with Inpatient Suicide – 2018

Objective: To investigate clinical associations within Canadian psychiatric inpatient suicides. Method: We conducted a case-control study comparing 98 patients who died by suicide while in hospital and 196 similarly admitted living inpatient controls. All were admitted to an Ontario psychiatric bed between 2008 and 2015 inclusive and had data collected

Suicidal Ideation and Suicide Attempts among Women Seeking Treatment for Substance Use and Trauma Symptoms – 2018

Substance use disorders and posttraumatic stress disorder have been associated with suicide. Through secondary analysis of the screening data from the Women and Trauma Study conducted by the National Institute on Drug Abuse Clinical Trials Network, the present study examined rates and correlates of suicidal ideation and suicide attempts among

Mentoring trainee psychologists: learning from lived experience – 2018

Purpose The purpose of this paper is to examine service-users’ experiences of mentoring trainee clinical psychologists as part of an involvement initiative on a doctoral training course. Design/methodology/approach Seven service-users were paired with trainee clinical psychologists. Pairs met for one hour monthly over six months. Meetings were unstructured, lacked a

Understanding engagement in the Program of Assertive Community Treatment (PACT) from the perspectives of individuals receiving treatment – 2018

Engagement of individuals with serious mental illnesses in community mental health services is a significant challenge. The Program of Assertive Community Treatment (PACT) is an individual-centered and self-contained mental health program that provides psychiatric treatment, rehabilitation, and support services to persons with serious mental illness who have a history of

What Clinicians Say About the Experience of Working With Individuals on Community Treatment Orders – 2018

Objective: Community treatment orders (CTOs) refer to a variety of legal schemes that require a person with a serious mental illness to follow a plan of treatment and supervision while living in the community. Use of CTOs has been controversial, and they have been the subject of a considerable amount

Satisfaction with primary and specialized mental health care among patients with mental disorders – 2018

The purpose of this article is to assess the satisfaction of patients who received primary or specialized mental health care, and to identify variables associated with each level of care. This cross-sectional study included 325 patients with mental disorders (MDs). We used a conceptual framework based on Andersen’s behavioral model,

Culturally Competent Commissioning; Meeting the Needs of Canada’s Diverse Communities: The Road Map to a Culturally Competent Mental Health System for All – 2018

Cultural competence has proven to be a very efficient tool in reducing healthcare disparities and improving healthcare experiences, compliance with therapy, and reducing incidents of misdiagnosis. This effect is because professionals are recognizing the value and significance of including the person in need of services in their assessment and decision

Correlates of Treatment Retention Among Persons with Serious Mental Illness Receiving Integrated Care in a Community Mental Health Setting – 2018

Knowledge about methods to retain community mental health (CMH) clients in integrated primary and behavioral health care (PBHC) programs is needed to address longstanding health disparities. A preexisting data set that contained the clinical records of 446 PBHC program participants was used to examine whether baseline sociodemographic, health, and psychosocial

Transitions from Assertive Community Treatment Among Urban and Rural Teams: Identifying Barriers, Service Options, and Strategies – 2018

An emerging focus of Assertive Community Treatment (ACT) teams is the transition of clients to less intensive services, which creates space for individuals in need of ACT and is consistent with a recovery orientation of treatment. However, there is limited research on team transition rates, post-ACT services, and strategies to

The Factor Structure of the Aggression Questionnaire With Violent Offenders – 2018

The Buss-Perry Aggression Questionnaire (AQ) is a self-report measure of aggressiveness commonly employed in nonforensic and forensic settings and is included in violent offender pre- and posttreatment assessment batteries. The aim of the current study was to assess the fit of the four-factor model of the AQ with violent offenders

Outcomes of a Peer Mentor Intervention for Persons With Recurrent Psychiatric Hospitalization – 2018

Objective: This article presents findings from a randomized controlled trial of a peer support mentorship intervention designed for individuals with serious mental illness and frequent, recurrent psychiatric hospitalizations. Methods: Seventy-six individuals who were diagnosed as having a major psychotic or mood disorder and who had at least two psychiatric hospitalizations

Using Recovery-Oriented Principles to Improve Consumer Empowerment in a State Psychiatric Hospital – 2018

The culture of state psychiatric hospitals may make it difficult to implement recovery-oriented principles such as empowerment. The current study describes efforts of one hospital to empower consumers of psychiatric hospital services using focus groups, surveys, and a workgroup to address the issue of low program attendance. The study determined

Effects of a Staff Training Intervention on Seclusion Rates on an Adult Inpatient Psychiatric Unit – 2018

The current article presents the effects of a 90-minute staff training intervention aimed at reducing inpatient psychiatric seclusion rates through strengthened staff commitment to seclusion alternatives and improved de-escalation skills. The intervention occurred at an 18-bed adult inpatient psychiatric unit whose seclusion rates in 2015 were seven times the national

Suicide risk assessment among psychiatric inpatients: a systematic review and meta-analysis of high-risk categories – 2018

Background The clinical care of psychiatric patients is often guided by perceptions of suicide risk. The aim of this study was to examine the methods and results of studies reporting high-risk models for inpatient suicide. Methods We conducted a registered meta-analysis according to PRISMA guidelines. We searched for relevant peer-reviewed

Positive Effects of an Anti-Aggression and De-Escalation Training on Ward Atmosphere and Subjective Safety May Depend on Previous Training Experience – 2018

Anti-aggression and de-escalation (ADE) trainings of health-care professionals working on psychiatric inpatient wards have been shown to increase staff knowledge and confidence, which could be connected with higher subjective safety. Additionally, a potential reduction of aggressive incidents could improve ward atmosphere. Thus, the current study aimed to investigate the effects

A pilot study of “post‐seclusion and/or restraint review” intervention with patients and staff in a mental health setting – 2018

Abstract 1 Purpose To develop and evaluate a “post‐seclusion and/or restraint review” (PSRR) intervention implemented in an acute psychiatric care unit. 2 Design and Methods Twelve staff members and three patients were enrolled in a participatory case study. To evaluate PSRR intervention, qualitative analysis was carried out. Seclusion and restraint