‘First and foremost a human being…’: user perspectives on mental health services from 50 mentally disordered offenders [2018]

Background: This is the first study of this kind in a Danish context. Knowledge and research on user perspectives is rather limited in Danish as well as Nordic psychiatry. Aims: The aim of the study was to create new knowledge on patient and user perspectives and how mentally disordered offenders

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‘In some ways it all helps but in some ways it doesn’t’: The complexities of service users’ experiences of inpatient mental health care in Australia [2018]

Recovery‐oriented mental health care requires active involvement of service users in the evaluation of care. While experience of care surveys is routinely given out upon discharge, capturing the depth and detail of service users’ experiences in such a way to meaningfully improve services may require more in‐depth and targeted approaches.

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“Just be a light”: Experiences of peers working on acute inpatient psychiatric units – 2017

Objective: The study aimed to clarify the potential role and impact of behavioral health peer support providers on community hospital acute inpatient psychiatric units. Method: Qualitative interviews were conducted to examine perspectives of peer support providers (peers) and individuals who initially received peer services (recipients) during an inpatient stay on

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1st International Experts’ Meeting on Agitation: Conclusions Regarding the Current and Ideal Management Paradigm of Agitation – 2018

Agitation is a heterogeneous concept without a uniformly accepted definition, however, it is generally considered as a state of cognitive and motor hyperactivity characterized by excessive or inappropriate motor or verbal activity with marked emotional arousal. Not only the definition but also other aspects of agitated patients’ care are still

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A comparison of latent profiles in antisocial male offenders – 2018

Highlights • Performed a Latent Profile Analysis on the Self-Report Psychopathy (SRP) scale • Four distinct antisocial profiles were identified in male offenders. • The four profiles were dissociated by personality and criminogenic factors. • First demonstration of valid antisocial profiles using a psychopathy questionnaire Abstract Purpose Within forensic settings, the

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A Comparison of Participants in Two Community-Based Programs: Assisted Outpatient Treatment and a Mental Health Court [2018]

Objective: Mental health courts and assisted outpatient treatment (AOT) are tools to help people with serious mental illness engage in treatment and avoid or reduce institutionalization. As both programs become increasingly prevalent, questions remain about whether people with severe mental illness who receive AOT have the same characteristics, histories, and

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A comparison of the reported use of involuntary treatment orders within Australian jurisdictions [2018]

Objective: This paper identifies publicly available data about the use of involuntary treatment orders within Australia and considers whether this reporting is sufficient given the gravity of the intervention. Method: A search of mental health tribunal, health department and justice department annual reports was conducted to determine the use of

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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

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A randomised controlled trial of a cognitive skills programme for offenders with mental illness [2018]

Background Interventions for offenders with mental illness have tended to be confined to treatment of illness, with the expectation that symptom reduction will be accompanied by reduced criminal recidivism, but recent evidence suggests that other treatment targets may be more effective against recidivism. Aim The aim of this study was

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A review of factors associated with severe violence in schizophrenia [2018]

Background: There is a modest but consistent association between violence and schizophrenia. The consequences of serious violence could be catastrophic for the victims, as well as the patients themselves and the community. Any knowledge that would help to prevent acts of serious violence would be of considerable value for the

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A Survey of Hospital Ethics Structures in Ontario

In response to the growing recognition of the prevalence of ethical issues in clinical care, hospitals in Canada began forming ethics committees in the 1980s. Studies showed significant growth in the prevalence of ethics committees over the ensuing decade. Although the limited studies available suggest that ethics committees have become

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A Systematic Process for Selection of a Crisis Prevention/De-Escalation Training Program in the Hospital Setting [2018]

INTRODUCTION: The current de-escalation program utilized in this organization was not adequately meeting the needs of all the pediatric populations served. AIMS: Identify a de-escalation program, which is evidenced-based and able to be effective across all sizes and ages of patients served at this organization. METHOD: The work described in

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A systematic review of the views and experiences of subjects of community treatment orders [2017]

Objective CTOS have been the subject of many qualitative and quantitative research studies. Both research approaches add value to our understanding of CTOs. Qualitative studies provide an understanding of CTOs and the experience of being on a CTO that quantitative studies cannot provide. Many qualitative studies that have examined the

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Achieving violence and restraint reduction in an IPCU [2016]

This article reports on the culture and practice changes that have evolved in an intensive psychiatric care unit (IPCU) since starting its journey with the Scottish Patient Safety Programme (Mental Health) in 2012. Significant, sustained reductions in patient violence and use of restraint have been experienced which has had a

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Acute Care Use for Ambulatory Care–Sensitive Conditions in High-Cost Users of Medical Care with Mental Illness and Addictions – 2018-01-18

Objective: The role of mental illness and addiction in acute care use for chronic medical conditions that are sensitive to ambulatory care management requires focussed attention. This study examines how mental illness or addiction affects risk for repeat hospitalization and/or emergency department use for ambulatory care–sensitive conditions (ACSCs) among high-cost

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Adult attention deficit/hyperactivity disorder among the prison inmates: An investigation of the executive function differences and comorbidity effects [2018]

Objective Attention deficit/hyperactivity disorder (ADHD) is one of the most prevalent psychiatric disorders that often persist into adulthood. ADHD is associated with a high percentage of comorbid psychiatric disorders. Studies indicate that ADHD is prevalent among inmates. The aim of the present study was to evaluate the executive functions (EFs),

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Adverse events occurring on mental health units – 2018-01

Objective While the study of suicide on mental health units has a long history, the study of patient safety more generally is relatively new. Our objective was to determine the type and relative frequency of adverse events occurring on Veterans Health Administration (VHA) mental health units; the primary root causes

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Aggression among 216 patients with a first-psychotic episode of bipolar I disorder [2018]

Background Aggression by patients with bipolar I disorder (BD-I) is not uncommon. Identifying potential risk factors early in the illness-course should inform clinical management and reduce risk. Methods In a study sample of 216 initially hospitalized, first-psychotic episode subjects diagnosed with DSM-IV-TR BD-I, we identified recent (within 1 month before

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Aggressive Behaviors and Suicide Ideation in Inpatient Adolescents: The Moderating Roles of Internalizing Symptoms and Stress [2018]

The present study examined a conceptual model in which the association between aggressive behaviors and suicide ideation is moderated by internalizing symptoms and ongoing stress. Participants were 304 psychiatric inpatient adolescents (65.8% girls) ranging in age from 12 to 17 years (Mean age = 14.69). The association between aggressive behaviors

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An algorithm for managing adults who refuse medical treatment in New South Wales – 2018-02

Objectives: The assessment and management of a patient who refuses medical treatment requires clinical skill, and consideration of the relevant law and the patient’s decision-making capacity. Psychiatrists are often asked to advise in these situations. We aimed to develop an algorithm describing the relevant legal pathways to assist clinicians, especially

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An audit of patient aggression in an adult psychiatric unit: 2013–2014 – 2018

Objectives: The aim of this study was to determine the rates of patient aggression in a psychiatric unit over 12 months and to determine underlying causes, notably the role of substances. Methods: A retrospective file audit was undertaken of all patients admitted to St Vincent’s psychiatric unit (Melbourne, Australia) in

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An evaluation of a specialist firesetting treatment programme for male and female mentally disordered offenders (the FIP‐MO) – 2017

Individuals who set deliberate fires are frequently encountered by clinicians working in forensic mental health services. However, little attention has been paid to developing standardised treatment for this behaviour, and few evaluations of treatment have been conducted in forensic mental health services. This study evaluates a new standardised group cognitive

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An integrative review exploring the physical and psychological harm inherent in using restraint in mental health inpatient settings – 2018

In Western society, policy and legislation seeks to minimize restrictive interventions, including physical restraint; yet research suggests the use of such practices continues to raise concerns. Whilst international agreement has sought to define physical restraint, diversity in the way in which countries use restraint remains disparate. Research to date has

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Analysis of emergency department length of stay for mental health visits: A case study of a Canadian academic hospital [2018]

CLINICIAN’S CAPSULE What is known about the topic? Little is available in Canadian literature regarding emergency department (ED) use by mental health patients. What did this study ask? Is the number of mental health visits to the ED increasing? Are there differences in ED length of stay between mental health

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Anger and Aggression in UK Treatment-Seeking Veterans with PTSD [2018]

Prevalence rates of anger and aggression are often higher in military personnel. Therefore, it is important to understand more about why this is, and the factors with which it is associated. Despite this, there is little evidence relating to anger and aggression in UK veterans who are seeking treatment for

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