Relevant bibliographies by topics / Acute psychiatry

Contents

  1. Journal articles
  2. Dissertations / Theses
  3. Books
  4. Book chapters
  5. Conference papers
  6. Reports

Academic literature on the topic 'Acute psychiatry'

Author: Grafiati
Published: 4 June 2021
Last updated: 7 February 2022

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Journal articles on the topic "Acute psychiatry"

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Schweitzer, Jochen, Claudia Ginap, Joachim von Twardowski, Julika Zwack, Ulrike Borst, and Elisabeth Nicolai. "Training psychiatric teams to do family systems acute psychiatry." Journal of Family Therapy 29, no. 1 (February 2007): 3–20. http://dx.doi.org/10.1111/j.1467-6427.2007.00366.x.

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Radcliffe, Jonathan, and Roger Smith. "Acute in-patient psychiatry: how patients spend their time on acute psychiatric wards." Psychiatric Bulletin 31, no. 5 (May 2007): 167–70. http://dx.doi.org/10.1192/pb.bp.105.009290.

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Aims and MethodWe observed levels of social interaction and activity among in-patients on 16 acute psychiatric wards in 6 hospitals in a large mental health trust. Each ward was observed for 1 week and attendance at organised activities was audited over 3-week periods.ResultsAt any time during the day 84% of in-patients were socially disengaged and mainly inactive. On average only 4% of in-patients' time was spent in an organised group activity, with many in-patients opting out altogether. Provision and take-up of group activity programmes varied widely between wards.Clinical ImplicationsProvision of organised activity needs to be a higher priority in acute services, and there should be national and local standards for what should be provided. Concerted organisational strategies and assertive approaches by staff are needed to engage in-patients in group activity programmes.
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Choudry, Abid H. "Acute assessments in psychiatry." Psychiatrist 37, no. 7 (July 2013): 244. http://dx.doi.org/10.1192/pb.37.7.244.

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Middleton, Hugh. "A new specialty of acute in-patient psychiatry?" Psychiatric Bulletin 30, no. 11 (November 2006): 404–5. http://dx.doi.org/10.1192/pb.30.11.404.

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Luiz Dratcu makes a case for a new specialty of acute inpatient psychiatry; Frank Holloway argues otherwise. In neither instance are the arguments at all surprising, and in both they are eloquently expressed. The case for a new specialty is based upon recognition of a continuing need for acute psychiatric in-patient services, and recognition that these services require particular skills and facilities which are likely to be most efficiently and effectively provided when interests and activities are focused upon them. The case against does not deny the need for attention to widely acknowledged shortcomings of many acute psychiatric in-patient services, but it does ask the questions ‘what should constitute a specialty?’ and ‘what benefit would flow from having a specialty and for whom?’
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Andreoli, Antonio. "The role of psychotherapy in the treatment of acute mental disorders." Epidemiology and Psychiatric Sciences 13, no. 4 (December 2004): 227–36. http://dx.doi.org/10.1017/s1121189x00001743.

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SummaryThis work is directed to further investigate the significant relevance of psychotherapy to better management of acute psychiatric disorders. Over the last years, there was impressive increase of the amount of psychiatric patients referred to emergency and in-patient treatment and such increase allmost resulted from subjects with acute emotional discontrol associated with affective, personality and stress related disorders. According to such change of the clinical scene of contemporary psychiatry, more attention and funding are needed in the field of acute treatment services and combined treatment innovation and research is become a major challenge for community psychiatry. A real progress in the field is not, however a simple matter of psychoterapy technology transference. While several recent studies suggest that well designed combined treatment is cost-effective in these patients, new nosographic, management and dynamic models are required for succesful development of new crisis intervention programs within general psychiatry services.
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Flynn, Sarah. "Being positive about acute psychiatry." Mental Health Practice 7, no. 2 (October 2003): 8–10. http://dx.doi.org/10.7748/mhp.7.2.8.s15.

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Padma, Kumari, Sharol Fernandes, and Supriya Hegde. "A rare presentation of acute hyperglycemia with secondary mania: a case report." International Journal of Research in Medical Sciences 7, no. 12 (November 27, 2019): 4794. http://dx.doi.org/10.18203/2320-6012.ijrms20195557.

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This case report aims to highlight the diagnostic challenges in consultation-liaison psychiatry in case of Type 1 Diabetes Mellitus. Author report the case of a 60-year-old male who presented to the Psychiatry OPD with first episode of mania. Although hypoglycaemia is known to be associated with multiple psychiatric manifestations, the incidence of psychiatric symptoms and disorders in association with hyperglycaemia is not well reported. This case report highlights the rare presentation of secondary mania in a patient with Type 1 Diabetes Mellitus.
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Mattinson, Anna Rebecca, and Sarah Jane Cheeseman. "Development and implementation of a structured ward round in acute adult psychiatry." BMJ Open Quality 7, no. 3 (July 2018): e000035. http://dx.doi.org/10.1136/bmjoq-2017-000035.

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Delivering high quality care in acute psychiatry requires a coordinated approach from a multidisciplinary team (MDT). Weekly ward rounds are an important forum for reviewing a patient’s progress and developing a personalised care plan for the coming week. In general medicine, structured ward rounds and check lists have been shown to prevent omissions and improve patient safety; however, they are not widely used in psychiatry. At the Royal Edinburgh Hospital, the format of ward rounds differed between psychiatry wards and clinical teams, and care plans were not standardised. An audit in October 2015 found only 5% of acute psychiatric inpatients had a documented nursing care plan. It was agreed that a clear multidisciplinary care plan from the weekly ward round would be beneficial. A group of consultant psychiatrists identified seven key domains for ward round (Social needs, Community Mental Health Team liaison, Assessments required, Mental Health Act, Prescriptions: medication electroconvulsive therapy (ECT), T2/T3, Engagement with relatives and carers, Risk Assessment and Pass Plans). This was given the acronym SCAMPER. Following this, a clinical MDT on a paired male and female ward, developed and introduced a structured ward round sheet. Within 8 weeks this was being used for 100% of patients. It was subsequently introduced into three other acute adult psychiatry wards and the intensive psychiatric care unit. Staff feedback was sought verbally and via a questionnaire. This was positive. The form was widely accepted and staff felt it improved patient care and ward round quality.
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Cheng, Sammy Kin-Wing, Jenny Suk-Kwan Tsang, Kwok-Hung Ku, Chee-Wing Wong, and Yin-Kwok Ng. "Psychiatric complications in patients with severe acute respiratory syndrome (SARS) during the acute treatment phase: a series of 10 cases." British Journal of Psychiatry 184, no. 4 (April 2004): 359–60. http://dx.doi.org/10.1192/bjp.184.4.359.

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SummaryIn February 2003, Hong Kong was hit by a community-wide outbreak of severe acute respiratory syndrome (SARS). During the period of the outbreak, 10 patients with SARS with psychiatric complications were referred to our Consultation and Liaison Psychiatry Team for assessment and management. We found that both the direct and indirect effects of SARS such as symptom severity total isolation during treatment and administration of steroid were probable causes of psychiatric complications. In this paper, we report on the nature of their psychiatric problems, challenges to management and psychiatric treatment strategies used during the acute phase.
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Sharfstein, Steven S. "Letter from America: acute in-patient psychiatry bed shortages." Advances in Psychiatric Treatment 15, no. 6 (November 2009): 402–3. http://dx.doi.org/10.1192/apt.bp.109.006957.

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SummaryThe number of in-patient beds for psychiatric treatment in America has declined dramatically over the past 40 years. Public and private policies have encouraged an extremely short-term, crisis-stabilisation model of treatment. This is true on both general and subspecialty units. As a result, readmissions have increased, emergency rooms are crowded, and many patients end up homeless or incarcerated in the criminal justice system. These changes have created a public health crisis in America, and are the greatest challenges that American psychiatry faces today.
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Dissertations / Theses on the topic "Acute psychiatry"

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Williams, Jenny, and n/a. "Ethics in acute psychiatry : a case study." University of Canberra. Professional & Community Education, 1996. http://erl.canberra.edu.au./public/adt-AUC20061110.143655.

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This workplace study examined the every day ethical dilemmas of a multidisciplinary team in one acute psychiatric setting and the social factors affecting their moral domain of practice. The research design was a case study involving both qualitative and quantitative data. The context that shaped the team's process of ethical dilemma identification was conceptualised for the purpose of this research within a systems theory framework of interrelated factors at a societal, organisational and clinical level with ethics theory pervading the entire scene. The findings indicated that dilemmas arose in situations concerning patient care, team strain, and limited resources with the most common dilemma across disciplines arising from lack of community resources. Further findings suggested that clinicians were aware of various forces shaping practice but these ideas were not well connected conceptually. Staff felt wary of identifying ethical dilemmas because they were unsure of the process and sensed a reticence in the unit's social processes around negotiation and problem solving. Important social factors that were perceived to affect their abilities around ethical dilemma identification included rational economics, professional socialisation, medical-legal monopoly with a concomitant use of the ethic of justice, and managerial strategies. The concept of transference and countertransference issues within the staffing group was explored. These results are useful for the team to understand the nature of their own particular dilemmas and what factors constrain and enhance their abilities to identify dilemmas. Other health care settings may find that replication of the research results in a similar way may raise awareness of their moral situation. Generalisability at a theoretical level contributes to the current research agenda in applied ethics about the effect of context in the ethical domain of clinical practice.
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Michael, Benedict. "Detection and diagnosis of acute viral encephalitis." Thesis, University of Liverpool, 2014. http://livrepository.liverpool.ac.uk/2003409/.

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Introduction Acute viral encephalitis is a severe form of brain inflammation due to sporadic infection, typically with herpes simplex virus, or epidemic/pandemic infections. Epidemiological data are particularly important for pandemic viruses. Although new reporting approaches are often considered, no real-time clinical data collection tool has been developed. These data are dependent on diagnosis of individual cases. However, the aspects of management that result in delays and missed diagnoses are not clear and it is not known if interventions can improve sample collection and diagnosis. Whilst the importance of cytokines and associated mediators is increasingly recognised, signatures associated with specific aetiologies have not been established. Also, it is not known whether these mediators correlate with clinical severity and outcome, or their impact on blood-brain barrier permeability. Methods I undertook a national surveillance study through neurology networks, and investigated alternative notification approaches. I undertook a multicentre cross-sectional study of clinical investigation, studied viral load and assessed the impact of a lumbar puncture pack. I used bead array to assess mediator profiles and assessed the albumin ratio and viral load, in samples from a Health Protection Agency study. I examined profiles with respect to aetiology, disease severity and outcome and compared this with histopathology tissue and a blood-brain barrier model. Results In the context of a pandemic influenza virus, existing mechanisms identified limited cases, and a smartphone application was developed to collect real-time data. Delays in lumbar puncture and sub-optimal sample collection were identified, in association with a lower viral load. A lumbar puncture pack improved sample collection. Mediator profiles differed between those with an infectious versus immune-mediated aetiology, and those of unknown aetiology best reflected infectious; particularly myeloperoxidase, in part relating to neutrophils in cerebrospinal fluid and parenchyma. The interleukin1 antagonists, IL1RA and IL10, were associated with coma and outcome; and IL10 with reduced blood-brain barrier permeability. Adhesion molecules may counteract this, in both clinical samples and the model. Conclusions Current limitations of detection may be augmented with novel real-time technologies. Diagnosis is limited by delayed and sub-optimal sample collection, which can be improved with a simple pack. Mediators profiles may assist in the distinction of infectious from immune-mediated encephalitis, and cytokines that act against IL1 correlated with clinical severity and outcome. This may be more closely associated with outcome than viral load, although this may reflect sample timing. These findings should direct future research to develop approaches for improved diagnostics and adjunctive therapies.
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Forsey, Mary. "Brief group therapy for psychosis in acute care." Thesis, University of Liverpool, 2013. http://livrepository.liverpool.ac.uk/13073/.

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Introduction Individual cognitive behaviour therapy for psychosis (CBTp) is a recommended treatment in the acute phase and beyond. However, less is known about the effectiveness of group CBTp in acute care. This mixed methods study explored the implementation and effectiveness of brief group CBTp with inpatients. Methods This prospective trial compared inpatients who received either a four week group CBTp program or treatment as usual (TAU). Participants (n=113 at baseline) completed self-report measures of distress, confidence and symptoms of psychosis at baseline, post-intervention and one month follow up. CBTp group participants also completed a brief open-ended satisfaction questionnaire. Results Participants who received CBTp showed significantly reduced distress at follow up compared to TAU and significantly increased confidence across the study and follow up period. Qualitative analysis of the satisfaction data revealed positive feedback with a number of specific themes. Conclusion The study demonstrates that brief group CBTp with inpatients can improve confidence and reduce distress in the longer term. Participants report that the groups are acceptable and helpful.
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Lees, Rosalind A. "Describing cognitive and mood assessments in acute stroke." Thesis, University of Glasgow, 2016. http://theses.gla.ac.uk/7128/.

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Background Stroke is the foremost medical condition responsible for acquired disability and dependency. The initial psychological and physical deficits should arguably be identified early to allow interventions to be put in place if potential long-term sequelae are to be minimised. Physical impairments within stroke cohorts have been extensively researched and reported. We have access to numerous scales that describe general physical functioning during daily activities and its effects on independence and quality of life. Deficits in movement are easily identified and attributes of physical movements can be associated with such obvious measurement terms as strength, speed, co-ordination and task completion. As these attributes can be graded, it is simple to compare patients over time, within stroke cohorts and against the general population: controlled studies are straightforward, even if natural biological variation demands large samples. However, though physical impacts on a patient may be easily observed and measured, corresponding deficits in cognition and mood are less easily detected and quantified. Psychological problems are common within stroke populations, and exert both short and long term effects throughout all stages of rehabilitation. Despite our awareness of the potentially critical effects of psychological factors on patient outcome, there is a dearth of high quality research in this area. Although many cognitive and mood assessments are available, including some that were developed specifically for use in stroke, these are neither regularly administered nor have been convincingly shown to be accurate and reliable in identifying specific deficits. Thus, it is understandable that research available to us that describes prevalence and effects of cognitive and mood problems post-stroke is sparse in comparison to our knowledge of physical deficits. Methodology In order to begin to understand the effects that cognition and mood have on patient outcome post-stroke, a way of identifying prominent issues is required. Knowing that their effects can have both short and long term impact, reliable screening beginning early after stroke onset could offer opportunities to improve patient outcome through early implementation of interventions. Before an appropriate screening tool can be selected, evidence is required to support its feasibility and accuracy within acute stroke cohorts. In this thesis, I investigate cognitive and mood-screening assessments in stroke, across a series of linked projects. I carried out a review of the current research and I surveyed stroke units to identify which cognitive and mood assessments are commonly implemented. I collated and offer synthesis of the published data on accuracy of cognitive assessment instruments. I used these results to inform a diagnostic test accuracy study, examining selected measures that are commonly used in UK practice to screen for cognitive and mood problems. Based on these results, I designed (and was awarded grant funding for) a clinical study to assess test properties of cognitive and mood screening instruments in a rehabilitation setting and to describe potential obstacles affecting patient assessment. Findings There is heterogeneity in the choice of cognitive and mood tests employed across research and clinical practice. There was some overlap in assessment choice within these domains but no clear consensus on a preferred assessment tool. This is in part explained by the substantial number of tests available, it is telling that the most popular assessments accounted for only a fraction of the tool assessments employed. My literature based work also points to a relative lack of published science employing a cognitive or mood assessment tool. My review of diagnostic test accuracy found that properties of cognitive tools commonly used in practice and research (Folstein’s Mini Mental State Examination: MMSE, the Montreal Cognitive Assessment: MoCA, the Addenbrookes’ Cognitive Examination Revised: ACE-R and the Cambridge Cognitive Examination revised: R-CAMCOG) were susceptible to changing populations and purpose of assessment, with test properties differing when screening tools are used in acute and chronic stage of stroke. Depending on the cut-offs that are used to define “screen positive” cases, these tools would have varying ability to identify multi=domain cognitive impairment or dementia. Generally when applying standard (i.e. the traditional cut-off described for test use in an unselected population) cut-offs, sensitivity was good but specificity was low. Specificity could be improved when the cut-offs were altered while maintaining reasonable sensitivity and this suggests that screen positive thresholds may need to be altered to suit a stroke population The need for lowering our standard cut-offs suggests that there may be factors present in typical acute stroke patients which affect assessment accuracy compared to the populations and purpose for which these scales have been developed. Using the MOCA in the acute setting of my clinical study, confirmed that stroke cohorts require altered cut-offs to improve accuracy in cognitive impairment detection. A stroke cognitive assessment that can be derived from a standard neurological examination *the Cog4) has been described. Cross sectional comparison of MoCA and Cog 4 suggest that Cog4 has questionable validity and stroke specific cognitive measures are required since scores derived from other types of measures are not necessarily testing the most appropriate domains for stroke deficits. A lack of published data on cognitive and mood screening in the first days post-stroke suggested that describing the feasibility of assessing stroke patients in an acute setting would be a useful topic for research. My subsequent clinical study incorporated verbal and non-verbal assessments for mood and the MOCA. As well as usual test accuracy outcomes I considered feasibility issues such as proportion of patients suitable for initial approach, acceptance of assessment, prevalence of common stroke related impairments that mandate assistance or cause difficulty in completing assessments, or that preclude assessment altogether. A moderate proportion of patients who were approached declined to take part and several others required external assistance to complete the assessments. Shorter, less cognitively demanding assessments required less assistance and appeared to offer higher accuracy for predicting mood problems at follow-up. These results suggest that delaying cognitive and mood assessments until later during the post-stroke period may reduce the interference from acute stroke deficits. The final piece of work generated from my PhD studies, and that is ongoing, continues the theme of feasibility of cognitive and mood assessments. Cognitive and mood assessments are performed in stroke rehabilitation centres. The rehabilitation setting was chosen, as it will include varying patterns of physical and cognitive impairment. By comparing brief assessments and more lengthy measures of cognition, I hope to identify the most appropriate testing scheme that minimises patient burden. As part of this work I will describe the impact of stroke deficits on assessment and quantification of the patient’s psychological capabilities. Conclusions In conclusion, these studies have demonstrated a lack of guidance and of protocols for cognitive and mood assessment post-stroke. The evident heterogeneity in choices of assessment in research and usual practice indicated a need for evidence based accuracy studies. In conducting these I found that usual measures are susceptible to the population, timing, and cut-off used to define test positive cases, together indicating undesirable sources of variation. Transient stroke-related problems may lead to overestimation of persistent impairments. Although acute screening of cognition and mood would be possible, such screening may not be widely acceptable to patients and would require a high level of assistance from health professionals. Acute screening should only be performed if there are potential benefits that could impact on the patient from identification of cognitive or mood problems at this early stage. With the transient changes in cognition and mood that the majority of stroke survivors experience, screening is best left until later in the patient journey. However, there may still be potential feasibility issues of administration and assessment completion during later stages. Therefore, I suggest that studies that investigate what assessments are feasibly administered to stroke patients in later stages are required. This will inform future trial recruitment for complete data requirements as well as provide clearer picture of stroke survivors’ affected cognitive domains and or mood problems.
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McCormick, Michael Thomas. "Hyperglycaemia, insulin and acute ischaemic stroke." Thesis, University of Glasgow, 2008. http://theses.gla.ac.uk/280/.

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Background: Hyperglycaemia is common in acute stroke and is associated with a poor outcome. Underlying aetiology and mechanism of action is poorly understood. Management remains uncertain. Methods: We undertook a randomised placebo controlled trial to assess the effect of GKI (Glucose-Potassium-Insulin) versus placebo on lesion volume progression and cerebral lactate levels using magnetic resonance imaging (MRI) and spectroscopy (MRS). An observational study of the capillary blood glucose within 48 hours of stroke onset was performed to define the temporal profile of glucose, with a subset followed prospectively to determine the prevalence of abnormal glucose metabolism in patients with stress hyperglycaemia. The association between insular cortex involvement and hyperglycaemia was determined by analysing MRI data sets from two randomised trials. Stroke unit practice for the management of glucose was assessed in a review of the stroke unit trialists’ collaboration data set. Results: • GKI infusion failed to attenuate infarct growth in patients with moderate hyperglycaemia within 24 hours of acute ischaemic stroke. A trend towards attenuation of increased lactate concentration was evident in the GKI treatment arm. Exploratory analyses raised the possibility that GKI may be harmful in patients with persistent arterial occlusion. • Over the 48hour monitoring period 75% of patients developed Hyperglycaemia. Stroke severity was not predictive of admission hyperglycaemia whereas glycosylated haemoglobin was (OR 2.97; 95%CI 1.84-4.78; p<0.001). 50% of patients screened were found to have abnormal glucose metabolism at follow-up. • Insular cortex involvment on MRI was not predictive of admission hyperglycaemia. • Testing for blood glucose concentration in stroke units was infrequent. Of the minority of units that had a protocol in place, the threshold for intervention with insulin was >10mmol/l. Conclusion: We found no evidence that GKI infusion attenuated infarct growth in patients with mild hyperglycaemia following acute ischaemic stroke. In post-hoc analysis the possibility that GKI infusion may be harmful in patients with total occlusion suggests an effect dependent on recanalisation status. A non-significant trend towards attenuation of increased lactate concentration was evident. Stroke severity was not found to be a predictor of post stroke hyperglycaemia. Underlying dysglycaemia was common in non-diabetic patients manifesting hyperglycaemia within 48hours of stroke ictus. Screening of high risk patients with oral glucose tolerance testing is justified and provides a potential opportunity for secondary prevention. Insular cortex involvement did not independently predict hyperglycaemia in acute stroke. Current management of hyperglycaemia is guided by consensus guidelines with little evidence base. Stroke unit practice varies with little change across stroke units over the years.
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Van, den Berg Marietta. "Observational analysis study on the influence of the physical hospital environment on aggressive behaviour and the management thereof in an adult acute psychiatric admission unit." Master's thesis, University of Cape Town, 2008. http://hdl.handle.net/11427/12578.

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Includes bibliographical references (leaves 81-96).
Aggression is a complex phenomenon that is influenced by a range of factors including individual patient factors, social-interactive factors and envirnmental factors. Many studies have tried and failed to demonstrate that changes such as physical environmental change, intensive case management, increased staff training or skills reduce the levele of violence, as captures by number of incidents accuring in in-patient units.
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Sullivan, Patricia D. "Enhancing the Resilience of Acute Care Psychiatric Nurses Through a Brief Gratitude Intervention." ScholarWorks, 2020. https://scholarworks.waldenu.edu/dissertations/7957.

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Stressors affecting healthcare providers have accelerated in recent years, causing increasing rates of burnout and emotional exhaustion. Evidence suggests that improving general mental well-being of nurses could enhance their resilience and ability to cope in stressful situations. Psychiatric nurses are at risk by caring for involuntary and manipulative patients who can be violent and abusive. The purpose of this project was to improve psychiatric nurses' mental well-being through the implementation of a gratitude practice and examined the effect of this brief gratitude intervention on their mental well-being. Models informing this project were human caring theory, resilience theory, and positive psychology models of gratitude benefits. Thirty psychiatric nurses participated; they were told to privately note 3 things they were grateful for in a gratitude journal each day. The Warwick-Edinburgh Mental Well-Being Scale was administered pre- and postintervention, and chi-square analysis was performed, converting sum scores into categories (low-moderate-high); statistical significance was not demonstrated (Pearson chi-square = .1.176, Crarmer's V of .183). Nonparametric Wilcoxin Signed Rank Test and Mann-Whitney U also compared scores of pr-e and posttests. The Wilcoxin Signed Rank revealed significant differences (Z = -1.402, p = .027) but only had 6 matched pairs. Mann-Whitney U showed no significant differences between the pre- and posttest scores (U = 108, p = .161). Limitations were the inability to match identification numbers except for 6. Recommendations are gratitude education and repeat the study. This could begin to affect positive social change by promoting self-care of the nurses via incorporating principles of positive psychology into daily practice.
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Power, Kathryn. "Experiences of aggression and violence across dementia and adult acute psychiatric facilities." Thesis, University of Warwick, 2016. http://wrap.warwick.ac.uk/88075/.

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This thesis explores care staff and nurses’ experiences of aggression and violence whilst working in dementia and adult acute psychiatric facilities. Chapter one presents a systematic literature review of studies based on the perceptions and impact of aggression from patients with dementia, adopting a care staff perspective. The findings highlighted the subjective experiences of aggression, care staff perceptions of its causes and the physical and psychological impact which aggression had on care staff. A key finding was that care staff perceptions of aggression and its impact influenced patient care and the reporting of aggression. The chapter discusses key implications for practice and policy and identifies recommendations for future research. Chapter two consists of an empirical study exploring nurses’ lived experiences of violence from patients whilst working on adult acute psychiatric facilities. Eight nurses were recruited from two hospital sites and completed semi-structured interviews. Analysis of the data revealed the personal perceptions of violence and its causes and the psychological, physical, occupational and relational impact that violence had on the nurses. All nurses employed individual and group survival strategies to help manage their experiences of violence and its impact. Implications for clinical practice and policy and recommendations for future research are discussed. Chapter three presents a reflective account of my research journey throughout training to be a Clinical Psychologist. I use a reflexive stance to explore the development of my research interest, the meaning of violence and to discuss my own responses to the nurses’ experiences. The paper also explores how I managed different roles during the research process and how I have developed as a clinician and researcher.
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Gescuk, Bryan D. "Examination of the cerebral metabolic effects of morphine in rats exposed to acute and chronic footshock and conditioned stress." Thesis, Boston University, 1994. https://hdl.handle.net/2144/36818.

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Thesis (Ph.D.)--Boston University
PLEASE NOTE: Boston University Libraries did not receive an Authorization To Manage form for this thesis or dissertation. It is therefore not openly accessible, though it may be available by request. If you are the author or principal advisor of this work and would like to request open access for it, please contact us at open-help@bu.edu. Thank you.
The purpose of this research was to determine, using the 2[14C]deoxyglucose autoradiographic method, the local cerebral metabolic rates for glucose (LCMRglu) after the administration of morphine or saline in rats escaping from acute or chronic footshock or exposed to conditioned stress. All animals were given morphine (4mg/kg, sc) or saline 7 days, 3 days and 10 minutes prior to the tracer injection. The effects of stimulation in the acute and chronic footshock studies revealed that an identical noxious stimulus may not have similar effects on functional cerebral activity if there are differences in experience with the str1xsor. The results of the conditioned stress experiment demonstrate that simply placing an animal in an environment previously associated with footshock is sufficient to elicit changes in LCMRglu. The effects of morphine in the control and acute footshock experiments were similar in that nearly all of the 73 analyzed brain regions (99% and 93%, respectively) showed decreases in LCMRg1u. Morphine, however, caused fewer decreases (56%) in the chronic footshock study. Interestingly, the percentage of structures showing decreases in the conditioned stress study (79%) was approximately halfway between the effects seen in the two footshock studies. Morphine in the presence of acute footshock, compared to acute footshock alone, caused significant decreases in elements of the limbic telencephalon, basal forebrain and thalamic midline (paraventricular and paratenial nuclei). On the other hand, morphine did not cause any significant decreases in these structures (or others) in the chronic footshock study. Rather, the combination of morphine and chronic footshock, compared to morphine alone, caused significant increases in several brainstem structures previously implicated in opioid analgesia: the locus coeruleus, gigantocellular reticular nucleus and raphe magnus. Additionally, significant effects were seen in basal ganglia structures which are normally associated with the motor system. The effects seen in these structures, along with the significant effect demonstrated in the parafasicular thalamic nucleus, suggest that morphine works to attenuate pain in animals exposed to chronic footshock via neural networks responsible for sensorimotor reactions to pain. Alternatively, animals exposed to chronic footshock may have developed tolerance to the effects of morphine. The effects of morphine, however, in the chronic footshock experiment are much different from those seen in the acute footshock study where morphine acts primarily in limbic structures and midline thalamus to attenuate the affective reaction to pain.
2031-01-01
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Strout, Tania Denise Shaffer. "Development of an Agitation Rating Scale for Use with Acute Presentation Behavioral Management Patients." Thesis, Boston College, 2011. http://hdl.handle.net/2345/1839.

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Thesis advisor: June A. Horowitz
Agitation is a distressing set of behaviors frequently observed in emergency department psychiatry patients. Key to developing and evaluating treatment strategies aimed at decreasing and preventing agitation is the availability of a reliable, valid instrument to measure behaviors representative of agitation. Currently, an agitation rating instrument appropriate for use in the emergency setting does not exist and clinicians are left without standard language for communicating about the phenomenon. The Agitation Severity Scale was developed to fill this void using facilitated focus groups to generate an initial item pool. Beginning evidence of content validity was established through a survey of clinical providers and a panel of content experts. The objectives of this methodological study were to: (a) develop an observation-based rating scale to assess the continuum of behaviors known as agitation in adult emergency department patients, and (b) to evaluate the psychometric properties of the newly developed instrument. Psychometric evaluation was conducted using a sample of 270 emergency department psychiatric patients. A 17-item instrument with a standardized Cronbach's alpha coefficient of 0.91 resulted, providing evidence of a high degree of internal consistency reliability. Principle components analysis revealed a 4-component solution accounting for 69% of observed variance. Internal consistency reliability ranged from 0.71 to 0.91 for the scale components. Equivalence reliability was established through the evaluation of Agitation Severity Scores assigned by independent evaluators, r = 0.99, &kappa = 0.98. Construct validity was established through comparison of mean scores for subjects in the highest and lowest scoring quartiles. A statistically significant difference in scores was noted when comparing these groups, t = -17.688, df = 155, p < 0.001. Convergent validity was evaluated by testing the association between Agitation Severity Scores and scores obtained using a well-established instrument, the Overt Agitation Severity Scale. Pearson's correlation coefficient for the associations between the scores ranged from 0.91 to 0.93, indicating a strong, positive relationship between the scores. Finally, the Rasch measurement model was employed to further evaluate the functioning of the instrument. In sum, the Agitation Severity Scale was found to be reliable and valid when used to measure agitation in the emergency setting
Thesis (PhD) — Boston College, 2011
Submitted to: Boston College. Connell School of Nursing
Discipline: Nursing
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Books on the topic "Acute psychiatry"

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Castle, Matthew. Acute psychiatry. Edinburgh: Churchill Livingstone/Elsevier, 2007.

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Home treatment for acute mental disorders: An alternative to hospitalization. New York, NY: Routledge, 2005.

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World Psychiatric Association. Regional Symposium. What can basic biological psychiatry do for the treatment of acute psychosis?: Proceedings of a special symposium : World Psychiatric Association Copenhagen, Denmark, 19-22 August, 1986 Regional Symposium. Edited by Christensen A. V and Rafaelsen Ole J. 1930-. Copenhagen-Valby: H. Lundbeck, 1987.

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South East Thames Regional Health Authority. Acute psychiatric beds. Bexhill-on-Sea: South East Thames Regional Health Authority, 1989.

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service), SpringerLink (Online, ed. Acute Neuronal Injury: The Role of Excitotoxic Programmed Cell Death Mechanisms. Boston, MA: Springer Science+Business Media, LLC, 2010.

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1953-, Hurst Keith, and Wistow Gerald 1946-, eds. Psychiatric nursing revisited: The care provided for acute psychiatric patients. London: Whurr, 1999.

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Donovan, Abigail L., and Suzanne A. Bird, eds. Substance Use and the Acute Psychiatric Patient. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-319-23961-3.

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Syrett, Karin. In-patients expectations about treatment in an acute psychiatric London clinic. [Guildford]: [University of Surrey], 1986.

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1950-, Petch Alison, Caplan Richard, and Scotland Social Research, eds. 'Don't they call it seamless care?': A study of acute psychiatric discharge. Edinburgh: Scottish Executive, Social Research, 2002.

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United States. Bureau of Health Maintenance Organizations and Resources Development. Office of Health Planning, ed. Acute psychiatric bed need planning: Issues and methodologies, methodological note no. 6. [Rockville, Md.?]: U.S. Dept. of Health and Human Services, Public Health Service, Health Resources and Services Administration, Bureau of Health Maintenance Organizations and Resources Development, Office of Health Planning, 1986.

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Book chapters on the topic "Acute psychiatry"

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Hartwich, Peter, and Heinz Boeker. "Acute Psychiatric Wards." In Neuropsychodynamic Psychiatry, 461–76. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-75112-2_22.

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Suárez Richards, Manuel. "Acute Withdrawal Syndrome Treatment in Alcoholics." In Psychiatry, 129–32. Boston, MA: Springer US, 1985. http://dx.doi.org/10.1007/978-1-4613-2365-5_20.

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Cooper, J. E., and S. P. Singh. "Acute and Transient Psychoses." In Contemporary Psychiatry, 1783–93. Berlin, Heidelberg: Springer Berlin Heidelberg, 2001. http://dx.doi.org/10.1007/978-3-642-59519-6_114.

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Athen, Dieter. "Syndromes of Acute Alcohol Intoxication and Their Forensic Implications." In Psychiatry, 237–42. Boston, MA: Springer US, 1985. http://dx.doi.org/10.1007/978-1-4613-2365-5_37.

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Fenn, Howard H., James M. Ellison, and Elmira Yessengaliyeva. "Acute Inpatient Psychiatric Settings." In On-Call Geriatric Psychiatry, 231–49. Cham: Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-30346-8_17.

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Bourgeois, James A., Deborah C. Francis, and Ana Hategan. "Acute Inpatient Medical Settings." In On-Call Geriatric Psychiatry, 251–71. Cham: Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-30346-8_18.

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Williams, Steven R. "Acute Mental Status Change." In Pediatric Consultation-Liaison Psychiatry, 145–59. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-89488-1_8.

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Möller, H. J., W. Kissling, G. Kockott, and D. Wittmann. "Depot-Neuroleptics in Acute Psychiatry." In Psychiatry the State of the Art, 763–69. Boston, MA: Springer US, 1985. http://dx.doi.org/10.1007/978-1-4613-2363-1_119.

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Fulton, Jessica J., Patrick S. Calhoun, and Jean C. Beckham. "Trauma- and Stressor-Related Disorders: Posttraumatic Stress Disorder, Acute Stress Disorder, and Adjustment Disorder." In Psychiatry, 1142–69. Chichester, UK: John Wiley & Sons, Ltd, 2015. http://dx.doi.org/10.1002/9781118753378.ch59.

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Katila, Heikki, Ranan Rimón, Kari Cantell, Björn Appelberg, and Heikki Nikkilä. "Interferon Production in Acute Psychiatric Disorders." In Psychiatry and Biological Factors, 191–96. Boston, MA: Springer US, 1991. http://dx.doi.org/10.1007/978-1-4684-5811-4_17.

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Conference papers on the topic "Acute psychiatry"

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BRESSI, CINZIA, and GIORDANO INVERNIZZI. "ACUTE PSYCHOLOGICAL CRISIS AND SHORT-TERM PSYCHOTHERAPY." In IX World Congress of Psychiatry. WORLD SCIENTIFIC, 1994. http://dx.doi.org/10.1142/9789814440912_0183.

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MATTHEW, ROY J., and WILLIAM H. WILSON. "EFFECT OF ACUTE ANXIETY ON CRANIAL BLOOD FLOW." In IX World Congress of Psychiatry. WORLD SCIENTIFIC, 1994. http://dx.doi.org/10.1142/9789814440912_0025.

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Koukku, M., D. Lehmann, J. Wackermann, and I. Dvorak. "THE DIMENSIONAL COMPLEXITY OF THE EEG IN UNTREATED ACUTE SCHIZOPHRENICS." In IX World Congress of Psychiatry. WORLD SCIENTIFIC, 1994. http://dx.doi.org/10.1142/9789814440912_0094.

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PAPADIMITRIOU, G. N., G. N. CHRISTODOULOU, and C. N. STEFANIS. "SLEEP DEPRIVATION IN ACUTE AND MAINTENANCE TREATMENT OF THE AFFECTIVE DISORDERS." In IX World Congress of Psychiatry. WORLD SCIENTIFIC, 1994. http://dx.doi.org/10.1142/9789814440912_0080.

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Velasco Álvarez, Diurbis Josefina, Behnood Bikdeli, Alfonso Muriel, Pablo Javier Marchena, Inna Tzoran Rosenthal, Radovan Malý, Raquel López Reyes, Antoni Riera Mestre, Manuel Monreal, and David Jimenez Castro. "Outcome of patients with acute symptomatic pulmonary embolism and psychiatric disorders." In ERS International Congress 2020 abstracts. European Respiratory Society, 2020. http://dx.doi.org/10.1183/13993003.congress-2020.4973.

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Malik, Rohan, and Michael Ayres. "106 Maintaining essential physical health checks in an acute psychiatric hospital." In Leadership in Healthcare conference, 14th to 16th November 2018, Birmingham, UK. BMJ Publishing Group Ltd, 2018. http://dx.doi.org/10.1136/leader-2018-fmlm.104.

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Jacxsens, E., H. Van den Ameele, J. De Fruyt, Y. Vandekerckhove, F. Vancoillie, and V. Grootaert. "DI-021 Qt prolongation in an acute psychiatric setting: fact or fiction?" In 22nd EAHP Congress 22–24 March 2017 Cannes, France. British Medical Journal Publishing Group, 2017. http://dx.doi.org/10.1136/ejhpharm-2017-000640.268.

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Li, Cheng-Yuan, Chuang-Wen You, Yaliang Chuang, Ya-Fang Lin, Ya-Han Lee, Ming-Chyi Huang, Hao-Hua Chu, and Lin-Lin Chen. "Challenges and opportunities for designing new technology to reveal early warning signs in acute psychiatric units." In UbiComp '16: The 2016 ACM International Joint Conference on Pervasive and Ubiquitous Computing. New York, NY, USA: ACM, 2016. http://dx.doi.org/10.1145/2968219.2971436.

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Glahn, A., J. Proskynitopoulos, S. Bleich, and T. Hillemacher. "Pharmacotherapeutic management of acute alcohol withdrawal syndrome in critically ill patients." In Abstracts of the 2nd Symposium of the Arbeitsgemeinschaft für Neuropsychopharmakologie und Pharmakopsychiatrie (AGNP) and Deutsche Gesellschaft für Biologische Psychiatrie (DGBP). Georg Thieme Verlag KG, 2020. http://dx.doi.org/10.1055/s-0039-3403037.

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Blackmore, Claire, S. F. Hussain, N. J. Greening, J. E. Williams, T. C. Harvey-Dunstan, E. J. Chaplin, R. Chimera, M. D. Morgan, S. J. Singh, and M. C. Steiner. "Psychiatric co-morbidity in patients admitted with acute exacerbation of chronic pulmonary disease and its relationship with symptom severity." In ERS International Congress 2016 abstracts. European Respiratory Society, 2016. http://dx.doi.org/10.1183/13993003.congress-2016.pa1135.

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Reports on the topic "Acute psychiatry"

1

Sciammarella, Francesco. Pilot Study to Enhance Recovery Through Physical Activity and Healthy Lifestyles in an Acute Psychiatric Day Hospital Setting. National Institute for Health Research, July 2021. http://dx.doi.org/10.3310/nihropenres.1115158.1.

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