Academic literature on the topic 'Hospital-based psychiatric day program'
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Journal articles on the topic "Hospital-based psychiatric day program"
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Duque Domínguez, A., R. Duque Domínguez, C. García Montero, L. Martín Díaz, M. Palomo Monge, E. Pérez Arévalo, M. D. L. N. Vaquero López, and A. Barreiro de Lucas. "Electroconvulsive therapy outpatient program recently established in a psychiatric day hospital." European Psychiatry 33, S1 (March 2016): S553—S554. http://dx.doi.org/10.1016/j.eurpsy.2016.01.2044.
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IntroductionECT outpatient program recently created in the Psychiatric Day Hospital in Ávila was designed to assess the safety and efficacy of continuation/maintenance electroconvulsive therapy (ECT) in patients after ECT remission.ObjectivesDescription of the activity and objectives of an ECT outpatient program in a Psychiatric Day Hospital.MethodsRetrospective cross-sectional descriptive Study. The three patients who received the continuation/maintenance electroconvulsive therapy during the 10 months this unit has been opened were chosen as a sample.ResultsFrom the opening of Psychiatric Day Hospital 10 months ago, 58 patients have been admitted; among them, three patients come to the hospital monthly to receive the electroconvulsive therapy, maintaining their psychopathological stability over time.ConclusionsWith the creation of this new program we considered three types of objectives:– therapeutic: a therapy applied in a more comfortable and satisfactory for the patient and family regime. To prevent relapse and exacerbations;– management: benefits on the best use of existing resources:– reduction in hospital admissions and readmissions,– decrease in the average stay,– reduction in visits to Emergency Services,– allow referrals from outpatient department,– individual monitoring of patients that complements the check at their Mental Health Team;– teaching, training and investigation.Disclosure of interestThe authors have not supplied their declaration of competing interest.
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Kent, M. Potvin, K. Busby, M. Johnston, J. Wood, and C. Docherty. "Predictors of outcome in a short-term psychiatric day hospital program." General Hospital Psychiatry 22, no. 3 (May 2000): 184–94. http://dx.doi.org/10.1016/s0163-8343(00)00061-x.
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Mackenzie, Corey S., Marsha Rosenberg, and Melissa Major. "Evaluation of a psychiatric day hospital program for elderly patients with mood disorders." International Psychogeriatrics 18, no. 4 (May 10, 2006): 631–41. http://dx.doi.org/10.1017/s1041610206003437.
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Background: Very little is known about the utility of psychiatric day hospitals for elderly adults with mood disorders. The objectives of this study were to evaluate a long-standing day-hospital program and to explore whether demographic and non-demographic patient characteristics were associated with treatment outcomes.Method: We used t-tests to compare retrospective admission and discharge data for 708 patients over a 16-year period, and multiple regression to examine predictors of improvement.Results: Depressed patients showed statistically and clinically significant improvements on the Geriatric Depression Scale and the Hamilton Depression Rating Scale. The number and severity of depressive symptoms at admission were strongly related to treatment outcomes. After controlling for initial levels of depression, demographic characteristics did not predict improvement, and axis I and II diagnoses modestly and inconsistently predicted improvement.Conclusions: A biopsychosocially-focused day-hospital treatment program was associated with improvements in depression in a large sample of elderly adults with mood disorders. Except for depression severity at admission, patient characteristics had very little impact on treatment outcomes, suggesting that day hospital programs are beneficial for a wide range of depressed elderly adults.
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Agbayewa, M. Oluwafemi. "A Psychiatric Clinic within a Geriatric Medical Day Hospital: Descriptive Study." Canadian Journal on Aging / La Revue canadienne du vieillissement 9, no. 1 (1990): 5–12. http://dx.doi.org/10.1017/s0714980800016044.
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ABSTRACTA survey of the first two years of a psychiatric clinic within a geriatric medical day hospital was undertaken to determine the role of such a clinic. Forty per cent of all day hospital attenders were referred for psychiatric evaluation: at least 80 per cent of these had major psychiatric diagnoses and 20 per cent had other conditions needing psychosocial intervention. Depression and dementia accounted for 62 per cent of all psychiatric referrals. Those who were referred to the psychiatric clinic were quite comparable to the unreferred group in age, sex, marital status, pre-retirement employment and source of referral to the day hospital. The outcomes of intervention at three, six and 12 months were similar in both groups but referred patients stayed longer in the program. It is concluded that such a clinic provides a necessary mental health service where it is needed.
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Vranješ, Janja, Daniela Petrić, Tanja Grahovac Juretić, and Zdravko Tovilović. "Quality of Life and Treatment Satisfaction of Hospitalized and Day Hospital Psychiatric Patients." Croatian nursing journal 5, no. 1 (August 23, 2021): 5–16. http://dx.doi.org/10.24141/2/5/1/1.
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Introduction. Day hospitals are becoming an increasingly common method of treatment for people with mental disorders in many Croatian psychiatric hospitals, but research examining their effectiveness is still rare. Aim. The aim of this study was to compare treatment satisfaction and quality of life between patients enrolled in a day hospital program and patients hospitalized on a psychiatric ward. Methods. The study design was cross-sectional with two outcome measures: treatment satisfaction and quality of life. The study sample consisted of 120 adult patients of the Clinic for Psychiatry of the University Hospital Centre Rijeka. The first group consisted of 60 patients included in the day hospital psychosocial program, while the second group consisted of 60 patients hospitalized on the inpatient ward. Results. Day hospital patients reported a significantly higher level of overall treatment satisfaction compared to hospitalized patients (mean rank: 55 vs. 17, p=0.000) and were significantly more satisfied in four out of seven different treatment domains: the explanations about treatment (mean rank: 68 vs. 53, p=0.013), carefulness and precision of medical examination (mean rank: 72 vs. 49, p=0.000), choices about treatment (mean rank: 67 vs. 57, p=0.027) and feeling of respect (mean rank: 68 vs. 53, p=0.010). Day hospital patients also reported a significant psychopaly higher level of overall subjective quality of life (mean: 4.26 vs. 3.71, p=0.005), being more satisfied with life in general (mean rank: 68 vs. 53, p=0,018), financial situation (mean rank: 67 vs. 54, p=0.046), accommodation (mean rank: 67 vs. 54, p=0.041), personal safety (mean rank: 68 vs. 53, p=0.014), people they live with or living alone (mean rank: 71 vs. 50, p=0.001), relationship with their family (mean rank: 49 vs. 53, p=0.000) and their mental health (mean rank: 69 vs. 52, p=0.008). Conclusion. Patients treated in the day hospital differed in the observed variables from those hospitalized on the ward, reporting higher levels of treatment satisfaction and higher subjective quality of life. Future studies should focus on different segments of day hospital programs and a broader set of outcomes.
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Nickel, Irmie. "Adapting Structured Learning Therapy for Use in a Psychiatric Adult Day Hospital." Canadian Journal of Occupational Therapy 55, no. 1 (February 1988): 21–25. http://dx.doi.org/10.1177/000841748805500104.
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Patients in an adult day hospital program were found to have difficulties in practising and transferring the new learning acquired in insight-oriented group psychotherapy to other life situations. This paper presents a method used by occupational therapists to help patients become more proficient in transferring their newly acquired insights and skills to their real life situations. The method is an adapted form of Structured Learning Therapy. Its development and rationale supporting its purpose and function is presented. This is followed by a discussion of the modifications necessary to make Structured Learning Therapy useful for the particular patient population found at the adult day hospital program described.
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Malla, Ashok K. "Day Treatment of Alcoholism: An Outcome Study." Canadian Journal of Psychiatry 32, no. 3 (April 1987): 204–10. http://dx.doi.org/10.1177/070674378703200309.
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Thirty-seven (27 male and 10 female) alcoholics, treated in a brief day program, were assessed on a number of alcohol related and psychosocial variables 15 months following the initial treatment. Thirty percent (30%) remained totally abstinent, another 30% reduced their drinking to less than 10%, and 35% showed a moderate reduction of 10 to 50% in their pre-treatment drinking. Significant reduction was reported by these patients in their utilization of health services for purposes of detoxification, psychiatric treatment, visits to the family physician, and emergency department. Improvement was also reported on employment status, legal problems, general emotional state and some symptoms suggestive of depression. These findings are discussed in the light of the viability of cost effective day treatment programs for alcoholism within the context of general hospital psychiatric services.
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Russell, Vincent, François Mai, Keith Busby, David Attwood, Marie Davis, and Monica Brown. "Acute Day Hospitalization as an Alternative to Inpatient Treatment." Canadian Journal of Psychiatry 41, no. 10 (December 1996): 629–37. http://dx.doi.org/10.1177/070674379604101005.
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Objective: This paper describes the administrative process by which the Ottawa General Hospital (OGH) closed 6 beds and used the staff and space resources thus released to set up an acute day hospital (ADH) for the treatment of 8 acutely ill psychiatric patients. Outcome data are presented on the first 160 patients admitted to the ADH. Methods: Demographic and clinical information including diagnostic (DSM-III-R; Global Assessment of Functioning [GAF]) and questionnaire data (Symptom Checklist-90 Revised [SCL-90R]; Beck Depression Inventory [BDI]; State-Trait Anxiety Inventory [STAI]; patient satisfaction) were obtained from 160 ADH patients at admission and discharge. Forty-two of these patients provided follow-up data 3 to 6 months postdischarge. The outcome of ADH patients was compared with that of a retrospectively obtained random sample (n = 100) of inpatients on selected diagnostic and demographic variables. Results: On clinician-rated and self-report clinical scales, ADH patients showed significant clinical improvement reflected in higher GAF scores and less psychological distress, depression, and anxiety at discharge relative to admission. There were no significant group differences in outcome indices except for shorter length of stay in the ADH group compared with inpatients. The ADH group rated the program highly in help received and quality of service. Short-term follow-up showed that gains made during treatment were maintained 3 to 6 months later. Conclusions: These results show that a time-limited day hospital program is clinically effective for acutely ill psychiatric patients and leads to a more efficient use of inpatient resources. We believe that partial hospitalization for the treatment of acute psychiatric disorders may have wide application in psychiatric hospital practice.
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Esturrenho, I. D. B., M. F. Urzal, S. Silva, and P. Duarte. "P.857 A psychiatric day hospital treatment program and its impact on psychopharmacological treatment." European Neuropsychopharmacology 29 (December 2019): S571. http://dx.doi.org/10.1016/j.euroneuro.2019.09.719.
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Pulido, Ricardo, Marco Monari, and Nicolino Rossi. "Institutional Therapeutic Alliance and Its Relationship With Outcomes in a Psychiatric Day Hospital Program." Archives of Psychiatric Nursing 22, no. 5 (October 2008): 277–87. http://dx.doi.org/10.1016/j.apnu.2007.07.003.
Full textDissertations / Theses on the topic "Hospital-based psychiatric day program"
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Ciolek, Dagmar, and n/a. "Effects of a cognitively based day psychiatric rehabilitation program on some of its users." University of Canberra. Education, 1994. http://erl.canberra.edu.au./public/adt-AUC20060628.131805.
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This study examines effects of a hospital-based psychiatric day program on eight
subjects over a six month period.
Each subject underwent a semi-structured interview at admission to the Program, and
then at three and sixth months or on discharge with concurrent Psychometric testing.
Quantitative and qualitative data were compared with information from "significant
others" and unit staff reports to determine changes in subjects' behaviours over the
study period.
To consider any effects of the Program on psychiatric re-admissions, relevant data
dating back to 1980 from both regional admitting centres were examined for patients
who were identified as having had multiple re-admission for psychiatric care as well as
a minimum of twenty-four days attendance at the Day Program ( n = 73 ).
The results indicated a trend towards improved quality of life, improvement in selfcare,
social supports, ability to form relationships and in the quality of family
relationships. Reduction in number and intensity of symptoms, and improvement in
coping skills was reported for 88% of subjects. Subjects were found to agree in their
perception of the most and least helpful elements of the Program.
Re-admission data showed that the Program was most beneficial for number of
admissions, rate of admissions, length of stay and rate of length of stay for the
diagnostic group of Depressions and for the group as a whole. There were also
positive effects in some of these areas for the diagnostic groups of Anxiety Disorders
and Personality Disorders (confidence level of 95%).
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Potvin, Kent Monique C. "Predictors of outcome in a short-term psychiatric day hospital program." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1998. http://www.collectionscanada.ca/obj/s4/f2/dsk2/tape15/PQDD_0001/MQ36844.pdf.
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Muijen, Matthijs Frederik. "The first year of the Daily Living Program : a controlled study comparing home based care with standard hospital care." Thesis, Imperial College London, 1991. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.320707.
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Lo, Chun Jiau, and 羅春嬌. "Outcome Evaluation of a Support Employment Program for Psychiatric Day Care Patients at A Psychiatric Hospital in Taipei." Thesis, 2004. http://ndltd.ncl.edu.tw/handle/19867127997203798451.
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碩士國立台北護理學院
護理研究所
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This study evaluated the outcome assessment of a support program for psychiatric mental patients. The purpose was to understand the outcome of a program of support employment, for psychiatric patients, involving training for work in a coffee shop as rehabilitation.. The discussion and recommendation are useful for psychiatric rehabilitation professional in designing and implementing work training. The participants were selected using the longitudinal intervention retrospective method. This investigation was a mixed of qualitative and quantitative research. Chen’s fourth type outcome evaluation with a comprehensive typology was used as the framework for evaluating the program. Six data sources were used, a schedule of the coffee shop work training program, minutes of monthly meeting, patient‘s performance, interview with the participants, review charts and job descriptions The validity of content and structure was determined. Reliability and consistency of content were also tested. The results of the study were as fallow.（1）the participants completed four or five practical tasks after one year of training at the coffee shop（2）a lower proportion of the participants, who completed the training program, re-entered hospital , more found jobs（about 70%）and they enjoyed better family relationships and friendships. Key word： psychiatric patient support employment program, outcome evaluation
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Ngcanga, Nosipho Margaret. "The feasability of implementing community based care for moderately mentally-retarded persons in a specific centre in Port Elizabeth." Diss., 1999. http://hdl.handle.net/10500/17566.
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The purpose of this study was to investigate the possibility of implementing community based care for moderately mentally retarded persons in a specific centre in the Port Elizabeth area. The objectives of the study were to identify • the needs of the moderately mentally retarded children. • the physical, psychosocial and vocational rehabilitation means of meeting these needs. • how involved the communities, parents and government were in the care of moderately mentally retarded children. A quantitative, exploratmy and descriptive design was used. A sample of 50 moderately mentally retarded children was utilised. Data were collected by means of questionnaires and semi-structured interviews. The major research findings indicate that community care for MMRPs could only be feasible with sufficient resources, expertise and community involvement. All these aspects appeared to be lacking in the centre where this research was conducted raising questions as to benefits which the mentally retarded children and their parents and the community could derive from these services. However recommendations were made on identified shortcomings, problems and needs.Health Science
M.A.(Nursing Science)
Books on the topic "Hospital-based psychiatric day program"
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A guide to creative group programming in the psychiatric day hospital. New York: Haworth Press, 1998.
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Passi, Lois E. Guide to Creative Group Programming in the Psychiatric Day Hospital. Taylor & Francis Group, 2016.
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Metzner, Jeffrey L., and Kenneth L. Appelbaum. Levels of care. Oxford University Press, 2015. http://dx.doi.org/10.1093/med/9780199360574.003.0022.
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Just as in community settings, there is a continuum of care for mentally ill inmates in correctional settings. This continuum progresses from ambulatory care through supported residential housing to inpatient or infirmary care. The continuum of care for inmates with mental illness includes outpatient care, emergency services, day treatment, supported residential housing, infirmary care, and inpatient psychiatric hospitalization services. Outpatient treatment is the least intensive level of care. In some systems this may include a day treatment program, which provides enhanced mental health services similar to a residential program as described below. In the case of outpatient treatment, participating inmates live in a general population housing unit with other inmates, many of whom are not in need of mental health services. A residential program (i.e., housing unit) within the correctional setting is provided for inmates with chronic mental illness who do not require inpatient treatment but do require enhanced mental health services. Such a designated housing unit can provide a safe and therapeutic environment for those unable to function adequately within the general inmate population. Crisis intervention services include both brief counseling and supervised stabilization. The latter, often provided in an infirmary setting, serve short-term stabilization and/or diagnostic purposes. A psychiatric inpatient program is the most intensive level of care and is often provided by the state psychiatric hospital system. This chapter describes each level and how they may be adapted successfully to function in correctional settings to meet the needs of individuals with mental illness.
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Metzner, Jeffrey L., and Kenneth L. Appelbaum. Levels of care. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199360574.003.0022_update_001.
Full textAbstract:
Just as in community settings, there is a continuum of care for mentally ill inmates in correctional settings. This continuum progresses from ambulatory care through supported residential housing to inpatient or infirmary care. The continuum of care for inmates with mental illness includes outpatient care, emergency services, day treatment, supported residential housing, infirmary care, and inpatient psychiatric hospitalization services. Outpatient treatment is the least intensive level of care. In some systems this may include a day treatment program, which provides enhanced mental health services similar to a residential program as described below. In the case of outpatient treatment, participating inmates live in a general population housing unit with other inmates, many of whom are not in need of mental health services. A residential program (i.e., housing unit) within the correctional setting is provided for inmates with chronic mental illness who do not require inpatient treatment but do require enhanced mental health services. Such a designated housing unit can provide a safe and therapeutic environment for those unable to function adequately within the general inmate population. Crisis intervention services include both brief counseling and supervised stabilization. The latter, often provided in an infirmary setting, serve short-term stabilization and/or diagnostic purposes. A psychiatric inpatient program is the most intensive level of care and is often provided by the state psychiatric hospital system. This chapter describes each level and how they may be adapted successfully to function in correctional settings to meet the needs of individuals with mental illness.
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Lande, R. Gregory, Sawsan Ghurani, Cara N. Burton, and Kerrie Earley. Evolution of Sexual Trauma Treatment in the Military. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780190461508.003.0016.
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Military sexual trauma (MST) continues to be a widespread area of concern and has received much attention across the nation over the past decade. MST is a significant risk factor for developing post-traumatic stress disorder (PTSD). The military component of MST makes this trauma even more of a risk factor due to the military culture of developing strong emotional bonds of trust essential for combat operations. Due to the paucity of evidence based treatments for PTSD secondary to MST, many treatment facilities would treat PTSD secondary to MST and combat PTSD with the same therapies, however, this proved to be insufficient. The Psychiatry Continuity Service at Walter Reed National Military Medical Center recognized this gap in treatment and specifically designed an outpatient intensive day program to provide a comprehensive clinical interventions targeting MST.
Book chapters on the topic "Hospital-based psychiatric day program"
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Kuralić-Ćišić, Lejla, Meliha Bijedić, Irma Dobrinjic, Nermina Kravić, Aida Duraković, and Dajana Stajić. "Online Counseling “The World Without a Label”." In International Perspectives in Values-Based Mental Health Practice, 359–64. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-47852-0_42.
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AbstractThe online platform is a platform of the future, both in the world and in Bosnia and Herzegovina. “The World Without a Label” is the first counseling center of this kind in BiH, because it brings together experts from behavioral, psychological, and psychiatric problems in one place. As a special problem of sociopolitical context is victims of sexual violence, war rape crimes. A case study shows a young boy is accompanied by a parent due to behavioral problems manifested by extremely bad social interaction with peers and for spending most of his free time on his computer playing video games. The boy’s mother had previously been treated in a psychiatric clinic’s day hospital, where she shared her own trauma of rape in group psychotherapy and the painful problems she faced in her early 20s, where Republika Srpska Army soldiers systematically raped captured Bosniaks. The father is a former member of the Bosnian army, and he himself had lot of war traumas. Experience in working in the Counseling Centers like this one, as well as with all the scientific and technological achievements, we have enabled the development of procedures for solving mental health problems through online platforms and standardization of those procedures.
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Humphries, Laura, Dasari Michael, and Angela Hassiotis. "Schizophrenia and Related Psychoses in People with Intellectual Disability." In Oxford Textbook of the Psychiatry of Intellectual Disability, 91–104. Oxford University Press, 2020. http://dx.doi.org/10.1093/med/9780198794585.003.0010.
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Individuals with an Intellectual Disability (ID) have an increased prevalence of Schizophrenia Spectrum Disorders (SSDs). The complex interplay between the symptoms of SSD and the individual’s level of development often give rise to atypical presentations. This is more so in individuals with a significant ID. Current classification systems may not adequately cover all the conditions experienced by individuals and may not be entirely captured under SSDs. It is important that the clinician gathers appropriate information from all relevant sources, including family, carers, educational establishments, and day care providers. Evidence for interventions in ID is sparse and treatment guidelines are based on evidence from the general population, which need to be extrapolated with caution, bearing in mind individual characteristics. The management of SSDs in ID requires a holistic approach, which takes into account their level of ID, sensitivity to medication, side effects and drug interactions and consideration towards other therapeutic modalities such as individual supports or CBT. The social aspects of management play a vital part in the treatment programme and the involvement of family and carers is crucial.
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Hamkins, SuEllen. "Conclusion." In The Art of Narrative Psychiatry. Oxford University Press, 2013. http://dx.doi.org/10.1093/oso/9780199982042.003.0016.
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Narrative psychiatry is the North Star that guides me in my work. Whether I am conducting fifteen-minute appointments at a community mental health center, weekly psychotherapy in my private practice, or a college student’s first psychiatric consultation, the principles and practices of narrative psychiatry offer me direction and support. In every psychiatric context in which I practice, I seek to enhance my patients’ awareness of their strengths and values and assist them in taking steps toward their vision of well-being in the context of a collaborative and compassionate therapeutic relationship. It’s time to bring greater humanity back into the day-to-day practice of psychiatry. Just as primary care practitioners are seeking to attend more fully to their patients’ stories and lives, so, too, can we in psychiatry, especially in contexts such as med checks and hospital rounds. Narrative psychiatry offers the person-centered, recovery-oriented care and “positive psychiatry” that the leaders in our field are calling for. What narrative psychiatry needs to move forward is to train more narrative practitioners and to conduct more research to establish a stronger empirical foundation. Case-based, qualitative evidence of the efficacy of narrative approaches to mental health treatment is rich, such as that presented in this book and in two decades of articles and books published by White, Epston, Madsen, Freedman, Combs, Russell, Gaddis, Kronbichter, Maisel, Ncube, Speedy, and many others. Quantitative studies that have been completed to date, such as Lynette Vromans and Robert Schweitzer’s study of narrative treatment of major depression, and Mim Weber, Kierrynn Davis, and Lisa McPhie’s study of narrative treatment of eating disorders, while supporting efficacy, are limited by small sample sizes. Exciting research studies are currently underway. John Stillman has developed a narrative trauma treatment manual expressly for the purpose of defining core narrative therapy principles and practices so that their efficacy can be researched. He and Christopher Erbe have completed a pilot study demonstrating the reliability of scales used by observers rating whether therapy sessions were consistent with the practices described by the manual; that is, whether the treatment was actually narrative.
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Chellingsworth, Marie. "Understanding Depression." In Adult Nursing Practice. Oxford University Press, 2012. http://dx.doi.org/10.1093/oso/9780199697410.003.0018.
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The aim of this chapter is to provide you with the knowledge to be able to recognize, assess, manage, and care for people with depression in an evidence-based and person-centred way. Depression is disabling and causes significant impact upon many areas of the person’s day-to-day functioning; it is therefore important that nurses have the knowledge and skills to recognize whether someone might be depressed and know how to take the appropriate course of action. This chapter will provide a comprehensive overview of the causes and impact of depression, before exploring best practice to deliver care, as well as to prevent or to minimize further ill-health. Nursing assessments and priorities are highlighted throughout, and the nursing management of the symptoms and common health problems associated with depression can be found in Chapter 14….I lost my balance. I fell flat on my face and I couldn’t get up again. And if that implies a certain grace, a slow and easy free-fall, then you have me wrong. It was violent and painful and, above all humiliating . . . I came to understand that we are not simply fighting an illness, but the attitudes that surround it. Imagine saying to someone that you have a life-threatening illness such as cancer, and being told to pull yourself together or get over it. Imagine being terribly ill and too afraid to tell anyone lest it destroy your career. Imagine being admitted into hospital because you are too ill to function and being too ashamed to tell anyone, because it is a psychiatric hospital. Imagine telling someone that you have recently been discharged and watching them turn away, in embarrassment or disgust or fear. Bad enough to be ill, but to feel compelled to deny the very thing that, in its worst and most active state, defines you is agony indeed. (Sally Brampton (2008) in Shoot The Damn Dog.)…Sally’s experience of her depressive episode from her memoir sets the scene of just what people with depression can experience and how big an impact it can have upon their lives. We may all feel low and ‘fed up’ at times, and often we use the term ‘depressed’ as an adjective to describe how we are feeling in general conversation.
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Watson, Andrew, and Gil Myers. "Community psychiatry." In Oxford Assess and Progress: Psychiatry. Oxford University Press, 2014. http://dx.doi.org/10.1093/oso/9780199665662.003.0013.
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An inpatient admission to a psychiatry ward has a high cost both economically and psychologically. While it is necessary at times to treat someone in hospital, the majority of the work in maintaining good mental health is done while the patient is living their usual life with its highs, lows, and challenges. Community psychiatry aims to manage people with mental illness in their own environment. There are many benefits to this, including promoting a sense of normality, allowing for continued support from family and friends, and helping to bridge the change between illness and recovery. Because of this, community psychiatry covers almost everything in psychiatry and is as much a speciality of exclusion as a specific group: no under 18s (child and adolescent), over 65s (psychiatry of old age), addictions (substance misuse), or the law (forensic psychiatry). But a community psychiatrist can’t be too exclusive because local differences, based on what other dedicated services are available, and subthreshold presentations mean that a good working knowledge of most conditions is essential. In many ways, community psychiatrists are the GPs of the speciality. The only way to manage such a large and varied workload is to make good use of the multidisciplinary team (MDT): community psychiatric nurses (CPNs), occupational therapists (OTs), speech and language therapists (SALTs)—the list of acronyms is endless but essential. A good community psychiatrist has a team they can rely on to help keep a watchful eye over their clinical population; managing their day-to-day care and anticipating problems before a relapse develops. The balance between giving space for recovery and monitoring to ensure efficient treatment is hard to achieve but gratifying when it occurs. Part of the skill set of a good community psychiatrist is an understanding of the research statistics: prevalence of disorders, treatment rates, and prognosis. These allow for faster diagnosis and evidence-based treatments to speed up recuperation. The minutiae of these facts aren’t needed, but a broad understanding helps shape assessment and management.
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Sugini. "Effect of Tomato Juice Supplements Consumption on the Lipid Profile of Dyslipidemia Patients." In Management of Dyslipidemia. IntechOpen, 2021. http://dx.doi.org/10.5772/intechopen.95239.
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The objective of this study was to determine the effect of tomato juice supplements consumption on the lipid profile of women with dyslipidemia patients. The design of this study was a quasi-control experimental design with pre-post test. The subjects were sixty-two Kendal Hospital women employees, aged 35–50 years old, suffering from dyslipidemia but did not suffer from metabolic or degenerative diseases based on the examination of a specialist in internal medicine. Subjects were divided into two groups, group I (30 people) were given antioxidant supplements (336 g of tomatoes per day) for 21 days and group II (32 people) as control. The nutrition intake data was measured by the 24-hour food withdrawal method conducted for three consecutive days in three weeks of research calculated by the Nutrisurvey program. Data was analyzed with Kolmogorov Smirnov test, Pearson test and Mann Whitney test. There were significant relationships between energy intake, protein intake, fat intake, and carbohydrate intake with total cholesterol levels and triglyceride levels and there were also significant relationships between energy intake and fat intake with low density lipoprotein levels. It shows that there is a relationship between diet and dyslipidemia. There were significant differences in total cholesterol, low lipoprotein levels and triglycerides in treatment and control groups. This showed that tomato juice supplements significantly affect the lipid profiles.