Journal articles: 'Mental Alternative treatment'

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Schreter, Robert K. "ALTERNATIVE TREATMENT PROGRAMS." Psychiatric Clinics of North America 23, no. 2 (June 2000): 335–46. http://dx.doi.org/10.1016/s0193-953x(05)70163-5.

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Anonymous. "Methadone alternative for addiction treatment." Journal of Psychosocial Nursing and Mental Health Services 37, no. 1 (January 1999): 10. http://dx.doi.org/10.3928/0279-3695-19990101-05.

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&NA;. "Complementary and Alternative Therapies in Addictions Treatment." Journal of Addictions Nursing 25, no. 4 (October 2014): 214–16. http://dx.doi.org/10.1097/jan.0000000000000053.

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Cooke, David J. "Treatment as an Alternative to Prosecution: Offenders Diverted for Treatment." British Journal of Psychiatry 158, no. 6 (June 1991): 785–91. http://dx.doi.org/10.1192/bjp.158.6.785.

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In Scotland, procurators fiscal (state prosecutors) can divert certain offenders from the court process into treatment. This paper describes the first diversion scheme in which offenders who are suspected of having psychological difficulties are referred for psychological and psychiatric treatment before, and generally in lieu of, prosecution. It is argued that the procurator fiscal is successful in selecting suitable cases for treatment: most people referred have significant psychological difficulties but have failed to obtain appropriate assistance through the normal channels of referral.

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Williams, Chris. "Alternative methods of treatment delivery for anxiety disorders." Psychiatry 3, no. 6 (June 2004): 90–93. http://dx.doi.org/10.1383/psyt.3.6.90.38212.

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Ishizuka, Y. "An alternative approach to treatment of depression." European Psychiatry 23 (April 2008): S251. http://dx.doi.org/10.1016/j.eurpsy.2008.01.491.

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Robinson, Robert. "Capacity as the Gateway: an alternative view." International Journal of Mental Health and Capacity Law, no. 3 (September 8, 2014): 45. http://dx.doi.org/10.19164/ijmhcl.v0i3.312.

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<p>The Royal Commission on the Law Relating to Mental Illness and Mental Deficiency (the Percy Commission) in its 1957 report put the case for providing “forms of control, within stated limits, over people suffering from mental disorder which do not apply to other people”. Paragraph 314 (i) of the report offers the following justification for compulsory treatment in the interests of the patient’s health: “When an illness or disability itself affects the patient’s judgment and appreciation of his own condition, there is a specially strong argument for saying that his own interests demand that the decision whether or not to accept medical examination, care or treatment should not be left entirely to his own distorted or defective judgment. Admission to hospital against the patient’s wishes at the time may be the only way of providing him with the treatment or training which may restore his health or enable him to take his place as a self-supporting member of the community or to develop his limited capabilities to the greatest possible extent. The better the prospects are of treatment or training being successful, the more important this consideration becomes.” The report goes on to say: “No form of mental disorder should be considered to be, by itself, a sufficient ground for depriving a person of his liberty. It is necessary to balance the possible benefits of treatment or training, the protection of the patient and the protection of other persons, on the one hand, against the patient’s loss of liberty on the other.”</p><p>This rationale, which is reflected in the provisions of the 1983 Act, is rejected in the Report of the Expert Committee on the Review of the Mental Health Act 1983 because it discriminates against the mentally disordered by depriving them of the right to patient autonomy, that is the right of people to make effective treatment choices. Crucially, the right depends upon the patient having capacity to make such choices: “Patient autonomy brings with it an inevitable emphasis on capacity.” (para.2.4) The purpose of this paper is to argue that the Expert Committee’s approach is flawed. First, because it would merely, to use the terminology of discrimination law, replace direct discrimination with indirect discrimination. Second, because in conceptualising the detainable mentally ill patient as lacking capacity to make choices about treatment it erodes the validity of other choices which such a person may make. Third, that it tends to weaken the criteria for compulsion to what is, in effect, a best interests test. Fourth, that the justiciability of questions of capacity is problematic where the incapacity both results from mental illness and is considered in the context of treatment for mental illness.</p>

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Miller, Norman S., and Joseph A. Flaherty. "Effectiveness of coerced addiction treatment (alternative consequences)." Journal of Substance Abuse Treatment 18, no. 1 (January 2000): 9–16. http://dx.doi.org/10.1016/s0740-5472(99)00073-2.

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Swanson, Jeffrey W., Miriam C. Tepper, Patricia Backlar, and Marvin S. Swartz. "Psychiatric Advance Directives: An Alternative to Coercive Treatment?" Psychiatry 63, no. 2 (May 2000): 160–72. http://dx.doi.org/10.1080/00332747.2000.11024908.

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Miyamoto, Seiya, Lars F. Jarskog, and W. Wolfgang Fleischhacker. "Alternative pharmacologic targets for the treatment of schizophrenia." Current Opinion in Psychiatry 26, no. 2 (March 2013): 158–65. http://dx.doi.org/10.1097/yco.0b013e32835d8296.

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Bean-Bayog, Margaret. "Alcoholism Treatment as an Alternative to Psychiatric Hospitalization." Psychiatric Clinics of North America 8, no. 3 (September 1985): 501–12. http://dx.doi.org/10.1016/s0193-953x(18)30675-0.

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Ishizuka, Y. "An alternative approach to treatment of panic disorders." European Psychiatry 23 (April 2008): S355. http://dx.doi.org/10.1016/j.eurpsy.2008.01.1229.

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Stulz, Niklaus, Lea Wyder, Lienhard Maeck, Matthias Hilpert, Helmut Lerzer, Eduard Zander, Wolfram Kawohl, Martin grosse Holtforth, Ulrich Schnyder, and Urs Hepp. "Home treatment for acute mental healthcare: randomised controlled trial." British Journal of Psychiatry 216, no. 6 (March 13, 2019): 323–30. http://dx.doi.org/10.1192/bjp.2019.31.

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BackgroundHome treatment has been proposed as an alternative to acute in-patient care for mentally ill patients. However, there is only moderate evidence in support of home treatment.AimsTo test whether and to what degree home treatment services would enable a reduction (substitution) of hospital use.MethodA total of 707 consecutively admitted adult patients with a broad spectrum of mental disorders (ICD-10: F2–F6, F8–F9, Z) experiencing crises that necessitated immediate admission to hospital, were randomly allocated to either a service model including a home treatment alternative to hospital care (experimental group) or a conventional service model that lacked a home treatment alternative to in-patient care (control group) (trial registration at ClinicalTrials.gov: NCT02322437).ResultsThe mean number of hospital days per patient within 24 months after the index crisis necessitating hospital admission (primary outcome) was reduced by 30.4% (mean 41.3 v. 59.3, P<0.001) when a home treatment team was available (intention-to-treat analysis). Regarding secondary outcomes, average overall treatment duration (hospital days + home treatment days) per patient (mean 50.4 v. 59.3, P = 0.969) and mean number of hospital admissions per patient (mean 1.86 v. 1.93, P = 0.885) did not differ statistically significantly between the experimental and control groups within 24 months after the index crisis. There were no significant between-group differences regarding clinical and social outcomes (Health of the Nation Outcome Scales: mean 9.9 v. 9.7, P = 0.652) or patient satisfaction with care (Perception of Care questionnaire: mean 0.78 v. 0.80, P = 0.242).ConclusionsHome treatment services can reduce hospital use among severely ill patients in acute crises and seem to result in comparable clinical/social outcomes and patient satisfaction as standard in-patient care.

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Gimeno, Maria Lluisa Queralt. "Homœopathic treatment of ovarian cysts." British Homeopathic Journal 80, no. 03 (July 1991): 143–48. http://dx.doi.org/10.1016/s0007-0785(05)80225-x.

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AbstractForty women suffering from ovarian cysts, diagnosed and measured by ultrasound, were treated with a single homœopathic medicine according to their specific mental, general and local symptoms. The hormonal disorders suffered by these patients lead to several symptoms, some specifically gynaecological, others general or mental, demonstrating how the health deterioration process effects the general state of the sick person. The ultrasound examination was repeated after about nine months. Results were positive.

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Wasylenki, D. "Review: assertive community treatment is an effective alternative in severe mental disorders." Evidence-Based Mental Health 1, no. 4 (November 1, 1998): 115. http://dx.doi.org/10.1136/ebmh.1.4.115.

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Dolce Filho, R. "Homeopathic approach in the treatment of patients with mental disability." Homeopathy 95, no. 01 (January 2006): 31–44. http://dx.doi.org/10.1016/j.homp.2005.10.001.

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AbstractThe author describes his experience assisting mentally disabled patients with homeopathy. In these patients’ anamneses, common traits shared by some syndromes, pathologies and behaviour, were taken into consideration, mainly to choose the most characteristic symptoms in each case. The study includes 58 cases of patients suffering from this pathology: 28 females and 30 males, ages ranging from 1 to 49 years (mean 20). Forty-seven had some improvement.Homeopathy is a useful alternative to relieve pathologies associated with mental disability. In those cases in which there were similarities between remedy and whole symptomatology, improvements in adaptation skills and in overall health were observed.

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Forbes, Naida F., Helen T. Cash, and Stephen M. Lawrie. "Intensive home treatment, admission rates and use of mental health legislation." Psychiatrist 34, no. 12 (December 2010): 522–24. http://dx.doi.org/10.1192/pb.bp.109.027417.

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Aims and methodWe examined the local impact of introducing a home treatment team on the use of in-patient psychiatric resources and rates of detention under the Mental Health (Care and Treatment) (Scotland) Act 2003.ResultsRates of admission to hospital and duration of hospital stay were unchanged. However, there was an increase in episodes of detention in the year following the team's introduction.Clinical implicationsOffering home treatment as an alternative to in-patient care may be associated with an increase in compulsory treatment. If true, this is incompatible with the ‘least restrictive alternative’ principle of the recently revised mental health legislation.

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Garrett, Brandon L., Alexander Jakubow, and John Monahan. "Judicial Reliance on Risk Assessment in Sentencing Drug and Property Offenders: A Test of the Treatment Resource Hypothesis." Criminal Justice and Behavior 46, no. 6 (April 16, 2019): 799–810. http://dx.doi.org/10.1177/0093854819842589.

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For almost two decades, Virginia has used risk assessment to justify “alternative” nonprison sentences for eligible drug and property offenders. In Study 1, we examined how frequently alternative sentences actually were imposed. We found that alternative sentences were given to only 42% of low-risk offenders. In Study 2, we tested the hypothesis that a lack of treatment resources explains why many judges fail to offer alternative sentences. We focused on the availability of mental health and substance abuse treatment resources across judicial circuits. Our findings support the “treatment resource hypothesis” as one explanation for variation among courts and judges in the extent to which alternative sentences are offered to low-risk offenders. To the extent that treatment resources available in a jurisdiction lead to increased judicial use of risk assessment to sentence low-risk offenders to nonjail alternatives, providing these resources will be crucial in reducing mass incarceration.

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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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López-Romeo, S., and G. Ledesma-Iparraguirre. "Alternative treatment options for lithium-induced nephrogenic diabetes insipidus." European Psychiatry 33, S1 (March 2016): S392. http://dx.doi.org/10.1016/j.eurpsy.2016.01.1411.

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IntroductionLithium is currently a drug of choice for treating persons with bipolar disorder and is widely used in this population. Approximately, 30% of patients taking lithium experience at least one episode of lithium toxicity. Treatment of acute toxicity involves correction of electrolyte abnormalities, volume repletion followed by forced diuresis, and dialysis in severe cases. A case report is described and it is reviewed some alternative treatment options before considering withdrawal of lithium treatment in lithium-induced nephrogenic diabetes insipidus.Case reportA 58-year-old woman diagnosed of hypertension and bipolar disorder for 20 years. At first, she was controlled with valproic acid until she suffered a manic episode which required a mood stabilizer switch. She started a treatment with lithium 1200 mg/day and olanzapine to 10 mg/day and was completely recovered. After a year of stabilization, olanzapine was retired and she maintained stabilized with lithium 1000 mg/day during last 17 years. During last 8 months, she suffered polydipsia and polyuria (4 L/day). She was diagnosed of nephrogenic diabetes insipidus. Some measures like liquid restriction, lithium monodose and low sodium diet were carried out, obtaining a partial response. Taking into account, she was stabilised with lithium for many years, it was decided to introduce hydrochlorothiazide 25 mg/day, clinical and analytical resolution of nephrogenic diabetes insipidus was obtained. A year later, she maintains psychopathological stabilization, without any lithium secondary effects.ConclusionSome treatment options for lithium-induced nephrogenic diabetes insipidus could be introducing thiazides, amiloride, indomethacin, desmopressin or carbamazepine, instead of withdrawal lithium.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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Chakraborty, Nandini. "Medication‐free treatment for psychosis – an alternative to antipsychotics?" Progress in Neurology and Psychiatry 25, no. 4 (October 2021): 39–43. http://dx.doi.org/10.1002/pnp.730.

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Rogers, Susan. "An alternative interpretation of “intensive” PTSD treatment failures." Journal of Traumatic Stress 11, no. 4 (October 1998): 769–75. http://dx.doi.org/10.1023/a:1024401601800.

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Boyd, H. W. "Treatment of chronic disease." British Homeopathic Journal 74, no. 01 (January 1985): 26–32. http://dx.doi.org/10.1016/s0007-0785(85)80007-7.

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A summary of the type of chronic conditions treated by homœopathy is given. An outline of chronic case-taking procedure. Prescribing on a specific, a local and a constitutional basis. Are miasms a help? Brief outline of symptomatology of Psora, Sycosis, Syphilis and Tuberculinum.Hierarchy of symptoms—strange and peculiar, mental (with grades of these), general, local.Evaluation of symptoms; directions of cure.Potency choice.

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Spandler, Helen, and Tim Calton. "Psychosis and Human Rights: Conflicts in Mental Health Policy and Practice." Social Policy and Society 8, no. 2 (April 2009): 245–56. http://dx.doi.org/10.1017/s1474746408004764.

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This paper examines conflicts in polices in England and Wales pertaining to the demand for alternative, non-medical crisis support for those experiencing ‘psychosis’. We examine the limitations of current treatment, policy and legislative frameworks in supporting these demands. In particular, we focus on the limitations of prevailing conceptualisations of ‘human rights’, ‘social inclusion’ and ‘recovery’. These concepts, we argue, are embedded within a broader treatment framework which renders medication as mandatory and all other treatment modalities as inherently subsidiary, and a broader policy framework which is complicit with bio-medical orthodoxies of ‘mental illness’ and prioritises treatment compliance and compulsion. Therefore, in order to advance a ‘human rights’ approach to mental health policy, we argue that reigning orthodoxies inherent within policy and practice must be explicitly challenged to open up spaces for the availability of alternatives.

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Machleidt, Wielant. "Unconventional and alternative methods parallel to a professional psychiatric treatment." Acta Psychiatrica Scandinavica 116, no. 3 (September 2007): 161–64. http://dx.doi.org/10.1111/j.1600-0447.2007.01051.x.

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Atkinson, J. M., and H. C. Garner. "Least restrictive alternative – advance statements and the new mental health legislation." Psychiatric Bulletin 26, no. 7 (July 2002): 246–47. http://dx.doi.org/10.1192/pb.26.7.246.

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Proposals for new mental health legislation make the case for using the ‘least restrictive alternative’ (Scottish Executive, 2001) and the ‘least restrictive environment’ (Department of Health & Home Office, 2000) as guiding principles in deciding the management and treatment of the patient. This appears to be the case made for introducing compulsory treatment in the community. The patient living in the community, while maintained on medication, rather than the hospital would appear to be defined as on the ‘least restrictive alternative’. This, however, takes only a limited approach to what is ‘restrictive’, which should be interpreted more widely, including the patient's view as well as that of clinicians and policy makers. Thus, a patient may see it as less restrictive during an acute phase to be in hospital and not on medication, than in the community but on medication. It is likely, given our knowledge of patients' attitudes to medication (Eastwood & Pugh, 1997), that many patients will prefer to be on oral medication rather than depot, which they see as less restrictive.

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Dydyk, Barbara J., Glenn French, Cynthia Gertsman, Noreen Morrison, and Irene O'neill. "Admitting Whole Families: An Alternative to Residential Care." Canadian Journal of Psychiatry 34, no. 7 (October 1989): 694–99. http://dx.doi.org/10.1177/070674378903400712.

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This paper is an examination of the effectiveness of a programme (described in detail elsewhere) designed to admit whole families for short-term intensive assessment and treatment. The goals of this programme are to eliminate residential care for symptomatic children who are admitted with their families to this service, to decrease the length of stay of the symptomatic child in residential treatment, if this is required following admission of the whole family to this unit, and to provide these services at costs comparable to or less than that currently being spent with conventional residential treatment. Results stemming from a number of pre- and post-treatment measures indicate that one half of children initially assessed and recommended for inpatient treatment had successfully avoided inpatient treatment for six months following admission of their family to this unit. For children recommended for residential care after admission of their families to the family unit, a reduction of approximately 35% of total time in residence occurred (when compared with a comparison group). A cost saving of over $12,000 per case was realized as a result of admission of the whole family when compared with residential treatment.

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Montgomery, Adam, Marianna Rogowska, and Luiz Dratcu. "Cariprazine — an Alternative Treatment for Clozapine-resistant Schizophrenia?" Clinical Psychopharmacology and Neuroscience 21, no. 1 (February 28, 2023): 202–6. http://dx.doi.org/10.9758/cpn.2023.21.1.202.

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Tyrer, Peter, and Cosmo Hallstrom. "Antidepressants in the treatment of anxiety disorder." Psychiatric Bulletin 17, no. 2 (February 1993): 75–76. http://dx.doi.org/10.1192/pb.17.2.75.

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Antidepressants are increasingly being used for the treatment of anxiety disorders, although they are not specifically licensed for this indication. This has come about partly because of concern over the problem of benzodiazepine dependence and the search for alternative, and preferably better, treatments. Antidepressants and other treatments have proved to be an effective alternative to benzodiazepines despite having more unwanted effects and a delayed onset of action. They may even be more effective than benzodiazepines and their benefits are alleged to be independent of concurrent depressive symptomatology. What is the evidence in favour of these claims?

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Lauber, Christoph, Nordt Carlos, and Rössler Wulf. "Lay Beliefs about Treatments for People with Mental Illness and Their Implications for Antistigma Strategies." Canadian Journal of Psychiatry 50, no. 12 (October 2005): 745–52. http://dx.doi.org/10.1177/070674370505001203.

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Objective: First, to describe factors influencing the public's attitude toward treatment recommendations for people with mental illness; second, to identify coherent belief systems about the helpfulness of specific interventions; and third, to discuss how to ameliorate mental health literacy and antistigma strategies. Method: Participants of a representative telephone survey in the general population ( n = 1737) were presented with a vignette depicting a person with either schizophrenia or depression. From a list of suggestions, they were asked to recommend treatments for this person. We used a factor analysis to group these proposals and used the factors as the dependent variables in a multiple regression analysis. Results: Treatment suggestions are summarized in 4 groups, each characterizing a specific therapeutic approach: 1) psychopharmacological proposals (that is, psychotropic drugs), 2) therapeutic counselling (from a psychologist or psychiatrist or psychotherapy), 3) alternative suggestions (such as homeopathy), and 4) social advice (for example, from a social worker). Medical treatments were proposed by people who had a higher education, who had a positive attitude toward psychopharmacology, who correctly recognized the person depicted in the vignette as being ill, who were presented with the schizophrenia vignette, who kept social distance, and who had contact with mentally ill people. The variables could explain alternative and social treatment proposals only to a small extent. Conclusions: The public's beliefs about treatment for people with mental illness are organized into 4 coherent systems, 2 of which involve evidence-based treatments. Medical treatment proposals are influenced by adequate mental health literacy; however, they are also linked to more social distance toward people with mental illness. Additionally, efforts to better explain nonmedical treatment suggestions are needed. Implications for further antistigma strategies are discussed.

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Shivachev, Yani, Stanislava Bogomilova, Gergana Nenova, and Valentin Velchev. "ONCOLOGY REHABILITATION - AN ALTERNATIVE TO BREAST CANCER TREATMENT." Journal of IMAB - Annual Proceeding (Scientific Papers) 26, no. 4 (October 28, 2020): 3390–93. http://dx.doi.org/10.5272/jimab.2020264.3390.

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Introduction: Worldwide breast cancer is the most common malignancy disease with a frequency of more than 6 million. The treatment consists of surgical intervention, chemotherapy, radiation, and often follow-up medical care in the long-term treatment is neglected. As a result of a partial or total mastectomy, one of the complications that patients develop is lymphedema, which may occur months or years after the surgery. This necessitates the search for systematic and effective approaches for these patients in order to improve physical and mental well-being, resocialization and return to previous levels of activity in daily life. Case report: In 2019 a 58-year-old female patient, visited Medical University of Varna and University center of East medicine with the following complaints: pain in the armpit area, lymphedema of a right upper limb, a sense of weight and motor deficiency in the hand. In 2017 she is diagnosed with breast cancer by conducting an operative intervention consisting of a partial mastectomy with removal of 12 lymph nodes, followed by chemotherapy, radiotherapy treatment and medication therapy. For 2 years, the patient seeks help from a variety of healthcare professionals whose methods lead to short and unsatisfactory results. Impaired quality of life in daily activities is the main reason the patient to refer to the specialists at the University center of East medicine, offering a different and complex approach aimed at the patient’s overall recovery. Conclusion: Early diagnosis and subsequent successful treatment approach are the path to holistic, systematic and effective treatment in cancer patients.

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Alexander, Jacob. "SSRIs as a Treatment Alternative for Monosymptomatic Delusional Disorders." Australian & New Zealand Journal of Psychiatry 44, no. 3 (March 2010): 295–96. http://dx.doi.org/10.3109/00048670903559601.

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Shams-Alizadeh, Narges, Azad Maroufi, Zahra Asadi, Khaled Rahmani, and Kambiz Hassanzadeh. "Trazodone as an Alternative Treatment for Neuroleptic-Associated Akathisia." Journal of Clinical Psychopharmacology 40, no. 6 (October 9, 2020): 611–14. http://dx.doi.org/10.1097/jcp.0000000000001286.

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Schulz, Sarah L. "The Informed Consent Model of Transgender Care: An Alternative to the Diagnosis of Gender Dysphoria." Journal of Humanistic Psychology 58, no. 1 (December 13, 2017): 72–92. http://dx.doi.org/10.1177/0022167817745217.

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Historically, researchers and clinicians have viewed the transgender experience through a narrow diagnostic lens and have neglected to acknowledge the diverse experiences of those who identify as transgender. Currently, under the mainstream treatment paradigm, in order to be deemed eligible for gender transition services, transgender clients must meet criteria for a diagnosis of “gender dysphoria” as described in the DSM-5. An alternative to the diagnostic model for transgender health is the Informed Consent Model, which allows for clients who are transgender to access hormone treatments and surgical interventions without undergoing mental health evaluation or referral from a mental health specialist. This model shows promise for the treatment and understanding of the transgender experience outside of the lens of medical pathologization.

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Huete Naval, M., B. Serván, M. E. Expósito Durán, P. Albarracin, E. Herrero Pellón, and R. Galerón. "Alternative starting regimen with aripiprazole long-acting treatments, a case report." European Psychiatry 65, S1 (June 2022): S723. http://dx.doi.org/10.1192/j.eurpsy.2022.1866.

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Introduction Aripiprazole long-acting treatments can significantly control symptom, improve adherence and reduce the risk of relapse compared to oral drugs. An alternative start-up guideline has recently been approved in several countries that simplifies its administration. Objectives To present a case report of a patient with schizophrenia treated with alternative starting regimen of aripiprazole long-acting treatment. Methods Presentation of a clinical case supported by a non-systematic review of literature. Results We present the case of a 22-year-old patient diagnosed with schizophrenia, whose symptoms started after the birth of her son, 2 years ago. She has presented a poor clinical evolution, requiring several admissions to our inpatient service after discontinuation of her medication. The patient has taken different antipsychotics, including olanzapine and paliperidone long-acting treatment, which were suspended due to side effects (weight gain and increased prolactin levels). A switch to oral aripiprazole 20mg was made, which showed good response and tolerance. Given the persistence of irregular intake, it was decided to switch to aripiprazole long-acting treatment, applying an alternative initial regime consisting of two doses of aripiprazole long-acting treatments 400mg and one oral aripiprazole 20mg. The patient has since had no delusions or hallucinations and is living independently at home. Conclusions The administration of a simplified initial regime with aripiprazole long-acting treatments could improve therapeutic adherence while maintaining the same effectiveness and similar side effects. Disclosure No significant relationships.

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Cooper, Brian. "Strange bedfellows: economics, happiness and mental disorder." Epidemiologia e Psichiatria Sociale 18, no. 3 (September 2009): 208–13. http://dx.doi.org/10.1017/s1121189x00000488.

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SUMMARYAim – The high economic and social costs associated with the ‘common mental disorders’, and the need to scale up appropriate care services, are now widely recognized, but responses vary from country to country. In Britain, a current government initiative to promote psychological therapy is driven both by economic pressures and by research on the factors of happiness, or life-satisfaction. This article provides a short critical review of the project. Method – A health policy analysis, with regard to problem definition; objectives; sources of information; criteria for evaluation; impact on existing services, and comparison with alternative strategies. Results – The new programme, Improving Access to Psychological Therapies (IAPT), aims to expand treatment services by training 3,600 ‘psychological therapists’ in cognitive behavioural therapy (CBT), which they will then apply in the wider community. This service, with an initial budget of £173 million, will provide treatment for depression and chronic anxiety from local centres across the country. The programme is intended to pay for itself by reducing incapacity costs. Closer examination, however, raises questions concerning the project’s theoretical basis, logistics and research methodology, and casts doubt on its advantages over alternative approaches. Conclusions – The IAPT project is ill-designed to achieve its objectives and unsuitable as a model for treatment and care of the common mental disorders in other countries. An alternative strategy, based on closer integration of community mental health and primary health care, should be tested and on previous experience seems likely to prove more cost-effective.Declaration of Interest: None.

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Goering, P. "Treatment of severe and persistent mental illness in a community residential alternative was effective." Evidence-Based Mental Health 1, no. 4 (November 1, 1998): 107. http://dx.doi.org/10.1136/ebmh.1.4.107.

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Majeed, Muhammad Hassan, Ali Ahsan Ali, and Donna M. Sudak. "Psychotherapeutic interventions for chronic pain: Evidence, rationale, and advantages." International Journal of Psychiatry in Medicine 54, no. 2 (August 9, 2018): 140–49. http://dx.doi.org/10.1177/0091217418791447.

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Background Long-term use of opioids to treat chronic pain incurs serious risks for the individual—including misuse, abuse, addiction, overdose and death—as well as creating economic, social, and cultural impacts on society as a whole. Chronic pain and substance use disorders are often co-morbid with other medical problems and at the present time, primary care clinicians serve most of this population. Primary care clinicians would benefit from having alternatives to opioids to employ in treating such patients. Method We electronically searched different medical databases for studies evaluating the effect of nonpharmacological treatments for chronic pain. We describe alternative approaches for the treatment of chronic pain and cite studies that provide substantial evidence in favor of the use of these treatments. Results Cognitive behavioral therapy, acceptance and commitment therapy, and mindfulness-based programs have well-documented effectiveness for the treatment of chronic nonmalignant pain. Integration of such behavioral health therapies into primary care settings may optimize health resources and improve treatment outcomes. Conclusion Evidence-based psychotherapy for chronic pain has established efficacy and safety and improves quality of life and physical and emotional functioning. Such interventions may be used as an alternative or adjunct to pharmacological management. Chronic opioid use should be reserved for individuals undergoing active cancer treatment, palliative care, or end-of-life care.

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Gayle, Michael C., and Jonathan D. Raskin. "DSM-5: Do Counselors Really Want an Alternative?" Journal of Humanistic Psychology 57, no. 6 (March 8, 2017): 650–66. http://dx.doi.org/10.1177/0022167817696839.

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The results of a survey exploring counselor attitudes toward the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders ( DSM-5) are presented. The survey revealed that counselors have mixed attitudes toward the DSM. They view DSM positively and see it as both beneficial to their profession and important in determining treatment. They also believe that DSM-5 revisions reflect the best science available. Counselors worry that the DSM prioritizes diagnosis over treatment, have concerns about proposed DSM-5 revisions, and support developing alternatives to the DSM.

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Campbell, Ronald, and George M. Simpson. "Alternative approaches in the treatment of psychotic agitation." Psychosomatics 27, no. 1 (January 1986): 23–27. http://dx.doi.org/10.1016/s0033-3182(86)72735-7.

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Gutstein, Steven E., and M. David Rudd. "An outpatient treatment alternative for suicidal youth." Journal of Adolescence 13, no. 3 (September 1990): 265–77. http://dx.doi.org/10.1016/0140-1971(90)90018-3.

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O’Donoghue, B. "Coercion: an understudied issue in mental health." Irish Journal of Psychological Medicine 34, no. 4 (November 23, 2017): 221–22. http://dx.doi.org/10.1017/ipm.2017.70.

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Coercion in mental health services is a controversial practice, yet it is a relatively understudied area. This special themed edition draws upon research from the international community with the aim of addressing issues related to coercion and involuntary admission. The issue covers topics such as community treatment orders, service users’ perspectives, alternative models of involving service users in their treatment, and future directions for coercion research. It is hoped that this edition will encourage funding and inspire future research on this important topic.

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van der Watt, Gill, Jonathan Laugharne, and Aleksandar Janca. "Complementary and alternative medicine in the treatment of anxiety and depression." Current Opinion in Psychiatry 21, no. 1 (January 2008): 37–42. http://dx.doi.org/10.1097/yco.0b013e3282f2d814.

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Ingram, Barbara Lichner, Eli Katz, and Ellen Katz. "A comprehensive alternative to residential treatment for adolescents and young adults." Psychiatric Quarterly 62, no. 1 (March 1991): 9–18. http://dx.doi.org/10.1007/bf01958835.

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Hatchett, Gregory T. "Monitoring the Counseling Relationship and Client Progress as Alternatives to Prescriptive Empirically Supported Therapies." Journal of Mental Health Counseling 39, no. 2 (April 1, 2017): 104–15. http://dx.doi.org/10.17744/mehc.39.2.02.

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Many insurance companies and professional organizations have increasingly stipulated that mental health professionals use interventions that have been classified as empirically supported therapies (ESTs). Though the EST movement aims to provide clinicians with straightforward, evidence-based interventions for making treatment planning decisions, there are several practical and scientific barriers to the wholesale implementation of ESTs by mental health counselors. These barriers will be discussed, and two alternative strategies—cultivation of the counseling relationship and routine outcomes monitoring—will be presented as evidence-based alternatives to prescriptive ESTs.

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Stupak, Radosław, and Bartłomiej Dobroczyński. "From Mental Health Industry to Humane Care. Suggestions for an Alternative Systemic Approach to Distress." International Journal of Environmental Research and Public Health 18, no. 12 (June 20, 2021): 6625. http://dx.doi.org/10.3390/ijerph18126625.

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The article proposes a rough outline of an alternative systemic approach to mental health issues and of a more humane mental health care system. It suggests focusing on understanding mental distress as stemming from problems in living, using medications as agents facilitating psychotherapy, or as a last resort and short-term help, according to the principles of harm reduction. It argues that understanding drugs as psychoactive substances and studying the subjective effects they produce could lead to better utilization of medications and improvements in terms of conceptualizing and assessing treatment effects. Qualitative research could be particularly useful in that regard. It also advocates a radical departure from current diagnostic systems and proposes a synthesis of already existing alternatives to be used for both research and clinical purposes. Accordingly, a general idea for an alternative mental health care system, based on a combination of Open Dialogue Approach, Soteria houses, individual and group psychotherapy, cautious prescribing, services helping with drug discontinuation, peer-led services and social support is presented. The proposition could be seen as a first step towards developing a systemic alternative that could replace the currently dominating approach instead of focusing on implementing partial solutions that can be co-opted by the current one.

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Ripamonti, Carla, Ernesto Zecca, and Franco De Conno. "Pharmacological Treatment of Cancer Pain: Alternative Routes of Opioid Administration." Tumori Journal 84, no. 3 (May 1998): 289–300. http://dx.doi.org/10.1177/030089169808400302.

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Cancer-related pain is present in 51% of patients at various stages of the disease, and the incidence increases up to 74% in advanced and terminal stages. The World Health Organization proposed and issued very simple guidelines for the pharmacologic treatment of cancer-related pain. According to the guidelines, opioid analgesics are the mainstay of analgesic therapy, and the first choice for drug administration is considered to be the oral route. However, in some clinical situations, the oral route is not feasible, and analgesic drugs consequently have to be administered via an alternative route. For example, this is the case when the patient presents vomiting, bowel obstruction, severe dysphagia, mental confusion and when the opioid dose has to be increased drastically in order to achieve adequate pain control. This review of the literature is aimed at describing the indications, the limits and the main aspects of the pharmacokinetics and pharmacodynamics relative to the alternative routes of administration of opioids most commonly used in clinical practice. Sublingual, rectal, subcutaneous, intravenous, transdermal and spinal administration routes are examined.

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Anderson, Leslie Karwoski. "Eating Disorders and Mindfulness: Exploring Alternative Approaches to Treatment." Eating Disorders 21, no. 4 (July 2013): 374–75. http://dx.doi.org/10.1080/10640266.2013.797834.

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Fowler, James C., Robyn Catherine Price, Kirsty Burger, Alice Jennifer Mattei, Ashley Mary McCarthy, Fiona Lowe, and Thuthirna Sathiyaseelan. "Embedding third sector psychology services within the probation environment: an alternative to MHTRs." Journal of Criminal Psychology 10, no. 1 (December 25, 2019): 16–29. http://dx.doi.org/10.1108/jcp-04-2019-0013.

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Purpose The use of mental health treatment requirements (MHTRs) has not proven to be successful at meeting the mental health needs of the probation population in the UK, largely through underuse of the requirement or lack of available services. The paper aims to discuss this issue. Design/methodology/approach This paper investigates a method of meeting those needs without the use of MHTRs by embedding third sector services within the probation environment. Findings Results indicate a significant impact after a six-month follow-up in symptomology across measures of depression, anxiety, general distress and social functioning; also indicated is a significant result on recidivism, with 74 per cent of participants committing no further offences in the 12 months following treatment. Originality/value These results represent the only evaluation of embedded, third sector mental health services in a probation environment in the UK, and highlight a further need to embed specialist mental health services within the probation environment and generalise that practice to other forms of service structure and therapeutic methodology.

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Haas, Scott, Kathy Vincent, Joseph Holt, and Steven Lippmann. "Divalproex: a Possible Treatment Alternative for Demented, Elderly Aggressive Patients." Annals of Clinical Psychiatry 9, no. 3 (September 1, 1997): 145–47. http://dx.doi.org/10.3109/10401239709147789.

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Journal articles on the topic 'Mental Alternative treatment'

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