Academic literature on the topic 'Psychiatry hospitals'
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Journal articles on the topic "Psychiatry hospitals"
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Gehri, Beatrice, Stefanie Bachnick, René Schwendimann, and Michael Simon. "Matching Registered Nurse Services With Changing Care Demands in Psychiatric Hospitals: Protocol for a Multicenter Observational Study (MatchRN Psychiatry Study)." JMIR Research Protocols 10, no. 8 (August 17, 2021): e26700. http://dx.doi.org/10.2196/26700.
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Background The quality of care is often poorly assessed in mental health settings, and accurate evaluation requires the monitoring and comparison of not only the outcomes but also the structures and processes. The resulting data allow hospital administrators to compare their patient outcome data against those reported nationally. As Swiss psychiatric hospitals are planned and coordinated at the cantonal level, they vary considerably. In addition, nursing care structures and processes, such as nurse staffing, are only reported and aggregated at the national level, whereas nurse outcomes, such as job satisfaction or intention to leave, have yet to be assessed in Swiss psychiatric hospitals. Because they lack these key figures, psychiatric hospitals’ quality of care cannot be reasonably described. Objective This study’s purpose is to describe health care quality by exploring hospital structures such as nurse staffing and the work environment; processes such as the rationing of care; nurse outcomes, including job satisfaction and work-life balance; and patients’ symptom burden. Methods MatchRN Psychiatry is a multicenter observational study of Swiss psychiatric hospitals. The sample for this study included approximately 1300 nurses from 113 units of 13 psychiatric hospitals in Switzerland’s German-speaking region. In addition, routine patient assessment data from each participating hospital were included. The nurse survey consisted of 164 items covering three dimensions—work environment, patient safety climate, and the rationing of care. The unit-level questionnaire included 57 items, including the number of beds, number of nurses, and nurses’ education levels. Routine patient data included items such as main diagnosis, the number and duration of freedom-restrictive measures, and symptom burden at admission and discharge. Data were collected between September 2019 and June 2021. The data will be analyzed descriptively by using multilevel regression linear mixed models and generalized linear mixed models to explore associations between variables of interest. Results The response rate from the nurse survey was 71.49% (1209/1691). All data are currently being checked for consistency and plausibility. The MatchRN Psychiatry study is funded by the participating psychiatric hospitals and the Swiss Psychiatric Nursing Leaders Association (Vereinigung Pflegekader Psychiatrie Schweiz). Conclusions For the first time, the MatchRN Psychiatry study will systematically evaluate the quality of care in psychiatric hospitals in Switzerland in terms of organizational structures, processes, and patient and nurse outcomes. The participating psychiatric hospitals will benefit from findings that are relevant to the future planning of nurse staffing. The findings of this study will contribute to improvement strategies for nurses’ work environments and patient experiences in Swiss psychiatric hospitals. International Registered Report Identifier (IRRID) DERR1-10.2196/26700
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Perlman, Christopher M., Jane Law, Hui Luan, Sebastian Rios, Dallas Seitz, and Paul Stolee. "Geographic Clustering of Admissions to Inpatient Psychiatry among Adults with Cognitive Disorders in Ontario, Canada: Does Distance to Hospital Matter?" Canadian Journal of Psychiatry 63, no. 6 (February 6, 2018): 404–9. http://dx.doi.org/10.1177/0706743717745870.
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Objective: This study examined relationships among hospital accessibility, socio-economic context, and geographic clustering of inpatient psychiatry admissions for adults with cognitive disorders in Ontario, Canada. Method: A retrospective cross-sectional analysis was conducted using admissions data from 71 hospitals with inpatient psychiatry beds in Ontario, Canada between 2011 and 2014. Data included 7,637 unique admissions for 4,550 adults with a DSM-IV diagnosis of Delirium, Dementia, Amnestic and other Cognitive Disorders. Bayesian spatial Poisson regression was employed to examine the relationship between accessibility of general hospitals with psychiatric beds and psychiatric hospitals, area-level marginalization, and hospitalization rate with the risk of admission to inpatient psychiatry among adults with cognitive disorders across 516 Forward Sortation Areas (FSA) in Ontario. Results: Residential instability and the overall hospitalization rate were significantly associated with an increase in the relative risk of admissions to inpatient psychiatry. Accessibility to general hospitals and psychiatric hospitals were marginally insignificant at the 95% credible interval in the final model. Significant geographic clustering of admissions was identified where individuals residing in FSA's with the highest relative risk were 2.0 to 7.1 times more likely to be admitted to inpatient psychiatry compared to the average. Conclusions: Geographic clustering of inpatient psychiatry admissions for adults with cognitive disorders exists across the Province of Ontario, Canada. At the geographic level, the risk of admission was positively associated with residential instability and the overall hospitalization rate, but not distance to the closest general or psychiatric hospital.
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Harpøth, A., H. Kennedy, and L. Sørensen. "Modernized architecture may reduce coercion." European Psychiatry 64, S1 (April 2021): S127—S128. http://dx.doi.org/10.1192/j.eurpsy.2021.357.
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IntroductionPrevention and treatment of aggression in psychiatric hospitals is achieved through appropriate medical treatment, professional skills, and optimized physical environment and architecture. Coercive measures are used as a last resort. In 2018 Aarhus University Hospital Psychiatry moved from 19th-century asylum buildings to a newly built modern psychiatric hospital. Advances within psychiatric care have rendered the old psychiatric asylum hospitals inadequate for modern treatment of mental disorders.ObjectivesTo examine if relocating from a psychiatric hospital, dating from 19th century to a new, modern psychiatric hospital decreased the use of coercive measures.MethodsThis is a retrospective longitudinal study, with a follow-up from 2017 to 2019. We use two designs; 1) a pre-post analysis of the use of coercive measures at Aarhus University Hospital Psychiatry before and after the relocation and 2) a case-control analysis of Aarhus University Hospital Psychiatry and the other psychiatric hospitals in the Central Region. Data will be analyzed in STATA using an interrupted time-series analysis or similar method. Additionally case-mix and sensitivity analysis will be performed.ResultsPreliminary results show a 45% decrease in the total number of coercive measures and a 52% decrease in the use of mechanical restraint. The reduction that may reasonably be attributed to the relocation is still to be determined and will be presented at the congress.ConclusionsThe study may illuminate how future development and planning of psychiatric facilities might improve psychiatric treatment and increase the understanding of how structural changes might contribute the prevention of the use of coercive measures.DisclosureNo significant relationships.
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Fraser, R. M., and Rosemary Healy. "Psychogeriatric Liaison: A Service to a District General Hospital." Bulletin of the Royal College of Psychiatrists 10, no. 11 (November 1986): 312–14. http://dx.doi.org/10.1192/pb.10.11.312.
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Liaison psychiatry has been an influential element in hospital psychiatric practice for over a decade now. It is concerned with the ‘diagnosis, treatment, study, and prevention of psychiatric disorders among patients in non-psychiatric health care institutions, especially in general hospitals’. This paper describes and evaluates a project in which the principles of liaison psychiatry were incorporated into a psychogeriatric service.
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Black, Eddie, Richard Moore, and Tony Whitehead. "A Psychiatric Service Almost Without a Psychiatric Hospital." Bulletin of the Royal College of Psychiatrists 10, no. 2 (February 1986): 29–31. http://dx.doi.org/10.1192/s0140078900026651.
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For the past twenty years or more it has been suggested that all our large psychiatric hospitals should be closed and psychiatry transferred to the community. This idea has generated a large amount of discussion, innumerable papers and much anxiety. More recently it has become the stated objective of the Department of Health, and now every region in the country is making concrete plans to transfer psychiatry from the mental hospital to facilities in the community with the definite objective of closing down psychiatric hospitals within a measurable time. Naturally this has generated even more discussion—and even more anxiety.
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Mayou, Richard. "The History of General Hospital Psychiatry." British Journal of Psychiatry 155, no. 6 (December 1989): 764–76. http://dx.doi.org/10.1192/bjp.155.6.764.
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General hospital psychiatry in Britain began in 1728, and thereafter several new voluntary hospitals provided separate wards for lunatics, but none survived beyond the middle of the 19th century. Less severe nervous organic disorder has always been common in the general wards of voluntary hospitals, and was accepted as the responsibility of neurologists and other physicians; all forms of disorder were admitted to the infirmaries of workhouses. During the present century psychiatrists began to take an interest in non-certifiable mental illnesses and in working in general hospitals. Out-patient clinics became more common following the Mental Treatment Act 1930. The growth of general hospital psychiatric units in the last 30 years began amidst controversy, but has received little recent critical attention.
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Foster, Paul. "Working in consultation-liaison psychiatry in the USA." Psychiatric Bulletin 13, no. 3 (March 1989): 123–26. http://dx.doi.org/10.1192/pb.13.3.123.
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Consultation-liaison psychiatry had its inception in North America, the term making its first appearance in the 1930s to describe the department at Colorado General Hospital in Denver. As Mayou (1987) points out, when comparing British and American liaison services, the role, boundaries, and organisation of this subspecialty are very different in the two countries. Money and resources do not exist in Britain within the National Health Service to provide the extent of involvement liaison psychiatry now enjoys with the general wards of many American hospitals. Thomas (1985) refers to basic differences between the countries. He points out that few British district general hospitals have consultation psychiatric units now in place and that the theoretical background of psychiatrists in the two countries are different. In addition, he suggests that there may well be differences in the referral patterns and expectations with regard to psychiatric consultation requirements of general hospital doctors in the two health care systems.
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Marlowe, Karl. "Psychiatry in Bermuda." Psychiatric Bulletin 23, no. 4 (April 1999): 236–37. http://dx.doi.org/10.1192/pb.23.4.236.
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Bermuda has one psychiatric hospital, which is organised along a programme model; an acute programme, a rehabilitation programme, a child and adolescent programme, a substance misuse programme and a learning disability programme. Bermuda has good resources and the majority of staff are trained in British hospitals. There has been a shift away from the stigma of mental hospitals towards a more community-oriented mental health service.
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Yeatman, Richard. "A Survey of Alcohol and Drug Services to General Hospitals in Australia." Australasian Psychiatry 13, no. 2 (June 2005): 124–28. http://dx.doi.org/10.1080/j.1440-1665.2005.02174.x.
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Objective: To determine the structure and function of alcohol and drug services to general hospitals in Australia, and to examine the role psychiatry plays in those services. Method: A survey of 15 large metropolitan hospitals was conducted. Results: Services differed considerably between hospitals, and psychiatric involvement was not prominent in most. Conclusions: One of the challenges is to structure the administration of services so that they have a profile within the general hospital as well as close connectionwith community services. Psychiatrists must become more proactive in the area to reinforce what they have to offer these patients and to provide mentorship and training to psychiatric trainees in the field.
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Suzuki, Akihito. "Japanese imperial psychiatry in Tokyo: two Korean immigrants in a psychiatric hospital, 1920-1945." História, Ciências, Saúde-Manguinhos 29, suppl 1 (2022): 47–59. http://dx.doi.org/10.1590/s0104-59702022000500004.
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Abstract During the first half of the twentieth century, Western psychiatry was quickly absorbed in Japan, particularly the versions from Germany and Austria. By 1940, over 130 psychiatric hospitals were caring for approximately thirty thousand patients in cities, while in rural areas about sixty thousand people still depended on family members for care. Japan’s empire expanded during this same period, and many immigrants came to the country. Growth in immigration from Korea was particularly important. Korean immigrants encountered Japanese psychiatric hospitals during the second quarter of the twentieth century, and this paper examines the complex nature of their hospital stays.
Dissertations / Theses on the topic "Psychiatry hospitals"
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Hanrath, Sabine. "Zwischen "Euthanasie" und Psychiatriereform : Anstaltspsychiatrie in Westfalen und Brandenburg - ein deutsch-deutscher Vergleich (1945-1964) /." Paderborn : Schöningh, 2002. http://catalogue.bnf.fr/ark:/12148/cb389024447.
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Harvey, Diane D. (Diane Dawn). "Longitudinal Evaluation of a Child/Adolescent Psychiatric Program." Thesis, University of North Texas, 1994. https://digital.library.unt.edu/ark:/67531/metadc277736/.
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Children and adolescent psychiatric inpatients (n = 25) versus staff (n = 35) milieu perceptions were measured with the Ward Atmosphere Scale (WAS) Form K (Kids). The perceptions were compared with previous data collected in 1981, 1982, and 1984 on the same unit. The 1993 staff and patients continued to perceive the unit as a therapeutic environment despite recent restrictions on length of stay due to health care reform. The views of the staff and patients were found to be divergent but less so than in previous years. Additionally, the more seriously ill a patient was determined to be, the more negatively he or she perceived the environment. Differences in perceptions between day shift versus night shift and administrative versus non-administrative staff were also found and discussed. Staff perceptions versus their ideal conceptions were also investigated and compared with those of the 1984 staff. The 1994 staff was found to more closely approximate their ideals than the 1984 staff.
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Kelly, Brendan D. "Custody, care and criminality : clinical aspects of forensic psychiatric institutionalisation in late nineteenth- and early twentieth-century Ireland." Thesis, University of Northampton, 2011. http://nectar.northampton.ac.uk/8866/.
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Wade, Louise. "Understanding staff-level factors and patient aggression in psychiatric hospitals." Thesis, University of Nottingham, 2017. http://eprints.nottingham.ac.uk/41810/.
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Background: The cause of patient aggression is a very complex question, and it continues to be a challenging phenomenon in psychiatric inpatient services. This thesis provides a broad investigation into nursing staff attitudes towards inpatient aggression. Individual factors such as the history of violence are well studied. However, staff-level factors have received less attention. Aims and Objectives: The main purpose of this thesis was to explore and expand the knowledge base of nursing staff attitudes toward patient aggression in secure psychiatric hospitals. The four questions of this thesis were; 1. What does the literature suggest about the psychological and emotional effects of inpatient aggression on nurses working in psychiatric settings? (Chapter 2). 2. What are the factors associated with nurses’ attitudes towards patient aggression in UK secure psychiatric hospitals? (Chapter 4). 3. Is the Attitude Toward Aggression Scale (ATAS; Jansen et al., 2006a; 1997; 2005b) a suitable measure for assessing nurses’ attitudes towards patient aggression? (Chapter 3). 4. What are the benefits of using a direct staff-level intervention that utilises the positive behavioural support (PBS) philosophy when targeting attitudes towards patient aggression? (Chapter 5). Method: To answer the first research question a systematic review was completed to explore current literature focusing on the psychological and emotional effects of patient aggression (Chapter 2). A critical review was then conducted to explore the psychometric properties of the ATAS, a tool commonly used within psychiatric services to help monitor and evaluate attitudes towards patient aggression (Chapter 3). An empirical research study using quantitative measures was developed to explore nursing staff attitudes towards patient aggression in UK secure psychiatric hospitals (Chapter 4). Finally, a case study presents the effectiveness of a direct staff-level intervention on nurses’ attitudes and the management of patient aggression in a secure psychiatric hospital (Chapter 5). Overall Findings: 1. The systematic review (Chapter 2) identified several psychological and emotional effects when exposed to inpatient aggression. Psychiatric nurses were found to suffer from occupational stress, psychological strain and post-traumatic stress disorder symptoms. State anxiety was found to be the main emotional effect. 2. The psychometric review of the ATAS (Chapter 3) raised questions regarding the face validity, content validity, predictive validity, concurrent validity, and construct validity. The internal reliability was deemed satisfactory, whereas the test-retest reliability is yet to be explored. 3. The results from the primary study (Chapter 4) showed that the respondents viewed patient aggression as destructive. Verbal aggression was the most prevalent predictor for the communicative, protective, and intrusive attitude domains, whilst working with the female population was associated with having a destructive attitude. 4. This case study (Chapter 5) highlights the benefit of conducting a direct staff-level intervention when targeting attitudes towards patient aggression. There was a positive shift in how staff evaluated patient aggression following this intervention. The data also evidenced improvements in the patient’s ability to cope with anger-provoking situations, along with a reduction in the frequency and intensity of aggressive incidents. Conclusion: Nurses’ attitudes towards patient aggression have been found to influence the type of management strategies used. A better understanding of the sources of them may provide a useful guide when designing and developing cost-effective organisational interventions aimed to reduce the need for restrictive interventions in inpatient settings. This can help promote positive and proactive care and create a safer environment for both patients and staff.
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Silva, Renata Prudêncio da. "Medicina, educação e psiquiatria para a infância: o Pavilhão-Escola Bourneville no início do século XX." reponame:Repositório Institucional da FIOCRUZ, 2008. https://www.arca.fiocruz.br/handle/icict/3995.
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Previous issue date: 2008Esta dissertação tem como objetivo analisar a criação do Pavilhão-Escola Bourneville do Hospício Nacional de Alienados no início do século XX, primeira instituição brasileira para a assistência a crianças anormais. Descreve os diferentes personagens e idéias que estavam implicadas na criação deste Pavilhão. Com relação ao campo científico, destaca o conhecimento então produzido sobre os diagnósticos relativos à infância e sobre o método médico-pedagógico empregado no Pavilhão. Busca-se assim perceber as vias pelas quais a criança se constituiu em objeto não somente da ciência psiquiátrica, mas também das políticas públicas a ela relacionada naquele período. A pesquisa observa que a criação do Pavilhão-Escola Bourneville se insere num contexto mais amplo de constituição de uma assistência à infância vinculada aos ideais republicanos de construção de uma nação civilizada nos moldes europeus. Neste sentido, demonstra que o investimento da ciência e da assistência psiquiátrica no período em questão em relação à infância foi contemporâneo aos esforços no campo da medicina e educação, voltados para a construção de instituições e intervenções sociais que representavam a criança como o futuro da nação e, portanto, objeto privilegiado de atenção (AU)
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Kapila, Shruti. "The making of colonial psychiatry Bombay presidency, 1849-1940 /." Thesis, Online version, 2002. http://ethos.bl.uk/OrderDetails.do?did=1&uin=uk.bl.ethos.269728.
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Muñoz, Pedro Felipe Neves de. "Degeneração atípica: uma incursão ao arquivo de Elza." reponame:Repositório Institucional da FIOCRUZ, 2010. https://www.arca.fiocruz.br/handle/icict/6099.
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Previous issue date: 2010Esta investigação histórica da teoria e prática psiquiátrica no Brasil pretende analisar os Estados Atípicos de Degeneração, um grupo de categorias diagnósticas sugerido pela Classificação Psiquiátrica da Sociedade Brasileira de Psiquiatria, Neurologia e Medicina-Legal, em 1910. Para realização deste estudo, selecionamos um caso clínico específico do Pavilhão de Observação, instituição que se localizava no complexo do antigo Hospício Nacional de Alienados, responsável pelo ensino de psiquiatria e triagem de pacientes. Este caso versa sobre uma mulher alemã, denominada em nossa pesquisa de Elza, que se envolveu em uma trama de intrigas que culminou em sua internação no Pavilhão de Observação, em junho de 1925, através da polícia e a pedido do marido, sob a alegação de abandono do lar conjugal, adultério e suspeita de loucura. No Pavilhão, Elza foi diagnosticada como portadora de um estado atípico de degeneração, com síndrome paranóide de interpretação e delírio de ciúmes , conseguindo sair de lá através de um habeas corpus. Nosso principal objetivo é analisar as relações entre gênero, prática psiquiátrica e degeneração atípica, através de uma incursão no arquivo de Elza, caracterizado por uma rede de discursos que articularam disputas por autoridade e verdade entre os diferentes protagonistas do caso. Nesse sentido, seguindo o curso das atipicidades desta história, nós iremos debater as diferenças culturais, questões de classe social, gênero e direitos civis dos homens e mulheres na legislação brasileira e alemã, nas primeiras décadas do século XX.
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Jabert, Alexander. "De médicos e médiuns: medicina, espiritismo e loucura no Brasil da primeira metade do século XX." reponame:Repositório Institucional da FIOCRUZ, 2008. https://www.arca.fiocruz.br/handle/icict/3985.
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Previous issue date: 2008Fundação Oswaldo Cruz. Casa de Oswaldo Cruz. Rio de Janeiro, RJ, Brasil.
Este estudo tem como objetivo investigar como foi construída, no Brasil, uma forma de terapêutica e de saber de orientação kardecista sobre a loucura, tomando também como aspecto a ser investigado a percepção e o posicionamento da classe médico-psiquiátrica diante desse saber, que era, e ainda é, embora de forma menos contundente, seu concorrente pela hegemonia do tratamento da loucura e do louco. Destaco, neste estudo, os pontos de aproximação e de afastamento que podem existir entre as estratégias de atuação dessas duas propostas de intervenção sobre este mesmo objeto. Nesse sentido, este trabalho se propõe a investigar o modelo espírita de definição e tratamento da loucura e os efeitos que esta produção conceitual produziu no interior da própria classe médica. Também pretendo analisar como se deu o estabelecimento de instituições destinadas à internação de alienados, dirigidas por associações de doutrina espírita e possuidoras de um modelo próprio de tratamento.
This academic work has the objective to investigate how a therapeutic form and Kardecist knowledge regarding madness was built in Brazil, also investigating the perception and approach of the medical and psychiatric class with regards to this knowledge, that was and still is, even though in a less incisive manner, its competitor for the leadership in the treatment of madness and the insane. In this study I have emphasized the approach and exclusion that might exist between the strategies of these two intervention proposals regarding the same subject. In such a manner, this paper proposes to investigate the spiritualist model of defining and treating madness and the effects that this conceptual production caused within the medical class in itself. I also intend to analyze how the installation of the institutions destined for the internment of the insane was made and managed by associations with spiritualist doctrine which had their own forms of treatment.
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Hansson, Desiree Shaun. "A prototype fact sheet designed for the development of a forensic computerized information system at Valkenberg and Lentegeur Hospitals." Master's thesis, University of Cape Town, 1987. http://hdl.handle.net/11427/15865.
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Includes bibliography.The discussion in this paper centers around the development of a paper-and-pencil fact sheet for collecting and systematizing forensic case material. This paper-and-pencil device is the prototype fact sheet that will be used to collect the data to form a computerized, forensic information system. The system, known as FOCIS, the Forensic Computerized Information System, will serve the largest Forensic Unit in the Western Cape, at Valkenberg Hospital, and the new unit that is being developed at Lentegeur Hospital. FOCIS will comprise case material from all forensic referrals to these two hospitals, under the present law: Sections 77, 78 and 79 of the Criminal Procedure Act 51 of the 1st of July 1977. Additionally, FOCIS will develop dynamically, continuing to incorporate case material as referrals are made to these hospitals. The estimated 7500 cases that will constitute FOCIS by the time this project is completed, include all of the officially classified population groups of South Africa, i.e. the so-called 'black', 'coloured' and 'white' groups [POPULATION REGISTRATION ACT, 1982]. The prototype fact sheet has a schematic layout and uses a mixed-format for data collection, i.e. checklists, multiple choice answer-options and semi-structured narrative text.
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Seixas, Andre Augusto Anderson. "Instituto de Psiquiatria - FMUSP: o contexto histórico social em São Paulo entre as décadas de 1920 a 1950 para recepção da psiquiatria como um saber médico." Universidade de São Paulo, 2012. http://www.teses.usp.br/teses/disponiveis/5/5142/tde-03092012-092731/.
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A hist,,ria da psiquiatria vem despertando maior interesse nos ...ltimos anos. Contudo, ainda h+ grande escassez de informaEUROEes a respeito da hist,,ria desta +rea da medicina, o que , fundamental para uma melhor compreenso das transformaEUROEes do pensamento m,dico-psiqui+trico em nosso meio. O conhecimento profundo dos conceitos relativos Books on the topic "Psychiatry hospitals"
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Crossroads in psychiatry: A history of the McLean Hospital. Washington, DC: American Psychiatric Press, 1986.
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Dowie, Robin. General psychiatry. London: H.M.S.O., 1991.
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1953-, Thienhaus Ole J., ed. Manual of clinical hospital psychiatry. 2nd ed. Washington, DC: American Psychiatric Press, 1995.
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Grenzen der Anstalt: Psychiatrie und Gesellschaft in Deutschland, 1860-1980. Göttingen: Wallstein, 2010.
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1928-, Hackett Thomas P., Weisman Avery D, and Kucharski Anastasia, eds. Psychiatry in a general hospital: The first fifty years. Littleton, Mass: PSG Pub. Co., 1987.
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Shereshevskiĭ, A. M. Chastnye psikhiatricheskie lechebnit͡s︡y Rossii v XIX-nachale XX stoletii͡a︡. Sankt-Peterburg: Sankt-Peterburgskiĭ nauchno-issl. psikhonevrologicheskiĭ in-t im. V.M. Bekhtereva, 1995.
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Madness in its place: Narratives of Severalls Hospital, 1913-1997. London: Routledge, 1998.
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Lütfü, Hanoğlu, ed. İç bahçe: Toptaşı'ndan Bakırköy'e akıl hastanesi. Nişantaşı, İstanbul: Okuyanus Yayın, 2001.
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Maura, E. Lo splendore della ragione: Storia della psichiatria ligure nell'epoca del positivismo. Genova: La clessidra, 1999.
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Liberi tutti: Manicomi e psichiatri in Italia : una storia del Novecento. Bologna: Il mulino, 2009.
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Schmidt, L. G., and B. Müller-Oerlinghausen. "Drug Monitoring in Psychiatric Hospitals." In Psychiatry the State of the Art, 51–55. Boston, MA: Springer US, 1985. http://dx.doi.org/10.1007/978-1-4613-2363-1_9.
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Pöldinger, W. "Organizational Problems of Psychiatric Hospitals Evolutionary Management." In Epidemiology and Community Psychiatry, 615–18. Boston, MA: Springer US, 1985. http://dx.doi.org/10.1007/978-1-4684-4700-2_93.
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Wertheimer, Jean. "The Place of Day-Hospitals in a Psychogeriatric Sectorial Organization." In Child and Adolescent Psychiatry, Mental Retardation, and Geriatric Psychiatry, 461–65. Boston, MA: Springer US, 1985. http://dx.doi.org/10.1007/978-1-4615-9367-6_74.
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Peters, Uwe Henrik. "Daily Hospital Life in One of the Early Psychiatric Hospitals (Eberbach, Rheingau 1815)." In Psychiatry The State of the Art, 31–36. Boston, MA: Springer US, 1985. http://dx.doi.org/10.1007/978-1-4757-1853-9_4.
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Boroffka, Alexander, and Wichern Haus. "The History of Mental Hospitals in Nigeria." In Psychiatry The State of the Art, 37–43. Boston, MA: Springer US, 1985. http://dx.doi.org/10.1007/978-1-4757-1853-9_5.
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Sharma, Shridhar, and L. P. Verma. "History of Mental Hospitals in Indian Sub-Continent." In Psychiatry The State of the Art, 45–52. Boston, MA: Springer US, 1985. http://dx.doi.org/10.1007/978-1-4757-1853-9_6.
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van Andel, H. "Methods of Establishing Manpower Requirements in Psychiatric Hospitals: Inventory and Future Perspectives." In Epidemiology and Community Psychiatry, 437–41. Boston, MA: Springer US, 1985. http://dx.doi.org/10.1007/978-1-4684-4700-2_65.
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Foster, Juliet. "Performance in Bethlem, Fulbourn and Brookwood Hospitals: A Social Psychological and Social Historical Examination." In Performance, Madness and Psychiatry, 42–62. London: Palgrave Macmillan UK, 2014. http://dx.doi.org/10.1057/9781137337252_3.
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Calvé, A., P. E. Muñoz, M. D. Crespo, J. J. López-Ibor, M. Duque, A. Campoy, J. M. López-Ibor, J. Santo-Domingo, J. Rallo, and J. C. Aguilera. "Point Prevalence of Psychiatric and Psychological Disorders in the General Hospitals of Madrid (Preliminary Results)." In Epidemiology and Community Psychiatry, 185–91. Boston, MA: Springer US, 1985. http://dx.doi.org/10.1007/978-1-4684-4700-2_26.
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Zanalda, Enrico, David De Cori, Grazia Ala, Alessandro Jaretti Sodano, and Marco Zuffranieri. "Violent Behavior in Forensic Residential Facilities: The Italian Experience After the Closure of Forensic Psychiatric Hospitals." In Comprehensive Approach to Psychiatry, 211–27. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-33188-7_12.
Full textConference papers on the topic "Psychiatry hospitals"
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CLERCQ, M. DE. "CRISIS INTERVENTION AND PSYCHIATRIC EMERGENCIES AT THE EMERGENCY ROOM OF GENERAL HOSPITALS: WHICH MINIMAL MODEL?" In IX World Congress of Psychiatry. WORLD SCIENTIFIC, 1994. http://dx.doi.org/10.1142/9789814440912_0217.
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Soltes, Soltes. "SLOVAK HOSPITALS EFFICIENCY - APPLICATION OF THE DATA ENVELOPMENT ANALYSIS." In SGEM 2014 Scientific SubConference on PSYCHOLOGY AND PSYCHIATRY, SOCIOLOGY AND HEALTHCARE, EDUCATION. Stef92 Technology, 2014. http://dx.doi.org/10.5593/sgemsocial2014/b12/s2.099.
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Aziz, Ayesha, and Nashi Khan. "PERCEPTIONS PERTAINING TO STIGMA AND DISCRIMINATION ABOUT DEPRESSION: A FOCUS GROUP STUDY OF PRIMARY CARE STAFF." In International Psychological Applications Conference and Trends. inScience Press, 2021. http://dx.doi.org/10.36315/2021inpact013.
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"The present study was conducted to explore the perception and views of primary care staff about Depression related Stigma and Discrimination. The Basic Qualitative Research Design was employed and an In-Depth Semi-Structured Discussion Guide consisted of 7 question was developed on the domains of Pryor and Reeder Model of Stigma and Discrimination such as Self-Stigma, Stigma by Association, Structural Stigma and Institutional Stigma, to investigate the phenomenon. Initially, Field Test and Pilot study were conducted to evaluate the relevance and effectiveness of Focus Group Discussion Guide in relation to phenomena under investigation. The suggestions were incorporated in the final Discussion Guide and Focus Group was employed as a data collection measure for the conduction of the main study. A purposive sampling was employed to selected a sample of Primary Care Staff (Psychiatrists, Medical Officers, Clinical Psychologists and Psychiatric Nurses) to elicit the meaningful information. The participants were recruited from the Department of Psychiatry of Pakistan Medical and Dental Council (PMDC) recognized Private and Public Sector hospitals of Lahore, having experience of 3 years or more in dealing with patients diagnosed with Depression. However, for Medical Officers, the experience was restricted to less than one year based on their rotation. To maintain equal voices in the Focus Group, 12 participants were approached (3 Psychiatrist, 3 Clinical Psychologists, 3 Medical Officers and 3 Psychiatric Nurses) but total 8 participants (2 Psychiatrists, 2 Medical Officers, 3 Clinical Psychologists And 1 Psychiatric Nurse) participated in the Focus Group. The Focus Group was conducted with the help of Assistant Moderator, for an approximate duration of 90 minutes at the setting according to the ease of the participants. Further, it was audio recorded and transcribed for the analysis. The Braun and Clarke Reflexive Thematic Analysis was diligently followed through a series of six steps such as Familiarization with the Data, Coding, Generating Initial Themes, Reviewing Themes, Defining and Naming Themes. The findings highlighted two main themes i.e., Determining Factors of Mental Health Disparity and Improving Treatment Regimen: Making Consultancy Meaningful. The first theme was centered upon three subthemes such as Lack of Mental Health Literacy, Detached Attachment and Components of Stigma and Discrimination. The second theme included Establishing Contact and Providing Psychoeducation as a subtheme. The results manifested the need for awareness-based Stigma reduction intervention for Primary Care Staff aims to provide training in Psychoeducation and normalization to reduce Depression related Stigma and Discrimination among patients diagnosed with Depression."
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Darie, Cristina, Diana Bulgaru Iliescu, Sorin Ungurianu, and Anamaria Ciubara. "THE ONSET OF DEMENTIA THROUGH THE COTARD SYNDROME - THE DELIRIUM OF NEGATION." In The European Conference of Psychiatry and Mental Health "Galatia". Archiv Euromedica, 2023. http://dx.doi.org/10.35630/2022/12/psy.ro.21.
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ICD-10 (The ICD-10 Classification of Mental and Behavioral Disorders. Clinical description and diagnostic guidelines) Introduction. Cotard syndrome is a neuropsychiatric pathology that is uncommon in medical practice but has a significant impact on public awareness of the importance of mental health. This mental disorder is also known as negation delirium, living dead syndrome, nihilistic delirium, or walking corpse syndrome. Objectives. A clinical case of a patient diagnosed with dementia due to late-onset Alzheimer's disease is presented; dementia also includes symptoms of Cotard's syndrome. Over time, the transmission of knowledge and data about Cotard Syndrome, despite its very low frequency, has become a pathology that intrigues and inspires curiosity among individuals. Consciousness of the existence of this delirious illness and the accurate definition of the symptoms of a dual diagnosis are required in a number of psychiatric pathologies. Method. This document was created using the "Elisabeta Doamna" psychiatry hospital Database from Galati, Romania, where patient data was acquired and admitted to the Psychiatry Clinic Section II. In addition, a variety of bibliographical references and diagnostic criteria were utilized, including the ICD-10 (the Classification of Mental and Behavioral Disorders, Clinical Description, and Diagnostic Guidelines), the DSM-5 (the Diagnostic and Statistical Manual of Mental Disorders), and the psychometric tests: the MMSE (the Mini Mental Status Test) and the GAFS (the Global Functioning Assessment Scale). Results and Conclusions Despite having no psychiatric history, the patient arrived at the psychiatric hospital after experiencing psychiatric symptoms caused by both Alzheimer's disease and Cotard's syndrome, symptoms that were ignored and gradually deteriorated, resulting in full-blown delirium, rapid dementia degradation, and a not-very-favorable outlook.
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Damian, Maria-Cristina, Mihai Terpan, Doina Carina Voinescu, Alexandru Paul Baciu, Carmen Gavrila, Alexia Balta, and Anamaria Ciubara. "EATING DISORDERS ASSOCIATED WITH MOOD [AFFECTIVE] DISORDERS." In The European Conference of Psychiatry and Mental Health "Galatia". Archiv Euromedica, 2023. http://dx.doi.org/10.35630/2022/12/psy.ro.27.
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Introduction: Eating disorders are mental illnesses characterised by abnormal eating habits that have a negative impact on a person's physical or mental health. In the last decade hospitalizations which included eating disorders increased among all age groups. The assessment of eating disorders associated with affective disorders has important clinical implications, but the standard psychiatric classification DSM-5 (American Psychiatry Association, 2013) and ICD-10 (World Health Organization, 1993) are limited. Objectives: The current study aims to broaden the evaluation of this association and better understand its clinical implications. In addition, the study's goal is to comprehend the implications of eating disorders in Galaţi County. Method: We conducted a retrospective study on 147 patients with eating disorders and mood [affective] disorders who were admitted to the Psychiatry Hospital "Elisabeta Doamna" Galati between January 1 and February 1, 2019.We used ICD-10 (Classification of Mental and Behavioral Disorders) and DSM-5 criteria for diagnosis (Diagnostic and Statistical Manual of Mental Disorders). Results: In the period from 1 January 2019 - 1 February 2019 a total of 1131 patients was admitted in the Psychiatry Hospital, Of these, 147 were diagnosed with mood (affective) disorders, of whom 17 patients (12%) associated disorder and food as well as the independent disorder. Among these patients, the percentage of women with eating disorders associated with the affective disorder was 82 % and the percentage of men was 18 %. Conclusions: According to the findings, women are more likely to associate eating disorders with mood [affective] disorders. We also found a poor relationship between eating disorders and affective disorders, with eating disorders being associated with a high percentage of other psychiatric disorders, which is represented by alcohol and substance use, but also by high-impact diseases like Alzheimer's disease and schizophrenia.
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Enayati, Moein, and Marjorie Skubic. "Respiratory Arrest Monitoring: A Non-Invasive Approach for Early Detection of Breathing Complexities in Psychiatric Patients." In 2020 Design of Medical Devices Conference. American Society of Mechanical Engineers, 2020. http://dx.doi.org/10.1115/dmd2020-9087.
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Abstract Background: Current protocol for monitoring high-risk patients in psychiatric hospital calls for a staff member to enter each room every 15 minutes to visually ensure that each patient is still breathing. This protocol has been set up for fast intervention in the case of a patient’s self-inflicting harm. However, this procedure is disruptive to the patients and a burden for the care providers. Objective: Continuous and automated overnight monitoring of psychiatric patients for a complete cessation of breath, that eliminates the need for frequent in-person checks. Method: An IRB approved study conducted in a simulated lab environment, with a radar device placed in the ceiling above the bed. 14 volunteers simulated episodes of respiratory arrest. Results: The extracted radar signal not only tracks the episodes of complete breath cessation but also estimates the respiration rate with more than 92% accuracy, during normal breathing. Conclusion: Our proposed approach provides the means for care providers in psychiatric hospitals to ensure the patients can breathe without disturbing the patients’ sleep.
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"DUAL PATHOLOGY AND CRIMINAL BEHAVIOR IN PATIENTS CONSIDERED NOT GUILTY BY REASON OF INSANITY. A RETROSPECTIVE STUDY." In 23° Congreso de la Sociedad Española de Patología Dual (SEPD) 2021. SEPD, 2021. http://dx.doi.org/10.17579/sepd2021p124s.
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Objectives Previous studies have reported that substance misuse (including alcohol) was the strongest risk factor for violence among psychiatric diagnoses, and absolute rates of violence perpetration of over 10% in substance misuse have been found, meaning that it is an important adverse outcome for clinicians to consider. However, very few studies exist about differences in individuals considered not guilty by reason of insanity (NGRI) with only a primary psychiatric diagnosis and those with dual pathology. This study aims to compare these two groups regarding criminal history and violence. Material and Methods We analyzed a sample of 44 inpatients committed under security measure in the Forensic Psychiatry Regional Department of Lisbon’s Psychiatric Hospital Centre, after being deemed NGRI and dangerous. Data regarding previous history of substance use, psychiatric disorder and criminal history was retrospectively collected. Results and conclusions Unlike what is described in literature for other groups, in our sample of NGRI patients, dual pathology was significantly associated to having no previous violent behavior; furthermore, regarding the offense for which they were considered NGRI, patients with dual pathology were not more likely to have committed a violent crime when compared with patients with only a primary diagnosis. This may be explained because the primary illness (and not other psychosocial factors or substance misuse) was considered the primary reason for having committed the offense, and many patients were committed for domestic violence in the context of developmental disorders, an independent risk factor for violence against relatives. There was no difference between the two groups regarding other variables. Our study highlights that drug and substance misuse may be a less important factor regarding violence in the context of insanity than in other types of violence.
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Hamadani, Houshang G., and Brian Osifat. "CHILDREN'S PARTIAL HOSPITAL AT SUMMER CAMP." In IX World Congress of Psychiatry. WORLD SCIENTIFIC, 1994. http://dx.doi.org/10.1142/9789814440912_0160.
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"CANNABIS USE AND ANXIETY DISORDERS DURING PREGNANCY - DUAL DISORDER TO DUAL PATIENTS." In 23° Congreso de la Sociedad Española de Patología Dual (SEPD) 2021. SEPD, 2021. http://dx.doi.org/10.17579/sepd2021p144s.
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Objectives From clinical cases of patients observed in Perinatal Psychiatry - Setúbal Hospital Center (Portugal), we conducted a review of the impact of both cannabis use and anxiety disorders during pregnancy. Methods and material Case reports and literature review of PubMed for cannabis use, anxiety disorders and pregnancy. Results and conclusions In Outpatient Perinatal Psychiatry we observed women with anxiety disorders who reported using cannabis during pregnancy. Indeed, pregnancy is a highly vulnerable period to the onset or worsening of previous anxiety symptoms. Anxiety disorders may adversely impact not only the mother, but also fetal maturation and child development. In fact, preterm labor and low birth weight are consistently linked with anxiety during pregnancy. Recent studies reveal a general increase in the use of cannabis during pregnancy, representing the most commonly used illicit drug during the perinatal period. The endocannabinoid system appears to be involved in the regulation of human fertility and pregnancy. Although still conflicting, there is data demonstrating that cannabis use during pregnancy is associated with stillbirth, preterm birth, small for gestational age, low birth weight, smaller head circumferences and increased admission to neonatal intensive care units. The use of cannabis during pregnancy is frequently a way to improve symptoms of anxiety disorders. All patients should be screened to substance use comorbid to other frequent psychiatric disorders during pregnancy, such as anxiety disorders, in order to improve the health and well-being not only of the mother, but also of the developing baby, as a dual disorder has a negative effect in both individuals.
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GRANGER, B., C. ALBERQUE, and Q. DEBRAY. "ANXIETY CENTER AT LAENNEC HOSPITAL: FIRST EPIDEMIOLOGICAL RESULTS." In IX World Congress of Psychiatry. WORLD SCIENTIFIC, 1994. http://dx.doi.org/10.1142/9789814440912_0136.
Full textReports on the topic "Psychiatry hospitals"
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Andersen, Don. Attitudes of psychiatric nurses and aides at an Oregon state hospital toward homosexuality. Portland State University Library, January 2000. http://dx.doi.org/10.15760/etd.1991.
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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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Jurt, Dorene. A Study to Determine the Feasibility of Implementing the Joint Health Benefits Delivery Program in Obstetrics or Psychiatry at Kenner Army Community Hospital. Fort Belvoir, VA: Defense Technical Information Center, July 1986. http://dx.doi.org/10.21236/ada211953.
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Totten, Annette, Dana M. Womack, Marian S. McDonagh, Cynthia Davis-O’Reilly, Jessica C. Griffin, Ian Blazina, Sara Grusing, and Nancy Elder. Improving Rural Health Through Telehealth-Guided Provider-to-Provider Communication. Agency for Healthcare Research and Quality, December 2022. http://dx.doi.org/10.23970/ahrqepccer254.
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Objectives. To assess the use, effectiveness, and implementation of telehealth-supported provider-to-provider communication and collaboration for the provision of healthcare services to rural populations and to inform a scientific workshop convened by the National Institutes of Health Office of Disease Prevention on October 12–14, 2021. Data sources. We conducted a comprehensive literature search of Ovid MEDLINE®, CINAHL®, Embase®, and Cochrane CENTRAL. We searched for articles published from January 1, 2015, to October 12, 2021, to identify data on use of rural provider-to-provider telehealth (Key Question 1) and the same databases for articles published January 1, 2010, to October 12, 2021, for studies of effectiveness and implementation (Key Questions 2 and 3) and to identify methodological weaknesses in the research (Key Question 4). Additional sources were identified through reference lists, stakeholder suggestions, and responses to a Federal Register notice. Review methods. Our methods followed the Agency for Healthcare Research and Quality Methods Guide (available at https://effectivehealthcare.ahrq.gov/topics/cer-methods-guide/overview) and the PRISMA reporting guidelines. We used predefined criteria and dual review of abstracts and full-text articles to identify research results on (1) regional or national use, (2) effectiveness, (3) barriers and facilitators to implementation, and (4) methodological weakness in studies of provider-to-provider telehealth for rural populations. We assessed the risk of bias of the effectiveness studies using criteria specific to the different study designs and evaluated strength of evidence (SOE) for studies of similar telehealth interventions with similar outcomes. We categorized barriers and facilitators to implementation using the Consolidated Framework for Implementation Research (CFIR) and summarized methodological weaknesses of studies. Results. We included 166 studies reported in 179 publications. Studies on the degree of uptake of provider-to-provider telehealth were limited to specific clinical uses (pharmacy, psychiatry, emergency care, and stroke management) in seven studies using national or regional surveys and claims data. They reported variability across States and regions, but increasing uptake over time. Ninety-seven studies (20 trials and 77 observational studies) evaluated the effectiveness of provider-to-provider telehealth in rural settings, finding that there may be similar rates of transfers and lengths of stay with telehealth for inpatient consultations; similar mortality rates for remote intensive care unit care; similar clinical outcomes and transfer rates for neonates; improvements in medication adherence and treatment response in outpatient care for depression; improvements in some clinical monitoring measures for diabetes with endocrinology or pharmacy outpatient consultations; similar mortality or time to treatment when used to support emergency assessment and management of stroke, heart attack, or chest pain at rural hospitals; and similar rates of appropriate versus inappropriate transfers of critical care and trauma patients with specialist telehealth consultations for rural emergency departments (SOE: low). Studies of telehealth for education and mentoring of rural healthcare providers may result in intended changes in provider behavior and increases in provider knowledge, confidence, and self-efficacy (SOE: low). Patient outcomes were not frequently reported for telehealth provider education, but two studies reported improvement (SOE: low). Evidence for telehealth interventions for other clinical uses and outcomes was insufficient. We identified 67 program evaluations and qualitative studies that identified barriers and facilitators to rural provider-to-provider telehealth. Success was linked to well-functioning technology; sufficient resources, including time, staff, leadership, and equipment; and adequate payment or reimbursement. Some considerations may be unique to implementation of provider-to-provider telehealth in rural areas. These include the need for consultants to better understand the rural context; regional initiatives that pool resources among rural organizations that may not be able to support telehealth individually; and programs that can support care for infrequent as well as frequent clinical situations in rural practices. An assessment of methodological weaknesses found that studies were limited by less rigorous study designs, small sample sizes, and lack of analyses that address risks for bias. A key weakness was that studies did not assess or attempt to adjust for the risk that temporal changes may impact the results in studies that compared outcomes before and after telehealth implementation. Conclusions. While the evidence base is limited, what is available suggests that telehealth supporting provider-to-provider communications and collaboration may be beneficial. Telehealth studies report better patient outcomes in some clinical scenarios (e.g., outpatient care for depression or diabetes, education/mentoring) where telehealth interventions increase access to expertise and high-quality care. In other applications (e.g., inpatient care, emergency care), telehealth results in patient outcomes that are similar to usual care, which may be interpreted as a benefit when the purpose of telehealth is to make equivalent services available locally to rural residents. Most barriers to implementation are common to practice change efforts. Methodological weaknesses stem from weaker study designs, such as before-after studies, and small numbers of participants. The rapid increase in the use of telehealth in response to the Coronavirus disease 2019 (COVID-19) pandemic is likely to produce more data and offer opportunities for more rigorous studies.
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MacFarlane, Andrew. 2021 medical student essay prize winner - A case of grief. Society for Academic Primary Care, July 2021. http://dx.doi.org/10.37361/medstudessay.2021.1.1.
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As a student undertaking a Longitudinal Integrated Clerkship (LIC)1 based in a GP practice in a rural community in the North of Scotland, I have been lucky to be given responsibility and my own clinic lists. Every day I conduct consultations that change my practice: the challenge of clinically applying the theory I have studied, controlling a consultation and efficiently exploring a patient's problems, empathising with and empowering them to play a part in their own care2 – and most difficult I feel – dealing with the vast amount of uncertainty that medicine, and particularly primary care, presents to both clinician and patient. I initially consulted with a lady in her 60s who attended with her husband, complaining of severe lower back pain who was very difficult to assess due to her pain level. Her husband was understandably concerned about the degree of pain she was in. After assessment and discussion with one of the GPs, we agreed some pain relief and a physio assessment in the next few days would be a practical plan. The patient had one red flag, some leg weakness and numbness, which was her ‘normal’ on account of her multiple sclerosis. At the physio assessment a few days later, the physio felt things were worse and some urgent bloods were ordered, unfortunately finding raised cancer and inflammatory markers. A CT scan of the lung found widespread cancer, a later CT of the head after some developing some acute confusion found brain metastases, and a week and a half after presenting to me, the patient sadly died in hospital. While that was all impactful enough on me, it was the follow-up appointment with the husband who attended on the last triage slot of the evening two weeks later that I found completely altered my understanding of grief and the mourning of a loved one. The husband had asked to speak to a Andrew MacFarlane Year 3 ScotGEM Medical Student 2 doctor just to talk about what had happened to his wife. The GP decided that it would be better if he came into the practice - strictly he probably should have been consulted with over the phone due to coronavirus restrictions - but he was asked what he would prefer and he opted to come in. I sat in on the consultation, I had been helping with any examinations the triage doctor needed and I recognised that this was the husband of the lady I had seen a few weeks earlier. He came in and sat down, head lowered, hands fiddling with the zip on his jacket, trying to find what to say. The GP sat, turned so that they were opposite each other with no desk between them - I was seated off to the side, an onlooker, but acknowledged by the patient with a kind nod when he entered the room. The GP asked gently, “How are you doing?” and roughly 30 seconds passed (a long time in a conversation) before the patient spoke. “I just really miss her…” he whispered with great effort, “I don’t understand how this all happened.” Over the next 45 minutes, he spoke about his wife, how much pain she had been in, the rapid deterioration he witnessed, the cancer being found, and cruelly how she had passed away after he had gone home to get some rest after being by her bedside all day in the hospital. He talked about how they had met, how much he missed her, how empty the house felt without her, and asking himself and us how he was meant to move forward with his life. He had a lot of questions for us, and for himself. Had we missed anything – had he missed anything? The GP really just listened for almost the whole consultation, speaking to him gently, reassuring him that this wasn’t his or anyone’s fault. She stated that this was an awful time for him and that what he was feeling was entirely normal and something we will all universally go through. She emphasised that while it wasn’t helpful at the moment, that things would get better over time.3 He was really glad I was there – having shared a consultation with his wife and I – he thanked me emphatically even though I felt like I hadn’t really helped at all. After some tears, frequent moments of silence and a lot of questions, he left having gotten a lot off his chest. “You just have to listen to people, be there for them as they go through things, and answer their questions as best you can” urged my GP as we discussed the case when the patient left. Almost all family caregivers contact their GP with regards to grief and this consultation really made me realise how important an aspect of my practice it will be in the future.4 It has also made me reflect on the emphasis on undergraduate teaching around ‘breaking bad news’ to patients, but nothing taught about when patients are in the process of grieving further down the line.5 The skill Andrew MacFarlane Year 3 ScotGEM Medical Student 3 required to manage a grieving patient is not one limited to general practice. Patients may grieve the loss of function from acute trauma through to chronic illness in all specialties of medicine - in addition to ‘traditional’ grief from loss of family or friends.6 There wasn’t anything ‘medical’ in the consultation, but I came away from it with a real sense of purpose as to why this career is such a privilege. We look after patients so they can spend as much quality time as they are given with their loved ones, and their loved ones are the ones we care for after they are gone. We as doctors are the constant, and we have to meet patients with compassion at their most difficult times – because it is as much a part of the job as the knowledge and the science – and it is the part of us that patients will remember long after they leave our clinic room. Word Count: 993 words References 1. ScotGEM MBChB - Subjects - University of St Andrews [Internet]. [cited 2021 Mar 27]. Available from: https://www.st-andrews.ac.uk/subjects/medicine/scotgem-mbchb/ 2. Shared decision making in realistic medicine: what works - gov.scot [Internet]. [cited 2021 Mar 27]. Available from: https://www.gov.scot/publications/works-support-promote-shared-decisionmaking-synthesis-recent-evidence/pages/1/ 3. Ghesquiere AR, Patel SR, Kaplan DB, Bruce ML. Primary care providers’ bereavement care practices: Recommendations for research directions. Int J Geriatr Psychiatry. 2014 Dec;29(12):1221–9. 4. Nielsen MK, Christensen K, Neergaard MA, Bidstrup PE, Guldin M-B. Grief symptoms and primary care use: a prospective study of family caregivers. BJGP Open [Internet]. 2020 Aug 1 [cited 2021 Mar 27];4(3). Available from: https://bjgpopen.org/content/4/3/bjgpopen20X101063 5. O’Connor M, Breen LJ. General Practitioners’ experiences of bereavement care and their educational support needs: a qualitative study. BMC Medical Education. 2014 Mar 27;14(1):59. 6. Sikstrom L, Saikaly R, Ferguson G, Mosher PJ, Bonato S, Soklaridis S. Being there: A scoping review of grief support training in medical education. PLOS ONE. 2019 Nov 27;14(11):e0224325.
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Strong patient-staff relationships are key to reducing conflict in high-security psychiatric hospitals. National Institute for Health Research, February 2021. http://dx.doi.org/10.3310/alert_44733.
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