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Associations between patient characteristics and ratings of treatment milieu.

https://arctichealth.org/en/permalink/ahliterature94056
Source
Nord J Psychiatry. 2007;61(4):271-8
Publication Type
Article
Date
2007
Author
Pedersen Geir
Karterud Sigmund
Author Affiliation
Norwegian Network of Psychotherapeutic Day Hospitals, Ullevaal University Hospital, Oslo, Norway. geir.pedersen@medisin.uio.no
Source
Nord J Psychiatry. 2007;61(4):271-8
Date
2007
Language
English
Publication Type
Article
Keywords
Aged
Anxiety Disorders - therapy
Diagnostic and Statistical Manual of Mental Disorders
Environment
Female
Humans
Male
Mental Disorders - classification - therapy
Mood Disorders - therapy
Norway
Personality Disorders - classification - therapy
Psychotic Disorders - classification - therapy
Treatment Outcome
Abstract
The objective of the study was to investigate associations between patients ratings of their treatment milieu and personal characteristics such as gender, age, educational level, personality disorders, symptom distress, interpersonal problems, global level of functioning, as well as treatment outcome. Data was taken from 908 patients (with mainly personality, mood and anxiety disorders) consecutively admitted to eight day-treatment units. Treatment milieu was measured by Ward Atmosphere Scale for Therapeutic Programs (WAS-TP). Overall level of psychosocial functioning was measured by Global Assessment of Functioning (GAF). Diagnoses and personality traits was measured by the Structured Clinical Interview for DSM-III-R Personality Disorders (SCID-II), according to DSM-IV. Symptom distress and interpersonal problems was measured by Symptom Checklist 90-R and the Circumplex of Interpersonal Problems, respectively. No substantial associations were found between individual personal characteristics and ratings of the treatment milieu, and no substantial associations were found between ratings of the treatment milieu and treatment outcome or the likelihood of treatment completion. There seems to be no support as to making general inferences about or from individual ratings of the treatment milieu. Possible uses of individual evaluations of treatment milieu are discussed.
PubMed ID
17763120 View in PubMed
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The Canadian Psychiatric Association practice profile survey: II. General description of results.

https://arctichealth.org/en/permalink/ahliterature185146
Source
Can J Psychiatry. 2003 May;48(4):244-9
Publication Type
Article
Date
May-2003
Author
D Blake Woodside
Elizabeth Lin
Author Affiliation
Inpatient Eating Disorders Program, Toronto General Hospital, Department of Psychiatry, University of Toronto, Toronto, Ontario. b.woodside@utoronto.ca
Source
Can J Psychiatry. 2003 May;48(4):244-9
Date
May-2003
Language
English
Publication Type
Article
Keywords
Canada
Female
Health status
Humans
Male
Mental Disorders - classification - therapy
Physician's Practice Patterns - economics - organization & administration
Physician-Patient Relations
Psychiatry - economics - organization & administration
Questionnaires
Abstract
To provide an overview of the results of the Canadian Psychiatric Association (CPA) practice profile survey (PPS), a national survey of psychiatrists and psychiatric practice.
Mail-in interviews were sent to all Canadian psychiatrists listed in their provincial registers and to all active CPA members (total = 3628). Respondents provided general information about their professional activities for one 24-hour day and detailed information for 1 randomly selected hour. Patient information--including sociodemographics, diagnostic profiles, functioning levels, risk of harm to self or others, and disposition--was elicited for 1 patient seen during the random hour as well as for the most seriously ill patient receiving clinical services that day.
Psychiatrists work 10 hours daily on average and take calls for 5 hours. Sixty percent of the overall work time is in the provision of direct patient care, and fee-for-service payments account for 55% of hours worked. Forty percent of the clinical work is provided in a hospital setting, and 34% is in a private office. Agency work accounted for only 6% of clinical hours worked. Relatively few practitioners provide services to children, older, or forensic patients. The average patient seen is female, aged 40 years, unmarried or with a marital disruption, significantly impaired in multiple areas of functioning, and likely to suffer from depression (21%), schizophrenia (14%), an anxiety disorder (13%), or bipolar disorder (12%). Comorbid Axis I and Axis II disorders are common (each over 30%) and fairly high rates of suicidal (15% to 30%) and homicidal (10% to 20%) risk are present.
This paper suggests a wide diversity of practice in psychiatry in Canada, with services being provided to a wide range of individuals with many different conditions.
PubMed ID
12776391 View in PubMed
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Community treatment orders in a Swedish county--applied as intended?

https://arctichealth.org/en/permalink/ahliterature265562
Source
BMC Res Notes. 2014;7:879
Publication Type
Article
Date
2014
Author
Lars Kjellin
Veikko Pelto-Piri
Source
BMC Res Notes. 2014;7:879
Date
2014
Language
English
Publication Type
Article
Keywords
Health Care Reform
Humans
Mental Disorders - classification - therapy
Mental Health Services - legislation & jurisprudence - organization & administration
Sweden
Abstract
Community treatment orders (CTOs) were legally implemented in psychiatry in Sweden in 2008, both in general psychiatry and in forensic psychiatric care. A main aim with the reform was to replace long leaves from compulsory psychiatric inpatient care with CTOs. The aims of the present study were to examine the use of compulsory psychiatric care before and after the reform and if this intention of the law reform was fulfilled.
The study was based on register data from the computerized patient administrative system of Örebro County Council. Two periods of time, two years before (I) and two years after (II) the legal change, were compared. The Swedish civic registration number was used to connect unique individuals to continuous treatment episodes comprising different forms of legal status and to identify individuals treated during both time periods.
The number of involuntarily admitted patients was 524 in period I and 514 in period II. CTOs were in period II used on relatively more patients in forensic psychiatric care than in general psychiatry. In all, there was a 9% decrease from period I to period II in hospital days of compulsory psychiatric care, while days on leave decreased with 60%. The number of days on leave plus days under CTOs was 26% higher in period II than the number of days on leave in period I. Among patients treated in both periods, this increase was 43%. The total number of days under any form of compulsory care (in hospital, on leave, and under CTOs) increased with five percent. Patients with the longest leaves before the reform had more days on CTOs after the reform than other patients.
The results indicate that the main intention of the legislator with introducing CTOs was fulfilled in the first two years after the reform in the studied county. At the same time the use of coercive psychiatric care outside hospital, and to some extent the total use of coercive in- and outpatient psychiatric care, increased. Adding an additional legal coercive instrument in psychiatry may increase the total use of coercion.
Notes
Cites: BMJ. 2011;343:d834622209821
Cites: Med J Aust. 2012 May 21;196(9):591-322621153
Cites: Cochrane Database Syst Rev. 2011;(2):CD00440821328267
Cites: Br Med Bull. 2010;95:105-1920501486
Cites: J Med Ethics. 2010 May;36(5):271-420448004
Cites: Int J Nurs Stud. 2009 Sep;46(9):1245-5519296950
Cites: Br J Psychiatry. 2008 Aug;193(2):96-10018669989
Cites: Int J Law Psychiatry. 2011 Nov-Dec;34(6):419-2822104265
Cites: Can J Psychiatry. 2012 Jun;57(6):359-6522682573
Cites: Australas Psychiatry. 2012 Dec;20(6):478-8223136187
Cites: Lancet. 2013 May 11;381(9878):1627-3323537605
Cites: Lancet. 2013 Aug 10;382(9891):50223931917
Cites: Br J Psychiatry. 2013 Dec;203(6):406-824297787
Cites: Soc Psychiatry Psychiatr Epidemiol. 2014 Apr;49(4):651-6324136002
Cites: Psychiatr Serv. 2005 Jul;56(7):867-916020822
Cites: Med Law. 1995;14(1-2):53-77666748
PubMed ID
25480121 View in PubMed
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Control or treatment? Experiences of people who have been psychiatrically hospitalized in New Brunswick.

https://arctichealth.org/en/permalink/ahliterature216014
Source
Can J Commun Ment Health. 1994;13(1):111-22
Publication Type
Article
Date
1994
Author
B. Miedema
Source
Can J Commun Ment Health. 1994;13(1):111-22
Date
1994
Language
English
Publication Type
Article
Keywords
Adult
Aged
Commitment of Mentally Ill - legislation & jurisprudence
Human Rights
Humans
Interviews as Topic
Mental Disorders - classification - therapy
Middle Aged
New Brunswick
Psychiatric Department, Hospital
Abstract
Retrospective personal accounts of 48 people concerning their admission to, treatment in, and discharge from a psychiatric unit were examined. Analysis reveals that the research participants were poorly informed about their legal rights. One in eight participants did not know whether they were voluntarily or involuntarily admitted. Few participants were ever consulted about their treatment programs or discharge plans. In general, the research participants reported being powerless and having little control over their lives during psychiatric hospitalization.
PubMed ID
10147315 View in PubMed
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The everyday experience of psychiatric hospitalization: the users' viewpoint.

https://arctichealth.org/en/permalink/ahliterature209761
Source
Int J Soc Psychiatry. 1997;43(4):285-97
Publication Type
Article
Date
1997
Author
R. Letendre
Author Affiliation
Department of Psychology, Université du Québec, Montréal, Canada.
Source
Int J Soc Psychiatry. 1997;43(4):285-97
Date
1997
Language
English
Publication Type
Article
Keywords
Adult
Female
Follow-Up Studies
Hospitalization - statistics & numerical data
Humans
Length of Stay
Male
Mental Disorders - classification - therapy
Patient Admission - statistics & numerical data
Patient Advocacy
Patient satisfaction
Population Surveillance
Professional-Patient Relations
Psychiatric Department, Hospital - statistics & numerical data
Quebec
Abstract
Using 38 focussed accounts the author reports on the hospitalization experiences of patients 18 to 38 years old in the psychiatric ward. The sample comes from the psychiatric wards of two general hospitals in the Montréal area (Canada). The data were analyzed using a qualitative method. Empirical categories were inferred from the respondents' discourse based on the broad themes which make up the psychiatric experience: admission; hospital environment and rules; daily life; medication; relations with the staff and leaving the hospital. The results shed light on the suffering, dissatisfaction and ambivalent feelings surrounding the patients' hospital experience. Based on the experience of psychiatric patients, the author identified five processes at work during psychiatric hospitalization.
PubMed ID
9483456 View in PubMed
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Improving outpatient psychiatric care.

https://arctichealth.org/en/permalink/ahliterature209261
Source
N Engl J Med. 1997 Feb 20;336(8):578-9
Publication Type
Article
Date
Feb-20-1997

Lining up for children's mental health services: a tool for prioritizing waiting lists.

https://arctichealth.org/en/permalink/ahliterature190718
Source
J Am Acad Child Adolesc Psychiatry. 2002 Apr;41(4):367-76; discussion 376-7
Publication Type
Article
Date
Apr-2002
Author
Derryck H Smith
David C Hadorn
Author Affiliation
Mental Health Programs, Children's and Womens Health Centre of British Columbia, Vancouver BC, Canada.
Source
J Am Acad Child Adolesc Psychiatry. 2002 Apr;41(4):367-76; discussion 376-7
Date
Apr-2002
Language
English
Publication Type
Article
Keywords
Adolescent
Canada
Child
Child, Preschool
Health Priorities
Humans
Mental Disorders - classification - therapy
Mental Health Services - organization & administration - standards - statistics & numerical data
Observer Variation
Pilot Projects
Practice Guidelines as Topic
Reproducibility of Results
Triage - standards
Waiting Lists
Abstract
The Western Canada Waiting List Project (WCWL) is a federally funded partnership of 19 health-related organizations that was created to develop tools to manage waiting lists for five types of health services.
The children's mental health (CMH) panel developed and tested a set of standardized clinical criteria for setting priorities among patients awaiting CMH services. The criteria were applied to 817 patients by 92 mental health professionals in three western provinces. Regression analysis was used to determine the set of criteria weights that collectively best predicted clinicians' global urgency ratings. To assess reliability, raters used the criteria to score six standardized "paper cases."
The criteria accounted for about 40% of the observed variance in overall urgency ratings (R2 = 41.7%). The panel modified the criteria on the basis of the initial empirical work. Reliability assessment of the revised tool indicated that half of the items had excellent or fair/good interrater agreement; test-retest reliability was good.
Priority criteria were able to capture clinicians' judgments of relative urgency in the CMH setting. A number of operational challenges remain with the use of priority criteria for scheduling CMH services. Further development and testing of the tool appear warranted.
PubMed ID
11931592 View in PubMed
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Major conceptual and research issues for cultural (anthropological) psychiatry.

https://arctichealth.org/en/permalink/ahliterature245974
Source
Cult Med Psychiatry. 1980 Mar;4(1):3-13
Publication Type
Article
Date
Mar-1980

[Perceptions of mental illness in Quebec residents].

https://arctichealth.org/en/permalink/ahliterature220418
Source
Union Med Can. 1993 Sep-Oct;122(5):334-8, 340-3
Publication Type
Article
Author
Y. Lamontagne
Author Affiliation
Centre de recherche Fernand-Seguin, Montréal Québec.
Source
Union Med Can. 1993 Sep-Oct;122(5):334-8, 340-3
Language
French
Publication Type
Article
Keywords
Adolescent
Adult
Aged
Data Collection
Female
Health Knowledge, Attitudes, Practice
Humans
Male
Mental Disorders - classification - therapy
Middle Aged
Physician's Role
Quebec
Socioeconomic Factors
Abstract
A transverse survey was conducted with 772 Quebecers in September 1992. Its purpose was to evaluate the level of awareness of the general public about mental illness, the general knowledge of these illnesses and their treatments and the attitudes towards mentally ill patients. Results show that half of the interviewed subjects still feel that they are not informed enough about mental illness and even well informed people have a poor general knowledge of mental illnesses and their treatments. Finally, more than 65% of the surveyed population show positive attitudes towards psychiatric patients, which seems to be an improvement in comparison with the past years. The author believes that physicians should give more information on mental illness and particularly on the role of drugs in the treatment of mentally ill patients. It seems also important to put more emphasis on information to low and middle class people.
PubMed ID
8249217 View in PubMed
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What do psychotherapists really do in practice? An Internet study of over 2,000 practitioners.

https://arctichealth.org/en/permalink/ahliterature143229
Source
Psychotherapy (Chic). 2010 Jun;47(2):260-7
Publication Type
Article
Date
Jun-2010
Author
Joan M Cook
Tatuana Biyanova
Jon Elhai
Paula P Schnurr
James C Coyne
Author Affiliation
Department of Psychiatry, Yale University, West Haven, CT 06516, USA. Joan.Cook@yale.edu
Source
Psychotherapy (Chic). 2010 Jun;47(2):260-7
Date
Jun-2010
Language
English
Publication Type
Article
Keywords
Adult
Canada
Career Choice
Data Collection
Evidence-Based Practice
Female
Health Services Accessibility
Humans
Internet
Male
Mental Disorders - classification - therapy
Middle Aged
Professional Practice - classification
Professional Role - psychology
Professional-Patient Relations
Psychotherapy - classification - methods
Specialization
United States
Abstract
Over 2,200 North American psychotherapists completed a Web-based survey concerning their clinical work, including theoretical orientation, client characteristics, and use of specific psychotherapy techniques. Psychotherapeutic integration was common, with the majority of respondents identifying with more than one theoretical orientation or as having an eclectic orientation. The modal patient was a White female adult suffering from a mood or anxiety disorder and interpersonal problems. Individual psychotherapy was the preferred treatment modality. The most frequently endorsed techniques were relationship-oriented such as conveying warmth, acceptance, understanding, and empathy. The least frequently endorsed techniques were biofeedback, neurofeedback, body and energy therapies, and hypnotherapy. Efforts to disseminate empirically based therapies require understanding and accommodating clinicians' tendencies to integrate techniques.
Notes
Cites: Am J Psychiatry. 2002 Feb;159(2):201-711823259
Cites: Am J Psychiatry. 2002 Nov;159(11):1914-2012411228
Cites: Behav Res Ther. 2004 Mar;42(3):277-9214975770
Cites: J Trauma Stress. 2004 Jun;17(3):213-2215253093
Cites: J Med Internet Res. 2004 Sep 29;6(3):e3415471760
Cites: Am Psychol. 1982 Jul;37(7):802-97137698
Cites: J Consult Psychol. 1957 Apr;21(2):95-10313416422
Cites: Arch Gen Psychiatry. 2005 Sep;62(9):953-916143727
Cites: J Clin Psychol. 2005 Dec;61(12):1467-8315880436
Cites: Clin Psychol Rev. 2006 Jan;26(1):17-3116199119
Cites: Clin Psychol Rev. 2006 Sep;26(5):600-2516820252
Cites: Psychiatr Serv. 2007 May;58(5):642-5117463345
Cites: Adm Policy Ment Health. 2009 Mar;36(2):83-9019104928
Cites: Psychiatr Serv. 2009 May;60(5):671-619411356
Cites: Psychiatr Serv. 2002 Aug;53(8):977-8312161672
Cites: J Marital Fam Ther. 2002 Oct;28(4):487-9412382557
Cites: Am J Psychiatry. 1999 Nov;156(11):1819-2110553751
Cites: J Consult Clin Psychol. 2000 Jun;68(3):438-5010883561
PubMed ID
22402052 View in PubMed
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10 records – page 1 of 1.