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The Aboriginal tea ceremony: its relevance to psychiatric practice.

https://arctichealth.org/en/permalink/ahliterature160645
Source
Australas Psychiatry. 2008 Apr;16(2):130-2
Publication Type
Article
Date
Apr-2008
Author
Ernest Hunter
Author Affiliation
Remote Area Mental Health Service, Queensland Health, Queensland, Australia. Ernest_hunter@health.qld.gov.au
Source
Australas Psychiatry. 2008 Apr;16(2):130-2
Date
Apr-2008
Language
English
Publication Type
Article
Keywords
Beverages
Ceremonial Behavior
Culture
Drinking Behavior
Health Services, Indigenous - organization & administration
Humans
Mental Health Services - organization & administration
Oceanic Ancestry Group
Physician's Practice Patterns
Professional-Patient Relations
Tea
Abstract
To examine the elements of the Aboriginal tea ceremony and its relevance to psychiatric practice.
Through the Aboriginal tea ceremony, the mental health professional is able to convey that care and concern balance experience and expertise. These underpinning principles have wide application.
PubMed ID
17957527 View in PubMed
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Access to physician treatment for a mental disorder: a regional analysis.

https://arctichealth.org/en/permalink/ahliterature198775
Source
Soc Psychiatry Psychiatr Epidemiol. 2000 Feb;35(2):61-70
Publication Type
Article
Date
Feb-2000
Author
H. Stuart
Author Affiliation
Department of Community Health & Epidemiology, Queen's University, Kingston, Ontario, Canada. hh11@post.queensu.ca
Source
Soc Psychiatry Psychiatr Epidemiol. 2000 Feb;35(2):61-70
Date
Feb-2000
Language
English
Publication Type
Article
Keywords
Adult
Aged
Aged, 80 and over
Alberta - epidemiology
Female
Health Services Accessibility
Humans
Male
Mental Disorders - epidemiology
Mental Health Services - organization & administration
Middle Aged
Physicians - supply & distribution
Prevalence
Regression Analysis
Socioeconomic Factors
Abstract
This study examined (1) disparities in the proportion of persons who accessed a physician for treatment of a diagnosed mental disorder across 17 health regions in Alberta, Canada, and (2) the extent to which regional disparities in physician access could be explained by differences in regional demographies, population needs, or physician supply.
The study illustrates the use of ecological comparisons for regional health system performance evaluations. Regional characteristics were aggregated from four sources of data: the health insurance registry file (population denominators and regional demographies), physician claims data (treatment access), census data (social indicators of population need), and the medical directory of the College of Physicians of Surgeons (physician supply).
Regional variability in needs-adjusted measures of access to physician-based treatment services were comparatively small (varying by a factor of 1.6). Models containing adjustments for demography, need, and physician supply explained 41% of regional variation in access. Of the total variation explained, physician supply explained a smaller proportion (39%) in comparison to social demography and needs (61%). Few large regional imbalances were noted when needs-adjusted and supply-adjusted estimates were compared. Only two areas appeared to be underserviced in comparison to their local needs, reflecting approximately 6% of the provincial population.
While all three study factors proved important, findings support the broad conclusion that social demography and social risk (a proxy for need) will remain the key determinants predicting access to physician services for treatment of mental disorders in publicly funded health systems.
PubMed ID
10784368 View in PubMed
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[A community short-term crisis unit does not reduce acute admissions to psychiatric wards]

https://arctichealth.org/en/permalink/ahliterature95020
Source
Tidsskr Nor Laegeforen. 2009 Oct 8;129(19):1973-6
Publication Type
Article
Date
Oct-8-2009
Author
Bergerud Tone
Møller Paul
Larsen Frode
Veenstra Marijke
Ruud Torleif
Author Affiliation
Allmennpsykiatrisk døgnseksjon, Psykiatrisk Senter Asker, Sykehuset Asker og Baerum, Postboks 83, 1309 Rud, Norway. tone.bergerud@sabhf.no
Source
Tidsskr Nor Laegeforen. 2009 Oct 8;129(19):1973-6
Date
Oct-8-2009
Language
Norwegian
Publication Type
Article
Keywords
Adult
Community Mental Health Centers
Community Mental Health Services - organization & administration
Crisis Intervention - organization & administration
Emergency Service, Hospital - statistics & numerical data
Female
Humans
Male
Mental Disorders - diagnosis - therapy
Middle Aged
Norway
Patient Admission - statistics & numerical data
Psychiatric Department, Hospital - statistics & numerical data
Abstract
BACKGROUND: Due to long-term capacity problems in the psychiatric acute ward, we tried to canalise acute admissions due to life crises (and not serious mental disease) to a new short-term in-patient crisis unit. Our hypothesis was that the opening of this unit would lead to fewer admissions to the psychiatric acute ward and that this change would be reflected by an increase of patients with a more severe psychopathology. MATERIAL AND METHODS: The study had a quasi-experimental design. Two patient groups in a psychiatric acute ward (from separate catchment areas) were compared before (2.1.2003-1.6.2003) and after (2.1.2004-1.6.2004) establishment of a community based short-term inpatient crisis unit in one of the catchment areas. RESULTS: 234 patients were included in the study. Admissions to the psychiatric acute ward did not decline from any of the catchment areas from the first to the second time-period . The second time-period was associated with less psychopathology, but only for men in the area with a crisis unit. The reduction was largest for self-harm and suicidal behaviour (p = 0.02) and depression (p = 0.01). INTERPRETATION: None of our hypotheses were confirmed. Our main conclusion is that patient flow in acute mental health services involves a multitude of complex and unpredictable factors. The services continuously reorganise. Different ways of organising mental health services are rarely studied systematically, and such studies are difficult and resource demanding.
PubMed ID
19823199 View in PubMed
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[A critical review of the organizational engineering of Qu├ębec's mental health action plan].

https://arctichealth.org/en/permalink/ahliterature139309
Source
Sante Ment Que. 2010;35(1):181-94
Publication Type
Article
Date
2010
Author
Alain Dupuis
Author Affiliation
Teluq, UQAM.
Source
Sante Ment Que. 2010;35(1):181-94
Date
2010
Language
French
Publication Type
Article
Keywords
Humans
Mental Health Services - organization & administration
Quebec
Abstract
The Plan d'action en santé mentale 2005-2010 commands a substantial reform of mental health services organization. In order to achieve this, the Plan draws upon a set of ideas that appear somewhat unsubstantiated in regards to the sciences of organization. This article examines a few of these ideas. The managerial rhetoric of the Plan is anchored in an organizational and mechanistic archetype known for its inadequacy in the central mission of organizations of complex human services such as those concerning mental health. The mechanist rationality adopted marginalizes the real source of the value of mental health services, of practitioners and their social institutions. It participates in a movement that renders organizations always bigger, more abstract and impersonal steered from a distance by superficial indicators. There are good reasons to believe that this approach of organizational engineering will accentuate the eroding of the individual and collective capacities of delivering services of great value.
PubMed ID
21076794 View in PubMed
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Acting on audit & feedback: a qualitative instrumental case study in mental health services in Norway.

https://arctichealth.org/en/permalink/ahliterature295007
Source
BMC Health Serv Res. 2018 01 31; 18(1):71
Publication Type
Journal Article
Multicenter Study
Research Support, Non-U.S. Gov't
Date
01-31-2018
Author
Monica Stolt Pedersen
Anne Landheim
Merete Møller
Lars Lien
Author Affiliation
Norwegian National Advisory Unit on Concurrent Substance Abuse and Mental Health Disorders, Innlandet Hospital Trust, P.B. 104, 2340, Brumunddal, Norway. monica.stolt.pedersen@sykehuset-innlandet.no.
Source
BMC Health Serv Res. 2018 01 31; 18(1):71
Date
01-31-2018
Language
English
Publication Type
Journal Article
Multicenter Study
Research Support, Non-U.S. Gov't
Keywords
Benchmarking
Evidence-Based Practice
Feedback
Health Personnel
Humans
Medical Audit
Mental Disorders - rehabilitation - therapy
Mental Health Services - organization & administration - standards
Norway
Organizational Case Studies
Qualitative Research
Quality Improvement
Abstract
The National Guideline for Assessment, Treatment and Social Rehabilitation of Persons with Concurrent Substance Use and Mental Health Disorders, launched in 2012, is to be implemented in mental health services in Norway. Audit and feedback (A&F) is commonly used as the starting point of an implementation process. It aims to measure the research-practice gap, but its effect varies greatly. Less is known of how audit and feedback is used in natural settings. The aim of this study was to describe and investigate what is discussed and thematised when Quality Improvement (QI) teams in a District Psychiatric Centre (DPC) work to complete an action form as part of an A&F cycle in 2014.
This was an instrumental multiple case study involving four units in a DPC in Norway. We used open non-participant observation of QI team meetings in their natural setting, a total of seven teams and eleven meetings.
The discussions provided health professionals with insight into their own and their colleagues' practices. They revealed insufficient knowledge of substance-related disorders and experienced unclear role expectations. We found differences in how professional groups sought answers to questions of clinical practice and that they were concerned about whether new tasks fitted in with their routine ways of working.
Acting on A&F provided an opportunity to discuss practice in general, enhancing awareness of good practice. There was a general need for arenas to relate to practice and QI team meetings after A&F may well be a suitable arena for this. Self-assessment audits seem valuable, particular in areas where no benchmarked data exists, and there is a demand for implementation of new guidelines that might change routines and develop new roles. QI teams could benefit from having a unit leader present at meetings. Nurses and social educators and others turn to psychiatrists or psychologists for answers to clinical and organisational questions beyond guidelines, and show less confidence or routine in seeking research-based information. There is a general need to emphasise training in evidence-based practice and information seeking behaviour for all professional groups.
Notes
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PubMed ID
29386020 View in PubMed
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[Actual problems of inpatient psychiatric care in Russia].

https://arctichealth.org/en/permalink/ahliterature105844
Source
Zh Nevrol Psikhiatr Im S S Korsakova. 2013;113(10):4-10
Publication Type
Article
Date
2013
Author
V S Iastrebov
V G Mitikhin
T A Solokhina
L S Shevchenko
N A Tvorogova
Source
Zh Nevrol Psikhiatr Im S S Korsakova. 2013;113(10):4-10
Date
2013
Language
Russian
Publication Type
Article
Keywords
Hospitals, Psychiatric
Humans
Inpatients
Mental Disorders - therapy
Mental Health Services - organization & administration
Psychiatry - organization & administration
Russia
Abstract
A comparative evaluation of inpatient psychiatric care in Russia and some other countries is presented. A systematic analysis of the performance of psychiatric hospitals is conducted. The process of the deinstitutionalization in Russian psychiatry is highlighted. A range of problems hindering a reform of inpatient psychiatric service of the country is singled out.
PubMed ID
24300798 View in PubMed
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Addiction Research Centres and the Nurturing of Creativity. Substance abuse research in a modern health care centre: the case of the Centre for Addiction and Mental Health.

https://arctichealth.org/en/permalink/ahliterature143386
Source
Addiction. 2011 Apr;106(4):689-97
Publication Type
Article
Date
Apr-2011
Author
Jürgen Rehm
Norman Giesbrecht
Louis Gliksman
Kathryn Graham
Anh D Le
Robert E Mann
Robin Room
Brian Rush
Rachel F Tyndale
Samantha Wells
Author Affiliation
Centre for Addiction and Mental Health, Toronto, ON, Canada. jtrehm@aol.com
Source
Addiction. 2011 Apr;106(4):689-97
Date
Apr-2011
Language
English
Publication Type
Article
Keywords
Academies and Institutes - organization & administration
Adolescent
Adult
Alcohol Drinking - adverse effects - legislation & jurisprudence - prevention & control
Behavior, Addictive - epidemiology
Comorbidity
Foundations - organization & administration
Health Services Research - organization & administration
Humans
Mental Health Services - organization & administration
Ontario
Organizational Objectives
Preventive Health Services - organization & administration
Public Policy
Research - organization & administration
Research Support as Topic
Substance Abuse Treatment Centers - organization & administration
Substance-Related Disorders - epidemiology - prevention & control
Abstract
The Centre for Addiction and Mental Health is one of the premier centres for research related to substance use and addiction. This research began more than 50 years ago with the Addiction Research Foundation (ARF), an organization that contributed significantly to knowledge about the aetiology, treatment and prevention of substance use, addiction and related harm. After the merger of the ARF with three other institutions in 1998, research on substance use continued, with an additional focus on comorbid substance use and other mental health disorders. In the present paper, we describe the structure of funding and organization and selected current foci of research. We argue for the continuation of this successful model of integrating basic, epidemiological, clinical, health service and prevention research under the roof of a health centre.
PubMed ID
20491727 View in PubMed
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Addressing the needs of lesbian, gay, bisexual, transgendered, queer, and questioning clients within university psychiatric services: reflections and recommendations.

https://arctichealth.org/en/permalink/ahliterature174981
Source
Can J Commun Ment Health. 2003;22(2):59-68
Publication Type
Article
Date
2003
Author
Jude Tate
Lori E Ross
Author Affiliation
University of Toronto.
Source
Can J Commun Ment Health. 2003;22(2):59-68
Date
2003
Language
English
Publication Type
Article
Keywords
Bisexuality - psychology
Female
Health services needs and demand
Homosexuality - psychology
Humans
Male
Mental Health Services - organization & administration
Ontario
Program Development
Student Health Services - organization & administration
Transsexualism - psychology
Abstract
Concerns still exist among lesbian-, gay-, bisexual-, transgendered-, and queer-identified individuals (LGBTQ individuals) about their reception and treatment by psychiatric service providers. The Psychiatric Service at the University of Toronto and the Office of LGBTQ Resources and Programs convened a committee to address expanding the capacities of the Service related to the needs of LGBTQ and questioning students. In this paper, we describe the committee's role, initiatives, and successes and discuss challenges encountered in the process. The model of community development drawn from in this work can be adapted for use in other community health settings.
PubMed ID
15868838 View in PubMed
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Addressing the needs of women living with Schizophrenia.

https://arctichealth.org/en/permalink/ahliterature191312
Source
Can Nurse. 2001 Oct;97(9):14-8
Publication Type
Article
Date
Oct-2001

643 records – page 1 of 65.