Browsing by Subject "Psychiatry"

Now showing 1 - 10 of 17
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    21st-Century Genetics in Psychiatric Residency Training: How Do We Get There?
    (American Medical Association, 2019-03-01) Besterman, Aaron D.; Moreno-De-Luca, Daniel; Nurnberger, John I., Jr.; Psychiatry, School of Medicine
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    Advancement of Clinical Skills in Inpatient Pediatric Psychiatry
    (2022-05-05) Pence, Grace; Sego, Daniel; Chase, Tony; Department of Occupational Therapy, School of Health and Human Sciences; Patrick, Kathleen
    Cincinnati Children’s Medical Hospital Center is widely known as a national leader in pediatric medical care. This capstone project advances the gap in services with evidenced-based, health-literate educational handouts for pediatric psychiatry. The educational handouts were evaluated by a team of occupational therapists. The capstone student gained clinical skills to advance the profession of occupational therapy by being equipped to address mental health in any setting. The skills advanced included delivering care through group therapy, individual treatments, and administering standardized assessments. The capstone student served as a member of a team of therapists to promote translational knowledge and standardized care. This capstone project brings insight into the work occupational therapists do at Cincinnati Children’s College Hill Campus.
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    Agenda Setting in Psychiatric Consultations: An Exploratory Study
    (2013) Frankel, Richard M.; Salyers, Michelle P.; Bonfils, Kelsey; Oles, Sylwia; Matthias, Marianne S.
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    Chapters in the History of the Insane in the British Isles, Daniel Hack Tuke
    (2023) Osborn, Grace
    This essay was written for the course HIST H364/H546: The History of Medicine and Public Health. Instructor: Elizabeth Nelson, School of Liberal Arts, Indiana University, Indianapolis.Chapters in the History of the Insane in the British Isles, Daniel Hack Tuke
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    A Conscience Sensitive Approach to Moral Injury
    (IU Conscience Project, 2021-02-03) Galvin, Matthew R.; IU Conscience Project
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    Dr Nurnberger and Colleagues Reply
    (Physicians Postgraduate Press, Inc., 2019-04-09) Jr., John I. Nurnberger; Austin, Jehannine; Berrettini, Wade H.; Besterman, Aaron D.; DeLisi, Lynn E.; Grice, Dorothy E.; Kennedy, James L.; Moreno-De-Luca, Daniel; Potash, James B.; Ross, David A.; Psychiatry, School of Medicine
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    Exploring Autism Knowledge and Provider Experience: Implications for Diagnosis, Treatment, and Training
    (2023-03-27) Swiezy , Naomi B.; Neal, Tiffany J.; Somasundaram, Manasi; Gandhi, Siddhi N.; Uppalapati, Yashaswini; Gottipati, Mounika
    The Autism Knowledge survey allows for the assessment of knowledge disparities arising from diverse backgrounds, identifying barriers to mutual understanding, and highlighting groups that require specialized training in autism spectrum disorder (ASD) related areas. By assessing knowledge across subdomains such as diagnosis, etiology, and intervention, the AKS aims to enhance people's understanding of ASD. The research emphasizes the significance of accurate ASD knowledge in care provision and could promise to transform diagnosis, treatment, and training within the ASD field. Through rigorous psychometric validation and statistical analyses, this study offers insights that contribute to improving the quality of life for individuals with ASD.
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    How do delirium motor subtypes differ in phenomenology and contributory aetiology? a cross-sectional, multisite study of liaison psychiatry and palliative care patients
    (BMJ, 2021-04-14) Glynn, Kevin; McKenna, Frank; Lally, Kevin; O’Donnell, Muireann; Grover, Sandeep; Chakrabarti, Subho; Avasthi, Ajit; Mattoo, Surendra K.; Sharma, Akhilesh; Ghosh, Abhishek; Shah, Ruchita; Hickey, David; Fitzgerald, James; Davis, Brid; O'Regan, Niamh; Adamis, Dimitrious; Williams, Olugbenja; Awan, Fahad; Dunne, C.; Cullen, Walter; McInerney, Shane; McFarland, John; Jabbar, Faiza; O'Connell, Henry; Trzepacz, Paula T.; Leonard, Maeve; Meagher, David; Psychiatry, School of Medicine
    Objectives: To investigate whether delirium motor subtypes differ in terms of phenomenology and contributory aetiology. Design: Cross-sectional study. Setting: International study incorporating data from Ireland and India across palliative care, old age liaison psychiatry and general adult liaison psychiatry settings. Participants: 1757 patients diagnosed with delirium using criteria from the Diagnostic and Statistical Manual of Mental Disorders, Fourth edition (DSM IV). Primary and secondary outcome measures: Hyperactive, mixed and hypoactive delirium subtypes were identified using the abbreviated version of the Delirium Motor Subtype Scale. Phenomenology was assessed using the Delirium Rating Scale Revised. Contributory aetiologies were assessed using the Delirium Aetiology Checklist (DEC), with a score >2 indicating that the aetiology was likely or definitely contributory. Results: Hypoactive delirium was associated with dementia, cerebrovascular and systemic infection aetiologies (p<0.001) and had a lower overall burden of delirium symptoms than the other motor subtypes. Hyperactive delirium was associated with younger age, drug withdrawal and the DEC category other systemic aetiologies (p<0.001). Mixed delirium showed the greatest symptom burden and was more often associated with drug intoxication and metabolic disturbance (p<0.001). All three delirium motor subtypes had similar levels of impairment in attention and visuospatial functioning but differed significantly when compared with no subtype (p<0.001). Conclusions: This study indicates a pattern of aetiology and symptomatology of delirium motor subtypes across a large international sample that had previously been lacking. It serves to improve our understanding of this complex condition and has implications in terms of early detection and management of delirium.
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    Implementation and staff understanding of shared decision-making in the context of recovery-oriented care across US Veterans Health Administration (VHA) inpatient mental healthcare units: a mixed-methods evaluation
    (BMJ, 2022-05-30) Eliacin, Johanne; Carter, Jessica; Bass, Emily; Flanagan, Mindy; Salyers, Michelle P.; McGuire, Alan; Psychiatry, School of Medicine
    Objectives: To examine the understanding and practice of shared decision-making (SDM) within the context of recovery-oriented care across Veterans Health Administration (VHA) inpatient mental healthcare units. Design: VHA inpatient mental health units were scored on the Recovery-Oriented Acute Inpatient Scale (RAIN). Scores on the RAIN item for medication SDM were used to rank each site from lowest to highest. The top 7 and bottom 8 sites (n=15) were selected for additional analyses using a mixed-methods approach, involving qualitative interviews, observation notes and quantitative data. Setting: 34 VHA inpatient mental health units located in every geographical region of the USA. Participants: 55 treatment team members. Results: Our results identified an overarching theme of 'power-sharing' that describes participants' conceptualisation and practice of medication decision-making. Three levels of power sharing emerged from both interview and observational data: (1) No power sharing: patients are excluded from treatment decisions; (2) Limited power sharing: patients are informed of treatment decisions but have limited influence on the decision-making process; and (3) Shared-power: patients and providers work collaboratively and contribute to medication decisions. Comparing interview to observational data, only observational data indicating those themes differentiate top from bottom scoring sites on the RAIN SDM item scores. All but one top scoring sites indicated shared power medication decision processes, whereas bottom sites reflected mostly no power sharing. Additionally, our findings highlight three key factors that facilitate the implementation of SDM: inclusion of veteran in treatment teams, patient education and respect for patient autonomy. Conclusions: Implementation of SDM appears feasible in acute inpatient mental health units. Although most participants were well informed about SDM, that knowledge did not always translate into practice, which supports the need for ongoing implementation support for SDM. Additional contextual factors underscore the value of patients' self-determination as a guiding principle for SDM, highlighting the role of a supporting, empowering and autonomy-generating environment.
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    Implementation of the HANDS in Autism® coordinated care continuum: Changes in caregiver-reported patient problem behavior presence and intensity secondary to the implementation of HANDS in Autism® Model across home and school settings following acute inpatient hospitalization
    (2023-11) Deodhar, Aditi; Neal, Tiffany; Darsanapu, Archana; Swiezy, Naomi
    The HANDS in Autism® model focuses on providing follow-up services for adolescents aged 12-18 with autism spectrum disorder (ASD) or developmental disorders (DD), aiding their transition back to community life after acute inpatient hospitalization. This model emphasizes training and community team facilitation for sustainable coordinated care outcomes, targeting primarily families in the home environment while also supporting school and community teams. The study explored changes in patient problem behaviors in both home and school settings, using the Home Situation Questionnaire (HSQ) and School Situation Questionnaire (SSQ) completed by caregivers and school teams. These questionnaires assessed the presence and intensity of problem behaviors before hospital admission and throughout the year after discharge. Preliminary findings show a decrease in problem behaviors’ presence and intensity in both settings post-discharge, with a notable continuous decrease in the home setting over 12 months, underscoring the model's effectiveness in its primary intervention target. However, an increase in problem behavior intensity was observed in the school setting after 12 months, hinting at the potential influence of school personnel/district engagement levels on the intervention's effectiveness in educational environments.