Browsing by Subject "Psychiatry"

Now showing 1 - 10 of 19
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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.
    Objective: Patient- or consumer-centeredness has been recognized as a critical component of quality in primary health care, but is only beginning to be recognized and studied in mental health. Among the first opportunities to be consumer-centered is collaboratively producing an agenda of topics to be covered during a clinic visit. Early agenda setting sets the stage for what is to come and can affect the course, direction, and quality of care. The purpose of this work is to study agenda setting practices among 8 prescribers (5 psychiatrists and 3 nurse practitioners) at the beginning of their encounters with 124 consumers diagnosed with schizophrenia spectrum disorders (56%), bipolar disorder (23%), major depression (15%), and other disorders (6%). Method: We modified an extant agenda-setting rubric by adding behaviors identified by a multidisciplinary team who iteratively reviewed transcripts of the visit openings. Once overall consensus was achieved, two research assistants coded all of the transcripts. Twenty-five transcripts were scored by both raters to establish interrater reliability. Results: We identified 10 essential elements of agenda setting. Almost 10% of visits had no agenda set, and only 1 of 3 encounters had partial or complete elicitation of a single concern. Few additional concerns (4%) were solicited, and no encounter contained more than 6 essential elements. Conclusions and implications for practice: Collaborative agenda setting represents a unique opportunity to translate the concept of consumer-centeredness into mental health care. Initial results suggest the rating system is reliable, but the essential elements are not being used in practice.
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    Assessing Behavioral Outcomes in Youth with Autism Following Evidence-Based Interventions
    (2022-12) Navudu, Sai Pooja; Neal, Tiffany; Deodhar, Aditi; Swiezy, Naomi
    This practicum, completed at HANDS in Autism® in collaboration with the Indiana NeuroDiagnostic Institute (NDI), focused on evaluating the behavioral outcomes of individuals with Autism Spectrum Disorder (ASD) receiving psychiatric services. The project involved systematic data collection from the Cerner patient portal, followed by data harmonization in Microsoft Excel and coding using REDCap. Psychiatric and behavioral factors were coded to identify patterns and changes in behavior across treatment episodes. The goal was to assess the effectiveness of autism-related services and interventions provided within the inpatient setting. Results from this exploratory analysis will inform potential modifications to HANDS training modules and curricula to better align with client needs and improve long-term care outcomes for individuals with ASD. The practicum also provided practical training in data analysis, coding, and interpretation of real-world clinical data.
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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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    DSM-5: a collection of psychiatrist views on the changes, controversies, and future directions
    (Springer Nature, 2013-09-12) Nemeroff, Charles B.; Weinberger, Daniel; Rutter, Michael; MacMillan, Harriet L.; Bryant, Richard A.; Wessely, Simon; Stein, Dan J.; Pariante, Carmine M.; Seemüller, Florian; Berk, Michael; Malhi, Gin S.; Preisig, Martin; Brüne, Martin; Lysaker, Paul; Psychiatry, School of Medicine
    The recent release of the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) by the American Psychiatric Association has led to much debate. For this forum article, we asked BMC Medicine Editorial Board members who are experts in the field of psychiatry to discuss their personal views on how the changes in DSM-5 might affect clinical practice in their specific areas of psychiatric medicine. This article discusses the influence the DSM-5 may have on the diagnosis and treatment of autism, trauma-related and stressor-related disorders, obsessive-compulsive and related disorders, mood disorders (including major depression and bipolar disorders), and schizophrenia spectrum disorders.
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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.