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1.
J Psychiatr Pract ; 27(1): 48-51, 2021 Jan 21.
Artigo em Inglês | MEDLINE | ID: mdl-33438867

RESUMO

The coronavirus disease 2019 (COVID-19) pandemic thrust health care professionals around the globe to the frontlines to care for those affected by this medical crisis. While many surgical and procedural medical subspecialties experienced drastic declines in patient visits during this time, the demand for psychiatric services was more stable. In response to statewide stay at home orders, third-year residents in the psychiatry outpatient clinic described in this article quickly transitioned to telepsychiatry to continue providing care to their patients. While providing care from home, these residents experienced a number of challenges that serve as important lessons for enhancing competence in telepsychiatry services.


Assuntos
/psicologia , Psiquiatria/métodos , Telemedicina/métodos , /epidemiologia , Humanos , Internato e Residência/métodos , Transtornos Mentais/terapia , Tennessee
2.
J Cogn Psychother ; 34(4): 275-279, 2020 11 01.
Artigo em Inglês | MEDLINE | ID: mdl-33372123

RESUMO

This invited commentary is the personal experience of a psychiatrist who assisted in Wuhan, China during the pandemic. From the personal perspective, it explains why psychiatrists need to go to Wuhan, discusses the psychological problems faced by the front-line medical staff and confirmed COVID-19 patients and the corresponding psychological interventions provided to them, describes the particularity and coping methods of psychological issues related to COVID-19 epidemic.


Assuntos
/psicologia , Corpo Clínico Hospitalar/psicologia , Papel do Médico/psicologia , Psiquiatria/métodos , Psicoterapia/métodos , Adulto , China , Humanos
3.
PLoS One ; 15(12): e0240376, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33332380

RESUMO

BACKGROUND: The rapid integration of Artificial Intelligence (AI) into the healthcare field has occurred with little communication between computer scientists and doctors. The impact of AI on health outcomes and inequalities calls for health professionals and data scientists to make a collaborative effort to ensure historic health disparities are not encoded into the future. We present a study that evaluates bias in existing Natural Language Processing (NLP) models used in psychiatry and discuss how these biases may widen health inequalities. Our approach systematically evaluates each stage of model development to explore how biases arise from a clinical, data science and linguistic perspective. DESIGN/METHODS: A literature review of the uses of NLP in mental health was carried out across multiple disciplinary databases with defined Mesh terms and keywords. Our primary analysis evaluated biases within 'GloVe' and 'Word2Vec' word embeddings. Euclidean distances were measured to assess relationships between psychiatric terms and demographic labels, and vector similarity functions were used to solve analogy questions relating to mental health. RESULTS: Our primary analysis of mental health terminology in GloVe and Word2Vec embeddings demonstrated significant biases with respect to religion, race, gender, nationality, sexuality and age. Our literature review returned 52 papers, of which none addressed all the areas of possible bias that we identify in model development. In addition, only one article existed on more than one research database, demonstrating the isolation of research within disciplinary silos and inhibiting cross-disciplinary collaboration or communication. CONCLUSION: Our findings are relevant to professionals who wish to minimize the health inequalities that may arise as a result of AI and data-driven algorithms. We offer primary research identifying biases within these technologies and provide recommendations for avoiding these harms in the future.


Assuntos
Ciência de Dados/métodos , Disparidades nos Níveis de Saúde , Saúde Mental/estatística & dados numéricos , Processamento de Linguagem Natural , Psiquiatria/métodos , Viés , Ciência de Dados/estatística & dados numéricos , Humanos , Colaboração Intersetorial , Linguística , Psiquiatria/estatística & dados numéricos
4.
Artigo em Inglês | MEDLINE | ID: mdl-33095519

RESUMO

Objective: To expand knowledge during the coronavirus disease 2019 (COVID-19) pandemic with regard to suicide prevention among the elderly population by providing recommendations for interview strategies using 3 suicide theories. Methods: Two hypothetical geriatric suicide cases (1 low lethality and 1 high lethality) are presented and categorized according to 3 suicide theories: interpersonal theory of suicide, three-step theory of suicide, and hopelessness theory of depression. Results: In crisis intervention, the clinician's interview must match the intrinsic belief of the suicide attempter to enable engagement and rapport. Use of different aspects of the 3 suicide theories can be useful but are dependent on the emergent nature of the attempt. Conclusion: The need for identification and treatment of those with mental health issues, especially among the elderly population, and collaborative multidiscipline management teams is increasing during the current global pandemic. Specific interview strategies are needed when engaging with elderly suicidal patients. Suicide prevention in elderly patients is worthy of strong public attention.


Assuntos
Infecções por Coronavirus/psicologia , Pandemias , Pneumonia Viral/psicologia , Psiquiatria/métodos , Suicídio/prevenção & controle , Idoso , Idoso de 80 Anos ou mais , Infecções por Coronavirus/complicações , Depressão/etiologia , Depressão/psicologia , Feminino , Humanos , Masculino , Pneumonia Viral/complicações , Ideação Suicida , Suicídio/psicologia , Tentativa de Suicídio/psicologia
5.
J Psychosoc Nurs Ment Health Serv ; 58(11): 9-12, 2020 Nov 01.
Artigo em Inglês | MEDLINE | ID: mdl-33119116

RESUMO

The COVID-19 pandemic has changed psychopharmacological prescribing and management of patients around the world. Social distancing requirements led to a transition from face-to-face patient visits to telepsychiatry. Relaxed federal reimbursement policies during the COVID-19 pandemic expanded patient awareness and access to virtual care. For many psychiatric advanced practice RNs (APRNs), the transition to telepsychiatry was intended as a temporary solution until it is possible to return to in-person patient care. Instead, virtual care has become an expectation of patients and agencies. The current article presents a case study example of an adolescent psychiatric patient, exploring the challenges of therapeutic alliance, patient engagement, psychiatric evaluation, laboratory orders, deprescribing, and psychopharmacological adherence. The case study discusses considerations for APRNs who use telemental health in child and adolescent psychiatry and resources for clinical practice. [Journal of Psychosocial Nursing and Mental Health Services, 58(11), 9-12.].


Assuntos
Transtornos Mentais/terapia , Participação do Paciente/métodos , Participação do Paciente/psicologia , Enfermagem Psiquiátrica/métodos , Psiquiatria/métodos , Telemedicina/métodos , Adolescente , Humanos , Masculino , Transtornos Mentais/psicologia
7.
Psychiatry Res ; 293: 113429, 2020 11.
Artigo em Inglês | MEDLINE | ID: mdl-32882598

RESUMO

BACKGROUND: COVID-19 pandemic and lockdown has brought about a sense of fear and anxiety around the globe. This phenomenon has led to short term as well as long term psychosocial and mental health implications for children and adolescents. The quality and magnitude of impact on minors is determined by many vulnerability factors like developmental age, educational status, pre-existing mental health condition, being economically underprivileged or being quarantined due to infection or fear of infection. AIMS: This paper is aimed at narratively reviewing various articles related to mental-health aspects of children and adolescents impacted by COVID-19 pandemic and enforcement of nationwide or regional lockdowns to prevent further spread of infection. METHODOLOGY: We conducted a review and collected articles and advisories on mental health aspects of children and adolescents during the COVID-19 pandemic. We selected articles and thematically organized them. We put up their major findings under the thematic areas of impact on young children, school and college going students, children and adolescents with mental health challenges, economically underprivileged children, impact due to quarantine and separation from parents and the advisories of international organizations. We have also provided recommendations to the above. CONCLUSION: There is a pressing need for planning longitudinal and developmental studies, and implementing evidence based elaborative plan of action to cater to the psycho social and mental health needs of the vulnerable children and adolescents during pandemic as well as post pandemic. There is a need to ameliorate children and adolescents' access to mental health support services geared towards providing measures for developing healthy coping mechanisms during the current crisis. For this innovative child and adolescent mental health policies policies with direct and digital collaborative networks of psychiatrists, psychologists, paediatricians, and community volunteers are deemed necessary.


Assuntos
Adaptação Psicológica , Betacoronavirus , Infecções por Coronavirus/psicologia , Saúde Mental , Pneumonia Viral/psicologia , Quarentena/psicologia , Adolescente , Comportamento do Adolescente/psicologia , Criança , Comportamento Infantil/psicologia , Pré-Escolar , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/prevenção & controle , Humanos , Masculino , Transtornos Mentais/epidemiologia , Transtornos Mentais/prevenção & controle , Transtornos Mentais/psicologia , Saúde Mental/tendências , Serviços de Saúde Mental/tendências , Pandemias/prevenção & controle , Pais/psicologia , Pneumonia Viral/epidemiologia , Pneumonia Viral/prevenção & controle , Psiquiatria/métodos , Psiquiatria/tendências , Fatores de Risco
9.
Rev Med Suisse ; 16(707): 1751-1755, 2020 Sep 23.
Artigo em Francês | MEDLINE | ID: mdl-32969612

RESUMO

Acute treatment of agitation in psychiatry is one of the urgent situations for which management recommendations are needed. Various existing international recommendations have been evaluated and adapted to our clinical practice and to the drugs available in Switzerland in order to propose a uniform management strategy in our hospital. This strategy includes a treatment choice algorithm with different options depending on the clinical situation and the possible route of administration. Dose recommendations for the oral and intramuscular routes, certain pharmacokinetic parameters, as well as risks of interactions and important warnings are also included in this clinical recommendation.


Assuntos
Algoritmos , Tomada de Decisão Clínica , Psiquiatria/métodos , Tranquilizantes/administração & dosagem , Tranquilizantes/uso terapêutico , Teoria da Decisão , Vias de Administração de Medicamentos , Humanos , Suíça , Tranquilizantes/farmacocinética
10.
Am J Psychiatry ; 177(8): 773-786, 2020 08 01.
Artigo em Inglês | MEDLINE | ID: mdl-32741273

RESUMO

The following are edited/abbreviated versions of the annual reports of the APA Secretary, Treasurer, CEO and Medical Director, Speaker, and Speaker-Elect and the chairpersons of the APA Committee on Bylaws, Membership Committee, Committee of Tellers, and Elections Committee. The full reports were presented at the APA Virtual Spring Highlights Meeting, April 25-26, 2020.


Assuntos
Psiquiatria/métodos , Sociedades Médicas/organização & administração , Relatórios Anuais como Assunto , Membro de Comitê , Congressos como Assunto , Humanos , Inovação Organizacional , Estados Unidos
15.
Recenti Prog Med ; 111(7): 411-414, 2020.
Artigo em Italiano | MEDLINE | ID: mdl-32658880

RESUMO

CoViD-19 is a disease caused by the novel coronavirus (SARS-CoV-2), originated from China in December 2019. In March 2020, CoViD-19 was declared a pandemic, having spread all over the word. The psychological impact of CoViD-19 disease must be recognized alongside the physical symptoms for all those affected. Furhermore quarantine for coronavirus has serious psychological side effects, such as depression and anxiety that are more likely to occur and worsen. Furhermore quarantine reduces the availability of psychiatric and psychological interventions. The evidence base for telepsychiatry is growing in adults and adolescents. A growing body of literature suggests that use of telepsychiatry to provide mental health services has the potential to remove geographic barriers between patients and providers and improves quality care. It has increased the volume of patients that physicians can reach and diagnose, as well as allowing them to treat patients.


Assuntos
Betacoronavirus , Infecções por Coronavirus/psicologia , Serviços de Saúde Mental/organização & administração , Pandemias , Pneumonia Viral/psicologia , Psiquiatria/métodos , Estresse Psicológico/etiologia , Telemedicina/métodos , Adolescente , Adulto , Idoso , Ansiedade/etiologia , Atitude do Pessoal de Saúde , Atitude Frente a Morte , Cuidadores/psicologia , Criança , Comorbidade , Infecções por Coronavirus/epidemiologia , Depressão/etiologia , Pessoal de Saúde/psicologia , Acesso aos Serviços de Saúde , Humanos , Transtornos Mentais/epidemiologia , Transtornos Mentais/terapia , Pneumonia Viral/epidemiologia , Psiquiatria/organização & administração , Psicologia do Adolescente , Psicologia da Criança , Quarentena/psicologia
17.
Australas Psychiatry ; 28(5): 508-510, 2020 10.
Artigo em Inglês | MEDLINE | ID: mdl-32484737

RESUMO

OBJECTIVE: This paper discusses issues arising from the rapid implementation of metropolitan telepsychiatry in private practice during the Covid-19 public health emergency. CONCLUSIONS: The relatively rapid uptake of private practice metropolitan telepsychiatry may further increase flexibility of the options for appointments through ongoing broad telepsychiatry access after the Covid-19 crisis. Telepsychiatry can be used to facilitate the temporary provision of psychiatric care, and has benefits and risks, but is not a longer-term replacement for the interpersonal richness of face-to-face consultations.


Assuntos
Infecções por Coronavirus/psicologia , Pneumonia Viral/psicologia , Psiquiatria/métodos , Telemedicina/estatística & dados numéricos , Austrália , Betacoronavirus , Previsões , Humanos , Pandemias
20.
Int J Law Psychiatry ; 70: 101564, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32482306

RESUMO

Many countries have enacted, or are in the process of enacting, emergency mental health legislation in response to the global pandemic of Covid-19 (coronavirus). In Ireland, the Emergency Measures in the Public Interest (Covid-19) Act, 2020 amends the Mental Health Act 2001 to permit the Mental Health Commission to request an independent psychiatric report about an involuntary patient from any consultant psychiatrist who is not treating the patient (and not just those on its designated panel). This independent examination may occur 'in person', 'by other appropriate means', or even, 'due to the exigencies of the public health emergency', not occur at all, once this is explained in the resultant report. The 2020 Act acknowledges that 'the exigencies of the public health emergency' might hamper the independent psychiatrist's work and requires a written report from the patient's treating psychiatrist 'no earlier than the day before' the tribunal, in lieu of the psychiatrist physically attending a tribunal hearing, although, if possible, they will attend (i.e. phone in to) a tribunal held by conference call. The 2020 Act permits the Mental Health Commission to, if necessary, appoint tribunals 'consisting of one member who shall be a practising barrister or solicitor'. Such a tribunal shall, if possible, consult with a consultant psychiatrist if the reports from the independent psychiatrist and treating psychiatrist conflict or if it is otherwise 'necessary in the interest of the patient'. A tribunal can extend an involuntary order by a second period of 14 days 'of its own motion if the tribunal, having due regard to the interest of the patient, is satisfied that it is necessary'. Tribunals for current involuntary patients will be prioritised over retrospective tribunals for discharged patients; a tribunal can direct a witness to provide 'a written statement' rather than attending; and the patient can make written representation to the tribunal instead of physically attending a tribunal hearing, although they may attend (i.e. phone in to) a tribunal held by conference call. Psycho-surgery for involuntary patients is banned. While it is clear that revisions are urgent and necessary in light of Covid-19, the proportionality of these changes will depend on how, and the extent to which, they are used in practice. With good communication, efficient team-working and close adherence to professional codes of practice and ethics, it is hoped that these amendments will result in a review system that is as reasonable, robust and reassuring as the current, highly unusual circumstances permit.


Assuntos
Internação Compulsória de Doente Mental/legislação & jurisprudência , Infecções por Coronavirus , Saúde Mental/legislação & jurisprudência , Pandemias , Pneumonia Viral , Psiquiatria/legislação & jurisprudência , Psiquiatria/métodos , Comitês Consultivos , Betacoronavirus , Tomada de Decisões , Serviço Hospitalar de Emergência , Humanos , Irlanda , Transtornos Mentais/terapia
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