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This autobiographical paper recounts the recovery journey of Lorna Collins, a survivor of severe and enduring anorexia nervosa (SE-AN). Her story begins with a traumatic brain injury at the age of 18, leading to a complex eating disorder that persisted for over two decades. Despite over 30 hospital admissions and various treatment modalities, her condition only worsened, compounded by other mental health challenges. The paper describes these multifaceted struggles, including mistreatment in healthcare, self-harm, further trauma and near-fatal illness. The author aims to culminate her story in an uplifting manner, by highlighting the pivotal role that integrated cognitive behaviour therapy, artistic expression, and a renewed connection with her family have made on her recovery. Collins' account is not only a personal testimony but also offers critical insights into the shortcomings of traditional eating disorder treatments and the importance of personalised, holistic approaches in mental health care. Lorna's story aims to bring hope, challenge the concept of SEED and form part of a growing evidence-base that recovery is possible irrespective of duration or eating disorder severity. [ABSTRACT FROM AUTHOR]

For children who show strongly deviant behaviour in the Netherlands, a distinction is made between behavioural problems and psychiatric problems. As a result, two different domains have emerged over time, each with its own legal frameworks and inclusion and exclusion criteria. Consequently, there is no well-organized, coherent system for youth mental health care in the Netherlands. This strong dichotomy raises the question whether patients are being admitted to facilities where they are receiving appropriate care. In addition, referral bias can arise, because the type of complaint with which a young person presents is often dependent on the type of coping of the individual and thus, in turn, the gender of the patient. In this Position Paper, we examined the gender distribution at a youth psychiatric high and intensive care (HIC-Y) and other streams of youth care in the Netherlands to explore possible inequities in access to psychiatric care among children and adolescents. Results show that girls are significantly more likely than boys to be admitted to the HIC-Y for suicidal thoughts, self-harm and emotional dysregulation. In fact, girls account for 80% of all admissions, while boys account for only 20%. In contrast, regional and national reports from youth services and probation show a majority of boys being admitted (56–89%). The way care is organized (lack of cross-domain collaboration and the interplay between gender-dependent coping and exclusion criteria) seems to play a role in the underrepresentation of boys in acute psychiatry and their overrepresentation in secure youth care. Based on our research results, the concern is raised whether boys have a greater chance of undertreatment for psychiatric problems. Further research is needed to better understand the underlying factors that contribute to gender bias in psychiatric admissions, and to develop interventions that promote gender equality in healthcare. [ABSTRACT FROM AUTHOR]

Despite a plethora of treatments available for alleviating mental health issues, it has been reported that interventions, as they stand, are simply just not good enough (Kalin, Am. J. Psychiatry, 176, 2019, 885). Increasing figures of suicides are published each year, most recently standing at over 49,000 in the United States. Contested arguments continue in the field of psychotherapy with regard to finding the ‘best’ treatments for mental health issues. Recently, there have been calls for mental health practitioners and researchers to move towards innovation by asking different questions and creating new methods, albeit underpinned by rigorous scientific investigation. One such method currently being adopted with promising outcomes is the integration of mind–body techniques, such as yoga, into mental health treatments. Yoga is an ancient practice which provides a holistic system of healing and complementary philosophy to western understandings of the human mind. Like psychotherapy, yoga seems to work with unconscious processes, which can enable long‐term change. Combined with psychotherapeutic discovery, novel treatment models which incorporate both yoga and psychotherapy could therefore be provided. Yoga‐integrated psychotherapy (YiP), as a new model of treatment, could enhance outcomes for clients presenting with a range of difficulties as it aims to work with these methods as well as transdiagnostic understandings of distress. Additionally, YiP underscores the importance of a humanistic approach, which values the uniqueness of individuals and their subjective understandings of distress. Promising data from a recent pilot study of a YiP model in which participants describe the approach as ‘life changing’ form the basis of this discussion paper. The question arising is whether a humanistic and yoga‐integrated approach to psychotherapy could assist in enhancing client outcomes. [ABSTRACT FROM AUTHOR]

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As some of the psychoanalytic world still struggles to give due weight to psychosocial factors in our patients' difficulties, Rustin presents us with both a straightforwardly sensible and a subtle awareness of the complexity of the interactions between a child's internal world and their external world. As I embarked on reading this selection of past papers by Margaret Rustin, I set about it in the way I have often used in book reviews - copying particularly inspiring or insightful phrases into a document so I could refer to them or quote them in the review to come. Finding a Way to the Child: Selected Clinical Papers 1983-2021 Margaret Rustin. [Extracted from the article]

Background: People with severe mental illness (e.g. psychosis, bipolar disorder) experience poor oral health compared to the general population as shown by more decayed, missing and filled teeth and a higher prevalence of periodontal disease. Attending dental services allows treatment of oral health problems and support for prevention. However, people with severe mental illness face multiple barriers to attending routine dental appointments and often struggle to access care. Link work interventions use non-clinical support staff to afford vulnerable populations the capacity, opportunity, and motivation to navigate use of services. The authors have co-developed with service users a link work intervention for supporting people with severe mental illness to access routine dental appointments. The Mouth Matters in Mental Health Study aims to explore the feasibility and acceptability of this intervention within the context of a feasibility randomised controlled trial (RCT) measuring outcomes related to the recruitment of participants, completion of assessments, and adherence to the intervention. The trial will closely monitor the safety of the intervention and trial procedures. Methods: A feasibility RCT with 1:1 allocation to two arms: treatment as usual (control) or treatment as usual plus a link work intervention (treatment). The intervention consists of six sessions with a link worker over 9 months. Participants will be adults with severe mental illness receiving clinical input from secondary care mental health service and who have not attended a planned dental appointment in the past 3 years. Assessments will take place at baseline and after 9 months. The target recruitment total is 84 participants from across three NHS Trusts. A subset of participants and key stakeholders will complete qualitative interviews to explore the acceptability of the intervention and trial procedures. Discussion: The link work intervention aims to improve dental access and reduce oral health inequalities in people with severe mental illness. There is a dearth of research relating to interventions that attempt to improve oral health outcomes in people with mental illness and the collected feasibility data will offer insights into this important area. Trial registration: The trial was preregistered on ISRCTN (ISRCTN13650779) and ClinicalTrials.gov (NCT05545228). [ABSTRACT FROM AUTHOR]

The remaining 11 patients still utilizing PES in 2020 had on average seven chronic medical conditions (95% CI: 3.8-10.2), with six patients having at least one alcohol-attributable condition, and were taking on average 11 chronic medications (95% CI: 8.5-13.5). Among all 12 patients still alive and within the state of Connecticut in 2020, all but one patient who required nursing home care continued to utilize PES services, and the majority of patients with substance use disorder continued to report substance use in 2020. Prevalence of Substance Use Disorder in Hospitalized Pediatric Patients With Eating Disorders... B Precious Obehi Eseaton SP 1 sp , Samuel Nwaobi SP 2 sp , Henry Onyeaka SP 3 sp , Abby Enosolease SP 4 sp , Adeolu Funso Oladunjoye SP 5 sp , Ehizogie Edigin SP 6 sp , Adeolu Oladunjoye* SP 5 sp b SP 1 sp University of South Wales, SP 2 sp Piedmont Columbus Regional, SP 3 sp Harvard Medical School, SP 4 sp University of Benin, SP 5 sp Baylor College of Medicine, SP 6 sp Loma Linda University Health B Summary b : We aim to study the prevalence of substance use disorder in hospitalized pediatric patients with eating disorders in the United States. Alcohol use was most frequently reported (16 patients), followed by stimulant use (nine patients), opioid use (seven patients), and then other substances such as sedative-hypnotics and cannabis (four patients). Only a minority of the patients had only METH as a presenting disorder with the most patients also manifesting opioid use disorders. [Extracted from the article]

These 12 factors include: insufficient/incorrect patient education, insufficient/incorrect patient assessment, lack of consultation, insufficient/incorrect OTC product recommendation, discontinued medications, improper storage, expired medications, incorrect dosing (subtherapeutic/overdose), missing medications, drug-drug interactions/adverse drug reactions, therapeutic duplication, and inappropriate treatment duration. [Extracted from the article]

The Nominal Group Technique is a method used to explore issues, generate ideas, and reach consensus on a topic. The Nominal Group Technique includes individual and group work and is designed to ensure participants have the same opportunity to engage and provide their opinions. While the technique has been used for around six decades to assist groups, in industry, and government organizations to examine issues and make decisions, this technique has received limited attention in nursing research, particularly in mental health. This discussion paper describes the use of a modified Nominal Group Technique for a study designed to determine a nursing decision‐making framework for a state‐wide forensic mental health service. Modifications were made to the traditional technique, to enable participants to make an informed and collective decision about a suitable framework for the novice to expert nurses, across secure inpatient, prison, and community forensic mental health settings. The Nominal Group Technique generated rich data and offered a structured approach to the process. We argue that the Nominal Group Technique offers an exciting and interactive method for nursing research and can increase opportunity for minority group members to participate. This technique also offers a time efficient way to engage busy clinical nurses to participate in research, with the advantage of members knowing the decision on the day of the group. Consideration, however, needs to be given to the duration and effect on participant concentration, and if not actively managed by facilitators, the possible emergence of group dynamics affecting individuals' decisions. [ABSTRACT FROM AUTHOR]

Background: Inaccessible services and poor communication are barriers to successful transitions between adolescent and adult mental health services, for which digital communications (DC) offer a possible solution. Aims: To investigate the role of DC, including smartphone apps, email and text, given the known barriers and facilitators of mental health service transitions reported in the literature. Methods: Use of Neale's (2016) iterative categorisation technique to undertake a secondary analysis of qualitative data collected for the Long-term conditions Young people Networked Communication (LYNC) study. Results: DC were used successfully by young people and staff in ways that ameliorated known barriers to service transitions. They engendered responsibility in young people, promoted service access and contributed to client safety, particularly in times of crisis. DC risks included over-familiarity between young people and staff, and the possibility that messages could go unread. Conclusions: DC have the potential to facilitate trust and familiarity during and after transition to adult mental health services. They can strengthen young people's perceptions of adult services as supportive, empowering and available. DC can be used for frequent 'check-ins' and remote digital support for social and personal problems. They provide an additional safety net for at-risk individuals, but require careful boundary setting. [ABSTRACT FROM AUTHOR]

Drawing from research on 'paper technologies' conducted by medical historians Volker Hess and Andrew Mendelsohn, among others, this article explores how Adolf Meyer (1866–1950) and his staff at the Phipps Psychiatric Clinic used customized punch cards to develop an alternative conceptualization of schizophrenia: 'parergasia.' It begins by examining 'dementia praecox,' the conceptual precursor to both schizophrenia and parergasia, to explain how earlier paper technologies used to track patients transferred to asylums generated prognostic assumptions that precluded deinstitutionalization and community-based care. It then describes how Meyer's staff modified these technologies to define parergasia in opposition to dementia praecox and other diagnoses that resulted in prolonged hospitalization, primarily by conducting follow-up studies on discharged patients that correlated outcomes with various social factors. After demonstrating how the standardized forms used in these studies limited the possible metrics of recovery, it concludes by suggesting how Meyer's research influenced leaders of the community mental health movement, and prefigured later trends in psychiatric services. [ABSTRACT FROM AUTHOR]

Suicide is a major global public health issue, and in recent years, there has been increasing recognition of the problem of physician suicide. This American College of Physicians policy paper examines, from the perspective of ethics, the issues that arise when individuals and institutions respond to physician suicides and when they engage in broader efforts aimed at physician suicide prevention. Emphasizing the medical profession as a unique moral community characterized by ethical and professional commitments of service to patients, each other, and society, this paper offers guidance regarding physician suicide and the role of a healing community. The response to an individual physician suicide should be characterized by respect and concern for those who are grieving, the creation of a supportive environment for suicide loss survivors, and careful communication about the event. Because suicide is a complex problem, actions aimed at preventing suicide must occur at the individual, interpersonal, community, and societal levels. The medical community has an obligation to foster a culture that supports education, screening, and access to mental health treatment, beginning at the earliest stages of medical training. [ABSTRACT FROM AUTHOR]

Open Dialogue is a need‐adapted approach to mental health care that was originally developed in Finland. Like other need‐adapted approaches, Open Dialogue aims to meet consumer's needs and promote collaborative person‐centred dialogue to support recovery. Need‐adapted mental health care is distinguished by flexibility and responsiveness. Fidelity, defined from an implementation science perspective as the delivery of distinctive interventions in a high quality and effective fashion is a key consideration in health care. However, flexibility presents challenges for evaluating fidelity, which is much easier to evaluate when manualization and reproducible processes are possible. Hence, it remains unclear whether Open Dialogue and other need‐adapted mental health interventions can be meaningfully evaluated for fidelity. The aim of this paper was to critically appraise and advance the evaluation of fidelity in need‐adapted mental health care, using Open Dialogue as a case study. The paper opens a discussion about how fidelity should be evaluated in flexible, complex interventions, and identifies key questions that need to be asked by practitioners working in need‐adapted mental health care to ensure they deliver these interventions as intended and in an evidence‐based fashion. [ABSTRACT FROM AUTHOR]

This paper builds on a previous article describing an innovative approach to enhance the service user and practitioner's experience of novel collaborative approach to service improvement. It aims to explore the impact of this through the voices of service users as collaborators and co-authors. The Recovery and Collaborative Care Planning Café (RCCPC) designed with World Café principles, created a safe space to foster inquiry and learning about recovery between service users, carers, and practitioners in an NHS Trust. An important part of the method was in changing conversations towards recovery and living well with conditions applying CHIME concepts (Connectedness, Hope, Identity, Meaning, and Empowerment). Story is a qualitative method known as a well-established effective means of engaging others in sharing experiences and perspectives. Through the stories of service users' experiences participating in the RCCP Cafe, it was clear that they felt that CHIME concepts had a positive impact on the way that their conversations evolved. Accounts of how these conversations had resulted in personal growth and increased connectedness emerged. [ABSTRACT FROM AUTHOR]

Background: For the last four decades, there has been a shift in mental healthcare toward more rehabilitation and following a more humanistic and comprehensive vision on recovery for persons with severe mental illness (SMI). Consequently, many community-based mental healthcare programs and services have been developed internationally. Currently, community mental healthcare is still under development, with a focus on further inclusion of persons with enduring mental health problems. In this review, we aim to provide a comprehensive overview of existing and upcoming community mental healthcare approaches to discover the current vision on the ingredients of community mental healthcare. Methods: We conducted a scoping review by systematically searching four databases, supplemented with the results of Research Rabbit, a hand-search in reference lists and 10 volumes of two leading journals. We included studies on adults with SMI focusing on stimulating independent living, integrated care, recovery, and social inclusion published in English between January 2011 and December 2022 in peer-reviewed journals. Results: The search resulted in 56 papers that met the inclusion criteria. Thematic analysis revealed ingredients in 12 areas: multidisciplinary teams; collaboration within and outside the organization; attention to several aspects of health; supporting full citizenship; attention to the recovery of daily life; collaboration with the social network; tailored support; well-trained staff; using digital technologies; housing and living environment; sustainable policies and funding; and reciprocity in relationships. Conclusion: We found 12 areas of ingredients, including some innovative topics about reciprocity and sustainable policies and funding. There is much attention to individual ingredients for good community-based mental healthcare, but very little is known about their integration and implementation in contemporary, fragmented mental healthcare services. For future studies, we recommend more empirical research on community mental healthcare, as well as further investigation(s) from the social service perspective, and solid research on general terminology about SMI and outpatient support. [ABSTRACT FROM AUTHOR]

A large proportion of the world's disease burden is attributable to mental illnesses. Although effective interventions are available, many patients still have limited access to evidence-based treatments. Aside from access, treatment gaps, including inappropriate medication selection and monitoring, are also routinely recognised. Mental health clinical pharmacists can help address these gaps and enable patients to receive optimised pharmaceutical care, particularly appropriate medication selection and monitoring. The European Society of Clinical Pharmacy (ESCP) Special Interest Group on Mental Health was established to improve standardised service provision in mental health settings across Europe. The Special Interest Group identified significant barriers (predominantly associated with reimbursement and position within the multidisciplinary team) to effective pharmaceutical care amongst those with mental illnesses. This commentary presents recommendations to address these gaps through improved mental health clinical pharmacy service provision. [ABSTRACT FROM AUTHOR]

• This is an overview of the state of tES/TMS applied in drug addictions. • Neuroscience will be translated into tES/TMS tools for clinical practice in addiction. • Heterogeneity of methods and outcome measures in the literature are addressed. • This article provides guidelines for best practices in tES/TMS addiction research. There is growing interest in non-invasive brain stimulation (NIBS) as a novel treatment option for substance-use disorders (SUDs). Recent momentum stems from a foundation of preclinical neuroscience demonstrating links between neural circuits and drug consuming behavior, as well as recent FDA-approval of NIBS treatments for mental health disorders that share overlapping pathology with SUDs. As with any emerging field, enthusiasm must be tempered by reason; lessons learned from the past should be prudently applied to future therapies. Here, an international ensemble of experts provides an overview of the state of transcranial-electrical (tES) and transcranial-magnetic (TMS) stimulation applied in SUDs. This consensus paper provides a systematic literature review on published data – emphasizing the heterogeneity of methods and outcome measures while suggesting strategies to help bridge knowledge gaps. The goal of this effort is to provide the community with guidelines for best practices in tES/TMS SUD research. We hope this will accelerate the speed at which the community translates basic neuroscience into advanced neuromodulation tools for clinical practice in addiction medicine. [ABSTRACT FROM AUTHOR]

Established in 1950, the Association for University and College Counseling Center Directors (AUCCCD) is an international organization comprising universities and colleges (https://www.aucccd.org). AUCCCD members are the higher education leaders for student mental health. Our members represent a wide range of professional disciplines, public and private institutions, and a range of institutional student enrollment sizes. This white paper: (a) provides a historical background on counseling and mental health services on college campuses; (b) argues that, based on current research, there is no single organizational structure that is optimal; (c) makes recommendations about factors to consider when making decisions about the counseling center that are based on specific campus needs and resources rather than a preferred organizational structure; and (d) advocates for a collaborative care model regardless of organizational structure. [ABSTRACT FROM AUTHOR]

Background: Health services research is of increasing importance in current psychiatry. Therefore, large datasets and aggregation of data generated by electronic routine documentation due to legal, financial, or administrative purposes play an important role. However, paper-based routine documentation is still of interest. It remains relevant in less developed health care systems, in emergency settings, and in long-term retrospective and historical studies. Whereas studies examining the reliability of electronic routine documentation support the application of routine data for research purposes, our knowledge regarding reliability of paper-based routine documentation is still very sparse. Methods: Basic documentation (BADO) was completed on paper forms and digitalized manually for all inpatients of the Department of Psychiatry and Psychotherapy, University Hospital Hamburg-Eppendorf, Germany, treated within the time period from 1998 to 2006. Four hundred twelve cases of first-episode psychosis patients were chosen for comparison with clinical data from paper-based patient files. The percentage of missing information, the percentage of correct classifications, sensitivity, and positive predictive value were calculated for all applicable variables. Results: In eight cases (1.9%), a BADO form was available, but was not filled in. In 37 cases (7.0%), the patient files were lost and could not be obtained from the centralized archive. Routine data were available for all other cases in 20 (58.8%) of the examined 34 variables, and the percentage of missing data for the remaining variables ranged between 0.3% and 22.9%, with only the variables education and suicidality during treatment having more than 5% missing data. In general, the overall rate of correct classifications was high, with a median percentage of 86.4% to 99.7% for the examined variables. Sensitivity was above 75% for eight and <75% but above 50% for six of the examined 17 variables. Values for the positive predictive value were above 75% for nine and <75% but above 50% for three variables. Conclusion: In summary, paper-based routine documentation reaches acceptable reliability, but this is dependent on the chosen documentation categories and variables. Based on the present findings, paper-based routine documentation can indeed be used for quality management, organizational development, and health services research. Its limitations, however, have to be kept in mind. [ABSTRACT FROM AUTHOR]

Abstract: Open Dialogue is a resource‐oriented approach to mental health care that originated in Finland. As Open Dialogue has been adopted across diverse international healthcare settings, it has been adapted according to contextual factors. One important development in Open Dialogue has been the incorporation of paid, formal peer work. Peer work draws on the knowledge and wisdom gained through lived experience of distress and hardship to establish mutual, reciprocal, and supportive relationships with service users. As Open Dialogue is now being implemented across mental health services in Australia, stakeholders are beginning to consider the role that peer workers might have in this model of care. Open Dialogue was not, initially, conceived to include a specific role for peers, and there is little available literature, and even less empirical research, in this area. This discussion paper aims to surface some of the current debates and ideas about peer work in Open Dialogue. Examples and models of peer work in Open Dialogue are examined, and the potential benefits and challenges of adopting this approach in health services are discussed. Peer work in Open Dialogue could potentially foster democracy and disrupt clinical hierarchies, but could also move peer work from reciprocal to a less symmetrical relationship of ‘giver’ and ‘receiver’ of care. Other models of care, such as lived experience practitioners in Open Dialogue, can be conceived. However, it remains uncertain whether the hierarchical structures in healthcare and current models of funding would support any such models. [ABSTRACT FROM AUTHOR]

Highlights from the article: Ensuring that frontline agencies can effectively respond to people with intellectual disabilities who have complex support needs requires commitment from disability and mainstream sectors at the level of both policy and practice. In the absence of planners who are skilled in working with diverse groups of people with disabilities, people with intellectual disabilities and complex support needs are at risk of poor planning experiences and outcomes (Dowse, Wiese & Smith, [15]). Several key features characterise effective provision of support for people with intellectual disabilities and complex support needs which span issues of workforce, models of timely support provision, and advocacy, shaped by a coherent policy framework. As the national policy framework to meet Australia's obligations under the United Nations Convention on the Rights of Persons with Disabilities (UNCRPD), the National Disability Strategy requires the recognition and inclusion of people with disabilities in all aspects of Australian life.

The American Medical Association Current Procedural Panel developed a new billing code making behavioral health screening a reimbursable healthcare service. The use of computerized testing as a means for cognitive screening and brief cognitive testing is increasing at a rapid rate. The purpose of this education paper is to provide information to clinicians, healthcare administrators, and policy developers about the purpose, strengths, and limitations of cognitive screening tests versus comprehensive neuropsychological evaluations. Screening tests are generally brief and narrow in scope, they can be administered during a routine clinical visit, and they can be helpful for identifying individuals in need of more comprehensive assessment. Some screening tests can also be helpful for monitoring treatment outcomes. Comprehensive neuropsychological assessments are multidimensional in nature and used for purposes such as identifying primary and secondary diagnoses, determining the nature and severity of a person's cognitive difficulties, determining functional limitations, and planning treatment and rehabilitation. Cognitive screening tests are expected to play an increasingly important role in identifying individuals with cognitive impairment and in determining which individuals should be referred for further neuropsychological assessment. However, limitations of existing cognitive screening tests are present and cognitive screening tests should not be used as a replacement for comprehensive neuropsychological testing. [ABSTRACT FROM AUTHOR]

The purpose of this paper is to set out informal, provisional and comprehensive but concise guidelines for mother-infant (perinatal) mental health (psychiatry), as an area of specialisation. It is informal in the sense that the authors are clinicians and researchers from many different nations, who share a common goal and vision, speaking on their own behalf and not with the backing of any authority or society. It is provisional in the expectation that it can be improved by criticism and new research findings. It is a comprehensive summary of the development of the specialty, its core knowledge and recommended investigations and interventions. It is concise (under 6,000 words, taking less than an hour to read) in order to increase readership and facilitate translation. No attempt has been made to parade the evidence for these suggestions, because the document would have been too long to translate, and for many to read. Instead, drafts were circulated for criticism by those included in the authorship, resulting in a consensus (finalised by the three principal authors), providing a framework to guide service provision, clinical practice and research. The full list of authors, from 33 nations, is given in the postscript. They include mother-infant (or parent-infant) and perinatal adult or child psychiatrists and those with a special interest; mother-infant, perinatal and forensic psychologists; psychiatric nurses; the founders of Postpartum Support International and the Association for Postnatal Illness; representatives of social work and obstetrics and the management of these services, and research scientists working in the field. [ABSTRACT FROM AUTHOR]

Dr. Franco also receives permission to take Maria out for walks. Over the course of the treatment, Dr. Franco relies on Narrative Exposure Therapy (NET) to help Maria process the trauma she experienced, on psychodynamic therapy to help her connect what happened to her with her current fears, and on CBT techniques to help Maria recognize unhelpful ways of thinking. In her paper, Dr. Franco gives a painful account of the case of Maria, a seventeen-year-old adolescent who experienced emotional neglect and abandonment as well as sexual, physical and emotional abuse from early on. Maria's individual treatment is presented as part of the Trauma Systems Therapy for Refugees (TST-R) proposed by Ellis et al. ([8]). [Extracted from the article]

In this recurrent event case-control cohort study of 23,303 persons with OUD receiving buprenorphine treatment, stimulant treatment days were (1) associated with 18% increased odds of drug-related poisoning and (2) 34% decreased risk of attrition from buprenorphine treatment. Standard of Care) among Patients with Substance Us... B Celeste Wong SP 1 sp , Natalie Lester SP 1 sp , Nina Sardesh SP 1 sp , Jared Embree SP 2 sp , Celeste Wong* SP 3 sp b SP 1 sp Verily Life Sciences, SP 2 sp Wright State University, SP 3 sp Yale School of Medicine B Summary: b The COVID pandemic catalyzed use of telehealth services across substance use disorder (SUD) treatment services, despite open questions about how telehealth care would impact patient engagement and treatment retention. B Friday, December 10, 2021 b B 3:30 p.m.-4:10 p.m. b I B Concurrent paper session I b (n i = I 3) i I *Denotes presenting author i Alcohol Use among People Living with HIV Treated with Antiretroviral Therapy B Joseph Ikekwere* SP 1 sp , Fred Stephen Sarfo SP 2 sp , Rodney Eiger SP 3 sp , Brady Heward SP 4 sp , Christian Nwabueze SP 5 sp , Oghenetega Ayisire SP 6 sp , Ufuoma Agbedia-Ejughemre SP 7 sp , John-Paul Omuojine SP 8 sp , Joshua Longcoy SP 9 sp , Oluwole Jegede SP 10 sp b SP 1 sp University of Illinois at Chicago (UIC), SP 2 sp Komfo Anokye Teaching Hospital, Kumasi, Ghana, SP 3 sp Jesse Brown VAMC and University of Illinois at Chicago COM/Department of Psychiatry, SP 4 sp The University of Vermont Medical Center, Burlington, VT, SP 5 sp East Tennessee State University, SP 6 sp Texas Department of State Health Services, SP 7 sp Asaba Specialist Hospital, Delta-Nigeria, SP 8 sp Komfo Anonkye Teaching Hospital, Ghana, SP 9 sp Rush University Medical Center, Chicago, SP 10 sp Yale University School of Medicine B Summary: b Substance use is a known predictor of poor adherence to HAART in PLWH. [Extracted from the article]

Evidence-Based Practice in Child and Adolescent Mental Health (EPCAMH) is inviting submissions for a special issue on bilingual youth mental health services. The issue aims to address the growing need for clinical psychologists to provide care in languages other than English and the disparities in access to services and quality of care for linguistically diverse youth. The special issue seeks papers on a range of topics, including guidelines for bilingual service delivery, competencies for bilingual providers, ethical challenges, and the experiences of bilingual providers. The journal welcomes papers that utilize diverse research methodologies and provide clinical utility to practicing clinicians. Submissions are due by February 15, 2024. For more information, contact Dr. Hannah Jones. [Extracted from the article]

This document is a summary of a special issue in the journal "Social Sciences" that examines the concept of relational wellbeing among young refugees. The papers in the issue explore various dimensions of relational wellbeing and highlight the challenges and resilience of young refugees. The authors emphasize the importance of relationships and call for a relational approach in policy and resource distribution to better support the needs of young refugees. [Extracted from the article]

The article mentions that leading nurses are among those conveying their thoughts on government and National Health Service efforts to reshape services ahead of Mental Health Nurses Day on February 21, 2019.

Evidence-Based Practice in Child and Adolescent Mental Health (EPCAMH) is inviting submissions for a special issue on innovative adaptations of the Summer Treatment Program (STP). The STP is an evidence-based treatment originally developed for elementary school children with ADHD, but it has been modified to address a wider range of mental health concerns in children and adolescents. The special issue aims to highlight adaptations of the STP that enhance research, training, and treatment in youth mental health, including efforts to broaden its dissemination and implementation. The journal welcomes papers utilizing diverse methodologies and encourages authors to consider how program models could be adapted and implemented in different settings. [Extracted from the article]

Behavioral health care includes care for patients around mental health and substance abuse conditions, health behavior change, life stresses and crises, and stress-related physical symptoms. Mental and substance use disorders alone are estimated to surpass all physical diseases as a major cause of worldwide disability by 2020. The literature recognizes the importance of the health care system effectively addressing behavioral health conditions. Recently, there has been a call for the use of the primary care delivery platform and the related patient-centered medical home model to effectively address these conditions. This position paper focuses on the issue of better integration of behavioral health into the primary care setting. It provides an environmental scan of the current state of conditions included in the concept of behavioral health and examines the arguments for and barriers to increased integration into primary care. It also examines various approaches of integrated care delivery and offers a series of policy recommendations that are based on the reviewed information and evidence to inform the actions of the American College of Physicians and its members regarding advocacy, research, and practice. [ABSTRACT FROM AUTHOR]

We welcome papers utilizing diverse forms of methodology including, but not limited to, community-based participatory research, well-conducted randomized controlled trials, qualitative and mixed method investigations, program evaluation, and systematic reviews and meta-analyses. I Evidence-Based Practice in Child and Adolescent Mental Health i (EPCAMH) is now accepting papers for a special issue focused on considerations in bilingual child and adolescent clinical care delivery, research, assessment, and training, guest edited by Dr. Hannah Jones and Dr. Maciel Campos. [Extracted from the article]

Technical and accessibility issues in hospitals often prevent patients from receiving optimal mental and physical health care, which is essential for independent living, especially as societies age and chronic diseases like diabetes and cardiovascular disease become more common. Recent advances in the Internet of Things (IoT)-enabled wearable devices offer potential solutions for remote health monitoring and everyday activity recognition, gaining significant attention in personalized healthcare. This paper comprehensively reviews wearable healthcare technology integrated with the IoT for continuous vital sign monitoring. Relevant papers were extracted and analyzed using a systematic numerical review method, covering various aspects such as sports monitoring, disease detection, patient monitoring, and medical diagnosis. The review highlights the transformative impact of IoT-enabled wearable devices in healthcare, facilitating real-time monitoring of vital signs, including blood pressure, temperature, oxygen levels, and heart rate. Results from the reviewed papers demonstrate high accuracy and efficiency in predicting health conditions, improving sports performance, enhancing patient care, and diagnosing diseases. The integration of IoT in wearable healthcare devices enables remote patient monitoring, personalized care, and efficient data transmission, ultimately transcending traditional boundaries of healthcare and leading to better patient outcomes. [ABSTRACT FROM AUTHOR]

Adopting AI (Artificial Intelligence) in the provision of psychiatric services has been groundbreaking and has presented other means of handling some of the issues related to traditional methods. This paper aims at analyzing the applicability and efficiency of AI in mental health practices based on business administration paradigms with a focus on managing services and policies. This paper engages a systematic and synoptic process, where current AI technologies in mental health are investigated with reference to the current literature as to their usefulness in delivering services and the moral considerations that surround their application. The study indicates that AI is capable of improving the availability, relevance, and effectiveness of mental health services, information that can be useful for policymakers in the management of health care. Consequently, specific concerns arise, such as how the algorithm imposes its own bias, the question of data privacy, or how a mechanism could reduce the human factor in care. The review brought to light an area of understanding of AI-driven interventions that has not been explored: the effect of such interventions in the long run. The field study suggests that further research should be conducted regarding ethical factors, increasing the ethical standards of AI usage in administration, and exploring the cooperation of mental health practitioners and AI engineers with respect to the application of AI in psychiatric practice. Proposed solutions, therefore, include enhancing the AI functions and ethical standards and guaranteeing that policy instruments are favorable for the use of AI in mental health. [ABSTRACT FROM AUTHOR]

Accessible Summary: What is known on the subject?: Open Dialogue was developed in Finland in the 1980s by clinical psychologist, Jaakko Seikkula. It is a development of family therapy, recognises previous trauma and has proven to be very effective in situations of acute mental illness, and in particular psychosis.Trauma Informed Care is a practice based on the understanding of and responsiveness to the impact of trauma. When people have experienced trauma, they may have difficulties in their everyday life and experience negative physical health outcomes as well as the risk of developing mental ill health.Open Dialogue is aligned to mental health care which aims to be trauma‐informed, person‐centred and rights‐based. Examples exist of the use of both approaches for service delivery with limited evaluation. What the paper adds to existing knowledge?: To our knowledge, no formal evaluation has been made of the use of open dialogue as a Trauma Informed therapy approach to support individuals and their family networks.Although both approaches recognise the impact of trauma on individuals, no study has explored the effectiveness of this treatment combination for use by mental health nurses.This review is timely as it provides insights into contemporary services that are trauma informed and have used Open Dialogue to extend therapy work with individuals and their family/networks.This scoping review was able to determine whether recommendations for clinical practice and training in Open Dialogue with Trauma Informed Care approaches could be identified. What are the implications for practice?: This review provided a broad overview on the current types of trauma‐informed care services incorporating Open Dialogue approaches into their practice.The literature, though sparce, identifies that Trauma Informed Care recognises multiple origins for mental ill health. Open dialogue has an affinity with the common values of mental health nurses. As combined therapies, they are demonstrating usefulness in engaging families and people in their journey towards recovery.Rigid adherence to Open Dialogue focus and delivery as well as training practices could be revised to make them more open to what people and their families wish to discuss. The person with mental ill health and previous trauma should be able to direct the narrative. Trauma Informed Practice principles could be adapted to improve consumer satisfaction with Open Dialogue approaches. Introduction: A large proportion of people who access mental health services have a lived experienced of trauma and are more likely to have a history of complex trauma. Open Dialogue and Trauma Informed Care practices identify previous trauma as a factor related to later psychosis. This scoping review has identified similarities and contrasts in how an Open Dialogue and Trauma Informed Care approach have been combined to complement one another for clinical work with people presenting with psychosis and previous trauma. Aim: We aimed to answer the following research question in this scoping review: What is known of the combined use of Open Dialogue and Trauma Informed Care practice when working with consumers and their family networks? As such, the purpose of this paper was to explore the application to practice and identify if any training existed and been evaluated. Method: This scoping review was based on the Arksey and O'Malley's framework. A comprehensive search was performed across five electronic databases. Grey literature was also searched through Psyche Info and Google Scholar for books, Dissertation and Theses, alongside hand searching of the reference of the studies. Articles searched was from January 2013 to January 2023. Results: Five distinct themes were identified from the literature: (1) Linking open dialogue with trauma, (2) Response to treatment, (3) Empowerment and information sharing, (4) Interpretation by clinical services, (5) Staff training outcomes. Discussion: Some tentative recommendations for practice recognised the individuals' unique story and perspective, suggested that trauma is an important concept to assess. Services practising as Trauma Informed Services that have incorporated an Open Dialogue approach have mixed experiences. The use of Open Dialogue may have some benefits for family work and exploring consumer narratives while building a network of support. However, consumers identified similar frustrations with service delivery as with the family therapy literature. For example, it was difficult to bring family members together and difficult to discuss previous traumatic events in front of family. People experiencing training in Open Dialogue reported it taking a slow pace and not what they were familiar with. Implications for Practice: Open Dialogue can facilitate engagement of consumers and their family networks and greater recognition of the peer workforce to promote collaboration in therapy is needed. Future research should also focus on evaluating the effectiveness of such services and comparing their outcomes across regions. [ABSTRACT FROM AUTHOR]

Solution-focused approaches are one approach to treatment used in a wide variety of settings in modern mental healthcare services. As yet, there has been no overall synthesis of how this approach is understood in the adult mental health literature. This conceptual review aimed to synthesize the ways that solutionfocused approaches have been conceptualized and understood, within the adult mental health literature, in the five decades since their conception. A systematic search followed by multiple techniques from the narrative synthesis approach were used to develop a conceptual framework of the extracted data. Fifty-six papers published between 1993 and 2019 were included in the review. These papers spanned a variety of clinical contexts and countries, but despite this the underlying key principles and concepts of solution-focused approaches were remarkably similar over time and setting. Thematic analysis of extracted data outlined five key themes relevant to the conceptualization of this approach. This conceptual framework will help support clinicians using solution-focused techniques or therapies by giving them a coherent understanding of such approaches, by what mechanisms they work, and how key principles of this approach can be utilized in adult mental health settings. [ABSTRACT FROM AUTHOR]

This document is an editorial from the International Journal of Indigenous Health, Volume 19, Issue 1. The guest editors, from the Poche Centre for Indigenous Health at the University of Sydney, present a collection of research papers that focus on research collaborations that enhance and embed Indigenous ways of Knowing, Being, and Doing. The papers highlight the importance of privileging Indigenous voices in research and emphasize the potential for transforming health experiences for Indigenous people globally. The editorial also provides Australian context, discussing the recent national referendum on constitutional recognition of Aboriginal and Torres Strait Islander people, which resulted in a rejection of recognition. Despite this setback, the editorial emphasizes the ongoing fight for recognition, voice, and truth-telling and the importance of research collaborations that center Indigenous knowledges. [Extracted from the article]